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Sample records for measurable ipsilateral effect

  1. Unilateral Plantar Flexors Static-Stretching Effects on Ipsilateral and Contralateral Jump Measures

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    Josinaldo Jarbas da Silva, David George Behm, Willy Andrade Gomes, Fernando Henrique Domingues de Oliveira Silva, Enrico Gori Soares, Érica Paes Serpa, Guanis de Barros Vilela Junior, Charles Ricardo Lopes, Paulo Henrique Marchetti

    2015-06-01

    Full Text Available The aim of this study was to evaluate the acute effects of unilateral ankle plantar flexors static-stretching (SS on the passive range of movement (ROM of the stretched limb, surface electromyography (sEMG and single-leg bounce drop jump (SBDJ performance measures of the ipsilateral stretched and contralateral non-stretched lower limbs. Seventeen young men (24 ± 5 years performed SBDJ before and after (stretched limb: immediately post-stretch, 10 and 20 minutes and non-stretched limb: immediately post-stretch unilateral ankle plantar flexor SS (6 sets of 45s/15s, 70-90% point of discomfort. SBDJ performance measures included jump height, impulse, time to reach peak force, contact time as well as the sEMG integral (IEMG and pre-activation (IEMGpre-activation of the gastrocnemius lateralis. Ankle dorsiflexion passive ROM increased in the stretched limb after the SS (pre-test: 21 ± 4° and post-test: 26.5 ± 5°, p < 0.001. Post-stretching decreases were observed with peak force (p = 0.029, IEMG (P<0.001, and IEMGpre-activation (p = 0.015 in the stretched limb; as well as impulse (p = 0.03, and jump height (p = 0.032 in the non-stretched limb. In conclusion, SS effectively increased passive ankle ROM of the stretched limb, and transiently (less than 10 minutes decreased muscle peak force and pre-activation. The decrease of jump height and impulse for the non-stretched limb suggests a SS-induced central nervous system inhibitory effect.

  2. Calibration of ipsilateral stimulus transducer for acoustic reflex measurements.

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    Olsen, S; Osterhammel, P A; Rasmussen, A N; Nielsen, L H

    1995-01-01

    Pure-tone Reference Equivalent Threshold Sound Pressure Level (RETSPL) of the ipsilateral stimulus receiver for acoustic reflex measurements on Madsen Electronics type Zodiac 901 impedance audiometer is provided. The results, obtained from 20 normal-hearing subjects, are achieved by comparing hearing threshold levels measured using a TDH 39 telephone (calibrated to ISO 389) with thresholds recorded using the ipsilateral stimulus insert phone. The calibration is referenced to an IEC-711 ear simulator and comprises the following frequencies: 125, 250, 500, 750, 1000, 1500, 2000, 3000, 4000, 6000, 8000 Hz.

  3. The Effects of Mirror Feedback during Target Directed Movements on Ipsilateral Corticospinal Excitability

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    Yarossi, Mathew; Manuweera, Thushini; Adamovich, Sergei V.; Tunik, Eugene

    2017-01-01

    Mirror visual feedback (MVF) training is a promising technique to promote activation in the lesioned hemisphere following stroke, and aid recovery. However, current outcomes of MVF training are mixed, in part, due to variability in the task undertaken during MVF. The present study investigated the hypothesis that movements directed toward visual targets may enhance MVF modulation of motor cortex (M1) excitability ipsilateral to the trained hand compared to movements without visual targets. Ten healthy subjects participated in a 2 × 2 factorial design in which feedback (veridical, mirror) and presence of a visual target (target present, target absent) for a right index-finger flexion task were systematically manipulated in a virtual environment. To measure M1 excitability, transcranial magnetic stimulation (TMS) was applied to the hemisphere ipsilateral to the trained hand to elicit motor evoked potentials (MEPs) in the untrained first dorsal interosseous (FDI) and abductor digiti minimi (ADM) muscles at rest prior to and following each of four 2-min blocks of 30 movements (B1–B4). Targeted movement kinematics without visual feedback was measured before and after training to assess learning and transfer. FDI MEPs were decreased in B1 and B2 when movements were made with veridical feedback and visual targets were absent. FDI MEPs were decreased in B2 and B3 when movements were made with mirror feedback and visual targets were absent. FDI MEPs were increased in B3 when movements were made with mirror feedback and visual targets were present. Significant MEP changes were not present for the uninvolved ADM, suggesting a task-specific effect. Analysis of kinematics revealed learning occurred in visual target-directed conditions, but transfer was not sensitive to mirror feedback. Results are discussed with respect to current theoretical mechanisms underlying MVF-induced changes in ipsilateral excitability. PMID:28553218

  4. The Effects of Mirror Feedback during Target Directed Movements on Ipsilateral Corticospinal Excitability

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    Mathew Yarossi

    2017-05-01

    Full Text Available Mirror visual feedback (MVF training is a promising technique to promote activation in the lesioned hemisphere following stroke, and aid recovery. However, current outcomes of MVF training are mixed, in part, due to variability in the task undertaken during MVF. The present study investigated the hypothesis that movements directed toward visual targets may enhance MVF modulation of motor cortex (M1 excitability ipsilateral to the trained hand compared to movements without visual targets. Ten healthy subjects participated in a 2 × 2 factorial design in which feedback (veridical, mirror and presence of a visual target (target present, target absent for a right index-finger flexion task were systematically manipulated in a virtual environment. To measure M1 excitability, transcranial magnetic stimulation (TMS was applied to the hemisphere ipsilateral to the trained hand to elicit motor evoked potentials (MEPs in the untrained first dorsal interosseous (FDI and abductor digiti minimi (ADM muscles at rest prior to and following each of four 2-min blocks of 30 movements (B1–B4. Targeted movement kinematics without visual feedback was measured before and after training to assess learning and transfer. FDI MEPs were decreased in B1 and B2 when movements were made with veridical feedback and visual targets were absent. FDI MEPs were decreased in B2 and B3 when movements were made with mirror feedback and visual targets were absent. FDI MEPs were increased in B3 when movements were made with mirror feedback and visual targets were present. Significant MEP changes were not present for the uninvolved ADM, suggesting a task-specific effect. Analysis of kinematics revealed learning occurred in visual target-directed conditions, but transfer was not sensitive to mirror feedback. Results are discussed with respect to current theoretical mechanisms underlying MVF-induced changes in ipsilateral excitability.

  5. The effects of ipsilateral, contralateral, and bilateral broadband noise on the mid-level hump in intensity discrimination.

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    Roverud, Elin; Strickland, Elizabeth A

    2015-11-01

    Previous psychoacoustical and physiological studies indicate that the medial olivocochlear reflex (MOCR), a bilateral, sound-evoked reflex, may lead to improved sound intensity discrimination in background noise. The MOCR can decrease the range of basilar-membrane compression and can counteract effects of neural adaptation from background noise. However, the contribution of these processes to intensity discrimination is not well understood. This study examined the effect of ipsilateral, contralateral, and bilateral noise on the "mid-level hump." The mid-level hump refers to intensity discrimination Weber fractions (WFs) measured for short-duration, high-frequency tones which are poorer at mid levels than at lower or higher levels. The mid-level hump WFs may reflect a limitation due to basilar-membrane compression, and thus may be decreased by the MOCR. The noise was either short (50 ms) or long (150 ms), with the long noise intended to elicit the sluggish MOCR. For a tone in quiet, mid-level hump WFs improved with ipsilateral noise for most listeners, but not with contralateral noise. For a tone in ipsilateral noise, WFs improved with contralateral noise for most listeners, but only when both noises were long. These results are consistent with MOCR-induced WF improvements, possibly via decreases in effects of compression and neural adaptation.

  6. Ipsilateral coordination at preferred rate: effects of age, body side and task complexity.

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    Van Impe, Annouchka; Coxon, James P; Goble, Daniel J; Wenderoth, Nici; Swinnen, Stephan Patrick

    2009-10-01

    Functional imaging studies have shown that elderly individuals activate widespread additional brain networks, compared to young subjects, when performing motor tasks. However, the parameters that effect this unique neural activation, including the spatial distribution of this activation across hemispheres, are still largely unknown. Here, we examined the effect of task complexity and body side on activation differences between older and younger adults while performing cyclical flexion-extension movements of the ipsilateral hand and foot. In particular, easy (isodirectional) and more difficult (non-isodirectional) coordination patterns were performed with either the left or right body side at a self-selected, comfortable rate. Even in the absence of imposed pacing the older group activated a larger brain network, suggestive of increased attentional deployment for monitoring the spatial relationships between the simultaneously moving segments and enhanced sensory processing and integration. Evidence of age-dependent underactivation was also found in contralateral M1, SMA and bilateral putamen, possibly reflecting a functional decline of the basal ganglia-mesial cortex pathway in the older group. An ANOVA model revealed significant main effects of task complexity and body side. However the interaction of these factors with age did not reach significance. Consequently, we conclude that under self-paced conditions, task complexity and body side did not have a modulatory effect on age-related brain activation.

  7. MEP Latencies Predict the Neuromodulatory Effect of cTBS Delivered to the Ipsilateral and Contralateral Sensorimotor Cortex.

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    Gan Huang

    Full Text Available Recently, it was shown that the highly variable after-effect of continuous theta-burst stimulation (cTBS of the primary motor cortex (M1 can be predicted by the latency of motor-evoked potentials (MEPs recorded before cTBS. This suggests that at least part of this inter-individual variability is driven by differences in the neuronal populations preferentially activated by transcranial magnetic stimulation (TMS.Here, we recorded MEPs, TMS-evoked brain potentials (TEPs and somatosensory-evoked potentials (SEPs to investigate the effects of cTBS delivered over the primary sensorimotor cortex on both the ipsilateral and contralateral M1, and the ipsilateral and contralateral primary somatosensory cortex (S1.We confirm that the after-effects of cTBS can be predicted by the latency of MEPs recorded before cTBS. Over the hemisphere onto which cTBS was delivered, short-latency MEPs at baseline were associated with an increase of MEP magnitude (i.e. an excitatory effect of cTBS whereas late-latency MEPs were associated with reduced MEPs (i.e. an inhibitory effect of cTBS. This relationship was reversed over the contralateral hemisphere, indicating opposite effects of cTBS on the responsiveness of the ipsilateral and contralateral M1. Baseline MEP latencies also predicted changes in the magnitude of the N100 wave of TEPs elicited by stimulation of the ipsilateral and contralateral hemisphere, indicating that this TEP component is specifically dependent on the state of M1. Finally, there was a reverse relationship between MEP latency and the effects of cTBS on the SEP waveforms (50-130 ms, indicating that after-effects of cTBS on S1 are opposite to those on M1.Taken together, our results confirm that the variable after-effects of cTBS can be explained by differences in the neuronal populations activated by TMS. Furthermore, our results show that this variability also determines remote effects of cTBS in S1 and the contralateral hemisphere, compatible with

  8. Morbidity after ipsilateral radiotherapy for oropharyngeal cancer

    DEFF Research Database (Denmark)

    Jensen, Kenneth; Overgaard, Marie; Grau, Cai

    2007-01-01

    not negatively influenced by the volume sparring technique. Side effects were reduced, in the ipsilaterally treated group, for all endpoints: xerostomia, dysphagia, hoarseness, atrophy, fibrosis and oedema. The number of patients experiencing moderate to severe toxicity was more than halved with ipsilateral...

  9. Effect of ipsilateral ureteric obstruction on contralateral kidney and role of renin angiotensin system blockade on renal recovery in experimentally induced unilateral ureteric obstruction

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    Shasanka S Panda

    2013-01-01

    Full Text Available Aims: To study, the effects of ipsilateral ureteric obstruction on contralateral kidney and the role of renin angiotensin system (RAS blockade on renal recovery in experimentally induced unilateral ureteric obstruction. Materials and Methods: Unilateral upper ureteric obstruction was created in 96 adult Wistar rats that were reversed after pre-determined intervals. Losartan and Enalapril were given to different subgroups of rats following relief of obstruction. Results: The severity of dilatation on the contralateral kidney varied with duration of ipsilateral obstruction longer the duration more severe the dilatation. There is direct correlation between renal parenchymal damage, pelvi-ureteric junction (PUJ fibrosis, inflammation and severity of pelvi-calyceal system dilatation of contralateral kidney with duration of ipsilateral PUJ obstruction. Conclusions: Considerable injury is also inflicted to the contralateral normal kidney while ipsilateral kidney remains obstructed. Use of RAS blocking drugs has been found to significantly improve renal recovery on the contralateral kidney. It can, thus, be postulated that contralateral renal parenchymal injury was mediated through activation of RAS.

  10. Cerebral blood flow volume measurements of the carotid artery and ipsilateral branches using two-dimensional phase-contrast magnetic resonance angiography

    Institute of Scientific and Technical Information of China (English)

    Gang Guo; Yonggui Yang; Weiqun Yang

    2011-01-01

    The optimal velocity encoding of phase-contrast magnetic resonance angiography (PC MRA) in measuring cerebral blood flow volume (BFV) ranges from 60 to 80 cm/s. To verify the accuracy of two-dimensional (2D) PC MRA, the present study localized the region of interest at blood vessels of the neck using PC MRA based on three-dimensional time-of-flight sequences, and the velocity encodingwas set to 80 cm/s. Results of the measurements showed that the error rate was 7.0 ± 6.0%in the estimation of BFV in the internal carotid artery, the external carotid artery and the ipsilateralcommon carotid artery. There was no significant difference, and a significant correlation in BFV between internal carotid artery + external carotid artery and ipsilateral common carotid artery. Inaddition, the BFV of the common carotid artery was correlated with that of the ipsilateral internal carotid artery. The main error was attributed to the external carotid artery and its branches. Therefore,after selecting the appropriate scanning parameters and protocols, 2D PC MRA is more accuratein the determination of BFV in the carotid arteries.

  11. Precautions for breast cancer-related lymphoedema: risk from air travel, ipsilateral arm blood pressure measurements, skin puncture, extreme temperatures, and cellulitis.

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    Asdourian, Maria S; Skolny, Melissa N; Brunelle, Cheryl; Seward, Cara E; Salama, Laura; Taghian, Alphonse G

    2016-09-01

    Precautionary recommendations conveyed to survivors of cancer by health-care practitioners to reduce the risk of breast cancer-related lymphoedema are indispensable aspects of clinical care, yet remain unsubstantiated by high-level scientific evidence. By reviewing the literature, we identified 31 original research articles that examined whether lifestyle-associated risk factors (air travel, ipsilateral arm blood pressure measurements, skin puncture, extreme temperatures, and skin infections-eg, cellulitis) increase the risk of breast cancer-related lymphoedema. Among the few studies that lend support to precautionary guidelines, most provide low-level (levels 3-5) or inconclusive evidence of an association between lymphoedema and these risk factors, and only four level 2 studies show a significant association. Skin infections and previous infection or inflammation on the ipsilateral arm were among the most clearly defined and well established risk factors for lymphoedema. The paucity of high-level evidence and the conflicting nature of the existing literature make it difficult to establish definitive predictive factors for breast cancer-related lymphoedema, which could be a considerable source of patient distress and anxiety. Along with further research into these risk factors, continued discussion regarding modification of the guidelines and adoption of a risk-adjusted approach is needed. Copyright © 2016 Elsevier Ltd. All rights reserved.

  12. Ipsilateral transversus abdominis plane block provides effective analgesia after appendectomy in children: a randomized controlled trial.

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    Carney, John

    2010-10-01

    The transversus abdominis plane (TAP) block provides effective postoperative analgesia in adults undergoing major abdominal surgery. Its efficacy in children remains unclear, with no randomized clinical trials in this population. In this study, we evaluated its analgesic efficacy over the first 48 postoperative hours after appendectomy performed through an open abdominal incision, in a randomized, controlled, double-blind clinical trial.

  13. Safe and Effective Reduction Technique for Intertrochanteric Fracture with Ipsilateral Below-Knee Amputated Limb

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    Hironori Ochi

    2017-01-01

    Full Text Available The positioning of the patient on the fracture table is critical for the successful reduction and operative fixation of intertrochanteric hip fractures. However, this manipulation is challenging with patients who have undergone amputations of their legs. A 97-year-old man presented to the emergency department with symptom of right hip pain following a mechanical fall. He had a below-knee amputation on his right leg following a traffic accident as a 19-year-old and had a below-knee patellar tendon bearing prosthesis fitted to his lower limb for mobility. Radiographs of his pelvis revealed a displaced intertrochanteric fracture of the right side femur. The patient was positioned on a fracture table, as in the standard procedure. The method of inverting the traction boot to accommodate the flexed knee and stump described by Al-Harthy could be used to provide traction and rotational control. Internal fixation was performed using a short femoral nail. Postoperatively, the patient could walk with full weight bearing using a prosthesis on his affected limb. The method of inverting the traction boot to accommodate the flexed knee and stump can be used safely and effectively to achieve and maintain fracture reduction during fixation of intertrochanteric fractures for patients with a below-knee amputated limb.

  14. Probing the Effects and Mechanisms of Electroacupuncture at Ipsilateral or Contralateral ST36-ST37 Acupoints on CFA-induced Inflammatory Pain.

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    Lu, Kung-Wen; Hsu, Chao-Kuei; Hsieh, Ching-Liang; Yang, Jun; Lin, Yi-Wen

    2016-02-24

    Transient receptor potential vanilloid 1 (TRPV1) and associated signaling pathways have been reported to be increased in inflammatory pain signaling. There are accumulating evidences surrounding the therapeutic effect of electroacupuncture (EA). EA can reliably attenuate the increase of TRPV1 in mouse inflammatory pain models with unclear signaling mechanisms. Moreover, the difference in the clinical therapeutic effects between using the contralateral and ipsilateral acupoints has been rarely studied. We found that inflammatory pain, which was induced by injecting the complete Freund's adjuvant (CFA), (2.14 ± 0.1, p CFA injection; this expression can be further attenuated significantly in EA treatment. TRPV1 and associated signaling pathways can be prevented in TRPV1 knockout mice, suggesting that TRPV1 knockout mice are resistant to inflammatory pain. Through this study, we have increased the understanding of the mechanism that both ipsilateral and contralateral EA might alter TRPV1 and associated signaling pathways to reduce inflammatory pain.

  15. The biochemical effects of ischemia-reperfusion injury in the ipsilateral and contralateral testes of rats and the protective role of melatonin

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    Bekir S Parlaktas

    2014-04-01

    Full Text Available Testicular torsion (TT is a serious urologic emergency that is observed in adolescent males and that can lead to infertility if left untreated. The ischemia-reperfusion (I/R injury due to TT has been implicated in the pathogenesis of testicular damage. We investigated the effects of melatonin on oxidative damage in the ipsilateral and contralateral testes of rats induced by unilateral TT. A total of 21 prepubertal male Wistar albino rats were divided into three groups, each consisting of seven rats. In Group 1 (SHAM group: a sham operation to the left testis and bilateral orchiectomy were performed. In Group 2 (I/R group: I/R injury was created by rotating the left testis 720° in a clockwise direction for 2 h and detorsing the testis after 2 h. Group 3 (I/R + MEL group: rats were subjected to I/R injury and one-shot melatonin injection (50 mg kg?1, intraperitoneal (i.p.. The testes of the rats were excised bilaterally in all groups. The testicular tissue activities of antioxidant catalase (CAT, superoxide dismutase (SOD and glutathione peroxidase enzymes (GSH-Px, and the tissue levels of malondialdehyde (MDA, protein carbonyl (PC and nitric oxide (NO were determined. Administration of melatonin caused a signifi cant decrease in lipid peroxidation and enzyme activities in the ipsilateral testis when compared with the control group (P 0.05. MDA levels were signifi cantly altered in the contralateral testis (P = 0.009. Melatonin administration decreased the deleterious effects of I/R injury in the ipsilateral torted testes of the rats. The contralateral testes were slightly affected by unilateral TT.

  16. Effects of cochlear implantation on ipsilateral tinnitus%人工耳蜗植入对成人语后聋患者同侧耳鸣的影响

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    陶朵朵; 陈兵

    2012-01-01

    Objective Cochlear implantation is the current standard of care in patients with significant sensorineural hearing loss.The purpose of this study was to assess the effects of cochlear implantation on ipsilateral tinnitus.Methods With standard assessment table and standard testing program,48 postlingual hearing-impaired adults aged 18 -62 years(mean age at implantation:35.0)were operated at 5 clinical centers from June 2009 to March 2010.There were 23 males(47.9%)and 25 females (52.1%).We evaluated the pre- and post-implantation degrees of tinnitus,performed free sound field audiometry and scored speech perceptiou during different periods.Secondary analyses were conducted to examine the correlation between the effects of implantation on tinnitus and hearing or speech perception rehabilitation.Results Before implantation,there were 16 cases with ipsilateral tinnitus and 32 cases without tinnitus.After implantation,among 16 cases,the outcomes were recovery(n =6),tinnitus suppression(n =1)and no change in symptoms(n =9).The total effective rate was 43.8%.Among another 32 cases without preoperative tinnitus,2 cases developed tinnitus after implantation.The effects of cochlear implantation on tinnitus were negatively correlated with the course of tinnitus.There was no more correlation with other factors.Conclusion Cochlear implants have significant therapeutic effects on tinnitus in 43.8% of implant users.Better efficacies are correlated with a shorter course of tinnitus.However,tinnitus suppression using electrical stimulation via cochlear implantation for deafness needs to be further evaluated.%目的 观察人工耳蜗植入者手术前后同侧耳鸣变化情况,评估人工耳蜗植入对耳鸣的影响.方法 对48例在国内5个三甲医院行REZ-1人工耳蜗植入者进行手术前后耳鸣程度评估,根据疗效评定标准评价人工耳蜗植入对耳鸣的干预作用,并对可能影响干预作用的相关因素进行统计分析.结果 48例人

  17. Breast-conserving surgery in locally advanced breast cancer submitted to neoadjuvant chemotherapy. Safety and effectiveness based on ipsilateral breast tumor recurrence and long-term follow-up

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    Carrara, Guilherme Freire Angotti; Scapulatempo-Neto, Cristovam; Abrahão-Machado, Lucas Faria; Brentani, Maria Mitzi; Nunes, João Soares; Folgueira, Maria Aparecida Azevedo Koike; da Costa Vieira, René Aloisio

    2017-01-01

    OBJECTIVE: To evaluate ipsilateral breast tumor recurrence after breast-conserving surgery for locally advanced breast cancer. METHODS: A retrospective observational cohort study was performed in patients with locally advanced breast cancer submitted to breast-conserving surgery after neoadjuvant chemotherapy based on an adriamycin-cyclophosphamide-paclitaxel regimen. We evaluated the clinical, pathologic, immunohistochemistry, and surgical factors that contribute to ipsilateral breast tumor recurrence and locoregional recurrence. A Kaplan-Meier analysis and Cox model were used to evaluate the main factors related to disease-free survival. RESULTS: Of the 449 patients who received neoadjuvant chemotherapy, 98 underwent breast-conserving surgery. The average diameter of the tumors was 5.3 cm, and 87.2% reached a size of up to 3 cm. Moreover, 86.7% were classified as clinical stage III, 74.5% had T3-T4 tumors, 80.5% had N1-N2 axilla, and 89.8% had invasive ductal carcinoma. A pathologic complete response was observed in 27.6% of the tumors, and 100.0% of samples had free margins. The 5-year actuarial overall survival rate was 81.2%, and the mean follow-up was 72.8 months. The rates of ipsilateral breast tumor recurrence and locoregional recurrence were 11.2% and 15.3%, respectively. Multifocal morphology response was the only factor related to ipsilateral breast tumor recurrence disease-free survival (p=0.04). A multivariate analysis showed that the pathologic response evaluation criteria in solid tumors (RECIST)-breast cutoff was the only factor related to locoregional recurrence disease-free survival (p=0.01). CONCLUSIONS: Breast-conserving surgery is a safe and effective therapy for selected locally advanced breast tumors. PMID:28355358

  18. Ipsilateral femoral neck and trochanter fracture

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    Devdatta S Neogi

    2011-01-01

    Full Text Available Ipsilateral fractures in the neck and trochanteric region of the femur are very rare and seen in elderly osteoporotic patients. We present a case of a young man who presented with ipsilateral fracture of the femoral neck and a reverse oblique fracture in the trochanteric region following a motor vehicle accident. A possible mechanism, diagnostic challenge, and awareness required for identifying this injury are discussed.

  19. Unilateral cerebral polymicrogyria with ipsilateral cerebral hemiatrophy

    Energy Technology Data Exchange (ETDEWEB)

    Hayakawa, Katsumi [Department of Radiology, Kyoto City Hospital, 1-2 Higashi-Takada-cho, Mibu, Nakagyo-ku, 604-8845 Kyoto (Japan); Kanda, Toyoko; Yamori, Yuriko [Department of Pediatric Neurology, St. Joseph Hospital for Handicapped Children, 603-8323 Kyoto (Japan)

    2002-10-01

    We evaluated six children in whom MR imaging showed unilateral cerebral polymicrogyria associated with ipsilateral cerebral atrophy and ipsilateral brain stem atrophy. The aim of this study was to clarify whether this disorder based on neuroimaging constitutes a new homogeneous clinical entity. The subjects were six children whose ages at the time of MR imaging ranged from 8 months to 11 years. Their clinical and MR features were analyzed. All of the children were born between 38 and 42 weeks gestation, without any significant perinatal events. Spastic hemiplegia and epilepsy were observed in all of the patients, and mental retardation was observed in four. The MR findings included unilateral cerebral polymicrogyria associated with ipsilateral cerebral hemiatrophy and ipsilateral brain stem atrophy in all patients. The ipsilateral sylvian fissure was hypoplastic in four patients. These patients showed relatively homogeneous clinical and neuroimaging features. Although the additional clinical features varied according to the site and the extent affected by the polymicrogyria, this disorder could constitute a new relatively homogeneous clinical entity. (orig.)

  20. Combined SCI and TBI: recovery of forelimb function after unilateral cervical spinal cord injury (SCI) is retarded by contralateral traumatic brain injury (TBI), and ipsilateral TBI balances the effects of SCI on paw placement.

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    Inoue, Tomoo; Lin, Amity; Ma, Xiaokui; McKenna, Stephen L; Creasey, Graham H; Manley, Geoffrey T; Ferguson, Adam R; Bresnahan, Jacqueline C; Beattie, Michael S

    2013-10-01

    A significant proportion (estimates range from 16 to 74%) of patients with spinal cord injury (SCI) have concomitant traumatic brain injury (TBI), and the combination often produces difficulties in planning and implementing rehabilitation strategies and drug therapies. For example, many of the drugs used to treat SCI may interfere with cognitive rehabilitation, and conversely drugs that are used to control seizures in TBI patients may undermine locomotor recovery after SCI. The current paper presents an experimental animal model for combined SCI and TBI to help drive mechanistic studies of dual diagnosis. Rats received a unilateral SCI (75 kdyn) at C5 vertebral level, a unilateral TBI (2.0 mm depth, 4.0 m/s velocity impact on the forelimb sensori-motor cortex), or both SCI+TBI. TBI was placed either contralateral or ipsilateral to the SCI. Behavioral recovery was examined using paw placement in a cylinder, grooming, open field locomotion, and the IBB cereal eating test. Over 6weeks, in the paw placement test, SCI+contralateral TBI produced a profound deficit that failed to recover, but SCI+ipsilateral TBI increased the relative use of the paw on the SCI side. In the grooming test, SCI+contralateral TBI produced worse recovery than either lesion alone even though contralateral TBI alone produced no observable deficit. In the IBB forelimb test, SCI+contralateral TBI revealed a severe deficit that recovered in 3 weeks. For open field locomotion, SCI alone or in combination with TBI resulted in an initial deficit that recovered in 2 weeks. Thus, TBI and SCI affected forelimb function differently depending upon the test, reflecting different neural substrates underlying, for example, exploratory paw placement and stereotyped grooming. Concurrent SCI and TBI had significantly different effects on outcomes and recovery, depending upon laterality of the two lesions. Recovery of function after cervical SCI was retarded by the addition of a moderate TBI in the contralateral

  1. Dissociation of the pathways mediating ipsilateral and contralateral motor-evoked potentials in human hand and arm muscles

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    Ziemann, Ulf; Ishii, Kenji; Borgheresi, Alessandra; Yaseen, Zaneb; Battaglia, Fortunato; Hallett, Mark; Cincotta, Massimo; Wassermann, Eric M

    1999-01-01

    Growing evidence points toward involvement of the human motor cortex in the control of the ipsilateral hand. We used focal transcranial magnetic stimulation (TMS) to examine the pathways of these ipsilateral motor effects.Ipsilateral motor-evoked potentials (MEPs) were obtained in hand and arm muscles of all 10 healthy adult subjects tested. They occurred in the finger and wrist extensors and the biceps, but no response or inhibitory responses were observed in the opponens pollicis, finger and wrist flexors and the triceps.The production of ipsilateral MEPs required contraction of the target muscle. The threshold TMS intensity for ipsilateral MEPs was on average 1.8 times higher, and the onset was 5.7 ms later (in the wrist extensor muscles) compared with size-matched contralateral MEPs.The corticofugal pathways of ipsilateral and contralateral MEPs could be dissociated through differences in cortical map location and preferred stimulating current direction.Both ipsi- and contralateral MEPs in the wrist extensors increased with lateral head rotation toward, and decreased with head rotation away from, the side of the TMS, suggesting a privileged input of the asymmetrical tonic neck reflex to the pathway of the ipsilateral MEP.Large ipsilateral MEPs were obtained in a patient with complete agenesis of the corpus callosum.The dissociation of the pathways for ipsilateral and contralateral MEPs indicates that corticofugal motor fibres other than the fast-conducting crossed corticomotoneuronal system can be activated by TMS. Our data suggest an ipsilateral oligosynaptic pathway, such as a corticoreticulospinal or a corticopropriospinal projection as the route for the ipsilateral MEP. Other pathways, such as branching of corticomotoneuronal axons, a transcallosal projection or a slow-conducting monosynaptic ipsilateral pathway are very unlikely or can be excluded. PMID:10420023

  2. Ipsilateral dislocation of the shoulder and elbow.

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    Khan, M R; Mirdad, T M

    2001-11-01

    Ipsilateral dislocation of shoulder and elbow joints is a rare injury. Only 2 such cases have been reported in the English literature. We report a case of a 35-year-old man involved in a road traffic accident under the influence of alcohol. He sustained posterior left elbow and anterior left shoulder dislocation with minimally displaced greater tuberosity fracture. He also had partial median nerve palsy. Under intramuscular pethidine and intravenous diazepam, close reduction of elbow followed by shoulder was carried out. At 2 months, median nerve function returned to normal. At 3 months, almost full elbow and shoulder joint movement returned. Although rare and complex, this ipsilateral injury can be treated conservatively.

  3. Herpes encephalitis preceded by ipsilateral vestibular neuronitis.

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    Philpot, Stephen J; Archer, John S

    2005-11-01

    A 74-year-old woman developed vertigo and jerk nystagmus to the left with normal cerebral imaging. Three days later she developed fever, altered mental state and left medial temporal lobe hypodensity, confirmed on lumbar puncture to be due to herpes simplex type 1 encephalitis. We propose that the patient had vestibular neuronitis caused by HSV-1 that progressed to ipsilateral temporal lobe encephalitis.

  4. Inhibitory effects of microinjection of morphine into thalamic nucleus submedius on ipsilateral paw bee venom-induced inflammatory pain in the rat

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    Objective To examine whether microinjection of morphine into the rat thalamic nucleus submedius (Sm) could depress the bee venom (BV)-induced nociceptive behaviours. Methods In inflammatory pain model induced by BV subcutaneous injection into rat unilateral hind paw,the inhibitory effects of morphine microinjection into thalamic nucleus submedius (Sm) on the spontaneous nociceptive behavior,heat hyperalgesia and tactile allodynia,and the influence of naloxone on the morphine effects were observed in the rat...

  5. Inhibitory effects of microinjection of morphine into thalamic nucleus submedius on ipsilateral paw bee venom-induced inflammatory pain in the rat

    Institute of Scientific and Technical Information of China (English)

    Jie Feng; Ning Jia; Jun-yang Wang; Xin-ai Song; Xiao-ying Li; Jing-shi Tang

    2009-01-01

    Objective To examine whether microinjectlon of morphine into the rat thaiamle nucleus submedlus (Sin) could depress the bee venom (BV)-induced nociceptive behaviours. Methods In inflammatory pain model induced by BV subcutaneous injection into rat unilateral hind paw, the inhibitory effects of morphine microinjection into thalamic nucleus suhmedius (Sin) on the spontaneous nociecptlve behavior, heat hyperalgesia and tactile ailodynia, and the influence of naioxone on the morphine effects were observed in the rat. Results A single dose of morphine (5.0 μg, 0. 5μL) applied into the Sm ipsilaterni to the BV injected paw significantly depressed the spontaneous paw flinching response. Morphine also significantly increased the heat paw withdrawal iateneies in the bilateral hind paw and the tactile paw withdrawal threshold in the ipsilnteral hind paw 2 hours after BV injection. All these depressive effects could be effectively antagonized by pre-treatment with the opiuld receptor antagonist naloxone (1.0μg, 0. 5μL) in the Sm 5rain prior to morphine administration. Naloxone alone injected to the Sm had no effect on the BV-induecd nociceptive behavior. Conclusion These results suggest that Sm is involved in opioid receptor-mediated antt-nociception in the rat with the BV-induced inflammatory pain. Together with results from previous studies, it is likely that this effect is produced by activation of the Sm-ventrolateral orbital cortex-periaqueductal gray pathway, leading to activation of the brainstem descending inhibitory system and depression of the nodceptive inputs at the spinal cord level.

  6. Long-term results of ipsilateral radiotherapy for tonsil cancer

    Energy Technology Data Exchange (ETDEWEB)

    Koo, Tae Ryoolk; Wu, Hong Gyun [Dept. of Seoul National University College of Medicine, Seoul (Korea, Republic of)

    2013-06-15

    We evaluated the effectiveness and safety of ipsilateral radiotherapy for the patient with well lateralized tonsil cancer: not cross midline and <1 cm of tumor invasion into the soft palate or base of tongue. From 2003 to 2011, twenty patients with well lateralized tonsil cancer underwent ipsilateral radiotherapy. Nineteen patients had T1-T2 tumors, and one patient had T3 tumor; twelve patients had N0-N2a disease and eight patients had N2b disease. Primary surgery followed by radiotherapy was performed in fourteen patients: four of these patients received chemotherapy. Four patients underwent induction chemotherapy followed by concurrent chemoradiotherapy (CCRT). The remaining two patients received induction chemotherapy followed by radiotherapy and definitive CCRT, respectively. No patient underwent radiotherapy alone. We analyzed the pattern of failure and complications. The median follow-up time was 64 months (range, 11 to 106 months) for surviving patients. One patient had local failure at tumor bed. There was no regional failure in contralateral neck, even in N2b disease. At five-year, local progression-free survival, distant metastasis-free survival, and progression-free survival rates were 95%, 100%, and 95%, respectively. One patient with treatment failure died, and the five-year overall survival rate was 95%. Radiation Therapy Oncology Group grade 2 xerostomia was found in one patient at least 6 months after the completion of radiotherapy. Ipsilateral radiotherapy is a reasonable treatment option for well lateralized tonsil cancer. Low rate of chronic xerostomia can be expected by sparing contralateral major salivary glands.

  7. Association of Ipsilateral Rib Fractures With Displacement of Midshaft Clavicle Fractures.

    Science.gov (United States)

    Stahl, Daniel; Ellington, Matthew; Brennan, Kindyle; Brennan, Michael

    2017-04-01

    To determine whether the presence of ipsilateral rib fractures affects the rate of a clavicle fracture being unstable (>100% displacement). A retrospective review from 2002-2013 performed at a single level 1 trauma center evaluated 243 midshaft clavicle fractures. Single Level 1 trauma center. These fractures were subdivided into those with ipsilateral rib fractures (CIR; n = 149) and those without ipsilateral rib fractures (CnIR; n = 94). The amount of displacement was measured on the initial injury radiograph and subsequent follow-up radiographs. Fractures were classified into either 100% displacement, based on anteroposterior radiographs. Ipsilateral rib fractures were recorded based on which number rib was fractured and the total number of fractured ribs. One hundred sixteen (78%) of the CIR group and 51 (54%) of the CnIR group were found to have >100% displacement at follow-up (P = 0.0047). Seventy-two percent of the CIR group demonstrated progression from 100% displacement of the fracture compared with only 54% of the CnIR group (P 100% was 4.08 (P = 0.000194) when ribs 1-4 were fractured and not significant for rib fractures 5-8 or 9-12. The presence of concomitant ipsilateral rib fractures significantly increases the rate of midshaft clavicle fractures being >100% displaced. In addition, a fracture involving the upper one-third of the ribs significantly increases the rate of the clavicle fracture being >100% displaced on early follow-up. Clavicle fractures with associated ipsilateral rib fractures tend to demonstrate an increased amount of displacement on follow-up radiographs compared with those without ipsilateral rib fractures. Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.

  8. Miniopen Transforaminal Lumbar Interbody Fusion with Unilateral Fixation: A Comparison between Ipsilateral and Contralateral Reherniation

    Directory of Open Access Journals (Sweden)

    Zheng Li

    2016-01-01

    Full Text Available The aim of this study was to evaluate the risk factors between ipsilateral and contralateral reherniation and to compare the effectiveness of miniopen transforaminal lumbar interbody fusion (TLIF with unilateral fixation for each group. From November 2007 to December 2014, clinical and radiographic data of each group (ipsilateral or contralateral reherniation were collected and compared. Functional assessment (Visual Analog Scale (VAS score and Japanese Orthopaedic Association (JOA and radiographic evaluation (fusion status, disc height, lumbar lordosis (LL, and functional spine unit (FSU angle were applied to compare surgical effect for each group preoperatively and at final followup. MacNab questionnaire was applied to further evaluate the satisfactory rate after the discectomy and fusion. No difference except pain-free interval was found between ipsilateral and contralateral groups. There was a significant difference in operative time between two groups. No differences were found in clinical and radiographic data for assessment of surgical effect between two groups. The satisfactory rate was decreasing in both groups with time passing after discectomy. Difference in pain-free interval may be a distinction for ipsilateral and contralateral reherniation. Miniopen TLIF with unilateral pedicle screw fixation can be a recommendable way for single level reherniation regardless of ipsilateral or contralateral reherniation.

  9. Disrupted Ipsilateral Network Connectivity in Temporal Lobe Epilepsy.

    Directory of Open Access Journals (Sweden)

    Lorena Vega-Zelaya

    Full Text Available The current practice under which patients with refractory epilepsy are surgically treated is based mainly on the identification of specific cortical areas, mainly the epileptogenic zone, which is believed to be responsible for generation of seizures. A better understanding of the whole epileptic network and its components and properties is required before more effective and less invasive therapies can be developed. The aim of the present study was to partially characterize the evolution of the functional network during the preictal-ictal transition in partial seizures in patients with temporal lobe epilepsy (TLE.Scalp and foramen ovale (FOE recordings from twenty-two TLE patients were analyzed under the complex network perspective. The density of links, average path length, average clustering coefficient, and modularity were calculated during the preictal and the ictal stages. Both linear-Pearson correlation-and non-linear-phase synchronization-measures were used as proxies of functional connectivity between the electrode locations areas. The transition from one stage to the other was evaluated in the whole network and in the mesial sub-networks. The results were compared with a voltage-dependent measure, namely, the spectral entropy.Changes in the global functional network during the transition from the preictal to the ictal stage show, in the linear case, that in sixteen cases (72.7% the density of the links increased during the seizure, with a decrease in the average path length in fifteen cases (68.1%. There was also a preictal and ictal imbalance in functional connectivity during both stages (77.2% to 86.3%. The SE dropped during the seizure in 95.4% of the cases, but did not show any tendency towards lateralization. When using the nonlinear measure of functional connectivity, the phase synchronization, similar results were obtained.In TLE patients, the transition to the ictal stage is accompanied by increasing global synchronization and a

  10. Giant seminal vesicle cyst with ipsilateral hypoplastic kidney: Report of a case with review of literature

    Directory of Open Access Journals (Sweden)

    Dilip Kumar Pal

    2006-01-01

    Full Text Available We report a case of a congenital seminal vesicle cyst with ipsilateral hypoplastic kidney in a 51 year-old Indian man presenting with features of bladder outlet obstruction. Abdominal and pelvic Ultrasonography (USG, computed tomography revealed a retrovesical cystic mass measuring 10cm x 9cm with indentations over the left infero-lateral wall of the urinary bladder. On USG and radionuclide renal scanning the ipsilateral kidney was not found, which was located only on the CT scan. The cyst and the hypoplastic kidney was excised with an uneventful recovery.

  11. Ipsilateral directional encoding of joystick movements in human cortex.

    Science.gov (United States)

    Sharma, Mohit; Gaona, Charles; Roland, Jarod; Anderson, Nick; Freudenberg, Zachary; Leuthardt, Eric C

    2009-01-01

    The majority of Brain Computer Interfaces have relied on signals related to primary motor cortex and the operation of the contralateral limb. Recently, the physiology associated with same-sided (ipsilateral) motor movements has been found to have a unique cortical physiology. This study sets out to assess whether more complex motor movements can be discerned utilizing ipsilateral cortical signals. In this study, three invasively monitored human subjects were recorded while performing a center out joystick task with the hand ipsilateral to the hemispheric subdural grid array. It was found that directional tuning was present in ipsilateral cortex. This information was encoded in both distinct anatomic populations and spectral distributions. These findings support the notion that ipsilateral signals may provide added information for BCI operation in the future.

  12. Laparoscopic ipsilateral ureteroureterostomy for the management of children with duplication anomalies

    Directory of Open Access Journals (Sweden)

    VVS Chandrasekharam

    2015-01-01

    Full Text Available Aim: Ipsilateral ureteroureterostomy is an established method for the treatment of duplication anomalies in children. With the advent of pediatric laparoscopy, many urologic procedures in children are being performed using minimal access techniques. We present our experience with laparoscopic ipsilateral ureteroureterostomy (LIUU for duplex anomalies. Patients and Methods: The data of children who underwent LIUU was reviewed for demographic parameters, clinical and operative details, follow-up and results. Results: Over 3 years period, LIUU was performed in eight children (age 6-60 months. Five children had complete ipsilateral duplication with ectopic upper moiety ureter, one child each had ipsilateral incomplete duplication and bilateral duplex systems (with ipsilateral ectopic upper moiety ureter. One child had ipsilateral complete duplex with Grade V vesicoureteric reflux into the lower moiety ureter. Four children had antenatal diagnosis of hydronephrosis; three children had a urinary infection and two children presented with urinary incontinence. The surgical procedure consisted of cystoscopy, retrograde studies and cannulation of the recipient ureter. Then, LIUU was performed using three ports. The ectopic (donor ureter was divided at the pelvic brim; the recipient ureter was opened and end-to-side LIUU was performed with 5/0 vicryl stitches over a double J (DJ stent placed in the recipient ureter. Bladder catheter was removed after 2 days, and DJ stent was removed after 4 weeks. At a mean follow-up of 19 months (3-36, all children are asymptomatic and continent, with a significant reduction in hydroureteronephrosis on ultrasound. The cosmetic results were excellent. Conclusion: LIUU is a safe and effective technique in the management of duplication anomalies in children. It could be performed with minimal blood loss, minimal postoperative pain, excellent cosmesis and good success.

  13. Developing Effective Performance Measures

    Science.gov (United States)

    2014-10-14

    University When Performance Measurement Goes Bad Laziness Vanity Narcissism Too Many Pettiness Inanity 52 Developing Effective...Kasunic, October 14, 2014 © 2014 Carnegie Mellon University Narcissism Measuring performance from the organization’s point of view, rather than from

  14. Modulation of Motion Perception of Ipsilateral Tactile Stimuli Using Sound

    Directory of Open Access Journals (Sweden)

    Yuika Suzuki

    2011-10-01

    Full Text Available We report the modulation of tactile motion perception by presenting static sounds with two alternately and repeatedly presented vibrotactile stimuli for the perception of tactile apparent motion. Previous research on tactile motion perception has used direction judgment tasks for apparent motion that consist of two non-repeating, or more than two repeating stimuli. However, the direction of two repeating apparent motion stimuli has been considered too ambiguous to be judged. The present study shows that the additional presentation of sounds with manipulated timings could help to determine the perceived direction of tactile motion despite the ambiguity in the interpretation of tactile stimuli at ipsilateral locations. Furthermore, we found that there is a limited alternation rate for tactile stimuli that can be used to achieve significant modulation using sound. We relate the temporal properties observed during crossmodal effects in tactile motion perception, to those observed during some other crossmodal phenomena.

  15. Open Galeazzi fracture with ipsilateral elbow dislocation.

    Science.gov (United States)

    Adanır, Oktay; Yüksel, Serdar; Beytemur, Ozan; Güleç, M Akif

    2016-08-01

    Combination of the Galeazzi fracture and dislocation of the elbow joint in same extremity is very rare. In this article, we report a 26-year-old male patient with a posterolateral dislocation of the elbow and ipsilateral volar type Galeazzi fracture. We performed closed reduction for the elbow dislocation during admission to the emergency department. Patient was taken to the operating room in the sixth hour of his application to emergency department and open wound on the ulnovolar region of the wrist was closed primarily after irrigation and debridement. We performed open reduction and internal fixation of the radial fracture with a dynamic compression plate. After fixation, we evaluated the stability of the elbow joint and distal radioulnar joint. Distal radioulnar joint was unstable under fluoroscopic examination and fixed with one 1.8 mm Kirschner wire in a pronated position. Then, elbow joint was stable. One year after surgery, patient had no pain or sings of instability. At the last follow-up, range of motion of the elbow was 10°-135° and forearm pronation and supination were 70°.

  16. Subtalar Fusion Rate in Patients With Previous Ipsilateral Ankle Arthrodesis.

    Science.gov (United States)

    Zanolli, Diego H; Nunley, James A; Easley, Mark E

    2015-09-01

    Isolated subtalar arthrodesis is generally successful, with reported fusion rates of 84% to 100%. However, alteration of subtalar joint mechanics and talar body vasculature after ankle fusion may negatively influence subsequent ipsilateral subtalar joint fusion. Because there is very limited information on the subtalar fusion rate in patients with previous ipsilateral ankle fusion, the purpose of this study was to describe fusion rates in subtalar joint arthrodesis with and without preexisting ankle fusion in a large consecutive series of primary subtalar arthrodesis cases. All primary subtalar fusions performed between January 2000 and December 2010 were reviewed. Thirteen of 151 consecutive cases were in patients with existing ipsilateral ankle fusions. All patients were evaluated for clinical and radiographic evidence of nonunion at follow-up, and fusion rates in the groups with and without previous ipsilateral ankle fusion were compared. Five nonunions occurred in the 13 cases with prior ipsilateral ankle arthrodesis, a 61.5% fusion rate. Twelve nonunions were identified in the 138 cases without prior ankle arthrodesis, a significantly higher fusion rate of 91.3% (P = .007). In our series, the subtalar fusion rate in patients with previous ipsilateral ankle arthrodesis was significantly lower than that for subtalar arthrodesis in the absence of ipsilateral ankle arthrodesis. Level III, retrospective comparative study. © The Author(s) 2015.

  17. Ipsilateral Acetabular and Femoral Neck and Shaft Fractures

    Directory of Open Access Journals (Sweden)

    Hideto Irifune

    2015-01-01

    Full Text Available Floating hip injuries and ipsilateral femoral neck and shaft fractures are rare. Additionally, the simultaneous occurrence of these injuries is extremely rare, and only one case report of the simultaneous occurrence of these injuries has been published. Here, we report the case of a patient with ipsilateral acetabular and femoral neck and shaft fractures following a suicide attempt. The patient experienced nonunion of the femoral neck and shaft after the initial operation and therefore underwent reconstruction using a femoral head prosthesis with a long stem and interlocking screws. Our procedure may be used in primary and/or secondary reconstruction for ipsilateral acetabular and femoral neck and shaft fractures.

  18. Fatigue-related firing of muscle nociceptors reduces voluntary activation of ipsilateral but not contralateral lower limb muscles.

    Science.gov (United States)

    Kennedy, David S; Fitzpatrick, Siobhan C; Gandevia, Simon C; Taylor, Janet L

    2015-02-15

    During fatiguing upper limb exercise, maintained firing of group III/IV muscle afferents can limit voluntary drive to muscles within the same limb. It is not known if this effect occurs in the lower limb. We investigated the effects of group III/IV muscle afferent firing from fatigued ipsilateral and contralateral extensor muscles and ipsilateral flexor muscles of the knee on voluntary activation of the knee extensors. In three experiments, we examined voluntary activation of the knee extensors by measuring changes in superimposed twitches evoked by femoral nerve stimulation. Subjects attended on 2 days for each experiment. On one day a sphygmomanometer cuff occluded blood flow of the fatigued muscles to maintain firing of group III/IV muscle afferents. After a 2-min extensor contraction (experiment 1; n = 9), mean voluntary activation was lower with than without maintained ischemia (47 ± 19% vs. 87 ± 8%, respectively; P contraction (MVC) (experiment 2; n = 8), mean voluntary activation was also lower with than without ischemia (59 ± 21% vs. 79 ± 9%; P muscle afferents reduces voluntary activation of the fatigued muscle and nonfatigued antagonist muscles in the same leg. However, group III/IV muscle afferents from the fatigued left leg had no effect on the unfatigued right leg. This suggests that any "crossover" of central fatigue in the lower limbs is not mediated by group III/IV muscle afferents.

  19. Hyperphosphorylation of tau protein in the ipsilateral thalamus after focal cortical infarction in rats.

    Science.gov (United States)

    Dong, Da-Wei; Zhang, Yu-Sheng; Yang, Wan-Yong; Wang-Qin, Run-Qi; Xu, An-Ding; Ruan, Yi-Wen

    2014-01-16

    Hyperphosphorylation of tau has been considered as an important risk factor for neurodegenerative diseases. It has been found also in the cortex after focal cerebral ischemia. The present study is aimed at investigating changes of tau protein expression in the ipsilateral thalamus remote from the primary ischemic lesion site after distal middle cerebral artery occlusion (MCAO). The number of neurons in the ventroposterior thalamic nucleus (VPN) was evaluated using Nissl staining and neuronal nuclei (NeuN) immunostaining. Total tau and phosphorylated tau at threonine 231 (p-T231-tau) and serine 199 (p-S199-tau) levels, respectively, in the thalamus were measured using immunostaining and immunoblotting. Moreover, apoptosis was detected with terminal deoxynucleotidyl transferase-mediated digoxigenin-dUTP-biotin nick-end labeling (TUNEL) assay. It was found that the numbers of intact neurons and NeuN(+) cells within the ipsilateral VPN were reduced significantly compared with the sham-operated group, but the levels of p-T231-tau and p-S199-tau in the ipsilateral thalamus were increased significantly in rats subjected to ischemia for 3 days, 7 days and 28 days. Furthermore, the number of TUNEL-positive cells was increased in the ipsilateral VPN at 7 days and 28 days after MCAO. Thus, hyperphosphorylated tau protein is observed in ipsilateral thalamus after focal cerebral infarction in this study. Our findings suggest that the expression of hyperphosphorylated tau protein induced by ischemia may be associated with the secondary thalamic damage after focal cortical infarction via an apoptotic pathway.

  20. Unilateral partial limbal stem cell deficiency: contralateral versus ipsilateral autologous cultivated limbal epithelial transplantation.

    Science.gov (United States)

    Vazirani, Jayesh; Basu, Sayan; Kenia, Hemal; Ali, Md Hasnat; Kacham, Santhosh; Mariappan, Indumathi; Sangwan, Virender

    2014-03-01

    To report the outcomes of autologous cultivated limbal epithelial transplantation using the healthy part of the affected eye or the fellow eye as a source of limbal stem cells in patients with unilateral, partial limbal stem cell deficiency (LSCD). Retrospective, nonrandomized, interventional case series. setting: L. V. Prasad Eye Institute, Hyderabad, India. study population: Patients with unilateral, partial LSCD who underwent autologous cultivated limbal epithelial transplantation between 2001 and 2011. intervention: The limbal biopsy was taken either from the healthy part of the limbus of the same eye (ipsilateral group) or from the healthy fellow eye (contralateral group). Cells were cultivated using a xeno-free explant culture technique, and cultivated cells were transplanted onto the affected surface. primary outcome measure: Success of cultivated limbal epithelial transplantation, defined as a completely epithelialized, avascular, and clinically stable corneal surface. Seventy eyes of 70 patients were studied. The mean follow up was 17.5 ± 7 months. In 34 eyes the limbal biopsy was taken from the ipsilateral eye and in the remaining 36 eyes from the contralateral eye. Clinical success was achieved in 70.59% of eyes in the ipsilateral group and 75% of eyes in the contralateral group (P = .79). Limbal transplant survival rates at the final follow-up visit were 65.1% ± 0.09% in the ipsilateral group and 53.6% ± 0.12% in the contralateral group (P = .74). Ocular surface restoration in partial LSCD is possible with cell-based therapy. Outcomes are similar irrespective of whether the limbal biopsy is taken from the healthy part of the ipsilateral eye or the contralateral eye. Copyright © 2014 Elsevier Inc. All rights reserved.

  1. 不同锻炼时机在股骨骨折并同侧髋臼骨折患者中康复效果的对比%The effect of rehabilitation of femoral fractures and ipsilateral acetabulum fractures patients in different exercise

    Institute of Scientific and Technical Information of China (English)

    梁卫良; 王国寿

    2014-01-01

    目的:探讨不同锻炼时机在股骨骨折并同侧髋臼骨折患者中康复效果的对比效果。方法分析2011年1月~2012年7月收治的50例股骨骨折并同侧髋臼骨折患者临床资料,依据术后锻炼时间不同进行分组,治疗Ⅰ组(术后40 d~2个月进行下地锻炼)30例和治疗Ⅱ组(术后2个月以后下地锻炼)20例,观察两组的康复效果。结果治疗Ⅰ组股骨骨折并同侧髋臼骨折患者术后6个月和术后1年Harris评分均优于治疗Ⅱ组,差异均有统计学意义(P<0.05)。结论股骨骨折并同侧髋臼骨折患者术后1.5~2个月进行负重锻炼,患者预后功能良好。%Objective To approach effect of rehabilitation of femoral fractures and ipsilateral acetabulum fractures patients in different exercise.Methods To analyze 50 cases clinical data of femoral fractures and ipsilateral acetabulum fractures patients from 2011.1 to 2012.7 in our hospital Third Department of Surgery,treatment Ⅰ group 30 cases and treatment Ⅱ group 20 cases.Results The Harris score of treatment Ⅰ group femoral fractures and ipsilateral acetabulum fractures patients after operation 6 months and 1 year were better than treatment Ⅱ group. The difference had statistical significance.Conclusion Femoral fractures and ipsilateral to acetabulum fracture patients after operation 1.5~2 months,prognosis of patients was good function.

  2. Optimization of mirror therapy to excite ipsilateral primary motor cortex.

    Science.gov (United States)

    Hadoush, Hikmat; Mano, Hirofumi; Sunagawa, Toru; Nakanishi, Kazuyoshi; Ochi, Mitsu

    2013-01-01

    Mirror illusion therapy (mirror therapy) is based on the experimental substrate of a visual illusion of active hand movement to excite ipsilateral primary motor cortex (iM1). We tested whether iM1 excitability could be modulated by enabling or disabling vision of the active hand during mirror therapy. Motor cortical activations of healthy right-handed participants were identified by magnetoencephalography. Participants performed voluntary index finger extension of their dominant and non-dominant hands, separately, while viewing mirror reflection images of their active hand superimposed upon their hidden inactive hand. This was performed either with vision of the active hand (uncovered viewing condition) or without vision of the active hand (covered viewing condition). In the covered viewing condition, the iM1could be excited in all participants (n = 10) and this excitation did not differ whether the active hand was the dominant or non-dominant hand. However, in the uncovered viewing condition, dominant and non-dominant hands were able to excite iM1 only in some participants (n = 4 and n = 7, respectively). Moreover, the participants' responses to the illusion validation questionnaire revealed that the covered viewing condition could cause clearer visual illusion for the active hand than the uncovered viewing condition. Disabling vision of the active hand during mirror therapy was more effective to excite iM1 responses by creating more immersive visual illusion of the active hand.

  3. Disturbance of contralateral unipedal postural control after stimulated and voluntary contractions of the ipsilateral limb.

    Science.gov (United States)

    Paillard, Thierry; Chaubet, Vincent; Maitre, Julien; Dumitrescu, Michel; Borel, Liliane

    2010-12-01

    One session of sustained unilateral voluntary muscular contractions increases central fatigue and induces a cross-over of fatigue of homologous contralateral muscles. It is not known, however, how this cross-transfer affects contralateral unipedal postural control. Moreover, contralateral neurophysiological effects differ between voluntary muscular contractions and electrically stimulated contractions. The aims of this study were thus to examine the effects of muscle fatigue on contralateral unipedal postural control and to compare the effects of stimulated and voluntary contractions. Fifteen subjects took part in the protocol. Fatigue of the ipsilateral quadriceps femoris was generated either by neuromuscular electrical stimulation (NMES) or by isometric voluntary muscular contraction (VOL). Postural control on the contralateral limb was measured before (PRE condition) and after the completion of the two fatiguing exercises (POST condition) using a force platform. We analyzed body sway area and the spectral power density given by the wavelet transform. In POST condition, postural control recorded in the unipedal stance on the contralateral limb was disturbed after NMES and VOL fatiguing exercises. In addition, postural control was similarly disturbed for both exercises. These results suggest that cross-over fatigue is able to disturb postural control after both stimulated and voluntary contractions.

  4. Measuring Cyber Operations Effectiveness

    Science.gov (United States)

    2014-11-01

    using network scanners and frameworks like the SANS Critical Security Controls. Finally, a network vulnerability penetration test can be performed to...effectiveness in network, defensive, and offensive operations is a difficult task. Measures may be static , automated, some combination of both or...by SANS identifies using port scanners as a way to verify the setup has been performed correctly and only needed ports and protocols are allowed

  5. Psychogenic unilateral ptosis with ipsilateral muscle spasm of orbicular oculi.

    Science.gov (United States)

    Matsumoto, Hideyuki; Shimizu, Takahiro; Igeta, Yukifusa; Hashida, Hideji

    2012-07-01

    This report describes the rare case of a 27-year-old female patient with conversion disorder who presented unilateral ptosis with ipsilateral muscle spasm of orbicular oculi. The co-existing of ptosis and muscle spasm of orbicular oculi indicates that, in accord with prior reports, the overactivity of orbicular oculi is essential in psychogenic pseudoptosis. The co-existing of unilateral ptosis and ipsilateral muscle spasm of orbicular oculi in the present case leads us to the conclusion that the overactivity of orbicular oculi is essential in psychogenic pseudoptosis.

  6. Ipsilateral sensory disturbances in Complex Regional Pain Syndrome (CRPS)

    DEFF Research Database (Denmark)

    Knudsen, Lone

    a disturbance in central nociceptive pathways processing input from hemilateral body sites. However, it may also be consistent with referred pain and cortical reorganization. Thus, it is important to assess whether sensory disturbances spread to ipsilateral body sites other than the forehead. The aim...... is presented. Pressure-pain thresholds (PPTs) and ratings of sharpness (on a 0-10 scale) to a firm nylon bristle were investigated on each side of the forehead, in both shoulders, the affected and contralateral limb, the ipsilateral limb and the most remote contralateral limb of patients and at equivalent body...

  7. Ipsilateral occult hernias during endoscopic groin hernia repair

    Directory of Open Access Journals (Sweden)

    Jain Mayank

    2008-01-01

    Full Text Available Endoscopic repair of groin hernias allows the surgeon to have a complete view of the groin and pelvis to diagnose occult hernias both ipsilaterally and contralaterally. These occult hernias can then be treated simultaneously and may reduce the incidence of recurrence and persistent symptoms. The authors present four unusual cases where occult hernias were found ipsilaterally during an endoscopic repair. All these occult hernias were treated along with the clinically diagnosed hernia at the same surgery with excellent results and no post-operative morbidity.

  8. Ipsilateral inspiratory intercostal muscle activity after C2 spinal cord hemisection in rats.

    Science.gov (United States)

    Beth Zimmer, M; Grant, Joshua S; Ayar, Angelo E; Goshgarian, Harry G

    2015-03-01

    Upper cervical spinal cord hemisection causes paralysis of the ipsilateral hemidiaphragm; however, the effect of C2 hemisection on the function of the intercostal muscles is not clear. We hypothesized that C2 hemisection would eliminate inspiratory intercostal activity ipsilateral to the injury and that some activity would return in a time-dependent manner. Female Sprague Dawley rats were anesthetized with urethane and inspiratory intercostal electromyogram (EMG) activity was recorded in control rats, acutely injured C2 hemisected rats, and at 1 and 16 weeks post C2 hemisection. Bilateral recordings of intercostal EMG activity showed that inspiratory activity was reduced immediately after injury and increased over time. EMG activity was observed first in rostral spaces followed by recovery occurring in caudal spaces. Theophylline increased respiratory drive and increased intercostal activity, inducing activity that was previously absent. These results suggest that there are crossed, initially latent, respiratory connections to neurons innervating the intercostal muscles similar to those innervating phrenic motor neurons.

  9. [Focal epileptic seizures ipsilateral to the tumor: case report].

    Science.gov (United States)

    Gusmão, Sebastião Silva; Mendes, Mirian Fabíola Studart; Silveira, Roberto Leal

    2002-06-01

    Focal somatosensory epileptic seizures ipsilateral to a brain tumor is reported and the literature reviewed. It is an exceptional occurrence, having been described only six cases, with several mechanisms being proposed. The proximity of the lesions with the low cerebral convexity (perisylvian) suggests the compromising of the secondary somatosensorial area, seeming to prove the experimental observation of somatosensorial crises originating in this area.

  10. Congenital infiltrating lipomatosis of the face with ipsilateral hemimegalencephaly

    Energy Technology Data Exchange (ETDEWEB)

    Aydingoez, Uestuen; Karli-Oguz, Kader [Department of Radiology, Hacettepe University Medical Centre, Ankara (Turkey); Emir, Suna; Bueyuekpamukcu, Muenevver [Department of Paediatrics, Hacettepe University Medical Centre, Ankara (Turkey); Koese, Guelsen [Paediatric Clinic, SSK Ankara Training Hospital, Ankara (Turkey)

    2002-02-01

    An extremely rare case of congenital infiltrating lipomatosis of the face (CILF) associated with ipsilateral hemimegalencephaly is reported in a 3-month-old boy. MRI not only thoroughly evaluated the extent of the lesion, but also demonstrated the cerebral anomaly. MRI is indispensable in the evaluation of patients suspected of having CILF. (orig.)

  11. Surgical site infection in tibial plateau fractures with ipsilateral compartment syndrome.

    Science.gov (United States)

    Dubina, Andrew G; Paryavi, Ebrahim; Manson, Theodore T; Allmon, Christopher; O'Toole, Robert V

    2017-02-01

    The aim of this study was to investigate the effects of compartment syndrome and timing of fasciotomy wound closure on surgical site infection (SSI) after surgical fixation of tibial plateau fractures. Our primary hypothesis was that SSI rate is increased for fractures with compartment syndrome versus those without, even accounting for confounders associated with infection. Our secondary hypothesis was that infection rates are unrelated to timing of fasciotomy closure or fixation. We conducted a retrospective cohort study of operative tibial plateau fractures with ipsilateral compartment syndrome (n=71) treated with fasciotomy at our level I trauma center from 2003 through 2011. A control group consisted of 602 patients with 625 operatively treated tibial plateau fractures without diagnosis of compartment syndrome. The primary outcome measure was deep SSI after ORIF. Fractures with compartment syndrome had a higher rate of SSI (25% versus 8%, pcompartment syndrome have a significant increase in rates of SSI compared with those without compartment syndrome (p<0.001). Delays in fasciotomy wound closure were also associated with increased odds of SSI (p<0.05). Copyright © 2016 Elsevier Ltd. All rights reserved.

  12. Transcranial direct current stimulation improves ipsilateral selective muscle activation in a frequency dependent manner.

    Directory of Open Access Journals (Sweden)

    Kazumasa Uehara

    Full Text Available Failure to suppress antagonist muscles can lead to movement dysfunction, such as the abnormal muscle synergies often seen in the upper limb after stroke. A neurophysiological surrogate of upper limb synergies, the selectivity ratio (SR, can be determined from the ratio of biceps brachii (BB motor evoked potentials to transcranial magnetic stimulation prior to forearm pronation versus elbow flexion. Surprisingly, cathodal transcranial direct current stimulation (c-TDCS over ipsilateral primary motor cortex (M1 reduces (i.e. improves the SR in healthy adults, and chronic stroke patients. The ability to suppress antagonist muscles may be exacerbated at high movement rates. The aim of the present study was to investigate whether the selective muscle activation of the biceps brachii (BB is dependent on altering frequency demands, and whether the c-tDCS improvement of SR is dependent on task frequency. Seventeen healthy participants performed repetitive isometric elbow flexion and forearm pronation at three rates, before and after c-tDCS or sham delivered to ipsilateral left M1. Ipsilateral c-tDCS improved the SR in a frequency dependent manner by selectively suppressing BB antagonist excitability. Our findings confirm that c-tDCS is an effective tool for improving selective muscle activation, and provide novel evidence for its efficacy at rates of movement where it is most likely to benefit task performance.

  13. Comparison of the Therapeutic Effect of Modified Stoppa Approach and Rectus Lateral Approach for the Treatment of Acetabular Fracture Combined with Ipsilateral Pelvic Fracture%改良stoppa切口入路与腹直肌外侧入路治疗合并骨盆骨折的髋臼骨折的疗效比较

    Institute of Scientific and Technical Information of China (English)

    邵晏清; 熊然; 张潇; 杨晓东; 夏广; 樊仕才

    2016-01-01

    Objective To compare the curative effect of the modified stoppa incision and rectus lateral incision approach in treatment of acetabular fracture combined with ipsilateral pelvic fracture .Methods A retrospective analysis of the clinical data of 29 patients with acetabular fracture combined with ipsilateral pel-vic fracture treated in Southern Medical University Third Hospital from Mar .2011 to Apr.2014 was done, including 18 cases of lateral rectus incision approach(group A),11 cases of modified stoppa incision ap-proach(group B).The surgical exposure time,intraoperative blood loss,the fracture recovery and the postop-erative complications of the two groups were compared.Results Surgical exposure time in group A,B were (17.4 ±3.6) min,(16.9 ±4.4) min respectively; postoperative hip joint function score were (16.8 ± 2.7),(17.3 ±2.2) respectively,the differences had no statistical significance(P >0.05);intraoperative blood loss of group A was less than that in group B[(627 ±26) mL vs (742 ±40) mL],the difference was statistically significant(P0.05);A组术中出血量少于B组[(627 ±26) mL比(742 ±40) mL],差异有统计学意义(P0.05 ). 结论 经腹直肌外侧切口入路能充分显露髋臼前柱和四方体,能正视下复位并固定髋臼骨折,且手术显露简单、损伤小,手术并发症少,是治疗髋臼前方骨折尤其是累及四方体骨折的理想手术入路.

  14. Ipsilateral coordination features for automatic classification of Parkinson's disease

    Science.gov (United States)

    Sarmiento, Fernanda; Atehortúa, Angélica; Martínez, Fabio; Romero, Eduardo

    2015-12-01

    A reliable diagnosis of the Parkinson Disease lies on the objective evaluation of different motor sub-systems. Discovering specific motor patterns associated to the disease is fundamental for the development of unbiased assessments that facilitate the disease characterization, independently of the particular examiner. This paper proposes a new objective screening of patients with Parkinson, an approach that optimally combines ipsilateral global descriptors. These ipsilateral gait features are simple upper-lower limb relationships in frequency and relative phase spaces. These low level characteristics feed a simple SVM classifier with a polynomial kernel function. The strategy was assessed in a binary classification task, normal against Parkinson, under a leave-one-out scheme in a population of 16 Parkinson patients and 7 healthy control subjects. Results showed an accuracy of 94;6% using relative phase spaces and 82;1% with simple frequency relations.

  15. [Neglected ipsilateral simultaneous ruptures of patellar and quadriceps tendon].

    Science.gov (United States)

    Karahasanoğlu, İlker; Yoloğlu, Osman; Kerimoğlu, Servet; Turhan, Ahmet Uğur

    2015-01-01

    Neglected patellar and quadriceps tendon rupture is a rare injury, but ipsilateral simultaneous patellar and quadriceps tendon rupture was not described in the literature to our knowledge. In this article, we report a 40-year-old healthy male patient with neglected ipsilateral patellar and quadriceps tendon ruptures treated by peroneus longus tendon autograft. Patient had received some conservative and surgical treatments for patellar fracture before applying to our clinic. After our treatment using peroneus longus autograft and interference nails, patient was immobilized for six weeks in cylindrical cast. Flexion exercises and full weight bearing were started after cast removal. Patient had no complaint at postoperative second year. Patient was a neglected case. Surgical repair and early rehabilitation enabled us to achieve a satisfactory outcome.

  16. Renal Agenesis with Full Length Ipsilateral Refluxing Ureter

    Directory of Open Access Journals (Sweden)

    DilipKumar Pal

    2016-04-01

    Full Text Available Unilateral renal agenesis with vesicoureteral reflux in the ipsilateral full length ureter is a rare phenomenon. Herein we report a case of 10-year old boy who presented with recurrent urinary tract infections. No renal tissue was identified on left side in various imaging studies. Micturating cystourethrogram (MCUG showed left sided refluxing and blind ending ureter. Left ureterectomy was done because of recurrent UTI in the refluxing system.

  17. Ipsilateral motor pathways after stroke: implications for noninvasive brain stimulation

    Directory of Open Access Journals (Sweden)

    Lynley V Bradnam

    2013-05-01

    Full Text Available In humans the two cerebral hemispheres have essential roles in controlling the upper limb. The purpose of this article is to draw attention to the potential importance of ipsilateral descending pathways for functional recovery after stroke, and the use of noninvasive brain stimulation (NBS protocols of the contralesional primary motor cortex (M1. Conventionally NBS is used to suppress contralesional M1, and to attenuate transcallosal inhibition onto the ipsilesional M1. There has been little consideration of the fact that contralesional M1 suppression may also reduce excitability of ipsilateral descending pathways that may be important for paretic upper limb control for some patients. One such ipsilateral pathway is the cortico-reticulo-propriospinal pathway (CRPP. In this review we outline a neurophysiological model to explain how contralesional M1 may gain control of the paretic arm via the CRPP. We conclude that the relative importance of the CRPP for motor control in individual patients must be considered before using NBS to suppress contralesional M1. Neurophysiological, neuroimaging and clinical assessments can assist this decision making and facilitate the translation of NBS into the clinical setting.

  18. Hearing outcome of recurrent sudden deafness: ipsilateral versus contralateral types.

    Science.gov (United States)

    Kuo, Yen-Lin; Young, Yi-Ho

    2012-03-01

    Patients with recurrent sudden deafness demonstrating normal vestibular-evoked myogenic potentials (VEMPs) in the lesion ear of the second episode may indicate a good hearing outcome. This study retrospectively reviewed our experience of patients with recurrent sudden deafness during the past 20 years. Sixteen (1.4 %) of 1156 patients with sudden deafness were diagnosed as having a recurrent episode, including ipsilateral type in 7 and contralateral type in 9. All patients underwent an audiovestibular test battery and blood and MRI examinations. After 2000, nine patients underwent the VEMP test. In the ipsilateral type, the mean interval between two episodes was 2 ± 2 years, which did not differ significantly from 3 ± 3 years in the contralateral type. There were no significant differences in relation to age at onset of the second episode, inter-episode interval, gender, presence of vertigo, and abnormal caloric results. However, abnormal rate of VEMP test in the contralateral type (five of five patients) was significantly higher than that in the ipsilateral type (none of four patients). At the second episode, all four patients with normal VEMPs on the lesion ear had improved hearing, while four of five patients with absent or delayed VEMPs showed unchanged hearing. Altogether, the hearing improvement rate in both types of recurrent sudden deafness was 50%.

  19. Theory of Effectiveness Measurement

    Science.gov (United States)

    2006-09-01

    according to a rule ( Stevens , 1959:25). However, not all assignment techniques are useful and some techniques have constraints on how the results can...3. Scale Hierarchy of Commonly Used Measures (Ford, 1993:9) Despite the generalized notation, only a few scale types exist ( Stevens , 1946:677...systems, a high order polynomial may yield an aggregated measure more closely capturing the system’s underlying nature ( Pinker , 1995:10): M=∑wimi+∑wimi2

  20. A Review of 399 Total Ankle Replacements: Analysis of Ipsilateral Subtalar Joint Arthrodesis and Associated Talar Component Subsidence.

    Science.gov (United States)

    Prissel, Mark A; Hyer, Christopher F; Berlet, Gregory C

    Total ankle replacement (TAR) is an accepted treatment for end-stage ankle arthritis. When concurrent subtalar joint pathologic features exist, ipsilateral subtalar joint arthrodesis (STJA) can be performed either simultaneous with TAR or as a staged procedure. Limited data exist on the effect of talar component subsidence and prosthesis survivorship. The present study purpose was to evaluate the effect of STJA on talar component subsidence after primary TAR and its effect on TAR survivorship. All patients, a minimum of 18 years old, from a single institution with modern-generation TAR and 1-year minimum follow-up data available were evaluated. The study group included patients who had also undergone STJA, and the control group (no STJA) was matched 1:1 by age, gender, and prosthesis. The initial postoperative weightbearing and most recent weightbearing radiographs were compared for talar component subsidence. We reviewed 399 primary TARs from 2004 to 2012. A total of 33 patients with ipsilateral STJA met the inclusion criteria and had an appropriate control group match. In the study group, 8 patients required a return to the operating room for 4 revisions and 4 reoperations at a median follow-up point of 24.3 months. Of the controls, 9 patients required a return to the operating room, with 4 revisions and 5 reoperations at a median follow-up point of 38.4 months. No statistically significant radiographic differences were found between the 2 groups. Primary TAR and ipsilateral STJA were infrequently required (41 of 399; 10.3%). TAR did not result in decreased survivorship when performed with ipsilateral STJA at an early follow-up point. Further study is warranted to determine any differences among previous, simultaneous, and subsequent STJA with ipsilateral TAR, and a matched longitudinal analysis is needed to determine longer term survivorship. Copyright © 2016 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

  1. Inhibition of Cathepsin B Alleviates Secondary Degeneration in Ipsilateral Thalamus After Focal Cerebral Infarction in Adult Rats.

    Science.gov (United States)

    Zuo, Xialin; Hou, Qinghua; Jin, Jizi; Zhan, Lixuan; Li, Xinyu; Sun, Weiwen; Lin, Kunqin; Xu, En

    2016-09-01

    Secondary degeneration in areas beyond ischemic foci can inhibit poststroke recovery. The cysteine protease Cathepsin B (CathB) regulates cell death and intracellular protein catabolism. To investigate the roles of CathB in the development of secondary degeneration in the ventroposterior nucleus (VPN) of the ipsilateral thalamus after focal cerebral infarction, infarct volumes, immunohistochemistry and immunofluorescence, and Western blotting analyses were conducted in a distal middle cerebral artery occlusion (dMCAO) stroke model in adult rats. We observed marked neuron loss and gliosis in the ipsilateral thalamus after dMCAO, and the expression of CathB and cleaved caspase-3 in the VPN was significantly upregulated; glial cells were the major source of CathB. Although it had no effect on infarct volume, delayed intracerebroventricular treatment with the membrane-permeable CathB inhibitor CA-074Me suppressed the expression of CathB and cleaved caspase-3 in ipsilateral VPN and accordingly alleviated the secondary degeneration. These data indicate that CathB mediates a novel mechanism of secondary degeneration in the VPN of the ipsilateral thalamus after focal cortical infarction and suggest that CathB might be a therapeutic target for the prevention of secondary degeneration in patients after stroke.

  2. The Floating Upper Limb: Multiple Injuries Involving Ipsilateral, Proximal, Humeral, Supracondylar, and Distal Radial Limb

    Science.gov (United States)

    Manaan, Qazi; Bashir, Adil; Zahoor, Adnan; Mokhdomi, Taseem A.

    2016-01-01

    Floating arm injury represents a common yet complicated injury of the childhood severely associated with limb deformation and even morbidity, if not precisely addressed and credibly operated. Here, we report a rare floating upper limb case of a 9-year-old boy with multiple injuries of ipsilateral proximal humeral, supracondylar and distal radial limb. This is the first report to document such a combined floating elbow and floating arm injury in the same limb. In this report, we discuss the surgical procedures used and recovery of the patient monitored to ascertain the effectiveness of the method in limb reorganisation. PMID:27583121

  3. The Floating Upper Limb: Multiple Injuries Involving Ipsilateral, Proximal, Humeral, Supracondylar, and Distal Radial Limb.

    Science.gov (United States)

    Manaan, Qazi; Bashir, Adil; Zahoor, Adnan; Mokhdomi, Taseem A; Danish, Qazi

    2016-09-01

    Floating arm injury represents a common yet complicated injury of the childhood severely associated with limb deformation and even morbidity, if not precisely addressed and credibly operated. Here, we report a rare floating upper limb case of a 9-year-old boy with multiple injuries of ipsilateral proximal humeral, supracondylar and distal radial limb. This is the first report to document such a combined floating elbow and floating arm injury in the same limb. In this report, we discuss the surgical procedures used and recovery of the patient monitored to ascertain the effectiveness of the method in limb reorganisation.

  4. 催眠镇痛肌松下选择性患侧肺控压吹张治疗术后顽固性肺不张的疗效%Effect of bronchial intubation for constant-pressure expanding ipsilateral lung on postoperatively intractable atelectasis in hypo-analgesia and muscle relaxation

    Institute of Scientific and Technical Information of China (English)

    陆雅萍; 方向明; 胡奕; 黄冰; 孙建良; 施谷平

    2011-01-01

    Objective To investigate the effect of bronchial intubation for constant-pressure expanding ipsilateral lung on postoperative intractable atelectasis. Methods For this prospective study, we recruited 18 patients with pulmonary atelectasis who could not been relieved by bronchoscopic suctioning,closed thoracic drainage, backslap, blowing hall and other routine treatments for over a week. After bronchial intubation, ipsilateral lung was expanded with a constant pressure. And the therapeutic effect was evaluated by chest radiographic examination and auscultation at the following day. Results Collapsed lung tissue were examined in 15 patients (83.3%) after the first treatment and in 2 patients ( 11. 1% ) after twice inflation. And another case failed even after three times treatment. During the procedure, the vital signs of all patients were stable and no complication occurred. Conclusion Constant-pressure expanding of ipsilateral lung during bronchial intubation is a safe and effective treatment for postoperative intractable atelectasis.%目的 探讨选择性患侧肺支气管插管控压吹张治疗术后顽固性肺不张的临床效果.方法 将嘉兴市第一医院2005年1月至2010年5月18例接受纤维支气管镜吸痰、胸腔闭式负压引流、拍背、吹气球等常规综合治疗7 d仍不能使患肺复张者在催眠镇痛术下行支气管插管选择性患侧肺控压吹张治疗,由胸部听诊及次日胸部X线片评判疗效.结果 术后第2天复查X线胸片,15例患者(83.3%)萎陷肺已全部复张,3例患者萎陷侧肺复张不完全,经第2次控压膨肺治疗后2例复张成功(11.1%,总有效率94.4%),另1例患者经3次膨肺治疗仍无效(5.6%).期间患者生命体征稳定,无插管损伤及其他并发症发生.结论 在催眠镇痛肌松下由纤维支气管镜引导选择性支气管插管控压吹张治疗术后顽固性肺不张是切实可行的.

  5. Striatal Infarction Elicits Secondary Extrafocal MRI Changes in Ipsilateral Substantia Nigra.

    Directory of Open Access Journals (Sweden)

    Benjamin Winter

    Full Text Available Focal ischemia may induce pathological alterations in brain areas distant from the primary lesion. In animal models, exofocal neuron death in the ipsilateral midbrain has been described after occlusion of the middle cerebral artery (MCA. Using sequential magnetic resonance imaging (T2- and diffusion-weighted at 3 Tesla, we investigated acute ischemic stroke patients on days 1, 2, 6, 8, and 10 after stroke onset. Sixteen consecutive patients who had suffered a stroke involving the caudate nucleus and/or putamen of either hemisphere were recruited into the study. Four additional patients with strokes sparing the caudate nucleus and putamen but encompassing at least one-third of the MCA territory served as controls. Ischemic lesions involving striatal structures resulted in hyperintense lesions in ipsilateral midbrain that emerged between days 6 and 10 after stroke and were not present on the initial scans. In contrast, none of the control stroke patients developed secondary midbrain lesions. Hyperintense lesions in the pyramidal tract or the brain stem caused by degeneration of the corticospinal tract could be clearly distinguished from these secondary midbrain gray matter lesions and were detectable from day 2 after ischemia. Co-registration of high-resolution images with a digitized anatomic atlas revealed localization of secondary lesions primarily in the substantia nigra pars compacta. Apparent diffusion coefficient (ADC values in the secondary lesions showed a delayed sharp decline through day 10. Normalization of ADC values was observed at late measurements. Taken together, our study demonstrates that striatal infarction elicits delayed degenerative changes in ipsilateral substantia nigra pars compacta.

  6. Unilateral Eye Blinking Arising From the Ictal Ipsilateral Occipital Area.

    Science.gov (United States)

    Falsaperla, Raffaele; Perciavalle, Valentina; Pavone, Piero; Praticò, Andrea Domenico; Elia, Maurizio; Ruggieri, Martino; Caraballo, Roberto; Striano, Pasquale

    2016-07-01

    We report on an 18-month-old boy with unilateral left eye blinking as a single ictal manifestation without facial twitching. The clinical onset of this phenomenon was first recorded (as an occasional event) at age 3 months, and it was overlooked. By age 6 months, the child's blinking increased to almost daily occurrence in clusters: during blinking the infant showed intact awareness and occasional jerks in the upper limbs and right leg. A video-electroencephalography (video-EEG) documented clinical correlation with a focal pattern arising from the left occipital region, and brain magnetic resonance imaging (MRI) revealed severe brain damage, consisting in poroencephalic hollows and increased spaces in the convexities involving a large area of the left cerebral hemisphere. The boy was prescribed sodium valproate (30 mg/kg/d), resulting in drastic reduction of his clinical seizures. Follow-up to his current age documented good general status, with persistent partial right hemilateral seizures. The blinking progressively disappeared, and is no longer recorded. The pathogenic hypotheses of the unilateral ictal blinking include involvement of the ipsilateral cerebral hemisphere and/or the cerebellar pathways. Review of previous reports of unilateral eye blinking, arising from the ictal ipsilateral brain, revealed that different damaged regions may give rise to blinking ictal phenomena, likely via the trigeminal fibres innervating the subdural intracranial structures and the pial vessels in the ipsilateral affected brain. The eye blinking in the present child represents a further example of an ictal phenomenon, which is predictive of the damaged brain region.

  7. Recurrent ectopic pregnancy after ipsilateral partial salpingectomy: a case report.

    Science.gov (United States)

    Lee, D H

    2015-01-01

    Ectopic pregnancy is associated with maternal morbidity and mortality during early pregnancy. Ectopic pregnancy occurs in approximately 2% of all pregnancies, and the risk of ectopic pregnancy is increased by eight-fold in women with a history of eopic pregnancy. However, recurrent ectopic pregnancy after ipsilateral partial salpingectomy is quite rare. The authors experienced a case of recurrent ectopic pregnancy in the distal remnant after right partial salpingectomy. In this case report, they discuss this unusual case and provide a brief review of the literature.

  8. Correlation analysis of proprioceptive acuity in ipsilateral position-matching and velocity-discrimination.

    Science.gov (United States)

    Djupsjöbacka, Mats; Domkin, Dmitry

    2005-01-01

    In order to plan and control movements the central nervous system (CNS) needs to continuously keep track of the state of the musculoskeletal system. Therefore the CNS constantly uses sensory input from mechanoreceptors in muscles, joints and skin to update information about body configuration on different levels of the CNS. On the conscious level, such representations constitute proprioception. Different tests for assessment of proprioceptive acuity have been described. However, it is unclear if the proprioceptive acuity measurements in these tests correlate within subjects. By using both uni- and multivariate analysis we compared proprioceptive acuity in different variants of ipsilateral active and passive limb position-matching and ipsilateral passive limb movement velocity-discrimination in a group of healthy subjects. The analysis of the position-matching data revealed a higher acuity of matching for active movements in comparison to passive ones. The acuity of matching was negatively correlated to movement extent. There was a lack of correlation between proprioceptive acuity measurements in position-matching and velocity-discrimination.

  9. Effectively Measuring Student Leadership

    OpenAIRE

    Barry Z. Posner

    2012-01-01

    With a worldwide sample of students (N = 77, 387), this paper reviews and analyses the psychometric properties of the Student Leadership Practices Inventory [1]. Modest to strong internal reliability coefficients are found across a number of different dimensions. Predictive validity of the instrument is supported, with the instrument being able to differentiate between effective and ineffective leaders using both self-reported and observer (constituent) data. Few significant differences are f...

  10. Basal ganglia germinoma in children with associated ipsilateral cerebral and brain stem hemiatrophy

    Energy Technology Data Exchange (ETDEWEB)

    Ozelame, Rodrigo V.; Shroff, Manohar; Wood, Bradley; Bouffet, Eric; Bartels, Ute; Drake, James M.; Hawkins, Cynthia; Blaser, Susan [Hospital for Sick Children, Department of Diagnostic Imaging, Toronto, Ontario (Canada)

    2006-04-15

    Germinoma is the most common and least-malignant intracranial germ cell tumor, usually found in the midline. Germinoma that arises in the basal ganglia, called ectopic germinoma, is a rare and well-documented entity representing 5% to 10% of all intracranial germinomas. The association of cerebral and/or brain stem atrophy with basal ganglia germinoma on CT and MRI is found in 33% of the cases. To review the literature and describe the CT and MRI findings of basal ganglia germinoma in children, known as ectopic germinoma, with associated ipsilateral cerebral and brain stem hemiatrophy. Three brain CT and six brain MRI studies performed in four children at two institutions were retrospectively reviewed. All patients were male (case 1, 14 years; case 2, 13 years; case 3, 9 years; case 4, 13 years), with pathologically proved germinoma arising in the basal ganglia, and associated ipsilateral cerebral and/or brain stem hemiatrophy on the first imaging study. It is important to note that three of these children presented with cognitive decline, psychosis and slowly progressive hemiparesis as their indication for imaging. Imaging results on initial scans were varied. In all patients, the initial study showed ipsilateral cerebral and/or brain stem hemiatrophy, representing Wallerian degeneration. All patients who underwent CT imaging presented with a hyperdense or calcified lesion in the basal ganglia on unenhanced scans. Only one of these lesions had a mass effect on the surrounding structures. In one of these patients a large, complex, heterogeneous mass appeared 15 months later. Initial MR showed focal or diffusely increased T2 signal in two cases and heterogeneous signal in the other two. (orig.)

  11. Effectively Measuring Student Leadership

    Directory of Open Access Journals (Sweden)

    Barry Z. Posner

    2012-10-01

    Full Text Available With a worldwide sample of students (N = 77, 387, this paper reviews and analyses the psychometric properties of the Student Leadership Practices Inventory [1]. Modest to strong internal reliability coefficients are found across a number of different dimensions. Predictive validity of the instrument is supported, with the instrument being able to differentiate between effective and ineffective leaders using both self-reported and observer (constituent data. Few significant differences are found on the basis of respondent gender, ethnicity, nationality, or institutional level (high school versus college. Implications for developing student leaders and future research are offered.

  12. Ipsilateral inhibition and contralateral facilitation of simple reaction time to non-foveal visual targets from non-informative visual cues.

    Science.gov (United States)

    Tassinari, G; Biscaldi, M; Marzi, C A; Berlucchi, G

    1989-05-01

    Orienting to an extrafoveal light cue without foveating it induces a temporary inhibition of responses to subsequent targets presented in the same visual hemifield, as evinced from the fact that reaction time (RT) to targets ipsilateral to the cue relative to fixation is longer than RT to targets contralateral to the cue. This study has tested the hypothesis that ipsilateral RT inhibition is associated with contralateral RT facilitation by attempting to divide the difference between ipsilateral and contralateral RTs into costs and benefits. A neutral condition suited to this purpose should involve a cue that does not require a lateral orientation. Such neutral condition was provided by measuring RT to lateralized light targets following a central overhead auditory cue (experiment 1) or a foveal visual cue (experiment 2). In both experiments RT in the neutral condition was intermediate between ipsilateral and contralateral RTs, and the differences reaches significance in the second experiment. Benefits over the neutral condition measured in the contralateral condition were thus associated with costs in the ipsilateral condition. These results suggest that a reciprocal antagonism between opposite turning tendencies underlies the organization of covert orienting. They also agree with general multi-channel theories of selective attention according to which the facilitation of given channels is an obligatory accompaniment of the inhibition of other competing channels and vice versa.

  13. Does grip strength on the unaffected side of patients with hemiparetic stroke reflect the strength of other ipsilateral muscles?

    Science.gov (United States)

    Takahashi, Jumpei; Nishiyama, Toru; Matsushima, Yoshimasa

    2017-01-01

    [Purpose] Grip strength is used as an indicator of overall body muscular strength. However, most studies on grip strength have been performed in healthy people, and no study has evaluated it in the unaffected side of patients with hemiparetic stroke. The purpose of this study was to determine if grip strength on the unaffected side of patients with hemiparetic stroke correlates with the strength of other ipsilateral musculature. [Subjects and Methods] The maximal strengths of the muscles on the unaffected side of 31 patients with hemiparetic stroke were measured, and correlation coefficients were calculated. [Results] The results revealed significant positive correlations between grip strength on the unaffected side and the strength of the other ipsilateral muscle groups, with relatively high correlations being observed for the upper extremity muscle groups. [Conclusion] This suggests that grip strength on the unaffected side of patients with hemiparetic stroke can be used as a simple way to estimate overall strength on that side.

  14. Negative BOLD signal changes in ipsilateral primary somatosensory cortex are associated with perfusion decreases and behavioral evidence for functional inhibition

    DEFF Research Database (Denmark)

    Schäfer, Katharina; Blankenburg, Felix; Kupers, Ron

    2012-01-01

    -increase for the finger is due to functional inhibition (Kastrup et al., 2008) than to changes in selective attention. In conclusion, our data provide evidence that stimulus-induced reductions in relative rCBF may underlie the negative BOLD signal, which in turn may reflect increments in functional inhibition.......We used functional magnetic resonance imaging (fMRI) and positron emission tomography (PET) to study the negative blood oxygenation level dependent (BOLD) signal and its underlying blood flow changes in healthy human subjects. This was combined with psychophysiological measurements to test...... that the negative BOLD signal is associated with functional inhibition. Electrical stimulation of the median nerve at 7Hz evoked robust negative BOLD signals in the primary somatosensory cortex (SI) ipsilateral to stimulation, and positive BOLD signals in contralateral SI. The negative BOLD signal in ipsilateral SI...

  15. Transarterial detachable coil embolization combined with ipsilateral intermittent carotid oppression for traumatic carotid-cavernous fistula with small fistula

    Institute of Scientific and Technical Information of China (English)

    Qing Huang; Hongbing Zhang; Gang Wang; Jun Yang; Yanlong Hu; Jianxin Liu

    2015-01-01

    One case of traumatic carotid-cavernous fistula (TCCF) with small fistula treated by transarterial detachable coil embolization was reported.The intermittent ipsilateral carotid compression was used to identify the final blocking of the residual fistula.The follow-up digital subtraction angiography showed that the TCCF was cured finally, From this case, we conclude that this method may be an effective way to treat TCCF with small fistula.

  16. A Patient With PHACE Syndrome With Marked Ipsilateral Cerebral Atrophy

    Directory of Open Access Journals (Sweden)

    Nan-Koong Wang

    2010-04-01

    Full Text Available The association of posterior fossa malformation, facial cavernous hemangioma, arterial anomalies, coarctation of the aorta/cardiac defects and eye abnormalities (PHACE syndrome represents a rare congenital anomaly with a broad spectrum of clinical manifestations and female predominance. We herein report on a girl who manifested the typical clinical features of PHACE syndrome, unusually associated with severe ipsilateral cerebral atrophy and hemiplegia. She received surgical aortoplasty, local steroid injection and laser therapy for the hemangioma, and intense physical therapy soon after diagnosis. The etiology of PHACE syndrome remains unclear, and its clinical spectrum is broad. The current case suggests that the spectrum of PHACE syndrome should be further expanded to include other forms of cerebral disorder.

  17. Ipsilateral femoral neck and shaft fractures: An overlooked association

    Energy Technology Data Exchange (ETDEWEB)

    Daffner, R.H. (Dept. of Diagnostic Radiology, Allegheny General Hospital, Pittsburgh, PA (USA) Medical Coll. of Pennsylvania, Pittsburgh, PA (USA)); Riemer, B.L.; Butterfield, S.L. (Dept. of Orthopedic Surgery, Allegheny General Hospital, Pittsburgh, PA (USA) Medical Coll. of Pennsylvania, Pittsburgh, PA (USA))

    1991-05-01

    A total of 304 patients with injuries to the femoral shaft and ipsilateral hip presented between 1984 and 1990. Some 253 of them suffered fractures of the femoral shaft and dislocated hips or fractures of the acetabulum, and 51 of these sustained fractures of the femoral shaft and neck or trochanteric region. All of the trochanteric injuries were demonstrated on the initial radiographs. However, in 11 of the patients with combined femoral shaft and neck fractures, the diagnosis was delayed by as much as 4 weeks. This delay related to the fact that these fractures tended not to separate in the initial evaluation period and that there was external rotation of the proximal femoral fragment due to the femoral shaft fracture. (orig./GDG).

  18. Cluster Headache Secondary to Macroprolactinoma with Ipsilateral Cavernous Sinus Invasion

    Directory of Open Access Journals (Sweden)

    M. J. Levy

    2012-01-01

    Full Text Available We present a 25 year-old man with episodic cluster headache that was refractory to all standard pharmacological prophylactic and abortive treatments. Because of the lack of response, an MRI brain was performed which showed a large pituitary tumour with ipsilateral cavernous sinus invasion. The serum prolactin was significantly elevated at 54,700 miU/L (50–400 confirming a macro-prolactinoma. Within a few days of cabergoline therapy the headache resolved. He continues to be headache free several years after starting the dopamine agonist. This case highlights the importance of imaging the pituitary fossa in patients with refractory cluster headache, It also raises the potential anatomical importance of the cavernous sinus in pituitary-associated headache.

  19. Coexisting ipsilateral right femoral hernia and incarcerated obturator hernia.

    Science.gov (United States)

    Seppälä, Toni T; Tuuliranta, Mikko

    2015-02-25

    Obturator hernia (OH) is an uncommon cause of bowel obstruction and described in elderly females in the literature. The treatment has traditionally been laparotomy because of an acute nature of the condition. However, because of old age and comorbidities that OH is associated with, general anaesthesia may need to be avoided. In the current case, a transinguinal preperitoneal approach and management are presented after delayed preoperative diagnosis of bowel obstruction caused by a coexisting right incarcerated OH and ipsilateral non-reducible femoral hernia. A 91-year-old woman had a 6-day history of nausea and vomiting. She was referred to surgery because of persisting vomiting, but without any abdominal pain. A CT scan showed a hernia in the right groin area but the diagnosis was delayed. The hernias were repaired using a preperitoneal transinguinal approach. Bowel resection was not needed. The obturator canal and the femoral ring were both covered by a Bard Polysoft patch.

  20. Measures of effectiveness in logistics

    OpenAIRE

    Schrady, David A.

    1989-01-01

    Approved for public release; distribution is unlimited. This report examines measures of effectiveness in naval logistics. Logistics is a warfare support function and it is most desirable to be able to relate resources committed for logistics capabilities to warfare outcomes. In general this cannot be done. Examples of the sorts of measures of effectiveness used in acquisition logistics and in in-service support are given. Battle group logistics, a part of operational logistics, is examine...

  1. Left pulmonary artery banding to repair ipsilateral diffuse pulmonary arteriovenous fistula

    Directory of Open Access Journals (Sweden)

    Hirata Takuya

    2012-08-01

    Full Text Available Abstract Congenital pulmonary arteriovenous fistula (PAVF is a rare disease which causes hypoxemia by shunting deoxygenated blood from the pulmonary artery into pulmonary venous return. Lung transplantation is the most effective therapy to treat severe, diffuse PAVF. However, the availability of lungs for transplantation is limited in most parts in the world. For patients with diffuse PAVF affecting only one side of the lungs, ipsilateral pulmonary artery banding (PAB is an effective treatment, but not yet standard of care. We report successful treatment of a patient with diffuse left-sided PAVF with PAB. We believe that PAB is an effective therapy for severe unilateral PAVF and may serve as a bridge to lung transplantation.

  2. [Should ipsilateral adrenalectomy be performed systematically during radical nephrectomy for renal cancer?].

    Science.gov (United States)

    Joual, A; Fekak, H; Rabii, R; Hafiani, M; el Mrini, M; Benjelloun, S

    1999-01-01

    The authors present a retrospective study of 46 patients with renal cell carcinoma treated by radical nephrectomy including ipsilateral adrenalectomy. CT scan showed a normal adrenal gland in all patients. Histology revealed the absence of adrenal metastasis in all patients. Ipsilateral adrenalectomy is not systematically required in radical nephrectomy.

  3. Malpostion of subclavin central venous cannulation into ipsilateral jugular vein -An unusal case report

    Directory of Open Access Journals (Sweden)

    Vishal

    2013-11-01

    Full Text Available ABSTRACT: Central venous catheterization (CVC via infraclavicular subclavian approach in neurosurgical pat ients is very common practice. Malpositioning of central venous catheter inserted into subclavian vein is a known and dreaded complication. Malpositioning of catheter tip into ipsilateral jugular vein is an unusual occurrence. We hereby describe a case whe re a subclavian central venous catheter malpositioned into ipsilateral jugular vein

  4. Malpostion of subclavin central venous cannulation into ipsilateral jugular vein -An unusal case report

    OpenAIRE

    Vishal; Sumantra; Rajnikant; Dilpreet; Shweta

    2013-01-01

    ABSTRACT: Central venous catheterization (CVC) via infraclavicular subclavian approach in neurosurgical pat ients is very common practice. Malpositioning of central venous catheter inserted into subclavian vein is a known and dreaded complication. Malpositioning of catheter tip into ipsilateral jugular vein is an unusual occurrence. We hereby describe a case whe re a subclavian central venous catheter malpositioned into ipsilateral jugular vein

  5. Meningeal melanocytoma of Meckel's cave associated with ipsilateral Ota's nevus.

    Science.gov (United States)

    Botticelli, A R; Villani, M; Angiari, P; Peserico, L

    1983-06-15

    A case of meningeal melanocytoma of the left Meckel's cave associated with ipsilateral Ota's nevus in a 43-year-old woman, was studied by light and electron microscopy. The cells of the tumor were characterized by the presence of dendritic cytoplasmic processes, melanosomes and premelanosomes; hence, they were deemed as neoplastic melanocytes. Moreover, the tumor was lacking in histologic and ultrastructural features of pigmented meningioma, melanotic Schwannoma and primary meningeal melanoma. The prolonged clinical course was different from primary and metastatic malignant melanomas of the meninges. The best treatment appears to be radical excision, when possible; otherwise, the local or partial enucleation followed by radiation therapy has been found to be the best curative to date. On the whole, meningeal melanocytoma cannot be considered as entirely benign, given its morphologic patterns that resemble those of uveal melanoma, and its potential for recurrence. The association of this tumor with Ota's nevus is referred to as having a common origin from an arrested migration of melanoblasts at different stages.

  6. Ipsilateral Uveitis and Optic Neuritis in Multiple Sclerosis

    Directory of Open Access Journals (Sweden)

    Eric Thouvenot

    2012-01-01

    Full Text Available Background. Uveitis is 20 times more frequent in multiple sclerosis (MS patients than in the general population. Methods. A retrospective study of local multiple sclerosis (n=700 and uveitis cohorts (n=450 described the ophthalmological and neurological characteristics of patients with multiple sclerosis and uveitis. Results. Uveitis and multiple sclerosis were associated in seven patients. The time intervals between diagnoses of MS and uveitis ranged from 6 months to 15 years. Analysis of the patients’ characteristics revealed that multiple sclerosis was associated with an older age of onset than usually expected, that is, 39 years. Uveitis was bilateral in three cases and mainly posterior (5/10. Five patients presented with acute optic neuritis (two in one eye and three in both eyes. All eyes presenting with acute optic neuritis were also affected by uveitis (P=0.02, though not simultaneously. Conclusion. The ipsilateral association between optic neuritis and uveitis in this series of patients with multiple sclerosis may suggest a reciprocal potentiation between optic neuritis and uveitis in multiple sclerosis.

  7. A RARE CASE OF IPSILATERAL HIP AND KNEE DISLOCATION

    Directory of Open Access Journals (Sweden)

    Deepak

    2015-06-01

    Full Text Available High velocity road traffic accidents leads to complicated lower limb injuries. Such injuries demand highly experienced surgeon and are associated with high morbidity and mortality. Hip or knee dislocations are two different orthopaedic emergencies. Concomitant fracture dislocation of the hip and knee is rare and very few cases have been reported in the literature. A 45 year old man with history of fall from motorcycle came to the casualty. He had ipsilateral hip and knee dislocation. Immediately patient was shifted to operation theatre and closed reduction was performed under general anaesthesia. Reduction was confirmed under fluoroscopy and post-operative x-rays were taken. The functional results were excellent. After 2 months patient made an uncomplicated recovery and had satisfactory functional outcome with right hip having 110⁰ flexion and right knee flexes to 120⁰.There was no neurological deficit. The urgency, that the treating surgeon shows in managing these injuries, significantly affects the prognosis and outcome finally achieved by these patients (golden period in reducing the hip joint has been described to be 6 hours.

  8. Spontaneous ipsilateral subconjunctival hemorrhage and the related risk factors

    Directory of Open Access Journals (Sweden)

    Nikolas Ziakas

    2011-06-01

    Full Text Available The aim of the report is to assess the risk factors among patients with spontaneous ipsilateral subconjunctival hemorrhage (SCH who presented to the outpatients’ department in General Hospital of Veria, Veria, Greece. Thirty-five patients with SCH participated in the study. A thorough case history was taken and a full ophthalmic examination was performed to identify the risk factors related to the clinical finding. The common hematological parameters associated with the coagulation profile of each patient were evaluated. With the exception of SCH, the ophthalmic examination was normal in all patients. Identified risk factors include history of systemic hypertension (21 patients [60%], mean systolic value: 170 mmHg±15 mmHg, strenuous exercise [19 patients (54%] and minor ocular trauma [5 patients (14%]. Other risk factors [each in 2 patients (6%] included: diabetes mellitus, smoking, severe cough, straining at stool, and weight lifting. Seven patients (20% were under medication related to bleeding diathesis. The values of the blood coagulation parameters were within the normal limits in all patients. Twenty-nine patients (83% had elevated blood pressure during the ophthalmological examination. Our study provides documentation regarding the potential risk factors associated with SCH. It is interesting to observe the high incidence of hypertension among the patients with SCH. Therefore, it is highly recommended that the blood pressure be checked in all patients with SCH and that the patients be referred to a general practitioner for further management if indicated.

  9. The natural history of a mistreated ipsilateral Galeazzi and Monteggia lesion: report of a case 39 years post-injury

    National Research Council Canada - National Science Library

    Kontakis, George M; Pasku, Dritan; Pagkalos, Joseph; Katonis, Pavlos G

    2008-01-01

    Galeazzi injury combined with ipsilateral Monteggia lesion is extremely rare. A 45-year-old male patient with a mistreated Galeazzi lesion combined with an ipsilateral Monteggia fracture at the age of 6 is presented...

  10. THE SENSITIZING RESPONSE IN IPSILATERAL AND CONTRALATERAL LOWER LIMB STRAIGHT LEG RAISING DURING UPPER LIMB TENSION TEST 2A IN CERVICOBRACHIAL DISORDERS

    Directory of Open Access Journals (Sweden)

    Vishal Bharadwaj

    2016-02-01

    Full Text Available Background: Neck pain is increasingly becoming a common problem. Cervicobrachial disorder is a dysfunction of nerve root of the cervical spine due to its compression which leads to ischemic changes that cause sensory and motor dysfunction. Many studies has been done on SLR test which affects upper limb sensitizing response by means of doing ipsilateral and bilateral SLR. The study revealed that the abduction ROM for shoulder was greater during contra lateral SLR with ULTT-2a when compared to ipsilateral SLR. Methods: 30 subjects (18 males and 12 females were included in this study. The ULTT-2a is performed on each subject, following this ipsilateral and contra lateral SLR was performed. The sensitising response perceived by the subjects was recorded. Outcome measures were Range of Motion and sensation description. After the intervention the shoulder abduction and straight leg raising ranges were measured. Analysis was performed using independent t-test. Result: Significant difference was found in shoulder abduction (p 0.11. There was no difference in sensitizing response (Tingling, Burning, Sharp shooting during ipsilatral and contra lateral straight leg raise. Conclusion: This study concludes that in order to obtain the same sensitizing response during ULTT-2a of contra-lateral SLR as during ULTT-2a of ipsilateral SLR, the angle of SLR and shoulder abduction during ULTT-2a of contra lateral SLR will be greater. This finding will be proved beneficial in the treatment of patients with cervico brachial disorders.

  11. Automated Micro Hall Effect measurements

    DEFF Research Database (Denmark)

    Petersen, Dirch Hjorth; Henrichsen, Henrik Hartmann; Lin, Rong

    2014-01-01

    With increasing complexity of processes and variety of materials used for semiconductor devices, stringent control of the electronic properties is becoming ever more relevant. Collinear micro four-point probe (M4PP) based measurement systems have become high-end metrology methods for characteriza......With increasing complexity of processes and variety of materials used for semiconductor devices, stringent control of the electronic properties is becoming ever more relevant. Collinear micro four-point probe (M4PP) based measurement systems have become high-end metrology methods...... for characterization and monitoring of sheet resistance as well as sheet carrier density and mobility via the Micro Hall Effect (MHE) method....

  12. Finger and face representations in the ipsilateral precentral motor areas in humans

    OpenAIRE

    Hanakawa, Takashi; Parikh, Sachin; Bruno, Michiko K.; Hallett, Mark

    2004-01-01

    Many human neuroimaging studies reported activity in the precentral gyrus (PcG) ipsilateral to the side of hand movements. This activity has been interpreted as the part of the primary motor cortex (M1) that controls bilateral or ipsilateral hand movements. For the better understanding of hand ipsilateral-PcG activity, we performed a functional MRI experiment in 8 healthy right-handed adults. Behavioral tasks involved hand or lower face movements on each side, or motor imagery of the same mov...

  13. Crise epiléptica focal ipsilateral a tumor cerebral: relato de caso Focal epileptic seizures ipsilateral to the tumor: case report

    Directory of Open Access Journals (Sweden)

    Sebastião Silva Gusmão

    2002-06-01

    Full Text Available Descreve-se um caso de crise focal somatosensorial ipsilateral a tumor cerebral e revê-se a literatura. Trata-se de ocorrência excepcional, tendo sido descritos apenas seis casos. Vários mecanismos fisiopatológicos foram propostos para explicar a crise focal somatosensorial ipsilateral. A proximidade das lesões da convexidade cerebral baixa (perisilviana sugere o comprometimento da área somatosensorial secundária e parece comprovar os achados experimentais de crises somatosensoriais originadas desta área.Focal somatosensory epileptic seizures ipsilateral to a brain tumor is reported and the literature reviewed. It is an exceptional occurrence, having been described only six cases, with several mechanisms being proposed. The proximity of the lesions with the low cerebral convexity (perisylvian suggests the compromising of the secondary somatosensorial area, seeming to prove the experimental observation of somatosensorial crises originating in this area.

  14. Ipsilateral versus bilateral limb-training in promoting the proliferation and differentiation of endogenous neural stem cells following cerebral infarction in rats

    Institute of Scientific and Technical Information of China (English)

    Xiyao Yang; Feng Zhu; Xiaomei Zhang; Zhuo Gao; Yunpeng Cao

    2012-01-01

    We investigated the effects of ipsilateral versus bilateral limb-training on promotion of endogenous neural stem cells in the peripheral infarct zone and the corresponding cerebral region in the unaffected hemisphere of rats with cerebral infarction. Middle cerebral artery occlusion was induced in Wistar rats. The rat forelimb on the unaffected side was either wrapped up with tape to force the use of the paretic forelimb in rats or not braked to allow bilateral forelimbs to participate in training. Daily training consisted of mesh drum training, balance beam training, and stick rolling training for a total of 40 minutes, once per day. Control rats received no training. At 14 days after functional training, rats receiving bilateral limb-training exhibited milder neurological impairment than that in the ipsilateral limb-training group or the control group. The number of nestin/glial fibrillary acidic protein-positive and nestin/microtubule-associated protein 2-positive cells in the peripheral infarct zone and in the corresponding cerebral region in the unaffected hemisphere was significantly higher in rats receiving bilateral limb-training than in rats receiving ipsilateral limb-training. These data suggest that bilateral limb-training can promote the proliferation and differentiation of endogenous neural stem cells in the bilateral hemispheres after cerebral infarction and accelerate the recovery of neurologic function. In addition, bilateral limb-training produces better therapeutic effects than ipsilateral limb-training.

  15. Crise epiléptica focal ipsilateral a tumor cerebral: relato de caso Focal epileptic seizures ipsilateral to the tumor: case report

    OpenAIRE

    2002-01-01

    Descreve-se um caso de crise focal somatosensorial ipsilateral a tumor cerebral e revê-se a literatura. Trata-se de ocorrência excepcional, tendo sido descritos apenas seis casos. Vários mecanismos fisiopatológicos foram propostos para explicar a crise focal somatosensorial ipsilateral. A proximidade das lesões da convexidade cerebral baixa (perisilviana) sugere o comprometimento da área somatosensorial secundária e parece comprovar os achados experimentais de crises somatosensoriais originad...

  16. Measuring space radiation shielding effectiveness

    Science.gov (United States)

    Bahadori, Amir; Semones, Edward; Ewert, Michael; Broyan, James; Walker, Steven

    2017-09-01

    Passive radiation shielding is one strategy to mitigate the problem of space radiation exposure. While space vehicles are constructed largely of aluminum, polyethylene has been demonstrated to have superior shielding characteristics for both galactic cosmic rays and solar particle events due to the high hydrogen content. A method to calculate the shielding effectiveness of a material relative to reference material from Bragg peak measurements performed using energetic heavy charged particles is described. Using accelerated alpha particles at the National Aeronautics and Space Administration Space Radiation Laboratory at Brookhaven National Laboratory, the method is applied to sample tiles from the Heat Melt Compactor, which were created by melting material from a simulated astronaut waste stream, consisting of materials such as trash and unconsumed food. The shielding effectiveness calculated from measurements of the Heat Melt Compactor sample tiles is about 10% less than the shielding effectiveness of polyethylene. Shielding material produced from the astronaut waste stream in the form of Heat Melt Compactor tiles is therefore found to be an attractive solution for protection against space radiation.

  17. Lateral medullary infarction with ipsilateral hemiparesis, lemniscal sensation loss and hypoglossal nerve palsy.

    Science.gov (United States)

    Li, Xiaodi; Wang, Yuzhou

    2014-04-01

    Here, we present a rare case of a lateral medullary infarction with ipsilateral hemiparesis, lemniscal sensation loss and hypoglossal nerve palsy. In this case, we proved Opalski's hypothesis by diffusion tensor tractography that ipsilateral hemiparesis in a medullary infarction is due to the involvement of the decussated corticospinal tract. We found that the clinical triad of ipsilateral hemiparesis, lemniscal sensation loss and hypoglossal nerve palsy, which had been regarded as a variant of medial medullary syndrome, turned out to be caused by lateral lower medullary infarction. Therefore, this clinical triad does not imply the involvement of the anteromedial part of medulla oblongata, when it is hard to distinguish a massive lateral medullary infarction from a hemimedullary infarction merely from MR images. At last, we suggest that hyperreflexia and Babinski's sign may not be indispensable to the diagnosis of Opalski's syndrome and we propose that "hemimedullary infarction with ipsilateral hemiparesis" is intrinsically a variant of lateral medullary infarction.

  18. Successful Laparoscopic Management of Ruptured Tubal Pregnancy with an Ipsilateral Ectopic Pelvic Kidney

    Directory of Open Access Journals (Sweden)

    Jimmy Belotte

    2014-01-01

    Full Text Available Objective. To report a case of successful laparoscopic management of a left ruptured tubal pregnancy in the setting of an ipsilateral ectopic pelvic kidney. Method. Case report was prepared at Wayne State University/Detroit Medical Center. The patient is a young woman gravida 2 para 0 in her twenties who presented with severe abdominal pain and vaginal bleeding. She had a plateaued beta HCG and ultrasonographic findings suggestive of ectopic left tubal pregnancy along with an ectopic ipsilateral pelvic kidney. The IRB approval is not needed, as this is a case report. The informed consent could not be obtained, as the patient was not reachable. Result. Multiple intraperitoneal adhesions, left ruptured ampullary ectopic pregnancy and left retroperitoneal pelvic mass consistent with ipsilateral ectopic pelvic kidney. Conclusion. Laparoscopic management of tubal pregnancy can be safely performed in the setting of an ipsilateral ectopic pelvic kidney.

  19. Abducens Nerve Palsy and Ipsilateral Horner Syndrome in a Patient With Carotid-Cavernous Fistula.

    Science.gov (United States)

    Kal, Ali; Ercan, Zeynep E; Duman, Enes; Arpaci, Enver

    2015-10-01

    The combination of abducens nerve palsy and ipsilateral Horner syndrome was first described by Parkinson and considered as a localizing sign of posterior cavernous sinus lesions. The authors present a case with right abducens nerve palsy with ipsilateral Horner syndrome in a patient with carotid-cavernous fistula because of head trauma. The patient was referred to the ophthalmology clinic with diplopia complaint after suffering a head trauma during a motorcycle accident. Cerebral angiography showed low-flow carotid-cavernous fistula.

  20. Congenital Horner Syndrome with Heterochromia Iridis Associated with Ipsilateral Internal Carotid Artery Hypoplasia

    OpenAIRE

    Deprez, Fabrice; Coulier, Julie; Rommel, Denis; Boschi, Antonella

    2014-01-01

    Background: Horner syndrome (HS), also known as Claude-Bernard-Horner syndrome or oculosympathetic palsy, comprises ipsilateral ptosis, miosis, and facial anhidrosis. Case Report: We report herein the case of a 67-year-old man who presented with congenital HS associated with ipsilateral hypoplasia of the internal carotid artery (ICA), as revealed by heterochromia iridis and confirmed by computed tomography (CT). Conclusions: CT evaluation of the skull base is essential to establish this diagn...

  1. Posterolateral Elbow Dislocation with Ipsilateral Fractures of Head and Distal End Radius

    Directory of Open Access Journals (Sweden)

    Vijay C

    2011-04-01

    Full Text Available Elbow dislocation associated with ipsilateral fracture head and distal end radius is a rare pattern of Injury, although it is common for elbow dislocation and radius fractures to occur separately. We report a case of 35 year-old male who had a posterolateral elbow dislocation with ipsilateral fractures of head and distal end radius that underwent closed reduction and POP application and outcome is excellent with 9 months of follow-up.

  2. Time variance effects and measurement error indications for MLS measurements

    DEFF Research Database (Denmark)

    Liu, Jiyuan

    1999-01-01

    Mathematical characteristics of Maximum-Length-Sequences are discussed, and effects of measuring on slightly time-varying systems with the MLS method are examined with computer simulations with MATLAB. A new coherence measure is suggested for the indication of time-variance effects. The results...... of the simulations show that the proposed MLS coherence can give an indication of time-variance effects....

  3. Modulation of interhemispheric inhibition by volitional motor activity: an ipsilateral silent period study.

    Science.gov (United States)

    Giovannelli, Fabio; Borgheresi, Alessandra; Balestrieri, Fabrizio; Zaccara, Gaetano; Viggiano, Maria Pia; Cincotta, Massimo; Ziemann, Ulf

    2009-11-15

    Brief interruption of voluntary EMG in a hand muscle by focal transcranial magnetic stimulation (TMS) of the ipsilateral primary motor cortex (M1), the so-called ipsilateral silent period (ISP), is a measure of interhemispheric motor inhibition. However, little is known about how volitional motor activity would modulate the ISP. Here we tested in 30 healthy adults to what extent and under what conditions voluntary activation of the stimulated right M1 by moving the left hand strengthens interhemispheric inhibition as indexed by an enhancement of the ISP area in the maximally contracting right first dorsal interosseous (FDI). Left index finger abduction, already at low levels of contraction, significantly enhanced the ISP compared to left hand at rest. Even imagination of left index finger movement enhanced the ISP compared to rest or mental calculation. This enhancement occurred in the absence of motor-evoked potential amplitude modulation in the left FDI, thus excluding a non-specific contribution from an increase in right M1 corticospinal excitability. Contraction of the left extensor indicis, but not contraction of more proximal left upper limb or left or right lower limb muscles also enhanced the ISP. A reaction time experiment showed that the ISP enhancement developed at a late stage of movement preparation just before or at movement onset. Interhemispheric inhibition of the motor-evoked potential as tested by a bifocal paired-pulse TMS protocol and thought to be mediated via a neuronal circuit different to the ISP was not enhanced when tested under identical motor task conditions. Finally, ISP enhancement by contraction of the left FDI correlated inversely with EMG mirror activity in the right FDI during phasic abductions of the left index finger. Our findings strongly suggest that voluntary M1 activation by real or imagined movement of the contralateral hand increases interhemispheric motor inhibition of the opposite M1. This phenomenon shows substantial

  4. 委中穴区刮痧对本经同侧经脉线上皮肤微循环血流灌注量的影响%Effects of Weizhong (BL 40) Area Scraping on Blood Perfusion Level of the Skin Microcirculation of Qihaishu (BL 24) Region at the Ipsilateral Back of the Volunteer's Body

    Institute of Scientific and Technical Information of China (English)

    徐青燕; 杨金生; 杨莉; 王莹莹; 刘秀兰

    2013-01-01

    目的:观察正常人体委中穴区刮痧前后经脉线上皮肤微循环血流灌注量的变化,探讨穴区刮痧疗效的作用机制.方法:在10例健康人体膀胱经委中穴区刮痧,应用激光多普勒血流成像仪,观察刮痧前至刮痧后90 min内,委中穴区及本经同侧经脉线上气海俞区域的皮肤微循环血流灌注量变化情况,利用LDPI图像软件处理相关数据,进行组内比较和相关性统计学分析.结果:委中穴区刮痧后即刻至90 min各时间段血流灌注量与刮痧前相比均显著升高(P<0.001,P<0.01);委中穴区刮痧后15、60、90 min时,本经同侧经脉线气海俞穴区皮肤血流灌注量与刮痧前相比均有不同程度升高(P<0.05).委中穴区与气海俞穴区之间血流灌注量变化存在正相关关系(P<0.05).结论:穴区刮痧可明显增加本经经脉线上皮肤微循环血流灌注量,改善皮肤微循环,促进沿经组织新陈代谢,是刮痧活血化瘀、疏通经络以及畅通气血运行的机制之一.%Objective To observe the effect of Guasha (scraping) of Weizhong (BL 40) on the cutaneous blood perfusion of Qihaishu (BL 24) region of the Bladder Meridian on the back. Methods Ten healthy volunteer subjects were recuited in the present study. Weizhong (BL 40, at the politeal fossa) area was repeatedly scraped till regional flush using a cornu bubali scraping plate for 5 min after applying scraping oil to the regional skin. Then blood perfusion levels of the skin microcirculation a-round Weizhong (BL 40) and Qihaishu (BL 24) regions on the ipsilateral back were detected using a Laser Doppler flowmetry (PeriScan PIME ). Results Following scraping Weizhong (BL 40) region, the cutaneous blood perfusion levels in the stimulated region were increased significantly at the time-points of 0, 15, 60 and 90 min after scraping ( P<0. 001, P<0. 01), while those of Qihaishu (BL 24) area at the lumbar part also showed a remarkable increase 15, 60 and 90 min

  5. Idiopathic Ninth, Tenth, and Twelfth Cranial Nerve Palsy with Ipsilateral Headache: A Case Report

    Directory of Open Access Journals (Sweden)

    Sun Seung-Ho

    2012-12-01

    Full Text Available Objective: This case report is to report the effect of Korean traditional treatment for idiopathic ninth, tenth, and twelfth cranial nerve palsy with ipsilateral headache. Methods: The medical history and imaging and laboratory test of a 39-year-old man with cranial palsy were tested to identify the cause of disease. A 0.2-mL dosage of Hwangyeonhaedoktang pharmacopuncture was administered at CV23 and CV17, respectively. Acupuncture was applied at P06, Li05, TE05, and G37 on the right side of the body. Zhuapiandutongbang (左偏頭痛方 was administered at 30 minutes to 1 hour after mealtime three times a day. The symptoms were investigated using Visual Analogue Scale (VAS. Results: The results of magnetic resonance imaging (MRI, computed tomography (CT, and laboratory tests were normal. The medical history showed no trauma, other illnesses, family history of diseases, medications, smoking, drinking and so on. All symptoms disappeared at the 10th day of treatment. Conclusion: Korean traditional treatment such as acupuncture, pharmcopuncture, and herbal medicine for the treatment of ninth, tenth, and twelfth cranial nerve palsy of unknown origin is suggested to be effective even though this conclusion is based on a single.

  6. Disrupting the ipsilateral motor cortex interferes with training of a complex motor task in older adults.

    Science.gov (United States)

    Zimerman, Máximo; Heise, Kirstin-F; Gerloff, Christian; Cohen, Leonardo G; Hummel, Friedhelm C

    2014-04-01

    Performance of unimanual movements is associated with bihemispheric activity in the motor cortex in old adults. However, the causal functional role of the ipsilateral MC (iMC) for motor control is still not completely known. Here, the behavioral consequences of interference of the iMC during training of a complex motor skill were tested. Healthy old (58-85 years) and young volunteers (22-35 years) were tested in a double-blind, cross-over, sham-controlled design. Participants attended 2 different study arms with either cathodal transcranial direct current stimulation (ctDCS) or sham concurrent with training. Motor performance was evaluated before, during, 90 min, and 24 h after training. During training, a reduced slope of performance with ctDCS relative to sham was observed in old compared with young (F = 5.8, P = 0.02), with a decrease of correctly rehearsed sequences, an effect that was evident even after 2 consecutive retraining periods without intervention. Furthermore, the older the subject, the more prominent was the disruptive effect of ctDCS (R(2) = 0.50, P = 0.01). These data provide direct evidence for a causal functional link between the iMC and motor skill acquisition in old subjects pointing toward the concept that the recruitment of iMC in old is an adaptive process in response to age-related declines in motor functions.

  7. Nonunion with Breakage of Gamma Nail and Subsequent Fracture in the Ipsilateral Femur

    Directory of Open Access Journals (Sweden)

    Takahiro Niikura

    2013-01-01

    Full Text Available We describe a rare case with breakage of gamma nail accompanied by nonunion of the original fracture and a subsequent new fracture in the ipsilateral femur. A 73-year-old woman suffered a subtrochanteric fracture of the femur, and the fracture was fixed with gamma nail at a previous hospital. However, fracture reduction was not adequately achieved and a large gap remained between the fracture fragments. The fracture demonstrated atrophic nonunion 10 months after surgery, and autologous bone grafting was performed at the same hospital. Two months after the second surgery, a breakage of the nail at the distal screw hole was observed. Twenty-six months after the second surgery, the patient fell and a fracture occurred at the level of the nail breakage. The atrophic nonunion site and fresh fracture site were very close thus demonstrating a segmental fracture. We exchanged the original gamma nail with a long gamma nail and performed autologous bone grafting at the nonunion site. Both the fresh fracture site and the nonunion site obtained bony union. This tragic chain of events was caused by inappropriate initial treatment and replacing the nail to a longer nail and autologous bone grafting were effective as salvage surgery.

  8. Axillary Metaplastic Breast Carcinoma with Ipsilateral Pectoral Invasive Ductal Carcinoma: An Unusual Presentation

    Directory of Open Access Journals (Sweden)

    Lei Zhang

    2014-01-01

    Full Text Available We report a case of axillary metaplastic breast carcinoma (MBC with triple negative (ER−/PR−/Her2− phenotype, concurrent with multifocal invasive ductal carcinoma (IDC of ipsilateral pectoral breast (ER+/PR+/Her2− in a 60-year-old woman. The two tumors demonstrate different morphology, immunophenotype, and opposite response to neoadjuvant chemotherapy of paclitaxol, adriamycin, and cyclophosphamide. Methylation analysis of human androgen receptor (HUMARA on X-chromosome identified monoclonal pattern of X-chromosome inactivation in MBC and mosaic pattern in the IDC. Stem cell origin of MBC is suggested in this case. Clinicopathological features, imaging findings, biological markers, chemoradiation management, and prognosis of MBC are reviewed in comparison to invasive ductal carcinoma. Our case and literature review suggest that traditional chemotherapy applicable to IDC is less effective towards MBC. However, new chemotherapy protocols targeting stem cell and multimodality management of MBC are promising. Recognition of unusual presentation of MBC will help tailor therapy towards tumor with worse prognosis.

  9. Reconstrucción tibial: transferencia sóleo-peroné ipsilateral. Tibialización peroneal Tibial reconstruction: ipsilateral soleus-fibula transfer. Fibular tibialization

    Directory of Open Access Journals (Sweden)

    E. Revelo Jiron

    2009-12-01

    Full Text Available Las transferencias óseas peroneales en forma libre o ipsilateral han sido propuestas para la reconstrucción de grandes defectos tibiales. Están también descritas varias modificaciones al respecto, siendo una de ellas la constitución de un colgajo compuesto soleo-peroné realizado como transferencia libre. En este estudio presentamos nuestra experiencia con esta variante, pero en forma ipsilateral. logrando la reconstrucción del defecto tibial por medio de la tibialización peroneal. Escogimos realizar un colgajo compuesto soleo-peroné ipsilateral a flujo anterógrado o retrogrado para la reconstrucción de una serie personal de 14 pacientes consecutivos, 13 hombre y 1 mujer, con edad media de 30 años, y con amplios defectos tibiales y de tejidos blandos causados por accidentes de transito en 12 casos, 1 por proyectil balístico y 1 por artefacto explosivo artesanal. El promedio de tamaño del defecto tibial fue de 9.4 cm. Elegimos la forma ipsilateral por no disponer de infraestructura adecuada para realizar una transferencia libre. La serie de estudio se realizó durante el periodo comprendido entre Abril de 1995 y Abril del 2005. Todos los colgajos sobrevivieron. Dos pacientes desarrollaron pseudoartrosis. El apoyo completo y la marcha en 12 pacientes, se logró en un periodo promedio de 9 meses. El seguimiento postoperatorio ha sido de 3 a 6 años. Doce pacientes se han incorporado a la vida activa. Discutimos algunos aspectos prácticos de la técnica como resultado de la experiencia quirúrgica obtenida de esta serie personal. Consideramos que el método es fiable, fácil de realizar y proporciona excelentes resultados.Fibular flaps such as in there free form or as ipsilateral transfers have been proposed for reconstruction of large tibial defects. Several modifications have been described for the use of this flap. In this study we will present our experience using the ipsilateral transfer of an osteomuscular soleous fibular flap

  10. Measurement of effectiveness for training simulations

    NARCIS (Netherlands)

    Korteling, J.E.; Oprins, E.A.P.B.; Kallen, V.L.

    2013-01-01

    This paper presents and discusses experimental designs, measures, and measurement methods for determining the effectiveness of training simulators. First, we describe experimental designs in which training effects of training simulators are compared to those of conventional training. Next, the most

  11. Using Ipsilateral Motor Signals in the Unaffected Cerebral Hemisphere as a Signal Platform for Brain Computer Interfaces in Hemiplegic Stroke Survivors

    Science.gov (United States)

    Bundy, David T.; Wronkiewicz, Mark; Sharma, Mohit; Moran, Daniel W.; Corbetta, Maurizio; Leuthardt, Eric C.

    2012-01-01

    Objective Brain computer interface (BCI) systems have emerged as a method to restore function and enhance communication in motor impaired patients. To date, this has been primarily applied to patients who have a compromised motor outflow due to spinal cord dysfunction, but an intact and functioning cerebral cortex. The cortical physiology associated with movement of the contralateral limb has typically been the signal substrate that has been used as a control signal. While this is an ideal control platform in patients with an intact motor cortex, these signals are lost after a hemispheric stroke. Thus, a different control signal is needed that could provide control capability for a patient with a hemiparetic limb. Previous studies have shown that there is a distinct cortical physiology associated with ipsilateral, or same sided, limb movements. Thus far, it was unknown whether stroke survivors could intentionally and effectively modulate this ipsilateral motor activity from their unaffected hemisphere. Therefore, this study seeks to evaluate whether stroke survivors could effectively utilize ipsilateral motor activity from their unaffected hemisphere to achieve this BCI control. Approach To investigate this possibility, electroencephalographic (EEG) signals were recorded from four chronic hemispheric stroke patients as they performed (or attempted to perform) real and imagined hand tasks using either their affected or unaffected hand. Following performance of the screening task, the ability of patients to utilize a BCI system was investigated during on-line control of a 1-dimensional control task. Main Results Significant ipsilateral motor signals (associated with movement intentions of the affected hand) in the unaffected hemisphere, which were found to be distinct from rest and contralateral signals, were identified and subsequently used for a simple online BCI control task. We demonstrate here for the first time that EEG signals from the unaffected hemisphere

  12. Using ipsilateral motor signals in the unaffected cerebral hemisphere as a signal platform for brain-computer interfaces in hemiplegic stroke survivors

    Science.gov (United States)

    Bundy, David T.; Wronkiewicz, Mark; Sharma, Mohit; Moran, Daniel W.; Corbetta, Maurizio; Leuthardt, Eric C.

    2012-06-01

    Brain-computer interface (BCI) systems have emerged as a method to restore function and enhance communication in motor impaired patients. To date, this has been applied primarily to patients who have a compromised motor outflow due to spinal cord dysfunction, but an intact and functioning cerebral cortex. The cortical physiology associated with movement of the contralateral limb has typically been the signal substrate that has been used as a control signal. While this is an ideal control platform in patients with an intact motor cortex, these signals are lost after a hemispheric stroke. Thus, a different control signal is needed that could provide control capability for a patient with a hemiparetic limb. Previous studies have shown that there is a distinct cortical physiology associated with ipsilateral, or same-sided, limb movements. Thus far, it was unknown whether stroke survivors could intentionally and effectively modulate this ipsilateral motor activity from their unaffected hemisphere. Therefore, this study seeks to evaluate whether stroke survivors could effectively utilize ipsilateral motor activity from their unaffected hemisphere to achieve this BCI control. To investigate this possibility, electroencephalographic (EEG) signals were recorded from four chronic hemispheric stroke patients as they performed (or attempted to perform) real and imagined hand tasks using either their affected or unaffected hand. Following performance of the screening task, the ability of patients to utilize a BCI system was investigated during on-line control of a one-dimensional control task. Significant ipsilateral motor signals (associated with movement intentions of the affected hand) in the unaffected hemisphere, which were found to be distinct from rest and contralateral signals, were identified and subsequently used for a simple online BCI control task. We demonstrate here for the first time that EEG signals from the unaffected hemisphere, associated with overt and

  13. Ictal unilateral hyperkinetic proximal lower limb movements: an independent lateralising sign suggesting ipsilateral seizure onset.

    Science.gov (United States)

    Teotónio, Rute; Rodionov, Roman; McEvoy, Andrew W; Duncan, John; Diehl, Beate; Wehner, Tim

    2013-06-01

    Our aim was to determine the lateralising value of ictal repetitive unilateral hyperkinetic proximal lower limb movements. Among 16 patients with ictal hyperkinetic features who underwent intracranial EEG between 2008 and 2011 in our centre, three had repetitive unilateral hyperkinetic proximal lower limb movements, sometimes associated with "hemiballic-like" movements of the ipsilateral upper limb. There were no other consistent lateralising signs. In all patients, these movements were ipsilateral to the ictal onset zone and started a few seconds after electroencephalographic seizure onset. In two patients, intracranial EEG showed seizure onset within the parietal lobe and mesial temporal ictal onset was recorded in a third. Two patients underwent resection and became seizure-free. Our results suggest that unilateral ictal repetitive hyperkinetic proximal lower limb movements may be an independent lateralising sign to the ipsilateral hemisphere.

  14. An Unusual presentation Of Lateral Medullary Syndrome With Ipsilateral UMN Facial Palsy - An Anatomical Postulate

    Directory of Open Access Journals (Sweden)

    Srinivasan M

    2005-01-01

    Full Text Available The clinical features of lateral medullary syndrome include ipsilateral decreased pain and temperature sensation over face, Horner′s syndrome, gait ataxia, vertigo with nausea and vomiting and reduction of pain and temperature of contra lateral half of body (6. At times, there is also an ipsilateral facial weakness due to ischemia of the caudal part of the 7the nerve nucleus just rostral to the nucleus ambiguus (11. Rarely an ipsilateral upper motor neuron (UMN facial weakness may be present and the same may be explained by the interruption of the hypothetical looping supranuclear corticofacial fibres which are said to ascend up in the dorsolateral medulla to reach the 7th nerve nucleus from below (8, 9, 10. A single case report is presented here in support of the above neuroanatomical postulate.

  15. Central retinal artery occlusion with concomitant ipsilateral cerebral infarction after cosmetic facial injections.

    Science.gov (United States)

    Hong, Jeong-Ho; Ahn, Seong Joon; Woo, Se Joon; Jung, Cheolkyu; Chang, Jun Young; Chung, Jin-Heon; Han, Moon-Ku

    2014-11-15

    We report 2 cases of central retinal artery occlusion with concomitant ipsilateral cerebral infarction after cosmetic facial injections and a literature review. The 2 patients were two healthy women, in which cosmetic facial injections with autologous fat and filler were performed, respectively. The patients had no light perception at the final visit and their conditions led to memory retrieval disturbance in case 1 and right arm weakness, dysarthria, facial palsy, and ophthalmoplegia in case 2. Neuroimaging showed multifocal small infarctions in the ipsilateral frontal lobe with occlusion of the ophthalmic artery in case 1 and multiple infarctions in the ipsilateral anterior and middle cerebral artery territories with subsequent hemorrhagic transformation in case 2. Poor visual prognosis and neurological complications can occur in healthy adults undergoing cosmetic facial injection, and all patients should be informed of this risk before the procedure.

  16. Crise epiléptica focal ipsilateral a tumor cerebral: relato de caso

    OpenAIRE

    2002-01-01

    Descreve-se um caso de crise focal somatosensorial ipsilateral a tumor cerebral e revê-se a literatura. Trata-se de ocorrência excepcional, tendo sido descritos apenas seis casos. Vários mecanismos fisiopatológicos foram propostos para explicar a crise focal somatosensorial ipsilateral. A proximidade das lesões da convexidade cerebral baixa (perisilviana) sugere o comprometimento da área somatosensorial secundária e parece comprovar os achados experimentais de crises somatosensoriais originad...

  17. Ipsilateral hemiparesis and contralateral lower limb paresis caused by anterior cerebral artery territory infarct.

    Science.gov (United States)

    Xu, Yongfeng; Liu, Lan

    2016-07-01

    Ipsilateral hemiparesis is rare after a supratentorial stroke, and the role of reorganization in the motor areas of unaffected hemisphere is important for the rehabilitation of the stroke patients. In this study, we present a patient who had a subclinical remote infarct in the right pons developed ipsilateral hemiparesis and contralateral lower limb paresis caused by a new infarct in the left anterior cerebral artery territory. Our case suggests that the motor areas of the unaffected hemisphere might be reorganized after stroke, which is important for the rehabilitation of stroke patients.

  18. Congenital osteofibrous dysplasia of the tibia, associated with pseudoarthrosis of the ipsilateral fibula.

    Science.gov (United States)

    Zamzam, Mohammed M

    2008-10-01

    We describe an otherwise normal male neonate who presented shortly after birth with rare congenital osteofibrous dysplasia of the right tibia associated with pseudoarthrosis of the ipsilateral fibula. The lesion was curetted, and the defect was packed with a fibular bone graft from the other leg. Histopathological examination was typical for osteofibrous dysplasia. The ipsilateral fibular pseudoarthrosis was observed with no active intervention. Seven years follow-up showed good functional recovery without recurrence of the lesion. The case is a new presentation of congenital osteofibrous dysplasia, and is presented to draw attention to this rare condition that must be considered in the differential diagnosis of congenital lesions of the tibia.

  19. Vascularized pedicle graft of ipsilateral fibula for recurrent congenital pseudoarthrosis of the tibia

    Directory of Open Access Journals (Sweden)

    Seyed Esmail Hassanpour

    2007-07-01

    Full Text Available

    We have performed the ipsilateral vascularized fibular transfer for the treatment of congenital pseudoarthrosis of the tibia (CPT. In the case under study, the conventional treatment by intramedullary rod and autogenous iliac bone grafting had failed. The follow up took place during the next 4 years and the patient can now walk without assistance. Combining a pedicle ipsilateral fibular transfer with an internal fixation and iliac bone graft may be a good option for the treatment of congenital pseudoarthrosis of tibia.
    KEY WORDS: Congenital pseudoarthrosis, tibia, vascularized fibular graft, bone graft.

  20. Compartment syndrome of the thigh complicating surgical treatment of ipsilateral femur and ankle fractures

    Science.gov (United States)

    Moore, M. R.; Garfin, S. R.; Hargens, A. R.

    1987-01-01

    A 26-year-old man presented with ipsilateral femur and ankle fractures. The patient was treated with interlocking nail of his femur fracture, followed by open reduction and internal fixation of his ankle fracture under tourniquet control. Postoperatively, the patient developed compartment syndrome of his thigh with elevated pressures, requiring decompressive fasciotomies. This case illustrates the possible complication of treating a femur fracture with intramedullary nailing and then immediately applying a tourniquet to treat an ipsilateral extremity fracture. Because of the complication with this patient, we feel the procedure should be staged, or a tourniquet should be avoided if possible.

  1. Effect size for dichotomous outcome measures

    Institute of Scientific and Technical Information of China (English)

    Yuanjia WANG; Naihua DUAN

    2011-01-01

    @@ Effect size for continuous outcome measures was discussed in our previous column[1].In this column we discuss several widely used effect size measures for dichotomous (Yes/No) outcome measures such as mortality,relapse,cure,discontinuation of treatment,and so forth.

  2. Early detection of secondary damage in ipsilateral thalamus after acute infarction at unilateral corona radiata by diffusion tensor imaging and magnetic resonance spectroscopy

    Directory of Open Access Journals (Sweden)

    Pei Zhong

    2011-05-01

    Full Text Available Abstract Background Traditional magnetic resonance (MR imaging can identify abnormal changes in ipsilateral thalamus in patients with unilateral middle cerebral artery (MCA infarcts. However, it is difficult to demonstrate these early changes quantitatively. Diffusion tensor imaging (DTI and proton magnetic resonance spectroscopy (MRS are potentially sensitive and quantitative methods of detection in examining changes of tissue microstructure and metabolism. In this study, We used both DTI and MRS to examine possible secondary damage of thalamus in patients with corona radiata infarction. Methods Twelve patients with unilateral corona radiata infarction underwent MR imaging including DTI and MRS at one week (W1, four weeks (W4, and twelve weeks (W12 after onset of stroke. Twelve age-matched controls were imaged. Mean diffusivity (MD, fractional anisotropy (FA, N-acetylaspartate (NAA, choline(Cho, and creatine(Cr were measured in thalami. Results T1-weighted fluid attenuation inversion recovery (FLAIR, T2-weighted, and T2-FLAIR imaging showed an infarct at unilateral corona radiate but no other lesion in each patient brain. In patients, MD was significantly increased at W12, compared to W1 and W4 (all PP Conclusions These findings indicate that DTI and MRS can detect the early changes indicating secondary damage in the ipsilateral thalamus after unilateral corona radiata infarction. MRS may reveal the progressive course of damage in the ipsilateral thalamus over time.

  3. Ipsilateral fracture dislocations of the hip and knee joints with contralateral open fracture of the leg: a rare case and its management principles

    Directory of Open Access Journals (Sweden)

    Sen Ramesh Kumar

    2011-06-01

    Full Text Available 【Abstract】This paper discussed the injury mecha- nism and management of a patient who had concomitant ipsilateral hip and knee dislocations and contralateral open leg fracture. A 32-year-old man presented with ipsilateral fracture- dislocations of the left hip (Pipkin’s type IV and knee (Moore II joints and contralateral open fracture of the leg bones after a car accident. After emergency resuscitative measures, the hip joint was reduced and Pipkin’s fracture was fixed using Ganz approach with lag screws; knee joint was reduced closely and tibial plateau fracture was stabi- lized with lateral buttress plate and a transarticular span- ning fixator. The open fracture on the other leg was de- brided and fixed with an external fixator. There was no insta- bility in both joints after fixation when he was examined under anesthesia. The fractures united after 3 months and the patient had no residual instability of hip and knee. There was no clinical or radiological evidence of osteonecrosis in the hip joint after 6 months. At one-year follow-up, he had satisfactory functional outcome with almost normal range of motion at both joints. Ipsilateral hip and knee dislocations are rare injuries and more caution is needed for early diagnosis. A timely appro- priate intervention can provide good functional outcome to the patient in this situation. Key words: Hip dislocation; Knee dislocation; Fractures, bone

  4. Ipsilateral fracture dislocations of the hip and knee joints with contralateral open fracture of the leg: a rare case and its management principles

    Institute of Scientific and Technical Information of China (English)

    Ramesh Kumar Sen; Sujit Kumar Tripathy; Vibhu Krishnan; Tarun Goyal; Vanyambadi Jagadeesh

    2011-01-01

    This paper discussed the injury mechanism and management of a patient who had concomitant ipsilateral hip and knee dislocations and contralateral open leg fracture.A 32-year-old man presented with ipsilateral fracturedislocations of the left hip (Pipkin's type Ⅳ) and knee (Moore Ⅱ)joints and contralateral open fracture of the leg bones after a car accident. After emergency resuscitative measures, the hip joint was reduced and Pipkin's fracture was fixed using Ganz approach with lag screws; knee joint was reduced closely and tibial plateau fracture was stabilized with lateral buttress plate and a transarticular spanning fixator. The open fracture on the other leg was debrided and fixed with an external fixator. There was no instability in both joints after fixation when he was examined under anesthesia. The fractures united after 3 months and the patient had no residual instability of hip and knee. There was no clinical or radiological evidence of osteonecrosis in the hip joint after 6 months. At one-year follow-up, he had satisfactory functional outcome with almost normal range of motion at both joints.Ipsilateral hip and knee dislocations are rare injuries and more caution is needed for early diagnosis. A timely appropriate intervention can provide good functional outcome to the patient in this situation.

  5. Cobalt-55 positron emission tomography of ipsilateral thalamic and crossed cerebellar hypometabolism after supratentorial ischaemic stroke

    NARCIS (Netherlands)

    De Reuck, J; Stevens, H; Jansen, H; Keppens, J; Strijckmans, K; Goethals, P; Lemahieu, [No Value; Santens, P; Korf, J

    1999-01-01

    Cobalt-55 (Co-55) is a positron emission tomography (PET) tracer used to demonstrate brain damage, possibly associated to calcium-mediated processes. The degree of Co-55 accumulation correlates with the severity of ischaemia in stroke patients. It is still a matter of debate whether ipsilateral thal

  6. Robot-assisted excision of seminal vesicle cyst associated with ipsilateral renal agenesis

    Directory of Open Access Journals (Sweden)

    Marcello Scarcia

    2016-01-01

    Full Text Available Seminal vesicle cysts (SVCs associated with other genitourologic abnormalities are rare. Often associated with ipsilateral renal agenesis in a symptomatic patient. In symptomatic patients open surgical excision is the treatment of choice. The laparoscopic approach is a less invasive option. Recently robot-assisted management has gained a primary role for the treatment of this condition.

  7. Foveational Complexity in Single Word Identification: Contralateral Visual Pathways Are Advantaged over Ipsilateral Pathways

    Science.gov (United States)

    Obregon, Mateo; Shillcock, Richard

    2012-01-01

    Recognition of a single word is an elemental task in innumerable cognitive psychology experiments, but involves unexpected complexity. We test a controversial claim that the human fovea is vertically divided, with each half projecting to either the contralateral or ipsilateral hemisphere, thereby influencing foveal word recognition. We report a…

  8. Treatment of ipsilateral hip and femoral shaft fractures with reconstructive intramedullary interlocking nail

    Institute of Scientific and Technical Information of China (English)

    吴立东; 吴琼华; 严世贵; 潘志军

    2004-01-01

    Objective: To evaluate the results of reconstructive intramedullary interlocking nail in the treatment of ipsilateral hip and femoral shaft fractures. Methods: From August 1997 to November 2001, 13 patients were treated with the reconstructive intramedullary interlocking nail. Nine patients were associated with ipsilateral femoral neck fractures, three with ipsilateral intertrochanteric fractures, and one with subtrochanteric fracture. Results: The follow-up time was from 6 to 38 months with an average of 14 months. All the femoral shaft and hip fractures healed up well. There was no nonunion of the femoral neck, and only one varus malunion. No patient had avascular necrosis of the femoral head. The average healing time for femoral neck fracture was 4.6 months and for shaft fracture 5.8 months. The joint movement and other functions were fairly resumed. Conclusions: The reconstructive intramedullary interlocking nail, with less trauma, reliable fixation, and high rate of fracture healing, is an ideal method of choice in the treatment of ipsilateral hip and femoral shaft fractures.

  9. Concomitant mediastinal and extrarenal retroperitoneal angiomyolipomas in a patient who previously underwent ipsilateral radical nephrectomy

    Directory of Open Access Journals (Sweden)

    Carl Sheng-Chen Wen

    2014-12-01

    Full Text Available The association of the tuberous sclerosis complex with angiomyolipoma (AML arising from the retroperitoneum and mediastinum has not been reported in the literature. We present the first case in which a patient presented with a combined retroperitoneal extrarenal and posterior mediastinal AML. Interestingly, the ipsilateral retroperitoneal AML emerged 15 years after radical nephrectomy for the left renal AML.

  10. Total hip arthroplasty in a patient with arthrogryphosis and an ipsilateral above knee amputation.

    LENUS (Irish Health Repository)

    Leonard, Michael

    2010-10-01

    The authors present the case of a young man with arthrogryphosis multiplex congenita and an above knee amputation who underwent an ipsilateral total hip replacement. The unique aspects of the case and technical difficulties are highlighted. Follow-up at five years revealed an excellent clinical and radiological outcome.

  11. Measuring Effectiveness in Conflict Environments

    Science.gov (United States)

    2009-09-01

    media. In the early aftermath of the actual war, journalist Krugman described for the New York Times a scenario that characterizes much of the post...accessed June 21, 2009). 136 P. Krugman , “What Went Wrong?” New York Times (April 23, 2004) http://www.nytimes.com/2004/04/23/opinion/23KRUG.html...www.roguelystated.com/2007/07/07/measuring-success-in-iraq-is-the-us- military-using-the-wrong-metrics/ (accessed August 11, 2009). Krugman , P. “What

  12. How to measure training effectiveness

    CERN Document Server

    Rae, Leslie

    1986-01-01

    Assessing training for effectiveness and value, this book covers the entire process from selecting and planning a training event, to validating and testing its outcome. This new, up-to-date edition includes details of the competence standards from the Training and Development

  13. Ipsilateral EEG mu rhythm reflects the excitability of uncrossed pathways projecting to shoulder muscles.

    Science.gov (United States)

    Hasegawa, Keita; Kasuga, Shoko; Takasaki, Kenichi; Mizuno, Katsuhiro; Liu, Meigen; Ushiba, Junichi

    2017-08-25

    Motor planning, imagery or execution is associated with event-related desynchronization (ERD) of mu rhythm oscillations (8-13 Hz) recordable over sensorimotor areas using electroencephalography (EEG). It was shown that motor imagery involving distal muscles, e.g. finger movements, results in contralateral ERD correlating with increased excitability of the contralateral corticospinal tract (c-CST). Following the rationale that purposefully increasing c-CST excitability might facilitate motor recovery after stroke, ERD recently became an attractive target for brain-computer interface (BCI)-based neurorehabilitation training. It was unclear, however, whether ERD would also reflect excitability of the ipsilateral corticospinal tract (i-CST) that mainly innervates proximal muscles involved in e.g. shoulder movements. Such knowledge would be important to optimize and extend ERD-based BCI neurorehabilitation protocols, e.g. to restore shoulder movements after stroke. Here we used single-pulse transcranial magnetic stimulation (TMS) targeting the ipsilateral primary motor cortex to elicit motor evoked potentials (MEPs) of the trapezius muscle. To assess whether ERD reflects excitability of the i-CST, a correlation analysis between between MEP amplitudes and ipsilateral ERD was performed. Experiment 1 consisted of a motor execution task during which 10 healthy volunteers performed elevations of the shoulder girdle or finger pinching while a 128-channel EEG was recorded. Experiment 2 consisted of a motor imagery task during which 16 healthy volunteers imagined shoulder girdle elevations or finger pinching while an EEG was recorded; the participants simultaneously received randomly timed, single-pulse TMS to the ipsilateral primary motor cortex. The spatial pattern and amplitude of ERD and the amplitude of the agonist muscle's TMS-induced MEPs were analyzed. ERDs occurred bilaterally during both execution and imagery of shoulder girdle elevations, but were lateralized to the

  14. MEASURING EFFECTIVENESS OF INTERNET ADVERTISEMENT

    Directory of Open Access Journals (Sweden)

    TANAWAT TANGLERTPANY

    2011-01-01

    Full Text Available The article describes a software package created to measure the return on marketing investment for organizations involved in e-commerce. It is based on web application technology and includes a database system which makes it suitable for use by consultancy companies involved in offering evidence and advice regarding marketing strategies of their customers. A complete solution consisting of the structure for the database, the user friendly interface and the constellation for the network infrastructure is presented. The first tests in a Swedish based company Adonline, showed that it significantly reduces the time necessary for the analysis of return on marketing investment and the effort in creating reports for their customers.

  15. Ipsilateral hemiparesis in lateral medullary infarction: Clinical investigation of the lesion location on magnetic resonance imaging.

    Science.gov (United States)

    Uemura, Masahiro; Naritomi, Hiroaki; Uno, Hisakazu; Umesaki, Arisa; Miyashita, Kotaro; Toyoda, Kazunori; Minematsu, Kazuo; Nagatsuka, Kazuyuki

    2016-06-15

    In 1946, Opalski reported two cases of Wallenberg syndrome with ipsilateral hemiparesis (IH). His hypothesis seems to be based on the view that IH is caused by post-decussating pyramidal tract damage. Afterwards, other researchers proposed a different hypothesis that ipsilateral sensory symptoms of limbs (ISSL) or ipsilateral limb ataxia (ILA) caused by lateral medullary infarction (LMI) might lead to ipsilateral motor weakness. The present study is aimed to clarify whether IH in LMI patients is attributable mainly to ISSL/ILA or disruption of ipsilateral post-decussating pyramidal tract. Thirty-two patients with acute LMI admitted during the last 13years were divided to IH Group (n=7) and Non-IH Group (n=25). Lesion location/distribution on MRI and neurological findings were compared between the two groups. LMI involved the lower medulla in all seven IH patients and 12 of 25 Non-IH patients. The lower medullary lesion extended to the cervico-medullary junction (CMJ) in four of seven IH patients and one of 12 Non-IH patients. Definitive extension to upper cervical cord (UCC) was confirmed in none of the patients. ISSL was found in two IH and three Non-IH patients all showing only superficial sensory impairments. ILA or hypotonia was observed in 57% of IH and 60% of Non-IH patients. IH in LMI appears to be due mainly to post-decussating pyramidal tract damage at the lower medulla instead of ILA or ISSL participation. Copyright © 2016 Elsevier B.V. All rights reserved.

  16. Response of SII cortex to ipsilateral, contralateral and bilateral flutter stimulation in the cat

    Directory of Open Access Journals (Sweden)

    Favorov Oleg

    2005-02-01

    Full Text Available Abstract Background A distinctive property of SII is that it is the first cortical stage of the somatosensory projection pathway that integrates information arising from both sides of the body. However, there is very little known about how inputs across the body mid-line are processed within SII. Results Optical intrinsic signal imaging was used to evaluate the response of primary somatosensory cortex (SI and SII in the same hemisphere to 25 Hz sinusoidal vertical skin displacement stimulation ("skin flutter" applied contralaterally, ipsilaterally, and bilaterally to the central pads of the forepaws. A localized increase in absorbance in both SI and SII was evoked by both contralateral and bilateral flutter stimulation. Ipsilateral flutter stimulation evoked a localized increase in absorbance in SII, but not in SI. The SII region that responded with an increase in absorbance to ipsilateral stimulation was posterior to the region in which absorbance increased maximally in response to stimulation of the contralateral central pad. Additionally, in the posterior SII region that responded maximally to ipsilateral stimulation of the central pad, bilateral central pad stimulation approximated a linear summation of the SII responses to independent stimulation of the contralateral and ipsilateral central pads. Conversely, in anterior SII (the region that responded maximally to contralateral stimulation, bilateral stimulation was consistently less than the response evoked from the contralateral central pad. Conclusions The results indicate that two regions located at neighboring, but distinctly different A-P levels of the anterior ectosylvian gyrus process input from opposite sides of the body midline in very different ways. The results suggest that the SII cortex, in the cat, can be subdivided into at least two functionally distinct regions and that these functionally distinct regions demonstrate a laterality preference within SII.

  17. Ligation of the ipsilateral common carotid artery and topical treatment for the prevention of epistaxis from guttural pouch mycosis in horses.

    Science.gov (United States)

    Cousty, M; Tricaud, C; De Beauregard, T; Picandet, V; Bizon-Mercier, C; Tessier, C

    2016-01-09

    The objective of the study was to evaluate the effect of ligation of the ipsilateral common carotid artery (CCA) combined with various antimycotic treatments for the prevention of epistaxis in horses with guttural pouch mycosis. For each case, ipsilateral ligation of the CCA was performed, followed by application of various topical medications under endoscopic guidance. Frequency and number of treatments, outcome and recurrence of haemorrhage were retrospectively recorded. Twenty-four horses were included. Topical medication was administered by detachment of the diphtheric membrane and spraying (n=16) or by intralesional injection directly in the plaques using a transendoscopic needle (n=8). Epistaxis recurred in five horses (20.8 per cent), causing death of four horses (16.6 per cent). The mean number of treatments was 6.3±4.0 (range 2-14) for all topical treatments. Ligation of the ipsilateral CCA and topical medication carries a fair prognosis for avoidance of recurrent episodes of epistaxis, but fatal haemorrhage can occur. Removal of the fungal plaque and topical treatment of the underlying lesion appeared to speed up resolution of the mycotic mucosal lesions. The described technique is a salvage procedure when financial or technical constraints prevent the use of transarterial catheter occlusion techniques.

  18. Preferred use of the ipsilateral pedicled TRAM flap for immediate breast reconstruction: an illustrated approach.

    Science.gov (United States)

    Tan, Bien-Keem; Joethy, Janna; Ong, Yee-Siang; Ho, Gay-Hui; Pribaz, Julian J

    2012-02-01

    Recent experience with the ipsilateral TRAM flap has shown that it has the advantage of a longer functional pedicle length, which allows tension-free inset of well-vascularized tissue into the breast pocket. This leads to better positioning and shaping of the reconstructed breast with minimal disruption of the inframammary fold. The purpose of this article was to provide an illustrated approach to the ipsilateral TRAM flap and to clarify the technique when applied in the context of immediate breast reconstruction following cancer extirpation. A prospective evaluation of 89 patients who underwent immediate breast reconstruction following skin-sparing mastectomy for breast cancer was performed. All patients underwent ipsilateral TRAM reconstruction. The innate insetting advantage of the ipsilateral TRAM flap is illustrated in the article. The key steps of the technique were as follows: (1) The ipsilateral corner of the flap was used as the axillary tail, leaving the more bulky part to form the main body of the breast; (2) To avoid undesirable twists, a right TRAM was rotated clockwise so that its apex points superiorly; (3) This flap was subsequently tunneled into the breast pocket while preserving the inframammary fold. The opposite maneuvers were done for the left side; (4) If the flap was congested, venous augmentation was performed where the tributary of the axillary vein or the thoracodorsal vein was anastomosed with the inferior epigastric vein from the flap with an interposed vein graft (17% of cases). All flaps survived and flap-related complications included partial necrosis of tissue across the midline (2.2%), palpable fat necrosis (22%), and hematoma requiring drainage (2.2%). All flaps were raised concurrent with the resection, and the combined operative time ranged from 3.5 to 6 h, with a mean hospital stay of 7 days. The ipsilateral TRAM flap was a reliable flap with low complication rates and short surgery time. It was our preferred choice for

  19. The ipsilateral motor cortex contributes to cross-limb transfer of performance gains after ballistic motor practice.

    Science.gov (United States)

    Lee, Michael; Hinder, Mark R; Gandevia, Simon C; Carroll, Timothy J

    2010-01-01

    Although it has long been known that practicing a motor task with one limb can improve performance with the limb opposite, the mechanisms remain poorly understood. Here we tested the hypothesis that improved performance with the untrained limb on a fastest possible (i.e. ballistic) movement task depends partly on cortical circuits located ipsilateral to the trained limb. The idea that crossed effects, which are important for the learning process, might occur in the 'untrained' hemisphere following ballistic training is based on the observation that tasks requiring strong descending drive generate extensive bilateral cortical activity. Twenty-one volunteers practiced a ballistic index finger abduction task with their right hand, and corticospinal excitability was assessed in two hand muscles (first dorsal interosseus, FDI; adductor digiti minimi, ADM). Eight control subjects did not train. After training, repetitive transcranial magnetic stimulation (rTMS; 15 min at 1 Hz) was applied to the left (trained) or right (untrained) motor cortex to induce a 'virtual lesion'. A third training group received sham rTMS, and control subjects received rTMS to the right motor cortex. Performance and corticospinal excitability (for FDI) increased in both hands for training but not control subjects. rTMS of the left, trained motor cortex specifically reduced training-induced gains in motor performance for the right, trained hand, and rTMS of the right, untrained motor cortex specifically reduced performance gains for the left, untrained hand. Thus, cortical processes within the untrained hemisphere, ipsilateral to the trained hand, contribute to early retention of ballistic performance gains for the untrained limb.

  20. Automated effect-specific mammographic pattern measures

    DEFF Research Database (Denmark)

    Raundahl, Jakob; Loog, Marco; Pettersen, Paola;

    2008-01-01

    We investigate the possibility to develop methodologies for assessing effect specific structural changes of the breast tissue using a general statistical machine learning framework. We present an approach of obtaining objective mammographic pattern measures quantifying a specific biological effect......, such as hormone replacement therapy (HRT). We compare results using this approach to using standard density measures. We show that the proposed method can quantify both age related effects and effects caused by HRT. Age effects are significantly detected by our method where standard methodologies fail...

  1. Automated effect-specific mammographic pattern measures.

    Science.gov (United States)

    Raundahl, Jakob; Loog, Marco; Pettersen, Paola; Tanko, Laszlo B; Nielsen, Mads

    2008-08-01

    We investigate the possibility to develop methodologies for assessing effect specific structural changes of the breast tissue using a general statistical machine learning framework. We present an approach of obtaining objective mammographic pattern measures quantifying a specific biological effect, such as hormone replacement therapy (HRT). We compare results using this approach to using standard density measures. We show that the proposed method can quantify both age related effects and effects caused by HRT. Age effects are significantly detected by our method where standard methodologies fail. The separation of HRT subpopulations using our approach is comparable to the best methodology, which is interactive.

  2. Demonstrating Ipsilateral Cortical Connectivity with Lower-Limb Spinal Motor Neurons

    Directory of Open Access Journals (Sweden)

    Daniel, Janan

    2009-01-01

    Full Text Available This research was done for the Summer Internship in Neural Engineering (SINE during a three month period, June 2008 until the end of August 2008. The SINE program is affiliated with the Sensory Motor Performance Program (SMPP at the Rehabilitation Institute of Chicago (RIC and the Biomedical Engineering program at Northwestern University. I worked in the Neuralplasticity laboratory, which is a part of the SMPP located at the RIC. I worked under Dr. Stinear and Dr. Madhavan to test protocols developed by my advisors as candidate techniques for demonstrating ipsilateral connectivity between the lower limb motor cortex and spinal motor neurons. The goal of the research was to develop a candidate stimulation protocol to demonstrate ipsilateral connectivity in stroke patients between the lower limb motor cortex and spinal motor neurons.

  3. Ipsilateral Plastic Deformation Monteggia and Galeazzi-Type Fracture in a Child: A Case Report.

    Science.gov (United States)

    Greer, Andrew; Lowry, Christopher John; Ramlakhan, Shammi

    2017-05-01

    A 7-year-old boy attended the emergency department after falling from a climbing frame onto his outstretched left wrist. On examination, there was mild swelling to the left elbow and tenderness to the antecubital fossa. There was also tenderness diffusely to the distal ulnar and radius. There was no neurovascular deficit. Radiographs revealed a plastic deformation fracture of the left radius and ulna, with dislocations of the ipsilateral radiocapitellar joint and distal radioulnar joint. A diagnosis of combined Monteggia and Galeazzi-type fractures of the left forearm was made. It is rare to find cases of combined Monteggia and Galeazzi fractures to the same forearm. Furthermore, to our knowledge, ipsilateral plastic deformation Monteggia and Galeazzi-type fractures in children have not been reported in the literature. Copyright © 2016 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

  4. Unilateral occlusion of duplicated uterus with ipsilateral renal anomaly in young girls: a study with MRI

    Energy Technology Data Exchange (ETDEWEB)

    Li, Y.W. [Dept. of Medical Imaging, National Taiwan Univ. Hospital, Taipei (Taiwan, Province of China); Shieh, C.P. [Dept. of Pediatric Nephrology, Taipei Municipal Women and Children`s Hospital (Taiwan, Province of China); Chen, W.J. [Dept. of Surgery, National Taiwan Univ. Hospital, Taipei (Taiwan, Province of China)

    1995-11-01

    Twenty-four young girls (mean age 13.0 years) with unilateral occlusion of a duplicated uterus and ipsilateral renal agenesis, dysplasia or hypoplasia were studied with magnetic resonance imaging (MRI) following ultrasound examination. Hydrocolpos (n=4), hydrometrocolpos (n=2), hematocolpos (n=11), hematometrocolpos (n=5), hematocolpometra, hematosalpinx (n=3) and hematometra, hematosalpinx (n=1) were noted (two of these patients had presented with hydrocolpos and hematocolpos before and after the menarche). Twenty-two of these girls presented with ipsilateral renal agenesis (right 11, left 11) with ectopic ureters to Gartner`s dust cysts (GDC) in two, in one renal hypoplasia and in one renal dysplasia with ectopic ureters to GDC. MRI offered specific images of the genital tract, showing the exact type of muellerian duct anomaly and providing high diagnostic accuracy. Such preoperative identification of a uterine anomaly, complemented with appropriate surgical intervention, can assist young girls in achieving normal fertility in the future. (orig.)

  5. Ipsilateral synchronous renal pelvic transitional cell carcinoma, squamous cell carcinoma and adenocarcinoma

    Institute of Scientific and Technical Information of China (English)

    韩平; 魏强; 石明; 杨宇如

    2004-01-01

    @@ Reports of multiple synchronous primary renal neoplasms in the literature are rare. Although primary renal tumors of 2 distinctively dissimilar origins have been sporadically described,1-6 to our knowledge there have been no reported cases of triple primary renal neoplasms in the same kidney. Here we report a very rare case of ipsilateral synchronous renal pelvic transitional cell carcinoma, squamous cell carcinoma and adenocarcinoma with marked hydronephrosis and multiple stones in the same kidney.

  6. Factors that determine directional constraint in ipsilateral hand–foot coordinated movements

    OpenAIRE

    Nakagawa, Kento; Muraoka, Tetsuro; Kanosue, Kazuyuki

    2013-01-01

    In performing simultaneous rhythmic movements of the ipsilateral hand and foot, there are differences in the level of stability between same directional (stable) and opposite directional (unstable) movements. This is the directional constraint. In this study, we investigated three factors (“interaction in efferent process,” “interaction of afferent signals,” and “error correction”) proposed to underlie for the directional constraint. We compared the performance of three tasks: (1) coordinatio...

  7. [Pure motor hemiplegia with ipsilateral lingual palsy caused by pontine infarction].

    Science.gov (United States)

    Aidi, S; el Alaoui Faris, M; Essalhi, M; Jiddane, M; Chkili, T

    1996-12-01

    A 36 year old diabetic man developed a pure motor hemiplegia (PMH) associated with an ipsilateral lingual palsy. Magnetic resonance imaging revealed a pontine infarct. Lingual palsies have never been reported in patients with PMH so far, but may be associated with other lacunar syndromes such as the "dysarthria-clumsy hand syndrome". This observation supports the hypothesis that corticohypoglossal pathways may have bilateral and assymetrical projections.

  8. Prognostic Impact of Time to Ipsilateral Breast Tumor Recurrence after Breast Conserving Surgery

    OpenAIRE

    Gosset, Marie; Hamy, Anne-sophie; Mallon, Peter; Delomenie, Myriam; Mouttet, Delphine; Pierga, Jean-Yves; Lae, Marick; Fourquet, Alain; Rouzier, Roman; Reyal, Fabien; Feron, Jean-Guillaume

    2016-01-01

    Background The poor prognosis of patients who experience ipsilateral breast tumor recurrence (IBTR) after breast conserving surgery (BCS) is established. A short time between primary cancer and IBTR is a prognostic factor but no clinically relevant threshold was determined. Classification of IBTR may help tailor treatment strategies. Purpose We determined a specific time frame, which differentiates IBTR into early and late recurrence, and identified prognostic factors for patients with IBTR a...

  9. Congenital infiltrating lipomatosis of the face with enlargement of the ipsilateral cerebellar hemisphere

    Directory of Open Access Journals (Sweden)

    Eric Gous

    2015-03-01

    Full Text Available Congenital infiltrating lipomatosis of the face (CILF is a rare disorder in which overgrowth of fatty tissue with infiltration of underlying structures leads to craniofacial deformities and asymmetry. Imaging plays an important role in the diagnosis, surgical planning and evaluation of underlying structures. To our knowledge, our case is the first to describe CILF associated with isolated enlargement of a cerebellar hemisphere in the absence of an enlarged ipsilateral cerebral hemisphere (hemimegalencephaly.

  10. Case Reports: Treatment of Subtrochanteric and Ipsilateral Femoral Neck Fractures in an Adult with Osteopetrosis

    OpenAIRE

    2008-01-01

    We describe a patient with autosomal-dominant osteopetrosis, a subtrochanteric fracture, and an ipsilateral femoral neck fracture treated with a hip spica cast Although the fracture united with coxa vara and external rotation deformities, the patient successfully returned to his normal activities of daily living. Operative fracture treatment in patients with osteopetrosis is difficult, and our patient provides evidence that with nonoperative treatment these patients can return to a functional...

  11. Gadolinium-enhanced MR angiography of the breast: Is breast cancer associated with ipsilateral higher vascularity?

    Energy Technology Data Exchange (ETDEWEB)

    Mahfouz, A.E.; Sherif, H. [Dept. of Radiology, Charite Medical Center, Humboldt-Univ. zu Berlin (Germany); Dept. of Radiology, Cairo University Hospital, Cairo (Egypt); Saad, A. [Dept. of Radiology, Charite Medical Center, Humboldt-Univ. zu Berlin (Germany); Dept. of Public Health and Environmental Medicine, National Research Center, Cairo (Egypt); Taupitz, M.; Filimonow, S.; Kivelitz, D.; Hamm, B. [Dept. of Radiology, Charite Medical Center, Humboldt-Univ. zu Berlin (Germany)

    2001-06-01

    The aim of this study was to assess a possible association between breast malignancy and ipsilateral higher vascularity on gadolinium-enhanced MR angiography. One hundred six patients were examined by dynamic gadolinium-enhanced 3D MR imaging. Magnetic resonance angiographic views were generated by image subtraction and maximum intensity projection. The study included 85 patients with unilateral malignant breast neoplasms and 21 with unilateral benign lesions. Three blinded readers independently reviewed the MR angiograms after masking the lesions and the corresponding contralateral sites. The readers were asked to determine whether vascularity was higher on the right side, higher on the left side, or equal on both sides. The results were analyzed by the Kappa statistic and Pearson's chi-square test. The blood vessels of the breasts were clearly seen in all cases. There was good agreement among the observers (kappa > 0.54) in assessing vascularity on both sides. Breasts harboring malignant neoplasms were found to have a higher vascularity than the contralateral breasts (p < 0.005). This sign of malignancy had a sensitivity of 76.5 %, a specificity of 57 %, and an accuracy of 72.6 %. Blood vessels of the breast can be depicted by MR angiography. Unilateral malignant neoplasms are associated with a higher ipsilateral vascularity. In conjunction with other indications of malignancy on gadolinium-enhanced MR images, a higher ipsilateral vascularity may serve as an additional sign of malignancy. (orig.)

  12. Hoffa fracture associated with ipsilateral femoral shaft fracture: clinical feature and treatment.

    Science.gov (United States)

    Gong, Yu-Bao; Li, Qing-Song; Yang, Chen; Li, Shu-Qiang; Liu, Jian-Guo; Qi, Xin

    2011-01-01

    Hoffa fracture associated with ipsilateral femoral shaft fracture is very rare. Three cases of this rare type of injury were retrospectively reviewed. The sites of femoral shaft fractures and Hoffa fractures were documented. All femoral shaft fractures were managed with internal fixation. The rate of misdiagnosis for the Hoffa fractures was documented. Functions of the affected knees were evaluated according to the modified Hospital for Special Surgery (HSS) scores at two years follow-up. Femoral fractures were either transverse or composite in all three cases. Ipsilateral Hoffa fractures occurred at medial condyle in two cases, and lateral condyle in one case. Only one Hoffa fracture was identified preoperatively. All the femoral shaft fractures healed uneventfully. In the patient whose Hoffa fracture was correctly diagnosed, the modified HSS score was 94. In another patient, whose Hoffa fracture was treated by a second operation, the modified HSS score was 93. And in the third case, who refused additional operation for the Hoffa fracture, the modified HSS score was only 70. Conclusively femoral shaft fracture can be associated with ipsilateral Hoffa fracture, especially in motorcycle accident. This type of injury is very rare and misdiagnosis is common.

  13. Ipsilateral mamillary body atrophy after infarction of the posterior cerebral artery territory: MR imaging

    Energy Technology Data Exchange (ETDEWEB)

    Uchino, Akira; Sawada, Akihiro; Takase, Yukinori; Nomiyama, Keita; Egashira, Ryoko; Kudo, Sho [Saga Medical School, Department of Radiology, Saga (Japan)

    2005-11-01

    We describe herein magnetic resonance (MR) features of ipsilateral mamillary body atrophy after infarction of the posterior cerebral artery (PCA) territory. During the period May 2000 through July 2004, 13 patients with infarction of the PCA territory underwent cranial MR imaging in the chronic stage. Two 1.5-T scanners were used to obtain axial T1- and T2-weighted images with conventional spin-echo and fast spin-echo pulse sequences, respectively. The slice thickness was 6 mm, with a 2-mm interslice gap. Five of the 13 patients with PCA territory infarction had ipsilateral mamillary body atrophy. However, this asymmetry of the mamillary bodies was unclear in two of the five patients because of the thickness of the axial image slices. All five patients had a temporo-parieto-occipital infarction. The remaining eight patients had a parieto-occipital or an occipital infarction. Unilateral transneuronal mamillary body degeneration after infarction of the ipsilateral PCA territory including the posteromedial temporal lobe can be detected on conventional thick axial MR images. (orig.)

  14. Ipsilateral Cerebral and Contralateral Cerebellar Hyperperfusion in Patients with Unilateral Cerebral Infarction; SPM Analysis

    Energy Technology Data Exchange (ETDEWEB)

    Hong, Sun Pyo; Yoon, Joon Kee; Choi, Bong Hoi; Joo, In Soo; Yoon, Seok Nam [Ajou University School of Medicine, Suwon (Korea, Republic of)

    2008-10-15

    Cortical reorganization has an important role in the recovery of stroke. We analyzed the compensatory cerebral and cerebellar perfusion change in patients with unilateral cerebral infarction using statistical parametric mapping (SPM). Fifty seven {sup 99m}Tc-Ethylene Cystein Diethylester (ECD) cerebral perfusion SPECT images of 57 patients (male/female=38/19, mean age=56{+-}17 years) with unilateral cerebral infarction were evaluated retrospectively. Patients were divided into subgroups according to the location (left, right) and the onset (acute, chronic) of infarction. Each subgroup was compared with normal controls (male/female=11/1, mean age =36{+-}10 years) in a voxel-by-voxel manner (two sample t-test, p<0.001) using SPM. All 4 subgroups showed hyperperfusion in the ipsilateral cerebral cortex, but not in the contralateral cerebral cortex. Chronic left and right infarction groups revealed hyperperfusion in the ipsilateral primary sensorimotor cortex, meanwhile, acute subgroups did not. Contralateral cerebellar hyperperfusion was also demonstrated in the chronic left infarction group. Using {sup 99m}Tc-ECD SPECT, we observed ipsilateral cerebral and contralateral cerebeller hyperperfusion in patients with cerebral infarction. However, whether these findings are related to the recovery of cerebral functions should be further evaluated.

  15. The mechanism of ipsilateral ataxia in lacunar hemiparesis: SPECT perfusion imaging.

    Science.gov (United States)

    Yamamoto, Ryoo; Johkura, Ken; Nakae, Yoshiharu; Tanaka, Fumiaki

    2015-01-01

    Although ataxic hemiparesis is a common lacunar syndrome, the precise mechanism underlying hemiataxia is not clear. We attempted to identify ataxia-related, cerebral blood flow changes in patients presenting with ataxic hemiparesis after acute capsular infarct. We used 99mTc-ECD brain perfusion single-photon emission computed tomography to evaluate regional cerebral blood flow in 12 patients with ataxic hemiparesis caused by capsular infarct, and we compared the regional blood flow of these patients with that of 11 patients with pure motor hemiparesis caused by similar lesions. The ipsilateral red nucleus blood flow was significantly decreased in the ataxic hemiparesis patients, whereas the ipsilateral red nucleus blood flow was increased in the pure motor hemiparesis patients. Crossed cerebellar diaschisis (decreased contralateral cerebellar blood flow) was seen in ataxic hemiparesis patients; similarly, it was seen in pure motor hemiparesis patients. Our findings suggest that ataxia in hemiparetic patients with capsular infarct can be caused by ipsilateral red nucleus dysfunction secondary to cortico-rubral pathway disruption at the internal capsule.

  16. Hoffa fracture associated with ipsilateral femoral shaft fracture: clinical feature and treatment

    Institute of Scientific and Technical Information of China (English)

    GONG Yu-bao; LI Qing-song; YANG Chen; LI Shu-qiang; LIU Jian-guo; QI Xin

    2011-01-01

    Hoffa fracture associated with ipsilateral femoral shaft fracture is very rare.Three cases of this rare type of injury were retrospectively reviewed.The sites of femoral shaft fractures and Hoffa fractures were documented.All femoral shaft fractures were managed with internal fixation.The rate of misdiagnosis for the Hoffa fractures was documented.Functions of the affected knees were evaluated according to the modified Hospital for Special Surgery (HSS) scores at two years follow-up.Femoral fractures were either transverse or composite in all three cases.Ipsilateral Hoffa fractures occurred at medial condyle in two cases,and lateral condyle in one case.Only one Hoffa fracture was identified preoperatively.All the femoral shaft fractures healed uneventfully.In the patient whose Hoffa fracture was correctly diagnosed,the modified HSS score was 94.In another patient,whose Hoffa fracture was treated by a second operation,the modified HSS score was 93.And in the third case,who refused additional operation for the Hoffa fracture,the modified HSS score was only 70.Conclusively femoral shaft fracture can be associated with ipsilateral Hoffa fracture,especially in motorcycle accident.This type of injury is very rare and misdiagnosis is common.

  17. Uterus Didelphys with Obstructed Hemivagina and Ipsilateral Renal Agenesis: The Radiologic Findings of Five Cases

    Energy Technology Data Exchange (ETDEWEB)

    Rhee, Sun Jung; Yi, Boem Ha; Park, Seong Jin; Lee, Hae Kyung; Lee, Kwon Hae; Lee, Hae Hyeog; Kim, Tae Hee [Soonchunhyang University Bucheon Hospital, Bucheon (Korea, Republic of)

    2010-08-15

    To evaluate the imaging findings of uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis. From March 2003 to December 2008, five patients with uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis were evaluated as part of this study. We retrospectively reviewed the CT, ultrasound, and MRI findings as well as the medical records of each patient. The patients initially underwent an imaging study for abdominal pain (n=3), recurrent vaginal bleeding (n=1), and prenatal evaluation (n=1). Of the five patients that underwent US, four had hematocolpos and two of them had hematometra. Moreover, three patients underwent a CT examination. The MR examination of four patients revealed hematocolpos (n=3), hematometra (n=1), and a tubular structure resembling an ectopic ureter (n=2). The gynecologic examination of a patient without hematocolpos revealed a pinpoint hole in the vaginal septum. Two of four patients with hematocolpos underwent a vaginal septectomy, which resulted in an improvement of the symptoms. The most common finding of patients with uterus didelphys with obstructed hemivagina and ipsilateral renal agenesis is vaginal fluid collection. Hematometra is not a consistent finding and can be transient according to the menstrual cycle. MR is the most useful imaging modality for the diagnosis of an ectopic ureter.

  18. Measuring effectiveness of food quality management

    NARCIS (Netherlands)

    Spiegel, van der M.

    2004-01-01

    Keywords: effectiveness, food quality management, instrument, quality performance, contextual factors, agri-food production, conceptual model, performance measurement indicators, identification, validation, assessment, quality assurance systems, QA systems, HACCP, Hygiene code, ISO, BRC, GMP, bakery

  19. High temperature hall effect measurement system design, measurement and analysis

    Science.gov (United States)

    Berkun, Isil

    A reliable knowledge of the transport properties of semiconductor materials is essential for the development and understanding of a number of electronic devices. In this thesis, the work on developing a Hall Effect measurement system with software based data acqui- sition and control for a temperature range of 300K-700K will be described. A system was developed for high temperature measurements of materials including single crystal diamond, poly-crystalline diamond, and thermoelectric compounds. An added capability for monitor- ing the current versus voltage behavior of the contacts was used for studying the influence of ohmic and non-ohmic contacts on Hall Effect measurements. The system has been primar- ily used for testing the transport properties of boron-doped single crystal diamond (SCD) deposited in a microwave plasma-assisted chemical vapor deposition (MPCVD) reactor [1]. Diamond has several outstanding properties that are of high interest for its development as an electronic material. These include a relatively wide band gap of 5.5 (eV), high thermal conductivity, high mobility, high saturation velocity, and a high breakdown voltage. For a temperature range of 300K-700K, IV curves, Hall mobilities and carrier concentrations are shown. Temperature dependent Hall effect measurements have shown carrier concentrations from below 1017cm --3 to approximately 1021 cm--3 with mobilities ranging from 763( cm2/V s) to 0.15(cm 2/V s) respectively. Simulation results have shown the effects of single and mixed carrier models, activation energies, effective mass and doping concentrations. These studies have been helpful in the development of single crystal diamond for diode applications. Reference materials of Ge and GaAs were used to test the Hall Effect system. The system was also used to characterize polycrystalline diamond deposited on glass for electrochemical applications, and Mg2(Si,Sn) compounds which are promising candidates of low-cost, light weight and non

  20. Quantum Zeno effect by general measurements

    CERN Document Server

    Koshino, K

    2004-01-01

    It was predicted that frequently repeated measurements on an unstable state may alter the decay rate of the state. This is called the quantum Zeno effect (QZE) or the anti-Zeno effect (AZE), depending on whether the decay is suppressed or enhanced. In conventional theories of the QZE and AZE, effects of measurements are simply described by the projection postulate, assuming that each measurement is an instantaneous and ideal one. However, real measurements are not instantaneous and ideal. For the QZE and AZE by such general measurements, interesting and surprising features have recently been revealed, which we review in this article. The results are based on the quantum measurement theory, which is also reviewed briefly. As a typical model, we consider a continuous measurement of the decay of an excited atom by a photodetector that detects a photon emitted from the atom upon decay. This measurement is an indirect negative-result one, for which the curiosity of the QZE and AZE is emphasized. It is shown that t...

  1. Measuring the effectiveness of international environmental regimes

    Energy Technology Data Exchange (ETDEWEB)

    Helm, C.; Sprinz, D.F.

    1999-05-01

    While past research has emphasized the importance of international regimes for international governance, systematic assessments of regime effects are missing. This article derives a standardized measurement concept for the effectiveness of international environmental regimes by developing an operational rational choice calculus to evaluate actual policy simultaneously against a non-regime counterfactual and a collective optimum. Subsequently, the empirical feasibility of the measurement instrument is demonstrated by way of two international treaties regulating transboundary air pollution in Europe. The results demonstrate that the regimes indeed show positive effects - but fall substantially short of the collective optima. (orig.)

  2. Measuring effects of public procurement of innovation

    DEFF Research Database (Denmark)

    Rolfstam, Max

    not always manifest in ways that are easily quantified on aggregate levels. Other effects may emerge over time, as results of multi-causal effects, which may yet further impose measuring difficulties. Yet a further challenge consists of the uncertainties regarding to what extent the sometimes bold claims...... qualitative and quantitative studies have been made, they tend to lack connection to the underlying mechanisms envisaged in the conceptual and/or case based literature. A challenge in this endeavour prevails in the nature of how public procurement of innovation works. Some of the effects rendered may...... about the usefulness of public procurement of innovation are at all realistic and feasible in practice. After reviewing different currently available means to measure both public procurement of innovation measures, as well as public procurement of innovation, the paper outlines a case-based approach...

  3. Renal dysplasia with the ipsilateral ectopic ureter mimicking abscess of the prostate

    Directory of Open Access Journals (Sweden)

    Grbić Dragan

    2014-01-01

    Full Text Available Introduction. In males the ectopic ureter usualy drains into the prostate (50%. During ureteric developement a thin membrane (Chawalla’s membrane separates the lumen of the ureter and the urogenital sinus at the point where the ureter joins the urogenital sinus. This membrane ruptures allowing urin to drain from the ureter to the urogenital sinus. The authors reported a case of renal dysplasia associated with ipsilateral uretral ectopia mimicking prostatic abscess. Case report. A subfebrile (37.3°C, 23-year-old patient, otherwise healthy, presented with persistent ascending perineal pain non-responsive to antibiotics and analgetics. Digitorectal examination (DRE showed asymmetric prostate with a soft, tender, buldging left lobe suggestive of prostatic abscess. The diagnosis was suspected using transrectal ultrasonography (TRUS, but the picture of the anechoic tubular structure in the left lobe of the prostate with a proximal undefined extraprostatic extension and a caudal intraprostatic blind end was incoclusive for the definitive diagnosis of prostatic abscess. Magnetic resonance imaging (MRI was ordered and definitive diagnosis of renal dysplasia associated with the ipsilateral ectopic ureter filled with inflamed content mimicking prostatic abscess was made. Transurethral incision/minimal resection of the distal, blindly closed end of left ectopic ureter was done. Endoscopic surgical treatment was sufficient for relief of clinical symptoms. The patient’s recovery was uneventful. Conclusion. To the best of our knowledge, a case of renal dysplasia with the ipsilateral ectopic ureter mimicking prostate abscess has not been reported so far. Cystic pelvic malformations in males may result from too craniall sprouting of the ureteral bud, with delayed absorption and ectopic opening of the distal end of the ureter.

  4. Internal derangement of the knee after ipsilateral femoral shaft fracture: MR imaging findings

    Energy Technology Data Exchange (ETDEWEB)

    Blacksin, M.F.; Zurlo, J.V. [Department of Radiology, University of Medicine and Dentistry of New Jersey, Newark, NJ (United States); Levy, A.S. [Department of Orthopedic Surgery, University of Medicine and Dentistry of New Jersey, University Hospital, Newark, NJ 07103-2426 (United States)

    1998-08-01

    Objective. This study uses magnetic resonance (MR) imaging to delineate the types and frequencies of injuries seen in the knee after ipsilateral femoral shaft fracture. We also compare the results of the orthopedic knee examination with the MR findings. Design and patients. MR imaging of the ipsilateral knee was performed on 34 patients with closed femoral shaft fractures. Indications for knee MR imaging included knee pain at the time of fracture, soft tissue swelling or an effusion of the knee, or a positive knee examination under anesthesia. The patients had a mean age of 27 years and all were stabilized with intramedullary nails. Imaging was performed a mean time of 2.5 days after surgery. All patients had knee examinations done under anesthesia, and the MR results were compiled and compared with the clinical examinations. Results. Ninety-seven percent of patients demonstrated knee effusions. Twenty-seven percent of patients demonstrated meniscal tears, with the posterior horn of the medial meniscus most frequently torn. The medial collateral ligament was the most frequent site of ligamentous injury (38%) followed by the posterior cruciate ligament (21%). Fifty percent of patients had injuries of the extensor mechanism. Bone bruises were noted in 32% of patients. Articular cartilage injuries were confined to the patella in four cases. One occult tibial plateau fracture and one meniscocapsular separation were seen. Conclusions. There is a common incidence of both ligamentous and meniscal injury to the knee after ipsilateral femoral shaft fracture. MR imaging can be useful in assessing the extent of injury, and may reveal findings unsuspected after clinical examination of the knee. (orig.) With 4 figs., 2 tabs., 13 refs.

  5. EXTRACAPSULAR SPREAD IN IPSILATERAL NECK METASTASIS: AN IMPORTANT PROGNOSTIC FACTOR IN LARYNGEAL CANCER

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Objective To evaluate the impact of extracapsular spread (ECS) in ipsilateral neck metastasis on prognosis and its related factors in laryngeal cancer.Methods The study included 184 patients who underwent laryngectomy and simultaneous radical or modified radical neck dissection between January 1994 and December 1997 for laryngeal cancer. All of them had a complete 5-year follow-up. We used transparent lymph node detection and continuous slicing method on all neck dissection specimens.Kaplan-Meier model was used for survival analysis and the log-rank test was used to assess significance.Results We found pathological neck metastases in 80 patients. Among them, 26 cases (32.5%) had ECS in ipsilateral neck. ECS incidence increased with advanced pathological N (pN) stages (pN1 3.7%, pN2a 25.0%, pN2b 50. 0%, and pN2c 55.6%; P=0.001). ECS incidence also increased with number of positive nodes ( 1 positive node 8.6%, 2 positive nodes 33.3%, 3 and more positive nodes 66. 7%; P<0.001). Incidences of contralateral neck metastases and ipsilateral neck recurrence in patients with ECS were higher than those in patients without ECS (46.2%vs.24. 1%, P=0 046; 34. 6% vs. 7.4%, P =0. 002). The 5-year survival rate of patients with ECS was significantly lower than that of patients without ECS (23.1% vs. 57.4%,P=0.013).Conclusion ECS is an important prognostic factor in laryngeal cancer. Patients with ECS have a higher incidence of contralateral neck metastasis, so bilateral neck dissection should be selected.

  6. Response of SI cortex to ipsilateral, contralateral and bilateral flutter stimulation in the cat

    Directory of Open Access Journals (Sweden)

    Favorov Oleg

    2005-04-01

    Full Text Available Abstract Background While SII cortex is considered to be the first cortical stage of the pathway that integrates tactile information arising from both sides of the body, SI cortex is generally not considered as a region in which neuronal response is modulated by simultaneous stimulation of bilateral (and mirror-image skin sites. Results Optical intrinsic signal imaging was used to evaluate the response of SI and SII in the same hemisphere to 25 Hz sinusoidal vertical skin displacement stimulation ("skin flutter" applied contralaterally, ipsilaterally, and bilaterally (simultaneously to the central pads of the forepaws. A localized increase in absorbance in both SI and SII occurred in response to both contralateral and bilateral flutter stimulation. Ipsilateral flutter stimulation evoked a localized increase in absorbance in SII, but little or no change in SI absorbance. In the forepaw representational region of SI, however, bilateral stimulation of the central pads evoked a response substantially smaller (approximately 30–35% smaller than the response to flutter stimulation of the contralateral central pad. Conclusion The finding that the response of SI cortex to bilateral central pad flutter stimulation is substantially smaller than the response evoked by a contralateral flutter stimulus, together with the recently published observation that a region located posteriorly in SII responds with a substantially larger response to a bilateral flutter stimulus than the response evoked from the contralateral central pad, lead us to propose that the SI activity evoked by contralateral skin stimulation is suppressed/inhibited (via corticocortical connections between SII and SI in the same hemisphere by the activity a simultaneous ipsilateral skin stimulus evokes in posterior SII.

  7. Clinical Outcomes of Osseointegrated Prosthetic Auricular Reconstruction in Patients With a Compromised Ipsilateral Temporoparietal Fascial Flap.

    Science.gov (United States)

    Zuo, Kevin J; Wilkes, Gordon H

    2016-01-01

    Patients with major ear deformities and associated compromise of the superficial temporal artery are poor candidates for autogenous ear reconstruction because of a tenuous ipsilateral temporoparietal fascial flap (TPFF). Osseointegrated prosthetic auricular reconstruction (OPAR) is an alternative to contralateral free TPFF microsurgical and autogenous reconstruction, but data on clinical outcomes are limited. The records of patients with ear loss or major deformity and a compromised ipsilateral TPFF who underwent OPAR from 1989 to 2013 were reviewed. Satisfaction was assessed using a questionnaire based on a 5 point Likert scale. Thirty-two patients (8 women, 24 men) with mean age 43.0 years (range, 10-70 years) underwent OPAR. The ipsilateral TPFF was compromised due to major trauma (13 patients), cancer extirpation (9), burn injury (4), previous harvest (4), arteriovenous malformation (1), or infection (1). All but 2 patients had an associated craniofacial defect, such as soft tissue deformity (87.5%), hearing loss (46.9%), or bony deformity (31.3%). The overall implant success rate was 88.6% at mean follow-up time of 7.6 years post-OPAR. Prosthesis wear averaged 12.2 hours/day and 6.6 days/week (80.5 hours/week). All 5 patients who experienced implant failures had received prior head and neck irradiation. With their prosthesis, 76.2% (16 patients) stated that their self-consciousness and self-esteem were "better" or "much better," whereas 85.7% (18 patients) stated that their self-image was "better" or "much better." All patients declared that they would undergo the treatment again. Osseointegrated prosthetic auricular reconstruction is a reliable option in this challenging population with high patient satisfaction. Patients with prior radiotherapy may have a higher chance of implant failure and would benefit from extended annual follow-up.

  8. Uterus didelphys with obstructed hemivagina and ipsilateral renal anomaly (OHVIRA syndrome: A case report

    Directory of Open Access Journals (Sweden)

    Mohamed Amin El-Gohary

    2014-09-01

    Full Text Available Uterus didelphys with obstructed hemivagina and ipsilateral renal anomaly (OHVIRA syndrome is a rare congenital urogenital anomaly. We report a case of a 14-year-old female who presented with acute lower abdominal pain and tender pelvic mass. The initial diagnosis of twisted left ovarian cyst was confirmed by abdominal ultrasonography (US, which showed an associated absent left kidney. The findings at laparoscopy were that of uterus didelphys with obstructed left hemivagina. Parents were concerned about hymnal integrity and refused hemivaginal septal resection.

  9. A Child with Lung Hypoplasia, Congenital Heart Disease, Hemifacial Microsomia, and Inguinal Hernia: Ipsilateral Congenital Malformations

    Directory of Open Access Journals (Sweden)

    Chengming Fan

    2015-01-01

    Full Text Available A 3-year-old Chinese boy was diagnosed with ipsilateral congenital malformations: right lung hypoplasia, dextroversion of heart, atrial septal defect, hepatic vein drainage directly into the right atrium, facial asymmetry, right microtia and congenital deafness, and indirect inguinal hernia. He underwent indirect inguinal hernia repair at the age of 2. Although without any facial plastic surgery performed, he underwent a repair of atrial septal defect and recovered uneventfully. At 6-month follow-up, the patient was free from any symptom of dyspnea; his heart function returned to the first grade.

  10. Subcutaneous rupture of the Achilles tendon and ipsilateral fracture of the medial malleolus

    Directory of Open Access Journals (Sweden)

    Richards Paula J

    2006-07-01

    Full Text Available Abstract Background Although ankle fractures and an Achilles tendon rupture are relatively frequent in isolation, their association in the same injury is uncommon. Case presentation A 38 year old male tree surgeon fell six meters from a tree, sustaining a subcutaneous rupture of the Achilles tendon and an ipsilateral closed fracture of the medial malleolus. The injuries were diagnosed following clinical examination and imaging. Conclusion This injury combination is infrequent, and management of the Achilles tendon rupture should take into account the necessity not to secondarily displace the fracture of the medial malleollus.

  11. Three consecutive ipsilateral tubal pregnancies in a nulliparous African woman: the role of conservative treatment.

    Science.gov (United States)

    Lema, V M

    1995-02-01

    A very rare case of three consecutive ipsilateral tubal pregnancies, in a 31 year old nulliparous Malawian woman is presented. The three pregnancies occurred over a four year period between 1989 and 1993, and were treated at three different hospitals in Malawi and Britain. The first two were treated conservatively by "milking" the ectopic out in Malawi and Britain respectively while the third was treated by partial salpingectomy in Malawi. All three were confirmed clinically, ultrasonographically, at surgery and histopathologically. The rarity of such a condition, the role and value of conservative treatment of tubal pregnancy in Africa, especially in the light of the probable aetiological and/or predisposing factors are discussed.

  12. Plastic Fibula Bone Deformity with Ipsilateral Fracture of Tibiain Adults: A Case Report

    OpenAIRE

    Abbas Abdoli Tafti; Sanazsadat Sajadi; Maryam Shahmoradi

    2015-01-01

    Plastic bowing is a constant deformation of long bones occurring after a long standing force to bone. This type of fracture is seen in children and is uncommon in the adults. In this paper we report a case of fibular plastic deformity with ipsilateral tibia fracture in a 20 years old man that occurred after a direct hit. At the initial examination vital signs were stable and radiography of tibia and fibula fracture with plastic deformation were clear. In order to treat him we performed fib...

  13. Lumbar nerve root avulsions with secondary ipsilateral hip dysplasia in a child

    Energy Technology Data Exchange (ETDEWEB)

    Polyzoidis, Konstandinos; Vranos, Georgios [Department of Neurosurgery, Medical School, University of Ioannina, 45110, Ioannina (Greece); Petropoulou, Calliope; Argyropoulou, Paraskevi I.; Argyropoulou, Maria I. [Department of Radiology, Medical School, University of Ioannina, 45110, Ioannina (Greece); Sarmas, Ioannis [Department of Neurology, Medical School, University of Ioannina, 45110, Ioannina (Greece)

    2002-09-01

    We report on an 8-year-old child with avulsions of the left L3, L4 and L5 nerve roots and traumatic meningoceles that were not associated with lumbar spine or pelvic girdle fractures. The patient had a history of a road traffic accident. Plain radiographs of the pelvis revealed left hip dysplasia. The magnetic resonance imaging findings of the lumbar spine are illustrated. The pathogenesis of lumbar nerve root avulsions and their association with ipsilateral hip dysplasia are discussed. (orig.)

  14. Iatrogenic Femoral Pseudoaneurysm and Secondary Ipsilateral Deep Vein Thrombosis: An Indication for Early Surgical Exploration.

    Science.gov (United States)

    Papadakis, Marios; Zirngibl, Hubert; Floros, Nikolaos

    2016-07-01

    Pseudoaneurysm formation often complicates transfemoral interventional procedures. Nonsurgical treatment consists of femoral compression and thrombin injection under ultrasound guidance. We report a 74-year-old man who was diagnosed with a pseudoaneurysm, following coronary angiography. Duplex ultrasound revealed deep vein thrombosis of the ipsilateral common femoral vein. Ultrasound-guided thrombin injection was unsuccessfully performed, and the patient subsequently underwent surgical exploration for repair of the pseudoaneurysm and release of the venous compression. The increased local inflammation, because of the thrombosis, added in surgical difficulties. We conclude that early surgical intervention should be considered as a primary strategy in patients with femoral pseudoaneurysms and deep vein thrombosis secondary to femoral compression.

  15. A Child with Lung Hypoplasia, Congenital Heart Disease, Hemifacial Microsomia, and Inguinal Hernia: Ipsilateral Congenital Malformations

    Science.gov (United States)

    Fan, Chengming; Huang, Can; Liu, Jijia; Yang, Jinfu

    2015-01-01

    A 3-year-old Chinese boy was diagnosed with ipsilateral congenital malformations: right lung hypoplasia, dextroversion of heart, atrial septal defect, hepatic vein drainage directly into the right atrium, facial asymmetry, right microtia and congenital deafness, and indirect inguinal hernia. He underwent indirect inguinal hernia repair at the age of 2. Although without any facial plastic surgery performed, he underwent a repair of atrial septal defect and recovered uneventfully. At 6-month follow-up, the patient was free from any symptom of dyspnea; his heart function returned to the first grade. PMID:26294998

  16. Short communication: Development of the first follicular wave dominant follicle on the ovary ipsilateral to the corpus luteum is associated with decreased conception rate in dairy cattle.

    Science.gov (United States)

    Miura, R; Haneda, S; Kayano, M; Matsui, M

    2015-01-01

    In this study, we examined the effect of the locations of the first-wave dominant follicle (DF) and corpus luteum (CL) on fertility. In total, 350 artificial insemination (AI) procedures were conducted (lactating dairy cows: n=238, dairy heifers: n=112). Ovulation was confirmed 24 h after AI. The locations of the first-wave DF and CL were examined 5 to 9d after AI using rectal palpation or transrectal ultrasonography. Lactating dairy cows and dairy heifers were divided into 2 groups: (1) the ipsilateral group (IG), in which the DF was ipsilateral to the CL; and (2) the contralateral group (CG), in which the DF was contralateral to the CL. Pregnancy was diagnosed using transrectal ultrasonography 40d after AI. Conception rates were 54.0% in all cattle: 48.9% in lactating dairy cows, and 58.9% in dairy heifers. The incidence of the first-wave DF location did not differ between IG and CG (all cattle: 184 vs. 166; lactating cows: 129 vs. 109; heifers: 55 vs. 57 for IG vs. CG). Conception rates were lower in IG than in CG (all cattle: 40.2 vs. 69.3%; lactating dairy cows: 38.0 vs. 67.0%; dairy heifers: 45.5 vs. 73.7%, for IG vs. CG). Conception rate was not affected by season or live weight in heifers and lactating cows. In addition, days in milk at AI, milk production, body condition score, and parity did not affect conception in lactating cows. In summary, development of the first-wave DF in the ovary ipsilateral to the CL was associated with reduced conception rates in both lactating cows and heifers.

  17. Measuring cavitation and its cleaning effect

    NARCIS (Netherlands)

    Verhaagen, Bram; Fernandez Rivas, David

    2016-01-01

    The advantages and limitations of techniques for measuring the presence and amount of cavitation, and for quantifying the removal of contaminants, are provided. After reviewing chemical, physical, and biological studies, a universal cause for the cleaning effects of bubbles cannot yet be concluded.

  18. Shear and Turbulence Effects on Lidar Measurements

    DEFF Research Database (Denmark)

    Courtney, Michael; Sathe, Ameya; Gayle Nygaard, Nicolai

    Wind lidars are now used extensively for wind resource measurements. It is known that lidar wind speed measure-ments are affected by both turbulence and wind shear. This report explains the mechanisms behind these sensitivities. For turbulence, it is found that errors in the scalar mean speed...... are usually only small. However, particularly in re-spect of a lidar calibration procedure, turbulence induced errors in the cup anemometer speed are seen to be signifi-cantly larger. Wind shear is shown to induce measurement errors both due to possible imperfections in the lidar sensing height and due...... to the averaging of a non-linear speed profile. Both effects in combination have to be included when modelling the lidar error. Attempts to evaluate the lidar error from ex-perimental data have not been successful probably due to a lack of detailed knowledge of both the wind shear and the actual lidar sensing...

  19. Measuring engagement effectiveness in social media

    Science.gov (United States)

    Li, Lei; Sun, Tong; Peng, Wei; Li, Tao

    2012-03-01

    Social media is becoming increasingly prevalent with the advent of web 2.0 technologies. Popular social media websites, such as Twitter and Facebook, are attracting a gigantic number of online users to post and share information. An interesting phenomenon under this trend involves that more and more users share their experiences or issues with regard to a product, and then the product service agents use commercial social media listening and engagement tools (e.g. Radian6, Sysomos, etc.) to response to users' complaints or issues and help them tackle their problems. This is often called customer care in social media or social customer relationship management (CRM). However, all these existing commercial social media tools only provide an aggregated level of trends, patterns and sentiment analysis based on the keyword-centric brand relevant data, which have little insights for answering one of the key questions in social CRM system: how effective is our social customer care engagement? In this paper, we focus on addressing the problem of how to measure the effectiveness of engagement for service agents in customer care. Traditional CRM effectiveness measurements are defined under the scenario of the call center, where the effectiveness is mostly based on the duration time per call and/or number of answered calls per day. Different from customer care in a call center, we can obtain detailed conversations between agents and customers in social media, and therefore the effectiveness can be measured by analyzing the content of conversations and the sentiment of customers.

  20. Deterioration of pre-existing hemiparesis due to injury of the ipsilateral anterior corticospinal tract.

    Science.gov (United States)

    Jang, Sung Ho; Kwon, Hyeok Gyu

    2013-05-29

    The anterior corticospinal tract (CST) has been suggested as one of the ipsilateral motor pathways, which contribute to motor recovery following stroke. In this study, we report on a patient who showed deterioration of pre-existing hemiparesis due to an injury of the ipsilateral anterior CST following a pontine infarct, as evaluated by diffusion tensor tractography (DTT). A 55-year-old male patient showed quadriparesis after the onset of an infarct in the right pontine basis. He had history of an infarct in the left middle cerebral artery territory 7 years ago. Consequently, he showed right hemiparesis before onset of the right pontine infarct. Following this, his right hemiparesis deteriorated whereas his left hemiparesis newly developed. The DTTs for whole CST of the right hemisphere in the patient and both hemispheres in control subjects descended through the known CST pathway. By contrast, the DTT for the left whole CST of the patient showed a complete injury finding. The DTTs for the anterior CST of control subjects passed through the known pathway of the CST from cerebral cortex to medulla and terminated in the anterior funiculus of the upper cervical cord. However, the DTT for right anterior CST in the patient showed discontinuation below the right pontine infarct. It appeared that the deterioration of the pre-existing right hemiparesis was ascribed to an injury of the right anterior CST due to the right pontine infarct.

  1. Maxillary palp glomeruli and ipsilateral projections in the antennal lobe of Drosophila melanogaster

    Indian Academy of Sciences (India)

    K P Rajashekhar; V R Shamprasad

    2004-12-01

    The antennal lobe was examined by Golgi-silver impregnation to differentiate the glomeruli depending on the source and types of inputs. Thirty-five of the 43 ‘identified’ olfactory glomeruli were Golgi-silver impregnated in the present study. Seven glomeruli compared to three, reported previously, were found to be targets of maxillary palp chemosensory neurons. These include glomeruli VA3, VC2, VM5, VA7m/VA7l of the ventral antennal lobe and DC2, DC3, DM5 of the dorsal antennal lobe. The number of glomeruli receiving the maxillary palp sensory projections tallies with the number of Drosophila olfactory receptors (seven) reported to be expressed exclusively in the maxillary palp. Twenty-eight Golgi-impregnated glomeruli were found to receive input from the antennal nerve. The ratio of glomeruli serving the maxillary palp to those serving the antenna (∼ 1 : 5) matches with the ratio of Drosophila olfactory receptors expressed in these two olfactory organs respectively. In addition to glomerulus V, glomeruli VP1-3, VL1, VL2a/2p and VC3m/3l were found to receive ipsilateral projections. Thus, additional ipsilateral glomeruli have been identified.

  2. Ipsilateral corticomotor responses are confined to the homologous muscle following cross-education of muscular strength.

    Science.gov (United States)

    Mason, Joel; Frazer, Ashlyn K; Horvath, Deanna M; Pearce, Alan J; Avela, Janne; Howatson, Glyn; Kidgell, Dawson J

    2017-08-22

    Cross-education of strength occurs when strength-training one limb increases the strength of the untrained limb and is restricted to the untrained homologous muscle. Cortical circuits located ipsilateral to the trained limb might be involved. We used transcranial magnetic stimulation (TMS) to determine the corticomotor responses from the untrained homologous (biceps brachii) and non-homologous (flexor carpi radialis) muscle following strength-training of the right elbow flexors. Motor evoked potentials were recorded from the untrained left biceps brachii and flexor carpi radialis during a submaximal contraction from 20 individuals (10 women, 10 men, aged 18-35 years; training group; n = 10 and control group; n = 10) before and after 3-weeks of strength-training the right biceps brachii at 80% of 1-repetition maximum (1-RM). Recruitment-curves for corticomotor excitability and inhibition of the untrained homologous and non-homologous muscle were constructed and assessed by examining the area under the recruitment curve (AURC). Strength-training increased strength of the trained elbow flexors (29%), resulting in a 18% increase in contralateral strength of the untrained elbow flexors (P homologous muscle (P homologous muscle (P > 0.05). These findings show that the cross-education of muscular strength is spatially distributed; however, the neural adaptations are confined to the motor pathway ipsilateral to the untrained homologous agonist.

  3. Transcutaneous Electrical Nerve Stimulation Reduces Post-Thoractomy Ipsilateral Shoulder Pain. A Prospective Randomized Study.

    Science.gov (United States)

    Esteban González, Pedro; Novoa, Nuria M; Varela, Gonzalo

    2015-12-01

    The patient's position during an axillary thoracotomy can cause postoperative pain and decrease mobility of the ipsilateral shoulder. In this study, we assessed whether the implementation of a standardized analgesia program using transcutaneous electrical nerve stimulation (TENS) decreases local pain and improves ipsilateral shoulder mobility. Randomized, single-blind, single-center clinical trial of 50 patients who had undergone anatomical lung resection via axillary muscle-sparing thoracotomy. Patients were treated with TENS devices for 30 minutes every 8 hours, beginning on postoperative day 1. Pain and mobility of the affected limb were recorded at the same time on postoperative days 1 through 3. A visual analogue scale was used for pain assessment and shoulder mobility was assessed with a goniometer. Results were compared using a non-parametric test. Twenty-five patients were randomized to each group. Mean age of the control group was 62.7±9.3 years and 63.4±10.2 years in the experimental group. Shoulder mobility parameters were similar in both groups on all postoperative days. However, pain during flexion significantly decreased on day 2 (P=.03) and day 3 (P=.04) in the experimental group. The use of TENS decreases pain from shoulder flexion in patients undergoing axillary thoracotomy for pulmonary resection. Copyright © 2014 SEPAR. Published by Elsevier Espana. All rights reserved.

  4. Spontaneous live recurrent ectopic pregnancy after ipsilateral partial salpingectomy leading to tubal rupture.

    Science.gov (United States)

    Abraham, Cynthia; Seethappan, Vanitha

    2015-01-01

    Ectopic pregnancy accounts for 1-2% of all pregnancies in the United States. The most common site of implantation for an ectopic pregnancy is the fallopian tube. We present the first case describing a recurrent ectopic pregnancy with a fetal heartbeat after ipsilateral salpingectomy that led to tubal rupture. The patient presented with abdominal pain approximately six weeks after her last menstrual period. Seven years prior to presentation, a laparoscopic partial right salpingectomy had been performed for a tubal ectopic pregnancy. Physical exam was significant for diffuse abdominal tenderness and guarding. Ultrasonography revealed a right tubal pregnancy with a fetal pole and a fetal heart rate that was calculated to be 108 beats per minute. Free fluid was also noted. 1.5l of hemoperitoneum was subsequently evacuated and the right fallopian tube remnant with the ectopic pregnancy was removed. Pathology of the tubal remnant showed immature chorionic villi and fetal parts. The mechanism by which a recurrent ectopic pregnancy after ipsilateral salpingectomy occurs is unclear, but is theorized to be secondary to contralateral fertilization and/or tubal recanalization that may occur due to inadequate diathermy. Physicians should be aware that ectopic pregnancies may not only occur repeatedly but may also present a typically. We recommend when performing a salpingectomy that efforts be undertaken to minimize the length of the tubal remnant and to assure adequate coagulation of tissue so as to reduce the risk of recurrence. Copyright © 2015. Published by Elsevier Ltd.

  5. Hemodynamic Impact of a Spontaneous Cervical Dissection on an Ipsilateral Saccular Aneurysm

    Science.gov (United States)

    See, Alfred P.; Penn, David L.; Du, Rose; Frerichs, Kai U

    2016-01-01

    The dynamic, hemodynamic impact of a cervical dissection on an ipsilateral, intracranial saccular aneurysm has not been well illustrated. This 45-year-old female was found to have a small, supraclinoid aneurysm ipsilateral to a spontaneous cervical internal carotid artery dissection. With healing of the dissection, the aneurysm appeared to have significantly enlarged. Retrospective review of the magnetic resonance imaging (MRI) at the time of the initial dissection demonstrated thrombus, similar in overall morphology to the angiographic appearance of the "enlarged" aneurysm. As the dissection healed far proximal to the intradural portion of the internal carotid artery, this suggested that the aneurysm was likely a typical, saccular posterior communicating artery aneurysm that had thrombosed and then recanalized secondary to flow changes from the dissection. The aneurysm was coiled uneventfully, in distinction from more complex treatment approaches such as flow diversion or proximal occlusion to treat an enlarging, dissecting pseudoaneurysm. This case illustrates that flow changes from cervical dissections may result in thrombosis of downstream saccular aneurysms. With healing, these aneurysms may recanalize and be misidentified as enlarging dissecting pseudoaneurysms. Review of an MRI from the time of the dissection facilitated the conclusion that the aneurysm was a saccular posterior communicating artery aneurysm, influencing treatment approach.

  6. Cooperation Not Competition: Bihemispheric tDCS and fMRI Show Role for Ipsilateral Hemisphere in Motor Learning.

    Science.gov (United States)

    Waters, Sheena; Wiestler, Tobias; Diedrichsen, Jörn

    2017-08-02

    What is the role of ipsilateral motor and premotor areas in motor learning? One view is that ipsilateral activity suppresses contralateral motor cortex and, accordingly, that inhibiting ipsilateral regions can improve motor learning. Alternatively, the ipsilateral motor cortex may play an active role in the control and/or learning of unilateral hand movements. We approached this question by applying double-blind bihemispheric transcranial direct current stimulation (tDCS) over both contralateral and ipsilateral motor cortex in a between-group design during 4 d of unimanual explicit sequence training in human participants. Independently of whether the anode was placed over contralateral or ipsilateral motor cortex, bihemispheric stimulation yielded substantial performance gains relative to unihemispheric or sham stimulation. This performance advantage appeared to be supported by plastic changes in both hemispheres. First, we found that behavioral advantages generalized strongly to the untrained hand, suggesting that tDCS strengthened effector-independent representations. Second, functional imaging during speed-matched execution of trained sequences conducted 48 h after training revealed sustained, polarity-independent increases in activity in both motor cortices relative to the sham group. These results suggest a cooperative rather than competitive interaction of the two motor cortices during skill learning and suggest that bihemispheric brain stimulation during unimanual skill learning may be beneficial because it harnesses plasticity in the ipsilateral hemisphere.SIGNIFICANCE STATEMENT Many neurorehabilitation approaches are based on the idea that is beneficial to boost excitability in the contralateral hemisphere while attenuating that of the ipsilateral cortex to reduce interhemispheric inhibition. We observed that bihemispheric transcranial direct current stimulation (tDCS) with the excitatory anode either over contralateral or ipsilateral motor cortex

  7. Neurogenesis and angiogenesis within the ipsilateral thalamus with secondary damage after focal cortical infarction in hypertensive rats.

    Science.gov (United States)

    Ling, Li; Zeng, Jinsheng; Pei, Zhong; Cheung, Raymond T F; Hou, Qinghua; Xing, Shihui; Zhang, Suping

    2009-09-01

    Neurogenesis and angiogenesis in the subventricular zone and peri-infarct region have been confirmed. However, newly formed neuronal cells and blood vessels that appear in the nonischemic ipsilateral ventroposterior nucleus (VPN) of the thalamus with secondary damage after stroke has not been previously studied. Twenty-four stroke-prone renovascular hypertensive rats were subjected to distal right middle cerebral artery occlusion (MCAO) or sham operation. 5'-Bromo-2'-deoxyuridine (BrdU) was used to label cell proliferation. Rats were killed at 7 or 14 days after the operation. Neuronal nuclei (NeuN), OX-42, BrdU, nestin, laminin(+), BrdU(+)/nestin(+), BrdU(+)/NeuN(+), nestin(+)/GFAP(+)(glial fibrillary acidic protein), and BrdU(+)/laminin(+) immunoreactive cells were detected within the ipsilateral VPN. The primary infarction was confined to the right somatosensory cortex. Within the ipsilateral VPN of the ischemic rats, the number of NeuN(+) neurons decreased, the OX-42(+) microglia cells were activated, and BrdU(+) and nestin(+) cells were detected at day 7 after MCAO and increased in number at day 14. Moreover, BrdU(+)/nestin(+) cells and BrdU(+)/NeuN(+) cells were detected at day 14 after MCAO. In addition, the ischemic rats showed a significant increase in vascular density in the ipsilateral VPN compared with the sham-operated rats. These results suggest that secondary damage with neurogenesis and angiogenesis of the ipsilateral VPN of the thalamus occurs after focal cortical infarction.

  8. Measuring gravitational effects on antimatter in space

    CERN Document Server

    Piacentino, Giovanni Maria; Venanzoni, Graziano

    2016-01-01

    We propose an experimental test of the gravitational interaction with antimatter by measuring the branching fraction of the CP~violating decay $K_\\mathrm{L} \\to \\pi^{+} \\pi^{-}$ in space. We show that at the altitude of the International Space Station, gravitational effects may change the level of CP~violation such that a 5$\\sigma$ discrimination may be obtained by collecting the $K_\\mathrm{L}$ produced by the cosmic proton flux within a few years.

  9. Towards a theory of measures of effectiveness

    OpenAIRE

    Green, John M.; Johnson, Bonnie W.

    2000-01-01

    An explicit theory for "measures of effectiveness" (MOEs as they are commonly referred to) does not exist. As a result several definitions for MOEs have been advanced, that while similar, do not provide the needed insight into ayatem performace evaluation. Original studies performed by the Military Operations Research Society's (MORS) Command and Control workshop in the mid-1980s laid a foundation for a more theoretical approach that was well received withing the MORS community. However, l...

  10. Measuring Employee Engagement in Hotels: Survey Effectiveness

    OpenAIRE

    Kolomiets, Arina

    2016-01-01

    The objectives of this thesis are to understand nature of employee engagements, analyse popular theories used to understand this phenomenon and comprehend importance of employee engagement for organization; as well as to analyse Employee Engagement Survey conducted by leading hospitality organization, question its effectiveness and propose suggestion to improve measuring process of employee engagement to ensure live, valid data, thus the managers can understand where their employees stand in ...

  11. Measuring wage effects of plant size

    DEFF Research Database (Denmark)

    Albæk, Karsten; Arai, Mahmood; Asplund, Rita

    1998-01-01

    There are large plant size–wage effects in the Nordic countries after taking into account individual and job characteristics as well as systematical sorting of the workers into various plant-sizes. The plant size–wage elasticities we obtain are, in contrast to other dimensions of the wage distrib......–wage elasticity. Our results indicate that using size–class midpoints yields essentially the same results as using exact measures of plant size...

  12. Association of human epidermal growth factor receptor 2 status with ipsilateral breast tumor recurrence and resistance to endocrine therapy

    Science.gov (United States)

    ISHITOBI, MAKOTO; SHIBA, MIZUHO; NAKAYAMA, TAKAHIRO; KOYAMA, HIROKI; TAMAKI, YASUHIRO

    2015-01-01

    The effect of prior endocrine therapy on tumor biology and clinical outcomes of locoregional recurrence remains unclear. A total of 76 patients, who underwent salvage breast surgery for estrogen receptor-positive ipsilateral breast tumor recurrence (IBTR) following breast-conserving surgery for primary breast cancer, were retrospectively reviewed to investigate the association of human epidermal growth factor receptor 2 (HER2) status with the characteristics of IBTR and clinical outcomes following resection of IBTR. There was a tendency for more patients with HER2-positive IBTR to show resistance to endocrine therapy (71.4%) compared with those with HER2-negative IBTR (37.3%) (P=0.085). Patients with HER2-positive IBTR exhibited a higher rate of recurrence (62.5%) compared with those with HER2-negative IBTR (25.0%) (P=0.027). These results suggested that HER2-positive IBTR may be associated with resistance to endocrine therapy and a poorer clinical outcome. PMID:26171193

  13. Local Recurrence of Breast Cancer 52 Years after Halsted Mastectomy: Is There a Role for More Aggressive Ipsilateral Surveillance?

    Directory of Open Access Journals (Sweden)

    Shailesh Agarwal

    2011-01-01

    Full Text Available We present the longest reported case of breast cancer recurrence, 52 years after initial diagnosis, in a patient initially treated with Halsted mastectomy. Observation and palpation of the chest wall resulted in late presentation, and this patient went on to demonstrate metastatic disease. Current surveillance guidelines lack specific recommendations regarding monitoring of the ipsilateral chest wall. In addition, the growing utilization of breast reconstruction poses an additional challenge to surveillance strategies of the ipsilateral breast. However, the emergence of MRI may present a new opportunity to identify ipsilateral recurrence. The changing landscape of breast cancer therapy warrants guidance from groups of national import such as ASCO, in the surveillance of breast cancer patients.

  14. Congenital infiltrating lipomatosis of the face with ipsilateral hemimegalencephaly, band heterotopia, and hypertrophy of brainstem and cerebellum.

    Science.gov (United States)

    Maruyama, Koichi; Okumura, A; Negoro, T; Watanabe, K

    2010-06-01

    The simultaneous appearance of congenital infiltrating lipomatosis of the face that causes facial hemihypertrophy and ipsilateral hemimegalencephaly is extremely rare. We report a 4-year-old boy with congenital facial asymmetry and infantile-onset epilepsy. Magnetic resonance imaging (MRI) results led to the diagnosis of infiltrating lipomatosis of the face; the diagnosis was confirmed on the basis of the results of pathological examinations. Additionally, brain MRI revealed ipsilateral hemimegalencephaly, associated with band heterotopia and the hemihypertrophy of the ipsilateral brainstem and cerebellum. He had no nevi or other skin abnormalities suggesting neurocutaneous syndrome. His seizures were so intractable that they necessitated functional hemispherectomy. The lipomatous lesion was successfully resected without relapse. Psychomotor delay and left hemiplegia were observed at the last follow-up. © Georg Thieme Verlag KG Stuttgart · New York.

  15. Portal vein embolization with n-butyl-cyanoacrylate through an ipsilateral approach before major hepatectomy: single center analysis of 50 consecutive patients.

    Science.gov (United States)

    Luz, José Hugo Mendes; Luz, Paula Mendes; Bilhim, Tiago; Martin, Henrique Salas; Gouveia, Hugo Rodrigues; Coimbra, Élia; Gomes, Filipe Veloso; Souza, Roberto Romulo; Faria, Igor Murad; de Miranda, Tiago Nepomuceno

    2017-09-20

    To evaluate the efficacy of portal vein embolization (PVE) with n-Butyl-cyanoacrylate (NBCA) through an ipsilateral approach before major hepatectomy. Secondary end-points were PVE safety, liver resection and patient outcome. Over a 5-year period 50 non-cirrhotic consecutive patients were included with primary or secondary liver cancer treatable by hepatectomy with a liver remnant (FLR) volume less than 25% or less than 40% in diseased livers. There were 37 men and 13 women with a mean age of 57 years. Colorectal liver metastases were the most frequent tumor and patients were previously exposed to chemotherapy. FLR increased from 422 ml to 629 ml (P < 0.001) after PVE, corresponding to anincrease of 52%. The FLR ratio increased from 29.6% to 42.3% (P < 0.001). Kinetic growth rate was 2.98%/week. A negative association was observed between increase in the FLR and FLR ratio and FLR volume before PVE (P = 0.002). In 31 patients hepatectomy was accomplished and only one patient presented with liver insufficiency within 30 days after surgery. PVE with NBCA through an ipsilateral puncture is effective before major hepatectomy. Meticulous attention is needed especially near the end of the embolization procedure to avoid complications. Clinical Study ISRCTN registration number: ISRCTN39855523 . Registered March 13th 2017.

  16. Contribution of SPECT/CT for sentinel node localization in patients with ipsilateral breast cancer relapse

    Energy Technology Data Exchange (ETDEWEB)

    Borrelli, Pablo [Antoni Van Leeuwenhoek Hospital, Department of Nuclear Medicine, The Netherlands Cancer Institute, Amsterdam (Netherlands); Hospital La Fe, Nuclear Medicine, Medical Imaging Clinical Area, Valencia (Spain); Donswijk, Maarten L.; Stokkel, Marcel P.; Teixeira, Suzana C. [Antoni Van Leeuwenhoek Hospital, Department of Nuclear Medicine, The Netherlands Cancer Institute, Amsterdam (Netherlands); Tinteren, Harm van [Antoni Van Leeuwenhoek Hospital, Department of Biometrics, The Netherlands Cancer Institute, Amsterdam (Netherlands); Rutgers, Emiel J.T. [Antoni Van Leeuwenhoek Hospital, Department of Surgery, The Netherlands Cancer Institute, Amsterdam (Netherlands); Valdes Olmos, Renato A. [Antoni Van Leeuwenhoek Hospital, Department of Nuclear Medicine, The Netherlands Cancer Institute, Amsterdam (Netherlands); Leiden University Medical Centre, Nuclear Medicine Section and Interventional Molecular Imaging Laboratory, Department of Radiology, Leiden (Netherlands)

    2017-04-15

    In recent years repeat sentinel node (SN) biopsy has been proven to be feasible in local breast cancer recurrence (LBCR). However, in these patients SNs outside the ipsilateral axilla are frequently observed. This study evaluates the contribution of SPECT/CT for SN localization and surgical adjustment in LBCR patients. SN biopsy was performed in 122 LBCR patients (median age 60.5 years, range 24-87), enrolled from August 2006 to July 2015. Median disease-free time lapse was 109.5 months (range 9-365). Axillary lymph node dissection (ALND) had previously been performed in 55 patients, SN biopsy in 44, both techniques in 13 and fine-needle aspiration in 10. Primary breast cancer treatment included radiotherapy in 104 patients (85.3 %) and chemotherapy in 40 (32.8 %). Preoperative lymphatic mapping, using planar scintigraphy (PS) and SPECT/CT included report of SN location according to lymph node territory. In case of a territorial PS-SPECT/CT mismatch, surgery was adjusted according to SPECT/CT findings. SPECT/CT SN visualization rate was higher than PS (53.3 % vs. 43.4 %, p n.s.) with, in total, 19 additional SN (118 vs. 99, p n.s.). PS-SPECT/CT territory mismatch, found in 60 % (39/65) of patients with SN visualization, led to surgical adjustment in 21.3 % (26/122) of patients. The SN procedure was finally performed in 104 patients resulting in a 65.7 % surgical retrieval rate with a total of 132 removed SNs (1.86/patient). SN metastases were found in 17/71 patients (23.9 %), in 16 of them (94 %) in ipsilateral basins outside the axilla or in the contralateral axilla. Using SPECT/CT there is a trend to visualize more SNs in LBCR, providing at the same time important anatomical information to adjust intraoperative SN procedures. The addition of SPECT/CT to the standard imaging protocol may lead to better staging mainly in patients presenting drainage outside the ipsilateral axilla. (orig.)

  17. Ipsilateral Fracture Shaft Femur with Neglected Dislocation of Prosthesis: A Case Report

    Directory of Open Access Journals (Sweden)

    Mantu Jain

    2013-10-01

    Full Text Available Introduction: Neglected hip dislocation is rare in today’s world and after prosthesis replacement even rarer finding. However such patients may not report to surgeons until they develop secondary complications. Management of such patient’s is a challenge to the treating surgeon and need to be tailored suiting to patient’s demands, expectations and constraints of financial resources. We did not find a similar case in the electronic and print media and therefore report this case which was innovatively managed. Case Report: A 60 year farmer presented with fracture shaft femur and ipsilateral dislocation prosthesis of right hip. He had a hemiarthroplasty done for fracture neck of femur in the past but used to walk with a lurch since he started to ambulate after discharge. However he was satisfied despite “some problems” which had caused shortening of his limb. The patient was informed of the various treatment options and their possible complications. He expressed his inability to afford a Total Hip Arthroplasty (THA at any stage and consented for other options discussed with him. The patient was positioned supine and adductor tenotomy done. Next he was positioned laterally and the fracture was fixed with heavy duty broad dynamic compression plate and screws. The wound was temporarily closed. Now through the previous scar via posterior approach the hip was exposed. The prosthesis was found to be firmly fixed to the proximal femur. The acetabulum was cleared with fibrous tissue. All attempts the prosthesis to relocate the prosthesis failed after several attempts and it was best decided to leave alone. Post operatively period was uneventful. At follow up he refused for any further manoeuvre in future inform of heavy traction and attempts to reduce the same. At one year when he was walking unaided and his X-rays showed that fracture had well united his SF-36 score was PCS – 49.6 and MCS – 51.9. Conclusion: Ipsilateral shaft femur fracture

  18. Cephalomedullary fixation for femoral neck/intertrochanteric and ipsilateral shaft fractures: surgical tips and pitfalls

    Institute of Scientific and Technical Information of China (English)

    Kamal Bali; Nitesh Gahlot; Sameer Aggarwal; Vijay Goni

    2013-01-01

    Objective:Surgical management options for femoral shaft fracture and ipsilateral proximal femur fracture vary from single-implant to double-implant fixation.Cephalomedullary fixation in such fractures has relative advantages over other techniques especially because of less soft tissue dissection and immediate postoperative weight beating with accelerated rehabilitation.However,the surgery is technically demanding and there is a paucity of literature describing the surgical techniques for this fixation.The aim of the study was to describe the surgical technique of cephalomedullary fixation for femoral shaft fracture and ipsilateral proximal femur fracture.Methods:Sixteen cases (10 males and 6 females with a mean age of 41.8 years) ofipsilateral proximal femur and shaft fractures were treated by single-stage cephalomedullary fixation at tertiary level trauma center in northern India.The fractures were classified according to AO classification.An intraoperative record of duration of surgery as well as technical challenges unique to each fracture pattern was kept for all the patients.ResuRs:The most common proximal femoral pattern was AO B2.1 observed in 9 of our patients.The AO B2.3 fractures were seen in 4 patients while the AO A1.2 fractures in 3 patients.Four of the AO B2.1 and 2 of the AO B2.3 fractures required open reduction with Watson-Jones approach.The mean operative time was around 78 minutes,which tended to decrease as the surgical experience increased.There was only one case of malreduction,which required revision surgery.Conclusion:Combination of ipsilateral femoral shaft fracture and neck/intertrochanteric fracture is a difficult fracture pattern for trauma surgeons.Cephalomedullary nail is an excellent implant for such fractures but it requires careful insertion to avoid complications.Surgery is technically demanding with a definite learning curve.Nevertheless,a majority of these fractures can be surgically managed by singleimplant cephaiomedullary

  19. Disruption effects on the beam size measurement

    Energy Technology Data Exchange (ETDEWEB)

    Raimondi, P.; Decker, F.J.; Chen, P.

    1995-06-01

    At the SLC Final Focus with higher currents and smaller beam sizes, the disruption parameter D{sub y} is close to one and so the pinch effect should produce a luminosity enhancement. Since a flat beam-beam function is fit to deflection scan data to measure the beam size, disruption can affect the measurement. Here the authors discuss the quantitative effects of disruption for typical SLC beam parameters. With 3.5 10{sup 10} particles per pulse, bunch length of 0.8 mm and beam sizes of 2.1 {mu}m horizontally and 0.55 {mu}m vertically, the measured vertical size can be as much as 25% bigger than the real one. Furthermore during the collision the spot size actually decrease, producing an enhancement factor H{sub D} of about 1.25. This would yield to a true luminosity which is 1.6 times that which is estimated from the beam-beam deflection fit.

  20. Measuring effects of public procurement of innovation

    DEFF Research Database (Denmark)

    Rolfstam, Max

    qualitative and quantitative studies have been made, they tend to lack connection to the underlying mechanisms envisaged in the conceptual and/or case based literature. A challenge in this endeavour prevails in the nature of how public procurement of innovation works. Some of the effects rendered may......Underway for quite some time now has been the discussion on using public procurement as a means to stimulate innovation. However - with some exceptions this has been mainly a conceptual discussion vastly surpassed a corresponding development of appropriate monitoring tools. Also, even if both...... about the usefulness of public procurement of innovation are at all realistic and feasible in practice. After reviewing different currently available means to measure both public procurement of innovation measures, as well as public procurement of innovation, the paper outlines a case-based approach...

  1. Measuring NUMA effects with the STREAM benchmark

    CERN Document Server

    Bergstrom, Lars

    2011-01-01

    Modern high-end machines feature multiple processor packages, each of which contains multiple independent cores and integrated memory controllers connected directly to dedicated physical RAM. These packages are connected via a shared bus, creating a system with a heterogeneous memory hierarchy. Since this shared bus has less bandwidth than the sum of the links to memory, aggregate memory bandwidth is higher when parallel threads all access memory local to their processor package than when they access memory attached to a remote package. But, the impact of this heterogeneous memory architecture is not easily understood from vendor benchmarks. Even where these measurements are available, they provide only best-case memory throughput. This work presents a series of modifications to the well-known STREAM benchmark to measure the effects of NUMA on both a 48-core AMD Opteron machine and a 32-core Intel Xeon machine.

  2. Direct Measurement of the Chudakov Effect

    CERN Document Server

    Virkus, T; Uggerhøj, E; Uggerhøj1, U I; Ballestrero, S; Sona, P; Mangiarotti, A; Ketel, T J; Dizdar, A; Kartal, S; Pagliarone, C

    2008-01-01

    Experimental results for the restricted energy loss of pairs created from 1–178 GeV photons in a thin Au target and subsequently passing a CCD detector are presented. It is shown that pairs—when detected close to the creation vertex—suffer a reduced energy loss due to the internal screening of the charges constituting the pair. Furthermore, the ability to measure directly the energy of the pair by calorimetry enables a comparison with theory as a function of energy. The observed phenomenon is in good qualitative agreement with general expectations from the Chudakov effect but indicates a quantitative disagreement with either of two mutually disagreeing theories.

  3. Direct measurement of the Chudakov effect.

    Science.gov (United States)

    Virkus, T; Thomsen, H D; Uggerhøj, E; Uggerhøj, U I; Ballestrero, S; Sona, P; Mangiarotti, A; Ketel, T J; Dizdar, A; Kartal, S; Pagliarone, C

    2008-04-25

    Experimental results for the restricted energy loss of pairs created from 1-178 GeV photons in a thin Au target and subsequently passing a CCD detector are presented. It is shown that pairs--when detected close to the creation vertex--suffer a reduced energy loss due to the internal screening of the charges constituting the pair. Furthermore, the ability to measure directly the energy of the pair by calorimetry enables a comparison with theory as a function of energy. The observed phenomenon is in good qualitative agreement with general expectations from the Chudakov effect but indicates a quantitative disagreement with either of two mutually disagreeing theories.

  4. Neck of Femur Fracture in a Patient with a Chronic Osteomyelitis of the Ipsilateral Foot

    Directory of Open Access Journals (Sweden)

    Anne-Carolin Döring

    2016-01-01

    Full Text Available This case report describes a successful two-stage treatment in a 75-year-old male with a displaced neck of femur fracture, also suffering from an active chronic osteomyelitis of the ipsilateral calcaneus. In our case, a below-knee amputation was performed first, followed by total hip arthroplasty two weeks later. At 15-month follow-up, full recovery of the prefracture level of activities of daily living without significant impairment was obtained. Only a few cases of total hip arthroplasty in amputees have been published, but the indication for surgery was mainly traumatic or advanced osteoarthritis. Treating patients with this type of comorbidities is challenging; therapeutic dilemmas can be major. The management in cases like these requires a thorough evaluation and a clear surgical and medical treatment plan, preferably conducted by a multidisciplinary orthogeriatric team.

  5. Neck of Femur Fracture in a Patient with a Chronic Osteomyelitis of the Ipsilateral Foot

    Science.gov (United States)

    Döring, Anne-Carolin; Vochteloo, Anne J. H.; van Doorn, Kees; Huis in 't Veld, Rianne M. H. A.

    2016-01-01

    This case report describes a successful two-stage treatment in a 75-year-old male with a displaced neck of femur fracture, also suffering from an active chronic osteomyelitis of the ipsilateral calcaneus. In our case, a below-knee amputation was performed first, followed by total hip arthroplasty two weeks later. At 15-month follow-up, full recovery of the prefracture level of activities of daily living without significant impairment was obtained. Only a few cases of total hip arthroplasty in amputees have been published, but the indication for surgery was mainly traumatic or advanced osteoarthritis. Treating patients with this type of comorbidities is challenging; therapeutic dilemmas can be major. The management in cases like these requires a thorough evaluation and a clear surgical and medical treatment plan, preferably conducted by a multidisciplinary orthogeriatric team. PMID:27843662

  6. Injury of the knee ligaments associated with ipsilateral femoral shaft fractures

    Directory of Open Access Journals (Sweden)

    Marco Tulio Lopes Caldas

    2013-09-01

    Full Text Available OBJECTIVE: With the objective of identifying the incidence of ipsilateral knee ligament injury, thirty-six patients with femoral shaft fractures were evaluated. METHODS: During the osteosynthesis procedure to repair the femur while under anesthesia, all patients underwent a physical examination and X-ray examination. RESULTS: The most common mechanism of injury observed was motorcycle accidents. Of the thirty-six patients that were studied, eleven patients (30.5% had a knee ligament injury. Of the eleven patients, 64% had a cruciate ligament injury. The ligament injury was not treated at the time of the osteosynthesis procedure. CONCLUSION: We highlight the difficulty of diagnosis at the time of admission and the need for systematic physical examination before and after surgical treatment of femoral fracture.

  7. Congenital giant megaureter associated with ipsilateral multicystic dysplastic kidney in newborn

    Directory of Open Access Journals (Sweden)

    Rajendran Ramaswamy

    2016-01-01

    Full Text Available Congenital giant megaureter presents as abdominal mass and impose diagnostic difficulties. It can be associated with other upper urinary tract anomalies. A female newborn with antenatal diagnosis of polycystic kidneys was admitted at birth due to lower abdominal mass. Ultrasound and CT scans diagnosed a multiloculated cystic lesion in the mid and lower abdomen along with right side multicystic kidney. At laparotomy, an extaperitoneal, lobulated cystic swelling was found due to rightside giant megaureter. Its lower end was of normal caliber and orthotopic. End cutaneous ureterostomy was done. Intravenous urogram and isotope renograms showed nonfunctioning right kidney. She also had grade II vesicoureteral reflux on left side. Child suffered urinary infection twice. At 9m age, right nephroureterectomy was done. Histopathologic examination was consistent with cystic renal dysplasia and dilated ureter. This is the first case report of giant megaureter associated with ipsilateral multicystic dysplastic kidney in newborn.

  8. Deterioration of pre-existing hemiparesis brought about by subsequent ipsilateral lacunar infarction.

    Science.gov (United States)

    Ago, T; Kitazono, T; Ooboshi, H; Takada, J; Yoshiura, T; Mihara, F; Ibayashi, S; Iida, M

    2003-08-01

    Mechanisms of post-stroke recovery are still poorly understood. Recent evidence suggests that cortical reorganisation in the unaffected hemisphere plays an important role. A 59 year old man developed a small lacunar infarct in the left corona radiata, which then caused marked deterioration in a pre-existing left hemiparesis that had resulted from an earlier right putaminal haemorrhage. Functional magnetic resonance imaging showed that the paretic left hand grip activated the ipsilateral left motor areas, but not the right hemispheric motor areas. This suggests that partial recovery of the left hemiparesis had been brought about by cortical reorganisation of the left hemisphere and intensification of the uncrossed corticospinal tract. The subsequent small infarct may have damaged the uncrossed tract, thereby causing the pre-existing hemiparesis to deteriorate even further.

  9. Profunda Anchor Technique for Ipsilateral Antegrade Approach in Endovascular Treatment of Superficial Femoral Artery Ostial Occlusion

    Energy Technology Data Exchange (ETDEWEB)

    Pua, Uei, E-mail: druei@yahoo.com [Tan Tock Seng Hospital, Department of Diagnostic Radiology (Singapore)

    2015-04-15

    Endovascular treatment of the superficial femoral artery (SFA) is challenging in the presence of flush ostial occlusion. One of the main challenges is the availability of access sites for intervention. Contralateral retrograde femoral access followed by cross-over and antegrade intervention while commonly used, may not be feasible in cases of altered iliac anatomy (e.g. kissing iliac stents). Ipsilateral antegrade intervention using common femoral artery (CFA) access in these instances while possible is typically challenging due to inadequate working length of the CFA for interrogation of the SFA ostium, compounded by the lack of sheath stability. The “profunda anchor” technique uses a buddy wire in the profunda femoris artery (PFA) to stabilize the sheath and allow catheter manipulation for antegrade intervention at the level of the SFA ostium. The PFA is further used as a conduit for deployment of closure device to avoid interference with the treated SFA.

  10. Minor ipsilateral simple limbal epithelial transplantation (mini-SLET) for pterygium treatment

    Science.gov (United States)

    Hernández-Bogantes, Erick; Amescua, Guillermo; Navas, Alejandro; Garfias, Yonathan; Ramirez-Miranda, Arturo; Lichtinger, Alejandro; Graue-Hernández, Enrique O

    2015-01-01

    We describe a novel surgical technique for pterygium removal taking advantage of the properties of amniotic membrane and limbal epithelial stem cells. A total of 10 eyes underwent pterygium excision with amniotic membrane coverage of the bare sclera and placement of pieces of limbal epithelium in a linear fashion in the affected limbal area covered by a second amniotic membrane using fibrin glue. After up to 8 months of follow-up, there were no signs of early recurrence or sight-threatening complications. The minor ipsilateral simple limbal epithelial transplantation technique for the treatment of pterygium requires less tissue than the conventional conjunctival autograft, leaving healthy conjunctiva if needed for another procedure in the future and offers the advantages of epithelial stem cells, which in the long term may reduce the rate of recurrence significantly. PMID:26130669

  11. Pure ipsilateral central facial palsy and contralateral hemiparesis secondary to ventro-medial medullary stroke.

    Science.gov (United States)

    Ahdab, R; Saade, H S; Kikano, R; Ferzli, J; Tarcha, W; Riachi, N

    2013-09-15

    Medullary infarcts are occasionally associated with facial palsy of the central type (C-FP). This finding can be explained by the course of the facial corticobulbar (F-CB) fibers. It is believed that fibers that project to the upper facial muscles decussate at the level of the facial nucleus, whereas those destined to the lower facial muscles decussate more caudally, at the level of the mid or upper medulla. It has been proposed that the lower F-CB fibers descend ventromedially near the corticospinal tract to the upper medulla where they cross midline and ascend dorsolaterally. Accordingly, ventromedial medullary infarcts are expected to result in contralateral facial and limb weakness. We report a patient with a medial medullary infarct restricted to the right pyramid and associated with ipsilateral C-FP and contralateral hemiparesis. The neurological findings are discussed in light of the hypothetical course of the F-CB fibers in the medulla.

  12. Management of gap non-union of tibia by tibialisation of ipsilateral vascular fibula.

    Directory of Open Access Journals (Sweden)

    Date A

    1996-10-01

    Full Text Available Gap non-union of tibia following traumatic bone loss or infection dramatically emphasizes the limitation of conventional reconstructive techniques. With presence of significant skin loss or poorly vascularised recepient bed, complications and failure rate increase and solution often lies in amputation. Vascularised ipsilateral fibular grafting offers a viable alternative to this. This is a series of 16 cases of gap non-union of tibia treated by tibialisation of fibula at KEM Hospital, Bombay. All the cases were secondary to osteomyelitis following compound fracture of tibia-fibula or hematogenous osteomyelitis with a large sequestrum. 15 cases had good results with good hypertrophy of bone after union. One case had poor result with fracture going into delayed union with no hypertrophy. We discuss the technique, complications and results of this procedure.

  13. Combined Ipsilateral Oculomotor Nerve Palsy and Contralateral Downbeat Nystagmus in a Case of Cerebral Infarction

    Directory of Open Access Journals (Sweden)

    Kosuke Matsuzono

    2014-04-01

    Full Text Available We report a patient with acute cerebral infarction of the left paramedian thalamus, upper mesencephalon and cerebellum who exhibited ipsilateral oculomotor nerve palsy and contralateral downbeat nystagmus. The site of the infarction was considered to be the paramedian thalamopeduncular and cerebellar regions, which are supplied by the superior cerebellar artery containing direct perforating branches or both the superior cerebellar artery and the superior mesencephalic and posterior thalamosubthalamic arteries. Contralateral and monocular downbeat nystagmus is very rare. Our case suggests that the present downbeat nystagmus was due to dysfunction of cerebellar-modulated crossed oculovestibular fibers of the superior cerebellar peduncle or bilateral downbeat nystagmus with one-sided oculomotor nerve palsy.

  14. Left adrenal tumor extending into the renal vein: surgical management with ipsilateral kidney preservation.

    Science.gov (United States)

    Doerfler, Arnaud; Vaudreuil, Lionel; Le Gal, Sophie; Lebreton, Gil; Tillou, Xavier

    2015-08-04

    If single adrenal metastasis surgery is well admitted, no recommendation exists about the management of a renal vein tumor thrombus, even though the actual consensual attitude consists in a nephrectomy associated to an adrenalectomy. We report, here, the case of a 74-year-old man with a suspected adrenal metastasis of a lung carcinoma associated with a left adrenal and renal vein tumor thrombus treated by adrenalectomy and renal vein thrombectomy and ipsilateral kidney sparing. The postoperative computed tomography scan showed no thrombus in the left renal vein. Doppler ultrasound performed 1 month after adrenalectomy proved a good left renal vein flux. At 36 months of follow-up, the patient is alive without signs of recurrence. Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2015.

  15. A rare case of unilateral eosinophilic fasciitis associated with ipsilateral extragenital lichen sclerosus

    Directory of Open Access Journals (Sweden)

    Aseem Sharma

    2016-01-01

    Full Text Available Eosinophilic fasciitis, also known as Shulman's syndrome, is a fibrosing scleroderma-like syndrome, which is a distinct entity. A 55-year-old man, presented with progressive skin darkening, thickening, and tightening over the left lower limb since 6 months. Dermatological examination revealed a hyperpigmented indurated area on the left thigh, extending to the anterior aspect of the left leg. A well-defined hypopigmented indurated plaque was present over the left iliac region. Histopathology and imaging studies confirmed the diagnosis of eosinophilic fasciitis and lichen sclerosus. The indurated lesion on the left lower limb responded dramatically well to oral corticosteroids. This is a rare case of unilateral eosinophilic fasciitis associated with ipsilateral extragenital lichen sclerosus.

  16. Unilateral open-angle glaucoma associated with the ipsilateral nevus of ota.

    Science.gov (United States)

    Magarasevic, Lidija; Abazi, Zihret

    2013-01-01

    The nevus of Ota also known as "congenital melanosis bulbi" and "oculodermal melanocytosis" is a blue-gray hyperpigmentation that occurs on the face and eyes. The sclera is involved in two-thirds of cases (causing an increased risk of glaucoma). Women are nearly five times more likely to be affected than men. It is rare among Caucasian people. The nevus of Ota is congenital or acquired. Most cases of the nevus of Ota are unilateral (90%), although pigmentation is present bilaterally in 5%-10%. Ocular abnormalities included pigmentation of the sclera, cornea, retina, and optic disc and cavernous hemangiomas of the optic disc, elevated intraocular pressure, glaucoma, and ocular melanoma. We reported an appearance of unilateral glaucoma in a Caucasian female patient with the acquired, ipsilateral nevus of Ota.

  17. Ipsilateral reexpansion pulmonary edema after drainage of a spontaneous pneumothorax: a case report

    Directory of Open Access Journals (Sweden)

    Conen Anna

    2007-09-01

    Full Text Available Abstract We report a case of ipsilateral reexpansion pulmonary edema occurring after the insertion of a chest tube in a patient with spontaneous pneumothorax. The patient received supplemental oxygen via a non-rebreather face mask to compensate for hypoxemia. 24 hours after the acute event, the patient recovered completely without residual hypoxemia. Reexpansion pulmonary edema after the insertion of a thoracic drainage for pneumothorax or pleural effusion is a rare complication with a high mortality rate up to 20%. It should be considered in case of hypoxemia following the insertion of a chest tube. The exact pathophysiology leading to this complication is not known. Risk factors for reexpansion pulmonary edema should be evaluated and considered prior to the insertion of chest tubes. Treatment is supportive.

  18. Unilateral Open-Angle Glaucoma Associated with the Ipsilateral Nevus of Ota

    Directory of Open Access Journals (Sweden)

    Lidija Magarasevic

    2013-01-01

    Full Text Available The nevus of Ota also known as “congenital melanosis bulbi” and “oculodermal melanocytosis” is a blue-gray hyperpigmentation that occurs on the face and eyes. The sclera is involved in two-thirds of cases (causing an increased risk of glaucoma. Women are nearly five times more likely to be affected than men. It is rare among Caucasian people. The nevus of Ota is congenital or acquired. Most cases of the nevus of Ota are unilateral (90%, although pigmentation is present bilaterally in 5%–10%. Ocular abnormalities included pigmentation of the sclera, cornea, retina, and optic disc and cavernous hemangiomas of the optic disc, elevated intraocular pressure, glaucoma, and ocular melanoma. We reported an appearance of unilateral glaucoma in a Caucasian female patient with the acquired, ipsilateral nevus of Ota.

  19. Severe ipsilateral musculoskeletal involvement in a Cornelia de Lange patient with a novel NIPBL mutation.

    Science.gov (United States)

    Baquero-Montoya, Carolina; Gil-Rodríguez, María-Concepción; Hernández-Marcos, María; Teresa-Rodrigo, María-Esperanza; Vicente-Gabas, Alicia; Bernal, María-Luisa; Casale, Cesar-Horacio; Bueno-Lozano, Gloria; Bueno-Martínez, Inés; Queralt, Ethel; Villa, Olaya; Hernando-Davalillo, Cristina; Armengol, Lluís; Gómez-Puertas, Paulino; Puisac, Beatriz; Selicorni, Angelo; Ramos, Feliciano J; Pié, Juan

    2014-09-01

    Cornelia de Lange Syndrome (CdLS) is a congenital autosomal dominant (NIPBL, SMC3 and RAD21) or X-linked (SMC1A and HDAC8) disorder characterized by facial dysmorphism, pre and postnatal growth retardation, developmental delay and/or intellectual disability, and multiorgan involvement. Musculoskeletal malformations are usually bilateral and affect mainly the upper limbs; the range goes from brachyclinodactyly to severe reduction defects. Instead lower extremities are usually less and mildly involved. Here, we report on a 3-year-old Senegalese boy with typical craniofacial CdLS features, pre and postnatal growth retardation, atrial septal defect, developmental delay and right ipsilateral limb malformations, consistent with oligodactyly of the 3rd and 4th fingers, tibial agenesis and fibula hypoplasia. Exome sequencing and Sanger sequencing showed a novel missense mutation in NIPBL gene (c.6647A>G; p.(Tyr2216Cys)), which affects a conserved residue located within NIPBL HEAT repeat elements. Pyrosequencing analysis of NIPBL gene, disclosed similar levels of wild-type and mutated alleles in DNA and RNA samples from all tissues analyzed (oral mucosa epithelial cells, peripheral blood leukocytes and fibroblasts). These findings indicated the absence of somatic mosaicism, despite of the segmental asymmetry of the limbs, and confirmed biallelic expression for NIPBL transcripts, respectively. Additionally, conditions like Split-hand/foot malformation with long-bone deficiency secondary to duplication of BHLHA9 gene have been ruled out by the array-CGH and MLPA analysis. To our knowledge, this is the first CdLS patient described with major ipsilateral malformations of both the upper and lower extremities, that even though this finding could be due to a random event, expands the spectrum of limb reduction defects in CdLS. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  20. Ipsilateral kidney sparing in treatment of pancreatic malignancies using volumetric-modulated arc therapy avoidance sectors

    Energy Technology Data Exchange (ETDEWEB)

    Chan, Raymond W., E-mail: rwc3b@alumni.virginia.edu; Podgorsak, Matthew B.

    2015-10-01

    Recent research has shown treating pancreatic cancer with volumetric-modulated arc therapy (VMAT) to be superior to either intensity-modulated radiation therapy or 3-dimensional conformal radiotherapy (3D-CRT), with respect to reducing normal tissue toxicity, monitor units, and treatment time. Furthermore, using avoidance sectors with RapidArc planning can further reduce normal tissue dose while maintaining target conformity. This study looks at the methods in reducing dose to the ipsilateral kidney, in pancreatic head cases, while observing dose received by other critical organs using avoidance sectors. Overall, 10 patients were retrospectively analyzed. Each patient had preoperative/unresectable pancreatic tumor and were selected based on the location of the right kidney being situated within the traditional 3D-CRT treatment field. The target planning target volume (286.97 ± 85.17 cm{sup 3}) was prescribed to 50.4 Gy using avoidance sectors of 30°, 40°, and 50° and then compared with VMAT as well as 3D-CRT. Analysis of the data shows that the mean dose to the right kidney was reduced by 11.6%, 15.5%, and 21.9% for avoidance angles of 30°, 40°, and 50°, respectively, over VMAT. The mean dose to the total kidney also decreased by 6.5%, 8.5%, and 11.0% for the same increasing angles. Spinal cord maximum dose, however, increased as a function of angle by 3.7%, 4.8%, and 6.1% compared with VMAT. Employing avoidance sector angles as a complement to VMAT planning can significantly reduce high dose to the ipsilateral kidney while not greatly overdosing other critical organs.

  1. Ipsilateral kidney sparing in treatment of pancreatic malignancies using volumetric-modulated arc therapy avoidance sectors.

    Science.gov (United States)

    Chan, Raymond W; Podgorsak, Matthew B

    2015-01-01

    Recent research has shown treating pancreatic cancer with volumetric-modulated arc therapy (VMAT) to be superior to either intensity-modulated radiation therapy or 3-dimensional conformal radiotherapy (3D-CRT), with respect to reducing normal tissue toxicity, monitor units, and treatment time. Furthermore, using avoidance sectors with RapidArc planning can further reduce normal tissue dose while maintaining target conformity. This study looks at the methods in reducing dose to the ipsilateral kidney, in pancreatic head cases, while observing dose received by other critical organs using avoidance sectors. Overall, 10 patients were retrospectively analyzed. Each patient had preoperative/unresectable pancreatic tumor and were selected based on the location of the right kidney being situated within the traditional 3D-CRT treatment field. The target planning target volume (286.97 ± 85.17 cm(3)) was prescribed to 50.4 Gy using avoidance sectors of 30°, 40°, and 50° and then compared with VMAT as well as 3D-CRT. Analysis of the data shows that the mean dose to the right kidney was reduced by 11.6%, 15.5%, and 21.9% for avoidance angles of 30°, 40°, and 50°, respectively, over VMAT. The mean dose to the total kidney also decreased by 6.5%, 8.5%, and 11.0% for the same increasing angles. Spinal cord maximum dose, however, increased as a function of angle by 3.7%, 4.8%, and 6.1% compared with VMAT. Employing avoidance sector angles as a complement to VMAT planning can significantly reduce high dose to the ipsilateral kidney while not greatly overdosing other critical organs.

  2. Investigation on the indication of ipsilateral adrenalectomy in radical nephrectomy: a meta-analysis

    Institute of Scientific and Technical Information of China (English)

    SU Jia-rui; ZHU Ding-jun; LIANG Wu; XIE Wen-lian

    2012-01-01

    Background With a trend that renal tumors are being detected at an earlier stage,classical radical nephrectomy is being reconsidered.More conservative techniques are being proposed.To clarify the indication for synchronous adrenalectomy in radical nephrectomy for renal cell carcinoma which has been questioned since the 1980s,this study evaluates the role of adrenalectomy and recommends a new indication for adrenalectomy in renal cell carcinoma.Methods A systemic search was performed,using PubMed and Google Scholar,of all English language studies published up to March 2012 that compared adrenalectomy with adrenal-sparing surgery,in surgery for renal cell carcinoma.We assessed preoperative imaging for adrenal involvement and the relationship of tumor location with adrenal metastases.Twenty-one studies (20 retrospective and 1 prospective) involving 11 736 patients were included.Results The mean incidence of ipsilateral adrenal involvement from renal cell carcinoma was 4.5%.Synchronous adrenalectomy did not alter survival (hazard ratio (HR)=0.89,95% confidence interval (CI) 0.67-1.19,P=0.43; odds ratio (OR)=1.10,95% CI 0.84-1.44,P=0.49).Upper pole tumors were not associated with a higher incidence of ipsilateral adrenal metastases.Pooled preoperative imaging:sensitivity,specificity,positive predictive value and negative predictive value were 92% (95% CI 0.84-0.97),95% (95% CI 0.93-0.96),71.6% and 98.5% respectively.Conclusions Adrenal involvement from renal cell carcinoma is rare,even in advanced tumours.Synchronous adrenalectomy does not offer any benefit,even for "high risk" patients.We suggest that only patients with a positive preoperative adrenal finding on preoperative imaging for a solitary adrenal metastasis should undergo adrenalectomy as part of the radical nephrectomy.

  3. Hernia of the bladder through the broad ligament with renal agenesis and ipsilateral ureter blind ending

    Science.gov (United States)

    El Madi, Aziz; Khattala, Khalid; Rami, Mohammed; Bouabdallah, Youssef

    2014-01-01

    Hernia through a defect of the broad ligament is extremely rare in children. These defects can result from a developmental defect or a spontaneous rupture of cystic formations remnants of mesonephric ducts or Müller. Genital anomalies associated with unilateral renal agenesis are more common in females. We report the case of a 13 months girl allowed for assessment of recurrent urinary tract infection; abdominal examination did not objectified palpable mass, the external genitalia were without abnormalities. Abdominal ultrasound revealed a left renal space is empty with a retrovesical cyst. Cystography was requested that objectified a large pelvic cystic mass retrovesical communicating with the bladder, there was also a left vesicoureteral reflux. Uro- MRI showed a cystic formation retrovesical communicating with the bladder, the right pelvic kidney; uterus is normal size for age. DMSA scintigraphy confirmed the absence of the left kidney with the right kidney that ensures 100% of total renal function. To surgical exploration we found a hernia of the bladder through the left broad ligament, the uterus was dislocated on the right side; left ovary was hypoplasic; the ipsilateral ureter was blind with renal agenesis, we performed by reduction of the bladder then closing the hernial orifice, dissection of the ureter with its ligation and section at the vesical stoma. The postoperative course was uneventful. Evolution is favorable. This observation illustrates a hernia of the bladder through the broad ligament associated with ovarian hypoplasia, renal agenesis and ipsilateral ureter blind ending; this association was not described to our knowledge in the literature. PMID:25422693

  4. Effective theories and measurements at colliders

    Directory of Open Access Journals (Sweden)

    Christoph Englert

    2015-01-01

    Full Text Available If the LHC run 2 will not provide conclusive hints for new resonant Physics beyond the Standard Model, dedicated and consistent search strategies at high momentum transfers will become the focus of searches for anticipated deviations from the Standard Model expectation. We discuss the phenomenological importance of QCD and electroweak corrections in bounding higher dimensional operators when analysing energy-dependent differential distributions. In particular, we study the impact of RGE-induced operator running and mixing effects on measurements performed in the context of an Effective Field Theory extension of the SM. Furthermore, we outline a general analysis strategy which allows a RGE-improved formulation of constraints free of theoretical shortcomings that can arise when differential distributions start to probe the new interaction scale. We compare the numerical importance of such a programme against the standard analysis approach which is widely pursued at present.

  5. Effective Theories and Measurements at Colliders

    CERN Document Server

    Englert, Christoph

    2014-01-01

    If the LHC run 2 will not provide conclusive hints for new resonant Physics beyond the Standard Model, dedicated and consistent search strategies at high momentum transfers will become the focus of searches for anticipated deviations from the Standard Model expectation. We discuss the phenomenological importance of QCD and electroweak corrections in bounding higher dimensional operators when analysing energy-dependent differential distributions. In particular, we study the impact of RGE-induced operator running and mixing effects on measurements performed in the context of an Effective Field Theory extension of the SM. Furthermore we outline a general analysis strategy which allows a RGE-improved formulation of constraints free of theoretical shortcomings that can arise when differential distributions start to probe the new interaction scale. We compare the numerical importance of such a programme against the standard analysis approach which is widely pursued at present.

  6. Effective theories and measurements at colliders

    Science.gov (United States)

    Englert, Christoph; Spannowsky, Michael

    2015-01-01

    If the LHC run 2 will not provide conclusive hints for new resonant Physics beyond the Standard Model, dedicated and consistent search strategies at high momentum transfers will become the focus of searches for anticipated deviations from the Standard Model expectation. We discuss the phenomenological importance of QCD and electroweak corrections in bounding higher dimensional operators when analysing energy-dependent differential distributions. In particular, we study the impact of RGE-induced operator running and mixing effects on measurements performed in the context of an Effective Field Theory extension of the SM. Furthermore, we outline a general analysis strategy which allows a RGE-improved formulation of constraints free of theoretical shortcomings that can arise when differential distributions start to probe the new interaction scale. We compare the numerical importance of such a programme against the standard analysis approach which is widely pursued at present.

  7. Measuring Effect Sizes: The Effect of Measurement Error. Working Paper 19

    Science.gov (United States)

    Boyd, Donald; Grossman, Pamela; Lankford, Hamilton; Loeb, Susanna; Wyckoff, James

    2008-01-01

    Value-added models in education research allow researchers to explore how a wide variety of policies and measured school inputs affect the academic performance of students. Researchers typically quantify the impacts of such interventions in terms of "effect sizes", i.e., the estimated effect of a one standard deviation change in the variable…

  8. Electric Field Effects in RUS Measurements

    Energy Technology Data Exchange (ETDEWEB)

    Darling, Timothy W [Los Alamos National Laboratory; Ten Cate, James A [Los Alamos National Laboratory; Allured, Bradley [UNIV NEVADA, RENO; Carpenter, Michael A [CAMBRIDGE UNIV. UK

    2009-09-21

    Much of the power of the Resonant Ultrasound Spectroscopy (RUS) technique is the ability to make mechanical resonance measurements while the environment of the sample is changed. Temperature and magnetic field are important examples. Due to the common use of piezoelectric transducers near the sample, applied electric fields introduce complications, but many materials have technologically interesting responses to applied static and RF electric fields. Non-contact optical, buffered, or shielded transducers permit the application of charge and externally applied electric fields while making RUS measurements. For conducting samples, in vacuum, charging produces a small negative pressure in the volume of the material - a state rarely explored. At very high charges we influence the electron density near the surface so the propagation of surface waves and their resonances may give us a handle on the relationship of electron density to bond strength and elasticity. Our preliminary results indicate a charge sign dependent effect, but we are studying a number of possible other effects induced by charging. In dielectric materials, external electric fields influence the strain response, particularly in ferroelectrics. Experiments to study this connection at phase transformations are planned. The fact that many geological samples contain single crystal quartz suggests a possible use of the piezoelectric response to drive vibrations using applied RF fields. In polycrystals, averaging of strains in randomly oriented crystals implies using the 'statistical residual' strain as the drive. The ability to excite vibrations in quartzite polycrystals and arenites is explored. We present results of experimental and theoretical approaches to electric field effects using RUS methods.

  9. Measures of effectiveness:an annotated bibliography.

    Energy Technology Data Exchange (ETDEWEB)

    Campbell, Philip LaRoche

    2004-07-01

    The purpose of this report is to provide guidance, from the open literature, on developing a set of ''measures of effectiveness'' (MoEs) and using them to evaluate a system. Approximately twenty papers and books are reviewed. The papers that provide the clearest understanding of MoEs are identified (Sproles [46], [48], [50]). The seminal work on value-focused thinking (VFT), an approach that bridges the gap between MoEs and a system, is also identified (Keeney [25]). And finally three examples of the use of VFT in evaluating a system based on MoEs are identified (Jackson et al. [21], Kerchner & Deckro [27], and Doyle et al. [14]). Notes are provided of the papers and books to pursue in order to take this study to the next level of detail.

  10. Measuring the integrated Sachs-Wolfe effect

    Science.gov (United States)

    Dupé, F.-X.; Rassat, A.; Starck, J.-L.; Fadili, M. J.

    2011-10-01

    Context. One of the main challenges of modern cosmology is to understand the nature of the mysterious dark energy that causes the cosmic acceleration. The integrated Sachs-Wolfe (ISW) effect is sensitive to dark energy, and if detected in a universe where modified gravity and curvature are excluded, presents an independent signature of dark energy. The ISW effect occurs on large scales where cosmic variance is high and where owing to the Galactic confusion we lack large amounts of data in the CMB as well as large-scale structure maps. Moreover, existing methods in the literature often make strong assumptions about the statistics of the underlying fields or estimators. Together these effects can severely limit signal extraction. Aims: We aim to define an optimal statistical method for detecting the ISW effect that can handle large areas of missing data and minimise the number of underlying assumptions made about the data and estimators. Methods: We first review current detections (and non-detections) of the ISW effect, comparing statistical subtleties between existing methods, and identifying several limitations. We propose a novel method to detect and measure the ISW signal. This method assumes only that the primordial CMB field is Gaussian. It is based on a sparse inpainting method to reconstruct missing data and uses a bootstrap technique to avoid assumptions about the statistics of the estimator. It is a complete method, which uses three complementary statistical methods. Results: We apply our method to Euclid-like simulations and show we can expect a ~7σ model-independent detection of the ISW signal with WMAP7-like data, even when considering missing data. Other tests return ~5σ detection levels for a Euclid-like survey. We find that detection levels are independent from whether the galaxy field is normally or lognormally distributed. We apply our method to the 2 Micron All Sky Survey (2MASS) and WMAP7 CMB data and find detections in the 1.0-1.2σ range, as

  11. Treatment of 38 cases with multiple open fractures in ipsilateral upper extremity%同侧上肢多发性开放性骨折38例的救治

    Institute of Scientific and Technical Information of China (English)

    张进

    2015-01-01

    目的:探究同侧上肢多发性、开放性骨折的治疗方法及效果。方法:收治同侧上肢多发性开放性骨折患者38例,主要进行皮瓣移植及外固定术方法治疗。结果:治疗后骨折愈合良好28例(73.7%),发生骨折延迟愈合7例(18.4%),截肢3例(7.9%)。结论:同侧上肢多发性开放性骨折多采用手术方法治疗,能促进肢体功能的恢复。%Objective:To explore the treatment and effect of multiple open fractures in ipsilateral upper extremity.Methods:38 cases of patients with multiple open fractures in ipsilateral upper extremity were mainly treated with flap transplantation and external fixation method.Results:After treatment,28 cases healed well(73.7% ),7 cases had delayed heal of fractures(18.4% ),3 cases had amputation(7.9%).Conclusion:Multiple open fractures in ipsilateral upper extremity were mainly treated with surgical method,which could promote the recovery of limb function.

  12. Simultaneous Ipsilateral Pediatric Fractures of the Elbow and Forearm Attending a Tertiary Care Hospital

    Directory of Open Access Journals (Sweden)

    Ruban Raj Joshi

    2016-06-01

    Full Text Available Introduction: Ipsilateral supracondylar humerus and forearm fractures in the pediatric population are an uncommon injury associated with high-energy trauma. The incidence varies between 3% and 13%. Our aim was to conduct a descriptive analysis on seventeen cases of children with floating elbow injuries who attended our institution and to review the literature relating to this topic.   Methods: Between April 2013 to March 2016, data were obtained through the medical records. Children who had completely displaced supracondylar fractures of the humerus associated with ipsilateral forearm fracture were reviewed. All patients underwent operative reduction and percutaneous K-wire stabilization. At mean follow up of 12.9 months, all patients were assessed clinically and radiologically. The following variables were used: age, gender, side, mechanism, type of fracture, classification, treatment and complications.   Results: Seventeen pediatric "floating elbow" cases that had operative management were identified. Twelve (70.5%% were male and five (29.4% female. The mean age was 9.5 (SD=2.1 years, ranging from six to 14 years. The left side was predominantly affected (70.5%. The commonest injury mechanism was fall from a height (76.47%. All the supracondylar fractures were Gartland type III. Majority of forearm fractures (76.4% were at distal meta diaphyseal region. Distal radius physeal fractures were diagnosed in three patients. Open fractures occurred in three cases (17.6%. All supracondylar fractures were reduced and fixed using K-wires. There was one radial nerve, and three median nerve injury. Five patients had pin tract related complications. Fifteen (88.2% patients had good to excellent, two had fair in terms of modified Flynn criteria in last month follow up. All patients went on to radiographic union without secondary procedures.   Conclusions: This, uncommon injury in most cases, results from high-energy trauma. Early surgical treatment for

  13. Overview of Measuring Effect Sizes: The Effect of Measurement Error. Brief 2

    Science.gov (United States)

    Boyd, Don; Grossman, Pam; Lankford, Hamp; Loeb, Susanna; Wyckoff, Jim

    2008-01-01

    The use of value-added models in education research has expanded rapidly. These models allow researchers to explore how a wide variety of policies and measured school inputs affect the academic performance of students. An important question is whether such effects are sufficiently large to achieve various policy goals. Judging whether a change in…

  14. Investigating expectation effects using multiple physiological measures

    Directory of Open Access Journals (Sweden)

    Alexander eSiller

    2015-10-01

    Full Text Available The study aimed at experimentally investigating whether the human body can anticipate future events under improved methodological conditions. Previous studies have reported contradictory results for the phenomenon typically called presentiment. If the positive findings are accurate, they call into doubt our views about human perception, and if they are inaccurate, a plausible conventional explanation might be based on the experimental design of the previous studies, in which expectation due to item sequences was misinterpreted as presentiment. To address these points, we opted to collect several physiological variables, to test different randomization types and to manipulate subjective significance individually. For the latter, we combined a mock crime scenario, in which participants had to steal specific items, with a concealed information test (CIT, in which the participants had to conceal their knowledge when interrogated about items they had stolen or not stolen. We measured electrodermal activity, respiration, finger pulse, heart rate, and reaction times. The participants (n=154 were assigned randomly to four different groups. Items presented in the CIT were either drawn with replacement (full or without replacement (pseudo and were either presented category-wise (cat or regardless of categories (nocat. To understand how these item sequences influence expectation and modulate physiological reactions, we compared the groups with respect to effect sizes for stolen vs. not stolen items. Group pseudo_cat yielded the highest effect sizes, and pseudo_nocat yielded the lowest. We could not find any evidence of presentiment but did find evidence of physiological correlates of expectation. Due to the design differing fundamentally from previous studies, these findings do not allow for conclusions on the question whether the expectation bias is being confounded with presentiment.

  15. Investigating expectation effects using multiple physiological measures.

    Science.gov (United States)

    Siller, Alexander; Ambach, Wolfgang; Vaitl, Dieter

    2015-01-01

    The study aimed at experimentally investigating whether the human body can anticipate future events under improved methodological conditions. Previous studies have reported contradictory results for the phenomenon typically called presentiment. If the positive findings are accurate, they call into doubt our views about human perception, and if they are inaccurate, a plausible conventional explanation might be based on the experimental design of the previous studies, in which expectation due to item sequences was misinterpreted as presentiment. To address these points, we opted to collect several physiological variables, to test different randomization types and to manipulate subjective significance individually. For the latter, we combined a mock crime scenario, in which participants had to steal specific items, with a concealed information test (CIT), in which the participants had to conceal their knowledge when interrogated about items they had stolen or not stolen. We measured electrodermal activity, respiration, finger pulse, heart rate (HR), and reaction times. The participants (n = 154) were assigned randomly to four different groups. Items presented in the CIT were either drawn with replacement (full) or without replacement (pseudo) and were either presented category-wise (cat) or regardless of categories (nocat). To understand how these item sequences influence expectation and modulate physiological reactions, we compared the groups with respect to effect sizes for stolen vs. not stolen items. Group pseudo_cat yielded the highest effect sizes, and pseudo_nocat yielded the lowest. We could not find any evidence of presentiment but did find evidence of physiological correlates of expectation. Due to the design differing fundamentally from previous studies, these findings do not allow for conclusions on the question whether the expectation bias is being confounded with presentiment.

  16. Congenital seminal vesicle cyst accompanying with ipsilateral renal agenesis in an adolescent patient: A pediatric radiologist approach to Zinner’s syndrome

    Directory of Open Access Journals (Sweden)

    Mehmet Burak Özkan

    2015-12-01

    Full Text Available A fifteen-year-old boy who had complaints of left sided pelvic pain with known ipsilateral left renal agenesia was referred to pediatric radiology department. Incidentally, his sonography examination revealed a dilated tubular structure located in the retro-vesicular region from cephalic to prostate. Contrast enhanced pelvic MRI showed a huge seminal vesicle cyst which is over 6 cm without a mass effect near the aspect border of the prostate and bladder. The patient was diagnosed with Zinner syndrome. The patient doesn’t have new complaint with no definite increase in the diameter of the cyst. In this case presentation we are discussing the Zinner syndrome’s imaging findings from a pediatric radiologist approach with a brief review of the literature.

  17. Type IIA Monteggia Fracture Dislocation with Ipsilateral Distal Radius Fracture in Adult – A Rare Association

    Science.gov (United States)

    James, Boblee

    2016-01-01

    Monteggia fracture constitutes about 5-10% of the forearm fractures. Monteggia fracture by definition is proximal ulnar fracture with disruption of proximal radioulnar joint. Bado classified Monteggia fracture dislocation into four types and Jupiter subclassified type II Bado’s fractures into four types. The associated injury in the form of distal radial fractures and distal humerus fractures are rare though many cases of distal radial physeal injuries have been reported in paediatric population. Hereby we report a rare association of type IIA Monteggia fracture dislocation with ipsilateral distal radius fracture in an adult patient. This case report also highlights on proper examination and full length radiographs of forearm to avoid missing injury at wrist in cases of elbow injuries. Management of such complex injuries included open reduction and internal fixation of olecronon fracture, distal radius fracture and radial head resection. Functional outcome at six months was good at wrist whereas at elbow, stiffness was a major concern with elbow range of movement from 40°-110°. PMID:27656518

  18. Ipsilateral Hip Dysplasia in Patients with Sacral Hemiagenesis: A Report of Two Cases

    Directory of Open Access Journals (Sweden)

    Tadatsugu Morimoto

    2015-01-01

    Full Text Available Sacral agenesis (SA is a rare condition consisting of the imperfect development of any part of the sacrum. This paper describes two cases of the rare cooccurrence of ipsilateral SA and developmental dysplasia of the hip (DDH and analyzes possible contributory factors for SA and DDH. Each of a 16-year-old female and 13-year-old female visited our hospital for left hip pain and limping. The findings of physical examinations showed a lower limb length discrepancy (left side in both cases, as well as left hip pain without limitations of the range of motion or neurological deficits. Initial radiographs demonstrated left subluxation of the left hip with associated acetabular dysplasia and partial left sacral agenesis. MRI revealed a tethering cord with a fatty filum terminale, and periacetabular osteotomy combined with allogeneic bone grafting was performed. After the surgery, the patients experienced no further pain, with no leg length discrepancy and were able to walk without a limp, being neurologically normal with a normal left hip range of motion. The cooccurrence of SA and DDH suggests a plausible hypothesis to explain the embryogenic relationship between malformation of the sacrum and hip.

  19. Elbow dislocation with ipsilateral diaphyseal forearm bone fracture: A rare injury report with literature review

    Institute of Scientific and Technical Information of China (English)

    Vijay Goni; Prateek Behera; Umesh Kumar Meena; Nirmal raj Gopinathan; Narendranadh Akkina; R.H.H. Arjun

    2015-01-01

    Dislocation of the elbow along with shaft fractures of both bones of the ipsilateral forearm is a rare injury though elbow dislocation or fracture of the forearm bones may occur separately.Such injuries need a concentric reduction of the dislocation and an anatomical fixation of forearm bones for optimal functional outcomes.We report a case of elbow dislocation with fracture of the lateral condyle of the humerus along with fractures of shafts of the radius and ulna in a 44-year-old female.Closed reduction of the elbow and operative stabilization of all fractures were done with good clinical, radiological and functional outcomes in 2 years follow-up period.A significant degree of force is needed to produce a combined dislocation of a joint and fracture of bones around that joint and these complex injuries may be missed if the clinician is not aware of the possibility of such injuries.The fact that the previously reported cases had a posterolateral dislocation while our case had a posteromedial dislocation and a fracture of the lateral humeral condyle as well makes it unique in its presentation and worth reporting.We have also included an up to date literature review on this topic.

  20. Shrinkage of ipsilateral taste buds and hyperplasia of contralateral taste buds following chorda tympani nerve transection

    Directory of Open Access Journals (Sweden)

    Yi-ke Li

    2015-01-01

    Full Text Available The morphological changes that occur in the taste buds after denervation are not well understood in rats, especially in the contralateral tongue epithelium. In this study, we investigated the time course of morphological changes in the taste buds following unilateral nerve transection. The role of the trigeminal component of the lingual nerve in maintaining the structural integrity of the taste buds was also examined. Twenty-four Sprague-Dawley rats were randomly divided into three groups: control, unilateral chorda tympani nerve transection and unilateral chorda tympani nerve transection + lingual nerve transection. Rats were allowed up to 42 days of recovery before being euthanized. The taste buds were visualized using a cytokeratin 8 antibody. Taste bud counts, volumes and taste receptor cell numbers were quantified and compared among groups. No significant difference was detected between the chorda tympani nerve transection and chorda tympani nerve transection + lingual nerve transection groups. Taste bud counts, volumes and taste receptor cell numbers on the ipsilateral side all decreased significantly compared with control. On the contralateral side, the number of taste buds remained unchanged over time, but they were larger, and taste receptor cells were more numerous postoperatively. There was no evidence for a role of the trigeminal branch of the lingual nerve in maintaining the structural integrity of the anterior taste buds.

  1. Midterm Experience of Ipsilateral Axillary-Axillary Arteriovenous Loop Graft as Tertiary Access for Haemodialysis

    Directory of Open Access Journals (Sweden)

    J. P. Hunter

    2014-01-01

    Full Text Available Objectives. To present a series of ipsilateral axillary artery to axillary vein loop arm grafts as an alternative vascular access procedure for haemodialysis in patients with difficult access. Design. Retrospective case series. Methods. Patients who underwent an axillary loop arteriovenous graft from September 2009 to September 2012 were included. Preoperative venous imaging to exclude central venous stenosis and to image arm/axillary veins was performed. A cuffed PTFE graft was anastomosed to the distal axillary artery and axillary vein and looped on the arm. Results. 25 procedures were performed on 22 patients. Median age was 51 years, with 9 males and 13 females. Median number of previous access procedures was 3 (range 0–7. Median followup was 16.4 months (range 1–35. At 3 months and 1 year, the primary and secondary patency rates were 70% and 72% and 36% and 37%, respectively. There were 11 radiological interventions in 6 grafts including 5 angioplasties and 6 thrombectomies. There were 19 surgical procedures in 10 grafts, including thrombectomy, revision, repair for bleeding, and excision. Conclusions. Our series demonstrates that the axillary loop arm graft yields acceptable early patency rates in a complex group of patients but to maintain graft patency required high rates of surgical and radiological intervention, in particular graft thrombectomy.

  2. Treatment Outcome of Breast Cancer with Pathologically Proven Synchronous Ipsilateral Supraclavicular Lymph Node Metastases.

    Science.gov (United States)

    Jung, Jinhong; Kim, Su Ssan; Ahn, Seung Do; Lee, Sang-Wook; Ahn, Sei-Hyun; Son, Byung Ho; Lee, Jong Won; Choi, Eun Kyung

    2015-06-01

    The aim of this study was to investigate the prognosis, patterns of failure, and prognostic factors for breast cancer patients with pathologically proven synchronous ipsilateral supraclavicular lymph node (ISCLN) metastases. We reviewed the records of breast cancer patients with pathologically proven ISCLN metastases. Local aggressive treatment was defined as treatment including surgery, axillary lymph node dissection (ALND), ISCLN excision, radiotherapy (RT), and chemotherapy. A total of 111 patients were included. The 5-year overall survival (OS) and disease-free survival (DFS) rates were 64.2% and 56.2%, respectively. On univariate analysis, RT, ALND, trastuzumab treatment, hormone receptor (HR) status, and local aggressive treatment were identified as significant factors for OS. The 5-year OS for 73 patients who received local aggressive treatment was superior to that of 38 patients who received nonaggressive treatment (70.9% vs. 49.3%, p=0.036). Multivariate analysis showed that RT, HR status, and trastuzumab were significant variables for the 5-year OS and DFS. Multimodality treatment with surgery, taxane-based chemotherapy, hormone therapy, and RT is strongly recommended for breast cancer patients with synchronous ISCLN metastases.

  3. Agenesia renal unilateral e criptorquidismo ipsilateral em um felino: relato de caso

    Directory of Open Access Journals (Sweden)

    E.R. Santos

    2015-04-01

    Full Text Available A agenesia renal é uma afecção congênita rara na espécie felina, frequentemente associada a uma malformação reprodutiva. O presente trabalho relata o caso de um felino com agenesia renal unilateral associada a criptorquidismo ipsilateral, com ênfase no diagnóstico, tratamento e acompanhamento. O paciente foi conduzido ao Hospital de Clínicas Veterinárias da Universidade Federal do Rio Grande do Sul para avaliação de criptorquidismo. A agenesia renal foi um achado durante a ecografia abdominal do felino. Durante a laparotomia, foi confirmada a ausência do rim e ureter direito, hipertrofia do rim esquerdo e presença de um testículo ectópico. O paciente teve alta após a recuperação anestésica e se mantém clinicamente estável, transcorridos seis meses da cirurgia. A agenesia renal unilateral é uma condição compatível com a vida, contanto que o rim existente apresente funcionamento aceitável. Assim, sugere-se que a possibilidade de rim único em felinos criptorquidas deve ser investigada sempre que possível, tendo em vista a alta correlação entre essas malformações, e objetivando um acompanhamento da função renal do paciente ao longo da vida.

  4. Are ipsilateral breast tumour invasive recurrences in young (more aggressive than their primary tumours?

    Science.gov (United States)

    Sigal-Zafrani, B; Bollet, M A; Antoni, G; Savignoni, A; Vincent-Salomon, A; Pierga, J-Y; Salmon, R; Sastre-Garau, X; Fourquet, A

    2007-10-22

    The characteristics of ipsilateral breast tumour recurrences (IBTRs) relative to those of their primary tumours (PTs) remain scarcely studied. Of 70 young (grades or hormonal receptors were not significantly different in PTs and in IBTRs. The concordance between IBTRs and their PTs was good for histological types. IBTRs with conserved histological types tended to occur more locally, but not significantly sooner than others. These IBTRs had good concordance for hormone receptors. In discordant cases there were as many losses as appearances of the receptors. The concordance was weak for grades, with equivalent numbers of IBTRs graded lower as higher than their PTs. The 10-year overall survival rate was 70%. Neither the conservation of histological type, location, nor of the two combined were associated with deaths. Early (<2 years) IBTRs, tended to be associated with poorer survival (HR=2.24 (0.92-5.41); P=0.08). IBTRs did not display features of higher aggressiveness than PTs. Neither clinical nor histological definition of a true recurrence could be established other than the conservation of the histological type.

  5. Shrinkage of ipsilateral taste buds and hyperplasia of contralateral taste buds following chorda tympani nerve transection

    Institute of Scientific and Technical Information of China (English)

    Yi-ke Li; Juan-mei Yang; Yi-bo Huang; Dong-dong Ren; Fang-lu Chi

    2015-01-01

    The morphological changes that occur in the taste buds after denervation are not well under-stood in rats, especially in the contralateral tongue epithelium. In this study, we investigated the time course of morphological changes in the taste buds following unilateral nerve transection. The role of the trigeminal component of the lingual nerve in maintaining the structural integrity of the taste buds was also examined. Twenty-four Sprague-Dawley rats were randomly divided into three groups:control, unilateral chorda tympani nerve transection and unilateral chorda tympani nerve transection+lingual nerve transection. Rats were allowed up to 42 days of re-covery before being euthanized. The taste buds were visualized using a cytokeratin 8 antibody. Taste bud counts, volumes and taste receptor cell numbers were quantiifed and compared among groups. No signiifcant difference was detected between the chorda tympani nerve transection and chorda tympani nerve transection+lingual nerve transection groups. Taste bud counts, vol-umes and taste receptor cell numbers on the ipsilateral side all decreased signiifcantly compared with control. On the contralateral side, the number of taste buds remained unchanged over time, but they were larger, and taste receptor cells were more numerous postoperatively. There was no evidence for a role of the trigeminal branch of the lingual nerve in maintaining the structural integrity of the anterior taste buds.

  6. Ocular Image and Haemodynamic Features Associated with Different Gradings of Ipsilateral Internal Carotid Artery Stenosis

    Directory of Open Access Journals (Sweden)

    Hui Wang

    2017-01-01

    Full Text Available Objectives. To analyse the changes of ocular haemodynamics and morphology in Chinese patients with internal carotid artery (ICA stenosis in the current study. Methods. A retrospective case-control study was conducted with 219 patients. The haemodynamic characteristics, the calibre of retinal vessels, and the subfoveal choroidal thickness (SFChT were compared. We analysed the correlations with the degree of ipsilateral ICA stenosis. Results. There were no significant differences among the groups in the central retinal artery equivalent (CRAE, central retinal vein equivalent (CRVE, and AVR (p=0.073, p=0.188, and p=0.738, resp.. The peak systolic velocity (PSV and end diastolic velocity (EDV in the central retinal artery (CRA and the posterior ciliary artery (PCA were significantly lower than normal eyes (p<0.001. The outer retinal layer thickness and SFChT values of the ICA stenosis groups were significantly lower than normal eyes (p=0.030 and p<0.001, resp.. Conclusion. The PSV and EDV in CRA and PCA and the SFChT and outer retinal layer thickness of ICA eyes were significantly lower than normal eyes. ICA stenosis may impact choroidal haemodynamics, and decreased choroidal circulation might affect the discordance of the SFChT and the outer retinal layer thickness.

  7. Posterior dislocation of hip with ipsilateral intertrochanteric fracture: A report of two cases

    Directory of Open Access Journals (Sweden)

    Rehan Ul Haq

    2016-01-01

    Full Text Available Posterior dislocations of the hip are known to be associated with fractures of the femoral head, neck, shaft, or posterior acetabular wall. However, its association with ipsilateral intertrochanteric fracture has only been anecdotally described in the English literature. We report two such cases managed by open reduction (OR of the hip and internal fixation (IF of the intertrochanteric fracture. The first case was a 26-year-old male who was managed by OR of the hip with IF of the intertrochanteric fracture with a dynamic hip screw and had a good functional result at 1-year followup. The second case was a 36-year-old female who was also managed by OR of the hip with IF of the head fragments with Herbert screw and IF of the intertrochanteric fracture with a dynamic condylar screw. The patient had a fair, functional result at 1-year followup. With the increase in high energy trauma, these fracture patterns have become more common, and there is an urgent need to review the existing classifications so that these fractures are better categorized, and treatment guidelines defined.

  8. Posterior dislocation of hip with ipsilateral intertrochanteric fracture: A report of two cases

    Science.gov (United States)

    Ul Haq, Rehan; Kumar, Jaswant; Dhammi, IK; Jain, Anil K

    2016-01-01

    Posterior dislocations of the hip are known to be associated with fractures of the femoral head, neck, shaft, or posterior acetabular wall. However, its association with ipsilateral intertrochanteric fracture has only been anecdotally described in the English literature. We report two such cases managed by open reduction (OR) of the hip and internal fixation (IF) of the intertrochanteric fracture. The first case was a 26-year-old male who was managed by OR of the hip with IF of the intertrochanteric fracture with a dynamic hip screw and had a good functional result at 1-year followup. The second case was a 36-year-old female who was also managed by OR of the hip with IF of the head fragments with Herbert screw and IF of the intertrochanteric fracture with a dynamic condylar screw. The patient had a fair, functional result at 1-year followup. With the increase in high energy trauma, these fracture patterns have become more common, and there is an urgent need to review the existing classifications so that these fractures are better categorized, and treatment guidelines defined. PMID:27746503

  9. Velocity Measurement Based on Laser Doppler Effect

    Institute of Scientific and Technical Information of China (English)

    ZHANG Yan-Yan; HUO Yu-Jing; HE Shu-Fang; GONG Ke

    2010-01-01

    @@ A novel method for velocity measurement is presented.In this scheme,a parallel-linear-polarization dualfrequency laser is incident on the target and senses the target velocity with both the frequencies,which can increase the maximum measurable velocity significantly.The theoretical analysis and verification experiment of the novel method are presented,which show that high-velocity measurement can be achieved with high precision using this method.

  10. Direct measurements of the magnetocaloric effect

    DEFF Research Database (Denmark)

    Nielsen, Kaspar Kirstein; Bahl, Christian R.H.; Neves Bez, Henrique;

    2014-01-01

    We present an experimental setup recently developed at DTU Energy Conversion for measuring specific heat and direct isothermal entropy change in a varying magnetic field (DSC device) using calorimetry. The device operates in high vacuum (~1e-6 mbar) and measurements are fully automated with respe...

  11. Early increase in dopamine release in the ipsilateral striatum after unilateral intranigral administration of lactacystin produces spontaneous contralateral rotations in rats.

    Science.gov (United States)

    Konieczny, J; Lenda, T; Czarnecka, A

    2016-06-02

    Since the discovery of the role of the ubiquitin-proteasome system (UPS) in the pathogenesis of Parkinson's disease, UPS inhibitors, such as lactacystin have been used to investigate the relationship between UPS impairment and degeneration of dopamine (DA) neurons. However, mostly long-term neurotoxic effects of lactacystin have been studied in animal models. Therefore, the aim of our study was to investigate behavioral and biochemical changes related to the DA system during the first week following unilateral intranigral injection of lactacystin to rats. We found that lactacystin produced early spontaneous contralateral rotations which were inhibited by combined administration of DA D1 and D2 receptor antagonists. Simultaneously, an increase in the extracellular level of DA and its metabolites 3,4-dihydroxyphenylacetic acid (DOPAC) and homovanilic acid (HVA) was found in the ipsilateral striatum. In contrast, one week after lesion, when turning behavior was no longer visible, a decrease in the extracellular level of DA, DOPAC and HVA was demonstrated. It was accompanied by a substantial reduction in the tissue levels of DA and its metabolites in the lesioned substantia nigra and striatum. We concluded that unilateral intranigral administration of lactacystin produces an early increase in DA neurotransmission which precedes a decrease in the striatal and nigral tissue DA content. It is manifested by the appearance of spontaneous contralateral rotations and an elevation of the extracellular DA level in the ipsilateral striatum. Since similar behavior was previously observed after intranigral administration of rotenone and MPP(+) but not 6-hydroxydopamine (6-OHDA), it may indicate a common mechanism of action shared by these neurotoxins.

  12. The natural history of a mistreated ipsilateral Galeazzi and Monteggia lesion: report of a case 39 years post-injury.

    Science.gov (United States)

    Kontakis, George M; Pasku, Dritan; Pagkalos, Joseph; Katonis, Pavlos G

    2008-08-01

    Galeazzi injury combined with ipsilateral Monteggia lesion is extremely rare. A 45-year-old male patient with a mistreated Galeazzi lesion combined with an ipsilateral Monteggia fracture at the age of 6 is presented. Thirty-nine years post-injury his elbow was asymptomatic and stable and his distal radioulnar and radiocarpal joints were also asymptomatic. The strength of the limb was equal to the unaffected contralateral upper limb and he was able to work manually as a waiter for the last 20 years without any problem. The only obvious defect was a 30 degrees lack of elbow flexion and a 10 degrees lack of forearm pronation in comparison to the normal side.

  13. A Case Report of Breast Sparganosis in a Patient with Ipsilateral Breast Cancer: MRI and Ultrasonographic Findings

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Yoo Jin; Bae, Young Tae; Kim, Jee Yeon [Pusan National University Hospital, Pusan National University School of Medicine, Busan (Korea, Republic of); Choo, Ki Seok [Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Yangsan (Korea, Republic of)

    2010-12-15

    Sparganosis of the breast is a quite rare parasitic infection of humans and presents as soft tissue masses that mimic breast malignancy or benign tumor, such as fibroadenoma. We present here a case of histologically confirmed breast sparganosis in the upper inner quadrant of the right breast with coexisting breast cancer in the ipsilateral breast upper outer quadrant. Ultrasonography of breast sparganosis showed a well defined, tubular hypoechoic mass with discrete multilayered wall and tubule-in tubule appearance, surrounded by heterogenous hyperechoic areas in the subcutaneous fat layer of the breast. MRI revealed an elongated tubular structure with persistent and progressive enhancement. This is the second report concerned with the MRI and ultrasonographic findings of breast sparganosis and the first report of breast sparganosis in a patient with ipsilateral breast cancer

  14. Dryland degradation: Measurement and effects on ecosystems

    Science.gov (United States)

    Noojipady, P.; Prince, S. D.; Rishmawi, K.

    2012-12-01

    Land degradation is frequently described as a global crisis, affecting large areas globally and large numbers of people. Nevertheless, the location and severity of degradation globally with a resolution relevant to human activities is unknown. Beyond the direct stress of degradation on human livelihoods, there are important effects on the physical and biological environment. Examples include loss of potential primary production, changes in the surface water and energy balances, erosion, sediment transport and lofting of dust aerosols. Globally , degradation is mainly associated with drylands, such as the US dustbowl of the 1930s and, supposedly, ongoing loss of crop and livestock production in desert margins on all continents. The alarm over loss of land to deserts, particularly early 1980s in the African Sahel, led to the adoption of the term "desertification". Such degradation is said to have two components; a physical environment that reduces productivity; and human land use that exceeds the resilience of the land. Ecological theory suggests that land can exist in multiple stable states with transitions between them. Some experimental evidence suggests that one such state is degradation from which there can be no recovery. Clearly the occurrence of such stable degradation, where land is unable to recover when the physical conditions such as rainfall and human land use are ameliorated, is of theoretical and practical importance. The aim of this work is to contribute to the resolution of two issues: (i) are there significant areas in which land has been degraded by human actions and, (ii), have any of these areas entered a stable degraded state? Detection of the human component necessarily requires control of the physical component of degradation. We have developed a technique to detect areas that are at their potential production and to assess other areas relative to these. Satellite measurements of vegetation indices are used as a surrogate for Net Primary

  15. Cost effective alternative to low irradiance measurements

    Science.gov (United States)

    Oleary, Scott T.

    1988-01-01

    Martin Marietta's Space Simulation Laboratory (SSL) has a Thermal Environment Simulator (TES) with 56 individually controlled heater zones. The TES has a temperature range of approximately minus 129 C to plus 149 C. Because of the ability of TES to provide complex irradiance distributions, it is necessary to be able to measure a wide range of irradiance levels. SSL currently uses ambient temperature controlled radiometers with the capacity to measure sink irradiance levels of approximately 42.6 mw/sq cm, sink temperature equals 21 C and up. These radiometers could not be used to accurately measure the lower irradiance levels of the TES. Therefore, it was necessary to obtain a radiometer or develop techniques which could be used to measure lower irradiance levels.

  16. Photoplastic effect in polycarbonate using microhardness measurements

    Indian Academy of Sciences (India)

    R Bajpai; Sandhya Sharma; V K Vastal; B P Chandra

    2003-08-01

    Vickers microhardness indentation technique has been employed to detect the photoplastic effect in the transparent polycarbonate specimens in darkness and under mercury illumination. For low applied loads, the hardening of specimens under illumination confirms the positive photoplastic effect that causes illumination-induced increase of crosslinking (in polymer). For high applied loads the positive photoplastic effect decreases as the level of microhardness decreases.

  17. Shh/Boc signaling is required for sustained generation of ipsilateral projecting ganglion cells in the mouse retina.

    Science.gov (United States)

    Sánchez-Arrones, Luisa; Nieto-Lopez, Francisco; Sánchez-Camacho, Cristina; Carreres, M Isabel; Herrera, Eloisa; Okada, Ami; Bovolenta, Paola

    2013-05-15

    Sonic Hedgehog (Shh) signaling is an important determinant of vertebrate retinal ganglion cell (RGC) development. In mice, there are two major RGC populations: (1) the Islet2-expressing contralateral projecting (c)RGCs, which both produce and respond to Shh; and (2) the Zic2-expressing ipsilateral projecting RGCs (iRGCs), which lack Shh expression. In contrast to cRGCs, iRGCs, which are generated in the ventrotemporal crescent (VTC) of the retina, specifically express Boc, a cell adhesion molecule that acts as a high-affinity receptor for Shh. In Boc(-/-) mutant mice, the ipsilateral projection is significantly decreased. Here, we demonstrate that this phenotype results, at least in part, from the misspecification of a proportion of iRGCs. In Boc(-/-) VTC, the number of Zic2-positive RGCs is reduced, whereas more Islet2/Shh-positive RGCs are observed, a phenotype also detected in Zic2 and Foxd1 null embryos. Consistent with this observation, organization of retinal projections at the dorsal lateral geniculate nucleus is altered in Boc(-/-) mice. Analyses of the molecular and cellular consequences of introducing Shh into the developing VTC and Zic2 and Boc into the central retina indicate that Boc expression alone is insufficient to fully activate the ipsilateral program and that Zic2 regulates Shh expression. Taking these data together, we propose that expression of Boc in cells from the VTC is required to sustain Zic2 expression, likely by regulating the levels of Shh signaling from the nearby cRGCs. Zic2, in turn, directly or indirectly, counteracts Shh and Islet2 expression in the VTC and activates the ipsilateral program.

  18. Ipsilateral facial and uveal arteriovenous and capillary angioma, microphthalmos, heterochromia of the iris, and hypotony: an oculocutaneous syndrome simulating Sturge-Weber syndrome.

    Science.gov (United States)

    Gass, J D

    1996-01-01

    Sturge-Weber syndrome is a disorder characterized by ipsilateral cavernous hemangioma of the face, uvea, and brain in patients who may present with an enlarged eye, exudative retinal detachment, glaucoma, and seizures. This report presents the clinicopathologic findings of an otherwise healthy infant with ipsilateral arteriovenous and capillary hemangiomas of the face and uveal tract, microphthalmos, iris heterochromia, hypotony, and absence of central nervous system involvement. The association of an arteriovenous-capillary angioma of the ocular adnexa and ipsilateral uveal tract is a syndrome that is distinct from Sturge-Weber syndrome.

  19. Lobar Hepatocellular Carcinoma with Ipsilateral Portal Vein Tumor Thrombosis Treated with Yttrium-90 Glass Microsphere Radioembolization: Preliminary Results

    Directory of Open Access Journals (Sweden)

    M. Pracht

    2013-01-01

    Full Text Available Portal vein tumor thrombosis (PVTT is a common complication of hepatocellular carcinoma (HCC and has a negative impact on prognosis. This characteristic feature led to the rationale of the present trial designed to assess the efficacy and the safety of yttrium-90 glass-microsphere treatment for advanced-stage lobar HCC with ipsilateral PVTT. 18 patients with unresectable lobar HCC and ipsilateral PVTT were treated in our institution with 90Y-microS radioembolization. Patients were evaluated every 3 to 6 months for response, survival, and toxicity. Mean follow-up was 13.0 months (2.2–50.6. Outcomes were: complete response (n=2, partial response (n=13, stable disease (n=1, and progressive disease (n=2 giving a disease control rate of 88.9%. Four patients were downstaged. Treating lobar hepatocellular carcinoma with ipsilateral portal vein thrombosis with yttrium-90 glass-microsphere radioembolization is safe and efficacious. Further clinical trials are warranted to confirm these results and to compare 90Y-microS with sorafenib, taking into account not only survival but also the possibility of secondary surgery for putative curative intention after downstaging.

  20. Occult renal cell carcinoma with acrometastasis and ipsilateral juxta-articular knee lesions mimicking acute inflammation

    Directory of Open Access Journals (Sweden)

    Bhaskar Borgohain

    2012-01-01

    Full Text Available Generally, skeletal peripheral metastases below the elbow and the knee are rare. Skeletal metastases to the hand or foot are very rare; but when they do it may be a revealing clinical finding. Purely lytic lesions are commonly seen in metastases from lung, renal, and thyroid tumors, but they are also known to occur in primary myeloma, brown tumor and lymphomas. A 70-year-old man was brought to the emergency department with acute painful swelling involving his right hand and the right knee. Due to significant accompanying soft tissue swellings cellulitis, acute osteomyelitis and gouty arthropathy were included in the initial differential diagnosis. Radiographs showed pure lytic bony lesion with complete disappearance of lower two third of the second metacarpal, trapezium and trapezoid bones of the right hand along with a lytic subarticular lesion of medial condyle of ipsilateral femur. Chest X-ray (CXR was normal but sonography of the abdomen readily demonstrated a large renal mass, later confirmed at biopsy as renal cell carcinoma (RCC. Clinicians should be cognizant of the strong association between digital acrometastases and renal cell carcinoma in male patients with normal CXR findings. In suspected hand acrometastasis associated with a soft tissue component outside the contours of normal bone, screening the abdomen by sonography should be done prior to bone biopsy and before costly or time-consuming investigations are offered. Metastatic RCC should be included in the differential diagnosis of all unilateral expansile bony lesions of the digit. It is particularly important if such lesion/lesions are accompanied by local inflammation. Screening the abdomen by sonography may be of particular value in such elderly male patient when Chest X-ray shows no abnormality.

  1. Ipsilateral and contralateral sensory changes in healthy subjects after experimentally induced concomitant sensitization and hypoesthesia.

    Science.gov (United States)

    Enax-Krumova, Elena K; Pohl, Stephanie; Westermann, Andrea; Maier, Christoph

    2017-03-23

    In unilateral neuropathic pain. e.g. after peripheral nerve injury, both positive and negative sensory signs occur often, accompanied by minor but equally directed contralateral sensory changes. To mimic this feature, we experimentally aimed to induce concomitant c-fibre sensitization and block in healthy subjects and analyzed the bilateral sensory changes by quantitative sensory testing (QST) using the protocol of the German Research Network on Neuropathic Pain. Twenty eight healthy subjects were firstly randomized in 2 groups to receive either topical capsaicin (0.6%, 12 cm(2), application duration: 15 min.) or a lidocaine/prilocaine patch (25/25 mg, 10 cm(2), application duration: 60 min.) on the right volar forearm. Secondly, 7-14 days later in the same area either at first capsaicin (for 15 min.) and immediately afterwards local anesthetics (for 60 min.) was applied (Cap/LA), or in inversed order with the same application duration (LA/Cap). Before, after each application and 7-14 days later a QST was performed bilaterally. Wilcoxon-test, ANOVA, p sensory changes occurred only after the co-application with concomitant sensitization and hypoesthesia and comprised increased cold (Cap/LA, LA/Cap) and mechanical detection as well as cold pain threshold (LA/Cap). The present experimental model using combined application of capsaicin and LA imitates partly the complex sensory changes observed in patients with unilateral neuropathic pain and might be used as an additional surrogate model. Only the concomitant use both agents in the same area induces both positive and negative sensory signs ipsilaterally as well as parallel contralateral sensory changes (to a lesser extent). ClinicalTrials.gov Identifier NCT01540877 , registered on 23 February 2012.

  2. Ipsilateral printing in children's mirror-writing: a cause of specific learning disabilities?

    Science.gov (United States)

    Mather, David S

    2012-09-01

    Previous research has demonstrated that young children produce mirror-image letter-reversals when printing their names in a leftward direction from the midline or right margin of their writing paper. This ability is postulated to be an epiphenomenon of a symmetric, proximal (arm) stage of motor development that ontogenetically precedes lateralization of fine-motor distal (finger) control-a stage in which each arm can be controlled by either side of the brain. From this view, canonical writing in right hemi-space is contralaterally mediated by the left hemisphere and mirror-writing in left hemi-space is ipsilaterally mediated by the right hemisphere. However, evidence of right hemisphere canonical letter processing in dyslexia suggests that this is not always the case. Concordantly, an early study corrected reversals by having children print these errors canonically in left hemi-space and then rightward across the midline into right hemi-space. To further understand this behaviour, the present study investigated mirror-writing in three schools (Public, Montessori, and Waldorf) each differing in how writing is introduced. It was hypothesised that there would be no school-differences in mirror-writing if printing had been learned before school-entry and that some children would produce reversals in right hemi-space that were canonically written in left-hemi-space (inverse reversals)-the opposite of the normal pattern. The results showed that 39% of the children demonstrated these inverse reversals. It is discussed how this unexpectedly high incidence may be foundational in the development of the phonologically proficient and deficient subtypes of dyslexia, spelling-dysgraphia, and the left-hand inverted writing posture.

  3. Pattern of Ipsilateral Breast Tumor Recurrence After Breast-Conserving Therapy

    Energy Technology Data Exchange (ETDEWEB)

    Jobsen, Jan, E-mail: j.jobsen@mst.nl [Department of Radiation Oncology, Medisch Spectrum Twente, Enschede (Netherlands); Palen, Job van der [Department of Epidemiology, Medisch Spectrum Twente, Enschede (Netherlands); Department of Research Methodology, Measurement, and Data Analysis, Faculty of Behavioral Science, University of Twente, Enschede (Netherlands); Riemersma, Sietske [Laboratory for Pathology Oost Nederland, Hengelo (Netherlands); Heijmans, Harald [Department of Surgery, Ziekenhuis Groep Twente, Hengelo (Netherlands); Ong, Francisca [Department of Radiation Oncology, Medisch Spectrum Twente, Enschede (Netherlands); Struikmans, Henk [Department of Radiation Oncology, Leiden University Medical Centre, Leiden (Netherlands); Radiotherapy Centre West, Medical Centre Haaglanden, The Hague (Netherlands)

    2014-08-01

    Purpose: To analyze the incidence and prognostic factors of ipsilateral breast tumor recurrence (IBTR) after breast-conserving therapy (BCT) in a large, population-based, single-center study with long-term follow-up. Methods and Materials: We analyzed 3595 cases in which BCT was performed in 3824 women with stage I or II breast cancer. The incidence of IBTR was analyzed over time and was based on IBTR as first event. Results: The 15-year local relapse-free survival was 90.9%. The hazard estimates for IBTR showed a time course with 2 peaks, the first at approximately 5 years and the second, twice as high, at 12 years. Stratifying subjects by age and margin status showed that, for women ≤40 years old with negative margins, adjuvant systemic therapy led to a 5-fold reduced risk of recurrence compared to none, and the presence of lymph vascular space invasion (LVSI) had a 3-fold increased risk compared to its absence. For women >40 years old, the presence of LVSI (hazard ratio [HR] 2.5) and the presence of lobular carcinoma in situ in the lumpectomy specimen (HR 2.3) were the only 2 risk factors. Conclusions: We demonstrated a pattern in risk of IBTR over time, with 2 peaks, first at approximately 5 years and a second, much higher peak at approximately 12 years, especially for women ≤40 years old. For women ≤40 years old with tumor-free resection margins, we noted that the absence of adjuvant systemic therapy and the presence of LVSI were independent prognostic factors of IBTR. For women >40 years old, the presence of LVSI and the presence of lobular carcinoma in situ were independent risk factors.

  4. Ipsilateral free semitendinosus tendon graft transfer for reconstruction of chronic tears of the Achilles tendon

    Directory of Open Access Journals (Sweden)

    Gougoulias Nikolaos

    2008-07-01

    Full Text Available Abstract Background Many techniques have been developed for the reconstruction of the Achilles tendon in chronic tears. In presence of a large gap (greater than 6 centimetres, tendon augmentation is required. Methods We present our method of minimally invasive semitendinosus reconstruction for the Achilles tendon using one para-midline and one midline incision. Results The first incision is a 5 cm longitudinal incision, made 2 cm proximal and just medial to the palpable end of the residual tendon. The second incision is 3 cm long and is also longitudinal but is 2 cm distal and in the midline to the distal end of the tendon rupture. The distal and proximal Achilles tendon stumps are mobilised. After trying to reduce the gap of the ruptured Achilles tendon, if the gap produced is greater than 6 cm despite maximal plantar flexion of the ankle and traction on the Achilles tendon stumps, the ipsilateral semitendinosus tendon is harvested. The semitendinosus tendon is passed through small incisions in the substance of the proximal stump of the Achilles tendon, and it is sutured to the Achilles tendon. It is then passed beneath the intact skin bridge into the distal incision, and passed from medial to lateral through a transverse tenotomy in the distal stump. With the ankle in maximal plantar flexion, the semitendinosus tendon is sutured to the Achilles tendon at each entry and exit point Conclusion This minimally invasive technique allows reconstruction of the Achilles tendon using the tendon of semitendinosus preserving skin integrity over the site most prone to wound breakdown, and can be especially used to reconstruct the Achilles tendon in the presence of large gap (greater than 6 centimetres.

  5. Significance of ipsilateral breast tumor recurrence after breast conserving treatment: role of surgical removal

    Institute of Scientific and Technical Information of China (English)

    Romano Demicheli; Ilaria Ardoino; Federico Ambrogi; Roberto Agresti; Elia Biganzoli

    2013-01-01

    To analyze the pattern over time (dynamics) of further recurrence and death after ipsilateral breast tumor recurrence (IBTR) in breast cancer patients undergoing breast conserving treatment (BCT).Methods:A total of 338 evaluable patients experiencing IBTR were extracted from a database of 3,293 patients undergoing BCT.The hazard rates for recurrence and mortality throughout 10 years of follow-up after IBTR were assessed and were compared to the analogous estimates associated to the primary treatment.Results:In a time frame with the time origin at the surgical treatment for IBTR,the hazard rate for further recurrence displays a bimodal pattern (peaks at the second and at the sixth year).Patients receiving mastectomy for IBTR reveal recurrence and mortality dynamics similar to that of node positive (N+) patients receiving mastectomy as primary surgery,apart from the first two-three years,when IBTR patients do worse.If the patients with time to IBTR longer than 2.5 years are considered,differences disappear.Conclusions:The recurrence and mortality dynamics following IBTR surgical removal is similar to the corresponding dynamics following primary tumor removal.In particular,patients with time to IBTR in excess of 2.5 years behave like N+ patients following primary tumor removal.Findings may be suitably explained by assuming that the surgical manoeuvre required by IBTR treatment is able to activate a sudden growing phase for tumor foci most of which,as suggested by the systemic model of breast cancer,would have reached the clinical level according to their own dynamics.

  6. Weather effects on aerial snow measurement

    Energy Technology Data Exchange (ETDEWEB)

    Tollan, O.

    1979-01-01

    When aerial snow measurements are carried out, various weather phenomena have influence on the survey operations and the registered gamma radiation values. Among these phenomena are low visibility and wind causing problems to aircraft operations, and temperature inversions which may trap radioactive gases and particles in the air layer near the ground. The pressure and temperature of the air and its humidity influence the gamma radiation field above the ground, and this should be taken into consideration. As some types of weather may cause delays and errors in the snow measurement, it is important for the operators to have a reliable account of the weather situation prior to and during the survey flights. This will reduce the cost of the measurement operation and improve the quality of the collected data.

  7. Effective control of engineering cost measures

    Institute of Scientific and Technical Information of China (English)

    郑虹; 戚悦

    2013-01-01

    the civil engineering cost function mainly lies in the calculation of the required for the construction cost to the sum of al. Civil engineering cost throughout the project, the efective use of human, financial weakness, can beter benefit our investment, so the control of civil engineering cost measures is very necessary.

  8. Measuring Effectiveness in a Virtual Library

    Science.gov (United States)

    Finch, Jannette L.

    2010-01-01

    Measuring quality of service in academic libraries traditionally includes quantifiable data such as collection size, staff counts, circulation numbers, reference service statistics, qualitative analyses of customer satisfaction, shelving accuracy, and building comfort. In the libraries of the third millennium, virtual worlds, Web content and…

  9. Measuring Effectiveness in a Virtual Library

    Science.gov (United States)

    Finch, Jannette L.

    2010-01-01

    Measuring quality of service in academic libraries traditionally includes quantifiable data such as collection size, staff counts, circulation numbers, reference service statistics, qualitative analyses of customer satisfaction, shelving accuracy, and building comfort. In the libraries of the third millennium, virtual worlds, Web content and…

  10. Netrin-1 rescues neuron loss by attenuating secondary apoptosis in ipsilateral thalamic nucleus following focal cerebral infarction in hypertensive rats.

    Science.gov (United States)

    Liao, S-J; Gong, Q; Chen, X-R; Ye, L-X; Ding, Q; Zeng, J-S; Yu, J

    2013-02-12

    Neurological deficit following cerebral infarction correlates with not only primary injury, but also secondary neuronal apoptosis in remote loci connected to the infarction. Netrin-1 is crucial for axonal guidance by interacting with its receptors, deleted in colorectal cancer (DCC) and uncoordinated gene 5H (UNC5H). DCC and UNC5H are also dependence receptors inducing cell apoptosis when unbound by netrin-1. The present study is to investigate the role of netrin-1 and its receptors in ipsilateral ventroposterior thalamic nucleus (VPN) injury secondary to stroke in hypertensive rats. Renovascular hypertensive Sprague-Dawley rats underwent middle cerebral artery occlusion (MCAO). Continuous intracerebroventricular infusion of netrin-1 (600 ng/d for 7 days) or vehicle (IgG/Fc) was given 24h after MCAO. Neurological function was evaluated by postural reflex 8 and 14 days after MCAO. Then, immunoreactivity was determined in the ipsilateral VPN for NeuN, glial fibrillary acidic protein, netrin-1 and its receptors (DCC and UNC5H2), apoptosis was detected with Terminal deoxynucleotidyl transferase-mediated digoxigenin-dUTP-biotin nick-end labeling (TUNEL) assay, and the expressions of caspase-3, netrin-1, DCC, and UNC5H2 were quantified by western blot analysis. MCAO resulted in the impaired postural reflex after 8 and 14 days, with decreased NeuN marked neurons and increased TUNEL-positive cells, as well as an up-regulation in the levels of cleaved caspase-3 and UNC5H2 protein in the ipsilateral VPN, without significant change in DCC or netrin-1 expression. By exogenous netrin-1 infusion, the number of neurons was increased in the ipsilateral VPN, and both TUNEL-positive cell number and caspase-3 protein level were reduced, while UNC5H2 expression remained unaffected, simultaneously, the impairment of postural reflex was improved. Taken together, the present study indicates that exogenous netrin-1 could rescue neuron loss by attenuating secondary apoptosis in the

  11. Quantum Zeno effects with "pulsed" and "continuous" measurements

    OpenAIRE

    Facchi, P.; Pascazio, S.

    2001-01-01

    The dynamics of a quantum system undergoing measurements is investigated. Depending on the features of the interaction Hamiltonian, the decay can be slowed (quantum Zeno effect) or accelerated (inverse quantum Zeno effect), by changing the time interval between successive (pulsed) measurements or, alternatively, by varying the "strength" of the (continuous) measurement.

  12. Measuring system of high polymers’ pyromagnetic effect

    Institute of Scientific and Technical Information of China (English)

    张永忠; 罗迎社; 粟建新; 马敏伟; 杨占宇; 张亮

    2008-01-01

    The measurement system is the main equipment of the project.Based on the characteristic of experiment system,a sensor array is designed,and used to continually acquire the global magnetic field.A scientific scheme is developed to get the signal processing and temperature compensation for nondirective weak magnetic field.The software of sampling control system is given,which is complied using C language in Labwindows/CVI.Taking computer as main engine,the system can acquire the nondirective weak magnetic field automatically and continuously use the sensor array,the change of magnetic field can be shown in real-time and intuitively.

  13. Evaluating the effectiveness of road mitigation measures

    NARCIS (Netherlands)

    Grift, van der E.A.; Ree, van R.; Fahrig, L.; Houlahan, J.E.; Jaeger, J.A.G.; Klar, N.; Francisco Madriñan, L.; Olson, L.

    2013-01-01

    The last 20 years have seen a dramatic increase in efforts to mitigate the negative effects of roads and traffic on wildlife, including fencing to prevent wildlife-vehicle collisions and wildlife crossing structures to facilitate landscape connectivity. While not necessarily explicitly articulated,

  14. Measuring the Rebound Effect with Micro Data

    DEFF Research Database (Denmark)

    de Borger, Bruno; Mulalic, Ismir; Rouwendal, Jan

    2015-01-01

    We provide estimates of the rebound effect for car transport in Denmark, using a rich data set with individual household data on car use, fuel efficiency, and car as well as household characteristics. A demand model is estimated in first differences; the availability of households in the sample t...

  15. A Model for Measuring Puffery Effects.

    Science.gov (United States)

    Vanden Bergh, Bruce G.; Reid, Leonard N.

    The purpose of this paper is to describe and discuss a conceptual model for experimentally investigating the effects of advertising puffery. The various sections contain a discussion of puffery as a legal concept, a description and discussion of the proposed model, research support for the model, and implications for future research on puffery.…

  16. Measuring the rebound effect with micro data

    DEFF Research Database (Denmark)

    de Borger, Bruno; Mulalic, Ismir; Rouwendal, Jan

    macro data (see, Small and Van Dender (2007); Hymel et al. (2010)). However, the rebound effect is essentially a phenomenon that occurs at the level of the individual actor and it seems appropriate to investigate it on micro data as well. This is the purpose of the present paper. We estimate the rebound...... effect using individual Danish administrative register data. Central to the analysis is a demand equation for car kilometres in which the fuel price and fuel efficiency are the main explanatory variables. We start by imposing the restriction that only fuel cost per kilometre matter (as is suggested...... Danish car. We also model the car switching decision using a Heckman model and incorporating the age of the old car as an additional variable. Preliminary results include the following. First, the data reject the conventional formulation in which only fuel cost per kilometre matters. If we include fuel...

  17. Atmospheric dispersion effects in weak lensing measurements

    CERN Document Server

    Plazas, Andrés A

    2012-01-01

    The wavelength dependence of atmospheric refraction causes elongation of finite-bandwidth images along the elevation vector, which produces spurious signals in weak gravitational lensing shear measurements unless this atmospheric dispersion is calibrated and removed to high precision. Because astrometric solutions and point spread function (PSF) characteristics are typically calibrated from stellar images, differences between the reference stars' spectra and the galaxies' spectra will leave residual errors in both the astrometric positions ($\\Delta{\\bar{R}}$) and in the second moment (width) of the wavelength-averaged PSF ($\\Delta{v}$) for galaxies. We estimate the level of $\\Delta{V}$ that will induce spurious weak lensing signals in PSF-corrected galaxy shapes that exceed the statistical errors of the {\\em Dark Energy Survey (DES)} and the {\\em Large Synoptic Survey Telescope (LSST)} cosmic-shear experiments. We also estimate the $\\Delta{\\bar{R}}$ signals that will produce unacceptable spurious distortions ...

  18. Observation assistants: sitter effectiveness and industry measures.

    Science.gov (United States)

    Harding, Andrew D

    2010-01-01

    Patient safety remains a strategic goal and of societal importance for better health care. Direct observation remains an ineffective and expensive means of providing for patient safety. The nursing quality team found that using assessment tools helped to objectively categorize which patients are at risk. Defining patient volume, actual productive sitter usage, and assessing demand for patients in psychiatric crisis and patients at high risk to fall in the form of average daily census provided an easy-to-translate, familiar unit of measure to compare patient volume to demand and utilization. The sitter utilization case was unable to provide correlation of sitter use to decreased fall rates, elopement, or assault behaviors. Currently, there is no research to suggest the use of constant observation reduces the risk of patient harm related to their risk for falling or harming themselves.

  19. Measurement of Electron Cloud Effects in SPS

    CERN Document Server

    Jiménez, J M

    2004-01-01

    The electron cloud is not a new phenomenon, indeed, it was observed already in other machines like the proton storage rings in BINP Novosibirsk or in the Intersecting Storage Ring (ISR) at CERN. Inside an accelerator beam pipe, the electrons can collectively and coherently interact with the beam potential and degrade the performance of the accelerators operating with intense positively charged bunched beams. In the LHC, electron multipacting is expected to take place in the cold and warm beam pipe due to the presence of the high intensities bunched beams, creating an electron cloud. The additional heat load induced by the electron cloud onto the LHC beam screens of the cold magnets of the LHC bending sections (the arcs represent ~21 km in length) was, and is still, considered as one of the main possible limitation of LHC performances. Since 1997 and in parallel with the SPS studies with LHC-type beams, measurements in other machines or in the laboratory have been made to provide the input parameters required ...

  20. A rare case of concomitant sicca keratopathy and ipsilateral central facial palsy in Wallenberg’s dorsolateral medullary syndrome

    Science.gov (United States)

    De Bruyn, Deborah; Van Aken, Elisabeth; Herman, Kristien

    2017-01-01

    Objective: To describe a patient with a right-sided supranuclear facial palsy and concomitant sicca keratopathy of the right eye following right-sided dorsolateral medullary infarction. Methods: Our patient underwent a complete ophthalmologic and neurologic examination including biomicroscopy, fundus examination, cranial nerve examination, Shirmer I test, and magnetic resonance imaging of the brain. Results: A 61-year-old woman presented in emergency with a central facial nerve palsy on the right side and truncal ataxia. Neurologic assessment revealed a concurrent dysphagia, dysarthria, hypoesthesia of the right face, and weakness of the right upper limb. Magnetic resonance imaging of the brain showed an old left-sided cerebellar infarction, but a recent ischemic infarction at the level of the right dorsolateral medulla oblongata was the cause of our patient’s current problems. One month after diagnosis of the right-sided dorsolateral medullary syndrome, there were complaints of ocular irritation and a diminished visual acuity in the right eye. Biomicroscopy showed a sicca keratopathy with nearly complete absence of tear secretion on the Shirmer I test, but with normal eye closure and preserved corneal reflexes and sensitivity. Conclusion: A dorsolateral medullary syndrome can have a variable expression in symptomatology. Our case is special because of the combination of an ipsilateral supranuclear facial palsy with normal upper facial muscle function together with an ipsilateral sicca keratopathy as a result of a nearly absent tear secretion. We hypothesized that the mechanism underlying the patient’s sicca keratopathy ipsilateral to the supranuclear facial palsy involved the superior salivatory nucleus, which is situated in the caudal pons inferiorly of the motor facial nucleus and is most probably affected by a superior extension of the infarcted area in the right medulla oblongata. PMID:28293537

  1. A rare case of concomitant sicca keratopathy and ipsilateral central facial palsy in Wallenberg’s dorsolateral medullary syndrome

    Directory of Open Access Journals (Sweden)

    De Bruyn, Deborah

    2017-03-01

    Full Text Available Objective: To describe a patient with a right-sided supranuclear facial palsy and concomitant sicca keratopathy of the right eye following right-sided dorsolateral medullary infarction. Methods: Our patient underwent a complete ophthalmologic and neurologic examination including biomicroscopy, fundus examination, cranial nerve examination, Shirmer I test, and magnetic resonance imaging of the brain.Results: A 61-year-old woman presented in emergency with a central facial nerve palsy on the right side and truncal ataxia. Neurologic assessment revealed a concurrent dysphagia, dysarthria, hypoesthesia of the right face, and weakness of the right upper limb. Magnetic resonance imaging of the brain showed an old left-sided cerebellar infarction, but a recent ischemic infarction at the level of the right dorsolateral medulla oblongata was the cause of our patient’s current problems. One month after diagnosis of the right-sided dorsolateral medullary syndrome, there were complaints of ocular irritation and a diminished visual acuity in the right eye. Biomicroscopy showed a sicca keratopathy with nearly complete absence of tear secretion on the Shirmer I test, but with normal eye closure and preserved corneal reflexes and sensitivity.Conclusion: A dorsolateral medullary syndrome can have a variable expression in symptomatology. Our case is special because of the combination of an ipsilateral supranuclear facial palsy with normal upper facial muscle function together with an ipsilateral sicca keratopathy as a result of a nearly absent tear secretion. We hypothesized that the mechanism underlying the patient’s sicca keratopathy ipsilateral to the supranuclear facial palsy involved the superior salivatory nucleus, which is situated in the caudal pons inferiorly of the motor facial nucleus and is most probably affected by a superior extension of the infarcted area in the right medulla oblongata.

  2. Ipsilateral hippocampal atrophy is associated with long-term memory dysfunction after ischemic stroke in young adults.

    Science.gov (United States)

    Schaapsmeerders, Pauline; van Uden, Inge W M; Tuladhar, Anil M; Maaijwee, Noortje A M; van Dijk, Ewoud J; Rutten-Jacobs, Loes C A; Arntz, Renate M; Schoonderwaldt, Hennie C; Dorresteijn, Lucille D A; de Leeuw, Frank-Erik; Kessels, Roy P C

    2015-07-01

    Memory impairment after stroke in young adults is poorly understood. In elderly stroke survivors memory impairments and the concomitant loss of hippocampal volume are usually explained by coexisting neurodegenerative disease (e.g., amyloid pathology) in interaction with stroke. However, neurodegenerative disease, such as amyloid pathology, is generally absent at young age. Accumulating evidence suggests that infarction itself may cause secondary neurodegeneration in remote areas. Therefore, we investigated the relation between long-term memory performance and hippocampal volume in young patients with first-ever ischemic stroke. We studied all consecutive first-ever ischemic stroke patients, aged 18-50 years, admitted to our academic hospital center between 1980 and 2010. Episodic memory of 173 patients was assessed using the Rey Auditory Verbal Learning Test and the Rey Complex Figure and compared with 87 stroke-free controls. Hippocampal volume was determined using FSL-FIRST, with manual correction. On average 10 years after stroke, patients had smaller ipsilateral hippocampal volumes compared with controls after left-hemispheric stroke (5.4%) and right-hemispheric stroke (7.7%), with most apparent memory dysfunctioning after left-hemispheric stroke. A larger hemispheric stroke was associated with a smaller ipsilateral hippocampal volume (b=-0.003, P<0.0001). Longer follow-up duration was associated with smaller ipsilateral hippocampal volume after left-hemispheric stroke (b=-0.028 ml, P=0.002) and right-hemispheric stroke (b=-0.015 ml, P=0.03). Our results suggest that infarction is associated with remote injury to the hippocampus, which may lower or expedite the threshold for cognitive impairment or even dementia later in life. © 2015 Wiley Periodicals, Inc.

  3. Herlyn-Werner-Wunderlich Syndrome Consisting of Uterine Didelphys, Obstructed Hemivagina and Ipsilateral Renal Agenesis in a Newborn

    Directory of Open Access Journals (Sweden)

    Tsung-Hsin Wu

    2012-02-01

    Full Text Available Herlyn-Werner-Wunderlich (HWW syndrome is a rare variant of Müllerian duct anomalies consisting of uterine didelphys, obstructed hemivagina, and ipsilateral renal agenesis. Patients with HWW syndrome are usually asymptomatic until menarche, when they present with acute lower abdominal pain. Here we report a case of a female newborn with right renal agenesis diagnosed during the pregnancy. The patient presented with a protruding mass over the vaginal introitus that was associated with an obstructed hemivagina and uterine didelphys.

  4. Corneal Cross-Linking for the Treatment of Keratoconus in a Patient with Ipsilateral Myelinated Retinal Nerve Fiber Layer

    Directory of Open Access Journals (Sweden)

    M. Leozappa

    2011-03-01

    Full Text Available Keratoconus associated with myelinated retinal nerve fibers is not frequent and the relationship between the two pathologies is difficult to explain, therefore studies and further investigation are required. The etiology of each condition may suggest the role of genetic factors. Follow-up is important to evaluate the progression of keratoconus and myelination. Here we describe the unusual coexistence of keratoconus and ipsilateral myelinated retinal nerve fiber layer and, for the first time, the corneal cross-linking treatment in this condition.

  5. Ipsilateral irradiation for well lateralized carcinomas of the oral cavity and oropharynx: results on tumor control and xerostomia

    Directory of Open Access Journals (Sweden)

    Marín Alicia

    2009-09-01

    Full Text Available Abstract Background In head and neck cancer, bilateral neck irradiation is the standard approach for many tumor locations and stages. Increasing knowledge on the pattern of nodal invasion leads to more precise targeting and normal tissue sparing. The aim of the present study was to evaluate the morbidity and tumor control for patients with well lateralized squamous cell carcinomas of the oral cavity and oropharynx treated with ipsilateral radiotherapy. Methods Twenty consecutive patients with lateralized carcinomas of the oral cavity and oropharynx were treated with a prospective management approach using ipsilateral irradiation between 2000 and 2007. This included 8 radical oropharyngeal and 12 postoperative oral cavity carcinomas, with Stage T1-T2, N0-N2b disease. The actuarial freedom from contralateral nodal recurrence was determined. Late xerostomia was evaluated using the European Organization for Research and Treatment of Cancer QLQ-H&N35 questionnaire and the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE, version 3. Results At a median follow-up of 58 months, five-year overall survival and loco-regional control rates were 82.5% and 100%, respectively. No local or contralateral nodal recurrences were observed. Mean dose to the contralateral parotid gland was 4.72 Gy and to the contralateral submandibular gland was 15.30 Gy. Mean score for dry mouth was 28.1 on the 0-100 QLQ-H&N35 scale. According to CTCAE v3 scale, 87.5% of patients had grade 0-1 and 12.5% grade 2 subjective xerostomia. The unstimulated salivary flow was > 0.2 ml/min in 81.2% of patients and 0.1-0.2 ml/min in 19%. None of the patients showed grade 3 xerostomia. Conclusion In selected patients with early and moderate stages, well lateralized oral and oropharyngeal carcinomas, ipsilateral irradiation treatment of the primary site and ipsilateral neck spares salivary gland function without compromising loco-regional control.

  6. Evaluating the effects of parking policy measures in nature areas

    NARCIS (Netherlands)

    Beunen, R.; Jaarsma, C.F.; Regnerus, H.D.

    2006-01-01

    Parking policy measures are widely used to manage cars in nature areas. Only with data from long-term monitoring projects is it possible to separate ¿normal¿ fluctuation in the number of cars from fluctuation caused by trends or caused by the effects of these measures. An evaluation of measures

  7. Effectiveness and reliability analysis of emergency measures for flood prevention

    NARCIS (Netherlands)

    Lendering, K.T.; Jonkman, S.N.; Kok, M.

    2014-01-01

    During flood events emergency measures are used to prevent breaches in flood defences. However, there is still limited insight in their reliability and effectiveness. The objective of this paper is to develop a method to determine the reliability and effectiveness of emergency measures for flood

  8. Measuring Effects on the Clinical Practice from a Configured EHR

    DEFF Research Database (Denmark)

    Møller-Jensen, John; Simonsen, Jesper; K. Iversen, Rikke

    2006-01-01

    during a series of workshops with the clinicians after which the XML configuration files were written and deployed. In parallel with this, the participants from the University specified a number of effects related to the clinical practice to be measured. Measurements were focused on the requested effects...

  9. Effectiveness and reliability analysis of emergency measures for flood prevention

    NARCIS (Netherlands)

    Lendering, K.T.; Jonkman, S.N.; Kok, M.

    2014-01-01

    During flood events emergency measures are used to prevent breaches in flood defences. However, there is still limited insight in their reliability and effectiveness. The objective of this paper is to develop a method to determine the reliability and effectiveness of emergency measures for flood def

  10. Assessing Organizational Effectiveness: The Role of Performance Measures

    Science.gov (United States)

    Matthews, Joseph R.

    2011-01-01

    A brief overview of the challenges associated with demonstrating organizational effectiveness and the role of performance measures as surrogates for demonstrating effectiveness are provided. The complexity of analysis and the importance of use of performance measures provide a way to review the strengths and weakness of eight different ways to…

  11. Assessing Organizational Effectiveness: The Role of Performance Measures

    Science.gov (United States)

    Matthews, Joseph R.

    2011-01-01

    A brief overview of the challenges associated with demonstrating organizational effectiveness and the role of performance measures as surrogates for demonstrating effectiveness are provided. The complexity of analysis and the importance of use of performance measures provide a way to review the strengths and weakness of eight different ways to…

  12. Thermal diffusivity effect in opto-thermal skin measurements

    Energy Technology Data Exchange (ETDEWEB)

    Xiao, P; Imhof, R E [Faculty of ESBE, London South Bank University, 103 Borough Road, London SE1 0AA (United Kingdom); Cui, Y [Sunrise Systems Limited, Flint Bridge Business Centre, Ely Road, Waterbeach, Cambridge CB5 9QZ (United Kingdom); Ciortea, L I; Berg, E P, E-mail: xiaop@lsbu.ac.u [Biox Systems Ltd, 103 Borough Road, London SE1 0AA (United Kingdom)

    2010-03-01

    We present our latest study on the thermal diffusivity effect in opto-thermal skin measurements. We discuss how thermal diffusivity affects the shape of opto-thermal signal, and how to measure thermal diffusivity in opto-thermal measurements of arbitrary sample surfaces. We also present a mathematical model for a thermally gradient material, and its corresponding opto-thermal signal. Finally, we show some of our latest experimental results of this thermal diffusivity effect study.

  13. [The Role of Supraclavicular lymph node dissection in Breast Cancer Patients with Synchronous Ipsilateral Supraclavicular Lymph Node Metastasis].

    Science.gov (United States)

    Zhang, W; Qi, X M; Chen, A X; Zhang, P; Cao, X C; Xiao, C H

    2017-05-23

    Objective: In this study, we evaluated the effect of supraclavicular lymph node dissection in breast cancer patients who presented with ipsilateral supraclavicular lymph node metastasis (ISLM) without distant metastasis. Methods: A total of 90 patients with synchronous ISLM without distant metastasis between 2000 and 2009 were retrospectively analyzed. Patients were retrospectively divided into two groups, namely supraclavicular lymph node dissection group(34 patients) and non-dissection group(56 patients), according to whether they underwentsupraclavicular lymph node dissection or not.The Kaplan-Meier method was applied to analyze the locoregional relapse free survival (LRFS) and overall survival(OS). Results: Median follow-upwas 85 months(range, 6 to 11 months). Local recurrence in 32 cases, 47 cases of distant metastasis, of which 25 patients were accompanied by both locoregional relapse and distant metastasis. Of the 32 patients with locoregional relapse, 11 patients were in the lymph node dissection group and 21 patients in the control group. Of the 47 patients with distant metastases, 17 were treated with lymph node dissection, 30 in the control group. Thirty-two patients died in the whole group and 16 patients underwentlymph node dissection and 16 patients didn't. There was no significant difference between the rate of 5-year LRFS and 5-year OS (P=0.359, P=0.246). For patients of ER negative, the 5-year loco-regional relapse free survival rates were 63.7% and 43.3% in supraclavicular lymph node dissection group and control group, respectively. The 5-year overall survival rates were 52.1% and 52.3%, respectively, and there were no statistically significant differences (P=0.118, P=0.951). For patients of PR negative, the 5-yearloco-regional relapse free rates were 59.8% and 46.2%, respectively, and the 5-year overall survival rates were 50.6% and 43.2%, respectively, and there was no significant difference between the two groups (P=0.317, P=0.973). The 5-year

  14. Ipsilateral Putamen and Insula Activation by Both Left and Right GB34 Acupuncture Stimulation: An fMRI Study on Healthy Participants.

    Science.gov (United States)

    Yeo, Sujung; van den Noort, Maurits; Bosch, Peggy; Lim, Sabina

    2016-01-01

    The modulatory effects on the brain during right versus left side acupuncture stimulation of the same acupuncture point have been a subject of controversy. For clarification of this important methodological issue, the present study was designed to compare the blood oxygen level-dependent responses of acupuncture stimulation on the right versus left Yanglingquan (GB34). Twenty-two healthy subjects received right or left GB34 acupuncture. Our results show that acupuncture on the left GB34 induced neural responses in the left putamen, caudate body, insula, postcentral gyrus, claustrum, right and left thalamus, right middle frontal gyrus, hypothalamus, and subthalamic nucleus. Acupuncture on the right GB34 induced neural responses in the right middle frontal gyrus, inferior parietal lobule, thalamus, putamen, lateral globus pallidus, medial globus pallidus, and insula. Interestingly, the putamen and insula were ipsilaterally activated by acupuncture on either the left or right GB34; therefore, they seem to be the main target areas affected by GB34 acupuncture. This is the first reported functional magnetic resonance imaging study directly comparing needling on the right and left GB34. Although more replication studies are needed, our preliminary results prove that acupuncture has different modulatory effects on the brain when performed on the right versus left side.

  15. Correlation between US and MRI for prenatal lung volumetry in diaphragmatic hernia, and use of Doppler to identify the ipsilateral lung cap

    Energy Technology Data Exchange (ETDEWEB)

    Castellote, Amparo; Mencho, Sandra; Cadavid, Lina; Piqueras, Joaquim; Enriquez, Goya [University Children' s Hospital Vall d' Hebron, Department of Pediatric Radiology, Barcelona (Spain); Carreras, Elena; Higueras, Teresa [University Hospital Vall d' Hebron, Department of Obstetrics and Gynecology, Barcelona (Spain)

    2011-12-15

    Pulmonary hypoplasia is a common cause of neonatal death. To describe the correlation between relative fetal lung volume (RFLV) and lung-to-head ratio (LHR) in fetuses with unilateral diaphragmatic hernia. Additionally, to describe identification of the ipsilateral lung cap by power Doppler. Single-institution study of consecutive fetuses with diaphragmatic hernia. LHR (by US) and RFLV (by MRI) were correlated in fetuses with and without an ipsilateral lung cap seen at MRI. In four, color/power Doppler was used to follow the pulmonary artery of the ipsilateral lung to identify the compressed cap. The study included 48 fetuses of 20-38 weeks' gestational age (mean, 26 weeks). Mean LHR was 1.52 (range, 0.6-3) in fetuses with a lung cap and 1.15 (range, 0.6-2.58) in fetuses without (P = 0.043). Mean RFLV was 47.4% (range, 18-80%) in fetuses with and 32.9% (range, 14-57%) in fetuses without a lung cap (P = 0.005). RFLV and LHR correlated (r = 0.41, P = 0.01 in those with a cap; r = 0.50, P = 0.05 in those without). Power Doppler identified the ipsilateral lung cap and pulsed Doppler confirmed pulmonary vascularization in four of four fetuses. LHR underestimates lung volume in fetuses with an ipsilateral lung cap. Power Doppler may be useful for identifying the cap. (orig.)

  16. A comprehensive bibliography on effectiveness measurement of manufacturing systems

    Directory of Open Access Journals (Sweden)

    Sandeep Grover

    2012-08-01

    Full Text Available Globalization has put fierce competition for manufacturing managers in terms of flexibility, smaller lead times, competitive costs, etc. To attain these capabilities, manufacturing managers are taking heedless decisions for investing in advanced manufacturing technologies, without measuring their actual effectiveness for their organisations. There is a need to measure the effectiveness of manufacturing systems to make better future policies and investment planning. This paper provides a comprehensive bibliography on the techniques and their rationale in the effectiveness measurement of advanced manufacturing systems. The paper cites 265 articles from a variety of published sources. The list contains published research mainly from 1990 to 2012 and a selected published work prior to 1990.

  17. Accurate measurement of ultrasonic velocity by eliminating the diffraction effect

    Institute of Scientific and Technical Information of China (English)

    WEI Tingcun

    2003-01-01

    The accurate measurement method of ultrasonic velocity by the pulse interferencemethod with eliminating the diffraction effect has been investigated in VHF range experimen-tally. Two silicate glasses were taken as the specimens, their frequency dependences of longitu-dinal velocities were measured in the frequency range 50-350 MHz, and the phase advances ofultrasonic signals caused by diffraction effect were calculated using A. O. Williams' theoreticalexpression. For the frequency dependences of longitudinal velocities, the measurement resultswere in good agreement with the simulation ones in which the phase advances were included.It has been shown that the velocity error due to diffraction effect can be corrected very well bythis method.

  18. Micro-four-point Probe Hall effect Measurement method

    DEFF Research Database (Denmark)

    Petersen, Dirch Hjorth; Hansen, Ole; Lin, Rong

    2008-01-01

    barriers and with a magnetic field applied normal to the plane of the sheet. Based on this potential, analytical expressions for the measured four-point resistance in presence of a magnetic field are derived for several simple sample geometries. We show how the sheet resistance and Hall effect......We report a new microscale Hall effect measurement method for characterization of semiconductor thin films without need for conventional Hall effect geometries and metal contact pads. We derive the electrostatic potential resulting from current flow in a conductive filamentary sheet with insulating...... contributions may be separated using dual configuration measurements. The method differs from conventional van der Pauw measurements since the probe pins are placed in the interior of the sample region, not just on the perimeter. We experimentally verify the method by micro-four-point probe measurements...

  19. Experimental verification of depolarization effects in bioelectrical impedance measurement.

    Science.gov (United States)

    Chen, Xiaoyan; Lv, Xinqiang; Du, Meng

    2014-01-01

    The electrode polarization effects on bioelectrical impedance measurement at low-frequency cannot be ignored. In this paper, the bioelectrical data of mice livers are measured to specify the polarization effects on the bio-impedance measurement data. We firstly introduce the measurement system and methodology. Using the depolarization method, the corrected results are obtained. Besides, the specific effects of electrode polarization on bio-impedance measurement results are investigated using comparative analysis of the previous and posterior correction results from dielectric spectroscopy, Cole-Cole plot, conductivity and spectroscopy of dissipation tangent. Experimental results show that electrode polarization has a significant influence on the characteristic parameters of mouse liver tissues. To be specific, we see a low-frequency limit resistance R0 increase by 19.29%, a reactance peak XP increase by 8.50%, a low-frequency limit conductivity Kl decrease by 17.65% and a dissipation peak tangent decrease by 160%.

  20. Climate change: Causes, effects and mitigation measures- A review ...

    African Journals Online (AJOL)

    Climate change: Causes, effects and mitigation measures- A review. ... far more than at any time in the last 650,000 years resulting in climate change or global warming. ... loss of biodiversity, food insecurity, decreased animal health et cetera.

  1. Setting Minimum Standards for Measuring Public Relations Effectiveness.

    Science.gov (United States)

    Lindenmann, Walter K.

    1997-01-01

    Reviews and discusses the new 28-page booklet defining "Guidelines and Standards for Measuring and Evaluating PR Effectiveness." States that it is the result of a nine-month project carried out by an eight-member task force. (PA)

  2. Distributed collaborative team effectiveness: measurement and process improvement

    Science.gov (United States)

    Wheeler, R.; Hihn, J.; Wilkinson, B.

    2002-01-01

    This paper describes a measurement methodology developed for assessing the readiness, and identifying opportunities for improving the effectiveness, of distributed collaborative design teams preparing to conduct a coccurent design session.

  3. Layer of protection analysis: Selecting cost effective safety measures

    NARCIS (Netherlands)

    Boers, M.N.; Gort, J.; Versloot, N.H.A.

    2006-01-01

    Traditionally, in process industry risks are reduced by applying technical solutions and taking organisational measures. The performance of both types of 'solutions' depends on many factors and can not easily be compared. Especially the effectiveness of organisational measures such as the use of pro

  4. Conditional linear-optical measurement schemes generate effective photon nonlinearities

    CERN Document Server

    Lapaire, G G; Dowling, J P; Sipe, J E; Dowling, Jonathan P.

    2003-01-01

    We provide a general approach for the analysis of optical state evolution under conditional measurement schemes, and identify the necessary and sufficient conditions for such schemes to simulate unitary evolution on the freely propagating modes. If such unitary evolution holds, an effective photon nonlinearity can be identified. Our analysis extends to conditional measurement schemes more general than those based solely on linear optics.

  5. Accurate micro Hall effect measurements on scribe line pads

    DEFF Research Database (Denmark)

    Østerberg, Frederik Westergaard; Petersen, Dirch Hjorth; Wang, Fei

    2009-01-01

    Hall mobility and sheet carrier density are important parameters to monitor in advanced semiconductor production. If micro Hall effect measurements are done on small pads in scribe lines, these parameters may be measured without using valuable test wafers. We report how Hall mobility can...

  6. Effectiveness Monitoring Report, MWMF Tritium Phytoremediation Interim Measures.

    Energy Technology Data Exchange (ETDEWEB)

    Hitchcock, Dan; Blake, John, I.

    2003-02-10

    This report describes and presents the results of monitoring activities during irrigation operations for the calendar year 2001 of the MWMF Interim Measures Tritium Phytoremediation Project. The purpose of this effectiveness monitoring report is to provide the information on instrument performance, analysis of CY2001 measurements, and critical relationships needed to manage irrigation operations, estimate efficiency and validate the water and tritium balance model.

  7. Molecular clonality relationships in initial carcinomas, ipsilateral breast failures, and distant metastases in patients treated with breast-conserving therapy: evidence suggesting that some distant metastases are derived from ipsilateral breast failures and that metastases can metastasize.

    Science.gov (United States)

    Goldstein, Neal S; Vicini, Frank A; Hunter, Susan; Odish, Eva; Forbes, Suzy; Kestin, Larry L

    2005-07-01

    We studied the clonality relationships in invasive breast carcinomas, ipsilateral breast failures (IBFs), and distant metastases (DMs) using a polymerase chain reaction-loss of heterozygosity (LOH) clonality assay to determine whether IBFs can be the source of DMs. Six cases of initial carcinomas, IBFs, and DMs were identified. Carcinoma DNA was extracted from paraffin blocks and analyzed with 20 markers. In 2 cases, the LOH pattern suggested the DM directly resulted from the IBF. In 2 cases, the initial carcinoma, IBF, and DM were one progressive, genetically unstable process. Separate subclones in the initial carcinoma gave rise to the IBF and DM in 1 case, and the DM derived from a second IBF in 1 case. The relationships of initial carcinomas, IBFs, and DMs are complex. DMs seem to be the direct result of IBFs in some cases. Some carcinomas seem to be composed of subclones with different and unrelated IBF and DM potential.

  8. Comparative study of induction chemotherapy and chemoradiotherapy in the treatment of limited-disease small cell lung cancer with ipsilateral pleural effusion%诱导化疗与放化疗联合治疗合并同侧胸腔积液局限期小细胞肺癌的对比研究

    Institute of Scientific and Technical Information of China (English)

    Ying Liu; Xuerong Zuo; Caixia Zhang; Ying Cheng

    2012-01-01

    Objective: The aim of the study was to explore the effects and side effects of induction chemotherapy followed by chemoradiotherapy for limited-disease small cell lung cancer (LD-SCLC) patients with ipsilateral pleural effusion.Methods: From January 2005 to May 2009, 52 LD-SCLC patients with ipsilateral pleural effusion were treated with induction chemotherapy got disappearance of pleural effusion after chemotherapy were underwent thoracic radiotherapy (TRT; 50 Gy/25 fraction) or same chemotherapy regimen; patients without disappearance or with increasing of pleural effusion after chemotherapy were given same chemotherapy regimen.Therapeutic effect was evaluated every two cycles according to RECIST 1.0 and side-effects were evaluated every cycle according to NCI-CTC AE Grades.All patients were followed up, and the median follow-up time was 26 months.Results: The response rate of patients was 80.7% (42/52) after induction chemotherapy and 34 patients got disappearance of pleural effusion.The median survival time, 1- and 2-year survival rates were 15.4 months, 76.9% (40 /52) and 38.5% (20 /52) respectively.The median survival time, 1- and 2-year survival rates of patients with pleural effusion remission received chest radiotherapy (A group, n = 20), patients with pleural effusion remission received chemotherapy (B group, n = 14) and patients without pleural effusion remission received chemotherapy (C group, n = 18) were 21.5 months, including myelosuppression, fatigue, nausea and vomiting.No therapeutic related death was occurred.Conclusion: Induction chemotherapy plus chemoradiotherapy has shown better effect in prolonging survival of small cell lung cancer (SCLC) patients with ipsilateral pleural effusion than chemotherapy alone.The patients with decreased ipsilateral pleural effusion may receive benefit from subsequent TRT.

  9. Supersonic Relative Velocity Effect on the Baryonic Acoustic Oscillation Measurements

    CERN Document Server

    Yoo, Jaiyul; Seljak, Uros

    2011-01-01

    We investigate the effect of supersonic relative velocities between baryons and dark matter, recently shown to arise generically at high redshift, on baryonic acoustic oscillation (BAO) measurements at low redshift. The amplitude of the relative velocity effect at low redshift is model-dependent, but can be parameterized by using an unknown bias. We find that if unaccounted, the relative velocity effect can shift the BAO peak position and bias estimates of the dark energy equation-of-state due to its non-smooth, out-of-phase oscillation structure around the BAO scale. Fortunately, the relative velocity effect can be easily modeled in constraining cosmological parameters without substantially inflating the error budget. We also demonstrate that the presence of the relative velocity effect gives rise to a unique signature in the galaxy bispectrum, which can be utilized to isolate this effect. Future dark energy surveys can accurately measure the relative velocity effect and subtract it from the power spectrum a...

  10. Simultaneous monteggia type I fracture equivalent with ipsilateral fracture of the distal radius and ulna in a child: a case report

    Directory of Open Access Journals (Sweden)

    Sood Asheesh

    2008-06-01

    Full Text Available Abstract Introduction Simultaneous Monteggia injuries of the elbow and ipsilateral distal radius and ulna fractures are very rare. Case Presentation A unique case of a type I Monteggia fracture equivalent with ipsilateral fracture of the distal radius and ulna (Salter-Harris type II in a child is reported. We describe the management of this unique fracture and discuss the possible mechanism of injury. Conclusion We have highlighted a rare combination of injuries. Early recognition and prompt surgical intervention can lead to a satisfactory outcome even in these complex injuries.

  11. Effective UV radiation from model calculations and measurements

    Science.gov (United States)

    Feister, Uwe; Grewe, Rolf

    1994-01-01

    Model calculations have been made to simulate the effect of atmospheric ozone and geographical as well as meteorological parameters on solar UV radiation reaching the ground. Total ozone values as measured by Dobson spectrophotometer and Brewer spectrometer as well as turbidity were used as input to the model calculation. The performance of the model was tested by spectroradiometric measurements of solar global UV radiation at Potsdam. There are small differences that can be explained by the uncertainty of the measurements, by the uncertainty of input data to the model and by the uncertainty of the radiative transfer algorithms of the model itself. Some effects of solar radiation to the biosphere and to air chemistry are discussed. Model calculations and spectroradiometric measurements can be used to study variations of the effective radiation in space in space time. The comparability of action spectra and their uncertainties are also addressed.

  12. Method for effective dead time measurement in counting systems

    Energy Technology Data Exchange (ETDEWEB)

    Vinagre, F.L.R. E-mail: fleonor@saturno.fis.uc.pt; Conde, C.A.N

    2001-04-21

    The counting losses introduced by the dead time of a counting system are a limiting factor in counting measurements. The purpose of this work is to report an efficient method for the measurement of the effective dead time of a counting system and to characterize its dead time behavior, providing a way to investigate each experimental situation. The method, which we designate as Delayed and Mixed Pulses method, is based on the artificial piling-up of detector pulses with electronic pulses delayed by a specific time interval. It is applicable to the measurement of the effective dead time of a counting system, including both pile-up effects and the dead time characteristics of the elements of the counting chain. With counting systems relying on gaseous radiation detectors, we achieved a standard uncertainty of about 5-10% in the dead times measured.

  13. Validating an Observation Protocol to Measure Special Education Teacher Effectiveness

    Science.gov (United States)

    Johnson, Evelyn S.; Semmelroth, Carrie L.

    2015-01-01

    This study used Kane's (2013) Interpretation/Use Argument (IUA) to measure validity on the Recognizing Effective Special Education Teachers (RESET) observation tool. The RESET observation tool is designed to evaluate special education teacher effectiveness using evidence-based instructional practices as the basis for evaluation. In alignment with…

  14. Hemifacial hyperhidrosis associated with ipsilateral/contralateral cervical disc herniation myelopathy. Functional considerations on how compression pattern determines the laterality.

    Science.gov (United States)

    Iwase, Satoshi; Inukai, Yoko; Nishimura, Naoki; Sato, Maki; Sugenoya, Junichi

    2014-01-01

    Sweating is an important mechanism for ensuring constant thermoregulation, but hyperhidrosis may be disturbing. We present five cases of hemifacial hyperhidrosis as a compensatory response to an/hypohidrosis caused by cervical disc herniation. All the patients complained of hemifacial hyperhidrosis, without anisocoria or blepharoptosis. Sweat function testing and thermography confirmed hyperhidrosis of hemifacial and adjacent areas. Neck MRI showed cervical disc herniation. Three of the patients had lateral compression with welldemarcated hypohidrosis below the hyperhidrosis on the same side as the cervical lesion. The rest had paramedian compression with poorly demarcated hyperhidrosis and hypohidrosis on the contralateral side. Although MRI showed no intraspinal pathological signal intensity, lateral dural compression might influence the circulation to the sudomotor pathway, and paramedian compression might influence the ipsilateral sulcal artery, which perfuses the sympathetic descending pathway and the intermediolateral nucleus. Sweat function testing and thermography should be performed to determine the focus of the hemifacial hyperhidrosis, and the myelopathy should be investigated on both sides.

  15. Necrotizing granulomatous inflammation in an ipsilateral axillary lymph node in a patient with invasive ductal carcinoma of the breast.

    Science.gov (United States)

    Yang, Limin; Park, Jeong Mi; Askeland, Ryan W; Fajardo, Laurie L

    2012-01-01

    A patient presented with flu-like symptoms and a warm, tender area in the left axilla after working with an ancient piece of Cyprus wood. Antibiotics prescribed failed to improve symptoms. Followup physical examination and subsequent ultrasound found suspicious left-breast mass and an enlarged lymph node in the left axilla. Biopsy and lumpectomy of the left-breast mass revealed invasive ductal carcinoma. Biopsy and excision of the enlarged lymph node in the left axilla revealed necrotizing granulomatous inflammation without evidence of metastatic breast carcinoma. To our knowledge, this is the first case report to show the coexistence of breast cancer with necrotizing granulomatous inflammation in the ipsilateral axillary lymph node, likely due to exposure to ancient wood.

  16. Ipsilateral idiopathic gingival enlargement and it's management using conventional gingivectomy and diode laser: A recurrent case after 15 years.

    Science.gov (United States)

    Devi, Potharaju Kamala; Kumar, Gudi Pavan; Bai, Yendluri Durga; Ammaji, Annamdevula Durga

    2013-05-01

    Idiopathic gingival fibromatosis is a relatively rare condition characterized by the proliferation of the gingival tissues resulting in masticatory, esthetics, phonetics and psychological disturbances. The severity of the overgrowth can range from a solitary isolated mass to a more generalized and diffused enlargement. The etiopathogenesis of this bizarre condition is poorly understood and has been attributed to various factors. It can present as a single disorder or may manifest as part of a syndrome. This case reports an ipsilateral diffused idiopathic gingival enlargement in a middle aged adult recurring after a gap of 15 years. External bevel gingivectomy on the buccal aspects of maxillary and mandibular gingiva and diode laser for excision of the enlarged tissue on the lingual/palatal aspect was carried out to eliminate the excessive tissue. Periodic recalls showed maintenance of good oral hygiene and 1 year follow-up revealed no recurrence.

  17. Ipsilateral combination of Galeazzi and Monteggia fractures in a ten-year-old patient: a case report.

    Science.gov (United States)

    Akalin, Yavuz; Akinci, Orhan; Kayali, Cemil

    2010-01-01

    Galeazzi fractures represent approximately 3 to 6 percent of forearm fractures, whereas Monteggia fractures represent 1 to 2 percent. The combination of these injuries in the same extremity is an exceedingly rare occurrence. We report a case of ipsilateral combination of Galeazzi and Monteggia fractures in a ten-year-old patient. The patient was treated with closed reduction and internal fixation with Kirschner pins. The distal radioulnar and radiocapitellar joint relationships were restored and the fractures healed. The patient proceeded to obtain a satisfactory functional result three years later. Internal fixation is a safe method for such complex forearm fractures in older children and allows post-operative rehabilitation with the advantage of early mobilization.

  18. Fractured Inferior Pubic Ramus with Ipsilateral Total Hip Replacement: A Case Report and Review of the Literature

    Directory of Open Access Journals (Sweden)

    Sarkhell Radha

    2013-01-01

    Full Text Available Pubic rami fractures are common. They are associated with significant morbidity and mortality. These fractures are usually classified as stable injuries and traditionally receive limited orthopaedic input. Management typically involves hospital admission and early input from physiotherapists and occupational therapists. Early mobilisation is advocated as a central part of managing these patients, with emphasis on secondary prevention. We report a case diagnosed as minimally displaced inferior pubic ramus fracture in a patient with an ipsilateral total hip replacement (THR. The patient was mobilised early and despite analgesia continued to complain of groin pain. Repeat radiographs showed a fracture of the acetabulum with displacement of the acetabular component of the hip replacement. We advocate early orthopaedic input for all pubic rami fractures, particularly in patients with hip arthroplasty, and thorough investigation including a CT scan of the pelvis to exclude acetabular extension prior to mobilisation.

  19. Right cerebellar infarction due to ipsilateral neck-rotation-induced right vertebral artery compression and occlusion, demonstrated by CT angiography

    Directory of Open Access Journals (Sweden)

    Rongli Wu, MD

    2015-01-01

    Full Text Available Rotation-induced vertebral artery compression and occlusion with the outcome of cerebellar infarction (as opposed to the outcome of transient ischemia from hemodynamic insufficiency, known as bow hunter's stroke is extremely rare. We report a 40-year-old male who suffered from ipsilateral neck-rotation-induced right vertebral artery compression and occlusion that resulted in right cerebellar infarction. In most reported cases, the rotation-compressed vertebral artery is located at the C1–2 level; however, our patient's compressed artery was located at the C6–7 level as demonstrated clearly by 3-dimensional CT angiography. This case report is based on a literature review and an investigation of the likely factors of this specific incident via the patient's personal details, clinical course, and diagnostic images.

  20. A rare case of bicondylar Hoffa fracture associated with ipsilateral tibial spine avulsion and extensor mechanism disruption

    Institute of Scientific and Technical Information of China (English)

    Kamal Bali; Aditya Krishna Mootha; Vibhu Krishnan; Vishal Kumar; Saurabh Rawall

    2011-01-01

    Intra-articular coronal fractures (Hoffas fractures) of distal femur are rare. Although bicondylar involvement in these fractures has been reported in the literature in association with high velocity traumata, the occurrence of these fractures involving extensor mechanism rupture and avulsion of ipsilateral tibial spine is extremely rare. To our acquaintance, such a fracture pattern has not yet been reported in the literature so far. In this article, we report one such case and discuss the importance of early diagnosis and prompt internal fixation in the management of such cases. We believe that these rare combinations of injuries should be treated aggressively by early open reduction and anatomic rigid internal fixation in order toachieve good recovery of function.

  1. Luxación postero-lateral de codo asociada a fractura ipsilateral de diáfisis de radio.

    OpenAIRE

    Mifsut Miedes, Damian; Segura, F; Gomar Sancho, Francisco

    2013-01-01

    El objetivo del presente trabajo es describir una asociación poco frecuente de lesiones en el antebrazo, con luxación posterior de codo y fractura diafisaria ipsilateral de radio, describir el mecanismo de producción y revisión de la literatura. Se trata de un paciente de 56 años al que se diagnosticó este tipo de lesión tras una caída hacia atrás con el brazo en ligera flexión y apoyo sobre la mano, tratado mediante reducción cerrada de su luxación en codo y reducción abierta con fi...

  2. Supernova energy measurement with longitudinal gravitational memory effect

    CERN Document Server

    Kodwani, Darsh; Yang, I-Sheng

    2016-01-01

    We calculate the gravitational memory effect when a spherically symmetric shell of energy passes through a spacetime region. In particular, this effect includes a longitudinal component, such that two radially separated geodesics pick up a relative velocity proportional to their separation. Such a measurement will allow us to obtain the total energy released by a supernova explosion in the form of neutrinos. We study the possibility to measure such an effect by space-based interferometers such as LISA and BBO, and also by astrophysical interferometers such as pulsar scintillometry.

  3. Motor and dorsal root ganglion axons serve as choice points for the ipsilateral turning of dI3 axons.

    Science.gov (United States)

    Avraham, Oshri; Hadas, Yoav; Vald, Lilach; Hong, Seulgi; Song, Mi-Ryoung; Klar, Avihu

    2010-11-17

    The axons of the spinal intersegmental interneurons are projected longitudinally along various funiculi arrayed along the dorsal-ventral axis of the spinal cord. The roof plate and the floor plate have a profound role in patterning their initial axonal trajectory. However, other positional cues may guide the final architecture of interneuron tracks in the spinal cord. To gain more insight into the organization of specific axonal tracks in the spinal cord, we focused on the trajectory pattern of a genetically defined neuronal population, dI3 neurons, in the chick spinal cord. Exploitation of newly characterized enhancer elements allowed specific labeling of dI3 neurons and axons. dI3 axons are projected ipsilaterally along two longitudinal fascicules at the ventral lateral funiculus (VLF) and the dorsal funiculus (DF). dI3 axons change their trajectory plane from the transverse to the longitudinal axis at two novel checkpoints. The axons that elongate at the DF turn at the dorsal root entry zone, along the axons of the dorsal root ganglion (DRG) neurons, and the axons that elongate at the VLF turn along the axons of motor neurons. Loss and gain of function of the Lim-HD protein Isl1 demonstrate that Isl1 is not required for dI3 cell fate. However, Isl1 is sufficient to impose ipsilateral turning along the motor axons when expressed ectopically in the commissural dI1 neurons. The axonal patterning of dI3 neurons, revealed in this study, highlights the role of established axonal cues-the DRG and motor axons-as intermediate guidepost cues for dI3 axons.

  4. Involvement of the ipsilateral and contralateral cerebellum in the acquisition of unilateral classical eyeblink conditioning in guinea pigs

    Institute of Scientific and Technical Information of China (English)

    Bo HU; Xi LIN; Lushuai HUANG; Li YANG; Hua FENG; Jianfeng SUI

    2009-01-01

    Aim:The aim of this study was to evaluate the relative contributions of the ipsilateral and contralateral cerebellum to the acquisition of unilateral classical eyeblink conditioning (EBCC).Methods: The unilateral EBCC was achieved using a binaural tone conditioned stimulus (CS) paired with a left airpuff unconditioned stimulus (US).A high-resolution potentiometer was used to monitor eyeblink responses.Guinea pigs received one CS-US session followed by three CS-US sessions (sessions 2 to 4),during which microinjections of muscimol,a GABAA receptor agonist,were performed to reversibly inactivate the cerebellum unilaterally prior to training.To test whether any learning had occurred during these inactivation sessions,training was continued for six more CS-US sessions (sessions 5 to 10) without any inactivation.Results: Animals with inactivation of the left cerebellum had no signs of left conditioned response (CR) during sessions 2 to 4,and their CR acquisition during sessions 5 to 10 was not distinguishable from that of control animals during sessions 2 to 7.In contrast,animals with inactivation of the right cerebellum acquired left CRs during sessions 2 to 4,although their CR acquisition was significantly retarded during session 2.In addition,microinjections of muscimol into the right cerebellum did not affect left neuro-behavioral activity.Finally,microinjections of muscimol into either the left or the right cerebellum did not affect the performance of tone-airpuff evoked unconditioned response (UR).Conclusion: In contrast to the essential role of the ipsilateral cerebellum,the contralateral cerebellum is potentially involved in the acquisition of unilateral EBCC during the early stage of training.

  5. Information fusion measures of effectiveness (MOE) for decision support

    Science.gov (United States)

    Blasch, Erik P.; Breton, Richard; Valin, Pierre

    2011-06-01

    For decades, there have been discussions on measures of merits (MOM) that include measures of effectiveness (MOE) and measures of performance (MOP) for system-level performance. As the amount of sensed and collected data becomes increasingly large, there is a need to look at the architectures, metrics, and processes that provide the best methods for decision support systems. In this paper, we overview some information fusion methods in decision support and address the capability to measure the effects of the fusion products on user functions. The current standard Information Fusion model is the Data Fusion Information Group (DFIG) model that specifically addresses the needs of the user in an information fusion system. Decision support implies that information methods augment user decision making as opposed to the machine making the decision and displaying it to user. We develop a list of suggested measures of merits that facilitate decision support decision support Measures of Effectiveness (MOE) metrics of quality, information gain, and robustness, from the analysis based on the measures of performance (MOPs) of timeliness, accuracy, confidence, throughput, and cost. We demonstrate in an example with motion imagery to support the MOEs of quality (time/decision confidence plots), information gain (completeness of annotated imagery for situation awareness), and robustness through analysis of imagery over time and repeated looks for enhanced target identification confidence.

  6. The immediate and 24-hour follow-up effect of unilateral lumbar Z-joint mobilisation on posterior chain neurodynamics.

    Science.gov (United States)

    Shankar Ganesh, G; Mohanty, Patitapaban; Smita Pattnaik, Swati

    2015-04-01

    Few studies have reported the effects of lumbar spine mobilization on neurodynamics. In a recent study, Szlezak et al. (2011) reported immediate improvement of posterior chain neurodynamics [range of passive straight leg raise (SLR)] following ipsilateral lumbar spine zygopophyseal (Z) joint mobilization. We re-duplicated the study with a 24 h follow-up measurement. Sixty healthy college students were assigned to two groups, mobilization and control. The mobilization group received ipsilateral grade 3 Maitland mobilizations to Z joint at a frequency of 2 MHz for 3 min and the control group received no treatment. The SLR was measured before and after the intervention for both the groups on the day of testing and 24-h later. Repeated measures ANOVA showed statistically significant pre to post improvement in SLR range after mobilization. The improvement was retained at 24-h. The results of the study are consistent with Szlezak et al. (2011).

  7. Dead time effects in laser Doppler anemometry measurements

    DEFF Research Database (Denmark)

    Velte, Clara Marika; Buchhave, Preben; George, William K.

    2014-01-01

    We present velocity power spectra computed by the so-called direct method from burst-type laser Doppler anemometer (LDA) data, both measured in a turbulent round jet and generated in a computer. Using today’s powerful computers, we have been able to study more properties of the computed spectra...... frequency range, starting around the cutoff frequency due to the finite size of the MV. Using computer-generated data mimicking the LDA data, these effects have previously been shown to appear due to the effect of dead time, i.e., the finite time during which the system is not able to acquire new...... measurements. These dead times can be traced back to the fact that the burst-mode LDA cannot measure more than one signal burst at a time. Since the dead time is approximately equal to the residence time for a particle traversing a measurement volume, we are dealing with widely varying dead times, which...

  8. rTMS of the left dorsolateral prefrontal cortex modulates dopamine release in the ipsilateral anterior cingulate cortex and orbitofrontal cortex.

    Directory of Open Access Journals (Sweden)

    Sang Soo Cho

    Full Text Available BACKGROUND: Brain dopamine is implicated in the regulation of movement, attention, reward and learning and plays an important role in Parkinson's disease, schizophrenia and drug addiction. Animal experiments have demonstrated that brain stimulation is able to induce significant dopaminergic changes in extrastriatal areas. Given the up-growing interest of non-invasive brain stimulation as potential tool for treatment of neurological and psychiatric disorders, it would be critical to investigate dopaminergic functional interactions in the prefrontal cortex and more in particular the effect of dorsolateral prefrontal cortex (DLPFC (areas 9/46 stimulation on prefrontal dopamine (DA. METHODOLOGY/PRINCIPAL FINDINGS: Healthy volunteers were studied with a high-affinity DA D2-receptor radioligand, [(11C]FLB 457-PET following 10 Hz repetitive transcranial magnetic stimulation (rTMS of the left and right DLPFC. rTMS on the left DLPFC induced a significant reduction in [(11C]FLB 457 binding potential (BP in the ipsilateral subgenual anterior cingulate cortex (ACC (BA 25/12, pregenual ACC (BA 32 and medial orbitofrontal cortex (BA 11. There were no significant changes in [(11C]FLB 457 BP following right DLPFC rTMS. CONCLUSIONS/SIGNIFICANCE: To our knowledge, this is the first study to provide evidence of extrastriatal DA modulation following acute rTMS of DLPFC with its effect limited to the specific areas of medial prefrontal cortex. [(11C]FLB 457-PET combined with rTMS may allow to explore the neurochemical functions of specific cortical neural networks and help to identify the neurobiological effects of TMS for the treatment of different neurological and psychiatric diseases.

  9. Logistics and supply chain effectiveness measure areas in lng companies

    Directory of Open Access Journals (Sweden)

    2010-09-01

    Full Text Available The article describes the issues of logistics and supply chain measures in companies. It considers different management systems in the area of production, which evolved from isolated production activities to business connected systems. There are performed three case studies - three examples of systems proposed and implemented in the LNG industry: I-MAC, ICIMS and PMS. Data gained from these systems are the basis to create effectiveness measures for LNG companies and LNG supply chains.

  10. Linking nursing unit's culture to organizational effectiveness: a measurement tool.

    Science.gov (United States)

    Casida, Jesus

    2008-01-01

    Organizational culture consists of the deep underlying assumptions, beliefs, and values that are shared by members of the organization and typically operate unconsciously. The four organizational culture traits of the Denison Organizational Culture Model (DOCM) are characteristics of organizational effectiveness, which include adaptability, involvement, consistency, and mission. Effective organizations demonstrate high levels of the four cultural traits which reflect their ability to balance the dynamic tension between the need for stability and the need for flexibility within the organization. The Denison Organizational Culture Survey (DOCS) is a measurement tool that was founded on the theoretical framework of the DOCM, and in the field of business, is one of the most commonly used tools for measuring organizational culture. The DOCS offers a promising approach to operationalizing and measuring the link between organizational culture and organizational effectiveness in the context of nursing units.

  11. The effect of measurement error on surveillance metrics

    Energy Technology Data Exchange (ETDEWEB)

    Weaver, Brian Phillip [Los Alamos National Laboratory; Hamada, Michael S. [Los Alamos National Laboratory

    2012-04-24

    The purpose of this manuscript is to describe different simulation studies that CCS-6 has performed for the purpose of understanding the effects of measurement error on the surveillance metrics. We assume that the measured items come from a larger population of items. We denote the random variable associate with an item's value of an attribute of interest as X and that X {approx} N({mu}, {sigma}{sup 2}). This distribution represents the variability in the population of interest and we wish to make inference on the parameters {mu} and {sigma} or on some function of these parameters. When an item X is selected from the larger population, a measurement is made on some attribute of it. This measurement is made with error and the true value of X is not observed. The rest of this section presents simulation results for different measurement cases encountered.

  12. Effect of beam quality on tilt measurement using cyclic interferometer

    Science.gov (United States)

    Pretheesh Kumar, V. C.; Ganesan, A. R.; Joenathan, C.; Somasundaram, U.

    2016-08-01

    Accurate measurement of angles is extremely important in various metrological applications. Interferometry has always been an excellent technique for accurate measurements. Several methods have been proposed for accurate tilt measurement using interferometric techniques. Almost all of them use the Michelson configuration which is extremely sensitive to environmental vibrations and turbulences. We know that a cyclic interferometer is extremely stable. Even though it is not sensitive to displacement changes, it is twice sensitive to tilt compared to that of a Michelson interferometer. We have enhanced the sensitivity to measure tilt using multiple reflections in a cyclic interferometer. Since the input beam is collimated, we have studied the effect of aberration of the input beam on the accuracy of tilt measurement. Experimental results on this study are presented in this paper.

  13. Measurement of quadratic electrogyration effect in castor oil

    Science.gov (United States)

    Izdebski, Marek; Ledzion, Rafał; Górski, Piotr

    2015-07-01

    This work presents a detailed analysis of electrogyration measurement in liquids with the usage of an optical polarimetric technique. Theoretical analysis of the optical response to an applied electric field is illustrated by experimental data for castor oil which exhibits natural optical activity, quadratic electro-optic effect and quadratic electrogyration effect. Moreover, the experimental data show that interaction of the oil with a pair of flat electrodes induces a significant dichroism and natural linear birefringence. The combination of these effects occurring at the same time complicates the procedure of measurements. It has been found that a single measurement is insufficient to separate the contribution of the electrogyration effect, but it is possible on the basis of several measurements performed with various orientations of the polarizer and the analyser. The obtained average values of the quadratic electrogyration coefficient β13 in castor oil at room temperature are from - 0.92 ×10-22 to - 1.44 ×10-22m2V-2 depending on the origin of the oil. Although this study is focused on measurements in castor oil, the presented analysis is much more general.

  14. Effects of measurement procedure and equipment on average room acoustic measurements

    DEFF Research Database (Denmark)

    Gade, Anders Christian; Bradley, J S; Siebein, G W

    1993-01-01

    . In some of the halls measurements were repeated using the procedures of the other teams to make it possible to separate the effects of different equipment and different procedures. The paper will present position-averaged results from the three teams and will discuss reasons for the differences observed...

  15. Comparative technique in measurements of Ge detectors effective volumes

    Science.gov (United States)

    Demidova, E. V.; Kirpichnikov, I. V.; Vasenko, A. A.

    1999-01-01

    A simple and quick procedure was proposed for measurements of large coaxial Ge detectors effective volumes. It included a comparison of background spectra collected with several detectors without any shielding in an underground laboratory. Such measurements were performed in Homestake (USA) and Canfranc (Spain) laboratories with several 1 kg and 2 kg detectors. Monte-Carlo calculations confirmed that ratios of numbers of events in continua of the spectra should be either equal or very close to the ratios of the detectors effective volumes.

  16. Ship Effect Measurements With Fiber Optic Neutron Detector

    Energy Technology Data Exchange (ETDEWEB)

    King, Kenneth L.; Dean, Rashe A.; Akbar, Shahzad; Kouzes, Richard T.; Woodring, Mitchell L.

    2010-08-10

    The main objectives of this research project was to assemble, operate, test and characterize an innovatively designed scintillating fiber optic neutron radiation detector manufactured by Innovative American Technology with possible application to the Department of Homeland Security screening for potential radiological and nuclear threats at US borders (Kouzes 2004). One goal of this project was to make measurements of the neutron ship effect for several materials. The Virginia State University DOE FaST/NSF summer student-faculty team made measurements with the fiber optic radiation detector at PNNL above ground to characterize the ship effect from cosmic neutrons, and underground to characterize the muon contribution.

  17. Experimental measurement of photothermal effect in Fabry-Perot cavities

    CERN Document Server

    De Rosa, M L; Cerdonio, M; Pinard, M; Marin, F

    2002-01-01

    We report the experimental observation of the photothermal effect. The measurements are performed by modulating the laser power absorbed by the mirrors of two high-finesse Fabry-Perot cavities. The results are very well described by a recently proposed theoretical model [M. Cerdonio, L. Conti, A. Heidmann and M. Pinard, Phys. Rev. D 63 (2001) 082003], confirming the correctness of such calculations. Our observations and quantitative characterization of the photothermal effect demonstrate its critical importance for high sensitivity interferometric displacement measurements, as those necessary for gravitational wave detection.

  18. Optical Effects at projection measurements for Terahertz tomography

    Science.gov (United States)

    Brahm, A.; Wilms, A.; Tymoshchuk, M.; Grossmann, C.; Notni, G.; Tünnermann, A.

    2014-10-01

    Optical effects like refraction, diffraction and edge effects have an influence on Terahertz measurements. They can result in image artifacts which makes it difficult to detect and resolve material defects inside the samples. We used a geometrical optical ray tracing approach to analyze the optical effects at Terahertz projection measurements which can be used to perform 2D or 3D THz images. We measured rectangular and cylindrical samples made of PEEK (Polyetheretherketon), POM (Polyoxymethylen), and PMMA (Polymethylmethacrylat) and compared the results to simulations that are realized with the software ZEMAX. We were able to simulate the measured Fresnel refraction and transmission behavior for rectangular cuboids with a length of 25 mm and cylinders with diameter of 25 mm. We showed the influence of diffraction and edge effects at samples with different sizes made of PMMA. Thus, the optical effect of refraction was significant and observable for cylinders with diameters greater than 1.5 mm and holes with diameter greater than 2.5 mm.

  19. A novel dual-site transcranial magnetic stimulation paradigm to probe fast facilitatory inputs from ipsilateral dorsal premotor cortex to primary motor cortex

    DEFF Research Database (Denmark)

    Groppa, Sergiu; Werner-Petroll, Nicole; Münchau, Alexander

    2012-01-01

    The dorsal premotor cortex (PMd) plays an import role in action control, sensorimotor integration and motor recovery. Animal studies and human data have demonstrated direct connections between ipsilateral PMd and primary motor cortex hand area (M1(HAND)). In this study we adopted a multimodal app...

  20. Optimal measurement strategies for effective suppression of drift errors

    Energy Technology Data Exchange (ETDEWEB)

    Yashchuk, Valeriy V.

    2009-04-16

    Drifting of experimental set-ups with change of temperature or other environmental conditions is the limiting factor of many, if not all, precision measurements. The measurement error due to a drift is, in some sense, in-between random noise and systematic error. In the general case, the error contribution of a drift cannot be averaged out using a number of measurements identically carried out over a reasonable time. In contrast to systematic errors, drifts are usually not stable enough for a precise calibration. Here a rather general method for effective suppression of the spurious effects caused by slow drifts in a large variety of instruments and experimental set-ups is described. An analytical derivation of an identity, describing the optimal measurement strategies suitable for suppressing the contribution of a slow drift described with a certain order polynomial function, is presented. A recursion rule as well as a general mathematical proof of the identity is given. The effectiveness of the discussed method is illustrated with an application of the derived optimal scanning strategies to precise surface slope measurements with a surface profiler.

  1. Exploratory study on performance measures as indicators of IS effectiveness

    Science.gov (United States)

    Bishop, Peter C.; Yoes, Cissy

    1992-01-01

    The Information Systems Directorate at JSC/NASA has undertaken the reevaluation of its performance measures process and measures. Under the direction of a quality approach it is essential to identify an external perspective of how well an organization is performing. This study was conducted with two major objectives: (1) survey and summarize the academic literature on performance measures as indicators of information systems (IS) effectiveness; and (2) survey organizations for their experience in measuring for IS effectiveness. Four approaches to measuring the effectiveness of IS performance were identified: (1) listen to the customer for the things they need; (2) align with corporate goals; (3) benchmark against well-respected organizations; and (4) ask yourself what critical factors lead to success. The list of known methods for soliciting customer feedback are as follows: (1) executive visit; (2) survey, interview, and focus group; (3) complaints and compliments; and (4) service level agreements. A common set of characteristics that satisfy customers was identified from the literature. The list includes elements such as the following: accuracy, timeliness, relevance, understandability, reliability, and completeness. Future research in this topic area should prove beneficial to determine the metrics for external validity.

  2. Measuring the effectiveness of conservation programs for shrubland birds

    Science.gov (United States)

    Scott Schlossberg; David I. King

    2015-01-01

    Disturbance-dependent habitats such as grasslands and shrublands are declining in many regions. To mitigate these declines, government agencies are using anthropogenic disturbances like logging and mowing to mimic natural ones. Because these programs can be costly or controversial, measuring their effectiveness is important. Here, we evaluate the conservation...

  3. Measuring Information Technology Performance: Operational Efficiency and Operational Effectiveness

    Science.gov (United States)

    Moore, Annette G.

    2012-01-01

    This dissertation provides a practical approach for measuring operational efficiency and operational effectiveness for IT organizations introducing the ITIL process framework. The intent of the study was to assist Chief Information Officers (CIOs) in explaining the impact of introducing the Information Technology Infrastructure Library (ITIL)…

  4. Measurement of the transient shielding effectiveness of shielding cabinets

    Directory of Open Access Journals (Sweden)

    H. Herlemann

    2008-05-01

    Full Text Available Recently, new definitions of shielding effectiveness (SE for high-frequency and transient electromagnetic fields were introduced by Klinkenbusch (2005. Analytical results were shown for closed as well as for non closed cylindrical shields. In the present work, the shielding performance of different shielding cabinets is investigated by means of numerical simulations and measurements inside a fully anechoic chamber and a GTEM-cell. For the GTEM-cell-measurements, a downscaled model of the shielding cabinet is used. For the simulations, the numerical tools CONCEPT II and COMSOL MULTIPHYSICS were available. The numerical results agree well with the measurements. They can be used to interpret the behaviour of the shielding effectiveness of enclosures as function of frequency. From the measurement of the electric and magnetic fields with and without the enclosure in place, the electric and magnetic shielding effectiveness as well as the transient shielding effectiveness of the enclosure are calculated. The transient SE of four different shielding cabinets is determined and discussed.

  5. Cross-contamination in the kitchen: effect of hygiene measures

    NARCIS (Netherlands)

    Jong, de A.E.I.; Verhoeff-Bakkenes, L.; Nauta, M.J.; Jonge, de R.

    2008-01-01

    Aims: To determine the effect of hygiene measures on cross-contamination of Campylobacter jejuni at home and to select a safe tracer organism for C. jejuni. Methods and Results: Comparative tests were conducted with nonpathogenic Escherichia coli and Lactobacillus casei and L. casei was chosen as th

  6. Measuring Information Technology Performance: Operational Efficiency and Operational Effectiveness

    Science.gov (United States)

    Moore, Annette G.

    2012-01-01

    This dissertation provides a practical approach for measuring operational efficiency and operational effectiveness for IT organizations introducing the ITIL process framework. The intent of the study was to assist Chief Information Officers (CIOs) in explaining the impact of introducing the Information Technology Infrastructure Library (ITIL)…

  7. Cross-contamination in the kitchen: effect of hygiene measures

    NARCIS (Netherlands)

    Jong, de A.E.I.; Verhoeff-Bakkenes, L.; Nauta, M.J.; Jonge, de R.

    2008-01-01

    Aims: To determine the effect of hygiene measures on cross-contamination of Campylobacter jejuni at home and to select a safe tracer organism for C. jejuni. Methods and Results: Comparative tests were conducted with nonpathogenic Escherichia coli and Lactobacillus casei and L. casei was chosen as

  8. The effect of carbohydrates on alpha-amylase activity measurements

    NARCIS (Netherlands)

    Baks, T.; Janssen, A.E.M.; Boom, R.M.

    2006-01-01

    The Ceralpha method can be used for ¿-amylase activity measurements during the hydrolysis of starch at high substrate concentrations (>40 wt.%). However, the results are affected by the carbohydrates present in the samples. The effect of carbohydrates on the Ceralpha ¿-amylase activity

  9. The effect of carbohydrates on alpha-amylase activity measurements

    NARCIS (Netherlands)

    Baks, T.; Janssen, A.E.M.; Boom, R.M.

    2006-01-01

    The Ceralpha method can be used for ¿-amylase activity measurements during the hydrolysis of starch at high substrate concentrations (>40 wt.%). However, the results are affected by the carbohydrates present in the samples. The effect of carbohydrates on the Ceralpha ¿-amylase activity measuremen

  10. A Proposal for Measuring Interactivity that Brings Learning Effectiveness

    Directory of Open Access Journals (Sweden)

    Tosh Yamamoto

    2010-03-01

    Full Text Available It is proposed in this paper that some type of way to measure and visualize interactivity in the multimedia or e-Learning contents is necessary in order to clearly identify interactivity that brings learning effectiveness. Interactivity during learning will arouse students’ intellectual curiosity and motivate them to learn further. Although the interaction in the communication between the teacher and his/her students in a regular classroom is ideal, it is not possible to maintain the equivalence in the multimedia or e-Learning contents. In order to rigorously formalize the field of measuring interactivity as a theory, theoretical constructs such as interactivity, interest, knowledge, and experience are redefined first. Then, the defined “interactivity” is broken down to subcomponents to develop an assessment tool for the interactivity which brings learning effectiveness. In the end, it is proved that the interactivity in learning can be measured.

  11. Evaluation of thermal gradients in longitudinal spin Seebeck effect measurements

    Science.gov (United States)

    Sola, A.; Kuepferling, M.; Basso, V.; Pasquale, M.; Kikkawa, T.; Uchida, K.; Saitoh, E.

    2015-05-01

    In the framework of the longitudinal spin Seebeck effect (LSSE), we developed an experimental setup for the characterization of LSSE devices. This class of device consists in a layered structure formed by a substrate, a ferrimagnetic insulator (YIG) where the spin current is thermally generated, and a paramagnetic metal (Pt) for the detection of the spin current via the inverse spin-Hall effect. In this kind of experiments, the evaluation of a thermal gradient through the thin YIG layer is a crucial point. In this work, we perform an indirect determination of the thermal gradient through the measurement of the heat flux. We developed an experimental setup using Peltier cells that allow us to measure the heat flux through a given sample. In order to test the technique, a standard LSSE device produced at Tohoku University was measured. We find a spin Seebeck SSSE coefficient of 2.8 × 10 - 7 V K-1.

  12. Thyroid hormone effect on human mitochondria measured by flow cytometry

    DEFF Research Database (Denmark)

    Kvetny, Jan; Bomholt, Tobias; Pedersen, Palle

    2009-01-01

    BACKGROUND: Mitochondrial function may be impaired in a number of diseases including metabolic syndrome, cardiovascular disease and endocrine disorders. Therefore it is important to be able to measure mitochondrial function in human cells. PURPOSE: The aim of the present study was to evaluate...... a method to measure mitochondrial function in human derived cells, which also would reflect regulation by thyroid hormones. METHODS: The MDA-MB-231 cell line (a human breast cancer cell line) was incubated with bioactive iodothyronines (T(4), 3'-3, 5-T(3), 3, 5-T(2)) 50 nmol/l for 3 h. Mitochondrial......: It was possible to measure mitochondrial membrane potential (MMP) in human derived cells and to examine thyroid hormone effects using flow cytometry. Bioactive iodothyronines increased mitochondrial membrane potential. TRIAC had no effect and L-Carnitine only inhibited T(4) stimulation of membrane potential...

  13. Systematic measurements of the Bohr-Weisskopf effect at ISOLDE

    CERN Multimedia

    Nojiri, Y; Matsuki, S; Ragnarsson, I; Neugart, R; Redi, O; Stroke, H H; Duong, H T; Marescaux, D; Pinard, J; Juncar, P; Ekstrom, C; Pellarin, M; Vialle, J-L; Inamura, T

    2002-01-01

    The " Bohr-Weisskopf " effect, or " hyperfine structure (hfs) anomaly ", which results from the effect of the distribution of nuclear magnetization on the electro-nuclear interaction, will be measured systematically at the PS Booster ISOLDE, first for a long chain of radioactive cesium isotopes, analogously to previous isotope shift and hfs studies. In addition to the direct measurement of magnetic moment values, the results are expected to provide independent data for testing nuclear wavefunctions, these will be of importance for interpreting systematic parity non-conservation experiments, complementary to the single isotope study which requires a high precision knowledge of the electron wavefunction. Substantial progress in these calculations has been achieved recently. Precision measurements of the hfs splittings and nuclear magnetic moments are required, with sensitivity adequate for the radioactive isotopes produced. A triple resonance atomic beam magnetic resonance apparatus with optical pumping state s...

  14. [Procedural learning and anxiolytic effects: electroencephalographic, motor and attentional measures].

    Science.gov (United States)

    Portella, Claudio Elidio; Silva, Julio Guilherme; Bastos, Victor Hugo; Machado, Dionis; Cunha, Marlo; Cagy, Maurício; Basile, Luis; Piedade, Roberto; Ribeiro, Pedro

    2006-06-01

    The objective of the present study was to evaluate attentional, motor and electroencephalographic (EEG) parameters during a procedural task when subjects have ingested 6 mg of bromazepam. The sample consisted of 26 healthy subjects, male or female, between 19 and 36 years of age. The control (placebo) and experimental (bromazepam 6 mg) groups were submitted to a typewriting task in a randomized, double-blind design. The findings did not show significant differences in attentional and motor measures between groups. Coherence measures (qEEG) were evaluated between scalp regions, in theta, alpha and beta bands. A first analysis revealed a main effect for condition (Anova 2-way--condition versus blocks). A second Anova 2-way (condition versus scalp regions) showed a main effect for both factors. The coherence measure was not a sensitive tool at demonstrating differences between cortical areas as a function of procedural learning.

  15. Systematic Measurements of the Bohr-Weisskopf Effect at ISOLDE

    CERN Multimedia

    2002-01-01

    Nuclear electric and magnetic structure properties are measurable by high-resolution atomic spectroscopy through isotope shifts and the Bohr-Weisskopf effect (hyperfine structure anomalies). \\\\ \\\\ The greatest value of these measurements is when made systematically over a large number of isotopes. This has been done in the case of isotopes shifts most extensively by the experiment at ISOLDE. To date the magnetic distribution studies are few and isolated. Here we propose to intitiate a program at ISOLDE to measure hfs anomalies systematically. The experiments, requiring high-precision data on magnetic dipole constants as well as on nuclear g-factors, will be done by atomic-beam magnetic resonance with the use of laser excitation for polarization of the beam and a sixpole magnet acting as an analyser. \\\\ \\\\ The heavy alkali elements are the most promising candidates for hfs anomaly studies because of the large effect expected, the high production yields at ISOLDE and most importantly, the interesting variations...

  16. Effects of equipment and technique on peak flow measurements

    Directory of Open Access Journals (Sweden)

    O'Driscoll B Ronan

    2006-06-01

    Full Text Available Abstract Background Different lung function equipment and different respiratory manoeuvres may produce different Peak Expiratory Flow (PEF results. Although the PEF is the most common lung function test, there have been few studies of these effects and no previous study has evaluated both factors in a single group of patients. Methods We studied 36 subjects (PEF range 80–570 l/min. All patients recorded PEF measurements using a short rapid expiration following maximal inspiration (PEF technique or a forced maximal expiration to residual volume (FVC technique. Measurements were made using a Wright's peak flow meter, a turbine spirometer and a Fleisch pneumotachograph spirometer. Results The mean PEF was 8.7% higher when the PEF technique was used (compared with FVC technique, p Conclusion Peak flow measurements are affected by the instruction given and by the device and Peak Flow scale used. Patient management decisions should not be based on PEF measurement made on different instruments.

  17. The measurement of surface heat flux using the Peltier effect

    Energy Technology Data Exchange (ETDEWEB)

    Shewen, E.C. (Pavement Management Systems Ltd., Cambridge, Ontario (Canada)); Hollands, K.G.T., Raithby, G.D. (Univ. of Waterloo, Ontario (Canada))

    1989-08-01

    Calorimetric methods for measuring surface heat flux use Joulean heating to keep the surface isothermal. This limits them to measuring the heat flux of surfaces that are hotter than their surroundings. Presented in this paper is a method whereby reversible Peltier effect heat transfer is used to maintain this isothermality, making it suitable for surfaces that are either hotter or colder than the surroundings. The paper outlines the theory for the method and describes physical models that have been constructed, calibrated, and tested. The tested physical models were found capable of measuring heat fluxes with an absolute accuracy of 1 percent over a wide range of temperature (5-50C) and heat flux (15-500 W/m{sup 2}), while maintaining isothermality to within 0.03 K. A drawback of the method is that it appears to be suited only for measuring the heat flux from thick metallic plates.

  18. Measuring the effect of field viability on wheat yield

    DEFF Research Database (Denmark)

    Olsen, Jakob Vesterlund; Schou, Jesper Sølver

    showing a significant effect on yields. Further research may involve estimating the effect of field characteristics on the aggregated economic farm performance. The field viability index has multiple applications in e.g. benchmarking, leasing or buying arrangements, and for identifying potential land...... contributes by introducing a new joint index for field shape and field size, field viability index (FVI), aiming at measuring the effect of land fragmentation on farm performance based on field characteristics. The index is calculated for Danish wheat fields and is tested on a large sample of Danish farmers...

  19. Influence of speckle effect on doppler velocity measurement

    Science.gov (United States)

    Zheng, Zheng; Changming, Zhao; Haiyang, Zhang; Suhui, Yang; Dehua, Zhang; Xingyuan, Zheng; Hongzhi, Yang

    2016-06-01

    In a coherent Lidar system, velocity measurement of a target is achieved by measuring Doppler frequency shift between the echo and local oscillator (LO) signals. The measurement accuracy is proportional to the spectrum width of Doppler signal. Actually, the speckle effect caused by the scattering of laser from a target will broaden the Doppler signal's spectrum and bring uncertainty to the velocity measurement. In this paper, a theoretical model is proposed to predict the broadening of Doppler spectrum with respect to different target's surface and motion parameters. The velocity measurement uncertainty caused by the broadening of spectrum is analyzed. Based on the analysis, we design a coherent Lidar system to measure the velocity of the targets with different surface roughness and transverse velocities. The experimental results are in good agreement with theoretical analysis. It is found that the target's surface roughness and transverse velocity can significantly affect the spectrum width of Doppler signal. With the increase of surface roughness and transverse velocity, the measurement accuracy becomes worse. However, the influence of surface roughness becomes weaker when the spot size of laser beam on the target is smaller.

  20. Measuring the organizational effectiveness of National Sport Governing Bodies.

    Science.gov (United States)

    Frisby, W

    1986-06-01

    The purpose of this study was to analyze the relationship between the goal and systems models of organizational effectiveness in Canadian National Sport Governing Bodies. The major issue addressed was whether elite amateur sport organizations which are more successful at acquiring scarce financial resources, are also more successful at achieving goals of performance excellence. World rankings, changes in world rankings and an effectiveness ranking, which accounts for the number of competing countries, were used to measure the degree to which the organizations are achieving their goals of performance excellence. The 1982 total operating budget of each NSGB and the increase in financial support received from Fitness and Amateur Sport from 1970 to 1982 were used to measure the ability of the NSGBs to acquire scarce financial resources under the systems model of effectiveness. The results revealed that one of the goal model indicators, the effectiveness ranking, was positively and significantly correlated with one of the system model indicators, the total operating budget. This suggests that the ability to acquire scarce financial resources is related to the ability of an NSGB to achieve its goal of performance excellence. This also suggests that the goal and systems models may be complementary methods of measuring the concept of organizational effectiveness even though they are most often viewed as being alternative approaches in the literature.

  1. Consequenses of the magnetocaloric effect on magnetometry measurements

    DEFF Research Database (Denmark)

    Hansen, Britt Rosendahl; Bahl, Christian Robert Haffenden; Kuhn, Luise Theil

    2010-01-01

    is a measure of the magnetocaloric effect, the discrepancies demonstrated here are more severe close to a peak in ΔSM, which is precisely the quantity that is of interest and reported on in the literature from possibly erroneous magnetization data. We also demonstrate how, through simple measurements......Magnetization curves recorded at high sweep-rates on magnetic materials near a phase transition temperature can be affected by temperature changes in the material due to the magnetocaloric effect. This change in the sample temperature is a result of the quasiadiabatic conditions that can occur...... under such conditions and we demonstrate its effects on magnetization curves of two magnetocaloric materials, La(Fe0.945Co0.055)11.9Si1.1 and Gd5Si2Ge2. We show how a quantity calculated from isothermal magnetization curves, the magnetic entropy change, ΔSM, is affected by the erroneous data. As ΔSM...

  2. Measuring Brand Image Effects of Flagship Projects for Place Brands

    DEFF Research Database (Denmark)

    Zenker, Sebastian; Beckmann, Suzanne C.

    2013-01-01

    structural differences for the brand image dimensions of the city contingent upon the type of flagship project. Hence, this study shows (i) that different flagship projects have different image effects for the city brand and (ii) provides a novel method for measuring perceived place brand image effects...... (Elbphilharmonie), euro400 million to develop the ‘International Architectural Fair’ and it is also considering candidature again for the ‘Olympic Games’ in 2024/2028. As assessing the image effects of such projects is rather difficult, this article introduces an improved version of the Brand Concept Map approach......, which was originally developed for product brands. An experimental design was used to first measure the Hamburg brand as such and then the changes in the brand perceptions after priming the participants (N=209) for one of the three different flagship projects. The findings reveal several important...

  3. Employment Effects of educational measures for work-injured people

    DEFF Research Database (Denmark)

    Bach, Henning Bjerregaard; Datta Gupta, Nabanita; Høgelund, Jan

    Vocational rehabilitation in the form of education is the cornerstone of governmental rehabilitation programs for the work-disabled in many countries. Merging a 2004 Danish survey to register information from the Danish National Board of Industrial Injuries, we assess the employment effects...... of educational measures for the work-injured, by simultaneously estimating the hazard rate to education and the return to work, controlling for unobserved heterogeneity and the endogeneity of education. In addition, we allow for any enhanced employment effects of a unique wage subsidy program in Denmark, giving...... employers a partial wage subsidy for disabled workers’ wages, by distinguishing between education effects of a return to wage-subsidized work versus a return to ordinary work. Unlike previous studies, we find a positive impact of educational measures on the probability of returning to work for the work...

  4. Employment Effects of educational measures for work-injured people

    DEFF Research Database (Denmark)

    Bach, Henning Bjerregaard; Datta Gupta, Nabanita; Høgelund, Jan

    Vocational rehabilitation in the form of education is the cornerstone of governmental rehabilitation programs for the work-disabled in many countries. Merging a 2004 Danish survey to register information from the Danish National Board of Industrial Injuries, we assess the employment effects...... of educational measures for the work-injured, by simultaneously estimating the hazard rate to education and the return to work, controlling for unobserved heterogeneity and the endogeneity of education. In addition, we allow for any enhanced employment effects of a unique wage subsidy program in Denmark, giving...... employers a partial wage subsidy for disabled workers’ wages, by distinguishing between education effects of a return to wage-subsidized work versus a return to ordinary work. Unlike previous studies, we find a positive impact of educational measures on the probability of returning to work for the work...

  5. Effect of Clothing on Measurement of Bone Mineral Density.

    Science.gov (United States)

    McNamara, Elizabeth A; Feldman, Anna Z; Malabanan, Alan O; Abate, Ejigayehu G; Whittaker, LaTarsha G; Yano-Litwin, Amanda; Dorazio, Jolene; Rosen, Harold N

    2016-01-01

    It is unknown whether allowing patients to have BMD (bone mineral density) studies acquired while wearing radiolucent clothing adlib contributes appreciably to the measurement error seen. To examine this question, a spine phantom was scanned 30 times without any clothing, while draped with a gown, and while draped with heavy winter clothing. The effect on mean BMD and on SD (standard deviation) was assessed. The effect of clothing on mean or SD of the area was not significant. The effect of clothing on mean and SD for BMD was small but significant and was around 1.6% for the mean. However, the effect on BMD precision was much more clinically important. Without clothing the spine phantom had an least significant change of 0.0077 gm/cm(2), while when introducing variability of clothing the least significant change rose as high as 0.0305 gm/cm(2). We conclude that, adding clothing to the spine phantom had a small but statistically significant effect on the mean BMD and on variance of the measurement. It is unlikely that the effect on mean BMD has any clinical significance, but the effect on the reproducibility (precision) of the result is likely clinically significant.

  6. Health effects associated with energy conservation measures in commercial buildings

    Energy Technology Data Exchange (ETDEWEB)

    Stenner, R.D.; Baechler, M.C.

    1990-09-01

    Indoor air quality can be impacted by hundreds of different chemicals. More than 900 different organic compounds alone have been identified in indoor air. Health effects that could arise from exposure to individual pollutants or mixtures of pollutants cover the full range of acute and chronic effects, including largely reversible responses, such as rashes and irritations, to the irreversible toxic and carcinogenic effects. These indoor contaminants are emitted from a large variety of materials and substances that are widespread components of everyday life. Pacific Northwest Laboratory conducted a search of the peer-reviewed literature on health effects associated with indoor air contaminants for the Bonneville Power Administration to aid the agency in the preparation of environmental documents. Results are reported in two volumes. Volume 1 summarizes the results of the search of the peer-reviewed literature on health effects associated with a selected list of indoor air contaminants. In addition, the report discusses potential health effects of polychlorinated biphenyls and chlorofluorocarbons. All references to the literature reviewed are found in this document Volume 2. Volume 2 provides detailed information from the literature reviewed, summarizes potential health effects, reports health hazard ratings, and discusses quantitative estimates of carcinogenic risk in humans and animals. Contaminants discussed in this report are those that; have been measured in the indoor air of a public building; have been measured (significant concentrations) in test situations simulating indoor air quality (as presented in the referenced literature); and have a significant hazard rating. 38 refs., 7 figs., 23 tabs.

  7. Associative cortico-cortical plasticity may affect ipsilateral finger opposition movements

    DEFF Research Database (Denmark)

    Rizzo, V; Bove, M; Naro, A;

    2011-01-01

    We have recently demonstrated that cortico-cortical paired associative stimulation (cc-PAS) can modulate interhemispheric inhibition (IHI) in the human brain. Here we further explored the after effects of cc-PAS on fine hand movements. Ten healthy right-handed volunteers received 90 paired transc...... influencing motor hand performances. These results may be relevant for future rehabilitative applications.......We have recently demonstrated that cortico-cortical paired associative stimulation (cc-PAS) can modulate interhemispheric inhibition (IHI) in the human brain. Here we further explored the after effects of cc-PAS on fine hand movements. Ten healthy right-handed volunteers received 90 paired...... transcranial stimuli to the right and left primary motor hand area (M1(HAND)) at an interstimulus interval (ISI) of 8 ms. We studied the after effects of cc-PAS on the performance of repetitive finger opposition movements of different complexity on both hands using a sensor-engineered glove. A quantitative...

  8. Nummular headache in a patient with ipsilateral occipital neuralgia--a case report.

    Science.gov (United States)

    Iwanowski, Piotr; Kozubski, Wojciech; Losy, Jacek

    2014-01-01

    Nummular headache (NH) is a rarely recognized primary headache, the diagnostic criteria of which are contained in the appendix to the 2nd edition of the International Classification of Headache Disorders (code A13.7.1). We present the case of a 61-year-old female who suffers, regardless of NH, from right-sided occipital neuralgia. The applied treatment - gabapentin and mianserin - had no effect. Injection of bupivacaine twice to the right occipital region resulted in neuralgia resolution up to three months, with no effect on NH. This confirms the independence of two above mentioned head pain conditions.

  9. Measurement of atmospheric neutrino oscillations and matter effects with PINGU

    Energy Technology Data Exchange (ETDEWEB)

    Coenders, Stefan; Euler, Sebastian; Krings, Kai; Vehring, Markus; Wallraff, Marius; Wiebusch, Christopher [RWTH Aachen Univ. (Germany). III. Physikalisches Inst.; Collaboration: IceCube-Collaboration

    2013-07-01

    With IceCube's low-energy extension DeepCore the first significant effects of atmospheric neutrino oscillations have been observed. The planned ''Precision Icecube Next Generation Upgrade'' (PINGU) inside DeepCore will lower the energy threshold to a few GeV, where matter effects of neutrino oscillations have to be taken into account. The Mikheyev-Smirnov-Wolfenstein (MSW) effect modifies the mixing between flavor and mass eigenstates of the neutrinos, resulting in stronger oscillations. Furthermore, neutrinos when passing through the Earth core experience parametric enhancement due to multiple discontinuities in the electron density. In this talk the effects of matter oscillations and the capabilities to measure these effects with PINGU are investigated.

  10. Research Recommendations for Improving Measurement of Treatment Effectiveness in Depression

    Science.gov (United States)

    Kamenov, Kaloyan; Cabello, María; Nieto, Mónica; Bernard, Renaldo; Kohls, Elisabeth; Rummel-Kluge, Christine; Ayuso-Mateos, José L.

    2017-01-01

    Background: Despite the steadily escalating psychological and economic burden of depression, there is a lack of evidence for the effectiveness of available interventions on functioning areas beyond symptomatology. Therefore, the main objective of this study was to give an insight into the current measurement of treatment effectiveness in depression and to provide recommendations for its improvement. Materials and Methods: The study was based on a multi-informant approach, comparing data from a systematic literature review, an expert survey with representatives from clinical practice (130), and qualitative interviews with patients (11) experiencing depression. Results: Current literature places emphasis on symptomatic outcomes and neglects other domains of functioning, whereas clinicians and depressed patients highlight the importance of both. Interpersonal relationships, recreation and daily activities, communication, social participation, work difficulties were identified as being crucial for recovery. Personal factors, neglected by the literature, such as self-efficacy were introduced by experts and patients. Furthermore, clinicians and patients identified a number of differences regarding the areas improved by psychotherapeutic or pharmacological interventions that were not addressed by the pertinent literature. Conclusion: Creation of a new cross-nationally applicable measure of psychosocial functioning, broader remission criteria, report of domain-specific information, and a personalized approach in treatment decision-making are the first crucial steps needed for the improvement of the measurement of treatment effectiveness in depression. A better measurement will facilitate the clinical decision making and answer the escalating burden of depression.

  11. Imaging motional Stark effect measurements at ASDEX Upgrade

    Science.gov (United States)

    Ford, O. P.; Burckhart, A.; McDermott, R.; Pütterich, T.; Wolf, R. C.

    2016-11-01

    This paper presents an overview of results from the Imaging Motional Stark Effect (IMSE) diagnostic obtained during its first measurement campaign at ASDEX Upgrade since installation as a permanent diagnostic. A brief overview of the IMSE technique is given, followed by measurements of a standard H-mode discharge, which are compared to equilibrium reconstructions showing good agreement where expected. The development of special discharges for the calibration of pitch angle is reported and safety factor profile changes during sawteeth crashes are shown, which can be resolved to a few percent due to the high sensitivity at good time resolution of the new IMSE system.

  12. Influence of blockage effect on measurement by vane anemometers

    Directory of Open Access Journals (Sweden)

    Sluse Jan

    2017-01-01

    Full Text Available The article deals with influence of blockage effect caused by vane anemometer in the wind tunnel by measurement via this anemometer. The influences will be represented by correction coefficient. The first part of this article is focused on the design of the impeller of vane anemometers. The impellers are printed on 3D printer with variable parameters. The anemometer is fixed in an open section of the wind tunnel with closed loop and the velocity profile is measured by Laser Doppler velocimetry (LDV in front and behind it for all impellers. The experimental data are compared with the numerical simulation in OpenFOAM. The results are correction coefficients.

  13. Entanglement Measures for Single- and Multi-Reference Correlation Effects

    CERN Document Server

    Boguslawski, Katharina; Legeza, Örs; Reiher, Markus

    2012-01-01

    Electron correlation effects are essential for an accurate ab initio description of molecules. A quantitative a priori knowledge of the single- or multi-reference nature of electronic structures as well as of the dominant contributions to the correlation energy can facilitate the decision regarding the optimum quantum chemical method of choice. We propose concepts from quantum information theory as orbital entanglement measures that allow us to evaluate the single- and multi-reference character of any molecular structure in a given orbital basis set. By studying these measures we can detect possible artifacts of small active spaces.

  14. Measurement Error Effects of Beam Parameters Determined by Beam Profiles

    CERN Document Server

    Jang, Ji-Ho; Jeon, Dong-O

    2015-01-01

    A conventional method to determine beam parameters is using the profile measurements and converting them into the values of twiss parameters and beam emittance at a specified position. The beam information can be used to improve transverse beam matching between two different beam lines or accelerating structures. This work is related with the measurement error effects of the beam parameters and the optimal number of profile monitors in a section between MEBT (medium energy beam transport) and QWR (quarter wave resonator) of RAON linear accelerator.

  15. Effect of filament supports on emissive probe measurements

    Energy Technology Data Exchange (ETDEWEB)

    Wang, X.; Howes, C. T. [Laboratory for Atmospheric and Space Physics, University of Colorado, Boulder, Colorado 80309 (United States); NASA Lunar Science Institute: Colorado Center for Lunar Dust and Atmospheric Studies, Boulder, Colorado 80309 (United States); Horanyi, M. [Laboratory for Atmospheric and Space Physics, University of Colorado, Boulder, Colorado 80309 (United States); NASA Lunar Science Institute: Colorado Center for Lunar Dust and Atmospheric Studies, Boulder, Colorado 80309 (United States); Department of Physics, University of Colorado, Boulder, Colorado 80309 (United States); Robertson, S. [NASA Lunar Science Institute: Colorado Center for Lunar Dust and Atmospheric Studies, Boulder, Colorado 80309 (United States); Department of Physics, University of Colorado, Boulder, Colorado 80309 (United States)

    2013-01-15

    We have constructed an emissive probe with a thin tungsten filament spot-welded across two nickel wires insulated with ceramic paint. We show that the ceramic supports covering the nickel wires have a large effect on the potential measurements in low-density plasmas. It is found that the potential measured by the emissive probe is more negative than the potential derived from a Langmuir probe current-voltage (I-V) characteristic curve when the plasma density is so low that the emitting filament remains immersed in the sheaths of the ceramic supports. The length of the filament L needs to be larger than about 2 Debye lengths (L > 2{lambda}{sub De}) in order to avoid the influence of the ceramic supports and to achieve reliable plasma potential measurements using emissive probes.

  16. Effectiveness of local air quality measures; Effectiviteit van likale luchtkwaliteitsmaatregelen

    Energy Technology Data Exchange (ETDEWEB)

    Van Bommel, R.; Van de Poll, T. [Royal Haskoning DHV, Amersfoort (Netherlands)

    2013-12-15

    This article examines the effects of local air quality measures which are calculated by order of the city of Utrecht. The conclusions are that environmental zones and other local measures contribute to meet the targets and improve public health. It is also explained why this is the case, and the question is raised whether or not national measures would be better [Dutch] Dit artikel gaat in op de effecten van lokale maatregelen die zijn berekend in opdracht van de gemeente Utrecht. De conclusie: milieuzones en andere lokale maatregelen dragen bij aan het halen van normen en leveren gezondheidswinst op. Er wordt uitgelegd waarom dat zo is en de vraag wordt gesteld of landelijke maatregelen niet beter zijn.

  17. Effects of the measurement configuration in GPR prospecting

    Science.gov (United States)

    Persico, Raffaele; Soldovieri, Francesco

    2017-04-01

    The measurement configuration is an issue of great interest in problems of inverse scattering in general, and in particular in problems regarding GPR data. In particular, the measurement configuration has an influence on the amount of retrievable information [1-2] and can be a way to achieve an intrinsic two dimensional filtering of the data [3], possibly accounting for the characteristics of the exploited antennas too [4]. However, no filter is able to erase exactly the undesired contribution to the comprehensive signal while leaving unperturbed the useful part of the gathered datum. In other word, any filtering of the data (included those implicitly imposed through the measurement configuration) has some price in terms of loss or distortion of the received information, and therefore it has to be applied only when needed and only at the right degree of intensity. In particular, differential measurement configurations have been introduced in the last few years, especially with interest in the field of detection of UXO [5-6]. The filtering effects in some differential configuration are not immediately understood, but need some deep reasoning. In particular, the theory of the diffraction tomography, allows to quantify the retrievable spatial frequencies under the measurement configuration at hand, and so allows to quantify the filtering effect of the differential configurations. Examples will be shown at the conference, regarding both a horizontal and a vertical differential configuration. References [1] R. Persico, R. Bernini, F. Soldovieri, "The role of the measurement configuration in inverse scattering from buried objects under the Born approximation", IEEE Trans. On Antennas and Prop., vol. 53, n. 6, pp. 1875-1886, June 2005. [2] R. Persico, "On the role of measurement Configuration in Contactless GPR data Processing by Means of Linear Inverse Scattering, IEEE Trans. On Antennas and Prop AP, Vol. 54 n. 7 p. 2062-2071, July 2006. [3] R. Persico, F. Soldovieri

  18. Vagoglossopharyngeal Neuralgia Occurred Concomitantly with Ipsilateral Hemifacial Spasm and Versive Seizure-Like Movement: A First Case Report.

    Science.gov (United States)

    Thiarawat, Peeraphong; Wangtheraprasert, Apirath; Jitprapaikulsan, Jiraporn

    2016-01-01

    Vagoglossopharyngeal neuralgia (VGPN) is a very rare condition. VGPN with convulsive like attack is even rarer All of the cases had their head turned to the opposite side of facial pain. Hemifacial spasm occurring concurrently with VGPN has never been reported. Herein, we present the first case of VGPN that had ipsilateral hemifacial spasm and versive seizure-like movement to the same side of facial pain. We reported a 71-year-old man presenting with multiple episodes of intermittent sharp shooting pain arising on the right middle neck, followed by hemifacial spasm on right face. Then the patient became syncope while his head and gaze turned to the same side of the painful neck. Electrocardiography showed sinus arrest. Interictal Electroencephalography was normal. This patient initially responded to pregabalin for two weeks, then the symptoms became worse. Microvascular decompression and carbamazepine resulted in the complete remission of all symptoms after six months of follow-up. We could not explain the pathophysiology of unilateral versive seizure like movement.

  19. Conservative Management of a Congenital Seminal Vesicle Cyst Associated with Ipsilateral Renal Agenesis Revealed by Cystitis: One Case Report

    Directory of Open Access Journals (Sweden)

    Youness Ahallal

    2011-01-01

    Full Text Available Seminal vesicle cyst is an extremely rare disease. Its association with ipsilateral renal agenesis is even more exceptional. We present herein one case of a 16-year-old male who presented with a four-month history of lower urinary tract symptoms (LUTSs and micturition pain. The digital rectal examination revealed a small mass arising from the prostate. The urine culture showed that E. coli is sensitive to all antibiotics tested. Transrectal ultrasound (TRUS revealed a cystic mass in the outer prostate. Seminal vesicle cyst and left renal agenesis were confirmed by magnetic resonance imaging (MRI. Maximum flow (Qmax at uroflow was greater than 15 mL/sec. We therefore decided to manage this disease conservatively with alpha blockers and antibiotics. After 6-month' followup the patient did not report any complain and the uroflow test was similar to a normal urination. From one case report and literature review, the authors suggest a diagnostic and therapeutic strategy for the management of this rare condition.

  20. MULTICENTRIC GIANT CELL TUMOR OF IPSILATERAL ACETABULUM AND FEMORAL HEAD WITH PATHOLOGICAL FRACTURE OF FEMORAL NECK: A CASE REPORT

    Directory of Open Access Journals (Sweden)

    Jayant

    2015-02-01

    Full Text Available INTRODUCTION: Multicentric Giant Cell Tumor is extremely rare; here we are presenting a case of pathological neck femur fracture in case of multicentric giant cell tumor involving ipsilateral acetabulum along with femoral head and neck. CASE PRESENTATION: 24 years old male presented with pain in groin region and inability to walk after he fell down while walking. He had pain in left groin on weight bearing for last six months. Radiological examination shows pathological trans - cervical femoral neck fracture with sub - articular lytic lesion in femoral head and neck suggestive of Giant cell tumor. MRI has been done to define the extent of involvement and to rule out soft tissue infiltration. Fine needle aspiration cytology which was done through anterior route was inconclusive. After review of literature, patient has been planned for excisional biopsy and un - cemented total hip arthroplasty. Intra - operatively, frozen section confirms the giant cell tumor and surprisingly acetabulum was found to be involved which was curetted and hydrogen - peroxide treated. Post - operatively, patient was pain - free with good range of movements at hip. CONCLUSION: Giant cell tumor involving femoral head and neck with pathological fracture though uncommon, but may present as multicentric with acetabular involvement.

  1. Unusual combination of posterior femoral head dislocation with anterior and posterior wall fractures in the ipsilateral acetabulum.

    Science.gov (United States)

    Chen, Wei; Su, Yanling; Zhang, Yingze; Zhang, Qi; Zheng, Zhanle; Pan, Jinshe

    2010-06-09

    Although hip dislocation combined with acetabular fracture is not an uncommon injury, anterior acetabular wall fractures rarely occur in patients who have posterior fracture-dislocations of the hip. This article presents a unique case of anterior and posterior wall fractures of the ipsilateral acetabulum in a patient who sustained traumatic posterior hip dislocation that resulted from a high-speed motor vehicle accident. The initial imaging evaluation, which did not include the obturator oblique view, revealed no concomitant anterior acetabular wall fracture. Repeated manipulative reductions were unsuccessful in reducing the displaced hip joint. Pelvic computed tomography (CT) scans revealed the initially missed anterior acetabular wall fracture fragments incarcerated in the left hip joint in addition to the hip dislocation and the posterior acetabular wall fracture. The incarcerated bone fragments lay between the anterior wall and the femoral head, and between the posterior wall and the femoral head, which appeared to derive from both anterior and posterior acetabular walls, respectively. Open reduction and internal fixation was performed to manage the posterior dislocation and associated acetabular fractures. Intraoperatively, the major anterior wall fragment was used to reconstruct the defected posterior wall. This case highlights the necessity of suspicion and pre- and postoperative monitoring of the obturator oblique view and CT scans to detect the potentially existing anterior acetabular wall fracture. Early surgical intervention is important to guarantee satisfactory outcomes of such complex fracture-dislocation injuries.

  2. Postoperative Cervical Haematoma Complicated by Ipsilateral Carotid Thrombosis and Aphasia after Anterior Cervical Fusion: A Case Report

    Directory of Open Access Journals (Sweden)

    Kingsley R. Chin

    2013-01-01

    Full Text Available Hematoma alone is the most common vascular complication reported after anterior cervical decompression and fusion (ACDF. We present this case to report the occurrence of postoperative cervical hematoma complicated by ipsilateral carotid thrombosis and aphasia after an uncomplicated C4–6 ACDF. This is a case of a 65-year-old woman who underwent revision fusions of the C4-5 and C6-7 levels complicated by postoperative cervical hematoma and carotid thrombosis. The patient's history, clinical examination, imaging findings, and treatment are reported. The revision fusions were performed and deemed routine. Approximately eight hours later 200 mL of blood was evacuated from a postoperative cervical hematoma. The patient became unresponsive and disoriented a few hours after evacuating the hematoma. Computed tomography and magnetic resonance imaging of the brain were normal, but magnetic resonance angiography demonstrated total occlusion of the left carotid artery. Thrombectomy was performed and the patient was discharged without residual deficits. At the latest followup she is fully functional and asymptomatic in her neck. We suggest, after evacuating a cervical hematoma, an evaluation of the carotids be made with MRA or cerebral angiography, as this may demonstrate a clot before the patient develops symptoms.

  3. A retrospective study of different local treatments in breast cancer patients with synchronous ipsilateral supraclavicular lymph node metastasis.

    Science.gov (United States)

    Chang, Xin-Zhong; Yin, Jian; Sun, Jinyan; Zhang, Xue-Hui; Cao, Xu-Chen

    2013-11-01

    To evaluate the local treatment outcome and efficacy of supraclavicular lymph node dissection and radical radiotherapy for breast cancer patients with synchronous ipsilateral supraclavicular lymph node metastasis (ISLM). A total of 29 patients with ISLM in the absence of distant metastases were retrospectively analyzed. All patients received radical or modified radical mastectomy and systemic therapy. Thirteen patients received supraclavicular lymph node dissection surgery and the other patients were treated with radical radiotherapy. At the median follow-up of 47 months, 23 patients had developed distant metastases. The 3-year distant metastasis-free survival (DMFS) rates were 46.2% for the supraclavicular lymph node dissection group and 31.3% for the radical radiotherapy group. The 5-year overall survival rates were 46.2% for the supraclavicular lymph node dissection group and 37.5% for the radical radiotherapy group. Breast cancer with ISLM should be considered as a locoregional disease. Besides systemic therapy, local therapy may be helpful in enhancing local control and correspondingly reducing distant metastasis. In some individual patients, supraclavicular lymph node dissection might get a good prognosis.

  4. Outcomes of patients with breast cancer who present with ipsilateral supraclavicular or internal mammary lymph node metastases.

    Science.gov (United States)

    Dellapasqua, Silvia; Bagnardi, Vincenzo; Balduzzi, Alessandra; Iorfida, Monica; Rotmensz, Nicole; Santillo, Barbara; Viale, Giuseppe; Ghisini, Raffaella; Veronesi, Paolo; Luini, Alberto; Morra, Anna; Goldhirsch, Aron; Colleoni, Marco

    2014-02-01

    The prognostic implications of internal mammary (IM) and supraclavicular (SC) node involvement in locally advanced breast cancer is still unclear. We evaluated 107 patients with IM (n = 65) or SC (n = 42) node involvement who underwent operation at the European Institute of Oncology between 1997 and 2009 to assess their prognostic features. We subsequently analyzed matched cohorts, using the 107 patients as cases and another group of patients as a control cohort, to evaluate prognostic differences between patients with and those without IM or SC node involvement. Five-year disease-free survival (DFS) was 84% in IM vs. 38.8% in SC node involvement (P node vs. 57.1% in SC node involvement (P node involvement. Conversely, a statistically significant difference in DFS and locoregional recurrence was observed in patients with SC node involvement compared with controls without SC node involvement. SC node involvement correlated with a significantly poorer outcome in patients with locally advanced breast cancer. Adequate staging, including biopsy of suspicious locoregional ipsilateral lymph nodes, is mandatory in these patients. Patients with IM or SC node involvement should be treated with curative intent using combined-modality treatments. Copyright © 2014 Elsevier Inc. All rights reserved.

  5. Ipsilateral distortion product otoacoustic emission (2f1-f2) suppression in children with sensorineural hearing loss.

    Science.gov (United States)

    Abdala, Carolina; Fitzgerald, Tracy S

    2003-08-01

    Distortion product otoacoustic emission (DPOAE) ipsilateral suppression has been applied to study cochlear function and maturation in laboratory animals and humans. Although DPOAE suppression appears to be sensitive to regions of specialized cochlear function and to cochlear immaturity, it is not known whether it reflects permanent cochlear damage, i.e., sensorineural hearing loss (SNHL), in a reliable and systematic manner in humans. Eight school-aged children with mild-moderate SNHL and 20 normal-hearing children served as subjects in this study. DPOAE (2f1-f2) suppression data were collected at four f2 frequencies (1500, 3000, 4000, and 6000 Hz) using moderate-level primary tones. Features of the DPOAE iso-suppression tuning curves and suppression growth were analyzed for both subject groups. Results show that DPOAE suppression tuning curves from hearing-impaired subjects can be reliably recorded. DPOAE suppression tuning curves were generally normal in appearance and shape for six out of eight hearing-impaired subjects but showed subtle abnormalities in at least one feature. There was not one single trend or pattern of abnormality that characterized all hearing-impaired subjects. The most prominent patterns of abnormality included: broadened tuning, elevated tip, and downward shift of tip frequency. The unique patterns of atypical DPOAE suppression in subjects with similar audiograms may suggest different patterns of underlying sensory cell damage. This speculation warrants further investigation.

  6. Ipsilateral pedicle screw placement with contralateral percutaneous facet screws: Early results with an alternative in lumbar arthrodesis

    Directory of Open Access Journals (Sweden)

    Richard B Rhiew

    2009-03-01

    Full Text Available Richard B Rhiew, Sunil Manjila, Andrew M Lozen, David Hong, Murali Guthikonda, S S RengacharyDepartment of Neurosurgery, Wayne State University, Detroit, MI, USAAbstract: Transforaminal lumbar interbody fusion (TLIF is a widely used method of surgical treatment for a variety of lumbar spinal disorders. Bilateral transpedicular instrumentation is routinely used in conjunction with an interbody graft to provide additional stability. In this technical note, we describe our fusion construct using ipsilateral pedicle screw placement on the side of TLIF and contralateral facet screw placement. We performed this construct at six levels in four patients. Suggested advantages include: low morbidity, small incision and lower cost. Outcomes parameters included radiographic evidence of solid union at four months and improvement in Oswestry Disability Index. A mean improvement from a preoperative score of 73 to 26 after surgery was observed at one-year follow-up. There were no instrument-related complications. In conclusion, this hybrid screw system minimizes contralateral dissection and is an attractive alternative to standard bilateral pedicle screw fixation.Keywords: TLIF, facet screw, pedicle screw, lumbar spine fusion

  7. Rare variant of inguinal hernia, interparietal hernia and ipsilateral abdominal ectopic testis, mimicking a spiegelian hernia. Case report.

    Science.gov (United States)

    Hirabayashi, Takeshi; Ueno, Shigeru

    2013-07-20

    We report a case in which the combination of an interparietal inguinal hernia and ipsilateral ectopic testicle mimicked a spigelian hernia. The patient was a 22-day-old boy who presented with a reducible mass that extended from the right lumbar region to the iliac fossa region. The right testis was palpable in the right lumbar region. Ultrasonography and magnetic resonance imaging revealed that a small bowel had herniated through the inguinal region below the external oblique aponeurosis. Surgery was performed when the patient was 23 months old. Laparoscopic examination to identify the hernia orifice revealed that it was the deep inguinal ring, and the testicular vessels and the vas deferens passed beneath the hernia sac. An inguinal incision was made, and a hernia sac was observed passing through the deep inguinal ring and extending superiorly below the aponeurosis. The testis was found in the hernia sac. Traditional inguinal herniorrhaphy and traditional orchidopexy were performed, and the postoperative course was uneventful. It is difficult to understand the surgical anatomy of interparietal hernias, but once the surgical anatomy is understood, surgical repair is simple. We report the case with a review of the literature and also emphasize that laparoscopic exploration is helpful during surgery.

  8. A Case of Cryptorchidism with Ipsilateral Congenital Unilateral Absence of the Vas Deferens and Contralateral Renal Agenesis

    Science.gov (United States)

    Yu, Young Dong

    2016-01-01

    Introduction and Aims. Congenital absence of the vas deferens is an uncommon anomaly and this clinical condition is responsible for up to 1-2% of male infertility. It can be either unilateral or bilateral and the associated anomalies include cryptorchidism, seminal vesicles and ejaculatory ducts anomalies, and renal anomalies such as renal agenesis. We hereby present a case of congenital unilateral absence of vas deferens, which was found incidentally during an evaluation of undescended testis in a patient with ipsilateral renal agenesis. Case Presentation. A 10-month-old boy was referred to the urology clinic with an undescended right testis. Preoperative abdominal ultrasonography showed agenesis of the right kidney and the absence of right vas deferens and epididymis was confirmed during laparoscopic orchiectomy performed due to short right spermatic cord. There were no other concomitant anomalies of the genitourinary system observed in evaluation. Conclusion. Congenital unilateral absence of the vas deferens with cryptorchidism and renal agenesis is a rare diagnostic entity. Cryptorchidism or absent vas deferens found incidentally should lead the physician to evaluate the status of the contralateral vas deferens and conduct a renal tract ultrasound study. PMID:27597925

  9. Being green on sulphur: Targets, measures and side-effects

    DEFF Research Database (Denmark)

    Kontovas, Christos A.; Panagakos, George; Psaraftis, Harilaos N.

    2016-01-01

    deep-sea trades. Even though the amounts of SOx produced by ships are substantially lower than CO2, SOx emissions are highly undesirable as they cause acid rain and undesirable health effects in humans and animals. To mitigate these adverse environmental effects, the international shipping community...... has taken substantial policy measures. With the introduction of new limits for the content of sulphur in marine fuels in Northern European and North American sea areas, short-sea companies operating in these areas will face substantial additional cost. As of 1/1/2015, international regulations...... stipulate, among other things, a 0.1%limit in the sulphur content of marine fuels, or equivalent measures limiting the percent of SOx emissions to the same amount. As low-sulphur fuel is substantially more expensive than HFO, there is little or no room within these companies current margins to absorb...

  10. Possible Measurable Effects of Dark Energy in Rotating Superconductors

    Directory of Open Access Journals (Sweden)

    Clovis Jacinto de Matos

    2009-01-01

    Full Text Available We discuss recent laboratory experiments with rotating superconductors and show that three so far unexplained experimentally observed effects (anomalous acceleration signals, anomalous gyroscope signals, Cooper pair mass excess can be physically explained in terms of a possible interaction of dark energy with Cooper pairs. Our approach is based on a Ginzburg-Landau-like model of electromagnetic dark energy, where gravitationally active photons obtain mass in the superconductor. We show that this model can account simultaneously for the anomalous acceleration and anomalous gravitomagnetic fields around rotating superconductors measured by Tajmar et al. and for the anomalous Cooper pair mass in superconductive Niobium, measured by Cabrera and Tate. It is argued that these three different physical effects are ultimately different experimental manifestations of the simultaneous spontaneous breaking of gauge invariance and of the principle of general covariance in superconductive materials.

  11. Models and measures of mixing and effective diffusion

    CERN Document Server

    Lin, Zhi; Doering, Charles R

    2010-01-01

    Mixing a passive scalar field by stirring can be measured in a variety of ways including tracer particle dispersion, via the flux-gradient relationship, or by suppression of scalar concentration variations in the presence of inhomogeneous sources and sinks. The mixing efficiency or efficacy of a particular flow is often expressed in terms of enhanced diffusivity and quantified as an effective diffusion coefficient. In this work we compare and contrast several notions of effective diffusivity. We thoroughly examine the fundamental case of a steady sinusoidal shear flow mixing a scalar sustained by a steady sinusoidal source-sink distribution to explore apparent quantitative inconsistencies among the measures. Ultimately the conflicts are attributed to the noncommutative asymptotic limits of large P$\\acute{\\text{e}}$clet number and large length-scale separation. We then propose another approach, a generalization of Batchelor's 1949 theory of diffusion in homogeneous turbulence, that helps unify the particle dis...

  12. Possible Measurable Effects of Dark Energy in Rotating Superconductors

    CERN Document Server

    de Matos, Clovis Jacinto

    2007-01-01

    We discuss recent laboratory experiments with rotating superconductors and show that three so far unexplained experimentally observed effects (anomalous acceleration signals, anomalous gyroscope signals, Cooper pair mass excess) can be physically explained in terms of a possible interaction of dark energy with Cooper pairs. Our approach is based on a Ginzburg-Landau-like model of electromagnetic dark energy, where gravitationally active photons obtain mass in the superconductor. We show that this model can account simultaneously for the anomalous acceleration and anomalous gravitomagnetic fields around rotating superconductors measured by Tajmar et al. and for the anomalous Cooper pair mass in superconductive Niobium, measured by Cabrera and Tate. It is argued that these three different physical effects are ultimately different experimental manifestations of the simultaneous spontaneous breaking of gauge invariance, and of the principle of general covariance in superconductive materials.

  13. Mitigating the effects of measurement noise on Granger causality

    CERN Document Server

    Nalatore, Hariharan; Ding, Mingzhou

    2007-01-01

    Computing Granger causal relations among bivariate experimentally observed time series has received increasing attention over the past few years. Such causal relations, if correctly estimated, can yield significant insights into the dynamical organization of the system being investigated. Since experimental measurements are inevitably contaminated by noise, it is thus important to understand the effects of such noise on Granger causality estimation. The first goal of this paper is to provide an analytical and numerical analysis of this problem. Specifically, we show that, due to noise contamination, (1) spurious causality between two measured variables can arise and (2) true causality can be suppressed. The second goal of the paper is to provide a denoising strategy to mitigate this problem. Specifically, we propose a denoising algorithm based on the combined use of the Kalman filter theory and the Expectation-Maximization (EM) algorithm. Numerical examples are used to demonstrate the effectiveness of the den...

  14. Improved correction of VIPERS angular selection effects in clustering measurements

    Science.gov (United States)

    Pezzotta, A.; Granett, B. R.; Bel, J.; Guzzo, L.; de la Torre, S.; Aff004

    2016-10-01

    Clustering estimates in galaxy redshift surveys need to account and correct for the way targets are selected from the general population, as to avoid biasing the measured values of cosmological parameters. The VIMOS Public Extragalactic Redshift Survey (VIPERS) is no exception to this, involving slit collisions and masking effects. Pushed by the increasing precision of the measurements, e.g. of the growth rate f, we have been re-assessing these effects in detail. We present here an improved correction for the two-point correlation function, capable to recover the amplitude of the monopole of the two-point correlation function ξ(r) above 1 h-1 Mpc to better than 2.

  15. Diffraction and polarization effects in Earth radiation budget measurements.

    Science.gov (United States)

    Mahan, J R; Barki, A R; Priestley, K J

    2016-12-01

    Thermal radiation emitted and reflected from the Earth and viewed from near-Earth orbit may be characterized by its spectral distribution, its degree of coherence, and its state of polarization. The current generation of broadband Earth radiation budget instruments has been designed to minimize the effect of diffraction and polarization on science products. We used Monte Carlo ray-trace (MCRT) models that treat individual rays as quasi-monochromatic, polarized entities to explore the possibility of improving the performance of such instruments by including measures of diffraction and polarization during calibration and operation. We have demonstrated that diffraction and polarization sensitivity associated with typical Earth radiation budget instrument design features has a negligible effect on measurements.

  16. Temporal correlations and structural memory effects in break junction measurements

    DEFF Research Database (Denmark)

    Magyarkuti, A.; Lauritzen, Kasper Primdal; Balogh, Zoltan Imre

    2017-01-01

    that correlations between the opening and subsequent closing traces may indicate structural memory effects in atomic-sized metallic and molecular junctions. Applying these methods on measured and simulated gold metallic contacts as a test system, we show that the surface diffusion induced flattening of the broken......-molecule junctions, we demonstrate pronounced contact memory effects and recovery of the molecule for junctions breaking before atomic chains are formed. However, if chains are pulled the random relaxation of the chain and molecule after rupture prevents opening-closing correlations....

  17. New measurements of the EMC effect in very light nuclei

    CERN Document Server

    Seely, J; Gaskell, D; Arrington, J; Fomin, N; Solvignon, P; Asaturyan, R; Benmokhtar, F; Boeglin, W; Boillat, B; Bosted, P; Brüll, A; Bukhari, M H S; Christy, M E; Clasie, B; Connell, S; Dalton, M; Day, D; Dunne, J; Dutta, D; Fassi, L El; Ent, R; Fenker, H; Filippone, B W; Gao, H; Hill, C; Holt, R J; Horn, T; Hungerford, E; Jones, M K; Jourdan, J; Kalantarians, N; Keppel, C E; Kiselev, D; Kotulla, M; Lee, C; Lung, A F; Malace, S; Meekins, D G; Mertens, T; Mkrtchyan, H; Navasardyan, T; Niculescu, G; Niculescu, I; Nomura, H; Okayasu, Y; Opper, A K; Perdrisat, C; Potterveld, D H; Punjabi, V; Qian, X; Reimer, P E; Roche, J; Rodriguez, V M; Rondon, O; Schulte, E; Segbefia, E; Slifer, K; Smith, G R; Tadevosyan, V; Tajima, S; Tang, L; Testa, G; Trojer, R; Tvaskis, V; Villano, A; Vulcan, W F; Wesselmann, F R; Wood, S A; Wright, J; Yuan, L; Zheng, X

    2009-01-01

    New Jefferson Lab data are presented on the nuclear dependence of the inclusive cross section from 2H, 3He, 4He, 9Be and 12C for 0.3measurement of the EMC effect for 3He at large x and a significant improvement for 4He. The data do not support previous A-dependent or density-dependent fits to the EMC effect and suggest that the nuclear dependence of the quark distributions may depend on the local nuclear environment.

  18. Effect of Feeding and Suction on Gastric Impedance Spectroscopy Measurements.

    Science.gov (United States)

    Beltran, Nohra E; Sánchez-Miranda, Gustavo; Sacristan, Emilio

    2015-01-01

    A specific device and system has been developed and tested for clinical monitoring of gastric mucosal reactance in the critically ill as an early warning of splanchnic hypoperfusion associated with shock and sepsis. This device has been proven effective in clinical trials and is expected to become commercially available next year. The system uses a combination nasogastric tube and impedance spectroscopy probe as a single catheter. Because this device has a double function, the question is: Does enteral feeding or suction affect the gastric reactance measurements? This study was designed to evaluate the effect of feeding and suction on the measurement of gastric impedance spectroscopy in healthy volunteers. Impedance spectra were obtained from the gastric wall epithelia of 18 subjects. The spectra were measured for each of the following conditions: postinsertion of gastric probe, during active suction, postactive suction, and during enteral feeding (236 ml of nutritional supplement). Impedance spectra were reproducible in all volunteers under all conditions tested. There was a slight increase in impedance parameters after suction, and a decrease in impedance after feeding; however, these observed differences were insignificant compared to patient-to-patient variability, and truly negligible compared with previously observed changes associated with splanchnic ischemia in critically ill patients. Our results demonstrate that suction or feeding when using the impedance spectro-metry probe/nasogastric tube does not significantly interfere with gastric impedance spectrometer measurements.

  19. Visual feedback-related changes in ipsilateral cortical excitability during unimanual movement: Implications for mirror therapy.

    Science.gov (United States)

    Reissig, Paola; Garry, Michael I; Summers, Jeffery J; Hinder, Mark R

    2014-01-01

    Provision of a mirror image of a hand undertaking a motor task (i.e., mirror therapy) elicits behavioural improvements in the inactive hand. A greater understanding of the neural mechanisms underpinning this phenomenon is required to maximise its potential for rehabilitation across the lifespan, e.g., following hemiparesis or unilateral weakness. Young and older participants performed unilateral finger abductions with no visual feedback, with feedback of the active or passive hands, or with a mirror image of the active hand. Transcranial magnetic stimulation was used to assess feedback-related changes in two neurophysiological measures thought to be involved in inter-manual transfer of skill, namely corticospinal excitability (CSE) and intracortical inhibition (SICI) in the passive hemisphere. Task performance led to CSE increases, accompanied by decreases of SICI, in all visual feedback conditions relative to rest. However, the changes due to mirror feedback were not significantly different to those observed in the other (more standard) visual conditions. Accordingly, the unimanual motor action itself, rather than modifications in visual feedback, appears more instrumental in driving changes in CSE and SICI. Therefore, changes in CSE and SICI are unlikely to underpin the behavioural benefits of mirror therapy. We discuss implications for rehabilitation and directions of future research.

  20. Safety and Feasibility of Simultaneous Ipsilateral Proximal Carotid Artery Stenting and Cerebral Aneurysm Coiling

    Directory of Open Access Journals (Sweden)

    Aamir Badruddin

    2010-10-01

    Full Text Available Background: Coexistence of cerebral aneurysm and carotid artery disease may be encountered in clinical practice. Theoretical increase in aneurysmal blood flow may increase risk of rupture if carotid artery disease is treated first. If aneurysm coiling is performed first, stroke risk may increase while repeatedly crossing the diseased artery. It is controversial which disease to treat first, and whether it is safe to treat both simultaneously via endovascular procedures. We document the safety and feasibility of such an approach. Methods: Review of collected neurointerventional database at our institution was performed for patients who underwent both Carotid artery stenting (CAS and aneurysm coil embolization (ACE simultaneously. All patients underwent carotid stenting followed by aneurysm coiling in the same setting. Demographic, clinical data and outcome measures including success rate and periprocedural complications were collected. Results: 590 aneurysms coiling were screened for patients who underwent combined CAS and ACE. Ten patients were identified. Mean age was 67.7 years (range 51 to 89. The success rate for stenting and coiling was 100% with no immediate complications. No stroke, TIAs, or aneurysmal rebleeding was found on their most recent follow up. Conclusions: Our case series demonstrates that it is safe and feasible to perform CAS and ACE simultaneously as one procedure which may avoid unwanted risk of treating either disease at two separate time sessions.

  1. Effective shielding to measure beam current from an ion source

    Energy Technology Data Exchange (ETDEWEB)

    Bayle, H., E-mail: bayle@bergoz.com [Bergoz Instrumentation, Saint-Genis-Pouilly (France); Delferrière, O.; Gobin, R.; Harrault, F.; Marroncle, J.; Senée, F.; Simon, C.; Tuske, O. [CEA, Saclay (France)

    2014-02-15

    To avoid saturation, beam current transformers must be shielded from solenoid, quad, and RFQ high stray fields. Good understanding of field distribution, shielding materials, and techniques is required. Space availability imposes compact shields along the beam pipe. This paper describes compact effective concatenated magnetic shields for IFMIF-EVEDA LIPAc LEBT and MEBT and for FAIR Proton Linac injector. They protect the ACCT Current Transformers beyond 37 mT radial external fields. Measurements made at Saclay on the SILHI source are presented.

  2. A Markov model for measuring artillery fire support effectiveness

    OpenAIRE

    Guzik, Dennis M.

    1988-01-01

    Approved for public release; distribution is unlimited This thesis presents a Markov model, which, given an indirect fire weapon system's parameters, yields measures of the weapon's effectiveness in providing fire support to a maneuver element. These parameters may be determined for a variety of different scenarios. Any indirect fire weapon system may be a candidate for evaluation. This model may be used in comparing alternative weapon systems for the role of direct support of a Marin...

  3. Measurement of the thermo-optical effect of integrated waveguides

    Science.gov (United States)

    Kremmel, Johannes; Lamprecht, Tobias; Michler, Markus

    2016-05-01

    Thermo-optical switches are widely used in integrated optics and various types of integrated optical structures have been reported in literature. These structures include, but are not limited to Mach-Zehnder-Interferometer (MZI) switches and digital optical switches. The thermo-optical effect depends on the refractive index, the polarizability and the density of a material. The polarizability effect can often be neglected and the change of refractive index is dominated by a density change due to the thermal expansion of the material. We report herein a new method to measure the thermo-optical effect of waveguides directly, using integrated MZIs fabricated in polymer waveguide technology. Common methods rely on macroscopic samples, but the properties can differ significantly for micro-structured waveguides. Using a floodlight halogen rod lamp and metal-shields, we realized a radiation heater with a trapezoidal-shaped heating pattern. While the heating occurred from the bottom side, a thermocouple was placed on top of the sample. By dynamically measuring the temperature and the corresponding output-power of the MZI, the temperature difference between constructive and destructive interference can be determined. Multiple measurements of different sample MZIs exhibit an average thermo-optical coefficient (TOC) of 1.6 ∗ 10-4 1/K .

  4. Measurement of company effectiveness using analytic network process method

    Science.gov (United States)

    Goran, Janjić; Zorana, Tanasić; Borut, Kosec

    2017-06-01

    The sustainable development of an organisation is monitored through the organisation's performance, which beforehand incorporates all stakeholders' requirements in its strategy. The strategic management concept enables organisations to monitor and evaluate their effectiveness along with efficiency by monitoring of the implementation of set strategic goals. In the process of monitoring and measuring effectiveness, an organisation can use multiple-criteria decision-making methods as help. This study uses the method of analytic network process (ANP) to define the weight factors of the mutual influences of all the important elements of an organisation's strategy. The calculation of an organisation's effectiveness is based on the weight factors and the degree of fulfilment of the goal values of the strategic map measures. New business conditions influence the changes in the importance of certain elements of an organisation's business in relation to competitive advantage on the market, and on the market, increasing emphasis is given to non-material resources in the process of selection of the organisation's most important measures.

  5. Age effects in the human middle ear: Wideband acoustical measures

    Science.gov (United States)

    Feeney, M. Patrick; Sanford, Chris A.

    2004-12-01

    Studies that have examined age effects in the human middle ear using either admittance measures at 220 or 660 Hz or multifrequency tympanometry from 200 to 2000 Hz have had conflicting results. Several studies have suggested an increase in admittance with age, while several others have suggested a decrease in admittance with age. A third group of studies found no significant age effect. This study examined 226 Hz tympanometry and wideband energy reflectance and impedance at ambient pressure in a group of 40 young adults and a group of 30 adults with age >=60 years. The groups did not differ in admittance measures of the middle ear at 226 Hz. However, significant age effects were found in wideband energy reflectance and impedance. In particular, in older adults there was a comparative decrease in reflectance from 800 to 2000 Hz but an increase near 4000 Hz. The results suggest a decrease in middle-ear stiffness with age. The findings of this study hold relevance for understanding the aging process in the auditory system, for the establishment of normative data for wideband energy reflectance, for the possibility of a conductive component to presbycusis, and for the interpretation of otoacoustic emission measurements. .

  6. Quantifying antiepileptic drug effects using intrinsic excitability measures.

    Science.gov (United States)

    Meisel, Christian; Plenz, Dietmar; Schulze-Bonhage, Andreas; Reichmann, Heinz

    2016-11-01

    Pathologic increases in excitability levels of cortical tissue commonly underlie the initiation and spread of seizure activity in patients with epilepsy. By reducing the excitability levels in neural tissue, antiepileptic drug (AED) pharmacotherapy aims to reduce seizure severity and frequency. However, AEDs may also bring about adverse effects, which have been reported to increase with higher AED load. Measures that monitor the dose-dependent effects of AEDs on cortical tissue and quantify its excitability level are therefore of prime importance for efficient clinical care and treatment but have been difficult to identify. Here, we systematically analyze continuous multiday electrocorticography (ECoG) data from 10 patients under different levels of AED load and derive the recently proposed intrinsic excitability measures (IEMs) from different brain regions and across different frequency bands. We find that IEMs are significantly negatively correlated with AED load (prescribed daily dose/defined daily dose). Furthermore, we demonstrate that IEMs derived from different brain regions can robustly capture global changes in the degree of excitability. These results provide a step toward the ultimate goal of developing a reliable quantitative measure of central physiologic effects of AEDs in patients with epilepsy. Wiley Periodicals, Inc. © 2016 International League Against Epilepsy.

  7. Application of the microtremor measurements to a site effect study

    Science.gov (United States)

    Rezaei, Sadegh; Choobbasti, Asskar Janalizadeh

    2017-07-01

    Earthquake has left much life and property damages. The occurrence of such events necessitates the execution of plans for combating the earthquakes. One of the most important methods for combating earthquakes includes assessing dynamic characteristics of soil and site effect. One of the methods by which one can state dynamic characteristics of the soil of an area is the measurement of microtremors. Microtremors are small-scale vibrations that occur in the ground and have an amplitude range of about 0.1-1 microns. Microtremor measurement is fast, applicable, cost-effective. Microtremor measurements were taken at 15 stations in the Babol, north of Iran. Regarding H/V spectral ratio method, peak frequency and amplification factor were calculated for all microtremor stations. According to the analysis, the peak frequency varies from 0.67 to 8.10 Hz within the study area. Also, the authors investigated the validity of the results by comparing them with SESAME guidelines and geotechnical conditions of study area. The microtremor analysis results are consistent with SESAME guidelines and geotechnical condition of study area. The results show that the microtremor observations are acceptable methods for assessing dynamic characteristics of soil and site effect in the Babol City.

  8. The microwave Hall effect measured using a waveguide tee

    Science.gov (United States)

    Coppock, J. E.; Anderson, J. R.; Johnson, W. B.

    2016-03-01

    This paper describes a simple microwave apparatus to measure the Hall effect in semiconductor wafers. The advantage of this technique is that it does not require contacts on the sample or the use of a resonant cavity. Our method consists of placing the semiconductor wafer into a slot cut in an X-band (8-12 GHz) waveguide series tee, injecting microwave power into the two opposite arms of the tee, and measuring the microwave output at the third arm. A magnetic field applied perpendicular to the wafer gives a microwave Hall signal that is linear in the magnetic field and which reverses phase when the magnetic field is reversed. The microwave Hall signal is proportional to the semiconductor mobility, which we compare for calibration purposes with d.c. mobility measurements obtained using the van der Pauw method. We obtain the resistivity by measuring the microwave reflection coefficient of the sample. This paper presents data for silicon and germanium samples doped with boron or phosphorus. The measured mobilities ranged from 270 to 3000 cm2/(V s).

  9. Direct measurement of the magnetocaloric effect in cementite

    Energy Technology Data Exchange (ETDEWEB)

    Kaeswurm, B., E-mail: Barbara.Kaeswurm@fau.de [Geo- und Materialwissenschaften, Technische Universität Darmstadt, Darmstadt (Germany); Friemert, K. [Geo- und Materialwissenschaften, Technische Universität Darmstadt, Darmstadt (Germany); Gürsoy, M. [Eduard-Zintl-Institut für Anorganische und Physikalische Chemie, Technische Universität Darmstadt, Darmstadt (Germany); Skokov, K.P. [Geo- und Materialwissenschaften, Technische Universität Darmstadt, Darmstadt (Germany); Gutfleisch, O., E-mail: gutfleisch@fm.tu-darmstadt.de [Geo- und Materialwissenschaften, Technische Universität Darmstadt, Darmstadt (Germany)

    2016-07-15

    Measurements of the magnetocaloric effect of cementite at its Curie temperature of 475 K are presented. An adiabatic temperature change of 1.76±0.01 K was measured using a direct measurement technique. The isothermal entropy change was determined from measurements of magnetisation isotherms and was shown to be 3.07 J K{sup −1} kg{sup −1} in a field change of 2 T. The field dependencies of both magnetocaloric properties follow the H{sup 2/3} dependence typical for ferromagnetic materials with a second order phase transition. The material may be of interest in magnetocaloric applications such as magnetic refrigeration or thermomagnetic power generation. - Highlights: • The magnetocaloriceffect of Fe{sub 3}C was investigated at its Curie temperature of 475 K. • First direct measurement of adiabatic temperature change in cementite. • ΔT{sub ad}=1.77 K and ΔS=3.07 J K{sup −1} kg{sup −1} in 2 T. • MCE follows H{sup 2/3} dependence typical for second order phase transition. • Possible applications include magnetic refrigeration and heat power conversion.

  10. Measuring Young’s modulus the easy way, and tracing the effects of measurement uncertainties

    Science.gov (United States)

    Nunn, John

    2015-09-01

    The speed of sound in a solid is determined by the density and elasticity of the material. Young’s modulus can therefore be calculated once the density and the speed of sound in the solid are measured. The density can be measured relatively easily, and the speed of sound through a rod can be measured very inexpensively by setting up a longitudinal standing wave and using a microphone to record its frequency. This is a simplified version of a technique called ‘impulse excitation’. It is a good educational technique for school pupils. This paper includes the description and the free provision of custom software to calculate the frequency spectrum of a recorded sound so that the resonant peaks can be readily identified. Discussion on the effect of measurement uncertainties is included to help the more thorough experimental student improve the accuracy of his method. The technique is sensitive enough to be able to detect changes in the elasticity modulus with a temperature change of just a few degrees.

  11. SPECIFIC AND CROSS-OVER EFFECTS OF FOAM ROLLING ON ANKLE DORSIFLEXION RANGE OF MOTION

    Science.gov (United States)

    Beardsley, Chris

    2016-01-01

    ABSTRACT Background Flexibility is an important physical quality. Self-myofascial release (SMFR) methods such as foam rolling (FR) increase flexibility acutely but how long such increases in range of motion (ROM) last is unclear. Static stretching (SS) also increases flexibility acutely and produces a cross-over effect to contralateral limbs. FR may also produce a cross-over effect to contralateral limbs but this has not yet been identified. Purpose To explore the potential cross-over effect of SMFR by investigating the effects of a FR treatment on the ipsilateral limb of 3 bouts of 30 seconds on changes in ipsilateral and contralateral ankle DF ROM and to assess the time-course of those effects up to 20 minutes post-treatment. Methods A within- and between-subject design was carried out in a convenience sample of 26 subjects, allocated into FR (n=13) and control (CON, n=13) groups. Ankle DF ROM was recorded at baseline with the in-line weight-bearing lunge test for both ipsilateral and contralateral legs and at 0, 5, 10, 15, 20 minutes following either a two-minute seated rest (CON) or 3 3 30 seconds of FR of the plantar flexors of the dominant leg (FR). Repeated measures ANOVA was used to examine differences in ankle DF ROM. Results No significant between-group effect was seen following the intervention. However, a significant within-group effect (p<0.05) in the FR group was seen between baseline and all post-treatment time-points (0, 5, 10, 15 and 20 minutes). Significant within-group effects (p<0.05) were also seen in the ipsilateral leg between baseline and at all post-treatment time-points, and in the contralateral leg up to 10 minutes post-treatment, indicating the presence of a cross-over effect. Conclusions FR improves ankle DF ROM for at least 20 minutes in the ipsilateral limb and up to 10 minutes in the contralateral limb, indicating that FR produces a cross-over effect into the contralateral limb. The mechanism producing these cross-over effects is

  12. Long-term glial reactivity in rat retinas ipsilateral and contralateral to experimental glaucoma.

    Science.gov (United States)

    Kanamori, Akiyasu; Nakamura, Makoto; Nakanishi, Yoriko; Yamada, Yuko; Negi, Akira

    2005-07-01

    Although glaucoma is known to alter glial reactivity, the long-term effect of elevated intraocular pressure (IOP) on glial change has not been fully elucidated. This study aimed to examine how chronically elevated IOP induced by episcleral vein cauterization (EVC) in unilateral eyes affect reactivities of astrocytes and Müller cells of rats in the treated as well as contralateral eyes over time. EVC in unilateral eyes of Sprague-Dawley rats were performed to produce chronically elevated IOP. Flat mounted retina preparations were made at several points until 6 months, which were subjected to immunostaining for glial fibrillary acidic protein (GFAP). Retinal homogenates were one- or two-dimensionally electrophoresed, followed by GFAP immunoblotting. EVC significantly increased IOPs up to 27.8 from 13.1 mmHg, which gradually decreased over time. In flat mounted retinas, astrocytes lost but Müller cells gained GFAP immunoreactivity at 3 days after cauterization. The glial changes were partially reversed over time but last even after IOP normalization. In the contralateral eyes, similar glial changes gradually appeared at 1 month after EVC and thereafter. Immunoblotting demonstrated not only molecular size shifts but also alteration of isoelectric focusing of GFAP both in treated and contralateral retina as compared with age-matched control retina. EVC led to opposite reactions in astrocytes and Müller cells in terms of GFAP immunoreactivity. Late-onset glial reactivity also occurred in the contralateral retina.

  13. Mars Global Surveyor measurements of solar storms and their effects

    Science.gov (United States)

    Brain, D. A.; Delory, G. T.; Lillis, R. J.; Ulusen, D.; Mitchell, D.; Luhmann, J. G.; Falkenberg, T. V.

    2010-12-01

    Space weather events in the form of solar photons and energetic charged particles provide brief but relatively intense periods of energy input to the Martian plasma environment and atmosphere, with implications for a number of science and exploration-related issues. The Mars Global Surveyor (MGS) spacecraft orbited Mars for more than 9 years, and was capable of indirectly detecting space weather events and their effects. Shocks associated with passing coronal mass ejections are evident in MGS magnetometer data, and in proxies for upstream solar wind pressure at 1.5 AU derived from magnetometer measurements. Fluxes of solar energetic particles with energies greater than ˜30 MeV are sometimes evident in the background count rates of the MGS electron instrument. Measurements of the background count rates at altitudes of ˜400 km over a seven year period provide an unprecedented long-baseline data set of the energetic particle environment at Mars over a significant fraction of a solar cycle. We will present results of analyses pertaining to three main uses of MGS observations of solar storms. First, by combining MGS measurements of solar storms with terrestrial and solar measurements, we have analyzed the propagation of individual solar storm events from the Sun throughout the inner heliosphere. Next, we have used MGS particle and field measurements to study the effect of solar storms on the Martian plasma environment - including increased fluxes of 10-20 keV electrons close to the planet and influences on auroral activity. Finally, we have studied the influence of solar storms on the Martian upper atmosphere - including suprathermal electrons produced in the atmosphere via impact ionization and a correlation of solar storm periods with ionospheric electron density profiles.

  14. Effect of inhomogeneities on high precision measurements of cosmological distances

    CERN Document Server

    Peel, Austin; Ishak, Mustapha

    2014-01-01

    We study exact relativistic effects of inhomogeneities on distance measures, focusing on the distance modulus, in a Swiss-cheese model of the universe with $\\Lambda$CDM background dynamics, and where the `holes' are non-symmetric structures described by the Szekeres metric. The Szekeres exact solution of Einstein's equations, which is inhomogeneous and anisotropic, allows us to capture potentially relevant effects on light propagation due to nontrivial evolution of structures. Unlike Swiss-cheese model studies with spherically symmetric holes, we find a net shift in the distance modulus $\\mu$ to distant sources even when we average over many lines of sight with randomized hole orientations and impact parameters. The light also need not propagate strictly through underdense regions to result in an overall bias, which is an accumulated effect associated with the evolution of the anisotropic holes. We find the average shift $\\langle\\Delta\\mu\\rangle$ relative to a pure $\\Lambda$CDM model to increase with redshift...

  15. Measurement of Overall Performance Effectiveness in Setup Improvement

    Directory of Open Access Journals (Sweden)

    Shye-Nee Low

    2014-01-01

    Full Text Available This study aimed to improve the setup process of injection molding machines by using the developed setup improvement methodology. Overall performance effectiveness (OPE was used to evaluate the setup improvement. A case study was tested on the application of the developed setup improvement methodology. A 50.1% reduction in setup time was attained by the developed methodology, and significant time savings were achieved with minimum investment. Comparisons between before and after improvement implementation were conducted through OPE to verify the improvement. In terms of OPE, the setup performance in the case study considered an acceptable value of 60.45%. The setup process performance of the developed setup improvement methodology was judged in terms of effectiveness. Results therefore indicate that OPE measurement is an effective way to analyze the efficiency of a single setup process.

  16. Measurement of Spin Pumping Voltage Separated from Extrinsic Microwave Effects

    Science.gov (United States)

    Iguchi, Ryo; Saitoh, Eiji

    2017-01-01

    Conversions between spin and charge currents are core technologies in recent spintronics. In this article, we provide methods for estimating inverse spin Hall effects (ISHEs) induced by using microwave-driven spin pumping (SP) as a spin-current generator. ISHE and SP induce an electromotive force at the ferromagnetic or spin-wave resonance, which offers a valuable electric method of studying spin physics in materials. At the resonance, a microwave for exciting the magnetization dynamics induces an additional electromotive force via rf-current rectification and thermoelectric effects. We discuss methods of separating the signals generated from such extrinsic microwave effects by controlling sample structures and configurations. These methods are helpful in performing accurate measurements on ISHE induced by SP, enabling quantitative studies on the conversion between spin and charge currents on various kinds of materials.

  17. Ipsilateral versus contralateral spontaneous post-stroke neuroplastic changes: involvement of BDNF?

    Science.gov (United States)

    Madinier, A; Bertrand, N; Rodier, M; Quirié, A; Mossiat, C; Prigent-Tessier, A; Marie, C; Garnier, P

    2013-02-12

    Stroke is a leading cause of death and disability in industrialized countries. Although surviving patients exhibit a certain degree of restoration of function attributable to brain plasticity, the majority of stroke survivors has to struggle with persisting deficits. In order to potentiate post-stroke recovery, several rehabilitation therapies have been undertaken and many experimental studies have reported that brain-derived neurotrophic factor (BDNF) is central to many facets of neuroplastic processes. However, although BDNF role in brain plasticity is well characterized through strategies that manipulate its content, the involvement of this neurotrophin in spontaneous post-stroke recovery remains to be clarified. Besides, while the neuroplastic role of BDNF is restricted to its mature form, most studies investigating the proper effect of ischemia on post-stroke BDNF metabolism focused on mRNA or total protein expressions. In addition, these studies are mainly performed in brain regions collected either at or around the lesion site. Therefore, the objective of the present study was to investigate in both hemispheres, the long-term expression (up to one month) of both pro- and mature BDNF forms in rats subjected to photothrombotic ischemia. These assessments were performed in the cortex and in the hippocampus, two regions known to subserve functional recovery after stroke and were coupled to the study of synaptophysin expression, a marker of synaptogenesis. Our study reports that stroke induces an early and transient increase (4h) in mature BDNF expression in the cortex of both hemispheres that was associated with a delayed rise (30d) in synaptophysin levels ipsilateraly. In both hippocampal territories, the pattern of mature BDNF expression shows a more delayed increase (from 8 to 30d), which coincides with the evolution of synaptophysin expression. Interestingly, in these hippocampal territories, pro-BDNF levels evolve differently suggesting a differential gene

  18. 桡骨头骨折合并同侧腕舟骨骨折%Ipsilateral fractures of the scaphoid and radial head

    Institute of Scientific and Technical Information of China (English)

    俞斌; 丁惠锋; 姜新华; 黄建明; 禹宝庆

    2016-01-01

    head fracture with ipsilateral scaphoid fracture is extremely low,and it is often easy to misdiagnose for combined fracture.Patients with carpal bone fracture or radial head fractures should be effectively ruled out the combined fractures.For undisplaced fracture it is useful of conservative treatments with plaster,and for displaced fracture,the open reduction and internal fixation are needed.The incidence of radial head fracture with ipsilateral scaphoid fracture is extremely low,and it is often easy to misdiagnose for combined fracture.Patients with carpal bone fracture or radial head fractures should be effectively ruled out the combined fractures.For undisplaced fracture it is useful of conservative treatments with plaster,and for displaced fracture,the open reduction and internal fixation are needed.

  19. Evaluation of thermal gradients in longitudinal spin Seebeck effect measurements

    Energy Technology Data Exchange (ETDEWEB)

    Sola, A., E-mail: a.sola@inrim.it; Kuepferling, M.; Basso, V.; Pasquale, M. [Istituto Nazionale di Ricerca Metrologica, Strada delle Cacce 91, 10135 Turin (Italy); Kikkawa, T. [Institute for Materials Research, Tohoku University, Sendai 980-8577 (Japan); Uchida, K. [Institute for Materials Research, Tohoku University, Sendai 980-8577 (Japan); PRESTO, Japan Science and Technology Agency, Saitama 332-0012 (Japan); Saitoh, E. [Institute for Materials Research, Tohoku University, Sendai 980-8577 (Japan); WPI Advanced Institute for Materials Research, Tohoku University, Sendai 980-8577 (Japan); CREST, Japan Science and Technology Agency, Tokyo 102-0076 (Japan); Advanced Science Research Center, Japan Atomic Energy Agency, Tokai 319-1195 (Japan)

    2015-05-07

    In the framework of the longitudinal spin Seebeck effect (LSSE), we developed an experimental setup for the characterization of LSSE devices. This class of device consists in a layered structure formed by a substrate, a ferrimagnetic insulator (YIG) where the spin current is thermally generated, and a paramagnetic metal (Pt) for the detection of the spin current via the inverse spin-Hall effect. In this kind of experiments, the evaluation of a thermal gradient through the thin YIG layer is a crucial point. In this work, we perform an indirect determination of the thermal gradient through the measurement of the heat flux. We developed an experimental setup using Peltier cells that allow us to measure the heat flux through a given sample. In order to test the technique, a standard LSSE device produced at Tohoku University was measured. We find a spin Seebeck S{sub SSE} coefficient of 2.8×10{sup −7} V K{sup −1}.

  20. Measurement of the dynamo effect in a plasma

    Energy Technology Data Exchange (ETDEWEB)

    Ji, H. [Princeton Univ., NJ (United States). Plasma Physics Lab.; Prager, S.C.; Almagri, A.F.; Sarff, J.S. [Univ. of Wisconsin, Madison, WI (United States). Dept. of Physics; Hirano, Y. [Electrotechnical Lab., Tsukuba, Ibaraki (Japan). Plasma Section; Toyama, H. [Univ. of Tokyo (Japan). Dept. of Physics

    1995-11-01

    A series of the detailed experiments has been conducted in three laboratory plasma devices to measure the dynamo electric field along the equilibrium field line (the {alpha} effect) arising from the correlation between the fluctuating flow velocity and magnetic field. The fluctuating flow velocity is obtained from probe measurement of the fluctuating E x B drift and electron diamagnetic drift. The three major findings are (1) the {alpha} effect accounts for the dynamo current generation, even in the time dependence through a ``sawtooth`` cycle; (2) at low collisionality the dynamo is explained primarily by the widely studied pressureless Magnetohydrodynamic (MHD) model, i.e., the fluctuating velocity is dominated by the E x B drift; (3) at high collisionality, a new ``electron diamagnetic dynamo`` is observed, in which the fluctuating velocity is dominated by the diamagnetic drift. In addition, direct measurements of the helicity flux indicate that the dynamo activity transports magnetic helicity from one part of the plasma to another, but the total helicity is roughly conserved, verifying J.B. Taylor`s conjecture.

  1. Type III monteggia injury with ipsilateral type II Salter Harris injury of the distal radius and ulna in a child: a case report.

    Science.gov (United States)

    Williams, Huw L M; Madhusudhan, Thayur R; Sinha, Amit

    2014-03-17

    Although previously reported, ipsilateral Monteggia fracture dislocation and distal radius fracture in a child is still a rare occurrence. A full clinical examination may be difficult but should not be ignored. Full length forearm radiographs are ideal but proper limb positioning may be difficult. The injury pattern can be easily missed. A five-year-old right hand dominant Caucasian male presented with a history of fall on outstretched hand. Clinical examination was difficult and X-rays confirmed type III Monteggia fracture with an ipsilateral Type II Salter Harris injury of the distal radius and ulna. This report highlights the need for relevant examination of the wrist and elbow in young children. Appropriate radiographs must also be performed to prevent missing these injuries.

  2. A rare combination injury of type III Monteggia fracture dislocation and ipsilateral epiphyseal fracture of distal radius in children. Is there a probability of missing the Monteggia component?

    Directory of Open Access Journals (Sweden)

    Kapil Mani K.C.

    2015-07-01

    Full Text Available Combined type III Monteggia fracture dislocation and ipsilateral distal radial epiphyseal fracture is a very rare injury. Because of difficulty in performing the proper clinical evaluation of a child in an acute injury state, one of the components of this combined injury may be missed. We report a tenyear-old male child with this kind of injury where the Monteggia lesion was initially missed at the emergency department. Later we found the combined epiphyseal fracture of distal radius and Monteggia lesion in the ipsilateral side of the same limb which was managed by closed reduction and K-wire fixation. Bony union as well as wrist and elbow motion was complete 3 months after surgical intervention.

  3. 股骨干骨折合并同侧股骨颈或股骨髁上骨折漏诊的诊治%Analysis of misdiagnoses for femoral shaft fracture with ipsilateral femoral neck or femoral fractures

    Institute of Scientific and Technical Information of China (English)

    李守民; 朱晨; 孔荣; 夏睿; 方诗元; 张光平

    2010-01-01

    Objective To analyze the misdiagnoses of femoral shaft fracture combined with ipsilateral femoral neck or femoral fractures.Methods Over the past six years,eight misdiagnosed cases of ipsilateral femoral neck or femoral fractures missed patients,aged 25 to 59 years old(mean:41.7),were treated at our department.An initial diagnosis of femoral shaft fracture was later revised as ipsilateral femoral shaft with supra-condylar fracture of femoral neck or femur.Femoral shaft fracture was fixed with armor plate,3-screw hollow compression fixation of femoral neck;two cases of femoral condylar fractures of distal femoral condyle with anatomical plate fixation and 1 case of intraoperative change into the retrograde femoral intramedullary nail fixation.Results The mean post-operative follow-up was 3.5 years.All fractures healed with excellent hip and knee functions.Conclusion For those with a strong reverse and torsional violence,femoral shaft fracture combined with ipsilateral femoral neck or femoral fractures may be easily misdiagnosed.A preoperative conventional hip-knee X-ray film is an effective way to avoid a misdiagnosis.%目的 对股骨干骨折合并同侧股骨颈或股骨髁上骨折漏诊的治疗进行分析.方法 2002年12月至2008年12月安徽医科大学附属省立医院骨科收治8例股骨干合并同侧股骨颈或股骨髁上骨折漏诊患者,年龄25~59岁,平均41.7岁,初步诊断为股骨干骨折,后修正为股骨干合并同侧股骨颈或股骨髁上骨折.股骨干骨折行钢板内固定.股骨颈骨折行3枚空心加压螺丝钉内固定;股骨髁上骨折2例行股骨远端外髁解剖钢板的内固定,1例术中更改行逆行股骨交锁髓内钉内固定.结果 术后平均随访3.5年,骨折均愈合,髋膝关节功能良好.结论 凡强大暴力及有扭转暴力者股骨干合并同侧股骨颈或股骨髁上骨折易漏诊,术前常规髋膝摄片是避免漏诊的有效方法.

  4. Measuring the effect of managerial ability on earning quality

    Directory of Open Access Journals (Sweden)

    Jamal Bahri Sales

    2015-09-01

    Full Text Available This paper presents an empirical investigation to measure the effect of managerial ability on earning quality on selected firms listed on Tehran Stock Exchange over the period 2007-2013. The proposed study uses data envelopment analysis to measure the relative efficiency of selected firms where Sales is considered as output and Cost of goods (COGS, Selling, General and Administrative Expenses (SG&A, Net Property Plant and Equipment (PPE, Net operating Leases (OpsLease, Research & Development (R&D, Purchased Good will (Goodwill and Other intangible assets (OtherIntan are considered as inputs. Earning quality in this survey consists of three parts of quality of accruals, earnings and earnings forecast persistence. The results of our survey have indicated that managerial ability influences positively on earning quality.

  5. Admittance measurements in the quantum Hall effect regime

    Energy Technology Data Exchange (ETDEWEB)

    Hernández, C., E-mail: carlos.hernandezr@unimilitar.edu.co [Departamento de Física, Universidad Militar Nueva Granada, Carrera 11 # 101-80, Bogotá D.C. (Colombia); Laboratorio de Magnetismo, Departamento de Física, Universidad de los Andes, A.A. 4976, Bogotá D.C. (Colombia); Consejo, C.; Chaubet, C. [Laboratoire Charles Coulomb L2C, Université Montpellier II, Pl. E. Bataillon, 34095 Montpellier Cedex 5 (France)

    2014-11-15

    In this work we present an admittance study of a two-dimensional electron gas (2DEG) in the quantum Hall effect (QHE) regime. We have studied several Hall bars in different contacts configurations in the frequency range 100 Hz–1 MHz. Our interpretation is based on the Landauer–Büttiker theory and takes into account both the capacitance and the topology of the coaxial cables which are connected to the sample holder. We show that we always observe losses through the capacitive impedance of the coaxial cables, except in the two contacts configuration in which the cable capacitance does not influence the admittance measurement of the sample. In this case, we measure the electrochemical capacitance of the 2DEG and show its dependence with the filling factor ν.

  6. PAMELA's Measurements of Magnetospheric Effects on High Energy Solar Particles

    CERN Document Server

    Adriani, O; Bazilevskaya, G A; Bellotti, R; Boezio, M; Bogomolov, E A; Bongi, M; Bonvicini, V; Bottai, S; Bravar, U; Bruno, A; Cafagna, F; Campana, D; Carbone, R; Carlson, P; Casolino, M; Castellini, G; Christian, E C; De Donato, C; de Nolfo, G A; De Santis, C; De Simone, N; Di Felice, V; Formato, V; Galper, A M; Karelin, A V; Koldashov, S V; Koldobskiy, S; Krutkov, S Y; Kvashnin, A N; Lee, M; Leonov, A; Malakhov, V; Marcelli, L; Martucci, M; Mayorov, A G; Menn, W; Mergé, M; Mikhailov, V V; Mocchiutti, E; Monaco, A; Mori, N; Munini, R; Osteria, G; Palma, F; Panico, B; Papini, P; Pearce, M; Picozza, P; Ricci, M; Ricciarini, S B; Ryan, J M; Sarkar, R; Scotti, V; Simon, M; Sparvoli, R; Spillantini, P; Stochaj, S; Stozhkov, Y I; Thakur, N; Vacchi, A; Vannuccini, E; Vasilyev, G I; Voronov, S A; Yurkin, Y T; Zampa, G; Zampa, N

    2015-01-01

    The nature of particle acceleration at the Sun, whether through flare reconnection processes or through shocks driven by coronal mass ejections (CMEs), is still under scrutiny despite decades of research. The measured properties of solar energetic particles (SEPs) have long been modeled in different particle-acceleration scenarios. The challenge has been to disentangle to the effects of transport from those of acceleration. The Payload for Antimatter Matter Exploration and Light-nuclei Astrophysics (PAMELA) instrument, enables unique observations of SEPs including composition and the angular distribution of the particles about the magnetic field, i.e. pitch angle distribution, over a broad energy range (>80 MeV) -- bridging a critical gap between space-based measurements and ground-based. We present high-energy SEP data from PAMELA acquired during the 2012 May 17 SEP event. These data exhibit differential anisotropies and thus transport features over the instrument rigidity range. SEP protons exhibit two dist...

  7. The cumulative effect of risk compensation on infection preventive measures.

    Science.gov (United States)

    Maxin, Daniel; Sega, Laurentiu; Eaton, Lisa

    2016-12-01

    We study several epidemic models (with and without gender structure) that incorporate risk compensation behavior in response to a lower chance of acquiring the infection as a result of preventive measures that are only partially effective. We show that the cumulative risk compensation that occurs between a high risk susceptible and infectious individual may play an important role in whether the implementation of these measures is successful in lowering the epidemic reproductive number. In addition, we show that certain levels of risk compensation may cancel the benefit of the low infection risk practiced by diagnosed infectious individuals when the goal is a reduction of the epidemic reproductive number. Copyright © 2016 Elsevier Inc. All rights reserved.

  8. The Current Economic Crisis: Effects, Consequences, Measures and Solutions

    Directory of Open Access Journals (Sweden)

    Liana-Antonela BONTA (cas. MITEA

    2012-09-01

    Full Text Available The main objective of the present research project is the current economiccrisis, its effects, consequences but especially the measures and the solutions that we can find to resolve this situation. A key problem preoccupying developing countries today is the global economic crisis and how they can address it. The epicenter of the crisis is in the developed countries, especially the USA. But the developing countries that have no role in causing the crisis have suffered the most severe “collateral damage”. I will try to present the similarities with other periods of recession that we have crossed-over time. I will propose a few measures to remedy this situation, both long-term and short-term, referring of course to Romania and EU as well.

  9. Freedom from local and regional failure of contralateral neck with ipsilateral neck radiotherapy for node-positive tonsil cancer: updated results of an institutional clinical management approach.

    Science.gov (United States)

    Dan, Tu D; Raben, David; Schneider, Charles J; Hockstein, Neil G; Witt, Robert L; Dzeda, Michael; Cormier, Jennifer F; Raben, Adam

    2015-06-01

    To update the outcomes of an institutional clinical management approach using ipsilateral neck radiotherapy in the treatment of node-positive squamous cell carcinoma of the tonsil with a well-lateralized primary lesion. Between August 2003 and April 2014, 61 consecutive patients with ipsilateral node-positive squamous cell carcinoma of the tonsil without involvement of the base of the tongue or midline soft palate were treated at a community hospital-based cancer center with radiotherapy to the primary site and ipsilateral neck. Overall survival, disease-free survival and freedom from contralateral failure were calculated. Median follow up was 37.2months (range 4-121months). Freedom from contralateral nodal failure at 5years was 98% with one contralateral nodal failure noted. The patient underwent a salvage neck dissection and was treated with post-operative radiotherapy with no evidence of disease to date. 5-year overall survival (OS) was 92.4% and 5year disease-free survival (DFS) was 86.7%. This represents the single largest series reported from a community hospital-based cancer center in which lateralized tonsil cancers with N+ disease were treated with ipsilateral neck radiotherapy. In this carefully selected cohort of patients with well-lateralized tonsil cancers, the risk of contralateral nodal failure appears to be <5%, suggesting that prophylactic radiation of the contralateral neck may not be necessary. Future planned studies will focus on prospectively selecting subgroups of patients eligible for treatment de-intensification as survivorship issues in excellent prognosis HPV positive patients are increasingly becoming relevant. Copyright © 2015 Elsevier Ltd. All rights reserved.

  10. Factors affecting exhaled nitric oxide measurements: the effect of sex

    Directory of Open Access Journals (Sweden)

    Williamson Avis J

    2007-11-01

    Full Text Available Abstract Background Exhaled nitric oxide (FENO measurements are used as a surrogate marker for eosinophilic airway inflammation. However, many constitutional and environmental factors affect FENO, making it difficult to devise reference values. Our aim was to evaluate the relative importance of factors affecting FENO in a well characterised adult population. Methods Data were obtained from 895 members of the Dunedin Multidisciplinary Health and Development Study at age 32. The effects of sex, height, weight, lung function indices, smoking, atopy, asthma and rhinitis on FENO were explored by unadjusted and adjusted linear regression analyses. Results The effect of sex on FENO was both statistically and clinically significant, with FENO levels approximately 25% less in females. Overall, current smoking reduced FENO up to 50%, but this effect occurred predominantly in those who smoked on the day of the FENO measurement. Atopy increased FENO by 60%. The sex-related differences in FENO remained significant (p ENO. Conclusion Even after adjustment, FENO values are significantly different in males and females. The derivation of reference values and the interpretation of FENO in the clinical setting should be stratified by sex. Other common factors such as current smoking and atopy also require to be taken into account.

  11. Measuring the effectiveness of protected area networks in reducing deforestation.

    Science.gov (United States)

    Andam, Kwaw S; Ferraro, Paul J; Pfaff, Alexander; Sanchez-Azofeifa, G Arturo; Robalino, Juan A

    2008-10-21

    Global efforts to reduce tropical deforestation rely heavily on the establishment of protected areas. Measuring the effectiveness of these areas is difficult because the amount of deforestation that would have occurred in the absence of legal protection cannot be directly observed. Conventional methods of evaluating the effectiveness of protected areas can be biased because protection is not randomly assigned and because protection can induce deforestation spillovers (displacement) to neighboring forests. We demonstrate that estimates of effectiveness can be substantially improved by controlling for biases along dimensions that are observable, measuring spatial spillovers, and testing the sensitivity of estimates to potential hidden biases. We apply matching methods to evaluate the impact on deforestation of Costa Rica's renowned protected-area system between 1960 and 1997. We find that protection reduced deforestation: approximately 10% of the protected forests would have been deforested had they not been protected. Conventional approaches to evaluating conservation impact, which fail to control for observable covariates correlated with both protection and deforestation, substantially overestimate avoided deforestation (by over 65%, based on our estimates). We also find that deforestation spillovers from protected to unprotected forests are negligible. Our conclusions are robust to potential hidden bias, as well as to changes in modeling assumptions. Our results show that, with appropriate empirical methods, conservation scientists and policy makers can better understand the relationships between human and natural systems and can use this to guide their attempts to protect critical ecosystem services.

  12. Effects of different manual periodontal probes on periodontal measurements

    Science.gov (United States)

    Holtfreter, Birte; Alte, Dietrich; Schwahn, Christian; Desvarieux, Moïse; Kocher, Thomas

    2013-01-01

    Aim To quantify the digit preference effect for three manual periodontal probes and to calculate correction values to enable comparison of studies with equal recording protocols, but different periodontal probes. Material and Methods A prospective in vivo crossover study was conducted with a six-sequence three-period design. Six examiners assessed attachment loss (AL), probing pocket depth (PD) and gingiva height (GH) at four surfaces, full-mouth, in six generally healthy subjects using three manual probes: PCP11 (3-3-3-2 mm increments), PCP2 (2 mm increments), and PCPUNC15 (1 mm increments). Results Distributions of AL, PD and GH differed between probes (p < 0.001). Compared with PCPUNC15, periodontal measurements coinciding with probe markings of PCP11 and PCP2, respectively, were preferentially named by examiners. Digit preference was most pronounced for PD, but less for AL and GH. In multilevel models, PD differed significantly between all three probes (p < 0.05); probe- and examiner-related effects were also observed for AL and GH. Correction values for pairwise combinations of probes were determined. Conclusions We provided empirical evidence and quantified the effect of probe type on periodontal measurements. Differences in probe type should be considered when comparing periodontal data within and between epidemiological studies and appropriate corrections, provided here, should be applied. PMID:22924328

  13. Measuring the effect of demagnetization in stacks of gadolinium plates using the magnetocaloric effect

    DEFF Research Database (Denmark)

    Lipsø, Hans Kasper Wigh; Nielsen, Kaspar Kirstein; Christensen, Dennis

    2011-01-01

    The effect of demagnetization in a stack of gadolinium plates is determined experimentally by using spatially resolved measurements of the adiabatic temperature change due to the magnetocaloric effect. The number of plates in the stack, the spacing between them and the position of the plate...... on which the temperature is measured are varied. The orientation of the magnetic field is also varied. The measurements are compared to a magnetostatic model previously described. The results show that the magnetocaloric effect, due to the change in the internal field, is sensitive to the stack...

  14. Measuring the effects of extreme weather events on yields

    Directory of Open Access Journals (Sweden)

    J.P. Powell

    2016-06-01

    Full Text Available Extreme weather events are expected to increase worldwide, therefore, anticipating and calculating their effects on crop yields is important for topics ranging from food security to the economic viability of biomass products. Given the local nature of weather, particularly precipitation, effects are best measured at a local level. This paper analyzes weather events at the level of the farm for a specific crop, winter wheat. Once it has been established that extreme events are expected to continue occurring at historically high levels for farming locations throughout the Netherlands, the effects of those events on wheat yields are estimated while controlling for the other major input factors affecting yields. Econometric techniques are applied to an unbalanced panel data set of 334 farms for a period of up to 12 years. Analyzes show that the number of days with extreme high temperatures in Dutch wheat growing regions has significantly increased since the early 1900s, while the number of extreme low temperature events has fallen over that same period. The effects of weather events on wheat yields were found to be time specific in that the week in which an event occurred determined its effect on yields. High temperature events and precipitation events were found to significantly decrease yields.

  15. Treatment outcome in breast cancer patients with ipsilateral supraclavicular lymph node metastasis at time of diagnosis: a review of the literature.

    Science.gov (United States)

    Grotenhuis, B A; Klem, T M A L; Vrijland, W W

    2013-03-01

    In the revised 6th edition of the AJCC-TNM staging system for breast cancer, metastasis in ipsilateral supraclavicular lymph node(s) is considered as a locoregional disease and classified as N3c rather than M1 distant disease. The aim of this review was to search the recent literature in order to investigate whether the reported treatment outcome of patients with ipsilateral supraclavicular metastases in breast cancer patients justifies this revision. A review of the recent English-language literature (January 2001-June 2012) concerning breast cancer with supraclavicular involvement was performed. A total number of six studies were included in the current review. All reported comparable data with regard to treatment outcome after multimodality treatment, despite considerable heterogeneity in study populations. Patients with ipsilateral supraclavicular lymph node involvement showed outcomes more similar to locally advanced breast cancer patients rather than patients with distant tumor spread. It seems that the 2002 revision of the AJCC-TNM staging system for breast cancer has appropriately reclassified patients with supraclavicular disease to a new category (N3c). Copyright © 2012 Elsevier Ltd. All rights reserved.

  16. Spreading of hemiretinal projections in the ipsilateral tectum following unilateral enucleation: a study of optic nerve regeneration in Xenopus with one compound eye.

    Science.gov (United States)

    Straznicky, C; Tay, D

    1981-02-01

    Right compound eyes were formed in Xenopus embryos at stages 32-33 by the fusion of two nasal (NN), two ventral (VV) or two temporal (TT) halves. Shortly after metamorphosis the optic nerve from the compound eye was sectioned and the left intact eye removed. The retinotectal projections from the compound eye to the contralateral and ipsilateral tecta were studied by [3H]proline autoradiography and electrophysiological mapping between 6 weeks and 5 months after the postmetamorphic surgery. The results showed that NN and VV eyes projected to the entire extent of both tecta. In contrast, optic fibre projection from TT eyes, although more extensive than the normal temporal hemiretinal projection, failed to cover the caudomedial portion of the tecta. The visuotectal projections in all three combinations corresponded to typical reduplicated maps to be expected from such compound eyes, where each of the hemiretinae projected across the contralateral and ipsilateral tecta in an overlapping fashion. The rapid expansion of the hemiretinal projections of the compound eyes in the ipsilateral tectum following the removal of the resident optic fibre projection suggests that tectal markers may be carried and deployed by the incoming optic fibres themselves.

  17. Ipsilateral pleural recurrence after diagnostic transthoracic needle biopsy in pathological stage I lung cancer patients who underwent curative resection.

    Science.gov (United States)

    Moon, Seong Mi; Lee, Dae Geun; Hwang, Na Young; Ahn, Soohyun; Lee, Hyun; Jeong, Byeong-Ho; Choi, Yong Soo; Shim, Young Mog; Kim, Tae Jeong; Lee, Kyung Soo; Kim, Hojoong; Kwon, O Jung; Lee, Kyung Jong

    2017-09-01

    The relationship between transthoracic needle biopsy (TTNB) and pleural recurrence of cancer after curative lung resection remains unclear. We aimed to assess whether TTNB increases the ipsilateral pleural recurrence (IPR) rate and identify other potential risk factors for pleural recurrence after surgery. This retrospective study included 392 patients with p-stage I non-small cell lung cancer with solid or part-solid nodules after curative lung resection in 2009-2010. Imbalances among the characteristics were adjusted using an inverse probability-weighted method based on propensity scoring. Multivariate Cox's regression analysis and the Kaplan-Meier method were used to determine independent risk factors for IPR. A total of 243 (62%) patients received TTNB, while 149 (38%) underwent an alternate, or no, diagnostic technique. IPR was significantly more frequent in the TTNB group (p=0.004), while total recurrence was similar between the groups (p=0.098). After applying the weighted model, diagnostic TTNB (hazard ratio [HR], 5.27; 95% confidence interval [CI], 1.49-18.69; p=0.010), microscopic visceral pleural invasion (HR, 2.76; 95% CI, 1.08-7.01; p=0.033) and microscopic lymphatic invasion (HR, 3.25; 95% CI, 1.30-8.10; p=0.012) were associated with an increased frequency of IPR. Among patients who received TTNB, microscopic lymphatic invasion was a risk factor for IPR (HR, 2.74; 95% CI, 1.10-6.79; p=0.030). The diagnostic TTNB procedure is associated with pleural recurrence but may be unrelated to overall recurrence-free survival in early lung cancer. Moreover, microscopic lymphatic invasion could be a risk factor for pleural recurrence. TTNB should be carefully considered before lung resection and close follow-up to detect if pleural recurrence is needed. Copyright © 2017 Elsevier B.V. All rights reserved.

  18. Change in the ipsilateral motor cortex excitability is independent from a muscle contraction phase during unilateral repetitive isometric contractions.

    Directory of Open Access Journals (Sweden)

    Kazumasa Uehara

    Full Text Available The aim of this study was to investigate the difference in a muscle contraction phase dependence between ipsilateral (ipsi- and contralateral (contra-primary motor cortex (M1 excitability during repetitive isometric contractions of unilateral index finger abduction using a transcranial magnetic stimulation (TMS technique. Ten healthy right-handed subjects participated in this study. We instructed them to perform repetitive isometric contractions of the left index finger abduction following auditory cues at 1 Hz. The force outputs were set at 10, 30, and 50% of maximal voluntary contraction (MVC. Motor evoked potentials (MEP were obtained from the right and left first dorsal interosseous muscles (FDI. To examine the muscle contraction phase dependence, TMS of ipsi-M1 or contra-M1 was triggered at eight different intervals (0, 20, 40, 60, 80, 100, 300, or 500 ms after electromyogram (EMG onset when each interval had reached the setup triggering level. Furthermore, to demonstrate the relationships between the integrated EMG (iEMG in the active left FDI and the ipsi-M1 excitability, we assessed the correlation between the iEMG in the left FDI for the 100 ms preceding TMS onset and the MEP amplitude in the resting/active FDI for each force output condition. Although contra-M1 excitability was significantly changed after the EMG onset that depends on the muscle contraction phase, the modulation of ipsi-M1 excitability did not differ in response to any muscle contraction phase at the 10% of MVC condition. Also, we found that contra-M1 excitability was significantly correlated with iEMG in all force output conditions, but ipsi-M1 excitability was not at force output levels of below 30% of MVC. Consequently, the modulation of ipsi-M1 excitability was independent from the contraction phase of unilateral repetitive isometric contractions at least low force output.

  19. Classification of ipsilateral breast tumor recurrence after breast-conserving therapy: new primary cancer allows a good prognosis.

    Science.gov (United States)

    Nishimura, Seiichiro; Takahashi, Kaoru; Akiyama, Futoshi; Oguchi, Masahiko; Tada, Keiichiro; Makita, Masujiro; Iwase, Takuji; Yoshimoto, Masataka; Yamashita, Takashi; Sakamoto, Goi; Kasumi, Fujio

    2005-01-01

    To classify and assess ipsilateral breast tumor recurrences (IBTR) after breast-conserving therapy. Between 1986 and 2001, 2,137 patients who had breast cancer underwent breast-conserving surgery with or without radiotherapy at the Cancer Institute Hospital of the Japanese Foundation for Cancer Research. Of these patients, 83 (3.9%) had an IBTR. We classified the IBTR as a new primary cancer (NP) if the primary tumor had completely negative margins at first operation by detailed pathological examination and if the IBTR had an intraductal component. All other IBTRs were judged true local recurrence (TR). Of the 83 patients, 42 patients were classified as TR (29 had no radiotherapy) and 41 as NP (40 had no radiotherapy). Mean time to disease recurrence was 37 months for TR (52% were within 2 years) versus 55 months for NP (19% were within 2 years) (p=0.031). Six patients (14%) with TR did not receive re-operation, and 67% received salvage mastectomy and 19% re-lumpectomy. All cases of NP were operable, 78% underwent salvage mastectomy and 22% underwent re-lumpectomy. Distant metastases were observed in 33% of patients with TR and 5% of patients with NP, and cause-specific death occurred in 6 cases with TR and in one with NP. The patients with NP had improved 5-year rates of overall survival (NP 91% vs. TR 76%, P=0.0627) and distant disease-free survival (NP 93% vs. TR 61%, P=0.0028). Patients with NP more often developed contralateral breast cancer (NP 37% vs. TR 12%, P=0.018) Patients with NP had better survival rates than those with TR. Distinguishing new primary breast carcinomas from local disease recurrences may have importance in therapeutic decisions and chemoprevention strategies.

  20. Diffraction effects in length measurements by laser interferometry.

    Science.gov (United States)

    Sasso, C P; Massa, E; Mana, G

    2016-03-21

    High-accuracy dimensional measurements by laser interferometers require corrections because of diffraction, which makes the effective fringe-period different from the wavelength of a plane (or spherical) wave λ0. By using a combined X-ray and optical interferometer as a tool to investigate diffraction across a laser beam, we observed wavelength variations as large as 10-8λ0. We show that they originate from the wavefront evolution under paraxial propagation in the presence of wavefront- and intensity-profile perturbations.

  1. Measurement of spin Hall effect of reflected light.

    Science.gov (United States)

    Qin, Yi; Li, Yan; He, Huanyu; Gong, Qihuang

    2009-09-01

    We have measured the spin-dependent nanometer-sized displacements of the spin Hall effect of the reflected light from a planar air-glass interface. In the case of the vertical polarization, the displacement is found to increase with the incident angle and subsequently decrease after approximately 48 deg, while in the case of the horizontal polarization, it changes rapidly near the Brewster angle. For a fixed incident angle of 30 deg, the displacement decreases to zero as the polarization angle approaches approximately 39 deg from 0 deg (the horizontal polarization) and then increases in the opposite direction until 90 deg (the vertical polarization).

  2. Technical measures to reduce pollination and assessement of their effectiveness

    Directory of Open Access Journals (Sweden)

    Mariola Stefanicka

    2013-09-01

    Full Text Available The article deals with the issues of pollination as a phenomenon that is harmful and commonly found in aggregates production plants. It points difficulties with spatial modelling and determination of scale of disorganized emission of dust within conditions of aggregate processing. Technical methods to reduce pollination and possibilities of their use in processing plants are being discussed. The article presents results of measurements of dust concentrations in real time for specific technical processes and an assessment of the effectiveness of applied technical solutions reducing pollination.

  3. Diazepam and Its Effects on Psychophysiological Measures of Performance.

    Science.gov (United States)

    1985-04-01

    to the benzodoazepines. Chlordiazepoxide , nitrazepam, oxazepam, and diazepam have generally been found to impair psy- chomotor skills, depress critical...RFAML-TR-95-926 UNC LASIIE F365-E--011F 615 ML MENhhhhhh T .2 13 N 1. It. %MbIMW~dbdSb AFAMRL-TR-85-036 (0 DIAZEPAM AND ITS EFFECTS ON...Performance " Test Battery ° Diazepam / Evoked Response " Valium - Behavioral Measures ABSTRACT iContinue on reverse if necessary and identify by oI

  4. Diffraction effects in length measurements by laser interferometry

    CERN Document Server

    Sasso, Carlo Paolo; Mana, Giovanni

    2015-01-01

    High-accuracy dimensional measurements by laser interferometers require corrections because of diffraction, which makes the effective fringe-period different from the wavelength of a plane (or spherical) wave $\\lambda_0$. By using a combined X-ray and optical interferometer as a tool to investigate diffraction across a laser beam, we observed wavelength variations as large as $10^{-8}\\lambda_0$. We show that they originate from the wavefront evolution under paraxial propagation in the presence of wavefront- and intensity-profile perturbations.

  5. Effects of road mortality and mitigation measures on amphibian populations.

    Science.gov (United States)

    Beebee, Trevor J C

    2013-08-01

    Road mortality is a widely recognized but rarely quantified threat to the viability of amphibian populations. The global extent of the problem is substantial and factors affecting the number of animals killed on highways include life-history traits and landscape features. Secondary effects include genetic isolation due to roads acting as barriers to migration. Long-term effects of roads on population dynamics are often severe and mitigation methods include volunteer rescues and under-road tunnels. Despite the development of methods that reduce road kill in specific locations, especially under-road tunnels and culverts, there is scant evidence that such measures will protect populations over the long term. There also seems little likelihood that funding will be forthcoming to ameliorate the problem at the scale necessary to prevent further population declines. © 2013 Society for Conservation Biology.

  6. Measure of the electroencephalographic effects of sevoflurane using recurrence dynamics.

    Science.gov (United States)

    Li, Xiaoli; Sleigh, Jamie W; Voss, Logan J; Ouyang, Gaoxiang

    2007-08-31

    This paper proposes a novel method to interpret the effect of anesthetic agents (sevoflurane) on the neural activity, by using recurrence quantification analysis of EEG data. First, we reduce the artefacts in the scalp EEG using a novel filter that combines wavelet transforms and empirical mode decomposition. Then, the determinism in the recurrence plot is calculated. It is found that the determinism increases gradually with increasing the concentration of sevoflurane. Finally, a pharmacokinetic and pharmacodynamic (PKPD) model is built to describe the relationship between the concentration of sevoflurane and the processed EEG measure ('determinism' of the recurrence plot). A test sample of nine patients shows the recurrence in EEG data may track the effect of the sevoflurane on the brain.

  7. Speed-calming measures and their Effect on driving speed

    DEFF Research Database (Denmark)

    Agerholm, Niels; Knudsen, Daniel; Variyeswaran, Kajan

    2017-01-01

    Speeding increases the risk and severity of accidents, especially for vulnerable road users. Hence, minimisation of speeding in built-up areas is vital. Some countries widely use speed-calming measures (SCs). Documentation shows that SCs reduce speeding considerably although various types...... and designs of SCs affect this reduction. This paper includes studies of the effects from establishment of sinus speed humps of height 10 cm and length 950 cm and chicanes (with a free carriageway width of 5,30 cm and a length between the 0.5 m wide obstacles of 18 m) as a before/after study where the speed...... pattern after establishing SCs is compared with the one before. Floating Car Data used for analyses includes 3,216 trips passing one/more SCs. The main results are that the effect from SCs decreases with the distance from the SCs and that a clear pattern is hard to establish above 75 m from the SC...

  8. Global Aerosol Effect Retrieval From Passive Hyperspectral Measurements

    Science.gov (United States)

    de Graaf, M.; Tilstra, L. G.; Stammes, P.

    2013-12-01

    Absorbing aerosols can have a significant local direct radiative effect (DRE), while the global average aerosol DRE remains highly uncertain. Modelling studies have shown that the magnitude and sign of the aerosol DRE at the top of the atmosphere (TOA) depend on the scene, especially on the albedo of the scene under the aerosol layer. It changes with cloud fraction, from large positive for overcast conditions when aerosols are present above the cloud, to large negative for clear sky ocean scenes. Observational studies, which are necessary to constrain the model studies, have been scarce. The results of modelling studies depend strongly on the assumed aerosol properties. Observational studies also need to assume aerosol type and geophysical properties to derive aerosol optical properties from radiation measurements. This introduces large uncertainties in the retrieved aerosol DRE. Furthermore, the retrieval of aerosols over clouds from passive instruments is difficult, due to the large optical thickness of clouds. Therefore, observational studies of aerosol direct and indirect effects from passive satellite instruments are invariably restricted to aerosol studies close to the cloud edges. We have developed a method to derive the aerosol DRE for smoke over clouds directly from passive satellite hyperspectral reflectance measurements, independent of aerosol micro- physical property assumptions. This allows us to assess the local aerosol DRE from passive imagery directly on a pixel to pixel basis, even over clouds. The solar radiative absorption by smoke layers is quantified using the TOA reflectance spectrum from the ultraviolet (UV) to the shortwave infrared (SWIR). UV- absorbing aerosols have a strong signature that can be detected using UV reflectance measurements. Since the aerosol extinction optical thickness decreases rapidly with increasing wavelength for smoke, the properties of the scene below the aerosol layer can be retrieved in the SWIR, where aerosol

  9. Comparing Hall Effect and Field Effect Measurements on the Same Single Nanowire.

    Science.gov (United States)

    Hultin, Olof; Otnes, Gaute; Borgström, Magnus T; Björk, Mikael; Samuelson, Lars; Storm, Kristian

    2016-01-13

    We compare and discuss the two most commonly used electrical characterization techniques for nanowires (NWs). In a novel single-NW device, we combine Hall effect and back-gated and top-gated field effect measurements and quantify the carrier concentrations in a series of sulfur-doped InP NWs. The carrier concentrations from Hall effect and field effect measurements are found to correlate well when using the analysis methods described in this work. This shows that NWs can be accurately characterized with available electrical methods, an important result toward better understanding of semiconductor NW doping.

  10. Potential environmental effects of energy conservation measures in northwest industries

    Energy Technology Data Exchange (ETDEWEB)

    Baechler, M C; Gygi, K F; Hendrickson, P L

    1992-01-01

    The Bonneville Power Administration (Bonneville) has identified 101 plants in the Pacific Northwest that account for 80% of the region's industrial electricity consumption. These plants offer a precise target for a conservation program. PNL determined that most of these 101 plants were represented by 11 major industries. We then reviewed 36 major conservation technologies used in these 11 industrial settings to determine their potential environmental impacts. Energy efficiency technologies designed for industrial use may result in direct or indirect environmental impacts. Effects may result from the production of the conservation measure technology, changes in the working environment due to different energy and material requirements, or changes to waste streams. Industry type, work-place conditions, worker training, and environmental conditions inside and outside the plant are all key variables that may affect environmental outcomes. To address these issues this report has three objectives: Describe potential conservation measures that Bonneville may employ in industrial programs and discuss potential primary impacts. Characterize industrial systems and processes where the measure may be employed and describe general environmental issues associated with each industry type. Review environmental permitting, licensing, and other regulatory actions required for industries and summarize the type of information available from these sources for further analysis.

  11. Effects of vibration measurement error on remote sensing image restoration

    Science.gov (United States)

    Sun, Xuan; Wei, Zhang; Zhi, Xiyang

    2016-10-01

    Satellite vibrations would lead to image motion blur. Since the vibration isolators cannot fully suppress the influence of vibrations, image restoration methods are usually adopted, and the vibration characteristics of imaging system are usually required as algorithm inputs for better restoration results, making the vibration measurement error strongly connected to the final outcome. If the measurement error surpass a certain range, the restoration may not be implemented successfully. Therefore it is important to test the applicable scope of restoration algorithms and control the vibrations within the range, on the other hand, if the algorithm is robust, then the requirements for both vibration isolator and vibration detector can be lowered and thus less financial cost is needed. In this paper, vibration-induced degradation is first analyzed, based on which the effects of measurement error on image restoration are further analyzed. The vibration-induced degradation is simulated using high resolution satellite images and then the applicable working condition of typical restoration algorithms are tested with simulation experiments accordingly. The research carried out in this paper provides a valuable reference for future satellite design which plan to implement restoration algorithms.

  12. Dissipative effects in fission investigated in complete kinematics measurements

    Science.gov (United States)

    Rodríguez-Sánchez, J. L.; Benlliure, J.; Taïeb, J.; Ramos, D.; Álvarez-Pol, H.; Audouin, L.; Ayyad, Y.; Bélier, G.; Boutoux, G.; Casarejos, E.; Chatillon, A.; Cortina-Gil, D.; Gorbinet, T.; Heinz, A.; Kelić-Heil, A.; Laurent, B.; Martin, J.-F.; Paradela, C.; Pellereau, E.; Pietras, B.; Rodríguez-Tajes, C.; Rossi, D. M.; Simon, H.; Vargas, J.; Voss, B.

    2017-09-01

    The study of dissipative effects in fission has been carried out with fusion-fission reactions by using a limited number of observables, such as the fission probabilities, the mass distribution of the fission fragments, or the neutron multiplicities. However, the large angular momenta gained by the compound nucleus in this kind of reaction could affect the conclusions drawn from such experiments. In this work, we propose to investigate the fission dynamics by the use of spallation reactions on 208Pb because the fissioning systems are produced with low angular momentum, small deformations, and high excitation energies, enhancing the dissipative effects. The complete kinematics measurements of the fission fragments and light-charged particles were performed by the use of the SOFIA setup combined with the inverse kinematics technique, allowing us for the first time a full indentification in atomic and mass number of the two fission fragments. These measurements permit us to define new fission observables for the investigation of the temperature and deformation dependencies of the dissipation parameter.

  13. Transverse momentum resummation effects in W^+W^- measurements

    CERN Document Server

    Meade, Patrick; Zeng, Mao

    2014-01-01

    The W^+W^- cross section has remained one of the most consistently discrepant channels compared to SM predictions at the LHC, measured by both ATLAS and CMS at 7 and 8 TeV. Developing a better modeling of this channel is crucial to understanding properties of the Higgs and potential new physics. In this paper we investigate the effects of NNLL transverse momentum resummation in measuring the W^+W^- cross section. In the formalism we employ, transverse momentum resummation does not change the total inclusive cross section, but gives a more accurate prediction for the p_T distribution of the diboson system. By re-weighting the p_T distribution of events produced by Monte Carlo generators, we find a systematic shift that decreases the experimental discrepancy with the SM prediction by approximately 3-7% depending on the MC generator and parton shower used. The primary effect comes from the jet veto cut used by both experiments. We comment on the connections to jet veto resummation, and other methods the experime...

  14. Quantifying the "chamber effect" in CO2 flux measurements

    Science.gov (United States)

    Vihermaa, Leena; Childs, Amy; Long, Hazel; Waldron, Susan

    2014-05-01

    The significance of aquatic CO2 emissions has received attention in recent years. For example annual aquatic emissions in the Amazon basin have been estimated as 500 Mt of carbon1. Methods for determining the flux rates include eddy covariance flux tower measurements, flux estimates calculated from partial pressure of CO2 (pCO2) in water and the use floating flux chambers connected to an infra-red gas analyser. The flux chamber method is often used because it is portable, cheaper and allows smaller scale measurements. It is also a direct method and hence avoids problems related to the estimation of the gas transfer coefficient that is required when fluxes are calculated from pCO2. However, the use of a floating chamber may influence the flux measurements obtained. The chamber shields the water underneath from effects of wind which could lead to lower flux estimates. Wind increases the flux rate by i) causing waves which increase the surface area for efflux, and ii) removing CO2 build up above the water surface, hence maintaining a higher concentration gradient. Many floating chambers have an underwater extension of the chamber below the float to ensure better seal to water surface and to prevent any ingress of atmospheric air when waves rock the chamber. This extension may cause additional turbulence in flowing water and hence lead to overestimation of flux rates. Some groups have also used a small fan in the chamber headspace to ensure thorough mixing of air in the chamber. This may create turbulence inside the chamber which could increase the flux rate. Here we present results on the effects of different chamber designs on the detected flux rates. 1Richey et al. 2002. Outgassing from Amazonian rivers and wetlands as a large tropical source of atmospheric CO2. Nature 416: 617-620.

  15. Effects of energy drinks on economy and cardiovascular measures.

    Science.gov (United States)

    Peveler, Willard W; Sanders, Gabe; Marczinski, Cecile; Holmer, Brady

    2016-07-05

    The use of energy drinks among athletes has risen greatly. Caffeine and taurine are the two primary performance enhancing ingredients found in energy drinks. The number of emergency department visits involving energy drinks doubled over the last 5 years. Reviews of the health complications have highlighted adverse cardiovascular events. The literature reveals that caffeine is known to moderately increase blood pressure and heart rate. The purpose of this study was to determine the effect of three different energy drinks on cardiovascular and performance measures. Fifteen recreational runners completed five trials. The first trial consisted of a graded exercise protocol. The four remaining trials consisted of 15 min economy trials at a treadmill speed consistent with 70% of subject's VO2max. An hour prior subjects ingested one of three energy drinks or a placebo. HR, BP, VO2, and RPE were recorded during the 15-minute trial. Means for dependent measures were compared using repeated measures ANOVA. Fifteen minute systolic BP readings were significantly lower in the placebo trials (156.93 ± 15.50) in relation to the three energy drink trials (163.87 ± 13.30, 166.47 ± 13.71 and 165.00 ± 15.23). There were no significant differences in diastolic BP and HR. There were no significant differences found in VO2 or RPE measures. Ingestion of energy drinks demonstrated no change in VO2 or RPE during the economy trials. The findings show no performance benefits under the conditions of this study. However, there does appear to be a significant increase in systolic blood pressure.

  16. Towards Effective Educational Politics through Improving the Performance Measurement System

    Directory of Open Access Journals (Sweden)

    Tuuli Reisberg

    2013-01-01

    Full Text Available Educational field is impelled to increase performance and quality, financial discipline, strategic behaviour and its goals in order to enhance “effectiveness”. As a result the incorporation of private sector management practices into the educational field is taking place. But it is important to notice that a proliferation of private managerial practices into the educational field goes along with a conflict-laden and contradictory process. Education provides an important area of implementation for techniques of performance evaluation aimed at improving the performance of public services. One of the most common conceptual frameworks in measuring organisational performance takes the form of a production function where the educational institution is seen as analogous to a company transforming inputs into outputs and outcomes through a production process. But the problems and the vagueness in determining educational system’s inputs, outputs and outcomes cause difficulties in making political decisions and that is why clear policy prescriptions have been difficult to derive. The purpose of this article is to create a discussion whether performance measurement should be a part of decision-making in educational politics. The authors debate about incorporating private sector management practices into the educational field. The debate is based on the example of evaluating the social impact in the educational field and the performance of teachers’ work in the educational system. The article consists of three parts. Firstly, the theoretical background of the performance measurement in educational field is discussed. Secondly, the important criteria for performance measurement design and political issues are argued. Thirdly, the evaluated shortcomings in Estonian educational organisations, which restrict them to be effective, are brought out. Relieving some of these shortcomings could be in authority of Estonian educational politics.

  17. Measuring the effectiveness of pharmacology teaching in undergraduate medical students.

    Science.gov (United States)

    Urrutia-Aguilar, Maria Esther; Martinez-Gonzalez, Adrian; Rodriguez, Rodolfo

    2012-03-01

    Information overload and recent curricular changes are viewed as important contributory factors to insufficient pharmacological education of medical students. This study was designed to assess the effectiveness of pharmacology teaching in our medical school. The study subjects were 455 second-year medical students, class of 2010, and 26 pharmacology teachers at the National University of Mexico Medical School. To assess pharmacological knowledge, students were required to take 3 multiple-choice exams (70 questions each) as part of their evaluation in the pharmacology course. A 30-item questionnaire was used to explore the students' opinion on teaching. Pharmacology professors evaluated themselves using a similar questionnaire. Students and teachers rated each statement on a 5-point Likert scale. The groups' exam scores ranged from 54.5% to 90.0% of correct responses, with a mean score of 77.3%. Only 73 (16%) of 455 students obtained an exam score of 90% and higher. Students' evaluations of faculty and professor self-ratings were very high (90% and 96.2%, of the maximal response, respectively). Student and professor ratings were not correlated with exam scores (r = 0.291). Our study shows that knowledge on pharmacology is incomplete in a large proportion of second-year medical students and indicates that there is an urgent need to review undergraduate training in pharmacology. The lack of relationship between the subjective ratings of teacher effectiveness and objective exam scores suggests the use of more demanding measures to assess the effectiveness of teaching.

  18. Direct measurement of Lorentz transformation with Doppler effects

    Science.gov (United States)

    Chen, Shao-Guang

    For space science and astronomy the fundamentality of one-way velocity of light (OWVL) is selfevident. The measurement of OWVL (distance/interval) and the clock synchronization with light-signal transfer make a logical circulation. This means that OWVL could not be directly measured but only come indirectly from astronomical method (Romer's Io eclipse and Bradley's sidereal aberration), furthermore, the light-year by definitional OWVL and the trigonometry distance with AU are also un-measurable. For to solve this problem two methods of clock synchronization were proposed: The direct method is that at one end of dual-speed transmissionline with single clock measure the arriving-time difference of longitudinal wave and transverse wave or ordinary light and extraordinary light, again to calculate the collective sending-time of two wave with Yang's /shear elastic-modulus ratio (E/k) or extraordinary/ordinary light refractive-index ratio (ne/no), which work as one earthquake-station with single clock measures first-shake time and the distance to epicenter; The indirect method is that the one-way wavelength l is measured by dual-counters Ca and Cb and computer's real-time operation of reading difference (Nb - Na) of two counters, the frequency f is also simultaneously measured, then l f is just OWVL. Therefore, with classical Newtonian mechanics and ether wave optics, OWVL can be measured in the Galileo coordinate system with an isotropic length unit (1889 international meter definition). Without any hypotheses special relativity can entirely establish on the metrical results. When a certain wavelength l is defined as length unit, foregoing measurement of one-way wavelength l will become as the measurement of rod's length. Let a rigidity-rod connecting Ca and Cb moves relative to lamp-house with velocity v, rod's length L = (Nb - Na) l will change follow v by known Doppler effect, i.e., L(q) =L0 (1+ (v/c) cos q), where L0 is the proper length when v= 0, v• r = v cos q

  19. Measuring Brand Image Effects of Flagship Projects for Place Brands

    DEFF Research Database (Denmark)

    Zenker, Sebastian; Beckmann, Suzanne C.

    2013-01-01

    Cities invest large sums of money in ‘flagship projects’, with the aim of not only developing the city as such, but also changing the perceptions of the city brand towards a desired image. The city of Hamburg, Germany, is currently investing euro575 million in order to build a new symphony hall...... (Elbphilharmonie), euro400 million to develop the ‘International Architectural Fair’ and it is also considering candidature again for the ‘Olympic Games’ in 2024/2028. As assessing the image effects of such projects is rather difficult, this article introduces an improved version of the Brand Concept Map approach......, which was originally developed for product brands. An experimental design was used to first measure the Hamburg brand as such and then the changes in the brand perceptions after priming the participants (N=209) for one of the three different flagship projects. The findings reveal several important...

  20. Measuring Solution Viscosity and its Effect on Enzyme Activity

    Directory of Open Access Journals (Sweden)

    Uribe Salvador

    2003-01-01

    Full Text Available In proteins, some processes require conformational changes involving structural domain diffusion. Among these processes are protein folding, unfolding and enzyme catalysis. During catalysis some enzymes undergo large conformational changes as they progress through the catalytic cycle. According to Kramers theory, solvent viscosity results in friction against proteins in solution, and this should result in decreased motion, inhibiting catalysis in motile enzymes. Solution viscosity was increased by adding increasing concentrations of glycerol, sucrose and trehalose, resulting in a decrease in the reaction rate of the H+-ATPase from the plasma membrane of Kluyveromyces lactis. A direct correlation was found between viscosity (&eegr; and the inhibition of the maximum rate of catalysis (V max. The protocol used to measure viscosity by means of a falling ball type viscometer is described, together with the determination of enzyme kinetics and the application of Kramers’ equation to evaluate the effect of viscosity on the rate of ATP hydrolysis by the H+-ATPase.

  1. Gravitational Effects on Measurements of the Muon Dipole Moments

    CERN Document Server

    Kobach, Andrew

    2016-01-01

    If the technology for muon storage rings one day permits sensitivity to precession at the order of $10^{-8}$ Hz, the local gravitational field of Earth can be a dominant contribution to the precession of the muon, which, if ignored, can fake the signal for a nonzero muon electric dipole moment (EDM). Specifically, the effects of Earth's gravity on the motion of a muon's spin is indistinguishable from it having a nonzero EDM of magnitude $d_\\mu \\sim 10^{-29}$ e cm in a storage ring with vertical magnetic field of $\\sim$ 1 T, which is significantly larger than the expected upper limit in the Standard Model, $d_\\mu \\lesssim 10^{-36}$ e cm. As a corollary, measurements of Earth's local gravitational field using stored muons would be a unique test of special and general relativity with a bonafide quantum mechanical entity, i.e., an elementary particle's spin.

  2. Effect of intermediate defense measures in voluntary vaccination games

    Science.gov (United States)

    Iwamura, Yoshiro; Tanimoto, Jun; Fukuda, Eriko

    2016-09-01

    We build a model to reproduce the decision-making process of getting a vaccination based on the evolutionary game theory dovetailed with the SIR model for epidemic spreading. Unlike the two extreme options of whether or not getting a vaccination leads to perfect immunity, we consider whether ‘intermediate defense measures’ including masking, gargling, and hand-washing lead to imperfect effects of preventing infection. We consider introducing not only a ‘third strategy’ as a discrete intermediate measure but also a continuous strategy space connecting the cases of getting and not getting a vaccination. Interestingly, our evolutionary analysis suggests that the introduction of intermediate measures makes no difference for the case of a 2-strategy system in which only either getting or not getting a vaccination is allowed, even does not ameliorate, or say, gets worse to prevent spreading a disease. This seems quite different from what was observed in 2-player and 2-strategy (2  ×  2) prisoner’s dilemma (PD) games with relatively stronger chicken-type dilemma than the stag-hunt one in which the introduction of middle-course strategies significantly enhances cooperation.

  3. Green Tea and its Effect on Hemostasis Measured by Thrombelastography

    Directory of Open Access Journals (Sweden)

    Bryant Alyzandyr Eumhyn Chua

    2015-03-01

    Full Text Available Background: Increasing health problems may come from changes in lifestyle including stressful lifestyles, high calorie diets, and lack of physical activity. Those may also lead to an increase occurrence of abnormal hemostasis. Green tea has been well known for its many benefits, including its antithrombotic effect. The aim of this study was to determine whether the consumption of green tea actually affects hemostasis and to measure changes in hemostatic parameters after its consumption. Methods: A preliminary explorative study was conducted on 3 healthy female subjects aged between 21 to 22 years old for 8 weeks from October to November 2012 in Jatinangor, Sumedang, Indonesia. The subjects were subjected to initial thrombelastography analysis and started drinking green tea twice a day after meals. The solution was made by steeping a teabag in 250ml water of 70°C for 2 minutes. After 8 weeks, another thrombelastography analysis was performed to the subjects. Results: Pre- and post-intervention results of the analysis were averaged and compared according to the parameters. The results of this study showed prolonged R (Reaction-time and K (K-time, decreased α (angle and MA (Maximum Amplitude, and increased LY30 (lysis at 30 minutes, showing an overall reduction in coagulability. Conclusions: The consumption of green tea twice a day for 8 weeks affects hemostasis with hemostatic parameters measured by thrombelastography show differences before and after consumption.

  4. Measurements of the Effects of Smoke on Active Circuits

    Energy Technology Data Exchange (ETDEWEB)

    Tanaka, T.J.

    1999-02-09

    Smoke has long been recognized as the most common source of fire damage to electrical equipment; however, most failures have been analyzed after the fire was out and the smoke vented. The effects caused while the smoke is still in the air have not been explored. Such effects have implications for new digital equipment being installed in nuclear reactors. The U.S. Nuclear Regulatory Commission is sponsoring work to determine the impact of smoke on digital instrumentation and control. As part of this program, Sandia National Laboratories has tested simple active circuits to determine how smoke affects them. These tests included the study of three possible failure modes on a functional board: (1) circuit bridging, (2) corrosion (metal loss), and (3) induction of stray capacitance. The performance of nine different circuits was measured continuously on bare and conformably coated boards during smoke exposures lasting 1 hour each and continued for 24 hours after the exposure started. The circuit that was most affected by smoke (100% change in measured values) was the one most sensitive to circuit bridging. Its high impedance (50 M{Omega}) was shorted during the exposure, but in some cases recovered after the smoke was vented. The other two failure modes, corrosion and induced stray capacitance, caused little change in the function of the circuits. The smoke permanently increased resistance of the circuit tested for corrosion, implying that the cent acts were corroded. However, the change was very small (< 2%). The stray-capacitance test circuit showed very little change after a smoke exposure in either the short or long term. The results of the tests suggest that conformal coatings and type of circuit are major considerations when designing digital circuitry to be used in critical control systems.

  5. Measurement of thermoelectric, galvanomagnetic, and thermomagnetic effects at ultrahigh pressure

    Science.gov (United States)

    Ovsyannikov, Sergey V.; Shchennikov, Vladimir V.

    2003-04-01

    Lead chalcogenides are successfully applied at sensors of infrared radiation, thermoelectrical devices, thermogenerator, photoresistances, photodiodes, lasers, tensometers etc. Under high pressures above 2.5 - 6 GPa lead chaclogenides are known to suffer phase transitions, but up to now the thermoelectric properties of these materials at high pressure were unknown. In recent papers it was shown that heterophase state of material, which is being forming in the vicinity of semiconductor-metal phase transformations may be considered as a model of layer fabricated systems. As the most properties being dependent on the concentration and configuration of phases inclusions these materials may be used in engineering. For example, semiconductor-metal phase transitions induced by nanosecond heating and cooling of small regions of the memory cell are known to be using for nonvolatile memory develop. Recently the new technique of thermomagnetic measurements allowing to test a micro-samples of semiconductors have been developed at high pressure up to 30 GPa. The technique was applied for determination of scattering mechanisms and mobilities of charge carriers of direct-gap semiconductors Te, Se at ultrahigh pressure up to 30 GPa. The above measurements seems to be perspective for implementation to microelectronic manufacturing and MEMS technologies, for example, in modeling, quality control or testing of integrated circuit (IC). In present paper the thermo- and galvanomagnetic properties of micro-samples ~ 200×200×20 mkm of lead chalcogenides (PbS, PbSe, PbTe) at high pressure are investigated. The data of transverse magnetoresistance (MR) and also transverse and longitudinal Nernst-Ettingshausen (N-E) effects of lead chalcogenides both for initial and new phases, and also for heterophase states in the vicinity of phase transformations at high pressure are presented. One may suppose that the effects observed will find an interesting applications in thermosense industry. The

  6. Acromioclavicular Joint Dislocation with Ipsilateral Mid Third Clavicle, Mid Shaft Humerus and Coracoid Process Fracture - A Case Report.

    Science.gov (United States)

    Sharma, Naveen; Mandloi, Avinash; Agrawal, Ashish; Singh, Shailendra

    2016-01-01

    The clavicle, humerus and acromioclavicular (AC) joint separately are very commonly involved in traumatic injuries around the shoulder. Acromioclavicular joint dislocation with distal clavicle fracture is a well recognized entity in clinical practice. AC joint dislocation with mid shaft clavicle fracture is uncommon and only few cases have been reported in literature. However, to the best of our knowledge, this is the first case report to describe an acromioclavicular dislocation with ipsilateral mid shaft clavicle, mid shaft humerus and coracoid process fracture. Fractures of the humerus and clavicle along with the acromioclavicular joint dislocation were fixed at the same setting. A 65-year-old male met with a high velocity road traffic accident. Plain radiographs showed displaced mid third clavicle fracture with acromioclavicular joint dislocation with mid shaft humerus fracture. Surgical fixation was planned for humerus with interlocking nail, clavicle with locking plate and acromioclavicular joint with reconstruction of coracoclavicular ligaments. Intraoperatively, coracoid process was found to have a comminuted fracture. The operative plan had to be changed on table as coracoclavicular fixation was not possible. So acromioclavicular joint fixation was done using tension band wiring and the coracoclavicular ligament was repaired using a 2-0 ethibond. The comminuted coracoid fracture was managed conservatively. K wires were removed at 6 weeks. Early mobilization was started. In acromioclavicular joint injuries, clavicle must be evaluated for any injury. Although it is more commonly associated with distal clavicle fractures, it can be associated with middle third clavicle fractures. As plain radiographs, AP view are most of the times insufficient for viewing integrity of coracoid process, either special views like Stryker notch or CT scan may help in diagnosing such concealed injuries. When associated with fractures of the humerus and clavicle, anatomical

  7. Space weather effects measured in atmospheric radiation on aircraft

    Science.gov (United States)

    Tobiska, W. K.; Bouwer, D.; Bailey, J. J.; Didkovsky, L. V.; Judge, K.; Wieman, S. R.; Atwell, W.; Gersey, B.; Wilkins, R.; Rice, D.; Schunk, R. W.; Bell, L. D.; Mertens, C. J.; Xu, X.; Wiltberger, M. J.; Wiley, S.; Teets, E.; Shea, M. A.; Smart, D. F.; Jones, J. B. L.; Crowley, G.; Azeem, S. I.; Halford, A. J.

    2016-12-01

    Space weather's effects upon the near-Earth environment are due to dynamic changes in the energy transfer processes from the Sun's photons, particles, and fields. Of the domains that are affected by space weather, the coupling between the solar and galactic high-energy particles, the magnetosphere, and atmospheric regions can significantly affect humans and our technology as a result of radiation exposure. Since 2013 Space Environment Technologies (SET) has been conducting observations of the atmospheric radiation environment at aviation altitudes using a small fleet of six instruments. The objective of this work is to improve radiation risk management in air traffic operations. Under the auspices of the Automated Radiation Measurements for Aerospace Safety (ARMAS) and Upper-atmospheric Space and Earth Weather eXperiment (USEWX) projects our team is making dose rate measurements on multiple aircraft flying global routes. Over 174 ARMAS and USEWX flights have successfully demonstrated the operation of a micro dosimeter on commercial aviation altitude aircraft that captures the radiation environment resulting from Galactic Cosmic Rays (GCRs), Solar Energetic Protons (SEPs), and outer radiation belt energetic electrons. The real-time radiation exposure is measured as an absorbed dose rate in silicon and then computed as an ambient dose equivalent rate for reporting dose relevant to radiative-sensitive organs and tissue in units of microsieverts per hour. ARMAS total ionizing absorbed dose is captured on the aircraft, downlinked in real-time, processed on the ground into ambient dose equivalent rates, compared with NASA's Langley Research Center (LaRC) most recent Nowcast of Atmospheric Ionizing Radiation System (NAIRAS) global radiation climatology model runs, and then made available to end users. Dose rates from flight altitudes up to 56,700 ft. are shown for flights across the planet under a variety of space weather conditions. We discuss several space weather

  8. Effectiveness of LANAP over time as measured by tooth loss.

    Science.gov (United States)

    Tilt, Lloyd V

    2012-01-01

    This study examines the effectiveness of the laser-assisted new attachment procedure (LANAP) as measured by tooth loss, comparing data to published studies using conventional surgical treatment modalities for the primary treatment of Types III and IV periodontitis. Retrospective data from 107 patients presenting with Types III and IV periodontitis were gathered and evaluated. All patients received LANAP periodontal therapy as their primary surgical treatment according to the FDA-cleared LANAP protocol. The patients averaged 6.2 years post-treatment. The data were compared to several published studies for outcome classification and tooth loss over time. The effectiveness of LANAP as a primary treatment method for Types III and IV periodontitis compares very favorably with conventional surgical treatment modalities concerning tooth loss and stability over time, need for surgical retreatment, and outcome classification. Dentistry continues to develop less invasive means of providing patient care without sacrificing results. Less invasive treatment of periodontitis, with reduced postoperative morbidity yet equal results in tooth retention over time is an important goal. LANAP treatment for moderate and advanced periodontitis provides a less invasive treatment alternative for the dentist and patient to consider as a part of informed consent.

  9. Measurement of effective renal plasma flow in congestive heart failure

    Energy Technology Data Exchange (ETDEWEB)

    Tauxe, W.N.; Dubovsky, E.V.; Mantle, J.A.; Dustan, H.P.; Logic, J.R.

    1981-12-01

    In the management of patients with congestive heart failure (CHF), it is often desirable to have precise knowledge of overall renal function, including the effective renal plasma flow (ERPF). It has long been recognized that ERPF is diminished in CHF. Since glomerular filtration rate is often decreased to a much lesser extent, other noninvasive procedures such as the measurement of creatinine clearances may not be entirely suitable. ERPF determination by the single plasma sampling (SPS) method affords a rapid, simple, noninvasive, and economical technique that is quite accurate and reproducible. A SPS method has been well-tested in patients following renal transplantation plus a wide variety of nephrological disorders. We have been concerned whether the SPS method would be valid in volume expanded patients. In 28 determinations of ERPF in patients with CHF, and in five patients who did not have CHF, we have found the SPS estimation of ERPF to yield results that are not clinically significantly different from those obtained by the detailed compartmental analysis method. The volumes of /sup 131/I-orthoiodohippurate (OIH) distribution were found to be somewhat higher in CHF than in controls, but fractional rate constants were proportionately lower so that intercompartmental flow rates and OIH concentrations were not different from controls. Therefore, the SPS estimation of ERPF is valid in patients with CHF and may be useful in monitoring the renal effects of various hemodynamic and pharmacological interventions.

  10. Effect of weak measurement on entanglement distribution over noisy channels.

    Science.gov (United States)

    Wang, Xin-Wen; Yu, Sixia; Zhang, Deng-Yu; Oh, C H

    2016-03-03

    Being able to implement effective entanglement distribution in noisy environments is a key step towards practical quantum communication, and long-term efforts have been made on the development of it. Recently, it has been found that the null-result weak measurement (NRWM) can be used to enhance probabilistically the entanglement of a single copy of amplitude-damped entangled state. This paper investigates remote distributions of bipartite and multipartite entangled states in the amplitudedamping environment by combining NRWMs and entanglement distillation protocols (EDPs). We show that the NRWM has no positive effect on the distribution of bipartite maximally entangled states and multipartite Greenberger-Horne-Zeilinger states, although it is able to increase the amount of entanglement of each source state (noisy entangled state) of EDPs with a certain probability. However, we find that the NRWM would contribute to remote distributions of multipartite W states. We demonstrate that the NRWM can not only reduce the fidelity thresholds for distillability of decohered W states, but also raise the distillation efficiencies of W states. Our results suggest a new idea for quantifying the ability of a local filtering operation in protecting entanglement from decoherence.

  11. Effects of vasoactive and metabolic active substances (measurement of RCBF)

    Energy Technology Data Exchange (ETDEWEB)

    Herrschaft, H.

    1986-09-29

    Methods, principles, normal values, reproducibility and clinical indications of rCBF-measurements, using the intraartrial 133-Xenon-clearance-technique, are presented. The effect of vaso- and metabolically active drugs on cerebral blood flow was examined in 215 patients, suffering from cerebral ischemia. Significant increase of rCBF was ascertained after intravenous injection of centrophenoxine, pyrithioxine, extractum sanguis deproteinatus, piracetam and solutions of low molecular dextran. All the other drugs tested proved to be either without any effect or caused decrease of rCBF. In 130 patients with obstructive disease of internal carotid artery after surgery at an interval of 6 - 8 weeks and 1 year a significant increase of CBF could be stated. The rank of psychological tests and quantitative EEF-investigations relating to evidence of efficacy of metabolically active drugs is discussed critically. Therapeutic efficacy and clinical relevance of vaso- and metabolically active drugs in cerebral ischemia of man are to be substantiated only by double-blind controlled studies.

  12. Measurements of effective total macroscopic cross sections and effective energy of continuum beam

    Energy Technology Data Exchange (ETDEWEB)

    Kobayashi, Hisao [Rikkyo Univ., Yokosuka, Kanagawa (Japan). Inst. for Atomic Energy

    1998-03-01

    Two practically useful quantities are introduced in this study to characterize a continuum neutron beam and to describe transmission phenomena of the beam in field of quantitative neutron radiography: an effective energy instead of a peak energy or a mean energy of the spectrum and an effective total macroscopic (ETM) cross section instead of a total macroscopic (TM) cross section defined at the monochromatic energy. The effective energy was evaluated by means of energy dependence of ETM cross section. To realize the method a beam quality indicator (BQI) has been proposed recently. Several effective energies were measured for non-filtered, filtered neutron beams, and outputs of neutron guide tubes in world by the BQI. A thermal neutron beam and three beams modulated by Pb filters with different thicknesses are studied to measure ETM cross sections for various materials and summarized in a table. Validity of the effective energy determined by the BQI is discussed relating with ETM cross sections of materials. (author)

  13. Non-verbal communication of compassion: measuring psychophysiologic effects

    Directory of Open Access Journals (Sweden)

    Kemper Kathi J

    2011-12-01

    Conclusion It is possible to test the effects of LKM with tactile and non-tactile blinding strategies; even with blinding in this small preliminary study, subjects reported significant improvements in well-being which were reflected in objective physiologic measures of autonomic activity. Extending compassion is not only good care; it may also be good medicine. Trial registration number US National ClinicalTrials.gov registration number, NCT01428674

  14. Non-verbal communication of compassion: measuring psychophysiologic effects.

    Science.gov (United States)

    Kemper, Kathi J; Shaltout, Hossam A

    2011-12-20

    had significant reductions in RR (P < 0.0001) and improved HRV (P < 0.05) with both tactile and non-tactile LKM. It is possible to test the effects of LKM with tactile and non-tactile blinding strategies; even with blinding in this small preliminary study, subjects reported significant improvements in well-being which were reflected in objective physiologic measures of autonomic activity. Extending compassion is not only good care; it may also be good medicine. US National ClinicalTrials.gov registration number, NCT01428674.

  15. Measuring Young's Modulus the Easy Way, and Tracing the Effects of Measurement Uncertainties

    Science.gov (United States)

    Nunn, John

    2015-01-01

    The speed of sound in a solid is determined by the density and elasticity of the material. Young's modulus can therefore be calculated once the density and the speed of sound in the solid are measured. The density can be measured relatively easily, and the speed of sound through a rod can be measured very inexpensively by setting up a longitudinal…

  16. High-Resolution ac Measurements of the Hall Effect in Organic Field-Effect Transistors

    Science.gov (United States)

    Chen, Y.; Yi, H. T.; Podzorov, V.

    2016-03-01

    We describe a high resolving power technique for Hall-effect measurements, efficient in determining Hall mobility and carrier density in organic field-effect transistors and other low-mobility systems. We utilize a small low-frequency ac magnetic field (Brmsphase-sensitive (lock-in) detection of Hall voltage, with the necessary corrections for Faraday induction. This method significantly enhances the signal-to-noise ratio and eliminates the necessity of using high magnetic fields in Hall-effect studies. With the help of this method, we are able to obtain the Hall mobility and carrier density in organic transistors with a mobility as low as μ ˜0.3 cm2 V-1 s-1 by using a compact desktop apparatus and low magnetic fields. We find a good agreement between Hall-effect and electric-field-effect measurements, indicating that, contrary to the common belief, certain organic semiconductors with mobilities below 1 cm2 V-1 s-1 can still exhibit a fully developed, band-semiconductor-like Hall effect, with the Hall mobility and carrier density matching those obtained in longitudinal transistor measurements. This suggests that, even when μ organic semiconductors can still behave as delocalized coherent carriers. This technique paves the way to ubiquitous Hall-effect studies in a wide range of low-mobility materials and devices, where it is typically very difficult to resolve the Hall effect even in very high dc magnetic fields.

  17. Determining sexual dimorphism in frog measurement data: integration of statistical significance, measurement error, effect size and biological significance

    Directory of Open Access Journals (Sweden)

    Hayek Lee-Ann C.

    2005-01-01

    Full Text Available Several analytic techniques have been used to determine sexual dimorphism in vertebrate morphological measurement data with no emergent consensus on which technique is superior. A further confounding problem for frog data is the existence of considerable measurement error. To determine dimorphism, we examine a single hypothesis (Ho = equal means for two groups (females and males. We demonstrate that frog measurement data meet assumptions for clearly defined statistical hypothesis testing with statistical linear models rather than those of exploratory multivariate techniques such as principal components, correlation or correspondence analysis. In order to distinguish biological from statistical significance of hypotheses, we propose a new protocol that incorporates measurement error and effect size. Measurement error is evaluated with a novel measurement error index. Effect size, widely used in the behavioral sciences and in meta-analysis studies in biology, proves to be the most useful single metric to evaluate whether statistically significant results are biologically meaningful. Definitions for a range of small, medium, and large effect sizes specifically for frog measurement data are provided. Examples with measurement data for species of the frog genus Leptodactylus are presented. The new protocol is recommended not only to evaluate sexual dimorphism for frog data but for any animal measurement data for which the measurement error index and observed or a priori effect sizes can be calculated.

  18. Radiative transfer effects on Doppler measurements as sources of surface effects in sunspot seismology

    CERN Document Server

    Rajaguru, S P; Wachter, R; Scherrer, P H

    2006-01-01

    We show that the use of Doppler shifts of Zeeman sensitive spectral lines to observe wavesn in sunspots is subject to measurement specific phase shifts arising from, (i) altered height range of spectral line formation and the propagating character of p mode waves in penumbrae, and (ii) Zeeman broadening and splitting. We also show that these phase shifts depend on wave frequencies, strengths and line of sight inclination of magnetic field, and the polarization state used for Doppler measurements. We discuss how these phase shifts could contribute to local helioseismic measurements of 'surface effects' in sunspot seismology.

  19. Measuring the effect of risk attitude on marketing behavior

    NARCIS (Netherlands)

    Franken, J.R.V.; Pennings, J.M.E.; Garcia, P.

    2014-01-01

    Despite extensive study, researchers continue to search for consistent and reliable measures of risk preferences to explain market behavior. We find that a measure, combining experiments rooted in expected utility theory and measures derived from surveys, explains spot and contractual sales, but

  20. Herlyn-Werner-Wunderlich Syndrome with Unilateral Hemivaginal Obstruction, Ipsilateral Renal Agenesis, and Contralateral Renal Thin GBM Disease: A Case Report with Radiological Follow Up

    Energy Technology Data Exchange (ETDEWEB)

    Park, Noh Hyuck; Park, Hee Jin; Park, Chan Sup [Myongji Hospital, Kwandong University, Koyang (Korea, Republic of); Park, Sung Il [Bucheon Hospital, Soonchunhyang University, Bucheon (Korea, Republic of)

    2010-08-15

    Herlyn-Werner-Wunderlich syndrome is a rare Mullerian ductal anomaly that is characterized by the presence of a hemivaginal septum, a didelphic uterus and ipsilateral renal agenesis. It is generally difficult to diagnose the uterine malformation before menarche owing to its small size. Therefore, a follow-up study is very important for confirming the uterine malformation in girls with renal agenesis. We report a patient with renal agenesis and microscopic hematuria, who showed symptoms before menarche. A follow-up study eventually revealed uterine didelphys with a hemivaginal obstruction. A biopsy proved that the microscopic hematuria was caused by thin glomerular basement membrane disease of the contralateral kidney

  1. Retrograde Percutaneous Coronary Intervention for Left Anterior Descending Chronic Total Occlusion Via an Ipsilateral Intraseptal Collateral Channel Using a Single Guiding Catheter.

    Science.gov (United States)

    Chon, Min Ku; Kim, Jeong Su; Chun, Kook Jin

    2016-06-01

    Successful recanalization of chronic total occlusion (CTO) of coronary arteries has improved symptoms and mortality. In CTO cases, retrograde approach from opposite coronary artery has a better chance of procedural success. But the retrograde approach from opposite site is not always suitable. In certain CTO cases, the distal left anterior descending (LAD) artery is supplied from the intraseptal collateral channel. Controlled antegrade and retrograde tracking (CART) strategy has been developed to improve guidewire crossing and successful recanalization. We report a case of the retrograde percutaneous coronary intervention for the LAD CTO lesion via an ipsilateral intraseptal collateral channel, which was successfully revascularized with reverse CARTtechnique using a single 8-French guiding catheter.

  2. Artroplastia total de cadera en paciente con amputación suprageniana ipsilateral: caso clínico y revisión de la literatura

    OpenAIRE

    Faour Martín, O.; Navarro Núñez, Enrique; Romero Tabares, L.D.

    2011-01-01

    La bibliografía acerca de los resultados y el papel que desempeña la cirugía de artroplastia total de cadera en pacientes con amputación, a diferentes niveles, de la extremidad inferior, es escasa. Presentamos nuestra experiencia clínica acerca de la técnica quirúrgica de artroplastia total de cadera por coxartrosis avanzada, manejo postoperatorio y resultados, de un paciente varón, de sesenta y ocho años de edad, con amputación suprageniana de la extremidad inferior ipsilateral, ...

  3. Effect of Electron Seeding on Experimentally Measured Multipactor Discharge Threshold

    Science.gov (United States)

    Noland, Jonathan; Graves, Timothy; Lemon, Colby; Looper, Mark; Farkas, Alex

    2012-10-01

    Multipactor is a vacuum phenomenon in which electrons, moving in resonance with an externally applied electric field, impact material surfaces. If the number of secondary electrons created per primary electron impact averages more than unity, the resonant interaction can lead to an electron avalanche. Multipactor is a generally undesirable phenomenon, as it can cause local heating, absorb power, or cause detuning of RF circuits. In order to increase the probability of multipactor initiation, test facilities often employ various seeding sources such as radioactive sources (Cesium 137, Strontium 90), electron guns, or photon sources. Even with these sources, the voltage for multipactor initiation is not certain as parameters such as material type, RF pulse length, and device wall thickness can all affect seed electron flux and energy in critical gap regions, and hence the measured voltage threshold. This study investigates the effects of seed electron source type (e.g., photons versus beta particles), material type, gap size, and RF pulse length variation on multipactor threshold. In addition to the experimental work, GEANT4 simulations will be used to estimate the production rate of low energy electrons (< 5 keV) by high energy electrons and photons. A comparison of the experimental fluxes to the typical energetic photon and particle fluxes experienced by spacecraft in various orbits will also be made. Initial results indicate that for a simple, parallel plate device made of aluminum, there is no threshold variation (with seed electrons versus with no seed electrons) under continuous-wave RF exposure.

  4. Measurements of ionospheric effects on wideband signals at VHF

    Energy Technology Data Exchange (ETDEWEB)

    Fitzgerald, T.J.

    1998-08-17

    Radars operating at very high frequency (VHF) have enhanced foliage and ground penetration compared to radars operated at higher frequencies. For example, VHF systems operated from airplanes have been used as synthetic aperture radars (SAR); a satellite-borne VHF SAR would have considerable utility. In order to operate with high resolution it would have to use both a large relative bandwidth and a large aperture. A satellite-borne radar would likely have to operate at altitudes above the maximum density of the ionosphere; the presence of the ionosphere in the propagation path of the radar will cause a deterioration of the performance because of dispersion over the bandwidth. The author presents measurements of the effects of the ionosphere on radar signals propagated from a source on the surface of the Earth and received by instruments on the FORTE satellite at altitudes of 800 km. The author employs signals with a 90 MHz bandwidth centered at 240 MHz with a continuous digital recording period of 0.6 s.

  5. Laboratory-Measured Rainfall Effects on LWIR Soil Reflectance

    Science.gov (United States)

    Howington, S. E.; Ballard, J., Jr.; Wilhelms, S.

    2012-12-01

    The long-wave infrared reflectance of soils will often have distinct spectral characteristics that depend on the soil's physical and spectral properties. Rainfall has the effect of sorting soil particles at the ground surface, thus changing its long-wave infrared reflectance. This study examines how rainfall alters the measured directional-hemispherical thermal infrared (8-14 μm) spectral reflectance by comparing disturbed soil with undisturbed soil and pre-rain with post-rain conditions. The study uses a soil with a specified sand/silt ratio and a calibrated, laboratory rainfall simulator. For an accumulated rainfall of 8 cm, the mean disturbed soil thermal infrared spectral reflectance within 8.1 - 9.2 μm waveband increases from an initial reflectance of 13 percent to a maximum reflectance of 31 percent. Sixty percent of this reflectance change occurred with only 1 cm accumulated rainfall. This study shows that, for this described disturbed sand/silt soil mixture, small accumulated rainfall amounts significantly alter the directional-hemispherical thermal infrared spectral reflectance.

  6. Functional petit-suisse cheese: measure of the prebiotic effect.

    Science.gov (United States)

    Cardarelli, Haíssa R; Saad, Susana M I; Gibson, Glenn R; Vulevic, Jelena

    2007-01-01

    Prebiotics and probiotics are increasingly being used to produce potentially synbiotic foods, particularly through dairy products as vehicles. It is well known that both ingredients may offer benefits to improve the host health. This research aimed to evaluate the prebiotic potential of novel petit-suisse cheeses using an in vitro fermentation model. Five petit-suisse cheese formulations combining candidate prebiotics (inulin, oligofructose, honey) and probiotics (Lactobacillus acidophilus, Bifidobacterium lactis) were tested in vitro using sterile, stirred, batch culture fermentations with human faecal slurry. Measurement of prebiotic effect (MPE) values were generated comparing bacterial changes through determination of maximum growth rates of groups, rate of substrate assimilation and production of lactate and short chain fatty acids. Fastest fermentation and high lactic acid production, promoting increased growth rates of bifidobacteria and lactobacilli, were achieved with addition of prebiotics to a probiotic cheese (made using starter+probiotics). Addition of probiotic strains to control cheese (made using just a starter culture) also resulted in high lactic acid production. Highest MPE values were obtained with addition of prebiotics to a probiotic cheese, followed by addition of prebiotics and/or probiotics to a control cheese. Under the in vitro conditions used, cheese made with the combination of different prebiotics and probiotics resulted in the most promising functional petit-suisse cheese. The study allowed comparison of potentially functional petit-suisse cheeses and screening of preferred synbiotic potential for future market use.

  7. Developing an instrument to measure effective factors on clinical learning

    Directory of Open Access Journals (Sweden)

    IDEH DADGARAN

    2016-07-01

    Full Text Available Introduction: Although nursing students spend a large part of their learning period in the clinical environment, clinical learning has not been perceived by its nature yet. To develop an instrument to measure effective factors on clinical learning in nursing students. Methods: This is a mixed methods study performed in 2 steps. First, the researchers defined “clinical learning” in nursing students through qualitative content analysis and designed items of the questionnaire based on semi-structured individual interviews with nursing students. Then, as the second step, psychometric properties of the questionnaire were evaluated using the face validity, content validity, construct validity, and internal consistency evaluated on 227 students from fourth or higher semesters. All the interviews were recorded and transcribed, and then, they were analyzed using Max Qualitative Data Analysis and all of qualitative data were analyzed using SPSS 14. Results: To do the study, we constructed the preliminary questionnaire containing 102 expressions. After determination of face and content validities by qualitative and quantitative approaches, the expressions of the questionnaire were reduced to 45. To determine the construct validity, exploratory factor analysis was applied. The results indicated that the maximum variance percentage (40.55% was defined by the first 3 factors while the rest of the total variance percentage (59.45% was determined by the other 42 factors. Results of exploratory factor analysis of this questionnaire indicated the presence of 3 instructor-staff, students, and educational related factors. Finally, 41 expressions were kept in 3 factor groups. The α-Cronbach coefficient (0.93 confirmed the high internal consistency of the questionnaire. Conclusion: Results indicated that the prepared questionnaire was an efficient instrument in the study of the effective factors on clinical learning as viewed by nursing students since it

  8. Effect of inhomogeneities on high precision measurements of cosmological distances

    Science.gov (United States)

    Peel, Austin; Troxel, M. A.; Ishak, Mustapha

    2014-12-01

    We study effects of inhomogeneities on distance measures in an exact relativistic Swiss-cheese model of the Universe, focusing on the distance modulus. The model has Λ CDM background dynamics, and the "holes" are nonsymmetric structures described by the Szekeres metric. The Szekeres exact solution of Einstein's equations, which is inhomogeneous and anisotropic, allows us to capture potentially relevant effects on light propagation due to nontrivial evolution of structures in an exact framework. Light beams traversing a single Szekeres structure in different ways can experience either magnification or demagnification, depending on the particular path. Consistent with expectations, we find a shift in the distance modulus μ to distant sources due to demagnification when the light beam travels primarily through the void regions of our model. Conversely, beams are magnified when they propagate mainly through the overdense regions of the structures, and we explore a small additional effect due to time evolution of the structures. We then study the probability distributions of Δ μ =μΛ CDM-μSC for sources at different redshifts in various Swiss-cheese constructions, where the light beams travel through a large number of randomly oriented Szekeres holes with random impact parameters. We find for Δ μ the dispersions 0.004 ≤σΔ μ≤0.008 mag for sources with redshifts 1.0 ≤z ≤1.5 , which are smaller than the intrinsic dispersion of, for example, magnitudes of type Ia supernovae. The shapes of the distributions we obtain for our Swiss-cheese constructions are peculiar in the sense that they are not consistently skewed toward the demagnification side, as they are in analyses of lensing in cosmological simulations. Depending on the source redshift, the distributions for our models can be skewed to either the demagnification or the magnification side, reflecting a limitation of these constructions. This could be the result of requiring the continuity of Einstein

  9. Effects of electrical and natural stimulation of skin afferents on the gamma-spindle system of the triceps surae muscle.

    Science.gov (United States)

    Johansson, H; Sjölander, P; Sojka, P; Wadell, I

    1989-08-01

    The aim of the present study was to investigate the extent to which skin receptors might influence the responses of primary muscle spindle afferents via reflex actions on the fusimotor system. The experiments were performed on 43 cats anaesthetized with alpha-chloralose. The alterations in fusimotor activity were assessed from changes in the responses of the muscle spindle afferents to sinusoidal stretching of their parent muscles (triceps surae and plantaris). The mean rate of firing and the modulation of the afferent response were determined. Control measurements were made in absence of any cutaneous stimulation. Tests were made (a) during physiological stimulation of skin afferents of the ipsilateral pad or of the contralateral hindlimb, or (b) during repetitive electrical stimulation of the sural nerve in the ipsilateral hindlimb, or of sural or superficial peroneal nerve in the contralateral hindlimb. Of the total number of 113 units tested with repetitive electrical stimulation of the ipsilateral sural nerve (at 20 Hz), 24.8% exhibited predominantly dynamic fusimotor reflexes, 5.3% mixed or predominantly static fusimotor reflexes. One unit studied in a preparation with intact spinal cord exhibited static reflexes at low stimulation intensities and dynamic ones at higher stimulation strengths. The remaining units (69%) were uninfluenced. When the receptor-bearing muscle was held at constant length and a train of stimuli (at 20 Hz) was applied to the ipsilateral sural nerve, the action potentials in the primary muscle spindle afferent could be stimulus-locked to the 3rd or 4th pulse in the train (and to the pulses following thereafter), with a latency of about 24 ms from the effective pulse. This 1:1 pattern of driving seemed to be mediated via static and/or dynamic fusimotor neurons. Natural stimulation influenced comparatively few units (3 of 65 units tested from the ipsilateral pad and 10 of 98 tested from the contralateral hindlimb), but when the effects

  10. Effects of language of assessment on the measurement of acculturation: measurement equivalence and cultural frame switching.

    Science.gov (United States)

    Schwartz, Seth J; Benet-Martínez, Verónica; Knight, George P; Unger, Jennifer B; Zamboanga, Byron L; Des Rosiers, Sabrina E; Stephens, Dionne P; Huang, Shi; Szapocznik, José

    2014-03-01

    The present study used a randomized design, with fully bilingual Hispanic participants from the Miami area, to investigate 2 sets of research questions. First, we sought to ascertain the extent to which measures of acculturation (Hispanic and U.S. practices, values, and identifications) satisfied criteria for linguistic measurement equivalence. Second, we sought to examine whether cultural frame switching would emerge--that is, whether latent acculturation mean scores for U.S. acculturation would be higher among participants randomized to complete measures in English and whether latent acculturation mean scores for Hispanic acculturation would be higher among participants randomized to complete measures in Spanish. A sample of 722 Hispanic students from a Hispanic-serving university participated in the study. Participants were first asked to complete translation tasks to verify that they were fully bilingual. Based on ratings from 2 independent coders, 574 participants (79.5% of the sample) qualified as fully bilingual and were randomized to complete the acculturation measures in either English or Spanish. Theoretically relevant criterion measures--self-esteem, depressive symptoms, and personal identity--were also administered in the randomized language. Measurement equivalence analyses indicated that all of the acculturation measures--Hispanic and U.S. practices, values, and identifications-met criteria for configural, weak/metric, strong/scalar, and convergent validity equivalence. These findings indicate that data generated using acculturation measures can, at least under some conditions, be combined or compared across languages of administration. Few latent mean differences emerged. These results are discussed in terms of the measurement of acculturation in linguistically diverse populations.

  11. Development of ultrasonic velocity profile method for flow rate measurements of power plant (effect of measurement volume on turbulent flow measurement)

    Energy Technology Data Exchange (ETDEWEB)

    Hiroshige, Kikura; Gentaro, Yamanaka; Tsuyoshi, Taishi; Masanori, Aritomi [Tokyo Institute of Technology, Tokyo (Japan); Yasushi, Takeda [Paul Scherrer Inst. (PSI), Villigen (Switzerland); Michitsugu, Mori [Tokyo Electric Power Co., Inc. (Japan)

    2001-07-01

    Ultrasonic Velocity Profile method has many advantages for flow rate measurement of power plant over the conventional flow measurement methods, such as measurement of the instantaneous velocity profile along the measuring line and its applicability to opaque liquids. Furthermore, the method has an advantage of being non-intrusive. Hence, it is applicable to various flow conditions, although it requires a relatively large measurement volume. In this paper, the effects of the measurement volume on the mean velocity profile for flow rate measurements of power plant and the Reynolds stress measurement have been investigated for fully developed turbulent pipe flows in a vertical pipe. The results are then compared with data obtained by Direct Numerical Simulation (DNS). (authors)

  12. The effect of induced monocular blur on measures of stereoacuity.

    Science.gov (United States)

    Odell, Naomi V; Hatt, Sarah R; Leske, David A; Adams, Wendy E; Holmes, Jonathan M

    2009-04-01

    To determine the effect of induced monocular blur on stereoacuity measured with real depth and random dot tests. Monocular visual acuity deficits (range, 20/15 to 20/1600) were induced with 7 different Bangerter filters (depth tests and Preschool Randot (PSR) and Distance Randot (DR) random dot tests. Stereoacuity results were grouped as either "fine" (60 and 200 arcsec to nil) stereo. Across visual acuity deficits, stereoacuity was more severely degraded with random dot (PSR, DR) than with real depth (Frisby, FD2) tests. Degradation to worse-than-fine stereoacuity consistently occurred at 0.7 logMAR (20/100) or worse for Frisby, 0.1 logMAR (20/25) or worse for PSR, and 0.1 logMAR (20/25) or worse for FD2. There was no meaningful threshold for the DR because worse-than-fine stereoacuity was associated with -0.1 logMAR (20/15). Course/nil stereoacuity was consistently associated with 1.2 logMAR (20/320) or worse for Frisby, 0.8 logMAR (20/125) or worse for PSR, 1.1 logMAR (20/250) or worse for FD2, and 0.5 logMAR (20/63) or worse for DR. Stereoacuity thresholds are more easily degraded by reduced monocular visual acuity with the use of random dot tests (PSR and DR) than real depth tests (Frisby and FD2). We have defined levels of monocular visual acuity degradation associated with fine and nil stereoacuity. These findings have important implications for testing stereoacuity in clinical populations.

  13. Effect of milking frequency on DHI performance measures.

    Science.gov (United States)

    Smith, J W; Ely, L O; Graves, W M; Gilson, W D

    2002-12-01

    Increasing production by increasing milking frequency (MF) is a management option available to dairy producers. This study examined effects of MF and interactions with region and herd size on measures of herd performance. Dairy Herd Improvement (DHI) Holstein herd summary records (n = 10,754, 10,550, and 10,438) for the years 1998, 1999, and 2000 were classified by MF: two times a day (2X) milking vs three times a day (3X); herd size: small ( or = 250 cows); and region: North and South. Percentage of herds milking 3X by year were 7.0, 6.7, and 7.1. Rolling herd average milk production was 16, 16, and 15% higher for herds milking 3X than herds milking 2X for the respective years. Herds milking 3X in the North region outproduced herds milking 3X in the South region. Milk fat and protein percentages were lower for herds milking 3X during all 3 yr. Differences in energy-corrected milk production between herds milking 3X and herds milking 2X were 14.5, 13.4, and 13.4% during the respective 3 yr as a result of lower component percentages for herds milking 3X. Herds milking 3X had more days open and higher actual calving intervals than herds milking 2X. Services per pregnancy for herds breeding primarily by artificial insemination were higher for herds milking 3X than for herds milking 2X. Somatic cell scores and weighted somatic cell counts were lower for herds milking 3X than herds milking 2X. Herds milking 3X had a higher percentage of somatic cell scores in the low range (0 to 3) and a lower percentage in the high range (7 to 9). Mean percentages of cows entering and leaving the herd were higher for herds milking 3X during all 3 yr.

  14. Effects of drop size and measuring condition on static contact angle measurement on a superhydrophobic surface with goniometric technique

    Energy Technology Data Exchange (ETDEWEB)

    Seo, Kwangseok; Kim, Minyoung; Kim, Do Hyun [Korea Advanced Institute of Science and Technology, Daejeon (Korea, Republic of); Ahn, Jeong Keun [Chungnam National University, Daejeon (Korea, Republic of)

    2015-12-15

    It is not a simple task to measure a contact angle of a water drop on a superhydrophobic surface with sessile drop method, because a roll-off angle is very low. Usually contact angle of a water drop on a superhydrophobic surface is measured by fixing a drop with intentional defects on the surface or a needle. We examined the effects of drop size and measuring condition such as the use of a needle or defects on the static contact angle measurement on superhydrophobic surface. Results showed that the contact angles on a superhydrophobic surface remain almost constant within intrinsic measurement errors unless there is a wetting transition during the measurement. We expect that this study will provide a deeper understanding on the nature of the contact angle and convenient measurement of the contact angle on the superhydrophobic surface.

  15. Effect of Voltage Measurement on the Quantitative Identification of Transverse Cracks by Electrical Measurements

    KAUST Repository

    Selvakumaran, Lakshmi

    2016-03-24

    Electrical tomography can be used as a structural health monitoring technique to identify different damage mechanisms in composite laminates. Previous work has established the link between transverse cracking density and mesoscale conductivity of the ply. Through the mesoscale relationship, the conductivity obtained from electrical tomography can be used as a measure of the transverse cracking density. Interpretation of this measure will be accurate provided the assumptions made during homogenization are valid. One main assumption of mesoscale homogenization is that the electric field is in the plane. Here, we test the validity of this assumption for laminates with varying anisotropy ratios and for different distances between the cracked ply and surface that is instrumented with electrodes. We also show the equivalence in electrical response between measurements from cracked laminates and their equivalent mesoscale counterparts. Finally, we propose some general guidelines on the measurement strategy for maximizing the accuracy of transverse cracks identification.

  16. Precision of single-engage micro Hall effect measurements

    DEFF Research Database (Denmark)

    Henrichsen, Henrik Hartmann; Hansen, Ole; Kjær, Daniel

    2014-01-01

    ]. In this study we calculate the measurement error on RS, NHS and μH resulting from electrode position errors, probe placement, sample size and Hall signal magnitude. We show the relationship between measurement precision and electrode pitch, which is important when down-scaling the micro 4-point probe to fit...

  17. Effect of Observation Mode on Measures of Secondary Mathematics Teaching

    Science.gov (United States)

    Casabianca, Jodi M.; McCaffrey, Daniel F.; Gitomer, Drew H.; Bell, Courtney A.; Hamre, Bridget K.; Pianta, Robert C.

    2013-01-01

    Classroom observation of teachers is a significant part of educational measurement; measurements of teacher practice are being used in teacher evaluation systems across the country. This research investigated whether observations made live in the classroom and from video recording of the same lessons yielded similar inferences about teaching.…

  18. Systematic lymphadenectomy versus sampling of ipsilateral mediastinal lymph-nodes during lobectomy for non-small-cell lung cancer: a systematic review of randomized trials and a meta-analysis.

    Science.gov (United States)

    Mokhles, Sahar; Macbeth, Fergus; Treasure, Tom; Younes, Riad N; Rintoul, Robert C; Fiorentino, Francesca; Bogers, Ad J J C; Takkenberg, Johanna J M

    2017-06-01

    To re-examine the evidence for recommendations for complete dissection versus sampling of ipsilateral mediastinal lymph nodes during lobectomy for cancer. We searched for randomized trials of systematic mediastinal lymphadenectomy versus mediastinal sampling. We performed a textual analysis of the authors' own starting assumptions and conclusion. We analysed the trial designs and risk of bias. We extracted data on early mortality, perioperative complications, overall survival, local recurrence and distant recurrence for meta-analysis. We found five randomized controlled trials recruiting 1980 patients spanning 1989-2007. The expressed starting position in 3/5 studies was a conviction that systematic dissection was effective. Long-term survival was better with lymphadenectomy compared with sampling (Hazard Ratio 0.78; 95% CI 0.69-0.89) as was perioperative survival (Odds Ratio 0.59; 95% CI 0.25-1.36, non-significant). But there was an overall high risk of bias and a lack of intention to treat analysis. There were higher rates (non-significant) of perioperative complications including bleeding, chylothorax and recurrent nerve palsy with lymphadenectomy. The high risk of bias in these trials makes the overall conclusion insecure. The finding of clinically important surgically related morbidities but lower perioperative mortality with lymphadenectomy seems inconsistent. The multiple variables in patients, cancers and available treatments suggest that large pragmatic multicentre trials, testing currently available strategies, are the best way to find out which are more effective. The number of patients affected with lung cancer makes trials feasible.

  19. Distinct developmental principles underlie the formation of ipsilateral and contralateral whisker-related axonal patterns of layer 2/3 neurons in the barrel cortex.

    Science.gov (United States)

    Sehara, K; Wakimoto, M; Ako, R; Kawasaki, H

    2012-12-13

    Axonal organizations with specific patterns underlie the functioning of local intracortical circuitry, but their precise anatomy and development still remain elusive. Here, we selectively visualized layer 2/3 neurons using in utero electroporation and examined their axonal organization in the barrel cortex contralateral to the electroporated side. We found that callosal axons run preferentially in septal regions of layer 4 and showed a whisker-related pattern in the contralateral barrel cortex in rats and mice. In addition, presynaptic marker proteins were found in this whisker-related axonal organization. Although the whisker-related patterns were observed in both the ipsilateral and contralateral barrel cortex, we found a difference in their developmental processes. While the formation of the whisker-related pattern in the ipsilateral cortex consisted of two distinct steps, that in the contralateral cortex did not have the 1st step, in which the axons were diffusely distributed without preference to septal or barrel regions. We also found that these more diffuse axons ran close to radial glial fibers. Together, our results uncovered a whisker-related axonal pattern of callosal axons and two independent developmental processes involved in the formation of the axonal trajectories of layer 2/3 neurons. Copyright © 2012 IBRO. Published by Elsevier Ltd. All rights reserved.

  20. The human dorsal premotor cortex facilitates the excitability of ipsilateral primary motor cortex via a short latency cortico-cortical route

    DEFF Research Database (Denmark)

    Groppa, Sergiu; Schlaak, Boris H; Münchau, Alexander

    2012-01-01

    (HAND) through specifically designed minicoils to selectively probe ipsilateral PMd-to-M1(HAND) connectivity in humans. A suprathreshold test stimulus (TS) was applied to M1(HAND) producing a motor evoked potential (MEP) of about 0.5 mV in the relaxed right first dorsal interosseus muscle (FDI......In non-human primates, invasive tracing and electrostimulation studies have identified strong ipsilateral cortico-cortical connections between dorsal premotor- (PMd) and the primary motor cortex (M1(HAND) ). Here, we applied dual-site transcranial magnetic stimulation (dsTMS) to left PMd and M1......). A subthreshold conditioning stimulus (CS) was given to PMd 2.0-5.2 ms after the TS at intensities of 50-, 70-, or 90% of TS. The CS to PMd facilitated the MEP evoked by TS over M1(HAND) at interstimulus intervals (ISI) of 2.4 or 2.8 ms. There was a second facilitatory peak at ISI of 4.4 ms. PMd-to-M1(HAND...