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Sample records for multiplanar reformation images

  1. CT triage for lung malignancy: coronal multiplanar reformation versus images in three orthogonal planes.

    Science.gov (United States)

    Kusk, Martin Weber; Karstoft, Jens; Mussmann, Bo Redder

    2015-11-01

    Generation of multiplanar reformation (MPR) images has become automatic on most modern computed tomography (CT) scanners, potentially increasing the workload of the reporting radiologists. It is not always clear if this increases diagnostic performance in all clinical tasks. To assess detection performance using only coronal multiplanar reformations (MPR) when triaging patients for lung malignancies with CT compared to images in three orthogonal planes, and to evaluate performance comparison of novice and experienced readers. Retrospective study of 63 patients with suspicion of lung cancer, scanned on 64-slice multidetector computed tomography (MDCT) with images reconstructed in three planes. Coronal images were presented to four readers, two novice and two experienced. Readers decided whether the patients were suspicious for malignant disease, and indicated their confidence on a five-point scale. Sensitivity and specificity on per-patient basis was calculated with regards to a reference standard of histological diagnosis, and compared with the original report using McNemar's test. Receiver operating characteristic (ROC) curves were plotted to compare the performance of the four readers, using the area under the curve (AUC) as figure of merit. No statistically significant difference of sensitivity and specificity was found for any of the readers when compared to the original reports. ROC analysis yielded AUCs in the range of 0.92-0.93 for all readers with no significant difference. Inter-rater agreement was substantial (kappa = 0.72). Sensitivity and specificity were comparable to diagnosis using images in three planes. No significant difference was found between experienced and novice readers. © The Foundation Acta Radiologica 2014.

  2. Influence of model based iterative reconstruction algorithm on image quality of multiplanar reformations in reduced dose chest CT

    International Nuclear Information System (INIS)

    Barras, Heloise; Dunet, Vincent; Hachulla, Anne-Lise; Grimm, Jochen; Beigelman-Aubry, Catherine

    2016-01-01

    Model-based iterative reconstruction (MBIR) reduces image noise and improves image quality (IQ) but its influence on post-processing tools including maximal intensity projection (MIP) and minimal intensity projection (mIP) remains unknown. To evaluate the influence on IQ of MBIR on native, mIP, MIP axial and coronal reformats of reduced dose computed tomography (RD-CT) chest acquisition. Raw data of 50 patients, who underwent a standard dose CT (SD-CT) and a follow-up RD-CT with a CT dose index (CTDI) of 2–3 mGy, were reconstructed by MBIR and FBP. Native slices, 4-mm-thick MIP, and 3-mm-thick mIP axial and coronal reformats were generated. The relative IQ, subjective IQ, image noise, and number of artifacts were determined in order to compare different reconstructions of RD-CT with reference SD-CT. The lowest noise was observed with MBIR. RD-CT reconstructed by MBIR exhibited the best relative and subjective IQ on coronal view regardless of the post-processing tool. MBIR generated the lowest rate of artefacts on coronal mIP/MIP reformats and the highest one on axial reformats, mainly represented by distortions and stairsteps artifacts. The MBIR algorithm reduces image noise but generates more artifacts than FBP on axial mIP and MIP reformats of RD-CT. Conversely, it significantly improves IQ on coronal views, without increasing artifacts, regardless of the post-processing technique

  3. Reproducibility of Abdominal Aortic Aneurysm Diameter Measurement and Growth Evaluation on Axial and Multiplanar Computed Tomography Reformations

    International Nuclear Information System (INIS)

    Dugas, Alexandre; Therasse, Éric; Kauffmann, Claude; Tang, An; Elkouri, Stephane; Nozza, Anna; Giroux, Marie-France; Oliva, Vincent L.; Soulez, Gilles

    2012-01-01

    Purpose: To compare different methods measuring abdominal aortic aneurysm (AAA) maximal diameter (Dmax) and its progression on multidetector computed tomography (MDCT) scan. Materials and Methods: Forty AAA patients with two MDCT scans acquired at different times (baseline and follow-up) were included. Three observers measured AAA diameters by seven different methods: on axial images (anteroposterior, transverse, maximal, and short-axis views) and on multiplanar reformation (MPR) images (coronal, sagittal, and orthogonal views). Diameter measurement and progression were compared over time for the seven methods. Reproducibility of measurement methods was assessed by intraclass correlation coefficient (ICC) and Bland–Altman analysis. Results: Dmax, as measured on axial slices at baseline and follow-up (FU) MDCTs, was greater than that measured using the orthogonal method (p = 0.046 for baseline and 0.028 for FU), whereas Dmax measured with the orthogonal method was greater those using all other measurement methods (p-value range: <0.0001–0.03) but anteroposterior diameter (p = 0.18 baseline and 0.10 FU). The greatest interobserver ICCs were obtained for the orthogonal and transverse methods (0.972) at baseline and for the orthogonal and sagittal MPR images at FU (0.973 and 0.977). Interobserver ICC of the orthogonal method to document AAA progression was greater (ICC = 0.833) than measurements taken on axial images (ICC = 0.662–0.780) and single-plane MPR images (0.772–0.817). Conclusion: AAA Dmax measured on MDCT axial slices overestimates aneurysm size. Diameter as measured by the orthogonal method is more reproducible, especially to document AAA progression.

  4. Demonstration of the pulmonary interlobar fissures on multiplanar reformatted images with 64-slices spiral CT

    International Nuclear Information System (INIS)

    Wang Yafei; Chen Yerong; Shan Xiuhong; Tang Zhiyang; Ni Enzhen; Huang Hao; Wu Shuchun

    2009-01-01

    Objective: To determine the optimal orientation and slice thickness of reformatted images to visualize the interlobar fissures on multiplanar reformation (MPR) images and to recommend MPR imaging protocal for visualizing interlobar fissures in clinical practise. Methods: 64-slices CT scans of chest were obtained in 300 patients without pulmonary diseases. Axial, sagittal and coronal images were reformatted at 1, 2, 3, 7 mm slice thickness respectively from the raw volume data. Three experienced radiologists evaluated all of the MPR images in the lung window and compared the differences in visualization of the interlohar fissures among the three reformatted orientations and at the different slice thicknesses with Fisher test and Friedman test. Results: Fissures on sagittal MPR images using 1, 2, 3, and 7 mm reformatted slice thickness appeared as a fine line and the preference value analysis showed the MPR images with a 3 mm reformatted slice thickness is the best for visualizing the interlobar fissure. Compared to the sagittal orientation, the coronal was not as good and the axial was the worst among the three orientations. The coronal images with a 3 mm reformatted slice thickness were slightly inferior to sagittal images. The right horizontal fissures were observed as a fine line in all coronal image in 94.0% (282)of cases and in some of the images in 6.0% (18) of cases, the right oblique fissures were displayed as a fine line in coronal images in 2.3% (7) of cases and in some images in 85.0% (255) of cases, the left oblique fissures were displayed as a fine line in some coronal images in 35.7% (107) of cases and displayed as a coarse line in 64.3% (193) of cases. On axial MPR images using 3 mm reformation slice thickness, the right oblique fissures and the left oblique fissures were displayed as a fine line in some axial images in 79.3% (238) and 81.0% (243) of cases respectively, none of the images showed horizontal fissures as a fine line. There was

  5. Evaluation of the anterior ethmoidal artery by 3D dual volume rotational digital subtraction angiography and native multidetector CT with multiplanar reformations. Initial findings.

    Science.gov (United States)

    Pandolfo, Ignazio; Vinci, Sergio; Salamone, Ignazio; Granata, Francesca; Mazziotti, Silvio

    2007-06-01

    Our purpose is to codify the anterior ethmoidal artery (AEA) course and its relationship with adjacent structures. Twenty patients with cerebrovascular disease underwent selective internal carotid dual volume angiography. Fusion of the vascular and bony images was obtained successively on a second console. MDCT of the cranium was performed in all patients. To identify the AEA course, multiplanar CT reformations were obtained. In all cases the entry-point of AEA and its course were identified by means of dual volume angiography. The information was confirmed by MDCT. In a second phase, we studied another 78 patients affected by inflammatory disease and polyposis only by means of MDCT, in order to confirm the previous data obtained by comparison between angiography and MDCT. In this second phase, 110/156 vessels were indirectly detected by means of visualization of the ethmoidal entry point. In the remaining cases, AEA was directly shown due to integrity of the thin ethmoidal bone lamellae or bony canal. Dual volume angiography is essential to identify the course of the AEA (standard of reference for the interpretation of CT). In patients with benign rhinosinusal pathology, where invasivity techniques are not justified, MPR reconstructions were of pivotal importance in the evaluation of the course of the artery with particular reference to its relationship with the frontal recess.

  6. The usefulness of multiplanar reconstruction images in preoperative t-staging of advanced gastric cancer

    International Nuclear Information System (INIS)

    Koo, Young Baek; Kim, Suk; Lee, Jun Woo; Kim, Soo Jin; Choo, Ki Seok; Lee, Tae Hong; Moon, Tae Yong; Lee, Suk Hong; Jeon, Tae Yong

    2004-01-01

    The purpose of this study was to evaluate the performance of multidetector-row CT (MDCT) in the preoperative T-staging of patients with advanced gastric cancer. A total of 65 patients with an established diagnosis of advanced gastric cancer (T2 or more) were evaluated with MDCT. The protocol of MDCT consisted of high-quality (HQ) mode helical scanning with a slice thickness of 2.5 mm. The axial CT images were reconstructed with a slice thickness of 5 mm. MPR images were reconstructed from the raw axial data with a slice thickness of 5 mm. A comparison between the standard axial and axial MPR images was performed by two radiologists with regard to the evaluation of the tumor location and T-stage. These findings were compared with the pathologic and surgical findings. T-staging of the advanced stomach cancer was correct in 89% (58/65) and 69% (45/65) of the MPR images and axial images, respectively. The MPR images improved the detection rate (5 lesions) of the tumors and increased the accuracy of the T-staging (13 lesions) in comparison with the axial images. The MPR images are of greater diagnostic value for the evaluation of omental seeding (5 lesions: axial images, 9 lesions: MPR images), tumor location and extension. Multiplanar reconstruction (MPR) images provide increased confidence in the location and T-staging of certain cases of advanced gastric cancer, such as those in locations where CT images are susceptible to be affected by the difficulties associated with partial volume averaging. In this study, the MPR images provided more precise information about the tumor location and T-staging than the standard axial images in the preoperative evaluation of advanced gastric cancer

  7. Image quality of multiplanar reconstruction of pulmonary CT scans using adaptive statistical iterative reconstruction.

    Science.gov (United States)

    Honda, O; Yanagawa, M; Inoue, A; Kikuyama, A; Yoshida, S; Sumikawa, H; Tobino, K; Koyama, M; Tomiyama, N

    2011-04-01

    We investigated the image quality of multiplanar reconstruction (MPR) using adaptive statistical iterative reconstruction (ASIR). Inflated and fixed lungs were scanned with a garnet detector CT in high-resolution mode (HR mode) or non-high-resolution (HR) mode, and MPR images were then reconstructed. Observers compared 15 MPR images of ASIR (40%) and ASIR (80%) with those of ASIR (0%), and assessed image quality using a visual five-point scale (1, definitely inferior; 5, definitely superior), with particular emphasis on normal pulmonary structures, artefacts, noise and overall image quality. The mean overall image quality scores in HR mode were 3.67 with ASIR (40%) and 4.97 with ASIR (80%). Those in non-HR mode were 3.27 with ASIR (40%) and 3.90 with ASIR (80%). The mean artefact scores in HR mode were 3.13 with ASIR (40%) and 3.63 with ASIR (80%), but those in non-HR mode were 2.87 with ASIR (40%) and 2.53 with ASIR (80%). The mean scores of the other parameters were greater than 3, whereas those in HR mode were higher than those in non-HR mode. There were significant differences between ASIR (40%) and ASIR (80%) in overall image quality (pASIR did not suppress the severe artefacts of contrast medium. In general, MPR image quality with ASIR (80%) was superior to that with ASIR (40%). However, there was an increased incidence of artefacts by ASIR when CT images were obtained in non-HR mode.

  8. Assessment of intraocular foreign bodies by helical-CT multiplanar imaging

    International Nuclear Information System (INIS)

    Papadopoulos, A.; Fotinos, A.; Maniatis, V.; Kavadias, S.; Michaelides, A.; Avouri, M.; Kalamara, C.; Stringaris, K.

    2001-01-01

    The aim of this study was to examine the effectiveness of helical CT in the assessment of intraocular foreign bodies, evaluating two protocols with different collimation. We performed helical-CT studies in 30 patients. Fifteen patients were examined with 1.5-mm collimation and the other 15 patients with 3.0-mm collimation. All other imaging parameters were identical in both protocols. Multiplanar images were reconstructed. The examinations were reviewed for presence, localization and size of intraocular foreign bodies. We compare our results with the surgical data. We estimate the required examination time. In the first group (collimation 1.5 mm) an intraorbital foreign body was detected in 8 of 15 patients. In 3 of 8 patients an intraocular foreign body (all were metallic) was detected. In the second group (collimation 3.0 mm) an intraorbital foreign body was detected in 9 of 15 patients. In 8 of 9 patients an intraocular foreign body (all were metallic) was detected. Our results were confirmed by surgery in all cases. Examination time was 36 s in the first group and 18 s in the second group. Computed tomography should be considered the imaging modality of choice in the assessment of metallic intraocular foreign bodies and 3.0-mm collimation is optional, because of reduced examination time and radiation exposure. (orig.)

  9. Four-channel multidetector-row computed tomography in the evaluation of facial fractures - optimized parameters for acquisition and multiplanar reformation

    International Nuclear Information System (INIS)

    Omid, P. M.

    2002-08-01

    The first part of this thesis is designed to give the reader a comprehensive survey on the complex basic principles of computed tomography (CT), from the early beginning to the recent development of multidetector-row CT (MD-CT). Attention is focused on imaging of trauma in general and on imaging of facial fractures in particular. The second part of this thesis describes a clinical study performed to optimize acquisition protocols and multiplanar reformation (MPR) algorithms for the evaluation of facial fractures using MD-CT, which has not been yet described in literature. For this study, a cadaver head with artificial blunt facial trauma was examined using a 4-channel MD-CT scanner. The influence of acquisition parameters (collimation: 2x0.5 mm/4x1 mm/4x2.5 mm; tube current: 120 mAs/90 mAs/60 mAs), image reconstruction algorithms (standard vs. ultra-high resolution (UHR) modes; reconstructed slice thicknesses: 0.5 mm/1 mm/3 mm; increment: 0.3 mm/0.6 mm/1.5 mm), and reformation algorithms (slice thicknesses: 0.5 mm/1 mm/3 mm; overlap: 0.5 mm/1 mm/3 mm) on detectability of facial fractures in MPRs with MD-CT was analyzed. Effects of algorithms and parameters on image noise, artifacts and delineation of soft tissues were evaluated. The results of this study reliably demonstrate that fracture detection was significantly higher with thin MPRs (0.5/0.5 mm, 1/0.5 mm, 1/1 mm) (p = 0 .014) acquired with 2x0.5 mm collimation (p = 0 .046), in UHR mode (p .0005) with 120 mAs (p = 0 .025). Inter-observer variability showed very good agreement (κ > = 0 .942). Non-UHR mode, lower mAs and thick MPRs (3/0.5 mm, 3/1 mm, 3/0.5 mm) showed significantly decreased detectability. (author)

  10. Transthoracic CT-guided biopsy with multiplanar reconstruction image improves diagnostic accuracy of solitary pulmonary nodules

    International Nuclear Information System (INIS)

    Ohno, Yoshiharu; Hatabu, Hiroto; Takenaka, Daisuke; Imai, Masatake; Ohbayashi, Chiho; Sugimura, Kazuro

    2004-01-01

    Objective: To evaluate the utility of multiplanar reconstruction (MPR) image for CT-guided biopsy and determine factors of influencing diagnostic accuracy and the pneumothorax rate. Materials and methods: 390 patients with 396 pulmonary nodules underwent transthoracic CT-guided aspiration biopsy (TNAB) and transthoracic CT-guided cutting needle core biopsy (TCNB) as follows: 250 solitary pulmonary nodules (SPNs) underwent conventional CT-guided biopsy (conventional method), 81 underwent CT-fluoroscopic biopsy (CT-fluoroscopic method) and 65 underwent conventional CT-guided biopsy in combination with MPR image (MPR method). Success rate, overall diagnostic accuracy, pneumothorax rate and total procedure time were compared in each method. Factors affecting diagnostic accuracy and pneumothorax rate of CT-guided biopsy were statistically evaluated. Results: Success rates (TNAB: 100.0%, TCNB: 100.0%) and overall diagnostic accuracies (TNAB: 96.9%, TCNB: 97.0%) of MPR were significantly higher than those using the conventional method (TNAB: 87.6 and 82.4%, TCNB: 86.3 and 81.3%) (P<0.05). Diagnostic accuracy were influenced by biopsy method, lesion size, and needle path length (P<0.05). Pneumothorax rate was influenced by pathological diagnostic method, lesion size, number of punctures and FEV1.0% (P<0.05). Conclusion: The use of MPR for CT-guided lung biopsy is useful for improving diagnostic accuracy with no significant increase in pneumothorax rate or total procedure time

  11. Multiplanar reconstructed CT images increased depiction of intracranial hemorrhages in pediatric head trauma

    Energy Technology Data Exchange (ETDEWEB)

    Langford, Stacey; Panigrahy, Ashok; Narayanan, Srikala; Hwang, Misun; Fitz, Charles; Flom, Lynda; Lee, Vincent Kyu; Zuccoli, Giulio [Children' s Hospital of Pittsburgh of UPMC, Department of Radiology, Section of Neuroradiology, Pittsburgh, PA (United States)

    2015-12-15

    The benefits of multiplanar reconstructed images (MPR) of unenhanced axial head computed tomography (CT) data have not been established in trauma patients younger than 3 years old, a population in which a reliable history and physical examination may be most difficult. We retrospectively evaluated unenhanced head CTs in pediatric trauma patients to investigate the various benefits of MPR in this age group. A total of 221 unenhanced head CTs performed for any case of head trauma (HT) on children younger than 3 years old were independently reviewed by two radiologists. Studies were reviewed first in the standard axial plane alone and then with the addition of MPR. Reviewers were asked to determine if the MPR affected the ability to make findings of hemorrhage, incidental findings, and artifacts. MPR improved the detection of hemorrhage in 14 cases (6.5 %, p-value < 0.01) and incidental findings in five cases (2.3 %, p-value < 0.05) as well as helped prove artifacts in five cases (2.3 %, p-value < 0.05). Routine use of MPR in HT patients younger than 3 years old has the potential to increase the detection of acute and incidental imaging findings. (orig.)

  12. Comparative analysis of maximum renal longitudinal length with positional changes on ultrasound with multiplanar reconstructed MR image in Korea Adults

    International Nuclear Information System (INIS)

    Jang, Yun Hee; Cho, Bum Sang; Kang, Min Ho; Kang, Woo Young; Lee, Jisun; Kim, Yook; Lee, Soo Hyun; Lee, Soo Jung; Lee, Jin Yong

    2016-01-01

    The purpose of this study was to determine a suitable position in which the measured length on ultrasound is close to the true renal length obtained through a multiplanar reconstructed MR image. A total of 33 individuals (males: 15, females: 18) without any underlying renal disease were included in the present study. Renal length was measured as the longest axis at the level of the renal hilum in three positions-supine, lateral decubitus, and prone, respectively. With a 3.0 T MR scanner, 3D eTHRIVE was acquired. Subsequently, the maximum longitudinal length of both the kidneys was measured through multiplanar reconstructed MR images. Paired t-test was used to compare the renal length obtained from ultrasonographic measurement with the length obtained through multiplanar reconstructed MR images. Our study demonstrated significant difference between sonographic renal length in three positions and renal length through MRI (p < 0.001). However, the longest longitudinal length of right kidney among the measured three values by ultrasound was statistically similar to the renal length measured by reconstructed MR image. Among them, the lateral decubitus position showed the strongest correlation with true renal length (right: 0.887; left: 0.849). We recommend measurement of the maximum renal longitudinal length in all possible positions on ultrasonography. If not allowed, the best measurement is on the lateral decubitus showing the strongest correlation coefficient with true renal length

  13. Comparative analysis of maximum renal longitudinal length with positional changes on ultrasound with multiplanar reconstructed MR image in Korea Adults

    Energy Technology Data Exchange (ETDEWEB)

    Jang, Yun Hee; Cho, Bum Sang; Kang, Min Ho; Kang, Woo Young; Lee, Jisun; Kim, Yook; Lee, Soo Hyun; Lee, Soo Jung [Dept. of Radiology, Chungbuk National University Hospital, Cheongju (Korea, Republic of); Lee, Jin Yong [Public Health Medical Service, Seoul National University Boramae Medical Center, Seoul (Korea, Republic of)

    2016-07-15

    The purpose of this study was to determine a suitable position in which the measured length on ultrasound is close to the true renal length obtained through a multiplanar reconstructed MR image. A total of 33 individuals (males: 15, females: 18) without any underlying renal disease were included in the present study. Renal length was measured as the longest axis at the level of the renal hilum in three positions-supine, lateral decubitus, and prone, respectively. With a 3.0 T MR scanner, 3D eTHRIVE was acquired. Subsequently, the maximum longitudinal length of both the kidneys was measured through multiplanar reconstructed MR images. Paired t-test was used to compare the renal length obtained from ultrasonographic measurement with the length obtained through multiplanar reconstructed MR images. Our study demonstrated significant difference between sonographic renal length in three positions and renal length through MRI (p < 0.001). However, the longest longitudinal length of right kidney among the measured three values by ultrasound was statistically similar to the renal length measured by reconstructed MR image. Among them, the lateral decubitus position showed the strongest correlation with true renal length (right: 0.887; left: 0.849). We recommend measurement of the maximum renal longitudinal length in all possible positions on ultrasonography. If not allowed, the best measurement is on the lateral decubitus showing the strongest correlation coefficient with true renal length.

  14. Diagnostic Value of Multidetector CT and Its Multiplanar Reformation, Volume Rendering and Virtual Bronchoscopy Postprocessing Techniques for Primary Trachea and Main Bronchus Tumors.

    Directory of Open Access Journals (Sweden)

    Mingyue Luo

    Full Text Available To evaluate the diagnostic value of multidetector CT (MDCT and its multiplanar reformation (MPR, volume rendering (VR and virtual bronchoscopy (VB postprocessing techniques for primary trachea and main bronchus tumors.Detection results of 31 primary trachea and main bronchus tumors with MDCT and its MPR, VR and VB postprocessing techniques, were analyzed retrospectively with regard to tumor locations, tumor morphologies, extramural invasions of tumors, longitudinal involvements of tumors, morphologies and extents of luminal stenoses, distances between main bronchus tumors and trachea carinae, and internal features of tumors. The detection results were compared with that of surgery and pathology.Detection results with MDCT and its MPR, VR and VB were consistent with that of surgery and pathology, included tumor locations (tracheae, n = 19; right main bronchi, n = 6; left main bronchi, n = 6, tumor morphologies (endoluminal nodes with narrow bases, n = 2; endoluminal nodes with wide bases, n = 13; both intraluminal and extraluminal masses, n = 16, extramural invasions of tumors (brokethrough only serous membrane, n = 1; 4.0 mm-56.0 mm, n = 14; no clear border with right atelectasis, n = 1, longitudinal involvements of tumors (3.0 mm, n = 1; 5.0 mm-68.0 mm, n = 29; whole right main bronchus wall and trachea carina, n = 1, morphologies of luminal stenoses (irregular, n = 26; circular, n = 3; eccentric, n = 1; conical, n = 1 and extents (mild, n = 5; moderate, n = 7; severe, n = 19, distances between main bronchus tumors and trachea carinae (16.0 mm, n = 1; invaded trachea carina, n = 1; >20.0 mm, n = 10, and internal features of tumors (fairly homogeneous densities with rather obvious enhancements, n = 26; homogeneous density with obvious enhancement, n = 1; homogeneous density without obvious enhancement, n = 1; not enough homogeneous density with obvious enhancement, n = 1; punctate calcification with obvious enhancement, n = 1; low density

  15. Diagnostic Value of Multidetector CT and Its Multiplanar Reformation, Volume Rendering and Virtual Bronchoscopy Postprocessing Techniques for Primary Trachea and Main Bronchus Tumors.

    Science.gov (United States)

    Luo, Mingyue; Duan, Chaijie; Qiu, Jianping; Li, Wenru; Zhu, Dongyun; Cai, Wenli

    2015-01-01

    To evaluate the diagnostic value of multidetector CT (MDCT) and its multiplanar reformation (MPR), volume rendering (VR) and virtual bronchoscopy (VB) postprocessing techniques for primary trachea and main bronchus tumors. Detection results of 31 primary trachea and main bronchus tumors with MDCT and its MPR, VR and VB postprocessing techniques, were analyzed retrospectively with regard to tumor locations, tumor morphologies, extramural invasions of tumors, longitudinal involvements of tumors, morphologies and extents of luminal stenoses, distances between main bronchus tumors and trachea carinae, and internal features of tumors. The detection results were compared with that of surgery and pathology. Detection results with MDCT and its MPR, VR and VB were consistent with that of surgery and pathology, included tumor locations (tracheae, n = 19; right main bronchi, n = 6; left main bronchi, n = 6), tumor morphologies (endoluminal nodes with narrow bases, n = 2; endoluminal nodes with wide bases, n = 13; both intraluminal and extraluminal masses, n = 16), extramural invasions of tumors (brokethrough only serous membrane, n = 1; 4.0 mm-56.0 mm, n = 14; no clear border with right atelectasis, n = 1), longitudinal involvements of tumors (3.0 mm, n = 1; 5.0 mm-68.0 mm, n = 29; whole right main bronchus wall and trachea carina, n = 1), morphologies of luminal stenoses (irregular, n = 26; circular, n = 3; eccentric, n = 1; conical, n = 1) and extents (mild, n = 5; moderate, n = 7; severe, n = 19), distances between main bronchus tumors and trachea carinae (16.0 mm, n = 1; invaded trachea carina, n = 1; >20.0 mm, n = 10), and internal features of tumors (fairly homogeneous densities with rather obvious enhancements, n = 26; homogeneous density with obvious enhancement, n = 1; homogeneous density without obvious enhancement, n = 1; not enough homogeneous density with obvious enhancement, n = 1; punctate calcification with obvious enhancement, n = 1; low density without

  16. Multidetector CT evaluation of central airways stenoses: Comparison of virtual bronchoscopy, minimal-intensity projection, and multiplanar reformatted images

    Directory of Open Access Journals (Sweden)

    Dinesh K Sundarakumar

    2011-01-01

    Full Text Available Aims: To evaluate the diagnostic utility of virtual bronchoscopy, multiplanar reformatted images, and minimal-intensity projection in assessing airway stenoses. Settings and Design: It was a prospective study involving 150 patients with symptoms of major airway disease. Materials and Methods: Fifty-six patients were selected for analysis based on the detection of major airway lesions on fiber-optic bronchoscopy (FB or routine axial images. Comparisons were made between axial images, virtual bronchoscopy (VB, minimal-intensity projection (minIP, and multiplanar reformatted (MPR images using FB as the gold standard. Lesions were evaluated in terms of degree of airway narrowing, distance from carina, length of the narrowed segment and visualization of airway distal to the lesion. Results: MPR images had the highest degree of agreement with FB (Κ = 0.76 in the depiction of degree of narrowing. minIP had the least degree of agreement with FB (Κ = 0.51 in this regard. The distal visualization was best on MPR images (84.2%, followed by axial images (80.7%, whereas FB could visualize the lesions only in 45.4% of the cases. VB had the best agreement with FB in assessing the segment length (Κ = 0.62. Overall there were no statistically significant differences in the measurement of the distance from the carina in the axial, minIP, and MPR images. MPR images had the highest overall degree of confidence, namely, 70.17% (n = 40. Conclusion: Three-dimensional reconstruction techniques were found to improve lesion evaluation compared with axial images alone. The technique of MPR images was the most useful for lesion evaluation and provided additional information useful for surgical and airway interventions in tracheobronchial stenosis. minIP was useful in the overall depiction of airway anatomy.

  17. Diagnostic value of curved multiplanar reformatted images in multislice CT for the detection of resectable pancreatic ductal adenocarcinoma

    International Nuclear Information System (INIS)

    Fukushima, Hiromichi; Takada, Akira; Mori, Yoshimi; Suzuki, Kojiro; Sawaki, Akiko; Iwano, Shingo; Satake, Hiroko; Ota, Toyohiro; Ishigaki, Takeo; Itoh, Shigeki; Ikeda, Mitsuru

    2006-01-01

    The purpose of this study was to assess the usefulness of curved multiplanar reformatted (MPR) images obtained by multislice CT for the depiction of the main pancreatic duct (MPD) and detection of resectable pancreatic ductal adenocarcinoma. This study included 28 patients with pancreatic carcinoma (size range 12-40 mm) and 22 without. Curved MPR images with 0.5-mm continuous slices were generated along the long axis of the pancreas from pancreatic-phase images with a 0.5- or 1-mm slice thickness. Seven blinded readers independently interpreted three sets of images (axial images, curved MPR images, and both axial and curved MPR images) in scrolling mode. The depiction of the MPD and the diagnostic performance for the detection of carcinoma were statistically compared among these images. MPR images were significantly superior to axial images in depicting the MPD, and the use of both axial and MPR images resulted in further significant improvements. For the detection of carcinoma, MPR images were equivalent to axial images, and the diagnostic performance was significantly improved by the use of both axial and MPR images. High-resolution curved MPR images can improve the depiction of the MPD and the diagnostic performance for the detection of carcinoma compared with axial images alone. (orig.)

  18. Usefulness of multiplanar reformatted images of multi-detector row helical CT in assessment of biliary stent patency

    International Nuclear Information System (INIS)

    Kim, Soo Jin; Kim, Suk; Kim, Chang Won; Lee, Jun Woo; Lee, Tae Hong; Choo, Ki Seok; Koo, Young Baek; Moon, Tae Yong; Lee, Suk Hong

    2004-01-01

    To evaluate the usefulness of multi-detector row helical CT (MDCT), multiplanar reformatted images for the noninvasive assessment of biliary stent patency, and for the planning for management in patients with a sele-expandable metallic stent due to malignant biliary obstruction. Among 90 consecutive patients, from August 1999 to July 2003, 26 cases in 23 patients with malignant biliary obstruction who underwent self-expandable metaIlic stent insertion in the biliary system and percutaneous transhepatic biliary drainage within 7 days after CT were enrolled in this study. On CT images, the complete and functional obstruction of the stent and the precise level of obstruction were evaluated. The presence of an enhancing intraluminal mass or wall thickening around stent was determined, and the causes of obstruction were evaluated. These findings were then compared with percutaneous transhepatic cholangiography. Multi-detector row helical CT correctly demonstrated the patency of a stent in 24 cases (92.3%). It was adequate in helping to depict the precise level of stent occlusion in 23 cases (88.5%). Multi-detector row helical CT also revealed the extent of tumor that represented as an enhancing intraluminal mass or wall thickening around the stent in 23 cases, and this was represented as complete obstruction on percutaneous transhepatic cholangiography. In the case of functional obstruction, MDCT predicted the possible cause of the obstruction. Multiplanar reformatted images of multi-detector row helical CT is a useful imaging modality for the noninvasive assessment of stent patency and the precise level of obstruction when stent obstruction is suspected in the patients with self-expandable metallic stent due to malignant biliary obstruction. It can also predict the possible cause of the obstruction and allows adequate planning for the medical management of such cases

  19. Usefulness of multiplanar reformatted images of multi-detector row helical CT in assessment of biliary stent patency

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Soo Jin; Kim, Suk; Kim, Chang Won; Lee, Jun Woo; Lee, Tae Hong; Choo, Ki Seok; Koo, Young Baek; Moon, Tae Yong; Lee, Suk Hong [Pusan National Univ. Hospital, Busan (Korea, Republic of)

    2004-08-01

    To evaluate the usefulness of multi-detector row helical CT (MDCT), multiplanar reformatted images for the noninvasive assessment of biliary stent patency, and for the planning for management in patients with a sele-expandable metallic stent due to malignant biliary obstruction. Among 90 consecutive patients, from August 1999 to July 2003, 26 cases in 23 patients with malignant biliary obstruction who underwent self-expandable metaIlic stent insertion in the biliary system and percutaneous transhepatic biliary drainage within 7 days after CT were enrolled in this study. On CT images, the complete and functional obstruction of the stent and the precise level of obstruction were evaluated. The presence of an enhancing intraluminal mass or wall thickening around stent was determined, and the causes of obstruction were evaluated. These findings were then compared with percutaneous transhepatic cholangiography. Multi-detector row helical CT correctly demonstrated the patency of a stent in 24 cases (92.3%). It was adequate in helping to depict the precise level of stent occlusion in 23 cases (88.5%). Multi-detector row helical CT also revealed the extent of tumor that represented as an enhancing intraluminal mass or wall thickening around the stent in 23 cases, and this was represented as complete obstruction on percutaneous transhepatic cholangiography. In the case of functional obstruction, MDCT predicted the possible cause of the obstruction. Multiplanar reformatted images of multi-detector row helical CT is a useful imaging modality for the noninvasive assessment of stent patency and the precise level of obstruction when stent obstruction is suspected in the patients with self-expandable metallic stent due to malignant biliary obstruction. It can also predict the possible cause of the obstruction and allows adequate planning for the medical management of such cases.

  20. Diagnostic value of multidetector row CT in rectal cancer staging: comparison of multiplanar and axial images with histopathology

    International Nuclear Information System (INIS)

    Sinha, R.; Verma, R.; Rajesh, A.; Richards, C.J.

    2006-01-01

    Aim: Although magnetic resonance (MR) imaging is widely used for rectal cancer staging, many centres in the UK perform computed tomography (CT) for staging rectal cancer at present. Furthermore in a small proportion of cases contraindications to MR imaging may lead to staging using CT. The purpose of this study was to evaluate the accuracy of current generation multidetector row CT (MDCT) in local staging of rectal cancer. In particular the accuracy of multiplanar (MPR) versus axial images in the staging of rectal cancer was assessed. Material and methods: Sixty-nine consecutive patients were identified who had undergone staging of rectal cancer on CT. The imaging data were reviewed as axial images and then as MPR images (coronal and sagittal) perpendicular and parallel to the tumour axis. CT staging on axial and MPR images was then compared to histopathological staging. Results: MPR images detected more T4 and T3 stage tumours than axial images alone. The overall accuracy of T-staging on MPR images was 87.1% versus 73.0% for axial images alone. The overall accuracy of N staging on MPR versus axial images was 84.8% versus 70.7%. There was a statistically significant difference in the staging of T3 tumours between MPR and axial images (p < 0.001). Conclusion: Multidetector row CT has high accuracy for local staging of rectal cancer. Addition of MPR images to standard axial images provides higher accuracy rates for T and N staging of rectal cancer than axial images alone

  1. Multiplanar reformatted CT applications in the lumbar spine

    International Nuclear Information System (INIS)

    Ueda, Takafumi; Kojima, Shinsaburo; Araki, Nobuto; Miyauchi, Sumihiko

    1986-01-01

    Diagnostic value and limitations of multiplanar reformatted CT were evaluated in 55 patients with lumbar diseases. Reformatted images in coronal, sagittal, paraxial, and oblique planes were acquired from the transverse axial images, thereby allowing three-dimensional visualization of lesions in the lumbar spine. Oblique images that were reformmated along the nervous root were useful in visualizing lesions in the root canal, which were not available on either conventional myelography or transverse axial CT. A definitive plane determination is required for reformation of images, taking curvature of the spinal column into account. (Namekawa, K.)

  2. Congenital anomalies of the inferior vena cava: importance of multiplanar imaging methods: an iconographic essay; Anomalias congenitas da veia cava inferior: valor dos metodos multiplanares em seu diagnostico - ensaio iconografico

    Energy Technology Data Exchange (ETDEWEB)

    Viana, Sergio Lopes; Mendonca, Jose Luiz Furtado de; Freitas, Flavia Mendes Oliveira [Clinica Radiologica Vila Rica, Brasilia, DF (Brazil)] (and others). E-mail: radiolog@uol.com.br

    2006-10-15

    The inferior vena cava is the result of a complex embryologic process which takes place between 6 and 8 weeks of intra-uterine life. Several variations can occur during this process, and a defective embryogenesis of this vessel may lead to the development of anatomic variants. Although many of these variants are asymptomatic, the radiologist should be aware of them and of the potential medico-legal issues involved, especially in cases in which abdominal surgery or hemodynamic procedures are contemplated. In this paper, the major congenital anomalies involving the inferior vena cava are reviewed under the form of a pictorial essay, highlighting the role of the multiplanar imaging methods (volumetric computed tomography and magnetic resonance imaging) in their diagnosis. Keywords: Congenital variations; Inferior vena cava; Renal veins; Computed tomography; Magnetic resonance imaging. author)

  3. Multiplanar CT of the spine

    International Nuclear Information System (INIS)

    Rothman, S.L.G.; Glenn, W.V. Jr.

    1986-01-01

    This is an illustrated text on computed tomography (CT) of the lumbar spine with an emphasis on the role and value of multiplanar imaging for helping determine diagnoses. The book has adequate discussion of scanning techniques for the different regions, interpretations of various abnormalities, degenerative disk disease, and different diagnoses. There is a 50-page chapter on detailed sectional anatomy of the spine and useful chapters on the postoperative spine and the planning and performing of spinal surgery with CT multiplanar reconstruction. There are comprehensive chapters on spinal tumors and trauma. The final two chapters of the book are devoted to CT image processing using digital networks and CT applications of medical computer graphics

  4. Improved visualization of collateral ligaments of the ankle: multiplanar reconstructions based on standard 2D turbo spin-echo MR images

    International Nuclear Information System (INIS)

    Duc, Sylvain R.; Mengiardi, Bernard; Pfirrmann, Christian W.A.; Hodler, Juerg; Zanetti, Marco

    2007-01-01

    The purpose of the study was to evaluate the visualization of the collateral ankle ligaments on multiplanar reconstructions (MPR) based on standard 2D turbo spin-echo images. Coronal and axial T2-weighted turbo spin-echo and MPR angled parallel to the course of the ligaments of 15 asymptomatic and 15 symptomatic ankles were separately analyzed by two musculoskeletal radiologists. Image quality was assessed in the asymptomatic ankles qualitatively. In the symptomatic ankles interobserver agreement and reader confidence was determined for each ligament. On MPR the tibionavicular and calcaneofibular ligaments were more commonly demonstrated on a single image than on standard MR images (reader 1: 13 versus 0, P=0.002; reader 2: 14 versus 1, P=0.001 and reader 1: 13 versus 2, P=0.001; reader 2: 14 versus 0, P<0.001). The tibionavicular ligament was considered to be better delineated on MPR by reader 1 (12 versus 3, P=0.031). In the symptomatic ankles, reader confidence was greater with MPR for all ligaments except for the tibiocalcanear ligament (both readers) and the anterior and posterior talofibular ligaments (for reader 2). Interobserver agreement was increased with MPR for the tibionavicular ligament. Multiplanar reconstructions of 2D turbo spin-echo images improve the visualization of the tibionavicular and calcaneofibular ligaments and strengthen diagnostic confidence for these ligaments. (orig.)

  5. The accuracy of the imaging reformation of cone beam computed tomography for the assessment of bone defect healing

    International Nuclear Information System (INIS)

    Kang, Ho Duk; Kim, Gyu Tae; Choi, Yong Suk; Hwang, Eui Hwan

    2007-01-01

    To evaluate the accuracy of the imaging reformation of cone beam computed tomography for the assessment of bone defect healing in rat model. Sprague-Dawely strain rats weighing about 350 gms were selected. Then critical size bone defects were done at parietal bone with implantation of collagen sponge. The rats were divided into seven groups of 3 days, 1 week, 2 weeks, 3 weeks, 4 weeks, 6 weeks, and 8 weeks. The healing of surgical defect was assessed by multiplanar reconstruction (MPR) images and three-dimensional (3-D) images of cone beam computed tomography, compared with soft X-ray radiograph and histopathologic examination. MPR images and 3-D images showed similar reformation of the healing amount at 3 days, 1 week, 2 weeks, and 8 weeks, however, lower reformation at 3 weeks, 4 weeks, and 6 weeks. According to imaging-based methodologies, MPR images revealed similar reformation of the healing mount than 3-D images compare with soft X-ray image. Among the four threshold values for 3-D images, 400-500 HU revealed similar reformation of the healing amount. Histopathologic examination confirmed the newly formed trabeculation correspond with imaging-based mythologies. MPR images revealed higher accuracy of the imaging reformation of cone beam computed tomography and cone beam computed tomography is a clinically useful diagnostic tool for the assessment of bone defect healing

  6. Comparison of a GPS needle-tracking system, multiplanar imaging and 2D imaging for real-time ultrasound-guided epidural anaesthesia: A randomized, comparative, observer-blinded study on phantoms.

    Science.gov (United States)

    Menacé, Cécilia; Choquet, Olivier; Abbal, Bertrand; Bringuier, Sophie; Capdevila, Xavier

    2017-04-01

    The real-time ultrasound-guided paramedian sagittal oblique approach for neuraxial blockade is technically demanding. Innovative technologies have been developed to improve nerve identification and the accuracy of needle placement. The aim of this study was to evaluate three types of ultrasound scans during ultrasound-guided epidural lumbar punctures in a spine phantom. Eleven sets of 20 ultrasound-guided epidural punctures were performed with 2D, GPS, and multiplanar ultrasound machines (660 punctures) on a spine phantom using an in-plane approach. For all punctures, execution time, number of attempts, bone contacts, and needle redirections were noted by an independent physician. Operator comfort and visibility of the needle (tip and shaft) were measured using a numerical scale. The use of GPS significantly decreased the number of punctures, needle repositionings, and bone contacts. Comfort of the physician was also significantly improved with the GPS system compared with the 2D and multiplanar systems. With the multiplanar system, the procedure was not facilitated and execution time was longer compared with 2D imaging after Bonferroni correction but interaction between the type of ultrasound system and mean execution time was not significant in a linear mixed model. There were no significant differences regarding needle tip and shaft visibility between the systems. Multiplanar and GPS needle-tracking systems do not reduce execution time compared with 2D imaging using a real-time ultrasound-guided paramedian sagittal oblique approach in spine phantoms. The GPS needle-tracking system can improve performance in terms of operator comfort, the number of attempts, needle redirections and bone contacts. Copyright © 2016 Société française d'anesthésie et de réanimation (Sfar). Published by Elsevier Masson SAS. All rights reserved.

  7. Three-dimensional short-range MR angiography and multiplanar reconstruction images in the evaluation of neurovascular compression in hemifacial spasm

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Woo Suk; Kim, Eui Jong; Lee, Jae Gue; Rhee, Bong Arm [Kyunghee Univ. Hospital, Seoul (Korea, Republic of)

    1998-08-01

    To evaluate the diagnostic efficacy of three-dimensional(3D) short-range MR angiography(MRA) and multiplanar reconstruction(MPR) imaging in hemifacial spasm(HS). Materials and Methods : Two hundreds patients with HS were studied using a 1.5T MRI system with a 3D time-of-flight(TOF) MRA sequence. To reconstruct short-range MRA, 6-10 source images near the 7-8th cranial nerve complex were processed using a maximum-intensity projection technique. In addition, an MPR technique was used to investigate neurovascular compression. We observed the relationship between the root-exit zone(REZ) of the 7th cranial nerve and compressive vessel, and identified the compressive vessels on symptomatic sides. To investigate neurovascular contact, asymptomatic contralateral sides were also evaluated. Results : MRI showed that in 197 of 200 patients there was vascular compression or contact with the facial nerve REZ on symptomatic sides. One of the three remaining patients was suffering from acoustic neurinoma on the symptomatic side, while in two patients there were no definite abnormal findings.Compressive vessels were demonstrated in all 197 patients; 80 cases involved the anterior inferior cerebellar artery(AICA), 74 the posterior cerebellar artery(PICA), 13 the vertebral artery(VA), 16 the VA and AICA, eight the VA and PICA, and six the AICA and PICA. In all 197 patients, compressive vessels were reconstructed on one 3D short-range MRA image without discontinuation from vertebral or basilar arteries. 3D MPR studies provided additional information such as the direction of compression and course of the compressive vessel. In 31 patients there was neurovascular contact on the contralateral side at the 7-8th cranial nerve complex. Conclusion : Inpatients with HS, 3D short-range MRA and MPR images are excellent and very helpful for the investigation of neurovascular compression and the identification of compressive vessels.

  8. Three-dimensional short-range MR angiography and multiplanar reconstruction images in the evaluation of neurovascular compression in hemifacial spasm

    International Nuclear Information System (INIS)

    Choi, Woo Suk; Kim, Eui Jong; Lee, Jae Gue; Rhee, Bong Arm

    1998-01-01

    To evaluate the diagnostic efficacy of three-dimensional(3D) short-range MR angiography(MRA) and multiplanar reconstruction(MPR) imaging in hemifacial spasm(HS). Materials and Methods : Two hundreds patients with HS were studied using a 1.5T MRI system with a 3D time-of-flight(TOF) MRA sequence. To reconstruct short-range MRA, 6-10 source images near the 7-8th cranial nerve complex were processed using a maximum-intensity projection technique. In addition, an MPR technique was used to investigate neurovascular compression. We observed the relationship between the root-exit zone(REZ) of the 7th cranial nerve and compressive vessel, and identified the compressive vessels on symptomatic sides. To investigate neurovascular contact, asymptomatic contralateral sides were also evaluated. Results : MRI showed that in 197 of 200 patients there was vascular compression or contact with the facial nerve REZ on symptomatic sides. One of the three remaining patients was suffering from acoustic neurinoma on the symptomatic side, while in two patients there were no definite abnormal findings.Compressive vessels were demonstrated in all 197 patients; 80 cases involved the anterior inferior cerebellar artery(AICA), 74 the posterior cerebellar artery(PICA), 13 the vertebral artery(VA), 16 the VA and AICA, eight the VA and PICA, and six the AICA and PICA. In all 197 patients, compressive vessels were reconstructed on one 3D short-range MRA image without discontinuation from vertebral or basilar arteries. 3D MPR studies provided additional information such as the direction of compression and course of the compressive vessel. In 31 patients there was neurovascular contact on the contralateral side at the 7-8th cranial nerve complex. Conclusion : Inpatients with HS, 3D short-range MRA and MPR images are excellent and very helpful for the investigation of neurovascular compression and the identification of compressive vessels

  9. CT imaging of bronchus related to solitary pulmonary lesion: comparison of minimum intensity projection and multi-planar reconstruction

    International Nuclear Information System (INIS)

    Zhou Jun; Shan Fei; Zhang Zhiyong; Yang Shan; Zhang Xingwei; Wu Dong; Zhan Songhua

    2011-01-01

    Objective: To investigate the clinical value of 64-slice computed tomography with MinIP and MPR for imaging the bronchus related to a solitary pulmonary lesion (SPL). Methods: Seventy-five subjects with solitary pulmonary lesions underwent chest 64-slice CT and their bronchi were analyzed retrospectively. All images of thin-section (0.625 mm) were reconstructed with MPR and MinIP into images of 1, 2, 3, and 5 mm thickness and 1 mm gap in two orthogonal planes along the long axis of bronchus related to the SPL. The image quality of four series of MinIP and MPR images was evaluated in the aspect of bronchus visibility and pulmonary vascular masking. One-way ANOVA with Bonferroni correction and interclass correlation coefficient were used in the statistical analysis. Results: (1) The mean scores of display of the bronchi on MinIP images of four series (4.85, 4.77 and 4.84, 4.63 and 4.67, 4.25 and 4.28, in 1, 2, 3, and 5 mm thickness, respectively) and on MPR images of 1 or 2 mm thickness (4.77 and 4.76, 4.04 and 4.27, in 1 and 2 mm thickness, respectively) were good or excellent. MPR images of 1 mm thickness and MinIP images of 1-3 mm thickness showed no significant differences (t=0.318, P> 0.05 for all), but they were superior to MinIP images of 5 mm thickness (t=6.318 and 6.610, P 0.05). (2) The effect of suppression of pulmonary vascular markings on MinIP images was better with the increase of slice thickness (F= 45.312 and 40.415, P<0.01). The mean scores of MinIP images of 3 mm and 5 mm thickness (4.67 and 4.64, 5.00 and 4.97, for 3 and 5 mm thickness, respectively) were good or excellent, but MinIP images of 2 mm thickness were just acceptable. Conclusion: MinIP images of 3 mm thickness may display the bronchus related to SPL more clearly. (authors)

  10. Evaluation of Rib Fractures on a Single-in-plane Image Reformation of the Rib Cage in CT Examinations.

    Science.gov (United States)

    Dankerl, Peter; Seuss, Hannes; Ellmann, Stephan; Cavallaro, Alexander; Uder, Michael; Hammon, Matthias

    2017-02-01

    This study aimed to evaluate the diagnostic performance of using a reformatted single-in-plane image reformation of the rib cage for the detection of rib fractures in computed tomography (CT) examinations, employing different levels of radiological experience. We retrospectively evaluated 10 consecutive patients with and 10 patients without rib fractures, whose CT scans were reformatted to a single-in-plane image reformation of the rib cage. Eight readers (two radiologists, two residents in radiology, and four interns) independently evaluated the images for the presence of rib fractures using a reformatted single-in-plane image and a multi-planar image reformation. The time limit was 30 seconds for each read. A consensus of two radiologist readings was considered as the reference standard. Diagnostic performance (sensitivity, specificity, positive predictive value [PPV], and negative predictive value [NPV]) was assessed and evaluated per rib and per location (anterior, lateral, posterior). To determine the time limit, we prospectively analyzed the average time it took radiologists to assess the rib cage, in a bone window setting, in 50 routine CT examinations. McNemar test was used to compare the diagnostic performances. Single image reformation was successful in all 20 patients. The sensitivity, specificity, PPV, and NPV for the detection of rib fractures using the conventional multi-planar read were 77.5%, 99.2%, 89.9%, and 98.0% for radiologists; 46.3%, 99.7%, 92.5%, and 95.3% for residents; and 29.4%, 99.4%, 82.5%, and 93.9% for interns, respectively. Sensitivity, PPV, and NPV increased across all three groups of experience, using the reformatted single-in-plane image of the rib cage (radiologists: 85.0%, 98.6%, and 98.7%; residents: 80.0%, 92.8%, and 98.2%; interns: 66.9%, 89.9%, and 97.1%), whereas specificity did not change significantly (99.9%, 99.4%, and 99.3%). The diagnostic performance of the interns and residents was significantly better when

  11. An evaluation of the regional cerebral blood flow (rCBF) measurement by xenon-enhanced dynamic CT with helical scanning technique and the functional imaging by multiplanar reconstruction (MPR). Fundamental study and clinical application

    International Nuclear Information System (INIS)

    Watanabe, Kenichi

    1997-01-01

    We evaluated the quantitative rCBF by xenon-enhanced dynamic CT with helical scanning technique on all brain regions, and also examined clinical usefulness of coronal and sagittal section images which are similar to SPECT images obtained by the functional multiplanar reconstitution (MPR) imaging of many successive flow maps. We used 14 clinical cases. The conventional xenon-enhanced CT was simple and ideal method to measure rCBF, however, it had disadvantages; it gives a few laminagraphical images or only the axial directional images, compared to SPECT or PET. There is a risk to overlook lesions out of the image or not to obtain the whole images of the lesion. Although the helical scanning technique has a methodological characteristics to use adjacent data for the image reconstitution, it is by no means inferior to the conventional method in the contrast resolution or the image resolution when the co-helical function and an appropriate reconstituted function were used. It has an advantage to scan all brain regions by only one cycle of scanning. Furthermore on making good use of the property that the helical scanning technique can give the successive data, we can observe rCBF by coronal and sagittal images when many flow maps were made up by reconstituted images of the narrow steps. This shows the clinical usefulness of this technique. One of the future problem to be solved is to decrease the exposure dose. (K.H.)

  12. Can independent coronal multiplanar reformatted images obtained using state-of-the-art MDCT scanners be used for primary interpretation of MDCT of the abdomen and pelvis? A feasibility study

    International Nuclear Information System (INIS)

    Sebastian, Sunit; Kalra, Mannudeep K.; Mittal, Pardeep; Saini, Sanjay; Small, William C.

    2007-01-01

    Purpose: To evaluate if coronal reformatted images can be used for primary interpretation of MDCT of the abdomen and pelvis using 64-slice MDCT. Materials and methods: IRB approval was obtained. We reviewed MDCT studies of the abdomen and pelvis of 220 consecutive patients performed with 64 row MDCT with constant scanning parameters. Based on a 0.625 mm raw data set, transverse images were reconstructed at 5 mm and coronal images at 3 mm using standard reconstruction algorithms. Reader familiarity was achieved by simultaneous evaluation of transverse and coronal reformats in an initial group of 20 separate cases for findings in consensus. Two subsequent phases of image analysis were then performed in two groups of 100 patients each. In the first phase two radiologists evaluated the added utility of simultaneous review of MDCT of transverse and coronal reformatted images over transverse images alone in 100 consecutive patients referred for MDCT of the abdomen and pelvis. In the second phase, the same radiologists evaluated whether coronal multiplanar reformats could be used for primary interpretation of MDCT of the abdomen and pelvis in a separate but similar cohort of 100 consecutive abdominopelvic MDCT studies. The number of lesion(s), their location, size of smallest lesion, presence of artifacts and likely diagnosis were noted at each image interpretation. Image quality and confidence for interpretation was evaluated using five-point and three-point scale, respectively. The time required for primary interpretation of coronal reformats and transverse images were recorded. Statistical analysis was performed using Wilcoxon signed rank test. Results: Both readers detected additional findings (n = 37, 35), respectively, on simultaneous review of transverse and coronal reformats as compared with transverse images alone (p < 0.001). Excellent interobserver agreement was noted (r = 0.94-0.96). Both readers detected additional findings (n = 62, 53), respectively, on

  13. Nonunion of acetabular fractures: evaluation with interactive multiplanar CT

    International Nuclear Information System (INIS)

    Kuhlman, J.E.; Fishman, E.K.; Ney, D.R.; Brooker, A.F. Jr.; Magid, D.

    1989-01-01

    Nonunions involving fractures of the acetabulum are reportedly rare, with few citings and little discussion in the literature. It is possible that acetabular nonunions go undetected because imaging of the acetabulum is difficult by conventional radiography. We report two cases of fracture nonunion involving the weight-bearing surface of the acetabulum diagnosed with the aid of computed tomography (CT) and a newly developed interactive 2D/3D orthotool that uniquely processes and reformats routine CT data. The interactive 2D/3D orthotool is a sophisticated computer program that allows dynamic viewing of standard multiplanar reconstructions in the axial, coronal, and sagittal planes as well as multiple oblique projections. The 2D/3D orthotool provides on screen correlation of two-dimensional multiplanar images with three-dimensional reconstructions of the pelvis. The authors found this capability ideally suited for studying fractures with off-axis orientation such as those through the acetabular dome, greatly facilitating the diagnosis of nonunion

  14. Morphological and functional diagnosis in the head and neck with multiplanar spiral CT

    International Nuclear Information System (INIS)

    Lell, M.; Baum, U.; Noemayr, A.; Greess, H.; Lenz, M.; Bautz, W.; Koester, M.

    1999-01-01

    Purpose: To evaluate the improvement of multislice-spiral CT in the assessment of head and neck tumors. Material and methods: 80 patients with suspected tumor in the head and neck region were examined with MSCT (Somatom Plus 4 VZ) after the administration of i.v. contrast material. Slice collimation was 4x1 mm with a pitch factor of 6. Additional multiplanar reformations were calculated in each case. Results: The specific anatomy and pathways of tumor spread is difficult to demonstrate in cross-sectional imaging. Tumor infiltration of the base of the skull or the palate could be depicted or excluded on coronal MPR, additional coronal scanning was not necessary. The detection of pathologic lymph nodes was improved with MPR in 7 patients. Discussion: The exact determination of tumor margins is mandatory for modern therapy concepts of limited surgery. High resolution datasets are basis for reformations in arbitrary planes, making additional coronal scanning not necessary. Functional imaging of the larynx and hypopharynx improve the diagnostic accuracy of CT, a short scantime is necessary to reduce motion artifacts. Conclusive assessment of tumor infiltration, lymphatic spread and functional alterations is improved with MSCT. (orig.) [de

  15. [Fetal neurosonography using 3-dimensional multiplanar sonography].

    Science.gov (United States)

    Chaoui, R; Heling, K S; Kainer, F; Karl, K

    2012-04-01

    This review focuses on the examination of the fetal brain, using three-dimensional (3D) ultrasound and the multiplanar rendering mode (MPR). The routine examination of the brain is achieved with axial planes but a dedicated fetal neurosonogram requires additional coronal and sagittal views, in order to provide a complete view of the different brain structures. Because these planes are difficult to obtain under many conditions, the present paper shows how 3D MPR allows one to obtain 1 or multiple reconstructed images from a digital volume. The display can be either as orthogonal planes, tomographic planes with parallel slices or as one single plane of the region of interest, which can be selected by the examiner. This approach allows easily the demonstration of the corpus callosum, the cerebellar vermis, the three-horn view, the foetal hippocampus and other regions. In addition, early neurosonography of the developing brain from the 7th week of pregnancy onwards can be achieved. © Georg Thieme Verlag KG Stuttgart · New York.

  16. Measurements of angles of the normal auditory ossicles relative to the reference plane and image reconstruction technique for obtaining optimal sections of the ossicles in high-resolution multiplanar reconstruction using a multislice CT scanner

    International Nuclear Information System (INIS)

    Fujii, Naoko; Katada, Kazuhiro; Yoshioka, Satoshi; Takeuchi, Kenji; Takasu, Akihiko; Naito, Kensei

    2005-01-01

    Using high-resolution isotropic volume data obtained by 0.5 mm, 4-row multislice CT, cross-sectional observation of the auditory ossicles is possible from any desired direction without difficulty in high-resolution multiplanar reconstruction (HR-MPR) images, also distortion-free three-dimensional images of the ossicles are generated in three-dimensional CT (3D-CT) images. We measured angles of fifty normal ossicles relative to the reference plane, which has been defined as a plane through the bilateral infraorbital margins to the middle portion of the external auditory canal. Based on the results of angle measurement, four optimal sections of the ossicles for efficient viewing to the ossicular chain were identified. To understand the position of the angle measurement and the four sections, the ossicles and the reference plane were reconstructed in the 3D-CT images. As the result of observation of the ossicles and the reference plane, the malleus was parallel to the incudal long process and perpendicular to the reference plane. As the results of angle measurement, the mean angle of the tympanic portion of the facial nerve relative to the reference plane in the sagittal plane was found to be 17 deg, and the mean angle of the stapedial crura relative to the reference plane in the sagittal plane was found to be 6 deg. The mean angle of the stapes relative to the reference plane in the coronal plane was 44 deg, and the mean angle of the incudal long process relative to the stapes in the coronal plane was 89 deg. In 80% of ears, the stapes extended straight from the incudal long process. Image reconstruction technique for viewing four sections of the ossicles was investigated. Firstly, the image of the malleal head and the incudal short process was identified in the axial plane. Secondly, an image of the malleus along the malleal manubrium was reconstructed in the coronal plane. Thirdly, the image of the incudal long process was seen immediately behind the malletis image

  17. MR imaging of articular cartilage : comparison of magnetization transfer contrast and fat-suppression in multiplanar and 3D gradient-echo, spin-echo, turbo spin-echo techniques

    International Nuclear Information System (INIS)

    Lee, Young Joon; Joo, Eun Young; Eun, Choong Ki

    1999-01-01

    The purpose of this study was to evaluate the effects of magnetization transfer contrast(MTC) and fat-suppression(FS) in variable spin-echo and gradient-echo sequences for articular cartilage imaging and to determine the optimal pulse sequences. Using variable 7-pulse sequences, the knees of 15 pigs were imaged Axial images were obtained using proton density and T2-weighted spin-echo (PDWSE and T2WSE), turbo spin-echo (TSE), multiplanar gradient-echo (MPGR), and 3D steady-state gradient-echo (3DGRE) sequences, and the same pulse sequences were then repeated using MTC. Also T1-weighted spin-echo(T1WSE) and 3D spoiled gradient-echo(3DSPGR) images of knees were also acquired, and the procedure was repeated using FS. For each knee, a total of 14 axial images were acquired, and using a 6-band scoring system, the visibility of and the visibilities of the the articular cartilage was analyzed. The visual effect of MTC and FS was scored using a 4-band scale. For each image, the signal intensities of articular cartilage, subchondral bone, muscles, and saline were measured, and signal-to-noise ratios(SNR) and contrast-to-noise ratios(CNR) were also calculated. Visibility of the cartilage was best when 3DSPGR and T1WSE sequences were used. MTC imaging increased the negative contrast between cartilage and saline, but FS imaging provided more positive contrast. CNR between cartilage and saline was highest when using TSE with FS(-351.1±15.3), though CNR between cartilage and bone then fell to -14.7±10.8. In MTC imaging using MPGR showed the greatest increase of negative contrast between cartilage and saline(CNR change=-74.7); the next highest was when 3DGRE was used(CNR change=-34.3). CNR between cartilage and bone was highest with MPGR(161.9±17.7), but with MTC, the greatest CNR decrease(-81.8) was observed. The greatest CNR increase between cartilage and bone was noted in T1WSE with FS. In all scans, FS provided a cartilage-only positive contrast image, though the absolute

  18. Missed rib fractures on evaluation of initial chest CT for trauma patients: pattern analysis and diagnostic value of coronal multiplanar reconstruction images with multidetector row CT.

    Science.gov (United States)

    Cho, S H; Sung, Y M; Kim, M S

    2012-10-01

    The objective of this study was to review the prevalence and radiological features of rib fractures missed on initial chest CT evaluation, and to examine the diagnostic value of additional coronal images in a large series of trauma patients. 130 patients who presented to an emergency room for blunt chest trauma underwent multidetector row CT of the thorax within the first hour during their stay, and had follow-up CT or bone scans as diagnostic gold standards. Images were evaluated on two separate occasions: once with axial images and once with both axial and coronal images. The detection rates of missed rib fractures were compared between readings using a non-parametric method of clustered data. In the cases of missed rib fractures, the shapes, locations and associated fractures were evaluated. 58 rib fractures were missed with axial images only and 52 were missed with both axial and coronal images (p=0.088). The most common shape of missed rib fractures was buckled (56.9%), and the anterior arc (55.2%) was most commonly involved. 21 (36.2%) missed rib fractures had combined fractures on the same ribs, and 38 (65.5%) were accompanied by fracture on neighbouring ribs. Missed rib fractures are not uncommon, and radiologists should be familiar with buckle fractures, which are frequently missed. Additional coronal imagescan be helpful in the diagnosis of rib fractures that are not seen on axial images.

  19. Usefulness of multidetector-row CT (MDCT) for the diagnosis of non-occlusive mesenteric ischemia (NOMI): Assessment of morphology and diameter of the superior mesenteric artery (SMA) on multi-planar reconstructed (MPR) images

    International Nuclear Information System (INIS)

    Woodhams, Reiko; Nishimaki, Hiroshi; Fujii, Kaoru; Kakita, Satoko; Hayakawa, Kazushige

    2010-01-01

    Objective: The purpose of this study was to assess the efficacy of multidetector-row CT (MDCT) for the diagnosis of non-occlusive mesenteric ischemia (NOMI) by analyzing morphology and diameter of superior mesenteric artery (SMA). We assessed whether MDCT was as useful as angiography for the diagnosis of NOMI. Materials and methods: Four patients who were diagnosed with NOMI were retrospectively analyzed. All patients had 8-row MDCT followed by laparotomy. Two of them underwent angiography after MDCT. The morphology and diameter of SMA of these cases was analyzed on multi-planar reconstructed (MPR) images. The mean diameter of SMA of NOMI cases was compared to that of 13 control cases. Results: MPR images of all NOMI cases showed irregular narrowing of the SMA, spasm of the arcades of SMA, and poor demonstration of intramural vessels. MPR images of two patients who had angiography were concordant with their angiograms. The mean diameter of SMA of NOMI patients was 3.4 ± 1.1 mm, which was statistically smaller than that of 13 control patients, 6.0 ± 1.5 mm (P < 0.05, Wilcoxon rank sum tests). Conclusion: Angiography has been recognized essential for the diagnosis of NOMI. This study shows the possibility of MDCT to be an equivalently useful modality compared to angiography for the diagnosis of NOMI by interpreting morphologic appearance and diameter of SMA. Introduction of MDCT in the decision tree of NOMI treatment may bring the benefit of prompt diagnosis and subsequent early and efficient initiation of therapy, which may improve the mortality.

  20. Automated curved planar reformation of 3D spine images

    International Nuclear Information System (INIS)

    Vrtovec, Tomaz; Likar, Bostjan; Pernus, Franjo

    2005-01-01

    Traditional techniques for visualizing anatomical structures are based on planar cross-sections from volume images, such as images obtained by computed tomography (CT) or magnetic resonance imaging (MRI). However, planar cross-sections taken in the coordinate system of the 3D image often do not provide sufficient or qualitative enough diagnostic information, because planar cross-sections cannot follow curved anatomical structures (e.g. arteries, colon, spine, etc). Therefore, not all of the important details can be shown simultaneously in any planar cross-section. To overcome this problem, reformatted images in the coordinate system of the inspected structure must be created. This operation is usually referred to as curved planar reformation (CPR). In this paper we propose an automated method for CPR of 3D spine images, which is based on the image transformation from the standard image-based to a novel spine-based coordinate system. The axes of the proposed spine-based coordinate system are determined on the curve that represents the vertebral column, and the rotation of the vertebrae around the spine curve, both of which are described by polynomial models. The optimal polynomial parameters are obtained in an image analysis based optimization framework. The proposed method was qualitatively and quantitatively evaluated on five CT spine images. The method performed well on both normal and pathological cases and was consistent with manually obtained ground truth data. The proposed spine-based CPR benefits from reduced structural complexity in favour of improved feature perception of the spine. The reformatted images are diagnostically valuable and enable easier navigation, manipulation and orientation in 3D space. Moreover, reformatted images may prove useful for segmentation and other image analysis tasks

  1. Quantification of resolution in multiplanar reconstructions for digital breast tomosynthesis

    Science.gov (United States)

    Vent, Trevor L.; Acciavatti, Raymond J.; Kwon, Young Joon; Maidment, Andrew D. A.

    2016-03-01

    Multiplanar reconstruction (MPR) in digital breast tomosynthesis (DBT) allows tomographic images to be portrayed in various orientations. We have conducted research to determine the resolution of tomosynthesis MPR. We built a phantom that houses a star test pattern to measure resolution. This phantom provides three rotational degrees of freedom. The design consists of two hemispheres with longitudinal and latitudinal grooves that reference angular increments. When joined together, the hemispheres form a dome that sits inside a cylindrical encasement. The cylindrical encasement contains reference notches to match the longitudinal and latitudinal grooves that guide the phantom's rotations. With this design, any orientation of the star-pattern can be analyzed. Images of the star-pattern were acquired using a DBT mammography system at the Hospital of the University of Pennsylvania. Images taken were reconstructed and analyzed by two different methods. First, the maximum visible frequency (in line pairs per millimeter) of the star test pattern was measured. Then, the contrast was calculated at a fixed spatial frequency. These analyses confirm that resolution decreases with tilt relative to the breast support. They also confirm that resolution in tomosynthesis MPR is dependent on object orientation. Current results verify that the existence of super-resolution depends on the orientation of the frequency; the direction parallel to x-ray tube motion shows super-resolution. In conclusion, this study demonstrates that the direction of the spatial frequency relative to the motion of the x-ray tube is a determinant of resolution in MPR for DBT.

  2. The values of MSCT multi-planar reconstruction in the diagnosis of lumbar spondylolysis

    International Nuclear Information System (INIS)

    Tan Qixuan; Zhu Gangming; Qian Huirong; Zhong Sheng

    2007-01-01

    Objective: To study the reasonable schedule and diagnostic values of MSCT multi-planar reconstruction in patients with lumbar spondylolysis. Methods: Volume scan ranging from T12 to S1 was done in 540 cases suffered from backleg pain without definite trauma. The lumbar disc axial and whole lumbar axial, sagital, coronal images were reconstructed from raw data of MSCT. Results: Of the 540 cases, 54 spondylolysis in isthmus of lumbar pedicle were demonstrated in 29 ones (29/540, 5.37%). 20 cases were accompanied with spondylolisthesis. The sagital multi-planar reconstruction was the best way to reveal the fissures of spondylolysis and accompanying abnormalities. The detectable ratio of fissures in lumbar disc with axial, whole lumbar axial, sagital and coronal multi-planer reconstruction images were 7.41%, 100%, 100% and 51.85% respectively. Conclusions: MSCT sagital multi-planar reconstruction is the best images to reveal the fissures of spondylolysis. It should be taken as routine item in MSCT examination for the patients with lower back pain. (authors)

  3. Imaging of spine injuries

    International Nuclear Information System (INIS)

    Lomoschitz, F. . e-mai: friedrich.lomoschitz@univie.ac.at

    2001-01-01

    Spinal trauma requires a prompt and detailed diagnosis for estimating the prognosis and installing proper therapy. Conventional radiograms are the first imaging modality in most cases. In the cervical and the lumbar spine, a CT has to be performed in patients with polytrauma and a higher risk of complications or with signs of instability. Especially for imaging the cervicocranium, multiplanar reformations in sagittal and coronal planes are necessary. For fractures of the thoracic spine, MR imaging is superior to CT because of the better detection of associated neurologic complications. (author)

  4. Clinical applications for multiplanar- and three-dimensional-reconstructions by helical-CT for the diagnosis of acetabular fractures

    International Nuclear Information System (INIS)

    Stroszczynski, C.; Schedel, H.; Stoeckle, U.; Wellmann, A.; Beier, J.; Wicht, L.; Hoffmann, R.; Felix, R.

    1996-01-01

    This review describes recent visualizations of computed tomography for the diagnosis of acetabular fractures. The techniques of conventional and helical-CT for the imaging of the acetabulum are compared. Furthermore, the different methods of multiplaner and three-dimensional reconstructions e.g. shaded surface display, maximum intensity projection, and volume rendering are presented. Figures of multiplanar and three-dimensional imaging for fractures of the pelvis is discussed. (orig.) [de

  5. Diagnosis of Peripheral Lung Lesions via Conventional Flexible Bronchoscopy with Multiplanar CT Planning

    Directory of Open Access Journals (Sweden)

    Marianne Anastasia De Roza

    2016-01-01

    Full Text Available Background. Conventional flexible bronchoscopy has limited sensitivity in the diagnosis of peripheral lung lesions and is dependent on lesion size. However, advancement of CT imaging offers multiplanar reconstruction facilitating enhanced preprocedure planning. This study aims to report efficacy and safety while considering the impact of patient selection and multiplanar CT planning. Method. Prospective case series of patients with peripheral lung lesions suspected of having lung cancer who underwent flexible bronchoscopy (forceps biopsy and lavage. Endobronchial lesions were excluded. Patients with negative results underwent CT-guided transthoracic needle aspiration, surgical biopsy, or clinical-radiological surveillance to establish the final diagnosis. Results. 226 patients were analysed. The diagnostic yield of bronchoscopy was 80.1% (181/226 with a sensitivity of 84.2% and specificity of 100%. In patients with a positive CT-Bronchus sign, the diagnostic yield was 82.4% compared to 72.8% with negative CT-Bronchus sign (p=0.116. Diagnostic yield was 84.9% in lesions > 20 mm and 63.0% in lesions ≤ 20 mm (p=0.001. Six (2.7% patients had transient hypoxia and 2 (0.9% had pneumothorax. There were no serious adverse events. Conclusion. Flexible bronchoscopy with appropriate patient selection and preprocedure planning is more efficacious in obtaining a diagnosis in peripheral lung lesions compared to historical data. This trial is registered with ClinicalTrials.gov Identifier: NCT01374542.

  6. The significance of multi-slice helical CT multiplanar reconstruction in the diagnoses of laryngeal carcinoma

    International Nuclear Information System (INIS)

    Li Lin; Luo Dehong; Zhou Chunwu; Zhao Xinming; Jiang Liming; Huang Yao; Jiang Lingxia; Li Jing; Wu Ning

    2006-01-01

    Objective: To evaluate the significance of multi-slice helical CT with multiplanar reconstruction in laryngeal carcinoma. Methods: Thirty-five patients with laryngeal carcinoma were studied by helical CT, MPR were subsequently done. The lesion extent of the axial image findings, MPR findings and the combined image findings were compared with the pathological results respectively. The data were statistically analyzed. Results: In the evaluation of the anterior commissure, the axial image findings, MPR findings and the combined image findings were 82.9%, 68.6% and 91.4% in accuracy respectively, the results were statistically different (P 0.05). The combined images were superior to the axial images and the MPR images in sensitivity, specificity and accuracy of the lesion extent. Conclusion: The axial images could show the shape, size, extension of the tumor and the lymphadenopathy, MPR images displayed the shape, size and extension roundly and directly, they were the supplement for the axial images. Axial images combined with MPR could improve the accuracy in the diagnoses of laryngeal carcinoma. (authors)

  7. 16 multi-slice CT three-dimensional and multiplanar reconstruction for evaluation of pediatric congenital scoliosis

    International Nuclear Information System (INIS)

    Peng Yun; Zhang Ningning; Zhang Xuejun; Sun Guoqiang; Zeng Jinjin

    2006-01-01

    Objective: Our study is to use of 16 MSCT three-dimensional images and multiplanar reconstruction images in the preoperative investigation of patients with congenital scoliosis, to study its technical advantage and work out surgical plan. Methods: Twenty-seven pediatric patients with congenital scoliosis processing between April to October 2004 were reviewed, including 13 boys and 14 girls. X-ray plain film and sixteen multi-slice CT examination on curved/standard multiplanar reconstruction and three- dimensional computed tomographic imaging may offer, many potential advantages for defining congenital spine anomalies liable to cause progression of scoliosis, including visualization of the deformity in any plane, from any angle, with the overlying structures subtracted. Results: Ten patients had segmentation defects, 6 patients underwent formation defects, 11 patients had complex, unclassifiable anomalies. The patients of rib deformity were found in 15 patients, the most prominent part of the rib cage deformity was at the same level as the most rotated vertebra in 7 patients; 8 patients had vertebral anomalies accompanied with diastematomyelie, including 6 patients with uncompleted or completed bony spur. In 19 of 27 cases, the muhiplanar reconstruction and three-dimensional images allowed identification of unrecognized malformations and completely evaluated the degree of scoliosis, during conventional X-ray images and axial CT images, including volume 3D imaging evaluated approximately classification and modality of complex anomalies in 11 cases, which were unclassifiable malformation in 7 cases and unsegmented bar with contralateral hemivertebrae; 4 children had segmentation defects revealed unilateral unsegmented bar (3 cases) and bilateral block vertebra (1 case) in volume 3D reconstruction images; 2 children were found occultation hemivertebrae which were not been discovered during conventional X-ray images and axial CT images; and 2 children were revaluated

  8. Investigation of reconstruction conditions in sagittal-plane multiplanar reconstruction of the temporal bone

    International Nuclear Information System (INIS)

    Suzuki, Miyako; Yoshikawa, Hiroshi; Hosokawa, Akira; Ichikawa, Ginichiro; Kobayashi, Kenichi; Ando, Ichiro

    2002-01-01

    In recent years, it has become possible to quickly obtain a large amount of 3D data with high continuity by helical CT scanning, in which the body is scanned continuously in a helical fashion. MPR (multiplanar reconstruction) can be performed using this data to generate images in arbitrary sectional planes, making it possible to obtain sagittal-plane images of the highest quality, which is useful for surgical planning. However, the procedures involved are rather complicated. Therefore, this study was conducted to investigate conditions for standardization of sagittal-plane MPR examinations performed using Xvigor CT scanners and Xtension. The results showed that a slice interval of 1 mm, no imaging filter, a zooming factor of 1.5, a window level of 350, and a window width of 3500 are the optimal imaging conditions. The stapes can be visualized in 70% of cases with sagittal-plane MPR based on axial images, and can be recognized at surgery in 75% or more of cases. Images of consistent quality can be obtained by standardizing the conditions for sagittal-plane MPR, which should prove advantageous in the clinical setting. (author)

  9. Exploration on practice teaching reform of Photoelectric Image Processing course under applied transformation

    Science.gov (United States)

    Cao, Binfang; Li, Xiaoqin; Liu, Changqing; Li, Jianqi

    2017-08-01

    With the further applied transformation of local colleges, teachers are urgently needed to make corresponding changes in the teaching content and methods from different courses. The article discusses practice teaching reform of the Photoelectric Image Processing course in the Optoelectronic Information Science and Engineering major. The Digital Signal Processing (DSP) platform is introduced to the experimental teaching. It will mobilize and inspire students and also enhance their learning motivation and innovation through specific examples. The course via teaching practice process has become the most popular course among students, which will further drive students' enthusiasm and confidence to participate in all kinds of electronic competitions.

  10. Frequency and types of fractures in maxillofacial traumas. Assessment using MDCT with multiplanar and 3D reconstructions

    International Nuclear Information System (INIS)

    Tomich, G.; Baigorria, P.; Orlando, N.; Mejico, M.; Costamagna, C.; Villavicencio, R.

    2011-01-01

    Introduction: Maxillofacial trauma (MFT) is a common reason for attendance at Emergency Departments. The complex anatomy of the facial bones requires multiplanar imaging techniques for a proper evaluation. Objectives. To describe frequency and types of fractures in a series of patients with MFT evaluated by multi-slice computed tomography (MDCT) with multiplanar and 3D reconstructions. Materials and Methods: Facial bone CTs ordered for MFT by the Emergency Department from June 2008 to December 2009 were retrospectively reviewed. The following data were obtained: age, gender, cause of trauma, presence and type of fractures. Patients were evaluated with an 8-channel MDCT. Multiplanar reconstructions were performed in all cases using high resolution bone window and soft tissue window, as well as 3D reconstructions. Results: One-hundred and thirty-seven CTs were performed for MFT: 78 (57%) showed 131 fractures. Of these 78 patients, 52 (66%) were males and 26 (34%) were females; mean age 33 years old (range: 14-90 yrs.). Causes: 58 % were injuries from traffic accidents; 24% were injuries from fights; 13% were sport injuries; and 7% were due to miscellaneous etiologies. Type and frequency of fractures: 18.3% were orbital floor fractures, 16% were maxillary sinus fractures, 15.3% were nasal fractures, 13% were jaw fractures, 9.2% were orbital fractures, and 12.3% were fractures of the zygomatic-malar complex; two cases of Le Fort II-III fractures were also observed. Conclusions: Fractures were more common in males, in the age range from 15 to 35 years old. Most fractures, and the most complex ones, were caused by traffic accidents. The most common fracture, either isolated or associated with other fractures, was the orbital floor fracture. (authors)

  11. Curved planar reformation images for identification of the central sulcus of affected hemispheres. Comparison with functional magnetic resonance imaging

    International Nuclear Information System (INIS)

    Nishimoto, Hideaki; Inoue, Takashi

    2006-01-01

    The aim of the present study was to evaluate the curved planar reformation (CPR) for identification of the central sulcus on affected hemispheres. Thirty four patients with an intracranial lesion adjacent to the central sulcus underwent functional magnetic resonance imaging (fMRI). fMRI was performed with a 3.0 Tesla scanner during repetitive opening and closing of each hand. The central sulcus was defined as the nearest sulcus to the highest activation spots. Three-dimensional magnetic resonance imaging date sets were processed using the CPR method to create brain surface reformatted images. We evaluated five anatomical features widely used for clinical identification of the central sulcus: 1, termination of the superior frontal sulcus in the precentral sulcus; 2, the intraparietal sulcus joining the postcentral sulcus; 3, the precentral gyros thicker than the postcentral gyrus; 4, inverted omega-shape of the precentral gyrus; and 5, the central sulcus as an isolated sulcus. fMRI and CPR coincided in defining the central sulcus in 34 hemispheres of patients. Applicability of each of the five signs was 61.8, 73.5, 58.8, 50.0 and 67.6%, respectively. The present study indicates that the CPR method successfully defined the central sulcus in most patients with brain tumors. For identification of the central sulcus, the CPR method will be recommended. (author)

  12. Advantages of digital imaging for radiological diagnostic

    International Nuclear Information System (INIS)

    Trapero, M. A.; Gonzalez, S.; Albillos, J. C.; Martel, J.; Rebollo, M.

    2006-01-01

    The advantages and limitations of radiological digital images in comparison with analogic ones are analyzed. We discuss three main topics: acquisition, post-procedure manipulation, and visualization, archive and communication. Digital acquisition with computed radiology systems present a global sensitivity very close to conventional film for diagnostic purposes. However, flat panel digital systems seems to achieve some advantages in particular clinical situations. A critical issue is the radiation dose-reduction that can be accomplished without reducing image quality nor diagnostic exactitude. The post-procedure manipulation allows, particularly in multiplanar modalities like CT or MR, to extract all implicit diagnostic information in the images: Main procedures are multiplanar and three-dimensional reformations, dynamic acquisitions, functional studies and image fusion. The use of PACS for visualization, archive and communication of images, improves the effectiveness and the efficiency of the workflow, allows a more comfortable diagnosis for the radiologist and gives way to improvements in the communication of images, allowing tele consulting and the tele radiology. (Author) 6 refs

  13. Diagnostic imaging in undergraduate medical education: an expanding role

    International Nuclear Information System (INIS)

    Miles, K.A.

    2005-01-01

    Radiologists have been involved in anatomy instruction for medical students for decades. However, recent technical advances in radiology, such as multiplanar imaging, 'virtual endoscopy', functional and molecular imaging, and spectroscopy, offer new ways in which to use imaging for teaching basic sciences to medical students. The broad dissemination of picture archiving and communications systems is making such images readily available to medical schools, providing new opportunities for the incorporation of diagnostic imaging into the undergraduate medical curriculum. Current reforms in the medical curriculum and the establishment of new medical schools in the UK further underline the prospects for an expanding role for imaging in medical education. This article reviews the methods by which diagnostic imaging can be used to support the learning of anatomy and other basic sciences

  14. The diagnostic value of multiplanar reconstruction on MDCT colonography for the preoperative staging of colorectal cancer

    International Nuclear Information System (INIS)

    Jin, Kwang Nam; Kim, Se Hyung; Lee, Jae Young; Lee, Jeong Min; Han, Joon Koo; Choi, Byung Ihn; Shin, Kyung-Sook

    2006-01-01

    The purpose of this study was to determine whether multiplanar reconstruction (MPR) images can improve the accuracy of MDCT-based colorectal cancer preoperative staging by receiver-operating characteristic (ROC) analysis. Fifty-five patients with colorectal cancer underwent contrast-enhanced CT colonography using an 8- or 16-row scanner. Two separate interval reviews of the axial MDCT datasets with/without MPR images (coronal and sagittal) were performed independently by two radiologists blinded to both the colonoscopic and histopathologic results. At each review session, the radiologists were asked to determine the colorectal cancer TNM stage within the context of differentiating ≤T3 from T4, N0 from ≥N1 and M0 from M1 using a five-point confidence scale. The radiologists' performance for staging the colorectal cancer using axial CT datasets with/without MPR images was evaluated using ROC analysis. Sensitivities, specificities and interobserver agreement were assessed. When MPR images were added, significant improvement was achieved by both radiologists for differentiating N0 from ≥N1 in terms of both A Z (0.651 to 0.769; 0.573 to 0.713) and specificity (26.7 to 69.2%; 23.1 to 76.9%) (P 0.05), but a significant improvement in the specificity (70 to 90%; 80 to 92%) was achieved by one radiologist (P<0.05). In terms of the M staging, a significant improvement in the Az (0.844 to 0.996) was observed for the combined interpretation of the axial and MPR images by one radiologist (P<0.05). Furthermore, substantial or almost perfect interobserver agreement was achieved for all TNM stagings for the combined interpretations (κ=0.641-0.866), whereas only fair to substantial agreement was achieved for the axial images alone (κ=0.337-0.707). In conclusion, the combined interpretation of the axial and MPR MDCT images significantly improved the local staging of colorectal cancer compared with assessments based on axial images alone. (orig.)

  15. Potential contribution of multiplanar reconstruction (MPR) to computer-aided detection of lung nodules on MDCT

    International Nuclear Information System (INIS)

    Matsumoto, Sumiaki; Ohno, Yoshiharu; Yamagata, Hitoshi; Nogami, Munenobu; Kono, Atsushi; Sugimura, Kazuro

    2012-01-01

    Purpose: To evaluate potential benefits of using multiplanar reconstruction (MPR) in computer-aided detection (CAD) of lung nodules on multidetector computed tomography (MDCT). Materials and methods: MDCT datasets of 60 patients with suspected lung nodules were retrospectively collected. Using “second-read” CAD, two radiologists (Readers 1 and 2) independently interpreted these datasets for the detection of non-calcified nodules (≥4 mm) with concomitant confidence rating. They did this task twice, first without MPR (using only axial images), and then 4 weeks later with MPR (using also coronal and sagittal MPR images), where the total reading time per dataset, including the time taken to assess the detection results of CAD software (CAD assessment time), was recorded. The total reading time and CAD assessment time without MPR and those with MPR were statistically compared for each reader. The radiologists’ performance for detecting nodules without MPR and the performance with MPR were compared using jackknife free-response receiver operating characteristic (JAFROC) analysis. Results: Compared to the CAD assessment time without MPR (mean, 69 s and 57 s for Readers 1 and 2), the CAD assessment time with MPR (mean, 46 s and 45 s for Readers 1 and 2) was significantly reduced (P < 0.001). For Reader 1, the total reading time was also significantly shorter in the case with MPR. There was no significant difference between the detection performances without MPR and with MPR. Conclusion: The use of MPR has the potential to improve the workflow in CAD of lung nodules on MDCT.

  16. Diagnostic value of multiplanar reconstruction in CT recognition of lumbar spinal disorders

    International Nuclear Information System (INIS)

    Im, S. K.; Choi, J. H.; Kim, C. H.; Sohn, M. H.; Lim, K. Y.; Choi, K. C.

    1984-01-01

    The computer tomography is useful in evaluation of bony structures and adjacent soft tissues of the lumbar spine. Recently, the multiplanar reconstruction of lumbar spine of CT of significant value for the anatomical localization and for the myelographic and surgical correlation. We observed 177 cases of lumbar spine CT, who complains of spinal symptom, during the period from Dec. 1982 to Aug. 1984. The results were as follows: 1. The sex distribution of cases were 113 males and 44 females. The CT diagnosis showed 152 cases of herniated lumbar disc, 15 cases of degenerative disease, 5 cases of spine tbc., 3 cases of spine trauma and 2 cases of meningocele. 2. CT findings of herniated disc were as follows: focal protrusion of posterior disc margin and obliteration of anterior epidural fat in all cases, indentation on dural sac in 92 cases (60.5%) soft tissue mass in epidural fat in 85 cases (55.9%), compression or displacement of nerve root sheath in 22 cases(14.4%). 3. Sites of herniated lumbar disc were at L4-L5 level in 100 cases(59.1%) and at L5-S1 level in 65 cases (38.4%). Location of it were central type in 70 cases(41.1%), left-central type in 46 cases (27.2%), right-central type in 44 cases(26.0%) and lateral type in 9 cases (5.1%). 4. The sagittal reconstruction images were helpful in evaluating neural foramina, size of disc bluge into spinal canal, especially at L5-S1, and patients with spondylolisthesis. The coronal reconstruction images were the least informative, although they contributed to the evaluation of lumbar nerve roots of course, the axial CT scans were the most sensitive and specific.

  17. In Flesh and Bone: Bodily Image and Educational Patterns in Early Reformation Theatre

    Science.gov (United States)

    Salvarani, Luana

    2018-01-01

    From its very beginning, the Protestant Reformation adopted the theatre as one of its educational tools. Together with choral music, visual arts, and preaching, Luther, Melanchthon, Oekolampad, and other Reformers promoted both the cultivated school theatre and the popular street theatre in order to spread the new faith, create a community ethos,…

  18. CT-based virtual tracheobronchoscopy in children - comparison with axial CT and multiplanar reconstruction: preliminary results

    International Nuclear Information System (INIS)

    Sorantin, Erich; Lindbichler, Franz; Eber, Ernst; Schimpl, Guenther

    2002-01-01

    Background: 3D post-processing of spiral-CT (S-CT) data using perspective projection allows the generation of virtual views similar to endoscopy. Objective: To evaluate whether simultaneous reading of axial S-CT, multiplanar reconstruction (MPR) and virtual tracheobronchoscopy (VTB) is more precise and accurate than reading of axial S-CT and MPR alone in paediatric patients. Materials and methods: S-CT studies of 15 symptomatic and 4 normal patients were investigated. Two radiologists independently read two sets of images for airway abnormalities: first axial CT and MPR, followed by axial CT, MPR and VTB. A final decision was later made by consensus. All results were compared to fibre-optic bronchoscopy (FTB). Interobserver agreement was used as an indicator of precision for the display technique used. Results: At reading of axial S-CT and MPR an interobserver agreement of 89.5% (κ=0.776, P<0.00103) was found. Based on the consensus decision, a diagnostic accuracy of 89.5% at a sensitivity 86.6% and specificity of 100% (κ=0.776, 95% CI 0.491-1.062, P<0.00103) was achieved. At reporting on axial S-CT, MPR and VTB, all cases were classified correctly by both readers, indicating 100% accuracy, interobserver agreement, sensitivity and specificity (κ=1.00, 95% CI 1.0-1.0, P<0.000258). Conclusions: The simultaneous display of axial S-CT, MPR and VTB raises the precision, accuracy and sensitivity of radiological reports. (orig.)

  19. Indications for direct multidirectional or multiplanar electronic reconstructions in CT-scanning of the head

    International Nuclear Information System (INIS)

    Kaiser, M.C.; Veiga-Pires, J.A.; Gooskens, R.; Troost, J.

    1982-01-01

    The authors set out to indicate the optimal applications at minimum radiation penalty of both direct multidirectional and multiplanar electronic reconstruction modes in CT-scanning of the head by means of two illustrative case reports of midline congenital tumours. (orig.)

  20. Evaluation of thoracic abnormalities on 64-row multi-detector row CT: Comparison between axial images versus coronal reformations

    Energy Technology Data Exchange (ETDEWEB)

    Nishino, Mizuki [Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Ave., Boston, MA 02215 (United States)]. E-mail: mnishino@bidmc.harvard.edu; Kubo, Takeshi [Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Ave., Boston, MA 02215 (United States); Kataoka, Milliam L. [Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Ave., Boston, MA 02215 (United States); Gautam, Shiva [Department of General Clinical Research Center and Biometrics, Beth Israel Deaconess Medical Center, 330 Brookline Ave., Boston, MA 02215 (United States); Raptopoulos, Vassilios [Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Ave., Boston, MA 02215 (United States); Hatabu, Hiroto [Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Ave., Boston, MA 02215 (United States)

    2006-07-15

    Purpose: To evaluate the capability of coronal reformations of chest on 64-row MDCT in demonstrating thoracic abnormalities in comparison with axial images. Materials and methods: Thirty-eight consecutive patients who underwent pulmonary CTA on 64-row MDCT were retrospectively studied with institutional review board (IRB) approval. Contiguous 2 mm axial and coronal images were reviewed independently with a 1-week interval, by consensus reading of two board-certified radiologists. Overall image quality was graded using a five-point scale. Abnormalities in mediastinum, hilum, pulmonary vessels, aorta, heart, esophagus, pleura, chest wall, and lung parenchyma were scored: 1 = definitely absent, 2 = probably absent, 3 = equivocal, 4 probably present, 5 = definitely present. Scores on axial and coronal images were compared using weighted {kappa} analysis. Results: Overall image quality was not different with statistical relevance between axial and coronal images (mean/median scores; 3.7/4; 3.6/4, respectively, P = 0.286, Wilcoxon signed-rank test). Significant agreement was observed between axial and coronal scores (mean weighted {kappa}, 0.661; range, 0.362-1). Agreement was almost perfect for pneumothorax, lung and pleural mass, effusion and consolidation (weighted {kappa} = 0.833-1); substantial for pulmonary embolism, trachea, mediastinal lymphadenopathy and non-skeletal chest wall lesion, heart, esophagus, and emphysema (weighted {kappa}, 0.618-0.799); moderate for atelectasis, mediastinum, hilar nodes, aorta, other lung lesions, skeletal chest wall lesions, linear scarring, nodules >1 cm, pulmonary artery abnormalities and pleural thickening (weighted {kappa}, 0.405-0.592); and fair for nodules <1 cm (weighted {kappa} = 0.362). Conclusion: Coronal reformations on 64-row MDCT had substantial agreement with axial images for evaluation of the majority of thoracic abnormalities.

  1. Evaluation of thoracic abnormalities on 64-row multi-detector row CT: Comparison between axial images versus coronal reformations

    International Nuclear Information System (INIS)

    Nishino, Mizuki; Kubo, Takeshi; Kataoka, Milliam L.; Gautam, Shiva; Raptopoulos, Vassilios; Hatabu, Hiroto

    2006-01-01

    Purpose: To evaluate the capability of coronal reformations of chest on 64-row MDCT in demonstrating thoracic abnormalities in comparison with axial images. Materials and methods: Thirty-eight consecutive patients who underwent pulmonary CTA on 64-row MDCT were retrospectively studied with institutional review board (IRB) approval. Contiguous 2 mm axial and coronal images were reviewed independently with a 1-week interval, by consensus reading of two board-certified radiologists. Overall image quality was graded using a five-point scale. Abnormalities in mediastinum, hilum, pulmonary vessels, aorta, heart, esophagus, pleura, chest wall, and lung parenchyma were scored: 1 = definitely absent, 2 = probably absent, 3 = equivocal, 4 probably present, 5 = definitely present. Scores on axial and coronal images were compared using weighted κ analysis. Results: Overall image quality was not different with statistical relevance between axial and coronal images (mean/median scores; 3.7/4; 3.6/4, respectively, P = 0.286, Wilcoxon signed-rank test). Significant agreement was observed between axial and coronal scores (mean weighted κ, 0.661; range, 0.362-1). Agreement was almost perfect for pneumothorax, lung and pleural mass, effusion and consolidation (weighted κ = 0.833-1); substantial for pulmonary embolism, trachea, mediastinal lymphadenopathy and non-skeletal chest wall lesion, heart, esophagus, and emphysema (weighted κ, 0.618-0.799); moderate for atelectasis, mediastinum, hilar nodes, aorta, other lung lesions, skeletal chest wall lesions, linear scarring, nodules >1 cm, pulmonary artery abnormalities and pleural thickening (weighted κ, 0.405-0.592); and fair for nodules <1 cm (weighted κ = 0.362). Conclusion: Coronal reformations on 64-row MDCT had substantial agreement with axial images for evaluation of the majority of thoracic abnormalities

  2. Is 3D-CT reformation using free software applicable to diagnosis of bone changes in mandibular condyles?

    Directory of Open Access Journals (Sweden)

    Marília Gerhardt de Oliveira

    2009-06-01

    Full Text Available OBJECTIVES: This study evaluated the agreement of computed tomography (CT imaging using 3D reformations (3DR with shaded surface display (SSD and maximum intensity projection (MIP in the diagnosis of bone changes in mandibular condyles of patients with rheumatoid arthritis (RA, and compared findings with multiplanar reformation (MPR images, used as the criterion standard. MATERIAL AND METHODS: Axial CT images of 44 temporomandibular joints (TMJs of 22 patients with RA were used. Images were recorded in DICOM format and assessed using free software (ImageJ. Each sample had its 3DR-SSD and 3DR-MIP results compared in pairs with the MPR results. RESULTS: Slight agreement (k = 0.0374 was found in almost all comparisons. The level of agreement showed that 3DR-SSD and 3DR-MIP yielded a number of false-negative results that was statistically significant when compared with MPR. CONCLUSIONS: 3DR-SSD or 3DR-MIP should only be used as adjuvant techniques to MPR in the diagnosis of bone changes in mandibular condyles.

  3. Imaging the Frame: Media Representations of Teachers, Their Unions, NCLB, and Education Reform

    Science.gov (United States)

    Goldstein, Rebecca A.

    2011-01-01

    This article examines the political discourse surrounding NCLB, educational reform, and how that discourse shaped perceptions of public education during the Bush Administration. Examining mass media campaigns in the New York Times and Time Magazine, the article demonstrates how the media has visually and textually framed and reinforced NCLB and…

  4. Advanced imaging of the musculoskeletal system: Standard, three-dimensional, and contrast-enhanced CT and MR imaging, and quantitative bone densitometry

    International Nuclear Information System (INIS)

    Resnick, D.; Sartoris, D.J.

    1987-01-01

    This course reviews the application of advanced imaging techniques to a broad spectrum of musculoskeletal disorders. The indications for and utility of standard CT in both the axial and the appendicular skeleton is explored. The combined use of CT with air and contrast arthrography at sites including the hip, knee, and shoulder is discussed. A summary of the proved and potential applications of MR imaging in osseous, articular, bone marrow, and soft-tissue disorders is provided. The utility of intraarticular contrast agents in enhancing the diagnostic capabilities of MR imaging for disorders of hyaline cartilage and and fibrocartilage is demonstrated. The advantages of multiplanar reformation and three-dimensional image reconstruction of cross-sectional imaging data are described in conjunction with the fundamental technological principles of these strategies. Accepted methods as well as investigative techniques for the diagnosis and follow-up of metabolic bone disease are contrasted with regard to relative indications, advantages, and limitations

  5. Multiplanar transesophageal echocardiography for the evaluation and percutaneous management of ostium secundum atrial septal defects in the adult.

    Science.gov (United States)

    Sobrino, Ayax; Basmadjian, Arsène J; Ducharme, Anique; Ibrahim, Reda; Mercier, Lise-Andrée; Pelletier, Guy B; Marcotte, François; Garceau, Patrick; Burelle, Denis; O'Meara, Eileen; Dore, Annie

    2012-01-01

    The purpose of this paper is to review the usefulness of multiplanar transesophageal echocardiography before, during and after percutaneous transcatheter closure of secundum atrial septal defects. Transesophageal echocardiography imaging techniques,including their role in patient selection, procedural guidance and immediate assessment of technical success and complications are described and discussed in this review. Percutaneous transcatheter closure is indicated for ostium secundum atrial septal defects of less than 40 mm in maximal diameter. The defect must have a favorable anatomy, with adequate rims of at least 5 mm to anchor the prosthesis. Transesophageal echocardiography plays a critical role before the procedure in identifying potential candidates for percutaneous closure and to exclude those with unfavorable anatomy or associated lesions, which could not be addressed percutaneously. Transesophageal echocardiography is also important during the procedure to guide the deployment of the device. After device deployment, the echocardiographer must assess the device (integrity, position and stability), residual shunt, atrio-ventricular valve regurgitation, obstruction to systemic or venous return and pericardial effusion, in order to determine procedural success and diagnose immediate complications.

  6. Frecuencia y tipo de fracturas en traumatismos maxilofaciales: Evaluación con Tomografía Multislice con reconstrucciones multiplanares y tridimensionales Frequency and types of fractures in maxillofacial traumas: Assessment using MDCT with multiplanar and 3D reconstructions

    OpenAIRE

    Gabriela Tomich; Patricio Baigorria; Nicolás Orlando; Mariano Méjico; Cecilia Costamagna; Roberto Villavicencio

    2011-01-01

    Introducción. Los traumatismos maxilofaciales (TMF) representan un motivo de consulta común en los servicios de Urgencias. La compleja anatomía del macizo facial requiere de métodos de imágenes multiplanares para su correcta evaluación. Objetivos. Describir la frecuencia y tipos de fracturas en una serie de pacientes con TMF evaluados mediante tomografía computada multislice (TCMS) con reconstrucciones multiplanares y tridimensionales. Materiales y Métodos. Se revisaron en forma retrospectiva...

  7. "Butterfly under a Pin": An Emergent Teacher Image amid Mandated Curriculum Reform

    Science.gov (United States)

    Craig, Cheryl J.

    2012-01-01

    The author examines 1 experienced teacher's image of teaching and how it was purposely changed--through external intervention and against the individual's will--from the view of teacher as curriculum maker to the view of teacher as curriculum implementer. Laura's account of the "butterfly under a pin" image, a version of the…

  8. Understanding chest radiographic anatomy with MDCT reformations

    Energy Technology Data Exchange (ETDEWEB)

    Sussmann, A.R. [Department of Radiology, Thoracic Imaging, NYU Langone Medical Center, New York, NY (United States); Ko, J.P., E-mail: jane.ko@nyumc.or [Department of Radiology, Thoracic Imaging, NYU Langone Medical Center, New York, NY (United States)

    2010-02-15

    Chest radiograph interpretation requires an understanding of the mediastinal reflections and anatomical structures. Computed tomography (CT) improves the learning of three-dimensional (3D) anatomy, and more recently multidetector CT (MDCT) technology has enabled the creation of high-quality reformations in varying projections. Multiplanar reformations (MPRs) of varying thickness in the coronal and sagittal projections can be created for direct correlation with findings on frontal and lateral chest radiographs, respectively. MPRs enable simultaneous visualization of the craniocaudal extent of thoracic structures while providing the anatomic detail that has been previously illustrated using cadaveric specimens. Emphasis will be placed on improving knowledge of mediastinal anatomy and reflections including edges, lines, and stripes that are visible on chest radiographs.

  9. Are chargemaster rates for imaging studies lower in States that cap noneconomic damages (tort reform)?

    Science.gov (United States)

    Stein, Seth I; Barry, Jeffrey R; Jha, Saurabh

    2014-08-01

    To determine whether chargemaster (a list of prices for common services and procedures set by individual hospitals) rates for diagnostic imaging were lower in states that cap awards for noneconomic damages (NED) than states with unlimited awards for medical negligence. We analyzed 2011 chargemaster data from the Centers for Medicare & Medicaid, pertaining to 6 ambulatory patient classifications specific to imaging. The dataset includes outpatient imaging facilities and hospitals in 49 states and the District of Columbia. The association between caps on NED and chargemaster rates for imaging in a sample of 15,218 data points was analyzed using linear regression and two-sample t tests assuming unequal variances. In states that cap NED, the chargemaster rates were higher for the following modalities: Level II Echocardiogram without Contrast (mean charges: $2,015.60 versus $1,884.81, P = .0018); Level II Cardiac Imaging ($4,670.25 versus $4,398.58, P = .002); MRI & Magnetic Resonance Angiography without Contrast ($2,654.31 versus $2,526.74, P = .002); and Level III Diagnostic and Screening Ultrasound ($1,073.31 versus $1,027.32, P = .037). High charge-to-payment ratios were associated with states with the highest charges. There was a positive correlation between number of outpatient centers in the state and the average chargemaster rates for the state (mean chargemaster rate = 1727 + 0.79*Number of Outpatient Centers; R-squared = 0.23, P = .0004). Chargemaster rates for select imaging services are not lower in states that have capped NED. Copyright © 2014 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  10. The political logic of labour market reforms and popular images of target groups

    DEFF Research Database (Denmark)

    Larsen, Christian Albrekt

    2008-01-01

    Even though the shift from ‘passive' to ‘active' labour market policy exhibit large cross-national variations, they all seem to share two common characteristics; 1) the first group exposed to the new policies and the group exposed to the harshest policies was young people on social assistance and...... explanation for the different popular images of target groups and 2) by showing - using a national Australian sample - that these general popular images influence the way the public wants ‘active' labour market policy to be conducted....

  11. Imaging the Cisternal Segment of Cranial Nerves with 3.0TMR 3D-COSMIC and Multiplanar Reconstruction%3.0TMR3D-COSMIC成像序列结合MRP对Ⅰ-Ⅻ对脑神经脑池段的成像研究

    Institute of Scientific and Technical Information of China (English)

    李家才; 郑红伟; 漆剑频; 夏黎明; 胡道予

    2012-01-01

    Objective To investigate the applying value of To compare 3D-COSMIC MRI sequences for cranial nerves I ~XII. Methods 3D-C0SMIC were used in 20 volunteers and 10 patients with complaint of cranial nerves. 480 nerves were evaluated. Two radiologists independently divided the imaging findings into 3 grades: 1 (completely visualized), 2 (partially visualized), and 3 (not visualized). The first two grades were defined as visualization and the last grade was no visualization, the relationship between nerves and surrounding vessels were divided into grades: 1 (notcontact),2(contact),3(compression). Results The rate of visualization of these cranial nerves with 3D-COSMIC sequenceswere as follows respectively: nerve I (86%); nerve 11(100%); nerve 111(97%); nerve IV(23%); nerve V (100%); nerve VT(90%); nerve W( 100%); nerve Wl( 100%); nerve K-XI complex (63%, 100% and53%); nerve XE(40%). 3 of 10 patients with complaint of cranial nerves displayed nerve had vascular compression or contact. Conclusion 3D-COSM1C sequence can show detailed anatomy of the cranial nerves and relationship between nerves and surrounding vessels, especially II -> UL V-, VI-. VII-. V1IK X cranial nerves, to help clinical treatment.%目的 探讨3.0T MR 3D-COSMIC 成像序列对Ⅰ-Ⅻ对脑神经脑池段显示的临床价值.方法 采用3.0TMR扫描仪对20例健康志愿者和10例疑因血管等原因压迫相应颅脑神经产生临床症状的患者进行MR检查.并由两名神经放射学医师根据20例志愿者480支颅神经显示的清晰程度分为以下3个等级:清晰、较清晰、不清晰,前两者定义为显示,后者定义为未显示,而神经与血管的关系分为无接触、接触、压迫.结果 脑神经在3D-COSMIC序列的显示率分别为:嗅神经(86%),视神经(100%),动眼神经(97%),滑车神经(23%),三叉神经(100%),外展神经(90%),面神经(100%),前庭蜗神经 (100%),后组颅神经复合体(舌咽神经、迷走神经、副神经)(63%、100%、53%),

  12. 3.0T MR3D-COSMIC序列结合多平面重建对12对脑神经脑池段的成像价值%Imaging the cisternal segment of cranial nerves with 3.0T MR 3D-COSMIC and multiplanar reconstruction

    Institute of Scientific and Technical Information of China (English)

    郑红伟; 马秀华; 薛鹏; 漆剑频; 胡道予; 吕富荣

    2012-01-01

    Objective To investigate the applying value of 3D-COSMIC MRI sequences for cranial nerves I-M.Methods 3D-COSMIC were used in 20 volunteers and 10 patients with complaint of cranial nerves.480 nerves were evaluated.Two radiologists independently divided the imaging findings into 3 grades: 1 (completely visualized) ,2 (partially visualized) ,and 3 (not visualized).The first two grades were defined as visualization and the last grade was no visualization,the relationship between nerves and surrounding vessels were divided into grades;1 (notcontact) ,2(contact) ,3 (compression).Results The rate of visualization of these cranial nerves with 3D-COSMIC sequences were as follows respectively: nerve I (86%);nerve Ⅱ (100%);nerve Ⅲ (97% );nerve Ⅳ(23%);nerve Ⅴ(100%) ;nerve Ⅵ (90%) ;nerve Ⅶ(100%);nerve 1(100%);nerve IX-XI complex(63% ,100% and 53%);nerve Ⅻ(40%)3 of 10 patients with complaint of cranial nerves displayed nerve had vascular compression or contact.Conclusion 3D-COSMIC sequence can show detailed anatomy of the cranial nerves and relationship between nerves and surrounding vessels ,especially Ⅱ,Ⅲ,Ⅳ,Ⅴ,Ⅵ,Ⅶ,Ⅷ,Ⅹ cranial nerves?to help clinical treatment.%目的 探讨3.0T MR 3D-COSMIC成像序列对Ⅰ~Ⅻ对脑神经脑池段显示的临床价值.方法 采用3.0T MR扫描仪对20例健康志愿者和10例疑因血管等原因压迫相应颅脑神经产生临床症状的患者进行MR检查,扫描序列包括3D-COSMIC及3D-TOF-SPGR.并由2名神经放射学医师根据20例健康志愿者480支颅神经显示的清晰程度分为清晰、较清晰、不清晰3个等级,清晰和较清晰定义为显示,不清晰定义为未显示,而神经与血管的关系分为无接触、接触、压迫.结果 脑神经在3D-COSMIC序列的显示率分别为:嗅神经(86%),视神经(100%),动眼神经(97%),滑车神经(23%),三叉神经(100%),外展神经(90%),面神经(100%),前庭蜗神经(100%),后组颅神经复合体[舌咽神经(63%)

  13. Multiplanar lumbopelvic control in patients with low back pain: is multiplanar assessment better than single plane assessment in discriminating between patients and healthy controls?

    Science.gov (United States)

    Nelson-Wong, E; Gallant, P; Alexander, S; Dehmer, K; Ingvalson, S; McClenahan, B; Piatte, A; Poupore, K; Davis, A M

    2016-02-01

    Patients with low back pain (LBP) commonly have lumbopelvic control deficits. Lumbopelvic assessment during sagittal motion is incorporated into commonly used clinical examination algorithms for Treatment Based Classification. The purpose of this study was to investigate whether combined assessment of lumbopelvic control during sagittal and frontal plane motion discriminates between people with and without LBP better than single plane assessment alone. Nineteen patients with LBP and 18 healthy control participants volunteered for this study. The active straight leg raise (ASLR) and active hip abduction (AHAbd) tests were used to assess lumbopelvic control during sagittal and frontal plane motion, respectively. The tests were scored as positive or negative using published scoring criteria. Contingency tables were created for each test alone and for the combined tests (both positive/both negative) with presence/absence of LBP as the reference standard to calculate accuracy statistics of sensitivity (sn), specificity (sp), likelihood (+LR and -LR), and diagnostic odds ratios (OR). Active straight leg raise and AHAbd tests alone had sn of 0·63, 0·74, respectively, sp of 0·61, 0·50, respectively, and OR of 2·7, 2·8, respectively. The combined tests had sn = 0·89, sp = 0·60, and OR = 12·0. Forty percent of patients with LBP had control deficits in both planes of motion. The AHAbd and ALSR tests appear to have greater diagnostic discrimination when used in combination than when used independently. A percentage of patients with LBP had control deficits in both planes, while others demonstrated uniplanar deficits only. These findings highlight the importance of multiplanar assessment in patients with LBP.

  14. The Development of LED-Based Dental Light Using a Multiplanar Reflector Design

    Directory of Open Access Journals (Sweden)

    Chi-Chang Hsieh

    2014-01-01

    Full Text Available A multiplanar reflector was designed to enhance the application efficiency of light-emitting diode (LED light sources that can be employed as LED-based dental lights. This study used a high-power LED developed by Nichia, that is, a single LED capable of providing a total luminous flux of 120 lm, as the primarily light source to design and develop an LED-based dental light. This LED complies with the international standards and regulations stipulated in ISO 9680:2007. The light spots produced by the prototype were rectangular, with a length of 200 mm and a width of 100 mm. These light spots achieved maximum illumination of 12,000 lux. The use of LEDs can reduce energy consumption from 50 W to 3 W, providing an energy saving of more than 90%.

  15. Evaluation of Medial Acetabular Wall Bone Stock in Patients with Developmental Dysplasia of the Hip Using a Helical Computed Tomography Multiplanar Reconstruction Technique

    Energy Technology Data Exchange (ETDEWEB)

    Rui Yu Liu; Kun Zheng Wang; Chun Sheng Wang; Xiao Qian Dang; Zhi Qin Tong (Second Hospital Affiliated to the Medical College of Xi' an Jiaotong Univ., Xi' an Shaanxi (China))

    2009-08-15

    Background: The technique of medialization has been used to reconstruct acetabula at the level of true acetabula in total hip arthroplasty (THA) in patients with developmental dysplasia of the hip (DDH). Appreciation of the bone stock in the medial acetabular wall is significant for making an optimal acetabular reconstruction plan and avoiding complications. Purpose: To evaluate the bone stock of the medial acetabular wall and its relation to the degree of subluxation in patients with DDH using computed tomography (CT). Material and Methods: Helical CT scans of 27 hips were obtained from 21 patients with osteoarthritis secondary to DDH who were scheduled for total hip arthroplasty. Eleven hips belonged to Crowe class I, while 16 hips belonged to Crowe class II/III. The raw CT data were reprocessed in various planes by scrolling multiplanar reformation (MPR). Acetabular opening, depth, and medial bone stock, as indicated by the minimum thickness of the medial acetabular wall, were measured in the transverse reformed MPR plane. Results: The minimum thicknesses of the medial acetabular wall in Crowe-I and Crowe-II/III hips were 3.8+-2.1 mm and 7.1+-3.1 mm, respectively, with statistically significant differences between the groups (P<0.05). Furthermore, the bone stock in the medial acetabular wall correlated with the degree of subluxation (R=0.69) and the acetabular depth (R= ;- ;0.71). Conclusion: There was significantly more bone stock in the medial acetabular wall in patients with higher-degree subluxation than there was in the less-severe class. This difference should be taken into consideration when reconstructing acetabula in THA in patients with DDH using the technique of medialization

  16. Evaluation of Medial Acetabular Wall Bone Stock in Patients with Developmental Dysplasia of the Hip Using a Helical Computed Tomography Multiplanar Reconstruction Technique

    International Nuclear Information System (INIS)

    Rui Yu Liu; Kun Zheng Wang; Chun Sheng Wang; Xiao Qian Dang; Zhi Qin Tong

    2009-01-01

    Background: The technique of medialization has been used to reconstruct acetabula at the level of true acetabula in total hip arthroplasty (THA) in patients with developmental dysplasia of the hip (DDH). Appreciation of the bone stock in the medial acetabular wall is significant for making an optimal acetabular reconstruction plan and avoiding complications. Purpose: To evaluate the bone stock of the medial acetabular wall and its relation to the degree of subluxation in patients with DDH using computed tomography (CT). Material and Methods: Helical CT scans of 27 hips were obtained from 21 patients with osteoarthritis secondary to DDH who were scheduled for total hip arthroplasty. Eleven hips belonged to Crowe class I, while 16 hips belonged to Crowe class II/III. The raw CT data were reprocessed in various planes by scrolling multiplanar reformation (MPR). Acetabular opening, depth, and medial bone stock, as indicated by the minimum thickness of the medial acetabular wall, were measured in the transverse reformed MPR plane. Results: The minimum thicknesses of the medial acetabular wall in Crowe-I and Crowe-II/III hips were 3.8±2.1 mm and 7.1±3.1 mm, respectively, with statistically significant differences between the groups (P<0.05). Furthermore, the bone stock in the medial acetabular wall correlated with the degree of subluxation (R=0.69) and the acetabular depth (R= ;- ;0.71). Conclusion: There was significantly more bone stock in the medial acetabular wall in patients with higher-degree subluxation than there was in the less-severe class. This difference should be taken into consideration when reconstructing acetabula in THA in patients with DDH using the technique of medialization

  17. Thin-section multiplanar reformats from multidetector-row CT data: Utility for assessment of regional tumor extent in non-small cell lung cancer

    International Nuclear Information System (INIS)

    Higashino, Takanori; Ohno, Yoshiharu; Takenaka, Daisuke; Watanabe, Hirokazu; Nogami, Munenobu; Ohbayashi, Chiho; Yoshimura, Masahiro; Satouchi, Miyako; Nishimura, Yoshihiro; Fujii, Masahiko; Sugimura, Kazuro

    2005-01-01

    Purpose: To determine the clinical utility of thin-section multiplanar reformats (MPRs) from multidetector-row CT (MDCT) data sets for assessing the extent of regional tumors in non-small cell lung cancer (NSCLC) patients. Materials and methods: Sixty consecutive NSCLC patients, who were considered candidates for surgical treatment, underwent contrast-enhanced MDCT examinations, surgical resection and pathological examinations. All MDCT examinations were performed with a 4-detector row computed tomography (CT). From each raw CT data set, 5 mm section thickness CT images (routine CT), 1.25 mm section thickness CT images (thin-section CT) and 1.25 mm section thickness sagittal (thin-section sagittal MPR) and coronal images (thin-section coronal MPR) were reconstructed. A 4-point visual score was used to assess mediastinal, interlobar and chest wall invasions on each image set. For assessment of utility in routine clinical practice, mean reading times for each image set were compared by means of Fisher's protected least significant difference (PLSD) test. A receiver operator characteristic (ROC) analysis was performed to determine the diagnostic capability of each of the image data sets. Finally, sensitivity, specificity and accuracy of the reconstructed images were compared by McNemar test. Results: Mean reading times for thin-section sagittal and coronal MPRs were significantly shorter than those for routine CT and thin-section CT (p < 0.05). Areas under the curve (Azs) showing interlobar invasion on thin-section sagittal and coronal MPRs were significantly larger than that on routine CT (p = 0.03), and the Az on thin-section sagittal MPR was also significantly larger than that on routine CT (p = 0.02). Accuracy of chest wall invasion by thin-section sagittal MPR was significantly higher than that by routine CT (p = 0.04). Conclusion: Thin-section multiplanar reformats from multidetector-row CT data sets are useful for assessing the extent of regional tumors in non

  18. Imaging of Pericardiophrenic Bundles Using Multislice Spiral Computed Tomography for Phrenic Nerve Anatomy.

    Science.gov (United States)

    Wang, Yan-Jing; Liu, Lin; Zhang, Meng-Chao; Sun, Huan; Zeng, Hong; Yang, Ping

    2016-08-01

    Phrenic nerve injury and diaphragmatic stimulation are common complications following arrhythmia ablation and pacing therapies. Preoperative comprehension of phrenic nerve anatomy via non-invasive CT imaging may help to minimize the electrophysiological procedure-related complications. Coronary CT angiography data of 121 consecutive patients were collected. Imaging of left and right pericardiophrenic bundles was performed with volume rendering and multi-planar reformation techniques. The shortest spatial distances between phrenic nerves and key electrophysiology-related structures were determined. The frequencies of the shortest distances ≤5 mm, >5 mm and direct contact between phrenic nerves and adjacent structures were calculated. Left and right pericardiophrenic bundles were identified in 86.8% and 51.2% of the patients, respectively. The right phrenic nerve was phrenic nerve, phrenic nerve was phrenic nerve had a distance phrenic nerve showed a distance phrenic nerve anatomy, which might facilitate avoidance of the phrenic nerve-related complications in interventional electrophysiology. © 2016 Wiley Periodicals, Inc.

  19. Multiplanar and two-dimensional imaging of central airway stenting with multidetector computed tomography

    Directory of Open Access Journals (Sweden)

    Ozgul Mehmet

    2012-08-01

    Full Text Available Abstract Background Multidetector computed tomography (MDCT provides guidance for primary screening of the central airways. The aim of our study was assessing the contribution of multidetector computed tomography- two dimensional reconstruction in the management of patients with tracheobronchial stenosis prior to the procedure and during a short follow up period of 3 months after the endobronchial treatment. Methods This is a retrospective study with data collected from an electronic database and from the medical records. Patients evaluated with MDCT and who had undergone a stenting procedure were included. A Philips RSGDT 07605 model MDCT was used, and slice thickness, 3 mm; overlap, 1.5 mm; matrix, 512x512; mass, 90 and kV, 120 were evaluated. The diameters of the airways 10 mm proximal and 10 mm distal to the obstruction were measured and the stent diameter (D was determined from the average between D upper and D lower. Results Fifty-six patients, 14 (25% women and 42 (75% men, mean age 55.3 ± 13.2 years (range: 16-79 years, were assessed by MDCT and then treated with placement of an endobronchial stent. A computed tomography review was made with 6 detector Philips RSGDT 07605 multidetector computed tomography device. Endobronchial therapy was provided for the patients with endoluminal lesions. Stents were placed into the area of stenosis in patients with external compression after dilatation and debulking procedures had been carried out. In one patient the migration of a stent was detected during the follow up period by using MDCT. Conclusions MDCT helps to define stent size, length and type in patients who are suitable for endobronchial stinting. This is a non-invasive, reliable method that helps decisions about optimal stent size and position, thus reducing complications.

  20. Abducens nerve enhancement demonstrated by multiplanar reconstruction of contrast-enhanced three-dimensional MRI

    Energy Technology Data Exchange (ETDEWEB)

    Hosoya, T.; Adachi, M.; Sugai, Y. [Dept. of Radiology, Yamagata University School of Medicine (Japan); Yamaguchi, K.; Yamaguchi, K. [Dept. of Ophthalmology, Yamagata University School of Medicine (Japan); Kato, T. [3. Dept. of Internal Medicine, Yamagata University School of Medicine (Japan)

    2001-04-01

    We describe contrast enhancement of the cisternal portion of the abducens nerve and discuss its clinical significance. We examined 67 patients with ophthalmoplegia using contrast-enhanced 3-dimensional (3D) MRI with multiplanar reconstruction along the nerves and found 16 patients (ten men, six women), aged 10-73 years (mean 34.4 years), with contrast enhancement of the abducens nerve. Of the 36 patients who had an abducens palsy, 14 (39 %) showed contrast enhancement. In the 16 patients, 23 abducens nerves enhanced; 13 were symptomatic and 10 asymptomatic at the time. The causes were disseminated tumour (1), an inflammatory process (3), trauma (2), ischaemia (2) and autoimmune diseases (8), such as the Miller Fisher syndrome, acute ophthalmoparesis, polyneuropathy and multiple sclerosis. Abducens and/or oculomotor nerve enhancement was the only abnormality on MRI in the patients with traumatic or ischaemic neuropathy or autoimmune diseases. There were 14 patients who recovered fully within 1-6 months after treatment, and resolution of the enhancement correlated well with recovery. (orig.)

  1. Abducens nerve enhancement demonstrated by multiplanar reconstruction of contrast-enhanced three-dimensional MRI

    International Nuclear Information System (INIS)

    Hosoya, T.; Adachi, M.; Sugai, Y.; Yamaguchi, K.; Yamaguchi, K.; Kato, T.

    2001-01-01

    We describe contrast enhancement of the cisternal portion of the abducens nerve and discuss its clinical significance. We examined 67 patients with ophthalmoplegia using contrast-enhanced 3-dimensional (3D) MRI with multiplanar reconstruction along the nerves and found 16 patients (ten men, six women), aged 10-73 years (mean 34.4 years), with contrast enhancement of the abducens nerve. Of the 36 patients who had an abducens palsy, 14 (39 %) showed contrast enhancement. In the 16 patients, 23 abducens nerves enhanced; 13 were symptomatic and 10 asymptomatic at the time. The causes were disseminated tumour (1), an inflammatory process (3), trauma (2), ischaemia (2) and autoimmune diseases (8), such as the Miller Fisher syndrome, acute ophthalmoparesis, polyneuropathy and multiple sclerosis. Abducens and/or oculomotor nerve enhancement was the only abnormality on MRI in the patients with traumatic or ischaemic neuropathy or autoimmune diseases. There were 14 patients who recovered fully within 1-6 months after treatment, and resolution of the enhancement correlated well with recovery. (orig.)

  2. Telecom Reform

    DEFF Research Database (Denmark)

    Telecom Reform: Principles, Policies and Regulatory Practices, provides a comprehensive and definitive review and assessment of the unfolding telecom reform process, and its implications for information society development. It is an invaluable resource and authoritative reference on telecom reform...... and information infrastructure issues - for people in government, academia, industry and the consulting community. This book addresses the process of policy and regulatory reform in telecom that is now in its formative stage. It draws on detailed knowledge of industry development and regulatory experience......, as well as expertise in the new technologies, industries, economics, policy development, and law to present and critique the principles, policies and regulatory practices associated with telecom reform. Twenty six international experts address thirty two topics that are essential to successful telecom...

  3. Multiplanar reconstruction computed tomography for diagnosis of scaphoid waist fracture union: a prospective cohort analysis of accuracy and precision

    Energy Technology Data Exchange (ETDEWEB)

    Hannemann, P.F.W.; Brouwers, L.; Gottgens, K.W.A.; Poeze, M.; Brink, P.R.G. [Maastricht University Medical Centre, Department of Surgery and Traumasurgery, PO Box 5800, Maastricht (Netherlands); Zee, D. van der; Stadler, A.; Weijers, R. [Maastricht University Medical Centre, Department of radiology, PO Box 5800, Maastricht (Netherlands)

    2013-10-15

    To examine reliability and validity concerning union of scaphoid fractures determined by multiplanar reconstruction computed tomography randomized at 6, 12, and 24 weeks after injury. We used Fleiss' kappa to measure the opinions of three observers reviewing 44 sets of computed tomographic scans of 44 conservatively treated scaphoid waist fractures. We calculated kappa for the extent of consolidation (0-24 %, 25-49 %, 50-74 %, or 75-100 %) on the transverse, sagittal and coronal views. We also calculated kappa for no union, partial union, and union, and grouped the results for 6, 12, and 24 weeks after injury. As the reference standard for union, CT scans were performed at a minimum of 6 months after injury to determine validity. Overall inter-observer agreement was found to be moderate ({kappa} = 0.576). No union ({kappa} = 0.791), partial union ({kappa} = 0.502), and union ({kappa} = 0.683) showed substantial, moderate, and substantial agreement, respectively. The average sensitivity of multiplanar reconstruction CT for diagnosing union of scaphoid waist fractures was 73 %. The average specificity was 80 %. Our results suggest that multiplanar reconstruction computed tomography is a reliable and accurate method for diagnosing union or nonunion of scaphoid fractures. However, inter-observer agreement was lower with respect to partial union. (orig.)

  4. Multiplanar reconstruction computed tomography for diagnosis of scaphoid waist fracture union: a prospective cohort analysis of accuracy and precision

    International Nuclear Information System (INIS)

    Hannemann, P.F.W.; Brouwers, L.; Gottgens, K.W.A.; Poeze, M.; Brink, P.R.G.; Zee, D. van der; Stadler, A.; Weijers, R.

    2013-01-01

    To examine reliability and validity concerning union of scaphoid fractures determined by multiplanar reconstruction computed tomography randomized at 6, 12, and 24 weeks after injury. We used Fleiss' kappa to measure the opinions of three observers reviewing 44 sets of computed tomographic scans of 44 conservatively treated scaphoid waist fractures. We calculated kappa for the extent of consolidation (0-24 %, 25-49 %, 50-74 %, or 75-100 %) on the transverse, sagittal and coronal views. We also calculated kappa for no union, partial union, and union, and grouped the results for 6, 12, and 24 weeks after injury. As the reference standard for union, CT scans were performed at a minimum of 6 months after injury to determine validity. Overall inter-observer agreement was found to be moderate (κ = 0.576). No union (κ = 0.791), partial union (κ = 0.502), and union (κ = 0.683) showed substantial, moderate, and substantial agreement, respectively. The average sensitivity of multiplanar reconstruction CT for diagnosing union of scaphoid waist fractures was 73 %. The average specificity was 80 %. Our results suggest that multiplanar reconstruction computed tomography is a reliable and accurate method for diagnosing union or nonunion of scaphoid fractures. However, inter-observer agreement was lower with respect to partial union. (orig.)

  5. Evaluation of the resolving power of different angles in MPR images of 16DAS-MDCT

    International Nuclear Information System (INIS)

    Kimura, Mikio; Usui, Junshi; Nozawa, Takeo

    2007-01-01

    In this study, we evaluated the resolving power of three-dimensional (3D) multiplanar reformation (MPR) images with various angles by using 16 data acquisition system multi detector row computed tomography (16DAS-MDCT). We reconstructed the MPR images using data with a 0.75 mm slice thickness of the axial image in this examination. To evaluate resolving power, we used an original new phantom (RC phantom) that can be positioned at any slice angle in MPR images. We measured the modulation transfer function (MTF) by using the methods of measuring pre-sampling MTF, and used Fourier transform of image data of the square wave chart. The scan condition and image reconstruction condition that were adopted in this study correspond to the condition that we use for three-dimensional computed tomographic angiography(3D-CTA) examination of the head in our hospital. The MTF of MPR images showed minimum values at slice angles in parallel with the axial slice, and showed maximum values at the sagittal slice and coronal slice angles that are parallel to the Z-axis. With an oblique MPR image, MTF did not change with angle changes in the oblique sagittal slice plane, but in the oblique coronal slice plane, MTF increased as the tilt angle increased from the axial plane to the Z plane. As a result, we could evaluate the resolving power of a head 3D image by measuring the MTF of the axial image and sagittal image or the coronal image. (author)

  6. [Evaluation of the resolving power of different angles in MPR images of 16DAS-MDCT].

    Science.gov (United States)

    Kimura, Mikio; Usui, Junshi; Nozawa, Takeo

    2007-03-20

    In this study, we evaluated the resolving power of three-dimensional (3D) multiplanar reformation (MPR) images with various angles by using 16 data acquisition system multi detector row computed tomography (16DAS-MDCT) . We reconstructed the MPR images using data with a 0.75 mm slice thickness of the axial image in this examination. To evaluate resolving power, we used an original new phantom (RC phantom) that can be positioned at any slice angle in MPR images. We measured the modulation transfer function (MTF) by using the methods of measuring pre-sampling MTF, and used Fourier transform of image data of the square wave chart. The scan condition and image reconstruction condition that were adopted in this study correspond to the condition that we use for three-dimensional computed tomographic angiography (3D-CTA) examination of the head in our hospital. The MTF of MPR images showed minimum values at slice angles in parallel with the axial slice, and showed maximum values at the sagittal slice and coronal slice angles that are parallel to the Z-axis. With an oblique MPR image, MTF did not change with angle changes in the oblique sagittal slice plane, but in the oblique coronal slice plane, MTF increased as the tilt angle increased from the axial plane to the Z plane. As a result, we could evaluate the resolving power of a head 3D image by measuring the MTF of the axial image and sagittal image or the coronal image.

  7. Administrative Reform

    DEFF Research Database (Denmark)

    Plum, Maja

    Through the example of a Danish reform of educational plans in early childhood education, the paper critically addresses administrative educational reforms promoting accountability, visibility and documentation. Drawing on Foucaultian perspectives, the relation between knowledge and governing...... of administrative technology, tracing how the humanistic values of education embed and are embedded within ‘the professional nursery teacher' as an object and subject of administrative practice. Rather than undermining the humanistic potential of education, it is argued that the technology of accounting...

  8. CT two-dimensional reformation versus three-dimensional volume rendering with regard to surgical findings in the preoperative assessment of the ossicular chain in chronic suppurative otitis media

    International Nuclear Information System (INIS)

    Guo, Yong; Liu, Yang; Lu, Qiao-hui; Zheng, Kui-hong; Shi, Li-jing; Wang, Qing-jun

    2013-01-01

    Purpose: To assess the role of three-dimensional volume rendering (3DVR) in the preoperative assessment of the ossicular chain in chronic suppurative otitis media (CSOM). Materials and methods: Sixty-six patients with CSOM were included in this prospective study. Temporal bone was scanned with a 128-channel multidetector row CT and the axial data was transferred to the workstation for multiplanar reformation (MPR) and 3DVR reconstructions. Evaluation of the ossicular chain according to a three-point scoring system on two-dimensional reformation (2D) and 3DVR was performed independently by two radiologists. The evaluation results were compared with surgical findings. Results: 2D showed over 89% accuracy in the assessment of segmental absence of the ossicular chain in CSOM, no matter how small the segmental size was. 3DVR was as accurate as 2D for the assessment of segmental absence. However, 3DVR was found to be more accurate than 2D in the evaluation of partial erosion of segments. Conclusion: Both 3DVR and 2D are accurate and reliable for the assessment of the ossicular chain in CSOM. The inclusion of 3DVR images in the imaging protocol improves the accuracy of 2D in detecting ossicular erosion from CSOM

  9. CT two-dimensional reformation versus three-dimensional volume rendering with regard to surgical findings in the preoperative assessment of the ossicular chain in chronic suppurative otitis media

    Energy Technology Data Exchange (ETDEWEB)

    Guo, Yong, E-mail: guoyong27@hotmail.com [Department of Radiology, Navy General Hospital, 6# Fucheng Road, Beijing 100048 (China); Liu, Yang, E-mail: liuyangdoc@sina.com [Department of Otorhinolaryngology, Navy General Hospital, 6# Fucheng Road, Beijing 100048 (China); Lu, Qiao-hui, E-mail: Luqiaohui465@126.com [Department of Radiology, Navy General Hospital, 6# Fucheng Road, Beijing 100048 (China); Zheng, Kui-hong, E-mail: zhengkuihong1971@sina.com [Department of Radiology, Navy General Hospital, 6# Fucheng Road, Beijing 100048 (China); Shi, Li-jing, E-mail: Shilijing2003@yahoo.com.cn [Department of Radiology, Navy General Hospital, 6# Fucheng Road, Beijing 100048 (China); Wang, Qing-jun, E-mail: wangqingjun77@163.com [Department of Radiology, Navy General Hospital, 6# Fucheng Road, Beijing 100048 (China)

    2013-09-15

    Purpose: To assess the role of three-dimensional volume rendering (3DVR) in the preoperative assessment of the ossicular chain in chronic suppurative otitis media (CSOM). Materials and methods: Sixty-six patients with CSOM were included in this prospective study. Temporal bone was scanned with a 128-channel multidetector row CT and the axial data was transferred to the workstation for multiplanar reformation (MPR) and 3DVR reconstructions. Evaluation of the ossicular chain according to a three-point scoring system on two-dimensional reformation (2D) and 3DVR was performed independently by two radiologists. The evaluation results were compared with surgical findings. Results: 2D showed over 89% accuracy in the assessment of segmental absence of the ossicular chain in CSOM, no matter how small the segmental size was. 3DVR was as accurate as 2D for the assessment of segmental absence. However, 3DVR was found to be more accurate than 2D in the evaluation of partial erosion of segments. Conclusion: Both 3DVR and 2D are accurate and reliable for the assessment of the ossicular chain in CSOM. The inclusion of 3DVR images in the imaging protocol improves the accuracy of 2D in detecting ossicular erosion from CSOM.

  10. Changes in fatigue, multiplanar knee laxity, and landing biomechanics during intermittent exercise.

    Science.gov (United States)

    Shultz, Sandra J; Schmitz, Randy J; Cone, John R; Henson, Robert A; Montgomery, Melissa M; Pye, Michele L; Tritsch, Amanda J

    2015-05-01

    Knee laxity increases during exercise. However, no one, to our knowledge, has examined whether these increases contribute to higher-risk landing biomechanics during prolonged, fatiguing exercise. To examine associations between changes in fatigue (measured as sprint time [SPTIME]), multiplanar knee laxity (anterior-posterior [APLAX], varus-valgus [VVLAX] knee laxity, and internal-external rotation [IERLAX]) knee laxity and landing biomechanics during prolonged, intermittent exercise. Descriptive laboratory study. Laboratory and gymnasium. A total of 30 male (age = 20.3 ± 2.0 years, height = 1.79 ± 0.05 m, mass = 75.2 ± 7.2 kg) and 29 female (age = 20.5 ± 2.3 years, height = 1.67 ± 0.08 m, mass = 61.8 ± 9.0 kg) competitive athletes. A 90-minute intermittent exercise protocol (IEP) designed to simulate the physiologic and biomechanical demands of a soccer match. We measured SPTIME, APLAX, and landing biomechanics before and after warm-up, every 15 minutes during the IEP, and every 15 minutes for 1 hour after the IEP. We measured VVLAX and IERLAX before and after the warm-up, at 45 and 90 minutes during the IEP, and at 30 minutes after the IEP. We used hierarchical linear modeling to examine associations between exercise-related changes in SPTIME and knee laxity with exercise-related changes in landing biomechanics while controlling for initial (before warm-up) knee laxity. We found that SPTIME had a more global effect on landing biomechanics in women than in men, resulting in a more upright landing and a reduction in landing forces and out-of-plane motions about the knee. As APLAX increased with exercise, women increased their knee internal-rotation motion (P = .02), and men increased their hip-flexion motion and energy-absorption (P = .006) and knee-extensor loads (P = .04). As VVLAX and IERLAX increased, women went through greater knee-valgus motion and dorsiflexion and absorbed more energy at the knee (P ≤ .05), whereas men were positioned in greater hip

  11. First performance evaluation of software for automatic segmentation, labeling and reformation of anatomical aligned axial images of the thoracolumbar spine at CT.

    Science.gov (United States)

    Scholtz, Jan-Erik; Wichmann, Julian L; Kaup, Moritz; Fischer, Sebastian; Kerl, J Matthias; Lehnert, Thomas; Vogl, Thomas J; Bauer, Ralf W

    2015-03-01

    To evaluate software for automatic segmentation, labeling and reformation of anatomical aligned axial images of the thoracolumbar spine on CT in terms of accuracy, potential for time savings and workflow improvement. 77 patients (28 women, 49 men, mean age 65.3±14.4 years) with known or suspected spinal disorders (degenerative spine disease n=32; disc herniation n=36; traumatic vertebral fractures n=9) underwent 64-slice MDCT with thin-slab reconstruction. Time for automatic labeling of the thoracolumbar spine and reconstruction of double-angulated axial images of the pathological vertebrae was compared with manually performed reconstruction of anatomical aligned axial images. Reformatted images of both reconstruction methods were assessed by two observers regarding accuracy of symmetric depiction of anatomical structures. In 33 cases double-angulated axial images were created in 1 vertebra, in 28 cases in 2 vertebrae and in 16 cases in 3 vertebrae. Correct automatic labeling was achieved in 72 of 77 patients (93.5%). Errors could be manually corrected in 4 cases. Automatic labeling required 1min in average. In cases where anatomical aligned axial images of 1 vertebra were created, reconstructions made by hand were significantly faster (pquality with excellent inter-observer agreement. The evaluated software for automatic labeling and anatomically aligned, double-angulated axial image reconstruction of the thoracolumbar spine on CT is time-saving when reconstructions of 2 and more vertebrae are performed. Checking results of automatic labeling is necessary to prevent errors in labeling. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  12. Reform and Backlash to Reform

    DEFF Research Database (Denmark)

    Hougaard Jensen, Svend E.; Hagen Jørgensen, Ole

    Using a stochastic general equilibrium model with overlapping generations, this paper studies (i) the effects on both extensive and intensive labor supply responses to changes in fertility rates, and (ii) the potential of a retirement reform to mitigate the effects of fertility changes on labor s...

  13. First performance evaluation of software for automatic segmentation, labeling and reformation of anatomical aligned axial images of the thoracolumbar spine at CT

    Energy Technology Data Exchange (ETDEWEB)

    Scholtz, Jan-Erik, E-mail: janerikscholtz@gmail.com; Wichmann, Julian L.; Kaup, Moritz; Fischer, Sebastian; Kerl, J. Matthias; Lehnert, Thomas; Vogl, Thomas J.; Bauer, Ralf W.

    2015-03-15

    Highlights: •Automatic segmentation and labeling of the thoracolumbar spine. •Automatically generated double-angulated and aligned axial images of spine segments. •High grade of accurateness for the symmetric depiction of anatomical structures. •Time-saving and may improve workflow in daily practice. -- Abstract: Objectives: To evaluate software for automatic segmentation, labeling and reformation of anatomical aligned axial images of the thoracolumbar spine on CT in terms of accuracy, potential for time savings and workflow improvement. Material and methods: 77 patients (28 women, 49 men, mean age 65.3 ± 14.4 years) with known or suspected spinal disorders (degenerative spine disease n = 32; disc herniation n = 36; traumatic vertebral fractures n = 9) underwent 64-slice MDCT with thin-slab reconstruction. Time for automatic labeling of the thoracolumbar spine and reconstruction of double-angulated axial images of the pathological vertebrae was compared with manually performed reconstruction of anatomical aligned axial images. Reformatted images of both reconstruction methods were assessed by two observers regarding accuracy of symmetric depiction of anatomical structures. Results: In 33 cases double-angulated axial images were created in 1 vertebra, in 28 cases in 2 vertebrae and in 16 cases in 3 vertebrae. Correct automatic labeling was achieved in 72 of 77 patients (93.5%). Errors could be manually corrected in 4 cases. Automatic labeling required 1 min in average. In cases where anatomical aligned axial images of 1 vertebra were created, reconstructions made by hand were significantly faster (p < 0.05). Automatic reconstruction was time-saving in cases of 2 and more vertebrae (p < 0.05). Both reconstruction methods revealed good image quality with excellent inter-observer agreement. Conclusion: The evaluated software for automatic labeling and anatomically aligned, double-angulated axial image reconstruction of the thoracolumbar spine on CT is time

  14. Multislice spiral computed tomography imaging in congenital inner ear malformations.

    Science.gov (United States)

    Ma, Hui; Han, Ping; Liang, Bo; Tian, Zhi-liang; Lei, Zi-qiao; Kong, Wei-jia; Feng, Gan-sheng

    2008-01-01

    The purpose of this study is to evaluate the usefulness of multislice spiral computed tomography (CT) in the diagnosis of congenital inner ear malformations. Forty-four patients with sensorineural hearing loss were examined on a Somatom Sensation 16 (Siemens) CT scanner. The 3-dimensional reconstructions and multiplanar reformation (MPR) were performed using the volume-rendering technique (VRT) on the workstation. Of the 44 patients examined for this study, 25 patients were found to be normal and 19 patients (36 ears) were diagnosed with congenital inner ear malformations. Of the malformations, the axial, MPR, and VRT images can all display the site and degree in 33 of the ears. Volume-rendering technique images were superior to the axial images in displaying the malformations in 3 ears with small lateral semicircular canal malformations. The common malformations were Michel deformity (1 ear), common cavity deformity (3 ears), incomplete partition I (3 ears), incomplete partition II (Mondini deformity) (5 ears), vestibular and semicircular canal malformations (14 ears), enlarged vestibular aqueduct (16 ears, 6 of which had other malformations), and internal auditory canal malformation (8 ears, all accompanied by other malformations). Multislice spiral CT allows a comprehensively assessment of various congenital inner ear malformations through high-quality MPR and VRT reconstructions. Volume-rendering technique images can display the site and degree of the malformation 3-dimensionally and intuitionisticly. This is very useful to the cochlear implantation.

  15. The contribution of high-resolution multiplanar reformats of the skull base to the detection of skull-base fractures

    International Nuclear Information System (INIS)

    Connor, S.E.J.; Flis, C.

    2005-01-01

    AIM: To investigate the contribution of routine review of submillimetric multiplanar reformats to the diagnosis of skull-base fractures. METHODS: A prospective analysis was performed of 407 cases referred over a 6-month period for CT of the skull following cranial trauma. The reformatted 5-mm axial sections and subsequently the high-resolution multiplanar reformats (HRMPRs) were viewed on an ADW 4.1 workstation using bone windows and algorithm. All skull-base fractures and related features, recorded by the consensus of two radiologists, were classified as anatomically significant or non-significant on the basis of eight criteria. The clinical features of skull-base injury and any subsequent treatment were noted in all cases of skull-base fracture. RESULTS: HRMPRs detected 80 separate skull-base fractures in 36/407 cases. Of these 80 fractures, 57 were visible on 5-mm axial sections. In 8 of the 36 cases, the significant anatomical features were only evident on review of the HRMPRs. In 6 of the 36 cases, none of the skull-base fractures was visible on 5-mm sections, but these individuals had only minor associated clinical features and no therapeutic requirements. Review of HRMPRs could have been confined to patients with skull-base fractures, abnormal intracranial and extracranial air collections or opacified mastoid air cells revealed by 5-mm axial sections. This policy would have led to the detection of 79/80 (99%) of skull-base fractures and all significant anatomical features. CONCLUSION: The 5-mm axial sections demonstrated 71% of skull-base fractures and 78% of skull-base fractures with significant anatomical features, using HRMPRs as a gold standard. There were no significant clinical sequelae at short-term follow-up of those fractures only evident on HRMPRs

  16. Three-dimensional isotropic fat-suppressed proton density-weighted MRI at 3 tesla using a T/R-coil can replace multiple plane two-dimensional sequences in knee imaging

    Energy Technology Data Exchange (ETDEWEB)

    Homsi, R.; Luetkens, J.A. [Bonn Univ. (Germany). Dept. of Radiology; Gieseke, J. [Philips Healthcare, Hamburg (Germany); and others

    2016-10-15

    To evaluate whether a 3D proton density-weighted fat-suppressed sequence (PDwFS) of the knee is able to replace multiplanar 2D-PDwFS. 52 patients (26 men, mean age: 41.9±14.5 years) underwent magnetic resonance imaging (MRI) of the knee at 3.0 Tesla using a T/R-coil. The imaging protocol included 3 planes of 2D-PDwFS (acquisition time (AT): 6:40 min; voxel sizes: 0.40-0.63 x 0.44-0.89 x 3 mm{sup 3}) and a 3D-PDwFS (AT: 6:31 min; voxel size: 0.63 x 0.68 x 0.63 mm{sup 3}). Homogeneity of fat suppression (HFS), artifacts, and image sharpness (IS) were evaluated on a 5-point scale (5[excellent] - 1[non-diagnostic]). The sum served as a measure for the overall image quality (OIQ). Contrast ratios (CR) compared to popliteal muscle were calculated for the meniscus (MEN), anterior (ACL) and posterior cruciate ligaments (PCL). In 13 patients who underwent arthroscopic knee surgery, two radiologists evaluated the presence of meniscal, ligamental and cartilage lesions to estimate the sensitivity and specificity of lesion detection. The CR was higher in the ACL, PCL and MEN in 3D- PDwFS compared to 2D-PDwFS (p<0.01 for ACL and PCL; p=0.07 for MEN). Compared to 2D images, the OIQ was rated higher in 3D-PDwFS images (p<0.01) due to fewer artifacts and HFS despite the lower IS (p<0.01). The sensitivity and specificity of lesion detection in 3D- and 2D-PDwFS were similar. Compared to standard multiplanar 2D-PDwFS knee imaging, isotropic high spatial resolution 3D-PDwFS of the knee at 3.0T can be acquired with high image quality in a reasonable scan time. Multiplanar reformations in arbitrary planes may serve as an additional benefit of 3D-PDwFS.

  17. Arbitration Reform

    Directory of Open Access Journals (Sweden)

    Svetlana Stepurina

    2017-01-01

    Full Text Available УДК 347.73:341.63Subject. This informational article highlights recent changes to the Russian legislation on arbitration.Purpose. To highlight the most important aspects of arbitration law reform, and examines the effects they will have on the development of arbitration in RussiaMethodology. The author uses a formal-legal method.Results, scope of application. The author distinguishes the difference between constantly acting arbitration courts and arbitration courts ad hoc. The special status of a number of arbitration institutions (the ICAC and MAC at the Russian Chamber of Commerce and Industry, is contrary to the constitutional principle of equality under the law. A major achievement of the new legislation on arbitration courts is expanding the range arbitrarily disputes.Conclusions. The new legislation more clearly prescribed the interaction of arbitration and state courts, including requiring the latter to promote the arbitrators, acting under the regulations of the permanent arbitration institutions in obtaining evidence.In addition, the reform of the arbitration law have left aside the problem of improving the quality of judicial control over arbitration decisions.The arbitration law will still be able to improve the arbitration, to enhance its credibility and attractiveness for the participants of civil turnover.

  18. MR imaging of invasive carcinoma of the uterine cervix

    International Nuclear Information System (INIS)

    Lien, H.H.

    1999-01-01

    MR imaging is noninvasive and provides direct multiplanar images with good contrast between different soft tissues. It has a potential in distinguishing normal from abnormal tissue and is a valuable technique in examination of the female pelvis. This report reviews the present role of MR imaging in the initial work-up of patients with carcinoma of the uterine cervix. (orig./AJ)

  19. Evaluation of imaging reformation with cone beam computed tomography for the assessment of bone density and shape in mandible

    International Nuclear Information System (INIS)

    Hong, Sang Woo; Kim, Gyu Tae; Choi, Yong Suk; Hwan, Eui Hwan

    2008-01-01

    Diagnostic estimation of destruction and formation of bone has the typical limit according to capacity of x-ray generator and image detector. So the aim of this study was to find out how much it can reproduce the shape and the density of bone in the case of using recently developed dental type of cone beam computed tomography, and which image is applied by new detector and mathematic calculation. Cone beam computed tomography (PSR 9000N, Asahi Roentgen Ind. Co., Ltd., Japan) and soft x-ray radiography were executed on dry mandible that was already decalcified during 5 hours, 10 hours, 15 hours, 20 hours, and 25 hours. Estimating and comparing of those came to the following results. The change of inferior border of mandible and anterior border of ramous in the region of cortical bone was observed between first 5 and 10 hours of decalcification. The reproduction of shape and density in the region of cortical bone and cancellous bone can be hardly observed at cone beam computed tomography compared with soft x-ray radiography. The difference of decrease of bone density according to hours of decalcification increase was not reproduced at cone beam computed tomography compared with soft x-ray radiography. CBCT images revealed higher spatial resolution. However, contrast resolution in region of low contrast sensitivity is the inferiority of images' property.

  20. Steepest Ascent Tariff Reform

    DEFF Research Database (Denmark)

    Raimondos-Møller, Pascalis; Woodland, Alan

    2014-01-01

    . In undertaking this task, and by focusing on tariff reforms, we introduce the concept of a steepest ascent policy reform, which is a locally optimal reform in the sense that it achieves the highest marginal gain in utility of any feasible local reform. We argue that this reform presents itself as a natural......The policy reform literature is primarily concerned with the construction of reforms that yield welfare gains. By contrast, this paper’s contribution is to develop a theoretical concept for which the focus is upon the sizes of welfare gains accruing from policy reforms rather than upon their signs...... benchmark for the evaluation of the welfare effectiveness of other popular tariff reforms such as the proportional tariff reduction and the concertina rules, since it provides the maximal welfare gain of all possible local reforms. We derive properties of the steepest ascent tariff reform, construct...

  1. 256-slice CT coronary angiography in atrial fibrillation: The impact of mean heart rate and heart rate variability on image quality

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Liang-Kuang [Department of Radiology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan (China); College of Medicine, Fu Jen Catholic University, Taipei, Taiwan (China); Hsu, Shih-Ming [Department of Biomedical Imaging and Radiological Science, China Medical University, Taichung, Taiwan (China); Mok, Greta S.P. [Department of Electrical and Electronics Engineering, Faculty of Science and Technology, University of Macau, Macau (China); Law, Wei-Yip; Lu, Kun-Mu [Department of Radiology, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan (China); Yang, Ching-Ching, E-mail: g39220003@yahoo.com.tw [Department of Radiological Technology, Tzu Chi College of Technology, 880, Sec.2, Chien-kuo Rd. Hualien 970, Taiwan (China); Wu, Tung-Hsin, E-mail: tung@ym.edu.tw [Department of Biomedical Imaging and Radiological Sciences, National Yang Ming University, 155 Li-Nong St., Sec. 2, Taipei 112, Taiwan (China)

    2011-08-21

    Objective: The aim of this study was to evaluate the image quality of 256-MDCT in atrial fibrillation and to compare the findings with those among patients in sinus rhythm. Materials: All reconstructed images were evaluated by two independent experienced readers blinded to patient information, heart rate, and ECG results to assess the diagnostic quality of images of the coronary artery segments using axial images, multi-planar reformations, maximum intensity projections, and volume rendering technique. Results: No statistical significance was detected in terms of the overall image quality between patients in sinus rhythm and with atrial fibrillation. Pearson's correlation analysis showed no significant association between image quality and mean heart rate no matter for patients in sinus rhythm or with atrial fibrillation. Similarly, there was no correlation between image quality and heart rate variability for either patients in sinus rhythm or with atrial fibrillation. Our results showed that the optimal reconstruction window depends on patient's HR, and the pattern for patients in atrial fibrillation is similar to that obtained from non-atrial fibrillation patients. Conclusion: This study shows the potential of using 256-MDCT coronary angiography in patients with atrial fibrillation. Our results suggest that when appropriate reconstruction timing window is applied, patients with atrial fibrillation do not have to be excluded from MDCT coronary angiographic examinations.

  2. 256-slice CT coronary angiography in atrial fibrillation: The impact of mean heart rate and heart rate variability on image quality

    International Nuclear Information System (INIS)

    Chen, Liang-Kuang; Hsu, Shih-Ming; Mok, Greta S.P.; Law, Wei-Yip; Lu, Kun-Mu; Yang, Ching-Ching; Wu, Tung-Hsin

    2011-01-01

    Objective: The aim of this study was to evaluate the image quality of 256-MDCT in atrial fibrillation and to compare the findings with those among patients in sinus rhythm. Materials: All reconstructed images were evaluated by two independent experienced readers blinded to patient information, heart rate, and ECG results to assess the diagnostic quality of images of the coronary artery segments using axial images, multi-planar reformations, maximum intensity projections, and volume rendering technique. Results: No statistical significance was detected in terms of the overall image quality between patients in sinus rhythm and with atrial fibrillation. Pearson's correlation analysis showed no significant association between image quality and mean heart rate no matter for patients in sinus rhythm or with atrial fibrillation. Similarly, there was no correlation between image quality and heart rate variability for either patients in sinus rhythm or with atrial fibrillation. Our results showed that the optimal reconstruction window depends on patient's HR, and the pattern for patients in atrial fibrillation is similar to that obtained from non-atrial fibrillation patients. Conclusion: This study shows the potential of using 256-MDCT coronary angiography in patients with atrial fibrillation. Our results suggest that when appropriate reconstruction timing window is applied, patients with atrial fibrillation do not have to be excluded from MDCT coronary angiographic examinations.

  3. Maximum intensity projection MR angiography using shifted image data

    International Nuclear Information System (INIS)

    Machida, Yoshio; Ichinose, Nobuyasu; Hatanaka, Masahiko; Goro, Takehiko; Kitake, Shinichi; Hatta, Junicchi.

    1992-01-01

    The quality of MR angiograms has been significantly improved in past several years. Spatial resolution, however, is not sufficient for clinical use. On the other hand, MR image data can be filled at anywhere using Fourier shift theorem, and the quality of multi-planar reformed image has been reported to be improved remarkably using 'shifted data'. In this paper, we have clarified the efficiency of 'shifted data' for maximum intensity projection MR angiography. Our experimental studies and theoretical consideration showd that the quality of MR angiograms has been significantly improved using 'shifted data' as follows; 1) remarkable reduction of mosaic artifact, 2) improvement of spatial continuity for the blood vessels, and 3) reduction of variance for the signal intensity along the blood vessels. In other words, the angiograms looks much 'finer' than conventional ones, although the spatial resolution is not improved theoretically. Furthermore, we found the quality of MR angiograms dose not improve significantly with the 'shifted data' more than twice as dense as ordinal ones. (author)

  4. Musculoskeletal applications of magnetic resonance imaging: Council on Scientific Affairs

    International Nuclear Information System (INIS)

    Harms, S.E.; Fisher, C.F.; Fulmer, J.M.

    1989-01-01

    Magnetic resonance imaging provides superior contrast, resolution, and multiplanar imaging capability, allowing excellent definition of soft-tissue and bone marrow abnormalities. For these reasons, magnetic resonance imaging has become a major diagnostic imaging method for the evaluation of many musculoskeletal disorders. The applications of magnetic resonance imaging for musculoskeletal diagnosis are summarized and examples of common clinical situations are given. General guidelines are suggested for the musculoskeletal applications of magnetic resonance imaging

  5. Image quality of iterative reconstruction in cranial CT imaging: comparison of model-based iterative reconstruction (MBIR) and adaptive statistical iterative reconstruction (ASiR).

    Science.gov (United States)

    Notohamiprodjo, S; Deak, Z; Meurer, F; Maertz, F; Mueck, F G; Geyer, L L; Wirth, S

    2015-01-01

    The purpose of this study was to compare cranial CT (CCT) image quality (IQ) of the MBIR algorithm with standard iterative reconstruction (ASiR). In this institutional review board (IRB)-approved study, raw data sets of 100 unenhanced CCT examinations (120 kV, 50-260 mAs, 20 mm collimation, 0.984 pitch) were reconstructed with both ASiR and MBIR. Signal-to-noise (SNR) and contrast-to-noise (CNR) were calculated from attenuation values measured in caudate nucleus, frontal white matter, anterior ventricle horn, fourth ventricle, and pons. Two radiologists, who were blinded to the reconstruction algorithms, evaluated anonymized multiplanar reformations of 2.5 mm with respect to depiction of different parenchymal structures and impact of artefacts on IQ with a five-point scale (0: unacceptable, 1: less than average, 2: average, 3: above average, 4: excellent). MBIR decreased artefacts more effectively than ASiR (p ASiR was 2 (p ASiR (p ASiR. As CCT is an examination that is frequently required, the use of MBIR may allow for substantial reduction of radiation exposure caused by medical diagnostics. • Model-Based iterative reconstruction (MBIR) effectively decreased artefacts in cranial CT. • MBIR reconstructed images were rated with significantly higher scores for image quality. • Model-Based iterative reconstruction may allow reduced-dose diagnostic examination protocols.

  6. Interpretation of Radiological Images: Towards a Framework of Knowledge and Skills

    Science.gov (United States)

    van der Gijp, A.; van der Schaaf, M. F.; van der Schaaf, I. C.; Huige, J. C. B. M.; Ravesloot, C. J.; van Schaik, J. P. J.; ten Cate, Th. J.

    2014-01-01

    The knowledge and skills that are required for radiological image interpretation are not well documented, even though medical imaging is gaining importance. This study aims to develop a comprehensive framework of knowledge and skills, required for two-dimensional and multiplanar image interpretation in radiology. A mixed-method study approach was…

  7. Multi-slice spiral CT multiplanar reconstruction findings of localized fat collection adjection to the subdiaphragmatic inferior vena cava

    International Nuclear Information System (INIS)

    Cao Hetao; Lu Jian; Zhao Jinli; Liu Tingting; Qin Jufeng; Xu Wen; Qin Jiangchun; Jiang Junkang

    2012-01-01

    Objective: To discusses the MSCT multiplanar reconstruction manifestation (MPR) of localized fat collection adjection to subdiaphragmatic inferior vena cava (IVC fat ). Methods: The thoracic and abdominal MSCT scan data of 8246 patients were browsed,45 patients with presumed IVC fat on axial CT scans were further studied prospectively with MSCT MPR. The predisposing position of IVC fat and its relationship with IVC were observed. It was divided into two kinds of intraluminal type and extraluminal type according to the angle of IVC fat with respect of the wall of IVC.The other 50 patients without IVC fat were randomly selected as the control group. The sagittal inclination angle (SIA) and diameter ratio (DR) between supra- and sub-diaphragmatic IVC between the two groups were compared by using t test. Results: The detection rate was 0.55% (45/8246). Of which hepatic vein lacuna 8 patients, subdiaphragmatic gap medial to IVC 28 patients and IVC groove 9 patients. The shape of IVC fat showed mainly for the round, oval and crescents on axial CT scans, of 15 patients intraluminal type, 4 showed 'target signs'. The shape of IVC fat showed mainly for 'half-moon' at MPR.The SIA and DR at IVC fat group were 21.62° ± 8.42° and 2.01 ±0.84 respectively, at control group were 16.75° ±7.82° (t=1.594, P>0.05) and 1.31 ±0.28 (t=2.341, P<0.05) respectively. Conclusion: The round, oval or half of limited fat density shadow adjection to subdiaphragmatic inferior vena cava which similar to in the lumen is the characteristic performance of IVC fat , it may be an anatomical variation. (authors)

  8. Constitutional reform as process

    OpenAIRE

    Schultze, Rainer-Olaf (Prof.)

    2000-01-01

    Constitutional reform as process. - In: The politics of constitutional reform in North America / Rainer-Olaf Schultze ... (eds.). - Opladen : Leske + Budrich, 2000. - S. 11-31. - (Politikwissenschaftliche paperbacks ; 30)

  9. Reforming Organizational Structures

    OpenAIRE

    Van de Walle, Steven

    2016-01-01

    textabstractPublic sectors have undergone major transformations. Public sector reform touches upon the core building blocks of the public sector: organizational structures, people and finances. These are objects of reform. This chapter presents and discusses a set of major transformations with regard to organizational structures. It provides readers a fairly comprehensive overview of the key reforms that have taken place in Western public sectors. Structural reforms in the public sector show ...

  10. Health system reform.

    Science.gov (United States)

    Ortolon, Ken

    2009-06-01

    A vote on reforming the nation's health care system seems likely this summer as President Obama makes good on a campaign pledge. Although the Democratic leadership in Congress appears ready to push through reform legislation before the next election, TMA and AMA leaders say very little is known about what that "reform" likely will look like.

  11. Steepest Ascent Tariff Reforms

    DEFF Research Database (Denmark)

    Raimondos-Møller, Pascalis; Woodland, Alan D.

    2006-01-01

    a theoretical concept where the focus is upon the size of welfare gains accruing from tariff reforms rather than simply with the direction of welfare effects that has been the concern of theliterature.JEL code: F15.Keywords: Steepest ascent tariff reforms; piecemeal tariff policy; welfare; market access; small......This paper introduces the concept of a steepest ascent tariff reform for a small open economy. By construction, it is locally optimal in that it yields the highest gain in utility of any feasible tariff reform vector of the same length. Accordingly, it provides a convenient benchmark...... for the evaluation of the welfare effectiveness of other well known tariff reform rules, as e.g. the proportional and the concertina rules. We develop the properties of this tariff reform, characterize the sources of the potential welfare gains from tariff reform, use it to establish conditions under which some...

  12. Usefulness of three dimensional reconstructive images for thoracic trauma induced fractures

    Energy Technology Data Exchange (ETDEWEB)

    Koh, Kyung Hun; Kim, Dong Hun; Kim, Young Sook; Byun, Joo Nam [Chosun University Hospital, Gwangju (Korea, Republic of)

    2006-09-15

    We wanted to evaluate the usefulness of three-dimensional reconstructive images using multidetector computed tomography (MDCT) for thoracic traumatic patients visiting emergency room. 76 patients with fractures of the 105 patients who visited our emergency room with complaints of thoracic trauma were analyzed retrospectively. All the patients had thoracic MDCT performed and the three-dimensional reconstructive images were taken. The fractures were confirmed by axial CT, the clinical information, whole body bone scanning and the multiplanar reformation images. Plain x-ray images were analyzed by the fractured sites in a blind comparison of two radiologists' readings, and then that finding was compared with the axial CT scans and the three-dimensional reconstructive images. The fracture sites were rib (n 68), sternum (n = 14), clavicle (n = 6), scapula (n = 3), spine (n = 5) and combined fractures (n = 14). Plain x-ray and axial CT scans had a correspondency of 0.555 for the rib fractures. Axial CT scans and the three-dimensional reconstructive images had a correspondency of .952. For sternal fractures, those values were 0.692 and 0.928, respectively. The axial CT scans and three-dimensional reconstructive images showed sensitivities of 94% and 91% for rib and other fractures, respectively, and 93% and 100% for sternal fracture, respectively. Three-dimensional reconstructive image had an especially high sensitivity for the diagnosis of sternal fracture. While evaluating thoracic trauma at the emergency room, the three-dimensional reconstructive image was useful to easily diagnose the extent of fracture and it was very sensitive for detecting sternal fracture.

  13. Usefulness of three dimensional reconstructive images for thoracic trauma induced fractures

    International Nuclear Information System (INIS)

    Koh, Kyung Hun; Kim, Dong Hun; Kim, Young Sook; Byun, Joo Nam

    2006-01-01

    We wanted to evaluate the usefulness of three-dimensional reconstructive images using multidetector computed tomography (MDCT) for thoracic traumatic patients visiting emergency room. 76 patients with fractures of the 105 patients who visited our emergency room with complaints of thoracic trauma were analyzed retrospectively. All the patients had thoracic MDCT performed and the three-dimensional reconstructive images were taken. The fractures were confirmed by axial CT, the clinical information, whole body bone scanning and the multiplanar reformation images. Plain x-ray images were analyzed by the fractured sites in a blind comparison of two radiologists' readings, and then that finding was compared with the axial CT scans and the three-dimensional reconstructive images. The fracture sites were rib (n 68), sternum (n = 14), clavicle (n = 6), scapula (n = 3), spine (n = 5) and combined fractures (n = 14). Plain x-ray and axial CT scans had a correspondency of 0.555 for the rib fractures. Axial CT scans and the three-dimensional reconstructive images had a correspondency of .952. For sternal fractures, those values were 0.692 and 0.928, respectively. The axial CT scans and three-dimensional reconstructive images showed sensitivities of 94% and 91% for rib and other fractures, respectively, and 93% and 100% for sternal fracture, respectively. Three-dimensional reconstructive image had an especially high sensitivity for the diagnosis of sternal fracture. While evaluating thoracic trauma at the emergency room, the three-dimensional reconstructive image was useful to easily diagnose the extent of fracture and it was very sensitive for detecting sternal fracture

  14. Imaging of coronary artery stents using multislice computed tomography: in vitro evaluation

    International Nuclear Information System (INIS)

    Maintz, David; Juergens, Kai-Uwe; Heindel, Walter; Fischbach, Roman; Wichter, Thomas; Grude, Matthias

    2003-01-01

    The aim of this study was to evaluate imaging features of different coronary artery stents during multislice CT Angiography (MSCTA). Nineteen stents made of varying material (steel, nitinol, tantalum) and of varying stent design were implanted in plastic tubes with an inner diameter of 3 mm to simulate a coronary artery. The tubes were filled with iodinated contrast material diluted to 200 Hounsfield units (HU), closed at both ends and positioned in a plastic container filled with oil (-70 HU). The MSCT scans were obtained perpendicular to the stent axes (detector collimation 4 x 1 mm, table feed 2 mm/rotation, 300 mAs, 120 kV). Axial images and multiplanar reformations were evaluated regarding artifact size, lumen visibility, and intraluminal attenuation values. Artifacts characterized by artifactual thickening of the stent struts leading to apparent reduction in the lumen diameter and increased intraluminal attenuation values were observed in all cases. The stent lumen was totally obscured in the Wiktor stent, the Wallgraft stent, and the Nir Royal stent. Partial residual of the stent lumen could be visualized in all other utilized stent products (artificial lumen reductions ranged from 62% in the V-Flex stent to 94% in the Bx Velocity stent). Parts of the stent lumen can be visualized in most coronary artery stents; however, detectability of in-stent stenoses remains to be evaluated for each stent type. (orig.)

  15. The usefulness of three-dimensional imaging with spiral CT in the evaluation of upper airway stenosis

    Energy Technology Data Exchange (ETDEWEB)

    Jang, Won Ho; Yoon, Dae Young; Bae, Sang Hoon; Rho, Young Soo; Jung, Yin Gyo [Hallym Univ. College of Medicine, Seoul (Korea, Republic of)

    1996-01-01

    To assess the usefulness of three-dimensional (3D) spiral CT imaging in patients with upper airway stenosis. We performed 3D spiral CT imagings in ten patients in whom upper airway stenosis was clinically suspected. Eight of these patients had upper airway stenosis caused by intubation or tracheostomy (n-6), tuberculosis (n=1), or extrinsic compression by a thyroid mass (n=1). Spiral CT scanning (30-second continuous exposure and 90-mm length) was performed with a table speed of 3mm/sec and a section thickness of 3mm. The selected starting point was the epiglottis. The resulting data were reformatted by multiplanar reformation (MPR) and shaded surface display (SSD) with peeling after reconstruction of 2mm interval. In the evaluation of location and extent of stenosis, we compared fidings of 3D imaging with those of baseline axial images (n=10), endoscopy (n=9) and operation (n=4). The locations of stenosis in eight patients were as follows;tracheostoma (n=4), subglottic region (n=3), and larynx (n=1). In all eight, 3D imaging demonstrated the location and extent of stenosis, which exactly correlated with endoscopic and operative findings. In one patient, however, another stenotic area in the tracheal bifurcation was not discovered because this lesion was not included in the field of CT scan. In two patients, the diagnosis on 3D images of no 'stenosis' was comfirmed by clinical findings or operation. No differences in diagnostic accuracy were noted between axial images, MPR, and SSD when evalvating the location and extent of stenosis; vertical extent was shown more easily by 3D imaging than by axial images, however. 3D imaging with spiral CT may be an useful adjunctive method in the evaluation of upper airway stenosis with variable causes.

  16. The usefulness of three-dimensional imaging with spiral CT in the evaluation of upper airway stenosis

    International Nuclear Information System (INIS)

    Jang, Won Ho; Yoon, Dae Young; Bae, Sang Hoon; Rho, Young Soo; Jung, Yin Gyo

    1996-01-01

    To assess the usefulness of three-dimensional (3D) spiral CT imaging in patients with upper airway stenosis. We performed 3D spiral CT imagings in ten patients in whom upper airway stenosis was clinically suspected. Eight of these patients had upper airway stenosis caused by intubation or tracheostomy (n-6), tuberculosis (n=1), or extrinsic compression by a thyroid mass (n=1). Spiral CT scanning (30-second continuous exposure and 90-mm length) was performed with a table speed of 3mm/sec and a section thickness of 3mm. The selected starting point was the epiglottis. The resulting data were reformatted by multiplanar reformation (MPR) and shaded surface display (SSD) with peeling after reconstruction of 2mm interval. In the evaluation of location and extent of stenosis, we compared fidings of 3D imaging with those of baseline axial images (n=10), endoscopy (n=9) and operation (n=4). The locations of stenosis in eight patients were as follows;tracheostoma (n=4), subglottic region (n=3), and larynx (n=1). In all eight, 3D imaging demonstrated the location and extent of stenosis, which exactly correlated with endoscopic and operative findings. In one patient, however, another stenotic area in the tracheal bifurcation was not discovered because this lesion was not included in the field of CT scan. In two patients, the diagnosis on 3D images of no 'stenosis' was comfirmed by clinical findings or operation. No differences in diagnostic accuracy were noted between axial images, MPR, and SSD when evalvating the location and extent of stenosis; vertical extent was shown more easily by 3D imaging than by axial images, however. 3D imaging with spiral CT may be an useful adjunctive method in the evaluation of upper airway stenosis with variable causes

  17. Prospective electrocardiogram-gated axial 64-detector computed tomographic angiography vs retrospective gated helical technique to assess coronary artery bypass graft anastomosis. Comparison of image quality and patient radiation dose

    International Nuclear Information System (INIS)

    Machida, Haruhiko; Masukawa, Ai; Tanaka, Isao; Fukui, Rika; Suzuki, Kazufumi; Ueno, Eiko; Kodera, Kojiro; Nakano, Kiyoharu; Shen, Y.

    2010-01-01

    In the present study the effective dose and image quality at distal anastomoses were retrospectively compared between prospective electrocardiogram (ECG)-gated axial and retrospective ECG-gated helical techniques on 64-detector computed tomographic (CT) angiography following coronary artery bypass graft surgery. Following bypass surgery, 52 patients with a heart rate <65 beats/min underwent CT angiography: 26 patients each with prospective and retrospective ECG gating techniques. The effective dose was compared between the 2 groups using a 4-point scale (4, excellent; 1, poor) to grade the quality of curved multiplanar reformation images at distal anastomoses. Patient characteristics of the 2 groups were well matched, and the same CT scan parameters were used for both, except for the interval between surgery and CT examination, tube current, and image noise index. Image quality scores did not differ significantly (3.26±0.95 vs 3.35±0.87; P=0.63), but the effective dose was significantly lower in the prospective (7.3±1.8 mSv) than in the retrospective gating group (23.6±4.5 mSv) (P<0.0001). Following bypass surgery, 64-detector CT angiography using prospective ECG gating is superior to retrospective gating in limiting the radiation dose and maintaining the image quality of distal anastomoses. (author)

  18.  Railway Reforms

    DEFF Research Database (Denmark)

    Asmild, Mette; Holvad, Torben; Hougaard, Jens Leth

    This paper considers railway operations in 23 European countries during 1995-2001, where a series of reform initiatives were launched by the European Commission, and analyses whether these reform initiatives improved the operating efficiency of the railways. Efficiency is measured using Multi......-directional Efficiency Analysis, which enables investigation of how railway reforms affect the inefficiencies of specific cost drivers. The main findings are that the reform initiatives generally improve operating efficiency but potentially differently for different cost drivers. Specifically, the paper provides clear...

  19. Lesotho - Land Administration Reform

    Data.gov (United States)

    Millennium Challenge Corporation — Michigan State University was assigned to design the impact evaluation (IE) of the Land Administration Reform Project (LARP) funded under the Millennium Challenge...

  20. Philippines - Revenue Administration Reform

    Data.gov (United States)

    Millennium Challenge Corporation — The Millennium Challenge Account-Philippines' (MCA-P) implementation of the Revenue Administration Reform Project (RARP) is expected to improve tax administration,...

  1. A service protocol for post-processing of medical images on the mobile device

    Science.gov (United States)

    He, Longjun; Ming, Xing; Xu, Lang; Liu, Qian

    2014-03-01

    With computing capability and display size growing, the mobile device has been used as a tool to help clinicians view patient information and medical images anywhere and anytime. It is uneasy and time-consuming for transferring medical images with large data size from picture archiving and communication system to mobile client, since the wireless network is unstable and limited by bandwidth. Besides, limited by computing capability, memory and power endurance, it is hard to provide a satisfactory quality of experience for radiologists to handle some complex post-processing of medical images on the mobile device, such as real-time direct interactive three-dimensional visualization. In this work, remote rendering technology is employed to implement the post-processing of medical images instead of local rendering, and a service protocol is developed to standardize the communication between the render server and mobile client. In order to make mobile devices with different platforms be able to access post-processing of medical images, the Extensible Markup Language is taken to describe this protocol, which contains four main parts: user authentication, medical image query/ retrieval, 2D post-processing (e.g. window leveling, pixel values obtained) and 3D post-processing (e.g. maximum intensity projection, multi-planar reconstruction, curved planar reformation and direct volume rendering). And then an instance is implemented to verify the protocol. This instance can support the mobile device access post-processing of medical image services on the render server via a client application or on the web page.

  2. Reforming Organizational Structures

    NARCIS (Netherlands)

    S.G.J. Van de Walle (Steven)

    2016-01-01

    textabstractPublic sectors have undergone major transformations. Public sector reform touches upon the core building blocks of the public sector: organizational structures, people and finances. These are objects of reform. This chapter presents and discusses a set of major transformations with

  3. Reforming science: methodological and cultural reforms.

    Science.gov (United States)

    Casadevall, Arturo; Fang, Ferric C

    2012-03-01

    Contemporary science has brought about technological advances and an unprecedented understanding of the natural world. However, there are signs of dysfunction in the scientific community as well as threats from diverse antiscience and political forces. Incentives in the current system place scientists under tremendous stress, discourage cooperation, encourage poor scientific practices, and deter new talent from entering the field. It is time for a discussion of how the scientific enterprise can be reformed to become more effective and robust. Serious reform will require more consistent methodological rigor and a transformation of the current hypercompetitive scientific culture.

  4. Post-processing of digital images.

    Science.gov (United States)

    Perrone, Luca; Politi, Marco; Foschi, Raffaella; Masini, Valentina; Reale, Francesca; Costantini, Alessandro Maria; Marano, Pasquale

    2003-01-01

    Post-processing of bi- and three-dimensional images plays a major role for clinicians and surgeons in both diagnosis and therapy. The new spiral (single and multislice) CT and MRI machines have allowed better quality of images. With the associated development of hardware and software, post-processing has become indispensable in many radiologic applications in order to address precise clinical questions. In particular, in CT the acquisition technique is fundamental and should be targeted and optimized to obtain good image reconstruction. Multiplanar reconstructions ensure simple, immediate display of sections along different planes. Three-dimensional reconstructions include numerous procedures: multiplanar techniques as maximum intensity projections (MIP); surface rendering techniques as the Shaded Surface Display (SSD); volume techniques as the Volume Rendering Technique; techniques of virtual endoscopy. In surgery computer-aided techniques as the neuronavigator, which with information provided by neuroimaging helps the neurosurgeon in simulating and performing the operation, are extremely interesting.

  5. Image quality of iterative reconstruction in cranial CT imaging: comparison of model-based iterative reconstruction (MBIR) and adaptive statistical iterative reconstruction (ASiR)

    Energy Technology Data Exchange (ETDEWEB)

    Notohamiprodjo, S.; Deak, Z.; Meurer, F.; Maertz, F.; Mueck, F.G.; Geyer, L.L.; Wirth, S. [Ludwig-Maximilians University Hospital of Munich, Institute for Clinical Radiology, Munich (Germany)

    2015-01-15

    The purpose of this study was to compare cranial CT (CCT) image quality (IQ) of the MBIR algorithm with standard iterative reconstruction (ASiR). In this institutional review board (IRB)-approved study, raw data sets of 100 unenhanced CCT examinations (120 kV, 50-260 mAs, 20 mm collimation, 0.984 pitch) were reconstructed with both ASiR and MBIR. Signal-to-noise (SNR) and contrast-to-noise (CNR) were calculated from attenuation values measured in caudate nucleus, frontal white matter, anterior ventricle horn, fourth ventricle, and pons. Two radiologists, who were blinded to the reconstruction algorithms, evaluated anonymized multiplanar reformations of 2.5 mm with respect to depiction of different parenchymal structures and impact of artefacts on IQ with a five-point scale (0: unacceptable, 1: less than average, 2: average, 3: above average, 4: excellent). MBIR decreased artefacts more effectively than ASiR (p < 0.01). The median depiction score for MBIR was 3, whereas the median value for ASiR was 2 (p < 0.01). SNR and CNR were significantly higher in MBIR than ASiR (p < 0.01). MBIR showed significant improvement of IQ parameters compared to ASiR. As CCT is an examination that is frequently required, the use of MBIR may allow for substantial reduction of radiation exposure caused by medical diagnostics. (orig.)

  6. Image quality of iterative reconstruction in cranial CT imaging: comparison of model-based iterative reconstruction (MBIR) and adaptive statistical iterative reconstruction (ASiR)

    International Nuclear Information System (INIS)

    Notohamiprodjo, S.; Deak, Z.; Meurer, F.; Maertz, F.; Mueck, F.G.; Geyer, L.L.; Wirth, S.

    2015-01-01

    The purpose of this study was to compare cranial CT (CCT) image quality (IQ) of the MBIR algorithm with standard iterative reconstruction (ASiR). In this institutional review board (IRB)-approved study, raw data sets of 100 unenhanced CCT examinations (120 kV, 50-260 mAs, 20 mm collimation, 0.984 pitch) were reconstructed with both ASiR and MBIR. Signal-to-noise (SNR) and contrast-to-noise (CNR) were calculated from attenuation values measured in caudate nucleus, frontal white matter, anterior ventricle horn, fourth ventricle, and pons. Two radiologists, who were blinded to the reconstruction algorithms, evaluated anonymized multiplanar reformations of 2.5 mm with respect to depiction of different parenchymal structures and impact of artefacts on IQ with a five-point scale (0: unacceptable, 1: less than average, 2: average, 3: above average, 4: excellent). MBIR decreased artefacts more effectively than ASiR (p < 0.01). The median depiction score for MBIR was 3, whereas the median value for ASiR was 2 (p < 0.01). SNR and CNR were significantly higher in MBIR than ASiR (p < 0.01). MBIR showed significant improvement of IQ parameters compared to ASiR. As CCT is an examination that is frequently required, the use of MBIR may allow for substantial reduction of radiation exposure caused by medical diagnostics. (orig.)

  7. Dynamic Neuromuscular Control of the Lower Limbs in Response to Unexpected Single-Planar versus Multi-Planar Support Perturbations in Young, Active Adults.

    Science.gov (United States)

    Malfait, Bart; Staes, Filip; de Vries, Aijse; Smeets, Annemie; Hawken, Malcolm; Robinson, Mark A; Vanrenterghem, Jos; Verschueren, Sabine

    2015-01-01

    An anterior cruciate ligament (ACL) injury involves a multi-planar injury mechanism. Nevertheless, unexpected multi-planar perturbations have not been used to screen athletes in the context of ACL injury prevention yet could reveal those more at risk. The objective of this study was to compare neuromuscular responses to multi-planar (MPP) and single-planar perturbations (SPP) during a stepping-down task. These results might serve as a basis for future implementation of external perturbations in ACL injury screening programs. Thirteen young adults performed a single leg stepping-down task in eight conditions (four MPP and four SPP with a specified amplitude and velocity). The amplitudes of vastus lateralis (VL), vastus medialis (VM), hamstrings lateralis (HL), hamstrings medialis (HM) EMG activity, medio-lateral and anterior-posterior centre of mass (COM) displacements, the peak knee flexion and abduction angles were compared between conditions using an one-way ANOVA. Number of stepping responses were monitored during all conditions. Significantly greater muscle activity levels were found in response to the more challenging MPP and SPP compared to the less challenging conditions (p neuromuscular activity were found between the MPP conditions and their equivalents in the SPP. Eighteen stepping responses were monitored in the SPP versus nine in the MPP indicating that the overall neuromuscular control was even more challenged during the SPP which was supported by greater COM displacements in the SPP. The more intense MPP and SPP evoked different neuromuscular responses resulting in greater muscle activity levels compared to small perturbations. Based on the results of COM displacements and based on the amount of stepping responses, dynamic neuromuscular control of the knee joint appeared less challenged during the MPP. Therefore, future work should investigate extensively if other neuromuscular differences (i.e. co-activation patterns and kinetics) exist between MPP

  8. Bone grafting via reamer-irrigator-aspirator for nonunion of open Gustilo-Anderson type III tibial fractures treated with multiplanar external fixator

    Directory of Open Access Journals (Sweden)

    Kusnezov Nicholas

    2017-01-01

    Full Text Available Introduction: The purpose of this investigation was to evaluate the outcomes following reamer-irrigator-aspirator (RIA autogenous bone grafting (ABG of high-grade open tibia fracture nonunions stabilized via multiplanar external fixation. Methods: We retrospectively reviewed all patients with Gustilo-Anderson type III open tibia fractures treated with multiplanar external fixation and who underwent RIA ABG for nonunion at our institutional Level 1 Trauma Center between 2008 and 2015. All patients between 15 and 65 years of age with a minimum of six-month follow-up were included. The primary outcomes of interest were achievement of union, time to union, and incidence of revision surgery. Complications and all-cause reoperation were recorded as secondary endpoints. Results: Fifteen patients met the inclusion criteria with a mean age of 41.1 ± 14.0 years. RIA ABG was harvested from the femur in all cases, with a mean volume of 34 ± 15 mL. At an average follow-up of 13.3 ± 6.8 months, all patients achieved union, including two who required repeat RIA ABG. One patient experienced a femoral shaft fracture four months following RIA that required intramedullary fixation. The average time to union was 6.0 ± 6.3 months. Twelve patients (80% went on to union within six months and 13 (86.7% within one year. Five patients experienced a total of six post-operative complications including three deep infections, one refracture through the nonunion site, and one gradual varus deformity. Two patients in this series required a subsequent RIA autografting procedure secondary to persistent nonunion despite initial RIA. Conclusion: We found that RIA ABG offered a reliable solution to nonunion of Gustilo-Anderson type III open tibial fractures treated with multiplanar external fixation, circumventing the need to change the method of fixation.

  9. CT triage for lung malignancy

    DEFF Research Database (Denmark)

    Kusk, Martin Weber; Karstoft, Jens; Mussmann, Bo

    2015-01-01

    Background: Generation of multiplanar reformation (MPR) images has become automatic on most modern computed tomography (CT) scanners, potentially increasing the workload of the reporting radiologists. It is not always clear if this increases diagnostic performance in all clinical tasks. Purpose...

  10. Image postprocessing of aortic CTA and MRA; Aktuelle Bildnachverarbeitung der aortalen CTA und MRA

    Energy Technology Data Exchange (ETDEWEB)

    Tengg-Kobligk, H. von; Weber, T.F.; Rengier, F.; Kauczor, H.U. [Deutsches Krebsforschungszentrum (DKFZ), Abteilung Radiologie E010, Heidelberg (Germany); Boeckler, D. [Ruprecht-Karls-Universitaet Heidelberg, Klinik fuer Gefaesschirurgie, vaskulaere und endovaskulaere Chrirurgie, Heidelberg (Germany); Schumacher, H. [Klinikum der Stadt Hanau, Klinik fuer Gefaesschirurgie, Hanau (Germany)

    2007-11-15

    Multiplanar reformation (MPR) is the most relevant tool for patient selection and precise procedural planning and also for analyzing postinterventional complications. Curved MPR is used primarily for semiautomated or completely automated calculation of the centerline of the vascular lumen and to estimate the orthogonal vessel diameter and longitudinal extent. Reproducible and accurate measurement of complex pathologies and courses of vessels extends the range of diagnostic radiology. Contemporary scanner consoles allow automated processing of maximum intensity projections (MIP) and standard MPR and their storage in PACS. To improve patient selection, procedural planning, root-cause analysis postoperatively for assessment of treatment effects and to make better communication of findings to nonradiologists possible, volume rendering techniques (VRT) are a beneficial adjunct to source images. With current algorithms semiautomated segmentation is satisfactory for vessels and bones, but not for low-contrast structures (soft tissues), which still need to be segmented manually. In general, isotropic CT source data are preferable to MR images, which are often anisotropic. In many European countries image postprocessing is still not adequately reimbursed although the doctors making referrals often specifically and emphatically demand 3D visualization and measurements in daily practice. (orig.) [German] Die multiplanare Reformatierung (MPR) der Bilddaten aortaler CTA und MRA ist die wichtigste Rekonstruktionsmethode im Hinblick auf eine differenzierte Therapieentscheidung und die praeoperative Therapieplanung sowie die Beschreibung postoperativer Komplikationen. Die gekruemmte MPR wird semiautomatisch bzw. vollstaendig automatisch als Centerline im Gefaesslumen berechnet und fuer die Bestimmung des orthogonalen Durchmessers und der Laengsausdehnung der Pathologie verwendet. Eine reproduzierbar exakte Ausmessung komplexer Pathologien und Gefaesslaengsverlaeufe erweitert das

  11. Reforming Romanian energy policy

    International Nuclear Information System (INIS)

    Perkins, S.

    1993-01-01

    Success in reforming energy sector depends on the implementation of the programme of economic reform agreed in February 1993. The difficulty of the negotiations between the International Monetary Fund and the Romanian government reflects the wider difficulties faced by the economy as a whole. They can be blamed in part on the legacy of uneconomic and inflexible industrial development and in part on opposition from interest groups which stand to lose from reform. Nonetheless, in spite of hesitant approach, the government does appear committed to the economic reform necessary to establish a market-oriented economy. But as the danger of a financial crisis engendered by the inadequately supported short-term borrowing of foreign exchange becomes urgent, the question is whether economic reform can be now implemented fast enough to protect economic enterprises and saving from a debt crisis. The scope for further delay in implementing the 1993 economic reform programme is fast disappearing. Procrastination should not be allowed to threaten the success of the reforms achieved in the energy and other sectors of the economy. 8 refs., 2 figs

  12. [Virtual endoscopic navigation and body transparency based on computed tomography. A step towards in vivo imaging].

    Science.gov (United States)

    Cabanis, Emmanuel-Alain; Gombergh, Rodolphe; Castro, Albert; Gandjbakhch, Iradj; Iba-Zizen, Marie-Thérèse; Dubois, François

    2011-06-01

    Progress in HR-CTdata processing has led to lower X-ray exposure and to better diagnostic performance. We describe 19 adult patients (among 5000) examined by HR CT with 64 detectors, acquisition and exposure protocols in mSv, spiral, 0.6-mm slices, 5To PACS. After the two usual processing steps (60 gray values, 5122 and 10242 matrices, dedicated workstations for coronaroscopy and virtual coloscopy, 2D multiplanar reformation, surfacic, 3D volumes with dissection and navigation), a third original data processing step on additional workstations was added. Variable matrix extrapolated images, flexible colored curves (different from anatomical conventions), lighting (sources) and transparencies (unavailable with traditional endoscopy) were used. The digital film is a 16-minute "journey "consisting of 19 endo-body navigations in 5 regions, from the head to the bronchi, from the heart to the coronary arteries, and from the digestive tract to the abdomen and pelvis. One possible application is post-operative verification of an aortic graft. The movie is illustrated here with ten plates. This new approach is cost-effective and beneficial for the patient, in terms of early diagnosis and therapeutic follow-up. Ethical issues are also examined.

  13. Catalytic reforming methods

    Science.gov (United States)

    Tadd, Andrew R; Schwank, Johannes

    2013-05-14

    A catalytic reforming method is disclosed herein. The method includes sequentially supplying a plurality of feedstocks of variable compositions to a reformer. The method further includes adding a respective predetermined co-reactant to each of the plurality of feedstocks to obtain a substantially constant output from the reformer for the plurality of feedstocks. The respective predetermined co-reactant is based on a C/H/O atomic composition for a respective one of the plurality of feedstocks and a predetermined C/H/O atomic composition for the substantially constant output.

  14. Non-catalytic recuperative reformer

    Science.gov (United States)

    Khinkis, Mark J.; Kozlov, Aleksandr P.; Kurek, Harry

    2015-12-22

    A non-catalytic recuperative reformer has a flue gas flow path for conducting hot flue gas from a thermal process and a reforming mixture flow path for conducting a reforming mixture. At least a portion of the reforming mixture flow path is embedded in the flue gas flow path to permit heat transfer from the hot flue gas to the reforming mixture. The reforming mixture flow path contains substantially no material commonly used as a catalyst for reforming hydrocarbon fuel (e.g., nickel oxide, platinum group elements or rhenium), but instead the reforming mixture is reformed into a higher calorific fuel via reactions due to the heat transfer and residence time. In a preferred embodiment, extended surfaces of metal material such as stainless steel or metal alloy that are high in nickel content are included within at least a portion of the reforming mixture flow path.

  15. Social Security Reform

    National Research Council Canada - National Science Library

    Nuschler, Dawn

    2005-01-01

    .... In recent years, reform ideas have ranged from relatively minor changes to the current pay-as-you-go social insurance system to a redesigned program based on personal savings and investments modeled after IRAs and 401(k...

  16. Feasibility of self-gated isotropic radial late-phase MR imaging of the liver

    Energy Technology Data Exchange (ETDEWEB)

    Weiss, Jakob; Taron, Jana; Othman, Ahmed E.; Kuendel, Matthias; Martirosian, Petros; Ruff, Christer; Schraml, Christina; Nikolaou, Konstantin; Notohamiprodjo, Mike [Eberhard Karls University Tuebingen, Department of Diagnostic and Interventional Radiology, Tuebingen (Germany); Grimm, Robert [Siemens Healthcare MR, Erlangen (Germany)

    2017-03-15

    To evaluate feasibility of a 3D-isotropic self-gated radial volumetric interpolated breath-hold examination (VIBE) for late-phase MRI of the liver. 70 patients were included and underwent liver MRI at 1.5 T. Depending on the diagnosis, either Gd-EOB-DTPA (35 patients) or gadobutrol (35 patients) were administered. During late (gadobutrol) or hepatocyte-specific phase (Gd-EOB-DTPA), a radial prototype sequence was acquired and reconstructed using (1) self-gating with 40 % acceptance (rVIBE{sub 40}); (2) with 100 % acceptance of the data (rVIBE{sub 100}) and compared to Cartesian VIBE (cVIBE). Images were assessed qualitatively (image quality, lesion conspicuity, artefacts; 5-point Likert-scale: 5 = excellent; two independent readers) and quantitatively (coefficient-of-variation (CV); contrast-ratio) in axial and coronal reformations. In eight cases only rVIBE provided diagnostic image quality. Image quality of rVIBE{sub 40} was rated significantly superior (p < 0.05) in Gd-EOB-DTPA-enhanced and coronal reformatted examinations as compared to cVIBE. Lesion conspicuity was significantly improved (p < 0.05) in coronal reformatted Gd-EOB-DTPA-enhanced rVIBE{sub 40} in comparison to cVIBE. CV was higher in rVIBE{sub 40} as compared to rVIBE{sub 100}/cVIBE (p < 0.01). Gadobutrol-enhanced rVIBE{sub 40} and cVIBE showed higher contrast-ratios than rVIBE{sub 100} (p < 0.001), whereas no differences were found in Gd-EOB-DTPA-enhanced examinations. Self-gated 3D-isotropic rVIBE provides significantly superior image quality compared to cVIBE, especially in multiplanar reformatted and Gd-EOB-DTPA-enhanced examinations. (orig.)

  17. Feasibility of self-gated isotropic radial late-phase MR imaging of the liver

    International Nuclear Information System (INIS)

    Weiss, Jakob; Taron, Jana; Othman, Ahmed E.; Kuendel, Matthias; Martirosian, Petros; Ruff, Christer; Schraml, Christina; Nikolaou, Konstantin; Notohamiprodjo, Mike; Grimm, Robert

    2017-01-01

    To evaluate feasibility of a 3D-isotropic self-gated radial volumetric interpolated breath-hold examination (VIBE) for late-phase MRI of the liver. 70 patients were included and underwent liver MRI at 1.5 T. Depending on the diagnosis, either Gd-EOB-DTPA (35 patients) or gadobutrol (35 patients) were administered. During late (gadobutrol) or hepatocyte-specific phase (Gd-EOB-DTPA), a radial prototype sequence was acquired and reconstructed using (1) self-gating with 40 % acceptance (rVIBE_4_0); (2) with 100 % acceptance of the data (rVIBE_1_0_0) and compared to Cartesian VIBE (cVIBE). Images were assessed qualitatively (image quality, lesion conspicuity, artefacts; 5-point Likert-scale: 5 = excellent; two independent readers) and quantitatively (coefficient-of-variation (CV); contrast-ratio) in axial and coronal reformations. In eight cases only rVIBE provided diagnostic image quality. Image quality of rVIBE_4_0 was rated significantly superior (p < 0.05) in Gd-EOB-DTPA-enhanced and coronal reformatted examinations as compared to cVIBE. Lesion conspicuity was significantly improved (p < 0.05) in coronal reformatted Gd-EOB-DTPA-enhanced rVIBE_4_0 in comparison to cVIBE. CV was higher in rVIBE_4_0 as compared to rVIBE_1_0_0/cVIBE (p < 0.01). Gadobutrol-enhanced rVIBE_4_0 and cVIBE showed higher contrast-ratios than rVIBE_1_0_0 (p < 0.001), whereas no differences were found in Gd-EOB-DTPA-enhanced examinations. Self-gated 3D-isotropic rVIBE provides significantly superior image quality compared to cVIBE, especially in multiplanar reformatted and Gd-EOB-DTPA-enhanced examinations. (orig.)

  18. Railway Reform in China.

    OpenAIRE

    Wu, J. H.; Nash, C.

    1998-01-01

    The purpose of this working paper is to consider the current situation of Chinese Railways, the progress of reforms to date, and possible future developments. The first section describes the current problems of Chinese Railways, as a vast organisation subject to strong central control, facing enormous and rapidly growing demands which it is unable to satisfy. The progress of reform in Chinese Railways to date, and in particular the Economic Contract Responsibility System instituted in the lat...

  19. Reconstruction of a ring applicator using CT imaging: impact of the reconstruction method and applicator orientation

    DEFF Research Database (Denmark)

    Hellebust, Taran Paulsen; Tanderup, Kari; Bergstrand, Eva Stabell

    2007-01-01

    in multiplanar reconstructed images (MPR) and (3) library plans, using pre-defined applicator geometry (LIB). The doses to the lead pellets were calculated. The relative standard deviation (SD) for all reconstruction methods was less than 3.7% in the dose points. The relative SD for the LIB method...

  20. Low-dose computed tomographic imaging in orbital trauma

    Energy Technology Data Exchange (ETDEWEB)

    Jackson, A.; Whitehouse, R.W. (Manchester Univ. (United Kingdom). Dept. of Diagnostic Radiology)

    1993-08-01

    The authors review findings in 75 computed tomographic (CT) examinations of 66 patients with orbital trauma who were imaged using a low-radiation-dose CT technique. Imaging was performed using a dynamic scan mode and exposure factors of 120 kVp and 80 mAs resulting in a skin dose of 11 mGy with an effective dose-equivalent of 0.22 mSv. Image quality was diagnostic in all cases and excellent in 73 examinations. Soft-tissue abnormalities within the orbit including muscle adhesions were well demonstrated both on primary axial and reconstructed multiplanar images. The benefits of multiplanar reconstructions are stressed and the contribution of soft-tissue injuries to symptomatic diplopia examined. (author).

  1. Uso de imagens orbitais como base de dados para projetos de reforma agrária The use of orbital images as subsidies to agrarian reform projects

    Directory of Open Access Journals (Sweden)

    Marina de Fátima Vilela

    2005-08-01

    Full Text Available Análises técnica e econômica foram realizadas em imagens dos sensores IKONOS, TM/Landsat 5, ETM+/Landsat 7 e CCD/CBERS, objetivando a verificação da viabilidade destas como base de dados em projetos de reforma agrária. Essas análises efetuadas e a situação de mercado indicaram que a imagem IKONOS apresenta excelente desempenho técnico, mas o custo de aquisição inviabiliza sua utilização como base de dados para a reforma agrária. A imagem do Landsat 7, com baixo custo de aquisição, apresentou grande viabilidade técnica para fins de reforma agrária. No entanto, a perda do contato com a plataforma Landsat 7 inviabilizou a compra de novas imagens do sensor ETM+. A imagem CCD/CBERS apresentou a segunda maior similaridade com a verdade de campo e o menor índice Kappa para a classificação. Apesar do baixo índice de exatidão para a classificação, as análises de custo, o lançamento do CBERS-2 e a possibilidade de correção dos problemas de radiometria podem tornar as imagens da plataforma CBERS-2 concorrentes de peso no mercado e, ainda, preencher a lacuna deixada pela perda do Landsat 7. A imagem do Landsat 5 apresentou o mais baixo desempenho técnico nas análises efetuadas. Entretanto, seu potencial como base de dados é amplamente reconhecido pelo INCRA, que ainda utiliza tais imagens. O declínio da vida útil do Landsat-5 atribui mais importância ao lançamento do CBERS-2.Technical and economical analyses were performed on IKONOS, Landsat TM 5 and Landsat ETM+ 7 and CCD/CBERS data in order to verify their feasibilities to subsidy agrarian reform projects. Results showed that IKONOS data presented excellent technical viability but its high cost prevents its use. Landsat ETM+ 7 data, with low cost, presented good technical viability, however due to the problems occurring in the satellite operation, its use was also prevented . CCD/CBERS data presented the second best similarity with the ground truth data, although it

  2. Reforming Science and Mathematics Education

    Science.gov (United States)

    Lagowski, J. J.

    1995-09-01

    Since 1991, the National Science Foundation has signed cooperative agreements with 26 states to undertake ambitious and comprehensive initiatives to reform science, mathematics, and technology education. Collectively, those agreements are known as the State Systemic Initiatives (SSI's). Two complimentary programs, The Urban and Rural Systemic Initiatives (USI's and RSI's), address similar reforms in the nation's largest cities and poorest rural areas. The SSI Program departs significantly from past NSF practice in several ways. The funding is for a longer term and is larger in amount, and the NSF is taking a more activist role, seeking to leverage state and private funds and promote the coordination of programs within states. The Initiatives also have a stronger policy orientation than previous NSF programs have had. The NSF strategy is a reflection of the growing and widely held view that meaningful reforms in schools are most likely to be achieved through state initiatives that set clear and ambitious learning goals and standards; align all of the available policy levers in support of reform; stimulate school-level initiatives; and mobilize human and financial resources to support these changes. Two premises underlie systemic reform: (1) all children can meet significantly higher standards if they are asked to do so and given adequate opportunities to master the content, and (2) state and local policy changes can create opportunities by giving schools strong and consistent signals about the changes in practice and performance that are expected. Because this is an enormous investment of Federal resources that is intended to bring about deep, systemic improvement in the nation's ability to teach science and mathematics effectively, the NSF has contracted with a consortium of independent evaluators to conduct a review of the program. The first of the SSI's were funded in 1991, sufficiently long ago to begin to formulate some initial impressions of their impact. Take

  3. MR imaging in female pelvic organs prolapse

    International Nuclear Information System (INIS)

    Capiel, Carlos A. h; Bouzas, Carlos A.

    2003-01-01

    Pelvic floor weakness and consequent organ prolapse may result in a variety of symptoms, including pain, urinary or fecal incontinence and constipation. Diagnosis is made primary on the basis of findings at physical pelvic examination. Imaging is useful in patients in whom findings at physical examination are equivocal. Different imaging techniques (fluoroscopy, ultrasonography), can be useful in evaluating pelvic organs prolapse. MR imaging is a new noninvasive technique that provides a multiplanar global evaluation of the pelvic contents and demonstrates pelvic organs prolapse. Reference points are the pubococcygeal line and puborectalis muscle sling. This pictorial assay illustrates different grades of cystourethrocele, recto-sigmoidocele and hysteroptosis (uterine prolapse) on MR imaging. (author)

  4. The spectrum of benign esophageal lesions: imaging findings

    International Nuclear Information System (INIS)

    Jang, Kyung Mi; Lee, Kyung Soo; Lee, Soon Jin; Kim, Eun A; Kim, Tae Sung; Han, Dae Hee; Shim, Young Mog

    2002-01-01

    Benign esophageal lesions occur in various diseases. Barium studies are useful for the evaluation of mucosal surface lesions but provide little information about the extramucosal extent of disease. Computed tomography and magnetic resonance imaging, on the other hand, permit the assessment of wall thickness, mediastinal involvement, adjacent lymphadenopathy, and distant spread. In diseases such as fibrovascular polyps, duplication cysts, scleroderma, trauma, caustic esophagitis, hiatal hernia, esophageal diverticulum, achalasia, and paraesophageal varices, the findings of imaging studies are specific, obviating the need for further invasive diagnostic work-up. The advent of helical computed tomography and its volume data set allows the acquisition of multiplanar images, and magnetic resonance imaging is useful both for this and for tissue characterization. Thus, multiplanar cross-sectional imaging further extends the role of imaging modalities to the evaluation of benign esophageal lesions. Through an awareness of the multiplanar cross-sectional appearances of various benign esophageal lesions, the radiologist can play an important role in the detection, diagnosis, further diagnostic planning, and treatment of the diseases in which they occur

  5. The spectrum of benign esophageal lesions: imaging findings

    Energy Technology Data Exchange (ETDEWEB)

    Jang, Kyung Mi; Lee, Kyung Soo; Lee, Soon Jin; Kim, Eun A; Kim, Tae Sung; Han, Dae Hee; Shim, Young Mog [Sungkyunkwan University School of Medicine, Seoul (Korea, Republic of)

    2002-09-01

    Benign esophageal lesions occur in various diseases. Barium studies are useful for the evaluation of mucosal surface lesions but provide little information about the extramucosal extent of disease. Computed tomography and magnetic resonance imaging, on the other hand, permit the assessment of wall thickness, mediastinal involvement, adjacent lymphadenopathy, and distant spread. In diseases such as fibrovascular polyps, duplication cysts, scleroderma, trauma, caustic esophagitis, hiatal hernia, esophageal diverticulum, achalasia, and paraesophageal varices, the findings of imaging studies are specific, obviating the need for further invasive diagnostic work-up. The advent of helical computed tomography and its volume data set allows the acquisition of multiplanar images, and magnetic resonance imaging is useful both for this and for tissue characterization. Thus, multiplanar cross-sectional imaging further extends the role of imaging modalities to the evaluation of benign esophageal lesions. Through an awareness of the multiplanar cross-sectional appearances of various benign esophageal lesions, the radiologist can play an important role in the detection, diagnosis, further diagnostic planning, and treatment of the diseases in which they occur.

  6. Health care reforms.

    Science.gov (United States)

    Marušič, Dorjan; Prevolnik Rupel, Valentina

    2016-09-01

    In large systems, such as health care, reforms are underway constantly. The article presents a definition of health care reform and factors that influence its success. The factors being discussed range from knowledgeable personnel, the role of involvement of international experts and all stakeholders in the country, the importance of electoral mandate and governmental support, leadership and clear and transparent communication. The goals set need to be clear, and it is helpful to have good data and analytical support in the process. Despite all debates and experiences, it is impossible to clearly define the best approach to tackle health care reform due to a different configuration of governance structure, political will and state of the economy in a country.

  7. Health care reforms

    Directory of Open Access Journals (Sweden)

    Marušič Dorjan

    2016-09-01

    Full Text Available In large systems, such as health care, reforms are underway constantly. The article presents a definition of health care reform and factors that influence its success. The factors being discussed range from knowledgeable personnel, the role of involvement of international experts and all stakeholders in the country, the importance of electoral mandate and governmental support, leadership and clear and transparent communication. The goals set need to be clear, and it is helpful to have good data and analytical support in the process. Despite all debates and experiences, it is impossible to clearly define the best approach to tackle health care reform due to a different configuration of governance structure, political will and state of the economy in a country.

  8. The Danish Police Reform

    DEFF Research Database (Denmark)

    Degnegaard, Rex; Mark, Sofie

    2013-01-01

    Many cases highlight the need for responsible management in regards to transparency of organisations and involvement of stakeholders in decisions that will impact citizens, patients, customers and/or clients. Often these cases take an outside-in approach as they illustrate why it is essential...... for organisations to work with transparency and involvement with the aim of upholding and further developing a social responsibility to their environment. This case on the other hand takes an inside-out perspective on social responsibility by illustrating how social responsibility is necessary for public......, the reform process was problematic and the following years were challenging and filled with changes and turbulence. Media, politicians and the police itself directed heavy criticism towards the effects of the reform and reviews of the reform as well as of the work of the police were carried out resulting...

  9. Plasma devices for hydrocarbon reformation

    KAUST Repository

    Cha, Min

    2017-01-01

    Plasma devices for hydrocarbon reformation are provided. Methods of using the devices for hydrocarbon reformation are also provided. The devices can include a liquid container to receive a hydrocarbon source, and a plasma torch configured

  10. Reforming Technical and Technological Education.

    Science.gov (United States)

    Wilson, David N.

    1993-01-01

    Review of technical and technological educational reform in Brazil, Canada, Germany, Great Britain, Indonesia, Malaysia, Singapore, and Sweden shows that reform takes time to complete effectively, long-term approaches are needed, and reform is linked to industrial development, regional cooperation, and decentralized decision making. (SK)

  11. Diagnosis of temporal bone diseases using three-dimensional images with multislice CT

    Energy Technology Data Exchange (ETDEWEB)

    Toyama, Yoshihiro; Togami, Taro; Murota, Makiko; Fukunaga, Kotaro; Hino, Ichiro; Sato, Katashi; Ohkawa, Motoomi [Kagawa Medical Univ., Miki (Japan)

    2001-08-01

    We evaluated the usefulness of three-dimensional images with multislice CT in the temporal bone diseases. Fifty-nine cases (26 with medial otitis, 8 choresteatoma, 10 congenital malformation, 3 high jugular bulb, 2 otosclerosis, and 10 others) were included in this study. In the ossicular and inner ear lesions, oblique multiplanar images of the long axis of each ossicle was useful the detection of abnormality. Structural deformity of ossicles and bony labyrinth were clearly delineated by surface rendering images. (author)

  12. Prisons and Sentencing Reform.

    Science.gov (United States)

    Galvin, Jim

    1983-01-01

    Reviews current themes in sentencing and prison policy. The eight articles of this special issue discuss selective incapacitation, prison bed allocation models, computer-scored classification systems, race and gender relations, commutation, parole, and a historical review of sentencing reform. (JAC)

  13. Comments on regulatory reform

    International Nuclear Information System (INIS)

    Hendrie, J.M.

    1982-01-01

    Nuclear regulatory reform is divided into two parts. The first part contains all those matters for which new legislation is required. The second part concerns all those matters that are within the power of the Commission under existing statutes. Recommendations are presented

  14. Comments on regulatory reform

    Energy Technology Data Exchange (ETDEWEB)

    Hendrie, J.M.

    1982-01-01

    Nuclear regulatory reform is divided into two parts. The first part contains all those matters for which new legislation is required. The second part concerns all those matters that are within the power of the Commission under existing statutes. Recommendations are presented.

  15. Steam reforming of ethanol

    DEFF Research Database (Denmark)

    Trane-Restrup, Rasmus; Dahl, Søren; Jensen, Anker Degn

    2013-01-01

    Steam reforming (SR) of oxygenated species like bio-oil or ethanol can be used to produce hydrogen or synthesis gas from renewable resources. However, deactivation due to carbon deposition is a major challenge for these processes. In this study, different strategies to minimize carbon deposition...

  16. Welfare Reform and Health

    Science.gov (United States)

    Bitler, Marianne P.; Gelback, Jonah B.; Hoynes, Hilary W.

    2005-01-01

    A study of the effect of state and federal welfare reforms over the period 1990-2000 on health insurance coverage and healthcare utilization by single women aged between 20-45 is presented. It is observed that Personal Responsibility and Work Opportunity Act of 1996 which replaced the Aid to Families with Dependent Children program of 1990s with…

  17. Teenagers and Welfare Reform.

    Science.gov (United States)

    Offner, Paul

    This report examines the extent to which welfare reform is changing adolescent behaviors that lead to welfare dependency. It begins by discussing the provisions in the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 that require teenagers to stay in school and live with a parent, concluding that relatively little can be…

  18. Competition and PUHCA reform

    International Nuclear Information System (INIS)

    Williams, P.L.

    1991-01-01

    This article examines the national energy policy legislation being developed with respect to Public Utilities Holding Company Act issues. The topics of the article include the proposals to encourage competition among electric power producers, those involved in the process, qualifying facilities, independent power producers, competition and efficiency, and the outlook for reform

  19. The 'reformation' of counselling

    Directory of Open Access Journals (Sweden)

    G.A. Lotter

    2001-08-01

    Full Text Available Although the Reformation took place some four hundred years ago, one area in which reformation is really needed today is the counselling of people. Since Wilhelm Wundt started the “study of the mind” in 1879, William James and Sigmund Freud followed and secular psychology gradually has developed to take the “front seat”; hence moving Biblical counselling, which has been practised since the times of the New Testament, to the “back burner”. This development had been going on for the greater part of the 20th century, up to the publication of Competent to Counsel by Jay E. Adams in 1970. In the model for counselling suggested by Adams, the principles of the Reformation of the sixteenth century, Soli Deo Gloria, Soli Scriptura, Soli Fidei, Sola Gratia, etc. were again implemented in assisting and counselling people with personal and interpersonal problems. The epistomological and anthropological approach of secular psychology differs radically from that of Biblical principles, thus necessitating a new “reformation” of counselling. Within this new form counselling, inter alia, implies the following: the Word of God has its rightful place, sin has to be taken seriously and the work of the Holy Spirit should be recognised. In this article it is proposed that the “reformation” of counselling was started by scholars with a Biblical Reformational approach and that this method of counselling followed the parameters of the Reformation of the sixteenth century. This “reformation” developed into a new direction in counselling and still continues today with fascinating new frontiers opening up for Biblical counselling.

  20. Plasma devices for hydrocarbon reformation

    KAUST Repository

    Cha, Min Suk

    2017-02-16

    Plasma devices for hydrocarbon reformation are provided. Methods of using the devices for hydrocarbon reformation are also provided. The devices can include a liquid container to receive a hydrocarbon source, and a plasma torch configured to be submerged in the liquid. The plasma plume from the plasma torch can cause reformation of the hydrocarbon. The device can use a variety of plasma torches that can be arranged in a variety of positions in the liquid container. The devices can be used for the reformation of gaseous hydrocarbons and/or liquid hydrocarbons. The reformation can produce methane, lower hydrocarbons, higher hydrocarbons, hydrogen gas, water, carbon dioxide, carbon monoxide, or a combination thereof.

  1. Usefulness of dual echo volumetric isotropic turbo spin echo acquisition (VISTA) in MR imaging of the temporomandibular joint

    International Nuclear Information System (INIS)

    Sugimori, Yuko; Tanaka, Shigeko; Naito, Yukari; Nishimura, Tetsuya; Yamamoto, Akira; Miki, Yukio; Ohfuji, Satoko; Katsumata, Yasutomo

    2013-01-01

    We investigated the ability to detect the articular disk and joint effusion of the temporomandibular joint (TMJ) of a method of dual echo volumetric isotropic turbo spin echo acquisition (DE-VISTA) additional fusion images (AFI). DE-VISTA was performed in the 26 TMJ of 13 volunteers and 26 TMJ of 13 patients. Two-dimensional (2D) dual echo turbo spin echo was performed in the 26 TMJ of 13 volunteers. On a workstation, we added proton density-weighted images (PDWI) and T 2 weighted images (T 2 WI) of the DE-VISTA per voxel to reconstruct DE-VISTA-AFI. Two radiologists reviewed these images visually and quantitatively. Visual evaluation of the articular disk was equivalent between DE-VISTA-AFI and 2D-PDWI. The sliding thin-slab multiplanar reformation (MPR) method of DE-VISTA-AFI could detect all articular disks. The ratio of contrast (CR) of adipose tissue by the articular disk to that of the articular disk itself was significantly higher in DE-VISTA-AFI than DE-VISTA-PDWI (P 2 WI but in only 3 of those joints in 2D-T 2 WI. The CR of joint effusion to adipose tissue on DE-VISTA-AFI did not differ significantly from that on DE-VISTA-PDWI. However, using DE-VISTA-T 2 WI in addition to DE-VISTA-PDWI, we could visually identify joint effusion on DE-VISTA-AFI that could not be identified on DE-VISTA-PDWI alone. DE-VISTA-AFI can depict the articular disk and a small amount of joint effusion by the required plane of MPR using the sliding thin-slab MPR method. (author)

  2. The use of median polish (MP) for the daily quality assurance of a multiplanar positron emission tomography (PET)

    International Nuclear Information System (INIS)

    Kearfott, K.J.; Thaler, H.T.; Dukes, A.L.; Carmichael, P.G.

    1984-01-01

    Daily sensitivity data were obtained for The Cyclotron Corporation PC 4600 Neuro-PET on an almost daily basis for 3 months during installation and for 6 months during full clinical utilization. A uniform phantom was filled with a known concentration of isotope (typically 0.14 μCi/cc Ga-68), centered in the scanner port using crossed lasers and scanned. Images were reconstructed using analytic attenuation correction for a total of 4-5 million uncorrected coincidence counts/plane (random/true <2%). The entire quality assurance procedure, with analysis, was performed within 1.5 hr. The resulting sensitivities for various planes and days can be represented as a two-way table. Median polish (MP) is a statistically robust technique for looking at structured or cross-classified data to identify trends and outliers by iteratively computing medians of rows and columns in order to obtain a linear fit to the data. Outliers (both for variant planes, experiments and combinations) were immediately discernible when MP was used to analyze the sensitivity data. While the standard deviations of the residuals in the MP table ranged from 2.1% to 18.5% during machine installation, subsequent variations were smaller (0.6-4.2%), and the number of outliers was substantially reduced. In addition, MP was useful in pointing out a sudden change in machine behavior related to a high-voltage power supply problem. Systematic drifts in sensitivity and reliability of both individual planes and of the entire machine are readily revealed by MP, which is therefore very useful in monitoring performance and in directing maintenance

  3. Reforming process. Reformierungsverfahren

    Energy Technology Data Exchange (ETDEWEB)

    McCoy, C.S.

    1982-05-19

    A naphta fraction is subjected to a catalytic reforming process in several series-connected reactors. The first reactor is equipped with a moving catalyst bed containing not more the 30% of volume of the total catalyst amount. The other reactors are designed as packed-bed systems. The content of coke deposited on the catalyst of the first reactor owing to the reforming process is maintained at below 1% of weight. This is effected by periodic removal of a proportion of the contaminated catalyst from the bottom part of the bed, by its regeneration and re-feeding to the top part of the bed. This results in prolonged service life of the catalyst and simultaneous improvement of the anti-knock value of the product.

  4. Environmental fiscal reforms

    OpenAIRE

    Ashish Chaturvedi; Manjeet S. Saluja; Abhijit Banerjee; Rachna Arora

    2014-01-01

    The paper presents concepts and instruments of environmental fiscal reforms (EFR) and their application in the Indian context. EFR can lead to environmental improvement more efficiently and cost effectively than traditional regulation. There is substantial experience of successful EFR implementation in the European Union. India has also adopted some EFR measures such as deregulation of petrol prices, coal cess, and subsidy for setting up common effluent treatment plants. The challenges of imp...

  5. Implementing Security Sector Reform

    Science.gov (United States)

    2008-12-04

    ownership and genuine reform. His experience in Diyala Province indicated that the most effective means of pursuing transition and transformation among...that I have no solution to the security situation in Afghanistan, or to the questions of violence, crime, insurrection, or militias vs . army vs ...than to merge those interests into a greater whole. Franchising of problems or solutions is often the result. In Afghanistan, problems and

  6. Imaging in epilepsy

    International Nuclear Information System (INIS)

    Gupta, Arun Kumar; Sharma, Raju; Sarma, Dipanka

    2000-01-01

    Epilepsy is a common problem in the paediatric age group. Imaging plays a vital role in identifying the seizure focus. Cross-sectional imaging modalities like CT and MRI have had a major impact on the management of seizure disorders. MRI, because of its high contrast resolution and multiplanar capability is the ideal imaging modality but its use is restricted due to high cost. Computed tomography is cheaper and is the first, and often, the only modality used, especially in the under privileged areas of the world. In the tropical countries inflammatory granuloma are a common cause of epilepsy and CT is adequate to detect these lesions. Other causes include congenital abnormalities, neoplastic and vascular causes. (author)

  7. Computed tomography imaging for superior semicircular canal dehiscence syndrome

    International Nuclear Information System (INIS)

    Dobeli, Karen

    2006-01-01

    Superior semicircular canal dehiscence is a newly described syndrome of sound and/or pressure induced vertigo. Computed tomography (CT) imaging plays an important role in confirmation of a defect in the bone overlying the canal. A high resolution CT technique utilising 0.5 mm or thinner slices and multi-planar reconstructions parallel to the superior semicircular canal is required. Placement of a histogram over a suspected defect can assist CT diagnosis

  8. Need for three-dimensional imaging in postsurgical ''falled back'' syndrome

    International Nuclear Information System (INIS)

    Zinreich, S.J.; Wang, H.; Long, D.M.; Quinn, C.M.; Rosenbaum, A.E.

    1987-01-01

    One hundred ten patients with persistent symptoms after low back surgery were examined with direct axial CT, 2D multiplanar, and 3D imaging. Sixty-three of these patients had lumbar spinal fusion. The 3D images were found to best display the integrity of fusion (assessed by continuity, pseudoarthrosis, incomplete fusion, transitional syndrome) in 44 of the 63 patients (65%). In 55 of the 110 patients lateral spinal stenosis was found; in 43% (24 of 55) this was uncovered on the 3D images. 3D also better showed the extent and type of surgery performed in 23% (26 of 110). Furthermore, 15 pars interarticularis, four facet fractures, and eight spinal malalignments were perceived only on 3D. 3D image afforded additional information over the direct axial and multiplanar reconstruction techniques in 63 of 110 patients

  9. Simplifying the Exploration of Volumetric Images: Development of a 3D User Interface for the Radiologist’s Workplace

    OpenAIRE

    Teistler, M.; Breiman, R. S.; Lison, T.; Bott, O. J.; Pretschner, D. P.; Aziz, A.; Nowinski, W. L.

    2007-01-01

    Volumetric imaging (computed tomography and magnetic resonance imaging) provides increased diagnostic detail but is associated with the problem of navigation through large amounts of data. In an attempt to overcome this problem, a novel 3D navigation tool has been designed and developed that is based on an alternative input device. A 3D mouse allows for simultaneous definition of position and orientation of orthogonal or oblique multiplanar reformatted images or slabs, which are presented wit...

  10. The usefulness of sagittal reformation for diagnosis of sternal fracture

    Energy Technology Data Exchange (ETDEWEB)

    Im, Dong Jin; Hahn, Seok; Kim, Young Ju [Dept. of Radiology, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju (Korea, Republic of)

    2014-01-15

    The purpose of our study was to evaluate the usefulness of sagittal reformation of chest computed tomography for the diagnosis of sternal fracture after trauma. We retrospectively reviewed medical records and chest computer tomography (CT) of 716 patients in the emergency department after trauma between January and December 2010. Two radiologists investigated chest CT images. We investigated numbers and locations of sternal fractures on axial images only and on both axial and sagittal images for each radiologist. First, radiologist found sternal fractures in 58 patients (70.7%) on only axial images, and 80 (97.5%) on both axial and sagittal images. Second, radiologist found fractures in 67 patients (81.7%) on axial image only and 81 (98.7%) on both axial and sagittal images. The sensitivity increased after adding sagittal reformation images for each radiologist (p < 0.05, respectively). On the axial images, the interobserver agreement was low (k 0.596) between the two radiologists. However, on both axial and sagittal images, the interobserver agreement increased (k = 0.872). Sagittal reformation of chest CT increases the chance of diagnosis for sternal fracture and leads to early diagnosis resulting in appropriate treatment.

  11. The usefulness of sagittal reformation for diagnosis of sternal fracture

    International Nuclear Information System (INIS)

    Im, Dong Jin; Hahn, Seok; Kim, Young Ju

    2014-01-01

    The purpose of our study was to evaluate the usefulness of sagittal reformation of chest computed tomography for the diagnosis of sternal fracture after trauma. We retrospectively reviewed medical records and chest computer tomography (CT) of 716 patients in the emergency department after trauma between January and December 2010. Two radiologists investigated chest CT images. We investigated numbers and locations of sternal fractures on axial images only and on both axial and sagittal images for each radiologist. First, radiologist found sternal fractures in 58 patients (70.7%) on only axial images, and 80 (97.5%) on both axial and sagittal images. Second, radiologist found fractures in 67 patients (81.7%) on axial image only and 81 (98.7%) on both axial and sagittal images. The sensitivity increased after adding sagittal reformation images for each radiologist (p < 0.05, respectively). On the axial images, the interobserver agreement was low (k 0.596) between the two radiologists. However, on both axial and sagittal images, the interobserver agreement increased (k = 0.872). Sagittal reformation of chest CT increases the chance of diagnosis for sternal fracture and leads to early diagnosis resulting in appropriate treatment.

  12. Economic Reforms and Constitutional Transition

    OpenAIRE

    Jeffrey D. Sachs; Wing Thye Woo; Xiaokai Yang

    2000-01-01

    This paper investigates the relationship between economic reforms and constitutional transition, which has been neglected by many transition economists. It is argued that assessment of reform performance might be very misleading if it is not recognized that economic reforms are just a small part of large scale of constitutional transition. Rivalry and competition between states and between political forces within each country are the driving forces for constitutional transition. We use Russia...

  13. Security Sector Reform in Albania

    OpenAIRE

    Abazi, Enika; Bumci, Aldo; Hide, Enri; Rakipi, Albert

    2009-01-01

    International audience; This paper analyses security sector reform (SSR) in Albania. In all its enterprises in reforming the security sector,Albania is assisted by different initiatives and projects that provide expertise and financial support. To assesswhether reforms improved the overall security environment (national and human) of the country, it is necessaryto measure the effectiveness of the various initiatives and projects. This is gauged by how well the initiatives andprojects achieved...

  14. Oral cavity squamous cell carcinoma: Role of pretreatment imaging and its influence on management

    International Nuclear Information System (INIS)

    Arya, S.; Rane, P.; Deshmukh, A.

    2014-01-01

    Squamous cell carcinoma (SCC) is the commonest malignancy in the oral cavity. The oral cavity has several subsites. Knowledge of the patterns of disease spread at each subsite with the impact on treatment and prognosis provides a deeper understanding of the role of imaging. Information from imaging helps accurate staging, assess resectability, and plan multimodality treatment. Mandibular erosion, posterior soft tissue extent, and perineural spread influence treatment and prognosis in gingival, buccal, and retromolar trigone (RMT) cancers. Multidetector computed tomography (MDCT) with multiplanar reformations and bone and soft tissue algorithms provides the highest specificity for bone erosion. Hard palate SCC is optimally imaged with contrast-enhanced magnetic resonance imaging (MRI) to detect perineural spread. In oral tongue and floor of the mouth (FOM) SCC, extrinsic muscle invasion, extension across the midline, extent of posterior and inferior spread, and proximity to the hyoid are issues that impact therapeutic options. Contrast-enhanced MRI is the optimal imaging method for staging the primary due to its superior soft tissue resolution. In oral tongue SCCs with tumour thickness ≤4 mm, elective neck dissection can be avoided. For nodal staging (N-staging), all imaging methods are comparable, but fall short of surgical staging. Sentinel lymph node biopsy has a promising role in N-staging. Positron emission tomography (PET)/integrated PET/CT has no role in evaluating the clinically negative neck. PET/CT has a role in pretreatment evaluation of advanced oral cavity SCC for depicting distant metastases and for mapping nodal extent in the clinically positive neck. Diffusion-weighted MRI, dynamic contrast-enhanced MRI, and CT perfusion have a potential role as baseline pretreatment studies for response assessment to chemoradiation in advanced oral cavity SCC. - Highlights: • Brief outline of treatment principles in oral cavity squamous cell carcinoma (OCSCC

  15. Education Reform in Hong Kong

    Directory of Open Access Journals (Sweden)

    Chris Dowson

    2000-05-01

    Full Text Available Since the early 1990s, the pace of educational reform in Hong Kong has accelerated and broadened to incorporate almost all areas of schooling. The reforms introduced during this period can be subsumed under what has generally been labelled the quality movement. In this paper, we review and comment on a number of policy reform initiatives in the four areas of "Quality Education," English Language Benchmarking, Initial Teacher Training and the Integration of Pupils with Special Needs into Ordinary Classrooms. Following a brief description of each policy initiative, the reforms are discussed in terms of their consistency, coherence and cultural fit.

  16. Steam reformer with catalytic combustor

    Science.gov (United States)

    Voecks, Gerald E. (Inventor)

    1990-01-01

    A steam reformer is disclosed having an annular steam reforming catalyst bed formed by concentric cylinders and having a catalytic combustor located at the center of the innermost cylinder. Fuel is fed into the interior of the catalytic combustor and air is directed at the top of the combustor, creating a catalytic reaction which provides sufficient heat so as to maintain the catalytic reaction in the steam reforming catalyst bed. Alternatively, air is fed into the interior of the catalytic combustor and a fuel mixture is directed at the top. The catalytic combustor provides enhanced radiant and convective heat transfer to the reformer catalyst bed.

  17. Magnetic resonance imaging in neuroradiology

    International Nuclear Information System (INIS)

    Voigt, K.; Lotx, J.W.

    1990-01-01

    Magnetic resonance imaging (MRI) is now accepted as an effective method of investigating a wide range of disorders, especially of the brain and spine. A short introduction on image contrast in MRI is given and the advantages and disadvantages for the different diseases of the brain is discussed. Excellent soft-tissue contrast, multiplanar imaging capabilities and lack of ionising radiation are conspicuous advantages, and it is now established as the investigation of choice in a large number of clinical conditions, especially when the central nervous system is involved. However, it remains only one of a series of imaging modalities. A confident provisional clinical diagnosis is essential for establishing an imaging protocol and the intention should always be to reach a definitive diagnosis in the least invasive and most cost-effective way. 7 figs., 19 refs

  18. Magnetic resonance imaging of the elbow. Part I: Normal anatomy, imaging technique, and osseous abnormalities

    International Nuclear Information System (INIS)

    Kijowski, Richard; Tuite, Michael; Sanford, Matthew

    2004-01-01

    Part I of this comprehensive review on magnetic resonance imaging of the elbow discusses normal elbow anatomy and the technical factors involved in obtaining high-quality magnetic resonance images of the elbow. Part I also discusses the role of magnetic resonance imaging in evaluating patients with osseous abnormalities of the elbow. With proper patient positioning and imaging technique, magnetic resonance imaging can yield high-quality multiplanar images which are useful in evaluating the osseous structures of the elbow. Magnetic resonance imaging can detect early osteochondritis dissecans of the capitellum and can be used to evaluate the size, location, stability, and viability of the osteochondritis dissecans fragment. Magnetic resonance imaging can detect early stress injury to the proximal ulna in athletes. Magnetic resonance imaging can detect radiographically occult fractures of the elbow in both children and adults. Magnetic resonance imaging is also useful in children to further evaluate elbow fractures which are detected on plain-film radiographs. (orig.)

  19. Imaging of the vagina and vulva

    International Nuclear Information System (INIS)

    Souza, Luis Ronan Marquez Ferreira de; Szejnfeld, Jacob; Signorini Filho, Roney Cesar; Marques, Renato Moretti; Nicolau, Sergio Mancini; Goldman, Suzan Menasce

    2006-01-01

    In gynecological daily practices, the vulva and vagina are examined during physical examination, however there are situations where this is not possible or it is needed to determine the extension of an injury through imaging methods. The magnetic resonance imaging is an excellent cross-sectional modality for evaluation the alterations of vulva and vagina due its multiplanar evaluation and high tecidual contrast. Other cross-sectional modalities are ultrasound and enhanced computed tomography. This paper intends to give an overview of vaginal and vulvar pathology that can be identified by the radiologist. (author)

  20. Usefulness of MPR images of nephrogram in ureteropelvic junction stenosis

    International Nuclear Information System (INIS)

    Usui, Nobutaka; Munechika, Hirotsugu

    2005-01-01

    The study was to see if the multi-planar reconstruction (MPR) images of nephrogram were useful to evaluate the causative lesion of ureteropelvic junction (UPJ) stenosis. Thirty-two cases with UPJ stenosis were selected retrospectively for evaluation. MPR images were compared between nephrogram and ureterogram to see which was more useful for evaluation of the causative lesion. Most of the lesions were evaluated better in nephrogram or equal to ureterogram except for one case of a small ureteral tumor. MPR images in nephrogram were useful for evaluation of crossing vessels and a ureteral tumor. Benign stricture and calculi were also confirmed by the images. (author)

  1. Reform Drivers and Reform Obstacles in Natural Resource Management

    DEFF Research Database (Denmark)

    Gezelius, Stig S.; Raakjær, Jesper; Hegland, Troels Jacob

    2010-01-01

    ABSTRACT: The ability to transform historical learning into institutional reform is a key to success in the management of common pool natural resources. Based on a model of institutional inertia and a comparative analysis of Northeast Atlantic fisheries management from 1945 to the present....... Institutional inertia entails that large-scale management reform tends to be crisis driven....

  2. Turkish electricity reform

    Energy Technology Data Exchange (ETDEWEB)

    Bagdadioglu, Necmiddin [Department of Public Finance, Hacettepe University, 06800 Ankara (Turkey); Odyakmaz, Necmi [E.ON Holding, Armada Business Centre, 06520 Ankara (Turkey)

    2009-03-15

    Turkish electricity reform has progressed slowly due to internal resistance against privatisation, and gained momentum after Electricity Market Law of 2001, prepared in line with EU Energy Acquis and established required institutional and legal framework. Although the eligibility threshold has reached 39% market opening rate, the dominant position of public both as owner and decision-maker is still the major problem in the sector. Currently Turkey is self-sufficient in electricity, but likely to face shortages in 10 years if the growing demand is not met by either speeding the liberalisation process, or joining the South East Europe Electricity Market. (author)

  3. Environmental fiscal reforms

    Directory of Open Access Journals (Sweden)

    Ashish Chaturvedi

    2014-09-01

    Full Text Available The paper presents concepts and instruments of environmental fiscal reforms (EFR and their application in the Indian context. EFR can lead to environmental improvement more efficiently and cost effectively than traditional regulation. There is substantial experience of successful EFR implementation in the European Union. India has also adopted some EFR measures such as deregulation of petrol prices, coal cess, and subsidy for setting up common effluent treatment plants. The challenges of implementing EFR measures in India are also discussed, including inadequate analysis, policy framework and institutional capacity, as well as conflict with poverty reduction and building political support.

  4. Novel Reforming Catalysts

    Energy Technology Data Exchange (ETDEWEB)

    Pfefferle, Lisa D; Haller, Gary L

    2012-10-16

    Aqueous phase reforming is useful for processing oxygenated hydrocarbons to hydrogen and other more useful products. Current processing is hampered by the fact that oxide based catalysts are not stable under high temperature hydrothermal conditions. Silica in the form of structured MCM-41 is thermally a more stable support for Co and Ni than conventional high surface area amorphous silica but hydrothermal stability is not demonstrated. Carbon nanotube supports, in contrast, are highly stable under hydrothermal reaction conditions. In this project we show that carbon nanotubes are stable high activity/selectivity supports for the conversion of ethylene glycol to hydrogen.

  5. Reforming Social Policy: Changing Perspectives on Sustainable ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Reforming Social Policy presents an overview of social policy reforms currently ... It shows how some experimental approaches to reform have worked in different ... and students in development studies and social sciences; policymakers and ...

  6. Medical Education and Curriculum Reform: Putting Reform Proposals in Context

    Directory of Open Access Journals (Sweden)

    Daniel Kam Yin Chan, MD, MB.BS, MHA

    2004-01-01

    Full Text Available The purpose of this paper is to elaborate criteria by which the principles of curriculum reform can be judged. To this end, the paper presents an overview of standard critiques of medical education and examines the ways medical curriculum reforms have responded to these critiques. The paper then sets out our assessment of these curriculum reforms along three parameters: pedagogy, educational context, and knowledge status. Following on from this evaluation of recent curriculum reforms, the paper puts forward four criteria with which to gauge the adequacy medical curriculum reform. These criteria enable us to question the extent to which new curricula incorporate methods and approaches for ensuring that its substance: overcomes the traditional opposition between clinical and resource dimensions of care; emphasizes that the clinical work needs to be systematized in so far as that it feasible; promotes multi-disciplinary team work, and balances clinical autonomy with accountability to non-clinical stakeholders.

  7. Small School Reform

    Directory of Open Access Journals (Sweden)

    Carroll E. Bronson

    2013-05-01

    Full Text Available This qualitative ethnographic case study explored the evolution of a public urban high school in its 3rd year of small school reform. The study focused on how the high school proceeded from its initial concept, moving to a small school program, and emerging as a new small high school. Data collection included interviews, observations, and document review to develop a case study of one small high school sharing a multiplex building. The first key finding, “Too Many Pieces, Not Enough Glue,” revealed that the school had too many new programs starting at once and they lacked a clear understanding of their concept and vision for their new small school, training on the Montessori philosophies, teaching and learning in small schools, and how to operate within a teacher-cooperative model. The second key finding, “A Continuous Struggle,” revealed that the shared building space presented problems for teachers and students. District policies remain unchanged, resulting in staff and students resorting to activist approaches to get things done. These findings offer small school reform leaders suggestions for developing and sustaining a small school culture and cohesion despite the pressures to revert back to top-down, comprehensive high school norms.

  8. Ecological tax reform

    International Nuclear Information System (INIS)

    1996-01-01

    An environmental tax reform is seen by many as a possible solution to some crucial problems of modern society - pollution, excessive resource consumption and unemployment. Changes in the system of taxation are here seen as a long term process, one that must cheapen the costs of labour and make the costs of resource use more expensive - a process which can also create major changes in our society as to conceptions of quality, work, consumption etc. The conference presented proposals for an ecological tax and duty system that would contribute to: Changing technology so that it becomes more resource and energy effective. Changing the economic mechanisms so that resource consumption and pollution become more expensive while human resources become cheaper. Changing personal life styles and values so that material consumption becomes less decisive for our choices and priorities. An environmental tax reform is neither without problems nor painless. An economy and an industrial sector based on increasing consumption of energy and raw materials will, in the long run, lead to drawbacks that far outweigh those that are connected with an economic re-orientation whose driving force is another conception of nature. (EG)

  9. Ecological tax reform

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-12-31

    An environmental tax reform is seen by many as a possible solution to some crucial problems of modern society - pollution, excessive resource consumption and unemployment. Changes in the system of taxation are here seen as a long term process, one that must cheapen the costs of labour and make the costs of resource use more expensive - a process which can also create major changes in our society as to conceptions of quality, work, consumption etc. The conference presented proposals for an ecological tax and duty system that would contribute to: Changing technology so that it becomes more resource and energy effective. Changing the economic mechanisms so that resource consumption and pollution become more expensive while human resources become cheaper. Changing personal life styles and values so that material consumption becomes less decisive for our choices and priorities. An environmental tax reform is neither without problems nor painless. An economy and an industrial sector based on increasing consumption of energy and raw materials will, in the long run, lead to drawbacks that far outweigh those that are connected with an economic re-orientation whose driving force is another conception of nature. (EG)

  10. Pension Reform in China.

    Science.gov (United States)

    Liu, Tao; Sun, Li

    2016-01-01

    This article analyzes China's pension arrangement and notes that China has recently established a universal non-contributory pension plan covering urban non-employed workers and all rural residents, combined with the pension plan covering urban employees already in place. Further, in the latest reform, China has discontinued the special pension plan for civil servants and integrated this privileged welfare class into the urban old-age pension insurance program. With these steps, China has achieved a degree of universalism and integration of its pension arrangement unprecedented in the non-Western world. Despite this radical pension transformation strategy, we argue that the current Chinese pension arrangement represents a case of "incomplete" universalism. First, its benefit level is low. Moreover, the benefit level varies from region to region. Finally, universalism in rural China has been undermined due to the existence of the "policy bundle." Additionally, we argue that the 2015 pension reform has created a situation in which the stratification of Chinese pension arrangements has been "flattened," even though it remains stratified to some extent.

  11. Ecological tax reform

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-12-31

    An environmental tax reform is seen by many as a possible solution to some crucial problems of modern society - pollution, excessive resource consumption and unemployment. Changes in the system of taxation are here seen as a long term process, one that must cheapen the costs of labour and make the costs of resource use more expensive - a process which can also create major changes in our society as to conceptions of quality, work, consumption etc. The conference presented proposals for an ecological tax and duty system that would contribute to: Changing technology so that it becomes more resource and energy effective. Changing the economic mechanisms so that resource consumption and pollution become more expensive while human resources become cheaper. Changing personal life styles and values so that material consumption becomes less decisive for our choices and priorities. An environmental tax reform is neither without problems nor painless. An economy and an industrial sector based on increasing consumption of energy and raw materials will, in the long run, lead to drawbacks that far outweigh those that are connected with an economic re-orientation whose driving force is another conception of nature. (EG)

  12. Common morality and moral reform.

    Science.gov (United States)

    Wallace, K A

    2009-01-01

    The idea of moral reform requires that morality be more than a description of what people do value, for there has to be some measure against which to assess progress. Otherwise, any change is not reform, but simply difference. Therefore, I discuss moral reform in relation to two prescriptive approaches to common morality, which I distinguish as the foundational and the pragmatic. A foundational approach to common morality (e.g., Bernard Gert's) suggests that there is no reform of morality, but of beliefs, values, customs, and practices so as to conform with an unchanging, foundational morality. If, however, there were revision in its foundation (e.g., in rationality), then reform in morality itself would be possible. On a pragmatic view, on the other hand, common morality is relative to human flourishing, and its justification consists in its effectiveness in promoting flourishing. Morality is dependent on what in fact does promote human flourishing and therefore, could be reformed. However, a pragmatic approach, which appears more open to the possibility of moral reform, would need a more robust account of norms by which reform is measured.

  13. The Danish Regulatory Reform of Telecommunications

    DEFF Research Database (Denmark)

    Skouby, Knud Erik

    1998-01-01

    An overview of the liberalisation process and regulatory reform of telecommunications in Denmark......An overview of the liberalisation process and regulatory reform of telecommunications in Denmark...

  14. Implementing Comprehensive Reform: Implications for Practice

    Science.gov (United States)

    Stout, Karen A.

    2016-01-01

    This chapter describes the challenges and practical barriers community colleges face when implementing comprehensive reform, exploring how reforms are leading to some improvements but not often scaled improvements.

  15. Public Administration reforms and results

    Directory of Open Access Journals (Sweden)

    Gunnar Helgi Kristinsson

    2014-12-01

    Full Text Available Research on administrative reforms during the past thirty years indicates that reform efforts of countries differ. The Anglo Saxon states were at the forefront of the New Public Management movement while countries on mainland Europe were more hesitant and moved further towards the Neo-Weberian state. Academics have tried to explain different reform efforts within countries by looking at political, historical and cultural issues, values and economic factors to name just a few. Three hypotheses are put forward to explain reform efforts in different states. This research involves analysing the implementation of two different reform trends, New Public Management and the Neo-Weberian tradition. The analysis indicates that countries vary in their commitment to reform rather than in the emphasis on either New Public Management or the Neo-Weberian State. Decentralization, clear objectives and consultation with communities and experts are closely related to national reform efforts. However, Iceland does distinguish itself from Europe and the Nordic countries. The analysis reveals that although decentralization is high in the Icelandic system, autonomy of agencies does not have a strong relation to a varied use of administrative instruments. The second part of the article focuses on the results and achievements of reform programmes. The achievement of reform programmes are examined in relation to theories of bounded rationality, street level bureaucracy (bottom up and consensus decision making. Three hypotheses are presented and tested to explain what causes reforms programmes to be successful in some countries and not in others. The analysis reveals that countries are more likely to succeed if bounded rationality is applied with careful preparation and when stakeholders are consulted.

  16. Land cover classification using reformed fuzzy C-means

    Indian Academy of Sciences (India)

    This paper explains the task of land cover classification using reformed fuzzy C means. Clustering is the assignment of objects into groups called clusters so that objects from the same cluster are more similar to each other than objects from different clusters. The most basic attribute for clustering of an image is its luminance ...

  17. Drug Pricing Reforms

    DEFF Research Database (Denmark)

    Kaiser, Ulrich; Mendez, Susan J.; Rønde, Thomas

    2015-01-01

    Reference price systems for prescription drugs have found widespread use as cost containment tools. Under such regulatory regimes, patients co-pay a fraction of the difference between pharmacy retail price of the drug and a reference price. Reference prices are either externally (based on drug...... prices in other countries) or internally (based on domestic drug prices) determined. In a recent study, we analysed the effects of a change from external to internal reference pricing in Denmark in 2005, finding that the reform led to substantial reductions in prices, producer revenues, and expenditures...... for patients and the health insurance system. We also estimated an increase in consumer welfare but the size effect depends on whether or not perceived quality differences between branded and other drugs are taken into account....

  18. MR imaging of oropharynx and oral cavity

    International Nuclear Information System (INIS)

    Vogl, T.; Markl, A.F.; Bruning, R.; Greves, G.; Kang, K.; Lissner, J.A.

    1988-01-01

    The effect of intravenously administered Gd-DTPA on signal intensity, in the oropharynx and oral cavity was analyzed, in comparison with plain imaging the examinations were carried out on 150 patients, with a 1.5-T magnetic resonance (MR) imaging unit. During and after the application of Gd-DTPA, flash images with a repetition time of 30, an echo time of 12 msec, and a 20 0 flip angle were acquired over a period of 7 minutes. In 89 patients, malignant tumors were discovered, located primarily in the oropharynx and oral cavity. Plain MR imaging was equal to or better than computed tomograph in all patients except five. Marked contrast enhancement was observed in carcinomas, sarcomas, and inflammation. The enhancement of signal intensity versus time allowed a better differentiation of histologic features. MR imaging contributes substantially to the imaging of the oropharynx and oral cavity by improved soft-tissue contrast and the capacity for multiplanar imaging

  19. CT Imaging of facial trauma. The role of different types of reconstruction. Part II - soft tissues

    International Nuclear Information System (INIS)

    Myga-Porosilo, J.; Sraga, W.; Borowiak, H.; Jackowska, Z.; Kluczewska, E.; Skrzelewski, S.

    2011-01-01

    Background: Injury to facial soft tissues as a complication of skeleton fractures is an important problem among patients with facial trauma. The aim of this work was to assess the value of multiplanar and three-dimensional (3D) reconstruction computed tomography (CT) images obtained by using multi-detector row technology in spiral data acquisition in patients with facial injuries of soft tissue. Material/Methods: Sixty-seven patients diagnosed with injury to the facial skeleton underwent a CT scan with the use of GE Hispeed Qx/i scanner. For each patient: a two-dimensional (2D) multiplanar reconstruction (MPR), maximum intensity projection (MIP), and 3D volume rendering (VR) were conducted. Post-injury lesions of soft tissues were assessed. During the assessment of the post-injury lesions of soft tissues, the following features were evaluated: Extra ocular muscle and fat tissue herniation through fractures in the medial and inferior orbital walls. Fluid in the sinuses and in the nasal cavity. Subcutaneous tissue emphysema. Results: For subcutaneous emphysema and sinus fluid imaging, both the axial and the 2D image reconstruction proved comparably effective. However, 2D reconstructions were superior to transverse plane images with regard to herniations into fractures of the inferior orbital wall. 3D reconstruction has no importance in diagnosing soft tissue injuries. Conclusions: Multiplanar CT reconstructions increase the effectiveness of imaging of orbital tissue herniations, especially in case of fractures in the inferior orbital wall. In suspected soft tissue herniations, as well as prior to surgical treatment, spiral CT with 2D multiplanar reconstructions should be the method of choice. (authors)

  20. On being African and Reformed? Towards an African Reformed ...

    African Journals Online (AJOL)

    2014-06-17

    Jun 17, 2014 ... It is furthermore our contention that the notion of culture and African worldviews was always perceived negatively ..... dean of the South East Asia Graduate School of Theology. He later .... Another Reformed church for Indian.

  1. on the accra document, reformed theology and reformed ecclesiology

    African Journals Online (AJOL)

    2009-12-14

    Dec 14, 2009 ... Many churches and ecumenical bodies have already responded, in diverse ways ..... and contains a number of practical commitments and appeals. (par. ..... rhetorical power and emotion that it seemingly has for Reformed.

  2. Radiant non-catalytic recuperative reformer

    Energy Technology Data Exchange (ETDEWEB)

    Khinkis, Mark J.; Kozlov, Aleksandr P.

    2017-10-31

    A radiant, non-catalytic recuperative reformer has a flue gas flow path for conducting hot exhaust gas from a thermal process and a reforming mixture flow path for conducting a reforming mixture. At least a portion of the reforming mixture flow path is positioned adjacent to the flue gas flow path to permit heat transfer from the hot exhaust gas to the reforming mixture. The reforming mixture flow path contains substantially no material commonly used as a catalyst for reforming hydrocarbon fuel (e.g., nickel oxide, platinum group elements or rhenium), but instead the reforming mixture is reformed into a higher calorific fuel via reactions due to the heat transfer and residence time. In a preferred embodiment, a portion of the reforming mixture flow path is positioned outside of flue gas flow path for a relatively large residence time.

  3. Contract Reform Self Assessment Report

    National Research Council Canada - National Science Library

    1997-01-01

    The primary objective of this self assessment is to report on the Department of Energy's progress in implementing the Contract Reform initiative launched in February 1994 and to discuss remaining challenges...

  4. Applications of solar reforming technology

    Energy Technology Data Exchange (ETDEWEB)

    Spiewak, I. [Weizmann Inst. of Science, Rehovoth (Israel); Tyner, C.E. [Sandia National Labs., Albuquerque, NM (United States); Langnickel, U. [Deutsche Forschungsanstalt fuer Luft- und Raumfahrt e.V. (DLR), Koeln (Germany)

    1993-11-01

    Research in recent years has demonstrated the efficient use of solar thermal energy for driving endothermic chemical reforming reactions in which hydrocarbons are reacted to form synthesis gas (syngas). Closed-loop reforming/methanation systems can be used for storage and transport of process heat and for short-term storage for peaking power generation. Open-loop systems can be used for direct fuel production; for production of syngas feedstock for further processing to specialty chemicals and plastics and bulk ammonia, hydrogen, and liquid fuels; and directly for industrial processes such as iron ore reduction. In addition, reforming of organic chemical wastes and hazardous materials can be accomplished using the high-efficiency destruction capabilities of steam reforming. To help identify the most promising areas for future development of this technology, we discuss in this paper the economics and market potential of these applications.

  5. Financial reform lessons and strategies

    OpenAIRE

    Caprio Jr, Gerard; Atiyas, Izak; Hanson, James

    1993-01-01

    The argument in favor of gradual - but sustained - financial reform is based on two factors. First, the development of borrower net worth will determine the health of the real and, ultimately, the financial sector. Thus, speeding up reforms when borrower net worth is subject to positive shocks - or slowing them when it is subject to negative shocks - appears sensible and appears to have worked better in practice. Second, the initial conditions of the banking sector - not just its net worth bu...

  6. Misrecognition and science education reform

    Science.gov (United States)

    Brandt, Carol B.

    2012-09-01

    In this forum, I expand upon Teo and Osborne's discussion of teacher agency and curriculum reform. I take up and build upon their analysis to further examine one teacher's frustration in enacting an inquiry-based curriculum and his resulting accommodation of an AP curriculum. In this way I introduce the concept of misrecognition (Bourdieu and Passeron 1977) to open up new ways of thinking about science inquiry and school reform.

  7. Postoperative imaging of paranasal sinuses

    International Nuclear Information System (INIS)

    Nemec, S.; Czerny, C.; Formanek, M.

    2007-01-01

    The radiological interpretation of postoperative changes of the paranasal sinuses requires knowledge of why and how the surgical intervention was performed and what the basic clinical findings were. It is important to know whether there was an inflammation, a reconstructive procedure, or a tumorous process. Multidetector computed tomography (MDCT) evaluated in a high-resolution bone window level setting represents the method of choice for imaging after nonfunctional and functional procedures after inflammatory changes as well as for imaging after reconstructive surgery because of facial trauma or before dental implantation. In the postoperative follow-up of tumor patients contrast-enhanced MDCT evaluated in a soft tissue window and bone window and especially magnetic resonance imaging (MRI) represent the standard. In many cases it is possible to differentiate tumor recurrence from inflammation with the help of contrast-enhanced multiplanar MRI and to detect bone marrow changes prior to CT. (orig.)

  8. Reforming health care in Hungary.

    Science.gov (United States)

    Császi, L; Kullberg, P

    1985-01-01

    Over the past two decades Hungary has initiated a series of social and economic reforms which have emphasized decentralization of control and the reintroduction of market mechanisms into the socialized economy. These reforms both reflect and reinforce a changing social structure, in particular the growing influence of upper class special interest groups. Market reforms are an expression of concurrent ideological shifts in Hungarian society. We examined the political significance of three recent proposals to reform health services against the backdrop of broader social and economic changes taking place. The first proposes a bureaucratic reorganization, the second, patient co-payments, and the third, a voucher system. The problems each proposal identifies, as well as the constituency each represents, reveal a trend toward consolidation of class structure in Hungary. Only one of these proposals has any potential to democratize the control and management of the heath care system. Moreover, despite a governmental push toward decentralization, two of these proposals would actually increase centralized bureaucratic control. Two of the reforms incorporate market logic into their arguments, an indication that the philosophical premises of capitalism are re-emerging as an important component of the Hungarian world-view. In Hungary, as well as in other countries, social analysis of proposed health care reforms can effectively illuminate the social and political dynamics of the larger society.

  9. Reforming the European Scene

    Directory of Open Access Journals (Sweden)

    Joseph Ezra Bigio

    2010-10-01

    Full Text Available An unbridled globalization based on a simple premise about earnings and profit may be detrimental to the livelihood of many thousands of individuals. The greed and utter selfishness that result from the adherence to this sort of business practice are the two things that generate more unemployment, misery and degradation than most other characteristics of the human species. These considerations present the challenge for Western societies and call for the implementation of other principles, standards and procedures, such as cooperation, cohesion, development objectives and social responsibility. In the first part of the paper this approach is tested in the case of the EU-US foreign exchange relationships. The second part of the paper raises more general and fundamental issues. While adhering to the Schumpeter-type innovation environment, it aims to introduce the social dimension ahead of the immediate competitiveness and, therefore, argues for the fundamental reform of the catechism of the capitalist manager. The EU, due to its advanced integration, is relatively well-equipped to move towards the new economic system.  

  10. Imaging of head and neck tumors -- methods: CT, spiral-CT, multislice-spiral-CT

    International Nuclear Information System (INIS)

    Baum, Ulrich; Greess, Holger; Lell, Michael; Noemayr, Anton; Lenz, Martin

    2000-01-01

    Spiral-CT is standard for imaging neck tumors. In correspondence with other groups we routinely use spiral-CT with thin slices (3 mm), a pitch of 1.3-1.5 and an overlapping reconstruction increment (2-3 mm). In patients with dental fillings a short additional spiral parallel to the corpus of the mandible reduces artifacts behind the dental arches and improves the diagnostic value of CT. For the assessment of the base of the skull, the orbital floor, the palate and paranasal sinuses an additional examination in the coronal plane is helpful. Secondary coronal reconstructions of axial scans are helpful in the evaluation of the crossing of the midline by small tumors of the tongue base or palate. For an optimal vascular or tissue contrast a sufficient volume of contrast medium and a start delay greater than 70-80 s are necessary. In our opinion the best results can be achieved with a volume of 150 ml, a flow of 2.5 ml/s and a start delay of 80 s. Dynamic enhanced CT is only necessary in some special cases. There is clear indication for dynamic enhanced CT where a glomus tumor is suspected. Additional functional CT imaging during i-phonation and/or Valsalva's maneuver are of great importance to prove vocal cords mobility. Therefore, imaging during i-phonation is an elemental part of every thorough examination of the hypopharynx and larynx region. Multislice-spiral-CT allows almost isotropic imaging of the head and neck region and improves the assessment of tumor spread and lymph node metastases in arbitrary oblique planes. Thin structures (the base of the skull, the orbital floor, the hard palate) as well as the floor of the mouth can be evaluated sufficiently with multiplanar reformations. Usually, additional coronal scanning is not necessary with multislice-spiral-CT. Multislice-spiral-CT is especially advantageous in defining the critical relationships of tumor and lymph node metastases and for functional imaging of the hypopharynx and larynx not only in the

  11. Reforming Preschools and Schools.

    Science.gov (United States)

    Duncan, Greg J; Magnuson, Katherine; Murnane, Richard J

    2016-04-01

    Compared with their higher-income counterparts, children growing up in low-income families in the United States typically complete less schooling, report worse health, and work and earn less in adulthood. Moreover, changes in the American economy over the last 40 years have raised the level of skills and qualifications that children need to obtain a good middle-class job, as well as making it much more difficult for children from low-income families to attend schools that support their learning of these skills. We first review strategies used in the past to improve K-12 schooling-including investing more money, introducing more accountability, and putting in place new governance structures (eg, charter schools)-and show why these strategies have been relatively ineffective. Drawing on the research literature and case studies, we then describe education reform strategies for prekindergarten programs and for elementary, middle, and high schools that may help meet these challenges. All of the initiatives described in our case studies provide ample opportunities for teachers and school leaders to improve their skills through coaching and other professional development activities; incorporate sensible systems of accountability, including requiring teachers to open their classrooms to the scrutiny of colleagues and school leaders and to work with their colleagues to improve their teaching practices; and incorporate high academic standards, such as those described in the Common Core State Standards. By focusing directly on improving teaching and promoting learning, these successful initiatives have boosted the achievement of low-income children. They show that it is indeed possible to make a real difference in the life chances of low-income children. Copyright © 2016 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

  12. Parasellar meningiomas: magnetic resonance imaging findings

    International Nuclear Information System (INIS)

    Santos, Alair Augusto S.M.D. dos; Fontes, Cristina Asvolinsque P.

    2001-01-01

    We reviewed 22 cases of patients with parasellar meningiomas evaluated with magnetic resonance imaging (MRI) in private clinics of the cities of Niteroi and Rio de Janeiro, Rio de Janeiro State, Brazil. Our aim was to characterize the imaging findings in this type of tumor. MRI scanners with 0.5 and 1.0 Tesla magnets were used for the acquisition of multiplanar T1-weighted (pre-and post-gadolinium administration) and T2-weighted images. The main symptoms observed were headache and visual disturbances. Hyperprolactinaemia was observed in only one patient. The most frequent imaging finding was a parasellar mass which appeared hypointense on T1-weighted and hyperintense on T2-weighted images, and enhanced intensively after gadolinium administration. MRI is useful to demonstrate the lesion and to asses the damage to adjacent structures, particularly when the patient presents visual disturbances due to involvement of the cavernous sinuses. (author)

  13. Magnetic resonance imaging of the abdomen

    International Nuclear Information System (INIS)

    Kulkarni, M.V.

    1986-01-01

    MRI of the abdomen currently competes with CT and ultrasonography as an imaging technique for abdominal pathology. Although ultrasonography has certain advantages, such as real-time scanning, the major comparison is to be made between MR and CT. CT has slightly superior spatial resolution and minimal motion artifacts, and enables the use of contrast agents in bowel. MR, on the other hand, has improved capabilities in contrasting soft tissues and providing multiplanar imaging. The greatest advantage of CT is the experience that the medical community has gained with it over the last decade. Further development in technology and improvement in the clinical experience with MR will be important in determining its future role in abdominal imaging. Large series of clinical trials are required for further experience. Chemical spectroscopy with proton and possibly other nuclei may improve diagnostic specificity. Paramagnetic contrast agents for bowel specification would certainly improve imaging quality. Thus, MR will play a significant role in abdominal imaging in the future

  14. Arktisk Reform i Ukraines Skygge

    DEFF Research Database (Denmark)

    Rahbek-Clemmensen, Jon

    2015-01-01

    USA overtager formandskabet for Arktisk Råd ved udenrigsministermødet d. 24.-25. april 2015. Der er behov for nødvendige reformer af Rådets struktur, men Ukraine-konflikten gør det vanskeligt at nå de ambitiøse mål.......USA overtager formandskabet for Arktisk Råd ved udenrigsministermødet d. 24.-25. april 2015. Der er behov for nødvendige reformer af Rådets struktur, men Ukraine-konflikten gør det vanskeligt at nå de ambitiøse mål....

  15. Florence Nightingale and healthcare reform.

    Science.gov (United States)

    Kudzma, Elizabeth Connelly

    2006-01-01

    The purpose of this article was to examine the work of Florence Nightingale in light of her collaboration with William Farr, the eminent medical statistician. Nightingale's epidemiological investigations supported by Farr illustrated that attention to environmental cleanliness was an important factor in preventing spread of disease. Nightingale channeled her investigations to support hospital reforms and the need for an educated nurse who could provide better management of the hospital environment. Statistical support and solicited criticism allowed Nightingale to argue more forcefully for her reforms.

  16. The Economic Effects of Comprehensive Tax Reform

    National Research Council Canada - National Science Library

    1997-01-01

    .... This Congressional Budget Office (CBO) study analyzes the major economic effects of several tax reform plans and finds that much uncertainty surrounds the likelihood and magnitude of the economic gains from tax reform...

  17. TAX-REFORM - DREAMING ABOUT TOUGH REALITIES

    NARCIS (Netherlands)

    DEKAM, F

    1992-01-01

    This paper discusses four papers concerned with tax reform. It is concluded that tax reform has had a rather limited impact on behaviour so far but that governments should press ahead with gradual improvement and not expect dramatic results.

  18. INSTITUTIONAL THEORY OF ECONOMIC REFORMS: BASIC IMPERATIVES

    Directory of Open Access Journals (Sweden)

    Oleg Sergeevich SUKHAREV

    2015-07-01

    Full Text Available The ability of institutional economic theory to explain various kinds of economic reforms (changes on the basis of theoretical ideas about the dysfunction of institutions and systems are investigated. A number of classifications of reforms and dysfunctions is introduced and kinds of institutional efficiency of economic systems are defined. Qualitative regularities of various reforms of the twentieth century in different countries are generalized. A number of criteria of effective institutional reforms, capable to lower the depth and the scale of dysfunctions of the functioning economic subsystems is formed. System approach to the analysis of economic systems reforming with underlining the importance of reform “management” factor which defines productivity of economic development is elaborated. Life cycle of institution and economic system in the process of its reforming is presented and correction of J. Hellmann’s model, describing the reforming logic of economy is made.

  19. On being African and Reformed? Towards an African Reformed ...

    African Journals Online (AJOL)

    Here, the notions of being African and Reformed are interrogated. The research notes that these notions are rarely used in the same vein. It is admitted that notions tend to pick up different meanings as they evolve, so these notions are especially seen in that light. The theological hegemony, which in the South African ...

  20. Political Parties, Clientelism, and Bureaucratic Reform

    OpenAIRE

    Cruz, Cesi; Keefer, Philip

    2015-01-01

    The challenge of public administration reform is well-known: politicians often have little interest in the efficient implementation of government policy. Using new data from 439 World Bank public sector reform loans in 109 countries, we demonstrate that such reforms are significantly less likely to succeed in the presence of non-programmatic political parties. Earlier research uses evidence from a small group of countries to conclude that clientelistic politicians resist reforms that restrict...

  1. Effectiveness of a Rapid Lumbar Spine MRI Protocol Using 3D T2-Weighted SPACE Imaging Versus a Standard Protocol for Evaluation of Degenerative Changes of the Lumbar Spine.

    Science.gov (United States)

    Sayah, Anousheh; Jay, Ann K; Toaff, Jacob S; Makariou, Erini V; Berkowitz, Frank

    2016-09-01

    Reducing lumbar spine MRI scanning time while retaining diagnostic accuracy can benefit patients and reduce health care costs. This study compares the effectiveness of a rapid lumbar MRI protocol using 3D T2-weighted sampling perfection with application-optimized contrast with different flip-angle evolutions (SPACE) sequences with a standard MRI protocol for evaluation of lumbar spondylosis. Two hundred fifty consecutive unenhanced lumbar MRI examinations performed at 1.5 T were retrospectively reviewed. Full, rapid, and complete versions of each examination were interpreted for spondylotic changes at each lumbar level, including herniations and neural compromise. The full examination consisted of sagittal T1-weighted, T2-weighted turbo spin-echo (TSE), and STIR sequences; and axial T1- and T2-weighted TSE sequences (time, 18 minutes 40 seconds). The rapid examination consisted of sagittal T1- and T2-weighted SPACE sequences, with axial SPACE reformations (time, 8 minutes 46 seconds). The complete examination consisted of the full examination plus the T2-weighted SPACE sequence. Sensitivities and specificities of the full and rapid examinations were calculated using the complete study as the reference standard. The rapid and full studies had sensitivities of 76.0% and 69.3%, with specificities of 97.2% and 97.9%, respectively, for all degenerative processes. Rapid and full sensitivities were 68.7% and 66.3% for disk herniation, 85.2% and 81.5% for canal compromise, 82.9% and 69.1% for lateral recess compromise, and 76.9% and 69.7% for foraminal compromise, respectively. Isotropic SPACE T2-weighted imaging provides high-quality imaging of lumbar spondylosis, with multiplanar reformatting capability. Our SPACE-based rapid protocol had sensitivities and specificities for herniations and neural compromise comparable to those of the protocol without SPACE. This protocol fits within a 15-minute slot, potentially reducing costs and discomfort for a large subgroup of

  2. Community Organizing as an Education Reform Strategy

    Science.gov (United States)

    Renee, Michelle; McAlister, Sara

    2011-01-01

    Community organizing for school reform offers an urgently needed alternative to traditional approaches to school change. Many current reforms fail to thrive due to lack of trust, understanding, or cultural relevance to the community being targeted. The high turnover of reformers (superintendents, principals, or outside organizations) in high-need…

  3. Considerations for Education Reform in British Columbia

    Science.gov (United States)

    Santos, Ana

    2012-01-01

    Countries around the world refer to twenty-first century education as essential to maintaining personal and national economic advantage and draw on this discourse to advocate for and embark on educational reform. This paper examines issues around education reform, particularly in British Columbia. It argues that reformers should give careful…

  4. 49 CFR 260.13 - Credit reform.

    Science.gov (United States)

    2010-10-01

    ... appropriations, direct payment of a Credit Risk Premium by the Applicant or a non-Federal infrastructure partner... 49 Transportation 4 2010-10-01 2010-10-01 false Credit reform. 260.13 Section 260.13... REHABILITATION AND IMPROVEMENT FINANCING PROGRAM Overview § 260.13 Credit reform. The Federal Credit Reform Act...

  5. Cultural Narcissism and Education Reform

    Science.gov (United States)

    Pajak, Edward F.

    2011-01-01

    Background/Context: Scholars have described American culture in recent decades as narcissistic, manifested by displays of self-absorption tantamount to a pathological syndrome that has reached epidemic proportions. An education reform movement that is highly critical of public schools, teachers, and students has simultaneously emerged, espousing a…

  6. The Brazilian electrical system reform

    International Nuclear Information System (INIS)

    Mendonca, A.F.; Dahl, C.

    1999-01-01

    Although the Brazilian electrical system has been a public monopoly, the threat of electricity shortages from a lack of investment triggered a comprehensive reform. In 1993 the government began a series of laws, decrees and regulations reforming the tariff policy, allowing privatization of utilities, foreign investments and independent power producers, and creating an independent transmission grid and a new electricity regulatory agency (ANEEL). The new regulatory framework is not completely defined but the proposed model intends to transform bulk electricity supply into a competitive market similar to that adopted in England. Our objective is to evaluate whether the proposed reform will succeed in attracting the required private capital, will allow an unregulated wholesale electricity market and will require a strict regulatory framework. The reform has been quite successful in privatizing the distribution companies but is allowing monopolistic rents, and has failed until now to attract private investments to expand generation capacity. The risk of blackouts has increased, and the proposed wholesale electricity market may not be appropriate because of barriers to constructing new hydroelectric units, now 90% of the system. Therefore, a new regulatory framework and a strong regulatory agency with a well-defined tariff policy should have preceded the privatization. (author)

  7. Agrarian Reform and Rural Development.

    Science.gov (United States)

    Biswas, Margaret R.

    1979-01-01

    This paper presents the plight of the world's poor, which was discussed at The World Conference on Agrarian Reform and Rural Development in July, 1979. Urban bias is attributed to the failure of rural development. More participation of rural people is needed. Progress is being made. Examples of literary programs in Iraq and the Sudan are included.…

  8. Free-Market School Reform.

    Science.gov (United States)

    Harrington-Lueker, Donna

    1997-01-01

    In Uxbridge, Massachusetts, a small working-class mill town, free-market reform rhetoric has become reality. The tiny district has adopted controversial changes, such as giving vouchers to parents of Title I students, reimbursing home-schooling parents, lengthening the school day and year, adopting flexible scheduling, allowing credit for Internet…

  9. Law Reform and Child Protection

    Directory of Open Access Journals (Sweden)

    Ronan Cormacain

    2014-10-01

    Full Text Available In this Editorial Ronan Cormacain (Editor-in-Chief, ISLRev, Institute of Advanced Legal Studies welcomes you to the third issue of the IALS Student Law Review. He explains the background to this special edition focusing on Law Reform and Child Protection and introduces the articles featured in this issue of the journal.

  10. Education Reform: A Managerial Agenda.

    Science.gov (United States)

    Bacharach, Samuel B.; Conley, Sharon C.

    1986-01-01

    Education reform has wrongly focused on teacher motivation and rewards, when the organizational system itself is at fault. Research shows that effective school management hinges on increased individual discretion and decision-making opportunities for teachers and less controlling behavior by administrators. Ten characteristics of effective…

  11. EIA: Educational Reform or Repression?

    Science.gov (United States)

    Monteith, Dianne S.

    A recent study (Cook, 1989) involving 58 randomly selected South Carolina elementary schools indicated that none of these schools could be characterized as having an "open climate." This paper suggests that this situation may have its origins in the educational reform movement of the 1980s, first ignited by the publication of "A…

  12. Steam hydrocarbon cracking and reforming

    NARCIS (Netherlands)

    Golombok, M.

    2004-01-01

    Many industrial chemical processes are taught as distinct contrasting reactions when in fact the unifying comparisons are greater than the contrasts. We examine steam hydrocarbon reforming and steam hydrocarbon cracking as an example of two processes that operate under different chemical reactivity

  13. Reforming the Russian electricity market

    International Nuclear Information System (INIS)

    Valladares, Mayra Rodriguez

    1999-08-01

    Contains Executive Summary and Chapters on: Overview; Russian energy markets; Evolution of the power sector; The electricity market; Regulation and proposed reforms; Politics in the power sector; Economics of the power sector; Regional differences; Foreign involvement; Valuation and company management; Conclusions. (Author)

  14. Forest policy reform in Brazil

    Science.gov (United States)

    S. Bauch; E. Sills; L.C. Rodriguez Estraviz; K. McGinley; F. Cubbage

    2009-01-01

    Rapid deforestation in the Brazilian Amazon, caused by economic, social, and policy factors, has focused global and national attention on protecting this valuable forest resource. In response, Brazil reformed its federal forest laws in 2006, creating new regulatory, development, and incentive policy instruments and institutions. Federal forestry responsibilities are...

  15. Reforming technology for syngas production

    International Nuclear Information System (INIS)

    Epstein, M.

    1997-01-01

    Methane forming reactions using either steam or CO 2 have been known to industry for a long time. These endothermic reactions require the investment of a relatively large amount of energy. German researchers, in the 1970's, conceived and developed the idea to use this reaction and the reverse methanation reaction in a closed loop for the transportation and distribution of nuclear heat. The idea was also adopted for use with solar energy as a heat source. Utilizing solar energy as the heat source, the Weismann Institute of Science has fabricated, installed and operated a complete loop capable of the conversion and transportation of over 400 kW of heat. This system can be operated with a wide range of CO 2 /H 2 O/CH 4 feed mixtures. Steam reforming is the common reforming reaction in the ''open loop'' mode for the purpose of synthesis gas production. This is accomplished with a large excess of steam on a nickel catalyst. However, it has only recently been recognized that there is also a substantial market for CO 2 reforming. The CO 2 /CH 4 mixture in various proportions exists in many places and has, so far, not been used efficiently. The sources for this mixture are biogas produced in anaerobic digestion processes and gas resources such as the NATUNA gas field in Indonesia, and many others. Therefore, the system of CO 2 /CH 4 deserves more attention. Commercial catalysts used for steam reforming based on nickel are not suitable for this system. Therefore, other catalysts based on Rhodium and Ruthenium have been developed and some performance data is presented in this paper. Also presented is a conceptual schematic layout of a CO 2 reforming plant and matching methanator. A computer code for a detailed design of the entire loop in a commercial size system has been prepared where optimized operational conditions as well as equipment parameters can be determined. (author). 3 figs, 3 tabs

  16. Endometrial cancer: magnetic resonance imaging.

    Science.gov (United States)

    Manfredi, R; Gui, B; Maresca, G; Fanfani, F; Bonomo, L

    2005-01-01

    Carcinoma of the endometrium is the most common invasive gynecologic malignancy of the female genital tract. Clinically, patients with endometrial carcinoma present with abnormal uterine bleeding. The role of magnetic resonance imaging (MRI) in endometrial carcinoma is disease staging and treatment planning. MRI has been shown to be the most valuable imaging mod-ality in this task, compared with endovaginal ultrasound and computed tomography, because of its intrinsic contrast resolution and multiplanar capability. MRI protocol includes axial T1-weighted images; axial, sagittal, and coronal T2-weighted images; and dynamic gadolinium-enhanced T1-weighted imaging. MR examination is usually performed in the supine position with a phased array multicoil using a four-coil configuration. Endometrial carcinoma is isointense with the normal endometrium and myometrium on noncontrast T1-weighted images and has a variable appearance on T2-weighted images demonstrating heterogeneous signal intensity. The appearance of noninvasive endometrial carcinoma on MRI is characterized by a normal or thickened endometrium, with an intact junctional zone and a sharp tumor-myometrium interface. Invasive endometrial carcinoma is characterized disruption or irregularity of the junctional zone by intermediate signal intensity mass on T2-weighted images. Invasion of the cervical stroma is diagnosed when the low signal intensity cervical stroma is disrupted by the higher signal intensity endometrial carcinoma. MRI in endometrial carcinoma performs better than other imaging modalities in disease staging and treatment planning. Further, the accuracy and the cost of MRI are equivalent to those of surgical staging.

  17. Sports-related muscle injuries of the lower extremity: MR imaging appearances

    International Nuclear Information System (INIS)

    Sanchez-Marquez, A.; Gil-Garcia, M.; Valls, C.; Narvaez-Garcia, J.; Andia-Navarro, E.; Pozuelo-Segura, O.; Portabella-Blavia, F.

    1999-01-01

    Sports-related injuries of the lower extremity are frequent. Before magnetic resonance (MR) imaging was available, ultrasound, radionuclide scintigraphy and computed tomography were used to evaluate muscle trauma. Although relatively inexpensive, these imaging modalities are limited by their low specificity. The high degree of soft tissue contrast and multiplanar capability of MR imaging, allow direct visualization as well as characterization of traumatic muscle lesions. This pictorial review highlights the spectrum of traumatic muscle lesions on MRI, with emphasis on its typical appearances. (orig.)

  18. Postoperative evaluation after anterior cruciate ligament reconstruction: Measurements and abnormalities on radiographic and CT imaging

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Min Cheol; Choi, Yun Sun; KIm, Hyoung Seop; Choi, Nam Hong [Nowon Eulji Medical Center, Eulji University, Seoul (Korea, Republic of)

    2016-11-15

    Reconstruction of a ruptured anterior cruciate ligament (ACL) is a well-established procedure for repair of ACL injury. Despite improvement of surgical and rehabilitation techniques over the past decades, up to 25% of patients still fail to regain satisfactory function after an ACL reconstruction. With development of CT imaging techniques for reducing metal artifacts, multi-planar reconstruction, and three-dimensional reconstruction, early post-operative imaging is increasingly being used to provide immediate feedback to surgeons regarding tunnel positioning, fixation, and device placement. Early post-operative radiography and CT imaging are easy to perform and serve as the baseline examinations for future reference.

  19. Reforming the reform: the Greek National Health System in transition.

    Science.gov (United States)

    Tountas, Yannis; Karnaki, Panagiota; Pavi, Elpida

    2002-10-01

    The National Health System (ESY) in Greece, which was established in 1983, is in a state of continuous crisis. This situation is caused mainly by the system's problematic administration, low productivity and inadequate Primary Health Care. These have led the re-elected PASOK government to introduce by the end of 2000 a radical reform of the health system. The 200 reform measures announced by the new Minister of Health and Welfare include changes aiming at: the decentralization of the ESY, the creation of a unified financing system for the social insurance funds, a new management structure in public hospitals, the organization of a Primary Health System in urban areas, and the strengthening of Public Health and Health Promotion. These changes are presented and discussed in this paper.

  20. Liver imaging with MDCT and high concentration contrast media

    International Nuclear Information System (INIS)

    Spielmann, Audrey L.

    2003-01-01

    Liver imaging has advanced greatly over the last 10 years with helical CT capability and more recently the addition of multidetector-row CT (MDCT). Multidetector CT technology facilitates imaging at faster speeds with improved image quality and less breathing artifact [Abdom. Imaging 25 (2000) 643]. Exquisite three-dimensional data sets can be obtained with thin collimation providing improved lesion detection, multiplanar imaging, and the ability to perform CT angiography of the liver and mesenteric vessels. New challenges arise with this advance in technology including safety considerations. The radiation dose to the patient has increased with MDCT and this is compounded by the ability to perform multi-phase liver imaging. Furthermore, issues of contrast media administration require reconsideration including optimal timing and rate of administration, the total volume of contrast needed and the ideal iodine concentration of the contrast media. Recently, the use of high concentration contrast media (HCCM) has been explored and study results to date will be reviewed

  1. Curriculum reform and the market

    DEFF Research Database (Denmark)

    Petersen, Karen Bjerg

    2011-01-01

    A neo-liberal discourse in the 2000s has been prevalent not only in international and Danish educational policy contexts, but also within a specific area, namely the education of adult immigrants in Denmark. With the adoption of a new law in 2003 high-stakes testing, standards, new market economy...... in Denmark. Based on studies of curriculum reform and research about headmasters’ and teachers’ attitudes the article addresses paradoxes rising in the wake of the neo-liberal education policy. Despite the intention of high-stakes testing to increase adult migrants’ language and employment related....... Teachers furthermore find the new working conditions stressing. It is discussed whether a neo-liberal discourse in adult teaching is ‘dumping down’ the intentions of curriculum and education reform....

  2. Curriculum reform and the market

    DEFF Research Database (Denmark)

    Petersen, Karen Bjerg

    2012-01-01

    A neo-liberal discourse in the 2000s has been prevalent not only in international and Danish educational policy contexts, but also within a specific area, namely the education of adult immigrants in Denmark. With the adoption of a new law in 2003 high-stakes testing, standards, new market economy...... in Denmark. Based on studies of curriculum reform and research about headmasters’ and teachers’ attitudes the article addresses paradoxes rising in the wake of the neo-liberal education policy. Despite the intention of high-stakes testing to increase adult migrants’ language and employment related....... Teachers furthermore find the new working conditions stressing. It is discussed whether a neo-liberal discourse in adult teaching is ‘dumping down’ the intentions of curriculum and education reform....

  3. - LAA Occluder View for post-implantation Evaluation (LOVE) - standardized imaging proposal evaluating implanted left atrial appendage occlusion devices by cardiac computed tomography

    International Nuclear Information System (INIS)

    Behnes, Michael; Akin, Ibrahim; Sartorius, Benjamin; Fastner, Christian; El-Battrawy, Ibrahim; Borggrefe, Martin; Haubenreisser, Holger; Meyer, Mathias; Schoenberg, Stefan O.; Henzler, Thomas

    2016-01-01

    A standardized imaging proposal evaluating implanted left atrial appendage (LAA) occlusion devices by cardiac computed tomography angiography (cCTA) has never been investigated. cCTA datasets were acquired on a 3 rd generation dual-source CT system and reconstructed with a slice thickness of 0.5 mm. An interdisciplinary evaluation was performed by two interventional cardiologists and one radiologist on a 3D multi-planar workstation. A standardized multi-planar reconstruction algorithm was developed in order to assess relevant clinical aspects of implanted LAA occlusion devices being outlined within a pictorial essay. The following clinical aspects of implanted LAA occlusion devices were evaluated within the most appropriate cCTA multi-planar reconstruction: (1) topography to neighboring structures, (2) peri-device leaks, (3) coverage of LAA lobes, (4) indirect signs of neo-endothelialization. These are illustrated within concise CT imaging examples emphasizing the potential value of the proposed cCTA imaging algorithm: Starting from anatomical cCTA planes and stepwise angulation planes perpendicular to the base of the LAA devices generates an optimal LAA Occluder View for post-implantation Evaluation (LOVE). Aligned true axial, sagittal and coronal LOVE planes offer a standardized and detailed evaluation of LAA occlusion devices after percutaneous implantation. This pictorial essay presents a standardized imaging proposal by cCTA using multi-planar reconstructions that enables systematical follow-up and comparison of patients after LAA occlusion device implantation. The online version of this article (doi:10.1186/s12880-016-0127-y) contains supplementary material, which is available to authorized users

  4. Plasma catalytic reforming of methane

    Energy Technology Data Exchange (ETDEWEB)

    Bromberg, L.; Cohn, D.R.; Rabinovich, A. [Massachusetts Inst. of Technology, Cambridge, MA (United States). Plasma Science and Fusion Center; Alexeev, N. [Russian Academy of Sciences, Moscow (Russian Federation). Baikov Inst. of Metallurgy

    1998-08-01

    Thermal plasma technology can be efficiently used in the production of hydrogen and hydrogen-rich gases from methane and a variety of fuels. This paper describes progress in plasma reforming experiments and calculations of high temperature conversion of methane using heterogeneous processes. The thermal plasma is a highly energetic state of matter that is characterized by extremely high temperatures (several thousand degrees Celsius) and high degree of dissociation and substantial degree of ionization. The high temperatures accelerate the reactions involved in the reforming process. Hydrogen-rich gas (50% H{sub 2}, 17% CO and 33% N{sub 2}, for partial oxidation/water shifting) can be efficiently made in compact plasma reformers. Experiments have been carried out in a small device (2--3 kW) and without the use of efficient heat regeneration. For partial oxidation/water shifting, it was determined that the specific energy consumption in the plasma reforming processes is 16 MJ/kg H{sub 2} with high conversion efficiencies. Larger plasmatrons, better reactor thermal insulation, efficient heat regeneration and improved plasma catalysis could also play a major role in specific energy consumption reduction and increasing the methane conversion. A system has been demonstrated for hydrogen production with low CO content ({approximately} 1.5%) with power densities of {approximately} 30 kW (H{sub 2} HHV)/liter of reactor, or {approximately} 10 m{sup 3}/hr H{sub 2} per liter of reactor. Power density should further increase with increased power and improved design.

  5. The Consequences of Tax Reforms

    OpenAIRE

    Hohenthal, Michael

    2018-01-01

    In this paper, I examine the effects of tax reforms for an economy in a welfare state. I do this by a macroeconomic model, which includes not only households, firms and a government but also a monopoly labour union. The households are of two types, workers and entrepreneurs. The workers are employed by the firms, which are owned by the entrepreneurs. This paper shows that decreasing labour taxation and increasing consumption taxation would have a number of positive effects. These include incr...

  6. The california electricity reform debacle

    International Nuclear Information System (INIS)

    Jaccard, M.

    2001-01-01

    In 1998, California launched a dramatic reform of its electricity sector, vertically de-integrating its major utilities and establishing a competitive generation market, with separate entities responsible for grid control and power exchange. After two uneventful years, wholesale prices rose dramatically in the summer of 2000 and have remained high into 2001. An imbalance between the high wholesale prices and frozen retail rates caused a financial crisis for the electric utilities and power shortages have been a chronic threat. Several factors contributed to this crisis: capacity has not expanded in step with demand either in California or its larger trading region; extreme weather and poorly timed plant outages further increased demand and decreased supply; market design flaws allowed significant suppliers to influence the market while frozen retail rates limited the demand response that would have mitigated the supply-demand imbalance. State and federal agencies have taken corrective action but the situation may remain critical for some time. Longer term solutions involve recognizing the special characteristics of electricity in designing marking reform. Because electricity supply and demand must be instantaneously balanced at all times, market reform must ensure that someone has the responsibility and effective tools to ensure that this occurs, in spite of unforeseen circumstances, and to prevent the exercise of market power. Because a competitive commodity market must work in concert with a monopoly delivery system, someone must be responsible and have the means to develop and operate the grid in ways that are amenable to effective competition. Finally, reform design must ensure that the cyclical investment and price patterns of normal commodity markets are minimized in the electricity market and that when they do occur, market volatility does not compromise reliability and price stability for those who value these highly and would pay a premium for them

  7. Imaging

    International Nuclear Information System (INIS)

    Kellum, C.D.; Fisher, L.M.; Tegtmeyer, C.J.

    1987-01-01

    This paper examines the advantages of the use of excretory urography for diagnosis. According to the authors, excretory urography remains the basic radiologic examination of the urinary tract and is the foundation for the evaluation of suspected urologic disease. Despite development of the newer diagnostic modalities such as isotope scanning, ultrasonography, CT, and magnetic resonsance imaging (MRI), excretory urography has maintained a prominent role in ruorradiology. Some indications have been altered and will continue to change with the newer imaging modalities, but the initial evaluation of suspected urinary tract structural abnormalities; hematuria, pyuria, and calculus disease is best performed with excretory urography. The examination is relatively inexpensive and simple to perform, with few contraindictions. Excretory urography, when properly performed, can provide valuable information about the renal parenchyma, pelvicalyceal system, ureters, and urinary bladder

  8. Power sector reforms in India

    Energy Technology Data Exchange (ETDEWEB)

    Bajaj, Harbans L; Sharma, Deepak

    2007-07-01

    India faces endemic electrical energy and peaking shortages. The Power Sector is plagued with mounting commercial losses due various inefficiencies, colossal commercial and technical losses and increasing subsidy burden on the states. These shortages have had a very detrimental effect on the overall economic growth of the country. In order to re-vitalise the sector and improve the techno-economic performance, the Government of India has initiated the reform process in 1991. This paper analyses the pre-reform era and identifies the key concerns which led to the initiation of the reforms. It also analyses the likely impact of the major policy and regulatory initiatives that have been undertaken since 1991 including the provisions of the new enactments which have come into force eventually in the form of The Electricity Act, 2003. This paper details out the key features of the Act and its likely impact on the Indian electricity industry in the emerging scenario. The paper also discusses major issues like power trading, role of regulator in the new regime, issue of open access, introduction of power markets and role of Appellate Tribunal for Electricity in harmonizing the orders of the various regulators.

  9. Labour market reforms in the context of political power theory: The case of Slovenia

    Directory of Open Access Journals (Sweden)

    Tjaša Redek

    2009-06-01

    Full Text Available The rigidity of labour market has several important negative economic consequences: it stifles job creation, increases discrimination of those that it is actually aimed at protecting (young, women and the low-skilled, hurts the unemployed, slows down economic restructuring and damages its global competitiveness. But reforms are slow and often marked with disputes among partners in the collective bargaining process. Afraid of social security loss, unions usually oppose the reform, while governments usually give in to the union pressures and negative image of reform consequences created by unions and assisted by media. The characteristics of the labour market and labour market reform with respect to bargaining among power groups are examined both theoretically and empirically in the case of Slovenia.

  10. Budget reform in Ukraine and the OECD countries

    Directory of Open Access Journals (Sweden)

    Puchko Anna

    2016-09-01

    Full Text Available The article analyzes the fiscal reforms in Ukraine and the OECD countries. It has been proved that the main areas which should undergo changes are the tax reform, regulatory reform and restructuring policies to encourage entrepreneurship, reform of social protection and social security, reform of social sphere constituents, administrative reform, reform of the army and law enforcement, administrative and territorial reform. According to the analysis results, there has been drawn the conclusion about the need to introduce in Ukraine the successful experience of the OECD countries in implementing budget reforms.

  11. Development of ATSR (Auto Thermal Steam Reformer)

    International Nuclear Information System (INIS)

    Ono, J.; Yoshino, Y.; Kuwabara, T.; Fujisima, S.; Kobayashi, S.; Maruko, S.

    2004-01-01

    'Full text:' Auto-thermal reformers are used popularly for fuel cell vehicle because they are compact and can start up quickly. On the other hand, steam reformers are used for stationary fuel cell power plant because they are good thermal efficiency. While, there are many cases using the auto- thermal reformer for stationary use with expectation of cost reduction in USA, as well. However, they are still insufficient for its durability, compactness and cost. We have been developing the new type of fuel processing system that is auto-thermal steam reformer (ATSR), which is hybrid of a conventional steam reformer (STR) and a conventional auto-thermal reformer (ATR). In this study, some proto-type of ATSR for field test were designed, tried manufacturing and tested performance and durability. And we have tried to operate with fuel cell stack to evaluate the system interface performance, that is, operability and controllability. (author)

  12. High temperature ceramic-tubed reformer

    Science.gov (United States)

    Williams, Joseph J.; Rosenberg, Robert A.; McDonough, Lane J.

    1990-03-01

    The overall objective of the HiPHES project is to develop an advanced high-pressure heat exchanger for a convective steam/methane reformer. The HiPHES steam/methane reformer is a convective, shell and tube type, catalytic reactor. The use of ceramic tubes will allow reaction temperature higher than the current state-of-the-art outlet temperatures of about 1600 F using metal tubes. Higher reaction temperatures increase feedstock conversion to synthesis gas and reduce energy requirements compared to currently available radiant-box type reformers using metal tubes. Reforming of natural gas is the principal method used to produce synthesis gas (primarily hydrogen and carbon monoxide, H2 and CO) which is used to produce hydrogen (for refinery upgrading), methanol, as well as several other important materials. The HiPHES reformer development is an extension of Stone and Webster's efforts to develop a metal-tubed convective reformer integrated with a gas turbine cycle.

  13. Review of Judicial Reforms in Bhutan

    OpenAIRE

    Dubgyur, Lungten

    2004-01-01

    This essay highlights the anomalies of judicial reforms in Bhutan. It presents a historical perspective of Bhutanese judicial reforms and addresses recent developments. It discusses court performance and experiences and approaches adopted in making the courts efficient. Much of the reform initiatives emanate from the throne. His Majesty the King has always advocated an efficient judicial system for the Kingdom. In obedience to the Royal Commands, the judicial system and judicial process in Bh...

  14. The English and Swedish health care reforms.

    Science.gov (United States)

    Glennerster, H; Matsaganis, M

    1994-01-01

    England and Sweden have two of the most advanced systems of universal access to health care in the world. Both have begun major reforms based on similar principles. Universal access and finance from taxation are retained, but a measure of competition between providers of health care is introduced. The reforms therefore show a movement toward the kind of approach advocated by some in the United States. This article traces the origins and early results of the two countries' reform efforts.

  15. Improving the Business Trade Licensing Reform Environment

    OpenAIRE

    Gamser, Matthew

    2003-01-01

    This case study of Kenyan business trade licensing shows that red-tape costs can be cut if reform is championed strongly and there is a strong case in terms of costs and benefits. The reform of business registration, trade licensing and other business entry procedures is a cost effective and progressive way to promote indigenous private sector development. But, reform needs more than good cost-benefit analysis and legal drafting; it also requires building constituencies and continuous advocacy.

  16. Interest Groups and Trade Reform in Mexico

    OpenAIRE

    Luis Sanchez-Mier

    2005-01-01

    Mexico experienced widespread economic reform in the last two decades. From being a protectionist economy with a policy of import substitution, it has turned into an export-oriented open economy. Why was protectionism a stable policy, and how was it overturned by a reform that went against entrenched interests? I apply a game theoretic model of political influence and economic reform to answer these questions using data to calculate the payoffs for the relevant interest groups. In the underly...

  17. Tariff-Tax Reforms and Market Access

    DEFF Research Database (Denmark)

    Kreickemeier, Udo; Raimondos-Møller, Pascalis

    2006-01-01

    Reducing tariffs and increasing consumption taxes is a standard IMF advice to countries that want to open up their economy without hurting government finances. Indeed, theoretical analysis of such a tariff-tax reform shows an unambiguous increase in welfare and government revenues. The present pa...... efficient proposal to follow both as far as it concerns market access and welfare.JEL code: F13, H20.Keywords: Market access; tariff reform, consumption tax reform....

  18. Diagnostic imaging of craniofacial trauma and fractures and their sequelae

    International Nuclear Information System (INIS)

    Buitrago-Tellez, C.H.; Kunz, C.

    2001-01-01

    The value and applications of the CT modalities are on the rise, particularly since the availability of spiral CT techniques, while conventional native diagnostics is increasingly used for special imaging purposes. Multiplanar spiral CT enables high-quality coronary 2D reconstructions which, in the acute phase, make redundant primary coronary imaging modalities. Exact knowledge of typical fracture patterns facilitates the analysis of images of the relevant facial areas. 3D reconstructions are indispensable in pin-pointed surgery planning, generation of stereolithographic models, and image-guided interventions for examination of post-traumatic deformities. Since a secondary correction only very rarely leads to restitutio ad integrum, it is necessary to detect the therapy-relevant injuries very early, during acute diagnostic imaging, in order to lay the basis for subsequent therapy and restoration of the craniofacial structures and functions. (orig./CB) [de

  19. Multi-Detector Computed Tomography Imaging Techniques in Arterial Injuries

    Directory of Open Access Journals (Sweden)

    Cameron Adler

    2018-04-01

    Full Text Available Cross-sectional imaging has become a critical aspect in the evaluation of arterial injuries. In particular, angiography using computed tomography (CT is the imaging of choice. A variety of techniques and options are available when evaluating for arterial injuries. Techniques involve contrast bolus, various phases of contrast enhancement, multiplanar reconstruction, volume rendering, and maximum intensity projection. After the images are rendered, a variety of features may be seen that diagnose the injury. This article provides a general overview of the techniques, important findings, and pitfalls in cross sectional imaging of arterial imaging, particularly in relation to computed tomography. In addition, the future directions of computed tomography, including a few techniques in the process of development, is also discussed.

  20. Plasma-catalytic reforming of ethanol: influence of air activation rate and reforming temperature

    International Nuclear Information System (INIS)

    Nedybaliuk, O.A.; Chernyak, V.Ya.; Fedirchuk, I.I.; Demchina, V.P.; Bortyshevsky, V.A.; Korzh, R.V.

    2016-01-01

    This paper presents the study of the influence that air activation rate and reforming temperature have on the gaseous products composition and conversion efficiency during the plasma-catalytic reforming of ethanol. The analysis of product composition showed that the conversion efficiency of ethanol has a maximum in the studied range of reforming temperatures. Researched system provided high reforming efficiency and high hydrogen energy yield at the lower temperatures than traditional conversion technologies

  1. CT Imaging of facial trauma. Role of different types of reconstruction. Part I - bones

    International Nuclear Information System (INIS)

    Myga-Porosilo, J.; Sraga, W.; Borowiak, H.; Jackowska, Z.; Kluczewska, E.; Skrzelewski, S.

    2011-01-01

    Background: Injury to the facial skeleton and the adjoining soft tissues is a frequently occurring condition. The main aim of this work was to assess the value of multiplanar and three-dimensional (3D) reconstruction computed tomography (CT) images obtained by using multi-detector row technology in spiral data acquisition in patients with facial skeleton injury. The authors attempted to answer the following questions: Are there particular mechanisms and types of injuries or locations of fractures which can be diagnosed significantly more effectively by conducting additional multiplanar image reconstructions? Do 3D image reconstructions contribute to the diagnostic process, to what extent? Compared to other imaging techniques, is the spiral CT data acquisition a more convenient for the patient and a faster investigation method of diagnosing post-injury lesions involving the facial skeleton? Material/Methods: Sixty-seven patients diagnosed with injury to the facial skeleton were referred for emergent CT scanning. Each patient underwent a CT scan with the use of a GE HiSpeed Qx/i scanner. The scans were conducted with the use of spiral data acquisition technique in the transverse plane. The following secondary image reconstructions were conducted for each patient: a two dimensional (2D) multiplanar reconstruction (MPR), maximum intensity projection (MIP), and 3D volume rendering (VR). Post-injury lesions of the facial skeleton were assessed and the presence of any loose displaced bone fragments was taken into consideration. Results: As far as fracture imaging is concerned, the 2D image reconstruction and volume rendering proved to be the most effective in the majority of locations. 3D image reconstructions proved the most sensitive in most cases of loose displaced bone fragments, except for fine structures such as the ethmoid bone and the inferior orbital wall. Conclusions: 1. Multiplanar computer reconstructions increase the effectiveness of visualisation of

  2. Pension reform in the European periphery: the role of EU reform advocacy

    NARCIS (Netherlands)

    Stepan, M.; Anderson, K.A.

    2014-01-01

    SUMMARY: This paper analyzes the impact of international reform advocacy on national pension reforms. We analyze European Union (EU) reform advocacy in two EU member states: Greece and Hungary. Although the EU has articulated a fairly coherent template for sustainable pensions, its use of soft

  3. The value of multislice helical CT in the diagnosis of the rib micro-fracture

    International Nuclear Information System (INIS)

    Wang Shuli; Wang Linsen; Sun Dingyuan; Deng Xin; Geng Xin; Li Jian; Liu Zhigang; Guo Lin; Jia Zhihong

    2005-01-01

    Objective: To evaluate the clinical value of MSCT with thin-section reconstruction and curved multiplanar reformation of rib micro-fracture. Methods: Thirty-eight patients suspected ribs fracture by clinical examination, which had negative appearance in X-ray film, were performed with MSCT scan with thin-section reconstructed and curved multiplanar reformation. The imaging of 5 mm, 1 mm thickness and curved reformatted imags were analysed by three groups of radiologists respectively. Results: Of the 38 patients, 26 patients were demonstrated ribs fracture with 1 mm thin-section reconstructed and curved multiplanar reformatted CT imaging, which were classified as complete fracture in 18 ribs and incomplete fracture in 41 ribs. The ends of the fractures displacement located within a distance of double-thickness of the cortex of the complete ribs fracture. With 5 mm thickness imaging, the accuracy of the diagnosis was 86.4%, 89.8% and 94.9% by three groups radiologists, respectively. Conclusion: The rib fracture is very common in clinic, the incomplete and non evident displacement complete ribs fracture are difficult to be diagnosed by plain radiography. The MSCT can produce a large range volume information scan. Thin-section reconstructed and curved multiplanar reformatted imaging should be the effective method in diagnosis of ribs fracture. The total rib pattern and location, extend of all the ribs fracture in this cases can be displayed in one scan by the curved multiplanar reformatted imaging. (authors)

  4. China struggles to reform giants

    International Nuclear Information System (INIS)

    McDonald, Paul

    1999-01-01

    This article examines the struggle to reform the Chinese oil industry. Topics discussed include the defending of state monopolies, the capital injections required by the three main national oil companies, the bidding of the China National Petroleum Corporation (CNPC) for oilfields in Kazakhstan resulting in the need for large investment, and CNPC's failure to meet its spending commitments in the Middle East. Expenditure on exploration, the funding of gas development, and the plans of the China Petroleum Corporation (Sinopec) to raise funds overseas are discussed, and competition problems are considered. (UK)

  5. Righting wrongs and reforming rights.

    Science.gov (United States)

    Ivey, Laurie C

    2014-03-01

    Discusses issues faced by LGBT people, such as a lack of equal civil rights and the need for extra legal and financial protection for families because partners cannot be married. The author notes that, in our society, it is no longer acceptable to be racist, but it is still okay to be homophobic. The many campaigns against gay marriage and efforts in the legislature to prevent change toward equal civil rights and protections are prime examples. In our current political climate, two things are very clear: (a) homophobia is freely tolerated and (b) the times are changing as we inch closer to equal rights every day. We are "righting wrongs and reforming rights."

  6. Steam reforming of light oxygenates

    DEFF Research Database (Denmark)

    Trane-Restrup, Rasmus; Resasco, Daniel E; Jensen, Anker Degn

    2013-01-01

    Steam reforming (SR) of ethanol, acetic acid, acetone, acetol, 1-propanol, and propanal has been investigated over Ni/MgAl2O4 at temperatures between 400 and 700 degrees C and at a steam-to-carbon-ratio (S/C) of 6. The yield of H-2 and conversion increased with temperature, while the yield of by-...... of CH4. Significant deactivation of the catalyst was observed for all of the compounds and was mainly due to carbon formation. The carbon formation was highest for alcohols due to a high formation of olefins, which are potent coke precursors....

  7. Welfare implication of reforming energy consumption subsidies

    International Nuclear Information System (INIS)

    Breton, Michèle; Mirzapour, Hossein

    2016-01-01

    Reforming energy consumption subsidies, in particular for fossil fuels, has been frequently referred to as a quick-win policy to enhance environmental mitigation. In addition, the removal of such subsidies may release a sizeable portion of a country's national budget for use on more productive targets. One of the most recognized challenges of such reform is “selling” the new energy prices to citizens, particularly those with a more fragile purchasing power. Several empirical and technical studies have prescribed that the reform might be supported by a direct compensation mechanism in order to ensure feasibility. This is what was done during the recent energy subsidy reform in Iran. However, the compensation mechanism implemented in Iran's reform was successful at the beginning, but did not proceed as expected. This has raised questions about the feasibility and sustainability of the direct compensation mechanism, and even of the reform policy itself. In this paper, we consider a stylized model where direct compensation is the instrument proposed to restore consumers’ utility against increased energy prices. We find that, when prices of Other Goods are affected by the announced reform policy, the feasibility of a subsidy reform critically depends on the value of certain parameters: the initial subsidization rate, the share of energy in the consumers’ bundle, and the energy portion of price of Other Goods. - Highlights: • A model of energy subsidy reform with direct compensation is proposed. • Feasibility of the reform is related to three key parameters. • An illustrative example using data from the recent Iranian reform is discussed.

  8. Magnetic resonance imaging of the elbow. Part II: Abnormalities of the ligaments, tendons, and nerves

    Energy Technology Data Exchange (ETDEWEB)

    Kijowski, Richard; Tuite, Michael; Sanford, Matthew [University of Wisconsin Hospital, Department of Radiology, Madison, WI (United States)

    2005-01-01

    Part II of this comprehensive review on magnetic resonance imaging of the elbow discusses the role of magnetic resonance imaging in evaluating patients with abnormalities of the ligaments, tendons, and nerves of the elbow. Magnetic resonance imaging can yield high-quality multiplanar images which are useful in evaluating the soft tissue structures of the elbow. Magnetic resonance imaging can detect tears of the ulnar collateral ligament and lateral collateral ligament of the elbow with high sensitivity and specificity. Magnetic resonance imaging can determine the extent of tendon pathology in patients with medial epicondylitis and lateral epicondylitis. Magnetic resonance imaging can detect tears of the biceps tendon and triceps tendon and can distinguishing between partial and complete tendon rupture. Magnetic resonance imaging is also helpful in evaluating patients with nerve disorders at the elbow. (orig.)

  9. Advances in medical imaging for the diagnosis and management of common genitourinary cancers.

    Science.gov (United States)

    Bagheri, Mohammad H; Ahlman, Mark A; Lindenberg, Liza; Turkbey, Baris; Lin, Jeffrey; Cahid Civelek, Ali; Malayeri, Ashkan A; Agarwal, Piyush K; Choyke, Peter L; Folio, Les R; Apolo, Andrea B

    2017-07-01

    Medical imaging of the 3 most common genitourinary (GU) cancers-prostate adenocarcinoma, renal cell carcinoma, and urothelial carcinoma of the bladder-has evolved significantly during the last decades. The most commonly used imaging modalities for the diagnosis, staging, and follow-up of GU cancers are computed tomography, magnetic resonance imaging (MRI), and positron emission tomography (PET). Multiplanar multidetector computed tomography and multiparametric MRI with diffusion-weighted imaging are the main imaging modalities for renal cell carcinoma and urothelial carcinoma, and although multiparametric MRI is rapidly becoming the main imaging tool in the evaluation of prostate adenocarcinoma, biopsy is still required for diagnosis. Functional and molecular imaging using 18-fluorodeoxyglucose-PET and sodium fluoride-PET are essential for the diagnosis, and especially follow-up, of metastatic GU tumors. This review provides an overview of the latest advances in the imaging of these 3 major GU cancers. Published by Elsevier Inc.

  10. Working towards Justice, Security Sector Reform and Better ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    ... on security sector reform, constitutional reform, governance of diversity and critical dialogues in MENA societies. ... Reform will take time and one of the tests for those involved in this process is exercising patience and .... Related articles ...

  11. Magnetic resonance imaging of elephantiasis neuromatosa

    Energy Technology Data Exchange (ETDEWEB)

    Stevens, K.J.; Sully, L.; Preston, B.J. [Department of Radiology, University Hospital, Queen`s Medical Centre, Nottingham (United Kingdom); Ludman, C.N. [Department of Radiology, University Hospital, Queen`s Medical Centre, Nottingham (United Kingdom)]|[Division of Academic Radiology, University Hospital, Queen`s Medical Centre, Nottingham (United Kingdom)

    1998-12-01

    We present the case of a 43-year-old man with neurofibromatosis type 1 who developed elephantiasis neuromatosa of his left leg. The gross limb enlargement was extremely disfiguring, and resulted in such severe disability that he was only able to walk a very short distance using crutches. Previous debulking procedures had resulted in massive blood loss, and prior to attempting further surgical intervention MRI studies were requested. Taking advantage of the excellent tissue characterisation and multiplanar imaging capabilities of MRI, we were able to assess the extent of soft tissue and osseous involvement. The use of recently developed MR angiographic sequences enabled us to non-invasively provide detailed images to assess the relationship of the lesions to the major vessels, as well as the vascular supply and angiographic features of the lesions themselves. This article describes our MRI-based findings, which precluded debulking surgery in this unusual manifestation of neurofibromatosis. (orig.) With 6 figs., 23 refs.

  12. Magnetic resonance imaging of elephantiasis neuromatosa

    International Nuclear Information System (INIS)

    Stevens, K.J.; Sully, L.; Preston, B.J.; Ludman, C.N.

    1998-01-01

    We present the case of a 43-year-old man with neurofibromatosis type 1 who developed elephantiasis neuromatosa of his left leg. The gross limb enlargement was extremely disfiguring, and resulted in such severe disability that he was only able to walk a very short distance using crutches. Previous debulking procedures had resulted in massive blood loss, and prior to attempting further surgical intervention MRI studies were requested. Taking advantage of the excellent tissue characterisation and multiplanar imaging capabilities of MRI, we were able to assess the extent of soft tissue and osseous involvement. The use of recently developed MR angiographic sequences enabled us to non-invasively provide detailed images to assess the relationship of the lesions to the major vessels, as well as the vascular supply and angiographic features of the lesions themselves. This article describes our MRI-based findings, which precluded debulking surgery in this unusual manifestation of neurofibromatosis. (orig.)

  13. MR imaging evaluation of congenital spine anomalies

    International Nuclear Information System (INIS)

    Bury, E.A.; Zimmerman, R.A.; Grossman, R.I.; Goldberg, H.I.; Bilaniuk, L.T.; Hackney, D.B.

    1987-01-01

    Over a 2-year period, 135 patients between the ages of 1 week and 18 years were examined with MR imaging for possible congenital anomalies of the spine and spinal cord. Tethered cords with various other associated pathologies such as lipomas and myelomeningoceles were found in 36 patients. The remaining abnormal examinations consisted of syrinxes, Chiari malformations, diastematomyelia, and conus masses. In 55 patients the studies were interpreted as normal. Of these, three were subsequently shown by surgery of myelography to be abnormal. The first had a thickened filum with a small epidermoid, the second a thickened filum, and the third, with only sagittal images, a diastematomyelia. Children presenting with symptoms highly suspicious for congenital abnormalities but with a normal MR study in multiple planes may still require further evaluation with myelography. Multiplanar MR examination in most instances will be a sufficient evaluation for congenital anomalies

  14. MR imaging of neuronal migration anomaly

    International Nuclear Information System (INIS)

    Hong, Hyun Sook; Choi, Eun Wan; Kim, Dae Ho; Chung, Moo Chan; Kwon, Kuy Hyang; Kim, Ki Jung

    1991-01-01

    Abnormalities of neuronal migration are characterized by anectopic location of neurons in the cerebral cortex. This broad group of anomalies includes agyria, pachygyria, schizencephaly, unilateral megalencephaly, and gray matter heterotopia. Patients with this anomaly present clinically with a variety of symptoms which are proportional to the extent of the brain involved. These abnormalities have characterized pathologically in vivo by sonography and CT scan. MR appears to be an imaging technique of choice in evaluating these anomalies because it is capable of exceptionally good differentiation between gray and white matter, high contrast resolution, multiplanar display of the anatomy, and lack of overlying bone artifac. The purpose of this paper is to describe the MR findings of neuronal migration anomaly. The results of our study support that MR appears to be the imaging method of choice for diagnosing migration anomalies and the primary screening method for infants or children who have seisure/and delayed development

  15. Land reform in Russia in 1990-2000-ies, or how land reform was "reformed" during the departmental reorganization

    Directory of Open Access Journals (Sweden)

    Barsukova Svetlana, Yu.

    2015-06-01

    Full Text Available The paper provides an overview of the land reform in Russia's recent history. Analysis of land reform, which started in 1990, shows what actions and what logic led the land sector in the state in which it was at the finish line of the quarter-century reform marathon. The reform process was not linear, it highlighted the steps differing objectives and strategies to achieve them. Land reform is presented as a struggle of different political forces, which were reflected in the redistribution of functions between agencies in lobbying for appointment to senior positions promoted various commands. The authors conclude about the gradual displacement of state regulation of land relations, the deliberate destruction of the land management as a basis for the development of land resources.

  16. Telecommunications Reform in Nigeria: The Marketing Challenges ...

    African Journals Online (AJOL)

    Telecommunications Reform in Nigeria: The Marketing Challenges. ... Journal of Research in National Development ... This paper discusses the telecommunications reforms process, the role of the regulatory body (Nigeria Commission, the current state of the telecommunication sector and the marketing challenges in ...

  17. Energy Analysis in Combined Reforming of Propane

    Directory of Open Access Journals (Sweden)

    K. Moon

    2013-01-01

    Full Text Available Combined (steam and CO2 reforming is one of the methods to produce syngas for different applications. An energy requirement analysis of steam reforming to dry reforming with intermediate steps of steam reduction and equivalent CO2 addition to the feed fuel for syngas generation has been done to identify condition for optimum process operation. Thermodynamic equilibrium data for combined reforming was generated for temperature range of 400–1000°C at 1 bar pressure and combined oxidant (CO2 + H2O stream to propane (fuel ratio of 3, 6, and 9 by employing the Gibbs free energy minimization algorithm of HSC Chemistry software 5.1. Total energy requirement including preheating and reaction enthalpy calculations were done using the equilibrium product composition. Carbon and methane formation was significantly reduced in combined reforming than pure dry reforming, while the energy requirements were lower than pure steam reforming. Temperatures of minimum energy requirement were found in the data analysis of combined reforming which were optimum for the process.

  18. The Reform of Qatar University. Monograph

    Science.gov (United States)

    Moini, Joy S.; Bikson, Tora K.; Neu, C. Richard; DeSisto, Laura

    2009-01-01

    In 2003, the State of Qatar engaged the RAND-Qatar Policy Institute to assist Qatar University, the nation's first and only public higher education institution, with reform of its major administrative and academic structures, policies, and practices. This monograph summarizes that reform effort, which formally lasted from October 2003 through…

  19. Quality Reforms in Danish Home Care

    DEFF Research Database (Denmark)

    Rostgaard, Tine

    2012-01-01

    . This reform strategy represents a shift from the welfare state modernisation program of the 1980s, which built mainly on economic strategies of cost-efficiency and New Public Management (NPM) princi-ples, including contract management and performance management. Recent reforms have instead attempted...

  20. JP8 Reformation for Combat Vehicles

    Science.gov (United States)

    2007-08-07

    phase (fuel), and a gas phase (hydrogen) at elevated pressures. • Trickle - bed configuration is difficult to model and scale down—not practical for...gases output from HDS reactor are used to fuel the reformer. Current Technology Status: •Integrated desulfurization/reforming system successfully

  1. Latin American USOMs Seminar on Agrarian Reform.

    Science.gov (United States)

    International Cooperation Administration (Dept. of State), Washington, DC.

    This report of seminar proceedings discusses land reform policies and programs and their place in the economic development of Latin America. It analyzes experiences and current situations in Latin America, the United States, and elsewhere which shed light on the problems and possibilities of agrarian reform. An appraisal of existing physical,…

  2. Market reforms in Swedish health care

    DEFF Research Database (Denmark)

    Diderichsen, Finn

    1993-01-01

    This report presents the main characteristics of reforms in the Swedish health services, as exemplified by the "Stockholm Model" introduced in 1992 in Stockholm county. The author discusses the motives behind these reforms, the already-evident increases in costs that are occurring, and the effect...

  3. Steam Reformer With Fibrous Catalytic Combustor

    Science.gov (United States)

    Voecks, Gerald E.

    1987-01-01

    Proposed steam-reforming reactor derives heat from internal combustion on fibrous catalyst. Supplies of fuel and air to combustor controlled to meet demand for heat for steam-reforming reaction. Enables use of less expensive reactor-tube material by limiting temperature to value safe for material yet not so low as to reduce reactor efficiency.

  4. Relatorio: Reforma universitaria (Report: University Reform).

    Science.gov (United States)

    Ministerio da Educacao e Cultura, Rio de Janeiro (Brazil).

    This document is an English-language abstract (approximately 1,500 words) of a report by 11 experts invited by the Ministry of Education and Culture to give their views on Brazilian university reforms. The introduction to the report states the principles underlying the proposals for reform adapted to the current social transformation in Brazil.…

  5. Public Pension Plan Reform: The Legal Framework

    Science.gov (United States)

    Monahan, Amy B.

    2010-01-01

    There is significant interest in reforming retirement plans for public school employees, particularly in light of current market conditions. This article presents an overview of the various types of state regulation of public pension plans that affect possibilities for reform. Nearly all of the various approaches to public pension plan protection…

  6. After Access: Canadian Education and Copyright Reform

    Science.gov (United States)

    Geist, Michael

    2006-01-01

    With the dramatic growth of the Internet in the 1990s, the Canadian government developed a well-regarded strategy for addressing the emerging issues posed by the "information highway." The strategy featured legal reforms to address privacy and e-commerce, administrative reforms for the government online initiative, and connectivity…

  7. CAP Reform and the Doha Development Agenda

    NARCIS (Netherlands)

    van Dijck, P.; Faber, G.

    2004-01-01

    The CAP reforms that the EU accepted in June 2003 will partially decouple direct income payments to farmers from production and make these payments conditional on cross-compliance. The reforms are driven by enlargement of EU membership, budgetary constraints, mounting pressures from diverse animal

  8. Malaysian water sector reform : policy and performance

    NARCIS (Netherlands)

    Kim, C.T.

    2012-01-01

    One of the measures that can help developing countries in meeting Target 10 of the Millennium Development Goals – halving the number of people without access to water and adequate sanitation by 2015 – is through a water sector reform. In this research the Malaysian water sector reform is

  9. Teacher Evaluation Reform: Focus, Feedback, and Fear

    Science.gov (United States)

    Donaldson, Morgaen L.

    2016-01-01

    How are teachers experiencing the more rigorous teacher evaluation systems that many states have mandated in recent years? Donaldson, who has studied teacher evaluation reform over the past eight years, shares insights from a study of 14 Connecticut districts that have implemented the state's 2012 teacher evaluation reforms. In surveys and…

  10. Customs Valuation Reform in the Philippines

    OpenAIRE

    Clarete, Ramon L.

    2004-01-01

    This paper documents the adoption of transaction valuation reform in the Philippines and assesses its impact on collection, customs administration cost, and business transaction cost. Philippine customs authorities and critics of the reform have been concerned that giving up the use of published official customs values would lower customs collection. On the contrary, this research shows the use of transaction values expanded customs revenues.

  11. Reforming Social Policy: Changing Perspectives on Sustainable ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Reforming Social Policy: Changing Perspectives on Sustainable Human Development. Book cover Reforming Social Policy: Changing Perspectives on Sustainable Human Development. Directeur(s):. Daniel Morales-Gómez, Necla Tschirgi, and Jennifer L. Moher. Maison(s) d'édition: IDRC. 1 janvier 1999. ISBN :.

  12. Leadership, Responsibility, and Reform in Science Education.

    Science.gov (United States)

    Bybee, Rodger W.

    1993-01-01

    Regards leadership as central to the success of the reform movement in science education. Defines leadership and introduces a model of leadership modified from the one developed by Edwin Locke and his associates. Provides an overview of the essential qualities of leadership occurring in science education. Discusses reforming science education and…

  13. Saudi Arabia between conservatism, accomodation and reform

    NARCIS (Netherlands)

    Meijer, R.; Aarts, P.; Wagemakers, J.; Kanie, M.; Geel, A.

    2012-01-01

    Of all the countries in the Middle East, Saudi Arabia seems to have remained immovable since the beginning of the Arab Spring. What does conservatism mean, are reforms possible, and what is the pace of change? The clever mix of conservatism, reform and accommodation are the characteristic features

  14. Distributed Leadership for ICT Reform in Singapore

    Science.gov (United States)

    Ng, David; Ho, Jeanne

    2012-01-01

    This study examines distributed leadership in Information Communication Technology reform in a government school in Singapore. The study adopts a naturalistic inquiry approach, drawing upon a case study of the aforementioned school for much of its data. The study found that leadership for Information Communication Technology reform is distributed…

  15. Imaging of laryngeal trauma

    International Nuclear Information System (INIS)

    Becker, Minerva; Leuchter, Igor; Platon, Alexandra; Becker, Christoph D.; Dulguerov, Pavel; Varoquaux, Arthur

    2014-01-01

    External laryngeal trauma is a rare but potentially life-threatening situation in the acutely injured patient. Trauma mechanism and magnitude, maximum focus of the applied force, and patient related factors, such as age and ossification of the laryngeal cartilages influence the spectrum of observed injuries. Their correct diagnosis and prompt management are paramount in order to avoid patient death or long-term impairment of breathing, swallowing and speaking. The current review provides a comprehensive approach to the radiologic interpretation of imaging studies performed in patients with suspected laryngeal injury. It describes the key anatomic structures that are relevant in laryngeal trauma and discusses the clinical role of multidetector computed tomography (MDCT) and magnetic resonance imaging (MRI) in the acute emergency situation. The added value of two-dimensional multiplanar reconstructions (2D MPR), three-dimensional volume rendering (3D VR) and virtual endoscopy (VE) for the non-invasive evaluation of laryngeal injuries and for treatment planning is discussed. The clinical presentation, biomechanics of injury, diagnostic pitfalls and pearls, common and uncommon findings are reviewed with emphasis of fracture patterns, involvement of laryngeal joints, intra- and extralaryngeal soft tissue injuries, and complications seen in the acute emergency situation. The radiologic appearance of common and less common long-term sequelae, as well as treatment options are equally addressed

  16. Imaging of laryngeal trauma

    Energy Technology Data Exchange (ETDEWEB)

    Becker, Minerva, E-mail: Minerva.Becker@hcuge.ch [Department of Radiology, Geneva University Hospital, Rue Gabrielle-Perret-Gentil 4, 1211 Geneva 14 (Switzerland); Leuchter, Igor, E-mail: Igor.Leuchter@hcuge.ch [Department of Otorhinolaryngology and Cervico-facial Surgery, University Hospital of Geneva, Rue Gabrielle-Perret-Gentil 4, 1211 Geneva 14 (Switzerland); Platon, Alexandra, E-mail: Alexandra.Platon@hcuge.ch [Department of Radiology, Geneva University Hospital, Rue Gabrielle-Perret-Gentil 4, 1211 Geneva 14 (Switzerland); Becker, Christoph D., E-mail: Christoph.Becker@hcuge.ch [Department of Radiology, Geneva University Hospital, Rue Gabrielle-Perret-Gentil 4, 1211 Geneva 14 (Switzerland); Dulguerov, Pavel, E-mail: Pavel.Dulguerov@hcuge.ch [Department of Otorhinolaryngology and Cervico-facial Surgery, University Hospital of Geneva, Rue Gabrielle-Perret-Gentil 4, 1211 Geneva 14 (Switzerland); Varoquaux, Arthur, E-mail: Arthur.Varoquaux@hcuge.ch [Department of Radiology, Geneva University Hospital, Rue Gabrielle-Perret-Gentil 4, 1211 Geneva 14 (Switzerland)

    2014-01-15

    External laryngeal trauma is a rare but potentially life-threatening situation in the acutely injured patient. Trauma mechanism and magnitude, maximum focus of the applied force, and patient related factors, such as age and ossification of the laryngeal cartilages influence the spectrum of observed injuries. Their correct diagnosis and prompt management are paramount in order to avoid patient death or long-term impairment of breathing, swallowing and speaking. The current review provides a comprehensive approach to the radiologic interpretation of imaging studies performed in patients with suspected laryngeal injury. It describes the key anatomic structures that are relevant in laryngeal trauma and discusses the clinical role of multidetector computed tomography (MDCT) and magnetic resonance imaging (MRI) in the acute emergency situation. The added value of two-dimensional multiplanar reconstructions (2D MPR), three-dimensional volume rendering (3D VR) and virtual endoscopy (VE) for the non-invasive evaluation of laryngeal injuries and for treatment planning is discussed. The clinical presentation, biomechanics of injury, diagnostic pitfalls and pearls, common and uncommon findings are reviewed with emphasis of fracture patterns, involvement of laryngeal joints, intra- and extralaryngeal soft tissue injuries, and complications seen in the acute emergency situation. The radiologic appearance of common and less common long-term sequelae, as well as treatment options are equally addressed.

  17. Ceramic oxygen transport membrane array reactor and reforming method

    Energy Technology Data Exchange (ETDEWEB)

    Kelly, Sean M.; Christie, Gervase Maxwell; Robinson, Charles; Wilson, Jamie R.; Gonzalez, Javier E.; Doraswami, Uttam R.

    2016-11-08

    The invention relates to a commercially viable modular ceramic oxygen transport membrane reforming reactor configured using repeating assemblies of oxygen transport membrane tubes and catalytic reforming reactors.

  18. Environmental consequences of electricity sector reforms

    International Nuclear Information System (INIS)

    Wohlgemuth, N.

    1999-01-01

    Worldwide, the electricity industry is in the process of undergoing fundamental transitions. The reform process typically involves one or more of the following changes: commercialisation, privatisation, unbundling/restructuring and introduction of competition. The environmental impacts of these changes pull in different directions. There is concern that restructured electricity markets may not always incorporate adequately the environmental impacts of electricity resource development and consumption decisions. However, the electricity sector reform process also offers an opportunity to promote positive environmental changes: because the sector is already in flux, it may be easier to address environmental issues. The paper gives an overview of power sector reform in six countries where reforms have already been implemented, and concludes that reform measures will have to be accompanied by competitively neutral regulations in order to stimulate investment in environmentally sound technologies, including renewable and energy efficient technologies. (author)

  19. Reform despite politics? The political economy of power sector reform in Fiji, 1996–2013

    International Nuclear Information System (INIS)

    Dornan, Matthew

    2014-01-01

    Attempts to reform the electricity sector in developing countries have achieved mixed results, despite the implementation of similar reforms in many developed countries, and concerted effort by donors to transfer reform models. In many cases, political obstacles have prevented full and effective implementation of donor-promoted reforms. This paper examines the political economy of power sector reform in Fiji from 1996 to 2013. Reform has been pursued with political motives in a context of clientelism. Policy inconsistency and reversal is explained by the political instability of ethnic-based politics in Fiji. Modest success has been achieved in recent years despite these challenges, with Fiji now considered a model of power sector reform for other Small Islands Developing States (SIDS) in the Pacific. The experience demonstrates that reform is possible within difficult political environments, but it is challenging, takes time and is not guaranteed. The way in which political motives have driven and shaped reform efforts also highlights the need for studies of power sector reform to direct greater attention toward political drivers behind reform. - Highlights: • This is the first study of power sector reform in Fiji or other Small Island Developing States (SIDS) of the Pacific. • The clientelist nature of politics in Fiji is found to have both driven and shaped reform efforts. • There has been modest success in recent years despite these obstacles, with Fiji now considered a model for other SIDS. • The experience demonstrates that reform is possible within difficult political environments, but it is challenging, takes time and is not guaranteed

  20. Spill sparks reform, leaves lasting scar

    International Nuclear Information System (INIS)

    Notthoff, A.

    1991-01-01

    Blackened shorelines, oil-soaked birds, and dying sea otters - images that riveted the Exxon Valdez oil spill on the public consciousness - also generated an outcry for action, Notthoff observes. No other spill caught the attention of the American public and prompted public-policy reform at the national, state, and local level like the Exxon Valdez, she says. Within two years of the accident, Congress had dusted off and passed oil-spill legislation that had been deadlocked for 10 years, and seven states had passed new oil-spill laws. The poor record of cleanup following the Exxon Valdez spill is due to the limits of technology, the physical conditions at the time of the accident, and a chronic inability to mobilize people and equipment under the chaotic circumstances that surround a major emergency, Notthoff says. In addition, there also was a failure to enforce existing response plans. Prevention is the best cure, and some of the new laws address this issue, she notes. They also tighten up requirements for response planning and encourage research into improved clean-up technology. What they fail to do Notthoff emphasizes, is seek to reduce tanker traffic by encouraging improved energy efficiency, conservation, and alternative energy technologies

  1. Vaginal Masses: Magnetic Resonance Imaging Features with Pathologic Correlation

    International Nuclear Information System (INIS)

    Elsayes, K.M.; Narra, V.R.; Dillman, J.R.; Velcheti, V.; Hameed, O.; Tongdee, R.; Menias, C.O.

    2007-01-01

    The detection of vaginal lesions has increased with the expanding use of cross-sectional imaging. Magnetic resonance imaging (MRI) - with its high-contrast resolution and multiplanar capabilities - is often useful for characterizing vaginal masses. Vaginal masses can be classified as congenital, inflammatory, cystic (benign), and neoplastic (benign or malignant) in etiology. Recognition of the typical MR imaging features of such lesions is important because it often determines the treatment approach and may obviate surgery. Finally, vaginal MR imaging can be used to evaluate post-treatment changes related to previous surgery and radiation therapy. In this article, we will review pertinent vaginal anatomy, vaginal and pelvic MRI technique, and the MRI features of a variety of vaginal lesions with pathological correlation

  2. Diagnostic imaging of injuries and overuse in soccer players

    International Nuclear Information System (INIS)

    Jonge, M.C. de; Maas, M.; Kuijk, C. van

    2002-01-01

    Soccer is one of the most popular sports worldwide. There is a high incidence of injuries in soccer in which several intrinsic and extrinsic factors play a part. Most injuries are minor, self-limiting and do not need extensive medical treatment or imaging. Imaging can be required for several reasons e.g. when the clinical findings are doubtful, to replace arthroscopy (i. e. of the knee) or for prognostic reasons. All imaging modalities available to the radiologist can be used but MRI is the most valuable imaging modality with its superior contrast resolution and multiplanar capabilities. Basically, injuries in the soccer player can occur anywhere in the body like in every sport. The lower extremities, more specific the knee and ankle, are however the most injured parts. (orig.) [de

  3. Iran, reform, revolution or resignation?; Iran: reforme, revolution ou resignation?

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-07-01

    This document is an information report made by the French commission of economic affairs after a visit of a delegation of members of the French parliament in Iran in April 15-18, 2003. The report describes: 1 - the international political situation of Iran; 2 - the domestic political situation of Iran: political institutions, yearn of change; 3 - the economic trades that would be possible to develop: economic and financial situation of Iran, fossil fuel resources, economic reforms to be implemented; 4 - the French-Iranian economical cooperation to be strengthened: French companies in Iran, towards a new era in bilateral economic relations, the challenge of the adhesion to the world trade organization (WTO). (J.S.)

  4. MR imaging of brachial plexus

    International Nuclear Information System (INIS)

    Carriero, A.; Ciccotosto, C.; Dragani, M.; Manes, L.; Bonomo, L.

    1991-01-01

    The brachial plexus is a difficult region to evaluate with radiological techniques. MR imaging has great potentials for the depiction of the various anatomical structures of the branchial plexus - i.e., spinal ganglion, ventral nerve rami root exit of the neural foramina, trunks an cordes. Moreover, MR imaging, thanks to its direct multiplanarity, to its excellent soft-tissue contrast, and to its lack of motion artifacts, allows good evaluation of pathologic conditions in the branchial plexus, especially traumas and cancers. On the contrary CT, in spite of its high spatial resolution and good contrast, cannot demonstrate the anatomical structures of the brachial plexus. US detects superficials structures, and conventional radiographs depict only indirect changes in the adjacent lung apex and skeletal structures. From November 1989 to May 1990, 20 normal volunteers (15 males and 5 females; average age: 35 years) were studied with MR imaging. Multisection technique was employed with a dedicated coil and a primary coil. The anatomical structures of the brachial plexus were clearly demonstrated by T1-weighted sequences on the sagittal and axial planes. T2-weighted pulse sequences on the coronal plane were useful for the anatomical definition of the brachial plexus and for eventual tissue characterization. The correct representation of the anatomical structures of the brachial plexus allowed by MR imaging with author's standard technique makes MR imaging the most appropriate exam for the diagnosis of pathologic conditions in the brachial plexus, although its use must be suggested by specific clinical questions

  5. Advanced MR brain imaging. Why?

    International Nuclear Information System (INIS)

    Huisman, Thierry A.G.M.; Tekes, Aylin

    Repeated examinations, also known as so-called 'follow-up examinations' are nowadays frequently used to decide whether or not a chosen treatment should be continued, adapted or discontinued. The side effects of X-rays on biological systems, especially on developing systems did, however, limit the use of X-rays in children. The development of high-resolution, non-ionizing imaging modalities like US and MRI revolutionized diagnostic medicine for the second time after the discovery of X-rays. US is nowadays an essential imaging modality in paediatrics; it can be performed at the bedside, has no side effects on the child, is widely available, well accepted by parents and can be repeated without limitations. MRI with its high spatial resolution, different imaging contrasts and multiplanar capabilities has grown into a second line imaging modality if plain films and US cannot make the diagnosis accurately or reliably. A third revolution in diagnostic imaging occurred as MRI allowed studying biological processes and functions non-invasively. (orig.)

  6. Uterine cervical carcinoma: a comparison of two- and three-dimensional T2-weighted turbo spin-echo MR imaging at 3.0 T for image quality and local-regional staging

    Energy Technology Data Exchange (ETDEWEB)

    Shin, Y.R. [The Catholic University of Korea, Department of Radiology, Seoul St. Mary' s Hospital, College of Medicine, 222, Banpo-daero, Seocho-gu, Seoul (Korea, Republic of); The Catholic University of Korea, Department of Radiology, Incheon St. Mary' s Hospital, College of Medicine, Bupyeong 6-dong, Bupyeong-gu, Incheon (Korea, Republic of); Rha, S.E.; Choi, B.G.; Oh, S.N.; Park, M.Y.; Byun, J.Y. [The Catholic University of Korea, Department of Radiology, Seoul St. Mary' s Hospital, College of Medicine, 222, Banpo-daero, Seocho-gu, Seoul (Korea, Republic of)

    2013-04-15

    To compare three-dimensional (3D) T2-weighted turbo spin-echo (TSE) with multiplanar two-dimensional (2D) T2-weighted TSE for the evaluation of invasive cervical carcinoma. Seventy-five patients with cervical carcinoma underwent MRI of the pelvis at 3.0 T, using both 5-mm-thick multiplanar 2D (total acquisition time = 12 min 25 s) and 1-mm-thick coronal 3D T2-weighted TSE sequences (7 min 20 s). Quantitative analysis of signal-to-noise ratio (SNR) and qualitative analysis of image quality were performed. Local-regional staging was performed in 45 patients who underwent radical hysterectomy. The estimated SNR of cervical carcinoma and the relative tumour contrast were significantly higher on 3D imaging (P < 0.0001). Tumour conspicuity was better with the 3D sequence, but the sharpness of tumour margin was better with the 2D sequence. No significant difference in overall image quality was noted between the two sequences (P = 0.38). There were no significant differences in terms of the diagnostic accuracy, sensitivity, and specificity of parametrial invasion, vaginal invasion, and lymph node metastases. Multiplanar reconstruction 3D T2-weighted imaging is largely equivalent to 2D T2-weighted imaging for overall image quality and staging accuracy of cervical carcinoma with a shorter MR data acquisition, but has limitations with regard to the sharpness of the tumour margin. circle 3D T2-weighted MR sequence is equivalent to 2D for cervical carcinoma staging. (orig.)

  7. MR imaging of the pediatric spine: Comparison of myelography, MCT, and surgery

    International Nuclear Information System (INIS)

    Davis, P.C.; Hoffman, J.C.; Ball, T.I.; Wyly, J.B.; Braun, I.F.; Fry, S.M.

    1986-01-01

    Results of MR imaging of 53 pediatric patients with suspected spinal abnormalities were compared findings on metrizamide myelography, MCT, and surgery. Prototype surface coil studies with multisection multiplanar imaging (0.5 and 1.5 T) using T1-weighted sequences were optimum for anatomic definition, while T2-weighted sequences were utilized for intramedullary pathology. Diseases studied included neoplasia, infection, trauma, scoliosis, and dysrhaphsium. Surface coils were essential for imaging the thoracic and lumbar spine. MR imaging yielded approximately equivalent information to that obtained on myelography or MCT in 25 of 31 patients. Limitations to MR imaging included bony spurs, small eccentric lesions, tumor seeding, metal artifacts, postoperative scarring, and motion. With further refinements, MR imaging may replace more invasive techniques for pediatric spinal imaging

  8. Japan reforms its nuclear safety

    International Nuclear Information System (INIS)

    Anon.

    2013-01-01

    The Fukushima Daiichi NPP accident deeply questioned the bases of nuclear safety and nuclear safety regulation in Japan. It also resulted in a considerable loss of public confidence in the safety of nuclear power across the world. Although the accident was caused by natural phenomena, institutional and human factors also largely contributed to its devastating consequences, as shown by the Japanese Diet's and Government's investigation reports. 'Both regulators and licensees were held responsible and decided to fully reconsider the existing approaches to nuclear safety. Consequently, the regulatory system underwent extensive reform based on the lessons learned from the accident,' Yoshihiro Nakagome, the President of Japan Nuclear Energy Safety Organisation, an ETSON member TSO, explains. (orig.)

  9. Electricity sector reform in Greece

    International Nuclear Information System (INIS)

    Iliadou, Ekaterini N.

    2009-01-01

    This paper provides an outlook of the electricity market reform in Greece which started in 2001 and is still developing slowly. This is related to the persisting dominance of the incumbent company and the specificities of the electricity sector of Greece which is heavily dependent on indigenous lignite firing generation, while being located in the periphery of the EU internal electricity and gas markets. Competition through enhancing electricity trade in the region is limited to date, as the establishment of an internal market in South East Europe also progresses slowly. Development of competition through gas-firing generation by new entrants has been the priority adopted by State and Regulator's policies. However, the gas supply market in Greece and in the region still lags behind. (author)

  10. Iran, reform, revolution or resignation?

    International Nuclear Information System (INIS)

    2005-01-01

    This document is an information report made by the French commission of economic affairs after a visit of a delegation of members of the French parliament in Iran in April 15-18, 2003. The report describes: 1 - the international political situation of Iran; 2 - the domestic political situation of Iran: political institutions, yearn of change; 3 - the economic trades that would be possible to develop: economic and financial situation of Iran, fossil fuel resources, economic reforms to be implemented; 4 - the French-Iranian economical cooperation to be strengthened: French companies in Iran, towards a new era in bilateral economic relations, the challenge of the adhesion to the world trade organization (WTO). (J.S.)

  11. Power sector reform in Maharashtra, India

    International Nuclear Information System (INIS)

    Totare, Ninad P.; Pandit, Shubha

    2010-01-01

    In early 1990 the power sector in India required an initial set of reforms due to the scarcity of financial resources and its deteriorating technical and commercial efficiency. The Indian power sector is now going through a second stage of reforms in which restructuring of electric supply utilities has taken place. The Maharashtra State Electricity Board (MSEB) initiated reforms in 2005 by dividing the state electricity board into four separate companies. In this paper, the situations that led to the reform of the MSEB and the scope of the work required for an action plan initiated by the state electricity distribution company in the context of the proposed Key Performance Index are discussed. The post-reform status of the distribution company is analyzed with selected key parameters. The study also analyzes the electricity supply model implemented and the effect of a multi-year tariff plan as one of the key milestones of the tariff structure. The various new projects implemented by the distribution company to improve consumer services and the reform experiences of the other states are discussed, along with the future scope of the present reform process. (author)

  12. Market screening of natural gas reformers

    International Nuclear Information System (INIS)

    Themsen, J.; Pagh Nielsen, M.; Knudsen Kaer, S.

    2005-01-01

    This report presents results from the project: Market screening of natural gas reformers. The project objective was to screen the natural gas reformers available on the international market. The technology is developing rapidly, and the results from this project will assist in determining the focus for the future Danish activities and in setting up ambitious and realistic targets. The reformer screening is partly based on AAU and Dantherm's experiences from previous studies, and the screening has been further extended with a number of activities, including seminars and contact with some of the most interesting suppliers. (BA)

  13. Concertina Reforms with International Capital Mobility

    DEFF Research Database (Denmark)

    Kreickemeier, Udo; Raimondos-Møller, Pascalis

    2006-01-01

    We show that the standard concertina result for tariff reforms -i.e. loweringthe highest tariff increases welfare - no longer holds in general if we allow for international capital mobility. The result can break down if the good whose tariff is lowered is not capital intensive. If the concertina...... reform lowers welfare it lowers market access as well, thereby compromising a second goal that is typically connected with trade liberalisation.JEL-Classification: F11, F13, F15Key words: Trade Policy Reform, International Factor Mobility, Welfare, MarketAccess...

  14. Economic democracy and financial reform in Vanuatu

    DEFF Research Database (Denmark)

    Pacheco Cueva, Vladimir

    2007-01-01

    This article identifies the rationale and trajectory of finance sector reform as part of the donor-sponsored Comprehensive Reform Program (CRP) in Vanuatu and provides an analysis of the problems associated with the lack of affordable credit for sectors of the population that do not fulfill...... commercial lending criteria. The article relies on financial hegemony theory in order to explain Vanuatu's role within larger international financial structures and rationale for reform. The discussion shows that foreign banking institutions are not interested in broadening credit access to poorer sections...

  15. New Reforms to the Health System

    OpenAIRE

    Tran Dai, Candice; Duchâtel, Mathieu

    2012-01-01

    Based on:– Li Ling, “Successful reform of the health system hangs on two key elements,” Zhongguo jingyingbao (China Management News), 18 April 2009.– Li Hongmei, Li Xiaohong, Wang Junping, “Ten experts comment on the new reform of the health system: Providing better and cheaper access to medical care,” Renmin ribao (People’s Daily), 15 April 2009.– Yao Qi, “The new reform of the health system must first and foremost compensate for the shortcomings in the local hospitals,” Yangcheng wanbao (Ya...

  16. Three dimensional digital rotational imaging in the evaluation of the fractures

    International Nuclear Information System (INIS)

    Chong, Se Min; Lee, Min Hee; Kwag, Hyon Joo; Lee, Young Rae; Kook, Shin Ho; Park, Hae Won; Moon, Woo Jin; Kim, Seung Kwon; Chung, Eun Chul

    2003-01-01

    To evaluate the usefulness and the application of three dimensional digital rotational imaging (3D DRI) by the evaluation of fractures. Sixteen patients with clinically diagnosed or suspicious fracture were involved in this study. The lesion or suspicious sites of all 16 cases were spines (n=7), pelvis (n=3) and so on (n=6; knee elbow, ankle, wrist and foot). In all cases, conventional radiography, multiplanar 2D (slice thickness/pitch=3 or 5 mm/1:1)and volume rendering 3D reconstructed single detector helical CT (HiSpeed Advantage, GE Medical Systems, Milwaukee, WIS) scans and 3D DRI (Integris V-5000, Philips Medical Systems, The Netherlands) with multiplanar intersection and gray scaling as postprocessing technique were performed. 3D DRI was evaluated and compared with conventional radiography, multiplanar 2D CT and volume rendering 3D CT. 3D DRI provided more detail and additional information in 14 cases (88%), comparing with 2D and 3D CT scans. Two fractures were revealed only on 3D DRI other than conventional radiography and CT scans and one case was revealed on 2D CT and 3D DRI. In all cases, we could acquired more detail and additional information from 3D DRI than from 3D CT in the acquisition of 3D imaging. 3D DRI didn't change the classification of fracture in 12 of 13 cases (92%), which revealed the fracture on the conventional radiography or CT. 3D DRI can diagnose and evaluate the fracture rapidly and easily with anatomical and spatial resolution by acquisition of 3D imaging with postprocessing using DRI

  17. Three dimensional digital rotational imaging in the evaluation of the fractures

    Energy Technology Data Exchange (ETDEWEB)

    Chong, Se Min; Lee, Min Hee; Kwag, Hyon Joo; Lee, Young Rae; Kook, Shin Ho; Park, Hae Won; Moon, Woo Jin; Kim, Seung Kwon; Chung, Eun Chul [School of Medicine, Sungkyunkwan Univ., Seoul (Korea, Republic of)

    2003-10-01

    To evaluate the usefulness and the application of three dimensional digital rotational imaging (3D DRI) by the evaluation of fractures. Sixteen patients with clinically diagnosed or suspicious fracture were involved in this study. The lesion or suspicious sites of all 16 cases were spines (n=7), pelvis (n=3) and so on (n=6; knee elbow, ankle, wrist and foot). In all cases, conventional radiography, multiplanar 2D (slice thickness/pitch=3 or 5 mm/1:1)and volume rendering 3D reconstructed single detector helical CT (HiSpeed Advantage, GE Medical Systems, Milwaukee, WIS) scans and 3D DRI (Integris V-5000, Philips Medical Systems, The Netherlands) with multiplanar intersection and gray scaling as postprocessing technique were performed. 3D DRI was evaluated and compared with conventional radiography, multiplanar 2D CT and volume rendering 3D CT. 3D DRI provided more detail and additional information in 14 cases (88%), comparing with 2D and 3D CT scans. Two fractures were revealed only on 3D DRI other than conventional radiography and CT scans and one case was revealed on 2D CT and 3D DRI. In all cases, we could acquired more detail and additional information from 3D DRI than from 3D CT in the acquisition of 3D imaging. 3D DRI didn't change the classification of fracture in 12 of 13 cases (92%), which revealed the fracture on the conventional radiography or CT. 3D DRI can diagnose and evaluate the fracture rapidly and easily with anatomical and spatial resolution by acquisition of 3D imaging with postprocessing using DRI.

  18. Application of flexible micro temperature sensor in oxidative steam reforming by a methanol micro reformer.

    Science.gov (United States)

    Lee, Chi-Yuan; Lee, Shuo-Jen; Shen, Chia-Chieh; Yeh, Chuin-Tih; Chang, Chi-Chung; Lo, Yi-Man

    2011-01-01

    Advances in fuel cell applications reflect the ability of reformers to produce hydrogen. This work presents a flexible micro temperature sensor that is fabricated based on micro-electro-mechanical systems (MEMS) technology and integrated into a flat micro methanol reformer to observe the conditions inside that reformer. The micro temperature sensor has higher accuracy and sensitivity than a conventionally adopted thermocouple. Despite various micro temperature sensor applications, integrated micro reformers are still relatively new. This work proposes a novel method for integrating micro methanol reformers and micro temperature sensors, subsequently increasing the methanol conversion rate and the hydrogen production rate by varying the fuel supply rate and the water/methanol ratio. Importantly, the proposed micro temperature sensor adequately controls the interior temperature during oxidative steam reforming of methanol (OSRM), with the relevant parameters optimized as well.

  19. Application of Flexible Micro Temperature Sensor in Oxidative Steam Reforming by a Methanol Micro Reformer

    Directory of Open Access Journals (Sweden)

    Yi-Man Lo

    2011-02-01

    Full Text Available Advances in fuel cell applications reflect the ability of reformers to produce hydrogen. This work presents a flexible micro temperature sensor that is fabricated based on micro-electro-mechanical systems (MEMS technology and integrated into a flat micro methanol reformer to observe the conditions inside that reformer. The micro temperature sensor has higher accuracy and sensitivity than a conventionally adopted thermocouple. Despite various micro temperature sensor applications, integrated micro reformers are still relatively new. This work proposes a novel method for integrating micro methanol reformers and micro temperature sensors, subsequently increasing the methanol conversion rate and the hydrogen production rate by varying the fuel supply rate and the water/methanol ratio. Importantly, the proposed micro temperature sensor adequately controls the interior temperature during oxidative steam reforming of methanol (OSRM, with the relevant parameters optimized as well.

  20. Pathologic and post-operative conditions of the plantar fascia: review of MR imaging appearances

    Energy Technology Data Exchange (ETDEWEB)

    Yu, J.S. [Ohio State Univ., Columbus (United States). Dept. of Radiology

    2000-09-01

    Magnetic resonance (MR) imaging has emerged as an important noninvasive diagnostic imaging technique for assessment of foot pathology. This modality, owing to its multiplanar imaging capability and inherent superiority in contrast, has been shown to be more accurate and sensitive for detection of plantar fascia pathology than any other imaging method. One of the most important and recognizable causes of heel pain is plantar fasciitis. With the exception of plantar fasciitis, there has been little emphasis on imaging other conditions that affect this important structure. The objective of this review is to demonstrate, from a perspective of MR imaging, the many different pathologic conditions that affect the plantar fascia. Included in this review will be a discussion of normal anatomy as well as entities such as acute plantar fasciitis, chronic plantar fasciitis, traumatic rupture, normal post-surgical changes, pathologic post-fasciotomy conditions, infection, and fibromatosis. (orig.)

  1. Pathologic and post-operative conditions of the plantar fascia: review of MR imaging appearances

    International Nuclear Information System (INIS)

    Yu, J.S.

    2000-01-01

    Magnetic resonance (MR) imaging has emerged as an important noninvasive diagnostic imaging technique for assessment of foot pathology. This modality, owing to its multiplanar imaging capability and inherent superiority in contrast, has been shown to be more accurate and sensitive for detection of plantar fascia pathology than any other imaging method. One of the most important and recognizable causes of heel pain is plantar fasciitis. With the exception of plantar fasciitis, there has been little emphasis on imaging other conditions that affect this important structure. The objective of this review is to demonstrate, from a perspective of MR imaging, the many different pathologic conditions that affect the plantar fascia. Included in this review will be a discussion of normal anatomy as well as entities such as acute plantar fasciitis, chronic plantar fasciitis, traumatic rupture, normal post-surgical changes, pathologic post-fasciotomy conditions, infection, and fibromatosis. (orig.)

  2. Neonatal imaging using an on-site small footprint MR scanner

    International Nuclear Information System (INIS)

    Merhar, Stephanie L.; Tkach, Jean A.; Dumoulin, Charles L.; Woods, Jason C.; South, Andrew P.; Wiland, Emily L.; Rattan, Mantosh S.; Kline-Fath, Beth M.

    2017-01-01

    With its soft-tissue definition, multiplanar capabilities and advanced imaging techniques, magnetic resonance imaging (MRI) for neonatal care can provide better understanding of pathology, allowing for improved care and counseling to families. However, MR imaging in neonates is often difficult due to patient instability and the complex support necessary for survival. In our institution, we have installed a small footprint magnet in the neonatal intensive care unit (NICU) to minimize patient risks and provide the ability to perform MR imaging safely in this population. With this system, we have been able to provide more information with regard to central nervous system disorders, abdominal pathology, and pulmonary and airway abnormalities, and have performed postmortem imaging as an alternative or supplement to pathological autopsy. In our experience, an MR scanner situated within the NICU has allowed for safer and more expedited imaging of this vulnerable population. (orig.)

  3. Neonatal imaging using an on-site small footprint MR scanner

    Energy Technology Data Exchange (ETDEWEB)

    Merhar, Stephanie L. [Perinatal Institute, Division of Neonatology, Cincinnati Children' s Hospital Medical Center, Cincinnati, OH (United States); Tkach, Jean A.; Dumoulin, Charles L. [Cincinnati Children' s Hospital Medical Center, Imaging Research Center, Cincinnati, OH (United States); Cincinnati Children' s Hospital Medical Center, Department of Radiology, Cincinnati, OH (United States); Woods, Jason C. [Cincinnati Children' s Hospital Medical Center, Imaging Research Center, Cincinnati, OH (United States); Cincinnati Children' s Hospital Medical Center, Department of Radiology, Cincinnati, OH (United States); Cincinnati Children' s Hospital Medical Center, Division of Pulmonary Medicine, Cincinnati, OH (United States); South, Andrew P.; Wiland, Emily L. [Children' s Hospital Medical Center of Akron, Division of Neonatology, Akron, OH (United States); Rattan, Mantosh S.; Kline-Fath, Beth M. [Cincinnati Children' s Hospital Medical Center, Department of Radiology, Cincinnati, OH (United States)

    2017-07-15

    With its soft-tissue definition, multiplanar capabilities and advanced imaging techniques, magnetic resonance imaging (MRI) for neonatal care can provide better understanding of pathology, allowing for improved care and counseling to families. However, MR imaging in neonates is often difficult due to patient instability and the complex support necessary for survival. In our institution, we have installed a small footprint magnet in the neonatal intensive care unit (NICU) to minimize patient risks and provide the ability to perform MR imaging safely in this population. With this system, we have been able to provide more information with regard to central nervous system disorders, abdominal pathology, and pulmonary and airway abnormalities, and have performed postmortem imaging as an alternative or supplement to pathological autopsy. In our experience, an MR scanner situated within the NICU has allowed for safer and more expedited imaging of this vulnerable population. (orig.)

  4. Does the Energy Sector Reform Call for Reform

    International Nuclear Information System (INIS)

    Granic, G.

    2007-01-01

    This paper discusses the course of the energy sector reforms in Europe so far, its objectives, achievements, issues, and dilemmas. In particular, long term and security aspects of energy supply of Europe are analyzed. In addition to the legislative changes regarding the open energy market regulation, and primarily the changes, concerning electricity and natural gas markets, the past period saw dynamic changes of institutional framework such as: increasing members of the European Union, increased number of countries aspiring to the EU (candidate countries and potential candidates), changes in other European countries out of which Russia is the most significant energy producer. The paper analyzes the issue of responsibility between state - regulator - system operator - trader - energy buyer. In Europe, it is more a complex question because the system of responsibility includes the institution of the European Union. Therefore, the relations between EU - state - regulator - system operator - trader - energy buyer are especially important. The paper looks in to the issue of energy company integrations, creation of energy mega-undertakings and their influence on further market development. The question of monopolies now appears in s new form. The conclusions suggest possible measures for institutional influence on energy market development, especially in the network energy systems, which may have a positive impact on system security and stability and markets development and their long term sustainability.(author)

  5. Imaging in the diagnosis of juvenile nasopharyngeal angiofibroma

    Directory of Open Access Journals (Sweden)

    Satyaranjan Mishra

    2013-01-01

    Full Text Available Juvenile nasopharyngeal angiofibroma (JNA is a rare, benign, highly vascular, and locally aggressive tumor that predominantly occurs in adolescent males. Usually, the presenting symptom is a painless nasal obstruction or epistaxis; however, other symptoms may develop depending on the size and extent of the tumor mass. Owing to the vascularity of the tumor, incisional biopsy is not attempted. The diagnosis is dependent on multiplanar imaging modalities like Computed Tomography (CT, Magnetic Resonance Imaging (MRI, and Angiography. These imaging modalities help in assessing the tumor mass, pre-operative embolization of the feeder vessel, and treatment planning. Usually, patients with JNA are diagnosed by otorhinolaryngologists, but here, we present a rare case of JNA reporting to the dental hospital due to a tender palatal swelling.

  6. MR imaging of the pediatric central nervous system utilization review

    International Nuclear Information System (INIS)

    Barnes, P.D.; Prince, J.R.; Galloway, D.C.; Ross-Duggan, J.; Lester, P.D.; Yamanashi, W.S.

    1986-01-01

    MR has been done in over 500 pediatric and adolescent patients (ages 5 days to 20 years) with central nervous system (CNS) disease (brain, n = 331; spine, n = 218), including high-field and special coil application in 362 cases. T1-weighted, multiplanar MR imaging provides superior anatomic delineation of organogenetic CNS malformations, while multiparameter (T1, T2, p) MR is usually necessary for more complete characterization of histogenetic malformations, as well as acquired conditions. MR imaging is a desirable method for the initial and definitive evaluation of many cranial and spinal conditions of childhood (more-invasive procedures were obviated in 164 patients). CT or other modalities may be added when MR imaging does not satisfy the clinical query

  7. The Political Context of School Finance Reform

    Science.gov (United States)

    Rossmiller, Richard A.; Geske, Terry G.

    1976-01-01

    Reports the results of a case study of the political decision-making process in Wisconsin through which control over educational finance reform was exercised between January, 1972, and August, 1973. (Author)

  8. Electricity reform abroad and US investment

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-10-01

    This report reviews and analyzes the recent electricity reforms in Argentina, Australia, and the United Kingdom (UK) to illustrate how different models of privatization and reform have worked in practice. This report also analyzes the motivations of the U.S. companies who have invested in the electricity industries in these countries, which have become the largest targets of U.S. foreign investment in electricity. Two calculations of foreign investment are used. One is the foreign direct investment series produced by the U.S. Department of Commerce. The other is based on transactions in electric utilities of the three countries. The electricity reform and privatization experiences reviewed may offer some insight as to how the U.S. electricity industry might develop as a result of recent domestic reform efforts and deregulation at the state and national levels. 126 refs., 23 figs., 27 tabs.

  9. Sources of Funding for Education Reform.

    Science.gov (United States)

    Odden, Allan

    1986-01-01

    Outlines the trends in educational funding patterns needed to enact educational reform. Local property taxes, state revenues, and federal aid continue to provide the bulk of financing. Includes two tables. (MD)

  10. Education management process implementation of reforms

    Directory of Open Access Journals (Sweden)

    A. V. Kondratyeva

    2013-12-01

    In the dissertation research looks at the problem of the study. This article contains material research and evaluate different points of view on the issue of a systematic approach using educational management in the implementation of reforms.

  11. 76 FR 42625 - International Settlements Policy Reform

    Science.gov (United States)

    2011-07-19

    ...] International Settlements Policy Reform AGENCY: Federal Communications Commission. ACTION: Notice of proposed rulemaking. SUMMARY: The Federal Communications Commission proposes to remove the International Settlements... proposes to remove the International Settlements Policy (ISP) from all U.S. international routes except...

  12. Carbonaceous deposits on naptha reforming catalysts

    International Nuclear Information System (INIS)

    Redwan, D.S.

    1999-01-01

    Carbonaceous deposits on naphtha reforming catalysts play a decisive role in limiting process performance. The deposits negatively after catalyst activity, selectivity and the production cycle of a semi regenerative reformer. The magnitude of negative effect of those deposits is directly proportional to their amounts and complexity. Investigations on used reforming catalysts samples reveal that the amount and type (complexity of the chemical nature) of carbonaceous deposits are directly proportional to the catalysts life on stream and the severity of operating conditions. In addition, the combustibility behavior of carbonaceous deposits on the catalyst samples taken from different reformers are found to be different. Optimal carbon removal, for in situ catalyst regeneration, requires the specific conditions be developed, based on the results of well designed and properly performed investigations of the amount and type of carbonaceous deposits. (author)

  13. Land Reform and Conflict Resolution in Colombia

    National Research Council Canada - National Science Library

    Nieswiadomy, Mark

    2003-01-01

    ... to change the overall high concentration of landownership, This thesis examines to what effect, if any, a redistributive land reform policy implemented amid the ongoing rural conflict would have on its resolution...

  14. TAX REFORM AND NONCOMPLIANCE IN INDONESIA

    Directory of Open Access Journals (Sweden)

    Heru Iswahyudi

    2017-05-01

    Full Text Available The purpose of this paper is to examine the impact of Indonesia’s tax reforms of 2000 and 2008/2009 on taxpayers’ noncompliance. Noncompliance is defined as the difference between the Value Added Tax (VAT liability and the actual revenue. Data are mainly collected from the World Input-Output Database and Indonesia’s Central Board of Statistics. The methodology uses one of the ‘top-down’ approaches, in which national accounts figures are employed to arrive at an estimation of the VAT liability. It is found that compliance deteriorated when reform efforts were incomplete – that is when the reforms suffered from decelerations, setbacks or reversals. This paper contributes to the literature by providing a framework for analyzing the impact of tax reform on taxpayer’s compliance behavior.

  15. WORLD BANK: Status of Grievance Process Reform

    National Research Council Canada - National Science Library

    1999-01-01

    In June 1998, in response, to concerns about the fairness of its employee grievance process and as part of a broader effort to reform its human resource policies, the World Bank appointed an internal...

  16. Public Consultation toward Ethiopia's Family Law Reform ...

    African Journals Online (AJOL)

    Mandefrot Belay

    A comprehensive and open public consultation was conducted during the revision ... in Ethiopia which are expected to guide any legal reform process so that the ... law, the way in which public consultation forums were organized, and the ...

  17. The Reformed tradition as public theology

    Directory of Open Access Journals (Sweden)

    Vuyani S. Vellem

    2013-05-01

    Full Text Available This article is a South African perspective of a Black African reflection on the publicity of Reformed faith. Whilst the notion of public theology is fairly new, the article argues, it is important to define the ‘public’ of the type of public theology to which Reformed faith and tradition could be linked. As a confessional tradition, Reformed faith is intrinsically public, the article demonstrates. The publicity of this tradition is however ambivalent and tainted. I attempt to show this by discussing two important tenets of the Reformed Tradition: sola scriptura and sola fide, within the festering wounds of Black African colonialism, apartheid and the hegemony of the neoliberal paradigm in the 21st century.

  18. Reform and privatisations transform investment scene

    International Nuclear Information System (INIS)

    Kielmas, Maria.

    1993-01-01

    Macroeconomic reforms in the countries of Latin America, including the privatization of state-owned industries, are opening the way for new injections of both domestic and foreign capital in the region's oil and gas sector. (Author)

  19. Police reform from the bottom up

    African Journals Online (AJOL)

    and practitioners across the usual North-South divide. Few police ... colleagues in the North. ... The introduction sets out the ... descriptive overview of key reforms in American policing. ... departments to illustrate the scope for involving officers ...

  20. Globalisation, Economic Reforms and Democracy in Nigeria

    African Journals Online (AJOL)

    chifaou.amzat

    2013-03-06

    Mar 6, 2013 ... Strategy (NEEDS) and trade and financial liberalisations ...... The reforms started with the Nigerian Enterprises Promotion Decrees (1972, ..... product prices and utility tariffs, a freeze on wages and salaries in the public sector,.

  1. Who defines the need for fishery reform?

    DEFF Research Database (Denmark)

    Jacobsen, Rikke Becker; Raakjær, Jesper

    2014-01-01

    -making process as reform according to this ‘grand reform’ discourse was blocked by a combination of small-scale fishers’ informal networks and the power of the parliamentary majority. After a parliamentary shift in power the new government implemented the ‘grand reform’ gradually whilst new patterns...... of participation and exclusion emerged. In this process, the identities of the participating participants were reinterpreted to fit the new patterns of influence and participation. The article argues that fishery reform does not necessarily start with the collective recognition of a problem in marine resource use...... and a power-neutral process of institutional learning. Instead, it argues that fishery reform is likely to be the ‘reform of somebody’ and that this ‘somebody’ is itself a changing identity....

  2. Acquisition Reform: "This, Too, Shall Pass..?"

    National Research Council Canada - National Science Library

    Munechika, Curtis

    1997-01-01

    .... Will this effort too, come, and go? This paper attempts to answer this question by comparing the past efforts in implementing acquisition reform to today today's efforts using the backdrop of current organizational change theories...

  3. How "Doing Business" jeopardizes institutional reform

    OpenAIRE

    Arruñada, Benito

    2008-01-01

    Simplifying business formalization and eliminating outdated formalities is often a good way of improving the institutional environment for firms. Unfortunately, the World Bank’s "Doing Business" project is harming such policies by promoting a reform agenda that gives them priority even in countries lacking functional business registers, so that the reformed registers keep producing valueless information, but faster. Its methodology also promotes biased measurements that impede proper consider...

  4. Reforms for competitive markets in Pakistan

    OpenAIRE

    Haque, Nadeem; Ahmed, Vaqar; Shahid, Sana

    2011-01-01

    While Pakistan has taken several steps to promote competition in its markets, further reforms are required in improving domestic commerce, agricultural markets and industries. With increasing risks and cost of doing business due to deteriorating law and order situation as well as massive energy shortages, Pakistan needs to compensate its entrepreneurs and investors by enhancing its investment and business climate. By adopting certain administrative and legal reforms, Pakistan can considerably...

  5. Reform in Turkish Elementary Mathematics Curriculum

    OpenAIRE

    BABADOĞAN, Cem; OLKUN, Sinan

    2006-01-01

    Disappointed from such major international studies as TIMSS, PISA, PIRLS andsome internal indicators such as national university entrance examination, the Turkish Ministry ofNational Education initiated a massive reform movement in education. These reforms includedeveloping new curricula for both elementary and secondary education and developing teachercompetencies. The purpose of this paper is to present an evaluation of the elementary schoolmathematics curriculum, which is a part of the ref...

  6. Progress in Nuclear Safety Reform of TEPCO

    International Nuclear Information System (INIS)

    Kawano, A.

    2016-01-01

    On March 29, 2014, TEPCO issued the Nuclear Safety Reform Plan describing the background cause of our Fukushima Nuclear Accident and our plan to challenge organizational and cultural change to avoid recurrence of such a tragic accident and to pursue the excellence in safety. This report will reflect that background cause with some specific examples and introduce how we are currently implementing this reform plan.

  7. Testing and school reform in Danish education

    DEFF Research Database (Denmark)

    Kousholt, Kristine; Hamre, Bjørn

    2016-01-01

    This chapter will focus on shared characteristics of the Danish national standardized testing in public school and the ideals of being a student according to the Danish School Reform of 2014. In the chapter we argue that both kinds of materials (documents regarding the newly implemented national ...... and that this intermingles with the explicated intentions of the Danish school reform as a more profound educational intervention....

  8. An Asian perspective on global financial reforms

    OpenAIRE

    Morgan, Peter J.; Pontines, Victor

    2013-01-01

    The purpose of this study is to better understand the likely impact on Asian economies and financial institutions of various recent global financial reforms, including Basel III capital adequacy and liquidity rules. Part one reviews the lessons of the global financial crisis (GFC) of 2007–09 and their relevance for Asian economies. Part two describes the major regulatory reforms that have been announced and possible concerns about their impacts on emerging economies. Part three reviews the ...

  9. IMF and Economic Reform in Developing Countries

    DEFF Research Database (Denmark)

    Abbott, Philip; Andersen, Thomas Barnebeck; Tarp, Finn

    2010-01-01

    relevant to actors and entities with a broader, and more microeconomic, focus such as national policymakers and the World Bank. It is in choices among competing projects and programs that trial and error is most likely to be necessary. Nevertheless, reforms of the IMF such as the “streamlining initiative......” should start from a good understanding of the reasons for adherence to policy orthodoxy. We discuss underlying institutional and organizational reasons for policy rigidity and consider some suggested reforms....

  10. Tax reform Ukraine: implementation mechanisms and consequences

    Directory of Open Access Journals (Sweden)

    J.Lebedzevіch

    2015-06-01

    Full Text Available In the article the main shortcomings of the existing domestic tax systems, which were the main reasons for the need for its reform in the context of integration into the European Community. Determined the first stage of reforming tax systems Ukraine, which is associated with the adoption of the Law of Ukraine «On Amendments to the Tax Code of Ukraine and laws of Ukraine». The main provisions of this legal act, revealing the essence of the mechanism for implementing tax reform. Analyzed the mechanism of implementation of tax reform by analyzing the major innovations of the Tax Code of Ukraine and their comparison with the tax «standards» that operated the implementation of tax reform 2015. Thesis there is determined a number of tax loopholes and nedoopratsyuvan conducted tax reform and their implications for payers of taxes and duties, and the need for further research and improvement. The experience of European countries towards the introduction of electronic filing and processing of tax returns.

  11. Russian electricity reform. Emerging challenges and opportunities

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-07-01

    The Russian Government is pursuing a strategy of very high economic growth, with the objective of doubling gross domestic product in ten years. It recognises the central role the electricity sector has to play to achieve this target and has embarked on a highly ambitious program of electricity reform. If it is to succeed, the reform program will have to create market structures, market rules and a regulatory framework that will foster competitive wholesale and retail electricity markets. At the same time, it will have to deal with sensitive social issues related to tariff rebalancing and the removal of cross subsidies. Only competitive markets based on transparent prices that reflect costs can deliver the efficient, reliable and internationally competitive performance needed to meet the government's economic targets. Such markets are essential to attract new investment that will be required to ensure security of electricity supply after 2010. This book focuses on key aspects of the proposed reform that could have an important bearing on its success. It also raises concerns as to the pace of reform in related areas, such as the need for complementary reforms in the Russian natural gas sector. The IEA commends the Russian Government on its efforts to embrace this electricity reform - a key element critical to meeting the challenges ahead in terms of its economic growth and energy security. 17 figs., 10 tabs., 3 maps.

  12. Magnetic resonance imaging of epidermoid, including diffusion weighted images and an atypical case

    International Nuclear Information System (INIS)

    Takahashi, Shoki; Higano, Shuichi; Kurihara, Noriko

    1994-01-01

    In order to study the role of magnetic resonance imaging (MRI) in diagnosing intracranial epidermoid, we evaluated the MRI findings on five cases with such tumor, all of which were surgically verified. In addition to standard spin-echo (SE) images obtained in all cases, diffusion-weighted images were acquired in two patients. In four patients, the tumor revealed to be almost isointense relative to cerebrospinal fluid (CSF) on both T 1 -and T 2 -weighted images, while it tended to show slightly hyperintense to CSF on proton-density-weighted images; thus, based on the signal intensity on standard SE images the distinction between epidermoid and arachnoid cyst may be difficult. Furthermore, the presence of the tumor which has a tendency to grow in and along the subarachnoid space causing relatively minimal mass effect may be overlooked. Diffusion-weighted images were shown to have advantages in such cases by demonstrating the tumor unequivocally as a mass of high signal, and differentiating it from arachnoid cysts. In the remaining patient, its appearance was atypical, showing bright signal on both T 1 -and T 2 -weighted images. In conclusion free of bone artifacts, multiplanar MRI with additional diffusion-weighted images provides a clear demonstration of epidermoid, and its differentiation from arachnoid cyst, thus obviating the need for CT cisternography. (author)

  13. Health care reform and federalism.

    Science.gov (United States)

    Greer, Scott L; Jacobson, Peter D

    2010-04-01

    Health policy debates are replete with discussions of federalism, most often when advocates of reform put their hopes in states. But health policy literature is remarkably silent on the question of allocation of authority, rarely asking which levels of government ought to lead. We draw on the larger literatures about federalism, found mostly in political science and law, to develop a set of criteria for allocating health policy authority between states and the federal government. They are social justice, procedural democracy, compatibility with value pluralism, institutional capability, and economic sustainability. Of them, only procedural democracy and compatibility with value pluralism point to state leadership. In examining these criteria, we conclude that American policy debates often get federalism backward, putting the burden of health care coverage policy on states that cannot enact or sustain it, while increasing the federal role in issues where the arguments for state leadership are compelling. We suggest that the federal government should lead present and future financing of health care coverage, since it would require major changes in American intergovernmental relations to make innovative state health care financing sustainable outside a strong federal framework.

  14. Hospital Acquisitions Before Healthcare Reform.

    Science.gov (United States)

    McCue, Michael J; Thompson, Jon M; Kim, Tae Hyun

    2015-01-01

    The hospital industry has experienced increased consolidation in the past 20 years. Since 2010, in particular, there has been a large rise in the number of hospital acquisitions, and observers have suggested this is due in part to the expected impact of federal healthcare reform legislation. This article reports on a study undertaken to identify the market, management, and financial factors affecting acute care, community hospitals acquired between 2010 and 2012. We identified 77 such hospitals and compared them to other acute care facilities. To assess how different factors were associated with acquisitions, the study used multiple logistic regressions whereby market factors were included first, followed by management and financial factors. Study findings show that acquired hospitals were located in markets with lower rates of preferred provider organization (PPO) penetration compared with nonacquired hospitals. Occupancy rate was found to be inversely related to acquisition rate; however, case-mix index was significantly and positively related to a hospital's being acquired. Financial factors negatively associated with a hospital's being acquired included age of plant and cash flow margin. In contrast to the findings from earlier studies of hospital acquisitions, our results showed that acquired hospitals possessed newer assets. However, similar to the findings of other studies, the cash flow margin of acquired hospitals was lower than that of nonacquired facilities.

  15. Abortion law reform in Nepal.

    Science.gov (United States)

    Upreti, Melissa

    2014-08-01

    Across four decades of political and social action, Nepal changed from a country strongly enforcing oppressive abortion restrictions, causing many poor women's long imprisonment and high rates of abortion-related maternal mortality, into a modern democracy with a liberal abortion law. The medical and public health communities supported women's rights activists in invoking legal principles of equality and non-discrimination as a basis for change. Legislative reform of the criminal ban in 2002 and the adoption of an Interim Constitution recognizing women's reproductive rights as fundamental rights in 2007 inspired the Supreme Court in 2009 to rule that denial of women's access to abortion services because of poverty violated their constitutional rights. The government must now provide services under criteria for access without charge, and services must be decentralized to promote equitable access. A strong legal foundation now exists for progress in social justice to broaden abortion access and reduce abortion stigma. Copyright © 2014 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  16. Health Reform Requires Policy Capacity

    Directory of Open Access Journals (Sweden)

    Pierre-Gerlier Forest

    2015-05-01

    Full Text Available Among the many reasons that may limit the adoption of promising reform ideas, policy capacity is the least recognized. The concept itself is not widely understood. Although policy capacity is concerned with the gathering of information and the formulation of options for public action in the initial phases of policy consultation and development, it also touches on all stages of the policy process, from the strategic identification of a problem to the actual development of the policy, its formal adoption, its implementation, and even further, its evaluation and continuation or modification. Expertise in the form of policy advice is already widely available in and to public administrations, to well-established professional organizations like medical societies and, of course, to large private-sector organizations with commercial or financial interests in the health sector. We need more health actors to join the fray and move from their traditional position of advocacy to a fuller commitment to the development of policy capacity, with all that it entails in terms of leadership and social responsibility

  17. High temperature nuclear heat for isothermal reformer

    International Nuclear Information System (INIS)

    Epstein, M.

    2000-01-01

    High temperature nuclear heat can be used to operate a reformer with various feedstock materials. The product synthesis gas can be used not only as a source for hydrogen and as a feedstock for many essential chemical industries, such as ammonia and other products, but also for methanol and synthetic fuels. It can also be burnt directly in a combustion chamber of a gas turbine in an efficient combined cycle and generate electricity. In addition, it can be used as fuel for fuel cells. The reforming reaction is endothermic and the contribution of the nuclear energy to the calorific value of the final product (synthesis gas) is about 25%, compared to the calorific value of the feedstock reactants. If the feedstock is from fossil origin, the nuclear energy contributes to a substantial reduction in CO 2 emission to the atmosphere. The catalytic steam reforming of natural gas is the most common process. However, other feedstock materials, such as biogas, landfill gas and CO 2 -contaminated natural gas, can be reformed as well, either directly or with the addition of steam. The industrial steam reformers are generally fixed bed reactors, and their performance is strongly affected by the heat transfer from the furnace to the catalyst tubes. In top-fired as well as side-fired industrial configurations of steam reformers, the radiation is the main mechanism of heat transfer and convection heat transfer is negligible. The flames and the furnace gas constitute the main sources of the heat. In the nuclear reformers developed primarily in Germany, in connection with the EVA-ADAM project (closed cycle), the nuclear heat is transferred from the nuclear reactor coolant gas by convection, using a heating jacket around the reformer tubes. In this presentation it is proposed that the helium in a secondary loop, used to cool the nuclear reactor, will be employed to evaporate intermediate medium, such as sodium, zinc and aluminum chloride. Then, the vapors of the medium material transfer

  18. The new reform in tunisia: the democratic challenge of the manuals analysis and teaching

    Directory of Open Access Journals (Sweden)

    Maria Lucenti

    2017-06-01

    Full Text Available Tunisia is affected by many changes, including the reform of the education system that plays a crucial role. The Ministry of Education together with Trade Unions (UGTT and the Arab Institute of Human Rights are tracing the outlines of the reform, through an experiment of participatory democracy, synthesized through the preparation of a national report, which is analyzed here. The reform aims to change profoundly the current educational system: programs, manuals, the training of teachers, teaching, all these aspects will be included. Faced with the current economic situation and the problems affecting the country, from the religious extremism to the economic crisis, attempts have been made to examine the solutions proposed by various players involved. After a brief historical reconstruction of the reforms that have affected the Tunisian school system, a current reform is discussed, focusing especially on the school textbooks and on the image of Europe that they carry. Based on the opening to the other, discussed in the manuals, how can one explain the diffusion of religious fanaticism among certain groups of young people? How can the school consolidate the emerging democracy? These are the questions that are tried to be answered, leaving open the possibility of different interpretations.

  19. [Imaging of pelvic organ prolapse].

    Science.gov (United States)

    Lapray, Jean-François

    2013-01-01

    Colpocystodefecography (CCD) and dynamic MRI with defecography (MRId) allow an alternation between filling and emptying the hollow organs and the maximum abdominal strain offered by the defecation. When applied in imaging these two principles reveal the masked or underestimated prolapses at the time of the physical examination. A rigorous application of the technique guarantees almost equivalent results from the two examinations. The CCD provides voiding views and improved analysis of the anorectal pathology (intussusception, anismus) but involves radiation and a more invasive examination. MRId has the advantage of providing continuous visibility of the peritoneal compartment, and a multiplanar representation, enabling an examination of the morphology of the pelvic organs and of the supporting structures, with the disadvantage of still necessitating a supine examination, resulting sometimes in an incomplete or impossible evacuation. The normal and abnormal results (cystoptosis, vaginal vault prolapse, enterocele, anorectal intussuception, rectocele, descending perineum, urinary and fecal incontinence) and the respective advantages and limits of the various imaging methods are detailed. Dynamic perineal and introital ultrasound remains more limited in the appreciation of posterior colpoceles and especially in anorectal disorders, than CCD or MRId. Endoanal ultrasound is the first line morphological evaluation of the anal sphincter. Transvaginal and introital ultrasound can detect some complications of suburethral tapes and meshes. Morphological and dynamic imaging are essential complementary tools to the physical examination, especially when a precise anatomic assessment is required to understand the functional complaint or when a reintervention is needed.

  20. LAND REFORM IN UKRAINE: HISTORIOGRAPHICAL ANALYSIS

    Directory of Open Access Journals (Sweden)

    Barantsov B.

    2016-05-01

    Full Text Available Modern land reform, that continues in Ukraine since the beginning of the 90-th of ХХ century, is a logical result of the functioning of society and the state.. It’s prerequisites becames, especially full monopolization of state on ownership of land; absence of payment for land as one of the means of ensuring the rational use of lands; absence on workers motivation for intensive work on the land, etc.. These and other preconditions contributed to soil degradation, production of agricultural products with exceeding of maximum allowable concentrations of pollutants, development of diseases, undermine the gene pool of nature and man. Mentioned reasons determined the goal and objectives of modern land reform, which were originally set out in the preamble to the Resolution of the Verkhovna Rada of Ukraine from December 18, 1990 «On Land Reform» with following changes and additions, and in the implementation of the land-reformation measures gained more complete content. Conducted analysis shows that land reform in Ukraine leads to a change of ownership of land, contributes to solving problems of citizens by land plots, enactment of payment for land usecreation of conditions for the development of land market. Thus changing land relations, is formed legal and regulatory framework of land reform and land market. However, positive developments in the implementation of land reform to end of the 90-th years have not led to a radical and effective upgrade of agricultural production, recovery of investment processes in other branches of industry, improving of welfare of the population. Land reform measures didn’t receive adequate financial support. The ultimate goal - an economically-effective and environmentally safe use of land in Ukraine - has not been achieved. Further reforming of land relations contributed to the adoption in October 2001 of the Land Code of Ukraine in the new edition that created the legal principles of land reform. Since it

  1. What triggers reforms in OECD countries? Improved reform measurement and evidence from the healthcare sector

    NARCIS (Netherlands)

    Wiese, Rasmus

    The main contribution of this paper is the development of a novel and versatile methodology to identify economic reforms. The methodology is a combination of the Bai & Perron structural break filter, and validation of the structural breaks identified using de jure evidence of reforms. The procedure

  2. Reforming Higher Education in "Transition": Between National and International Reform Initiatives--The Case of Slovenia

    Science.gov (United States)

    Zgaga, Pavel; Miklavic, Klemen

    2011-01-01

    The article analyzes the last two decades of higher education reforms in Slovenia. During the "period of transition," they were led by national as well as international initiatives. At an early stage, the national initiatives were mainly based on criticisms of the last reform made by the former regime, although the generation of new…

  3. Curved planar reconstruction of MR images in focal cortical dysplasia of the brain

    International Nuclear Information System (INIS)

    Chung, Gyung Ho; Lee, Sang Yong; Kim, Chong So; Kim, Young Kon; Lee, Young Hwan; Jeong, Su Hyun

    2002-01-01

    To describe curved planar reconstruction imaging (CPR) and determine its usefulness in the evaluation of focal cortical dysplasia of the brain. In 17 cases of focal cortical dysplasia (cortical dysplasia (n=9), schizencephaly (n=5), and heterotopia (n=3), CPR images were created using a multiplanar reconstruction program and imaging data obtained during T1 magnetization prepared rapid acquisition gradient-echo MR imaging. We assessed the precise configuration of abnormalities and their relation to adjacent gyri and sulci. CPRI showed the brain cortex as a 2D panoramic image, demonstrating the precise configurations and locations of dysplasia-associated abnormalities and their relation to adjacent gyri and sulci, and the precise shape of the gray-white matter interface. CPRI can provide important radiological information about the extension and configuration of focal cortical dysplasia, and its relation to neighboring cortical structures. We believe that CPRI should form an essential part of the routine investigation os suspected cases of focal cortical dysplasia

  4. Prospective comparison of MR imaging (1.5 T) and CT detection of small intracranial metastases

    International Nuclear Information System (INIS)

    Dowd, C.F.; Dillon, W.P.; Laxer, K.; Norman, D.; Newton, T.H.

    1987-01-01

    Prior studies indicate lack of MR imaging sensitivity in the evaluation of intractable seizure patients. The authors reviewed MR imaging studies of 15 patients with intractable seizures. High-quality thin-section multiplanar images were obtained with electrocardiographic gating and/or flow compensation techniques and a 1.5-T General Electric Signa unit. Correlation with intracranial electro-encephalography (EEG), CT, and pathology was obtained in all patients. Abnormalities on MR imaging were detected in all but one patient. Pathology revealed MTS in 12 of 15 patients. Other entities included heterotopias and cavernous angiomas. The authors' study indicates that high-resolution, flow-compensated MR imaging is quite sensitive for localization of eleptogenic structural abnormalities and complements EEG

  5. CT and MR imaging of the normal and pathologic conditions of the facial nerve

    Energy Technology Data Exchange (ETDEWEB)

    Jaeger, Lorenz E-mail: jaeger@ikra.med.uni-muenchen.de; Reiser, Maximilian

    2001-11-01

    Computed tomography (CT) and magnetic resonance imaging (MRI) are well established imaging modalities to examine the facial nerve as well as the course of the facial nerve itself. High spatial resolution is guaranteed not only in the x- and y-axis, but also in the z-axis using multislice spiral CT. With this technique, reformatted multiplanar images in oblique planes, avoiding additional examinations in the coronal plane, facilitate the delineation of the facial nerve canal. This is beneficial in patients with temporal bone trauma, malformation or osseous changes. MR has a superior soft-tissue contrast to CT that enables imaging of the facial nerve itself. Therefore the normal facial nerve as well as pathologic changes of the facial nerve is readily visualized from the brain stem to the parotid gland. This review article presents anatomy, pathology and imaging strategies in the diagnostics of the facial nerve.

  6. The core to regulatory reform

    International Nuclear Information System (INIS)

    Partridge, J.W. Jr.

    1993-01-01

    Federal Energy Regulatory Commission (FERC) Orders 436, 500, and 636, the Clean Air Act Amendments of 1990, Public Utility Holding Company Act reform, and the 1992 Energy Policy Act all can have significant effects on an LDC's operations. Such changes in an LDC's environments must be balanced by changes within the utility, its marketplace, and its state regulatory environment. The question is where to start. For Columbia Gas Distribution Cos., based in Columbus, OH, the new operating foundation begins with each employee. Internal strength is critical in designing initiatives that meet the needs of the marketplace and are well-received by regulators. Employees must understand not only the regulatory environment in which the LDC operates, but also how their work contributes to a positive regulatory relationship. To achieve this, Columbia initiated the COntinuing Regulatory Education program, or CORE, in 1991. CORE is a regulatory-focused, information-initiative program coordinated by Columbia's Regulatory Policy, Planning, and Government Affairs Department. The CORE programs can take many forms, such as emerging issue discussions, dialogues with regulators and key parties, updates on regulatory fillings, regulatory policy meetings, and formal training classes. The speakers and discussion facilitators can range from human resource department trainers to senior officers, from regulatory department staff members to external experts, or from state commissioners to executives from other LDCs. The goals of CORE initiatives are to: Support a professional level of regulatory expertise through employee participation in well-developed regulatory programs presented by credible experts. Encourage a constructive state regulatory environment founded on communication and cooperation. CORE achieves these goals via five program levels: introductory basics, advanced learning, professional expertise, crossfunctional dialogues, and external idea exchanges

  7. Improvements of reforming performance of a nuclear heated steam reforming process

    International Nuclear Information System (INIS)

    Hada, Kazuhiko

    1996-10-01

    Performance of an energy production process by utilizing high temperature nuclear process heat was not competitive to that by utilizing non-nuclear process heat, especially fossil-fired process heat due to its less favorable chemical reaction conditions. Less favorable conditions are because a temperature of the nuclear generated heat is around 950degC and the heat transferring fluid is the helium gas pressurized at around 4 MPa. Improvements of reforming performance of nuclear heated steam reforming process were proposed in the present report. The steam reforming process, one of hydrogen production processes, has the possibility to be industrialized as a nuclear heated process as early as expected, and technical solutions to resolve issues for coupling an HTGR with the steam reforming system are applicable to other nuclear-heated hydrogen production systems. The improvements are as follows: As for the steam reformer, (1) increase in heat input to process gas by applying a bayonet type of reformer tubes and so on, (2) increase in reforming temperature by enhancing heat transfer rate by the use of combined promoters of orifice baffles, cylindrical thermal radiation pipes and other proposal, and (3) increase in conversion rate of methane to hydrogen by optimizing chemical compositions of feed process gas. Regarding system arrangement, a steam generator and superheater are set in the helium loop as downstream coolers of the steam reformer, so as to effectively utilize the residual nuclear heat for generating feed steam. The improvements are estimated to achieve the hydrogen production rate of approximately 3800 STP-m 3 /h for the heat source of 10 MW and therefore will provide the potential competitiveness to a fossil-fired steam reforming process. Those improvements also provide the compactness of reformer tubes, giving the applicability of seamless tubes. (J.P.N.)

  8. Hydrogen generation utilizing integrated CO2 removal with steam reforming

    Science.gov (United States)

    Duraiswamy, Kandaswamy; Chellappa, Anand S

    2013-07-23

    A steam reformer may comprise fluid inlet and outlet connections and have a substantially cylindrical geometry divided into reforming segments and reforming compartments extending longitudinally within the reformer, each being in fluid communication. With the fluid inlets and outlets. Further, methods for generating hydrogen may comprise steam reformation and material adsorption in one operation followed by regeneration of adsorbers in another operation. Cathode off-gas from a fuel cell may be used to regenerate and sweep the adsorbers, and the operations may cycle among a plurality of adsorption enhanced reformers to provide a continuous flow of hydrogen.

  9. Osteoblastic lesion screening with an advanced post-processing package enabling in-plane rib reading in CT-images.

    Science.gov (United States)

    Seuss, Hannes; Dankerl, Peter; Cavallaro, Alexander; Uder, Michael; Hammon, Matthias

    2016-05-20

    To evaluate screening and diagnostic accuracy for the detection of osteoblastic rib lesions using an advanced post-processing package enabling in-plane rib reading in CT-images. We retrospectively assessed the CT-data of 60 consecutive prostate cancer patients by applying dedicated software enabling in-plane rib reading. Reading the conventional multiplanar reconstructions was considered to be the reference standard. To simulate clinical practice, the reader was given 10 s to screen for sclerotic rib lesions in each patient applying both approaches. Afterwards, every rib was evaluated individually with both approaches without a time limit. Sensitivities, specificities, positive/negative predictive values and the time needed for detection were calculated depending on the lesion's size (largest diameter  10 mm). In 53 of 60 patients, all ribs were properly displayed in plane, in five patients ribs were partially displayed correctly, and in two patients none of the ribs were displayed correctly. During the 10-s screening approach all patients with sclerotic rib lesions were correctly identified reading the in-plane images (including the patients without a correct rib segmentation), whereas 14 of 23 patients were correctly identified reading conventional multiplanar images. Overall screening sensitivity, specificity, and positive/negative predictive values were 100/27.0/46.0/100 %, respectively, for in-plane reading and 60.9/100/100/80.4 %, respectively, for multiplanar reading. Overall diagnostic (no time limit) sensitivity, specificity, and positive/negative predictive values of in-plane reading were 97.8/92.8/74.6/99.5 %, respectively. False positive results predominantly occurred for lesions <5 mm in size. In-plane reading of the ribs allows reliable detection of osteoblastic lesions for screening purposes. The limited specificity results from false positives predominantly occurring for small lesions.

  10. Tort reform: an issue for nurse practitioners.

    Science.gov (United States)

    Klutz, Diane L

    2004-02-01

    To inform nurse practitioners (NPs) about the issues related to tort reform and its relationship to malpractice insurance costs. Current journals, newspapers, professional newsletters, and Internet sites. NPs are paying more for their malpractice premiums, and many are losing their places of employment as clinics close due to the increased cost of premiums. One method proposed for curbing the flow of monies spent on premiums and litigation is tort law reform. California serves as an example; its Medical Injury Compensation Reform Act (MICRA) tort reform law was passed 25 years ago, and it has maintained stable malpractice premiums. Other states have proposed similar laws, but some have not had similar success. To curb litigation costs, not only should tort laws be reformed, but NPs and physicians should keep abreast of current practice standards in order to provide quality medical care. Like physicians, NPs are affected directly by tort laws. These laws hold NPs accountable at the same level as physicians. In addition, many states limit NPs' practice to delegation of authority by a physician. Liability is therefore transferred from the NP to the physician and vice versa in cases of injury or wrongful act. In addition, many NPs are finding it increasingly difficult to locate insurers who will write policies for medical liability.

  11. Global implications of China's healthcare reform.

    Science.gov (United States)

    Yan, Fei; Tang, Shenglan; Zhang, Jian

    2016-01-01

    The ongoing healthcare reform in China has a powerful spillover effect beyond the health sector and the borders of China. A successful completion of the Chinese reform will offer a new model for social justice development, shift the global economy toward sustainability and create a new hub for science and technology in medical and health science. However, reforming the healthcare system in the most populated country is a daunting task. China will not live up to its promise, and all the potentials may end with hype not hope if coherent national strategies are not constructed and state-of-the-art navigation is not achieved with staggering domestic and global challenges. The cost of failure will be immensely high, socioeconomic costs for Chinese and an opportunity cost for the world as a whole. A full appreciation of the global implications of China's healthcare reform is crucial in keeping China receptive toward good practices evidence-approved elsewhere and open minded to fulfill its international obligations. More critically, the appreciation yields constructive engagements from global community toward a joint development and global prosperity. The current report provides a multiple disciplinary assessment on the global implications of the healthcare reform in China. Copyright © 2014 John Wiley & Sons, Ltd.

  12. Post-therapeutic imaging findings

    Energy Technology Data Exchange (ETDEWEB)

    Pollice, Saverio, E-mail: saveriopollice@hotmail.it [Department of Radiology and Neuroradiology, “L. Bonomo Hospital”, 76123 Andria, BT (Italy); Muto, Mario, E-mail: mutomar@tiscali.it [Department of Neuroradiology, “Cardarelli Hospital”, Naples (Italy); Scarabino, Tommaso, E-mail: tscarabino@hotmail.com [Department of Radiology and Neuroradiology, “L. Bonomo Hospital”, 76123 Andria, BT (Italy)

    2015-05-15

    Highlights: • This study is the result of collaboration between neuroradiologists and neurosurgeons. • Comparison between neuroimaging techniques to better evaluate the complications after treatment of the spin. • Evaluation of the imaging features of complications and definition of follow-up. - Abstract: Any surgical approach modifies the normal anatomical and functional arrangement of the segmental spine which is aimed, therefore image interpretation cannot ignore a correct set of knowledge in the field of anatomy, pathophysiology, drug compliance, interventional radiology and surgery. Neuroradiological imaging has an important role before surgery to direct the surgeon or interventional radiologist during the operation, both in post-surgery, where imaging examination can rightly evaluate properties and effects of the treatment and can detect potential complications as infections, abscess, bleeding, exuberant scar, mobilization and rupture of devices. The available methods of imaging are the X-rays (XR) made at least in two projections, Computed Tomography (CT) with MPR (multiplanar) and VR (volume rendering) reconstruction, and Magnetic Resonance (MR), often performed before and after contrast media injection. Imaging assessment of spine after surgery is complex and depends upon several factors, including surgical procedures and disease for which it was performed; biomechanical of the underlying cortical and cancellous bone findings; conditions of muscles, intervertebral disk and ligaments; time since surgery procedures; duration and nature of the post-surgical syndrome. Depending upon several factors, one or a combination of complementary imaging modalities (X-rays, Computed Tomography, Magnetic Resonance) may be required to evaluate effectiveness of the treatment; to demonstrate any clinically relevant abnormality at the treated region and adjacent structures (complications such as inflammation, abscesses, bleeding and misplacement of the device); to

  13. Post-therapeutic imaging findings

    International Nuclear Information System (INIS)

    Pollice, Saverio; Muto, Mario; Scarabino, Tommaso

    2015-01-01

    Highlights: • This study is the result of collaboration between neuroradiologists and neurosurgeons. • Comparison between neuroimaging techniques to better evaluate the complications after treatment of the spin. • Evaluation of the imaging features of complications and definition of follow-up. - Abstract: Any surgical approach modifies the normal anatomical and functional arrangement of the segmental spine which is aimed, therefore image interpretation cannot ignore a correct set of knowledge in the field of anatomy, pathophysiology, drug compliance, interventional radiology and surgery. Neuroradiological imaging has an important role before surgery to direct the surgeon or interventional radiologist during the operation, both in post-surgery, where imaging examination can rightly evaluate properties and effects of the treatment and can detect potential complications as infections, abscess, bleeding, exuberant scar, mobilization and rupture of devices. The available methods of imaging are the X-rays (XR) made at least in two projections, Computed Tomography (CT) with MPR (multiplanar) and VR (volume rendering) reconstruction, and Magnetic Resonance (MR), often performed before and after contrast media injection. Imaging assessment of spine after surgery is complex and depends upon several factors, including surgical procedures and disease for which it was performed; biomechanical of the underlying cortical and cancellous bone findings; conditions of muscles, intervertebral disk and ligaments; time since surgery procedures; duration and nature of the post-surgical syndrome. Depending upon several factors, one or a combination of complementary imaging modalities (X-rays, Computed Tomography, Magnetic Resonance) may be required to evaluate effectiveness of the treatment; to demonstrate any clinically relevant abnormality at the treated region and adjacent structures (complications such as inflammation, abscesses, bleeding and misplacement of the device); to

  14. Aspects of financial history in Romania. Reform and reformers. The financial tax reform accomplished BY Nicolae Titulescu

    Directory of Open Access Journals (Sweden)

    Ciobanu, R.

    2012-01-01

    Full Text Available This paper presents a brief history of the financial reform designed by Nicolae Titulescu at the beginning of the 1920’s. His tax reform law was formulated after thorough research of other European tax systems. He tried to implement it while he was Minister of Finance. Even though the law was adopted, it was never enacted. It met a certain amount of controversy in the Assembly of Deputies. The analysis made also tries to explain the cedular tax system.

  15. Progress in reforming chemical engineering education.

    Science.gov (United States)

    Wankat, Phillip C

    2013-01-01

    Three successful historical reforms of chemical engineering education were the triumph of chemical engineering over industrial chemistry, the engineering science revolution, and Engineering Criteria 2000. Current attempts to change teaching methods have relied heavily on dissemination of the results of engineering-education research that show superior student learning with active learning methods. Although slow dissemination of education research results is probably a contributing cause to the slowness of reform, two other causes are likely much more significant. First, teaching is the primary interest of only approximately one-half of engineering faculty. Second, the vast majority of engineering faculty have no training in teaching, but trained professors are on average better teachers. Significant progress in reform will occur if organizations with leverage-National Science Foundation, through CAREER grants, and the Engineering Accreditation Commission of ABET-use that leverage to require faculty to be trained in pedagogy.

  16. Iliopsoas Tendon Reformation after Psoas Tendon Release

    Directory of Open Access Journals (Sweden)

    K. Garala

    2013-01-01

    Full Text Available Internal snapping hip syndrome, or psoas tendonitis, is a recognised cause of nonarthritic hip pain. The majority of patients are treated conservatively; however, occasionally patients require surgical intervention. The two surgical options for iliopsoas tendinopathy are step lengthening of the iliopsoas tendon or releasing the tendon at the lesser trochanter. Although unusual, refractory snapping usually occurs soon after tenotomy. We report a case of a 47-year-old active female with internal snapping and pain following an open psoas tenotomy. Postoperatively she was symptom free for 13 years. An MRI arthrogram revealed reformation of a pseudo iliopsoas tendon reinserting into the lesser trochanter. The pain and snapping resolved after repeat iliopsoas tendon release. Reformation of tendons is an uncommon sequela of tenotomies. However the lack of long-term studies makes it difficult to calculate prevalence rates. Tendon reformation should be included in the differential diagnosis of failed tenotomy procedures after a period of symptom relief.

  17. [The reform of Spanish abortion law].

    Science.gov (United States)

    Requero Ibáñez, José Luís

    2009-01-01

    The article focuses on the different factors and circumstances that have led to the reform of Spanish Abortion Law (1985). Judicial investigations of several abortion clinics have demonstrated that up until today there has been a widespread tendency of the clinics to practice beyond the limits established by the law. Nonetheless, the reaction of the government has not been to protect the life of the unborn. Its reaction has been, however, to cover the irregularities committed by the abortionists through the legalization of their abusive practices. Besides, the reform of the law has been inspired by elements of radical feminism. The author points out the major reasons that make this reform unconstitutional and offers alternative solutions for the protection of the mother and the unborn child.

  18. Hydrogen production from methane reforming: thermodynamic assessment

    Energy Technology Data Exchange (ETDEWEB)

    Assis, A.J.; Hori, Carla E.; Avila Neto, Cicero; Franco, Tatiana [Federal University of Uberlandia (UFU), MG (Brazil). School of Chemical Engineering]. E-mail: adilsonjassis@gmail.com

    2008-07-01

    The main contributions of this study are to conduct a comparative thermodynamic analysis of methane reforming reactions and to asses the influence of key operational variables on chemical equilibrium using an in-house code, developed in the open-source software Scilab{sup c} INRIA-ENPC (www.scilab.org). Equilibrium compositions are calculated by two distinct methods: evaluation of equilibrium constants and Lagrange multipliers. Both methods result in systems of non-linear algebraic equations, solved numerically using the Scilab function 'fsolve'. Comparison between experimental and simulated equilibrium data, published in the literature, was used to validate the simulated results. Effects of temperature, pressure, initial H{sub 2}O/CH{sub 4} ratio (steam reforming), initial CH{sub 4}:CO{sub 2}:N{sub 2} ratio (dry reforming) and initial O{sub 2}/CH{sub 4} ratio (partial oxidation) on the reaction products were evaluated. (author)

  19. Design of a nuclear steam reforming plant

    International Nuclear Information System (INIS)

    Malherbe, J.

    1980-01-01

    The design of a plant for the steam reforming of methane using a High Temperature Reactor has been studied by CEA in connection with the G.E.G.N. This group of companies (CEA, GAZ DE FRANCE, CHARBONNAGES DE FRANCE, CREUSOT-LOIRE, NOVATOME) is in charge of studying the feasibility of the coal gasification process by using a nuclear reactor. The process is based on the hydrogenation of the coal in liquid phase with hydrogen produced by a methane steam reformer. The reformer plant is fed by a pipe of natural gas or SNG. The produced hydrogen feeds the gasification plant which could not be located on the same site. An intermediate hydrogen storage between the two plants could make the coupling more flexible. The gasification plant does not need a great deal of heat and this heat can be satisfied mostly by internal heat exchanges

  20. Reform in Mexico: imports, exports and investments

    International Nuclear Information System (INIS)

    Estrada, J.

    1997-01-01

    Terms of the policy and regulatory reform for the natural gas sector in Mexico since 1993 were described, and major changes taking place in the structure, organization and operations of the sector since the introduction of reforms were reviewed. Consequences that the structural changes are likely to have on the long-term balance of natural gas supply and demand in Mexico, have been assessed. The goal of full open access by November of 1997 was reiterated. Reforms to the electric power industry also have been undertaken. As with natural gas, the objective is to eliminate the State monopoly and to allow private power producers to participate in the expansion of the sector's generating capacity. Public investment will be directed towards the improvement of transmission and distribution networks. Over time, independent power producers are expected to become the principal source of funds for the expansion of electric power availability in Mexico. 3 tabs., 29 figs

  1. Auxiliary reactor for a hydrocarbon reforming system

    Science.gov (United States)

    Clawson, Lawrence G.; Dorson, Matthew H.; Mitchell, William L.; Nowicki, Brian J.; Bentley, Jeffrey M.; Davis, Robert; Rumsey, Jennifer W.

    2006-01-17

    An auxiliary reactor for use with a reformer reactor having at least one reaction zone, and including a burner for burning fuel and creating a heated auxiliary reactor gas stream, and heat exchanger for transferring heat from auxiliary reactor gas stream and heat transfer medium, preferably two-phase water, to reformer reaction zone. Auxiliary reactor may include first cylindrical wall defining a chamber for burning fuel and creating a heated auxiliary reactor gas stream, the chamber having an inlet end, an outlet end, a second cylindrical wall surrounding first wall and a second annular chamber there between. The reactor being configured so heated auxiliary reactor gas flows out the outlet end and into and through second annular chamber and conduit which is disposed in second annular chamber, the conduit adapted to carry heat transfer medium and being connectable to reformer reaction zone for additional heat exchange.

  2. Nuclear damage compensation and energy reform

    International Nuclear Information System (INIS)

    Yokemoto, Masafumi

    2013-01-01

    Nuclear damage compensation and energy reform were closely related. Nuclear damage compensation cost should be part of generation cost of nuclear power. Extend of nuclear damage compensation was limited by compensation standard of Tokyo Electric Power Co. (TEPCO) following guidelines of Dispute Reconciliation Committee for Nuclear Damage Compensation. TEPCO had already paid compensation of about two trillion yen until now, which was only a part of total damage compensation cost. TEPCO had been provided more than 3.4 trillion yen by Nuclear Damage Liability Facilitation Cooperation, which would be put back by nuclear operators including TEPCO. TEPCO could obtain present raising funds and try to reconstruct business with restart of nuclear power, which might disturb energy reform. Present nuclear damage compensation scheme had better be reformed with learning more from Minamata disease case in Japan. (T. Tanaka)

  3. Health insurance reform: labor versus health perspectives.

    Science.gov (United States)

    Ammar, Walid; Awar, May

    2012-01-01

    The Ministry of Labor (MOL) has submitted to the Council of Ministers a social security reform plan. The Ministry of Public Health (MOPH) considers that health financing should be dealt with as part of a more comprehensive health reform plan that falls under its prerogatives. While a virulent political discussion is taking place, major stakeholders' inputs are very limited and civil society is totally put away from the whole policy making process. The role of the media is restricted to reproducing political disputes, without meaningful substantive debate. This paper discusses health insurance reform from labor market as well as public health perspectives, and aims at launching a serious public debate on this crucial issue that touches the life of every citizen.

  4. The indonesia’s Police Reform Police in the Reform Era New Institutionalism Perspective

    Directory of Open Access Journals (Sweden)

    ACHMAD NURMAND

    2016-05-01

    Full Text Available Since the reformation and democratization movement in 1998, Indonesians have faced a chronic corruption problem. At the beginning of reformation era in 1998 to fight against corruption, the Indonesian government reforms the organization structure of the Indonesia Police to be an independent body separated from the Military organization. The police reforms begun in 1999 and got legal foundation with Act No. 2/2002. However, since fourteen years, the level of police reform has not yet succeed because of low community satisfaction on police service and the intense conflicts always occur whenever ACA investigates the case of corruptions conducted by police leaders. Three conflicts between police institution and ACA have taken placed. By using institutionalism approach, this research focus on the reform in police themselves are major actors on how reforms are organized and managed. This study is interpretative in nature gained only through social constructions such as language, consciousness, shared meanings, documents, tools, and other artefacts’. This finding revealed that this unsuccessful institutionalization process took place in a context of the main task of police for communicty service. Second, the study has demonstrated that three concepts from institutional theory as aforementioned provided vocabularies and insights to explain the phenomenon under study.

  5. Imaging system for creating 3D block-face cryo-images of whole mice

    Science.gov (United States)

    Roy, Debashish; Breen, Michael; Salvado, Olivier; Heinzel, Meredith; McKinley, Eliot; Wilson, David

    2006-03-01

    We developed a cryomicrotome/imaging system that provides high resolution, high sensitivity block-face images of whole mice or excised organs, and applied it to a variety of biological applications. With this cryo-imaging system, we sectioned cryo-preserved tissues at 2-40 μm thickness and acquired high resolution brightfield and fluorescence images with microscopic in-plane resolution (as good as 1.2 μm). Brightfield images of normal and pathological anatomy show exquisite detail, especially in the abdominal cavity. Multi-planar reformatting and 3D renderings allow one to interrogate 3D structures. In this report, we present brightfield images of mouse anatomy, as well as 3D renderings of organs. For BPK mice model of polycystic kidney disease, we compared brightfield cryo-images and kidney volumes to MRI. The color images provided greater contrast and resolution of cysts as compared to in vivo MRI. We note that color cryo-images are closer to what a researcher sees in dissection, making it easier for them to interpret image data. The combination of field of view, depth of field, ultra high resolution and color/fluorescence contrast enables cryo-image volumes to provide details that cannot be found through in vivo imaging or other ex vivo optical imaging approaches. We believe that this novel imaging system will have applications that include identification of mouse phenotypes, characterization of diseases like blood vessel disease, kidney disease, and cancer, assessment of drug and gene therapy delivery and efficacy and validation of other imaging modalities.

  6. Multi-fuel reformers for fuel cells used in transportation. Phase 1: Multi-fuel reformers

    Science.gov (United States)

    1994-05-01

    DOE has established the goal, through the Fuel Cells in Transportation Program, of fostering the rapid development and commercialization of fuel cells as economic competitors for the internal combustion engine. Central to this goal is a safe feasible means of supplying hydrogen of the required purity to the vehicular fuel cell system. Two basic strategies are being considered: (1) on-board fuel processing whereby alternative fuels such as methanol, ethanol or natural gas stored on the vehicle undergo reformation and subsequent processing to produce hydrogen, and (2) on-board storage of pure hydrogen provided by stationary fuel processing plants. This report analyzes fuel processor technologies, types of fuel and fuel cell options for on-board reformation. As the Phase 1 of a multi-phased program to develop a prototype multi-fuel reformer system for a fuel cell powered vehicle, the objective of this program was to evaluate the feasibility of a multi-fuel reformer concept and to select a reforming technology for further development in the Phase 2 program, with the ultimate goal of integration with a DOE-designated fuel cell and vehicle configuration. The basic reformer processes examined in this study included catalytic steam reforming (SR), non-catalytic partial oxidation (POX) and catalytic partial oxidation (also known as Autothermal Reforming, or ATR). Fuels under consideration in this study included methanol, ethanol, and natural gas. A systematic evaluation of reforming technologies, fuels, and transportation fuel cell applications was conducted for the purpose of selecting a suitable multi-fuel processor for further development and demonstration in a transportation application.

  7. Developing Program Management Leadership for Acquisition Reform

    Science.gov (United States)

    2011-04-30

    mêçÅÉÉÇáåÖë= çÑ=íÜÉ= bfdeqe=^kkr^i=^`nrfpfqflk== obpb^o`e=pvjmlpfrj== qeropa^v=pbppflkp== slirjb ff Developing Program Management Leadership for...4. TITLE AND SUBTITLE Developing Program Management Leadership for Acquisition Reform 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT...Developing Program  Management   Leadership   for Acquisition Reform    The 8th Annual Acquisition Research Symposium Panel #20: Investing in People

  8. NAFTA and Mexico's Tax Policy Reform

    OpenAIRE

    Jorge Martinez-Vazquez; Duanje Chen

    2001-01-01

    The North American Free Trade Agreement (NAFTA) has had a significant effect on Mexico’s economy and institutions. The ongoing consideration of tax reform in Mexico requires an evaluation of the role of NAFTA in Mexico’s economy, including its tax structure; it also requires an assessment of the impact of the Mexico’s tax system on the trade and capital flows between Mexico and its NAFTA partners, the United States and Canada. Clearly, no good tax reform in Mexico can ignore the role of NAFTA...

  9. Plasma-catalytic reforming of liquid hydrocarbons

    International Nuclear Information System (INIS)

    Nedybaliuk, O.A.; Chernyak, V.Ya; Kolgan, V.V.; Iukhymenko, V.V.; Solomenko, O.V.; Fedirchyk, I.I.; Martysh, E.V.; Demchina, V.P.; Klochok, N.V.; Dragnev, S.V.

    2015-01-01

    The series of experiments studying the plasma-catalytic reforming of liquid hydrocarbons was carried out. The dynamic plasma-liquid system based on a low-power rotating gliding arc with solid electrodes was used for the investigation of liquid hydrocarbons reforming process. Conversion was done via partial oxidation. A part of oxidant flow was activated by the discharge. Synthesis-gas composition was analysed by means of mass-spectrometry and gas-chromatography. A standard boiler, which operates on natural gas and LPG, was used for the burning of synthesis-gas

  10. The Reformation: A Very Short Introduction

    OpenAIRE

    TKACHENKO, Rostislav

    2017-01-01

    A small, relatively recent, and well-written book by Peter Marshall belongs tothe well-known Oxford series called “Very Short Introductions.” It is an informativeand analytical introduction to the history, culture, politics, and theology of theReformation that took place in sixteenth-century Europe. The Reformation is anacademic research-based book that is nevertheless very accessible to a wide audience. It is part of the larger company of historical and cultural mini-handbooks such as, The M...

  11. PLA Reforms and Chinas Nuclear Forces

    Science.gov (United States)

    2016-10-01

    Specifically, “the value and the capability of the Rocket Force should lie in the strengthening of the credible and reliable nuclear deterrence and... deterrent imply a cap on the size of nuclear forces and the missions as- signed to them.41 However, the Rocket Force could seek to capitalize on its...JFQ 83, 4th Quarter 2016 Logan 57 PLA Reforms and China’s Nuclear Forces By David C. Logan C hina is in the midst of sweeping military reforms that

  12. Reforming China’s Criminal Procedure Law

    OpenAIRE

    Winckler, Hugo

    2014-01-01

    Sources:- Wang Jianxun, “The provisions of the reform of criminal procedural law legalising secret investigations are a step backwards,” Caijing wang, 5 September 2011.- Chen Youxi, “The legalisation of secret investigations is an important violation of political integrity,” Zhongguo wangluo dianshitai – CNTV web site, Opinion section, 27 November 2011.- Wu Zhehua, “Chen Weidong discusses reform of the criminal procedure law: Behind each article there is a story,” Zhongguoguangbo wang, 8 Marc...

  13. The transnational grip on Scandinavian education reforms

    DEFF Research Database (Denmark)

    Krejsler, John B.; Olsson, Ulf; Petersson, Kenneth

    2014-01-01

    This article reveals how templates that emerge from opaque albeit often inclusive policy processes in transnational forums (EU, OECD & the Bologna Process) affect education reform policy in Scandinavian countries, such as Denmark and Sweden. The open method of coordination is the mother template...... of the political technologies (standards, performance indicators, scorecards, best practices) that are instrumental in fashioning reforms. This template commits countries in consensus-making ways to comparison, and normalizes the competitive incentive of mutual peer pressure. The authors draw on post...

  14. The prospects for national health insurance reform.

    Science.gov (United States)

    Belcher, J R; Palley, H A

    1991-01-01

    This article explores the unequal access to health care in the context of efforts by the American Medical Association (AMA) and its allies to maintain a market-maximizing health care system. The coalition between the AMA and its traditional allies is breaking down, in part, because of converging developments creating an atmosphere which may be more conducive to national health care reform and the development of a reformed health care delivery system that will be accessible, adequate, and equitable in meeting the health care and related social service needs of the American people.

  15. Added value of using a CT coronal reformation to diagnose adnexal torsion

    Energy Technology Data Exchange (ETDEWEB)

    Jung, Sung Il; Park, Hee Sun; Yim, Young Hee; Jeon, Hae Jeong; Yu, Mi Hye; Kim, Young Jun [Dept. of Radiology, Konkuk University School of Medicine, Research Institute of Medical Science, Seoul (Korea, Republic of); Jeong, Kyung Ah [Dept. of Obstetrics and Gynecology, School of Medicine, Ewha Womans University, Seoul (Korea, Republic of)

    2015-08-15

    To evaluate the increased value of using coronal reformation of a transverse computed tomography (CT) scan for detecting adnexal torsion. This study included 106 woman suspected of having adnexal torsion who underwent CT with coronal reformations and subsequent surgical exploration. Two readers independently recorded the CT findings, such as the thickening of a fallopian tube, twisting of the adnexal pedicle, eccentric smooth wall thickening of the torsed adnexal mass, eccentric septal thickening of the torsed adnexal mass, eccentric poor enhancement of the torsed adnexal mass, uterine deviation to the twisted side, ascites or infiltration of pelvic fat, and the overall impression of adnexal torsion with a transverse scan alone or combined with coronal reformation and a transverse scan. The areas under the receiver operating characteristic curves (AUCs), sensitivity, specificity, and positive predictive value were used to compare diagnostic performance. Fifty-two patients were confirmed to have adnexal torsion. The addition of coronal reformations to the transverse scan improved AUCs for readers 1 and 2 from 0.74 and 0.75 to 0.92 and 0.87, respectively, for detecting adnexal torsion (p < 0.001 and p = 0.004, respectively). Sensitivity of CT for detecting twisting of the adnexal pedicle increased significantly for readers 1 and 2 from 0.27 and 0.29 with a transverse scan alone to 0.79 and 0.77 with a combined coronal reformation and a transverse scan, respectively (p < 0.001 and p < 0.001, respectively). Use of a coronal reformation with transverse CT images improves detection of adnexal torsion.

  16. Reconstruction CT imaging of the hypopharynx and the larynx

    International Nuclear Information System (INIS)

    Okuno, Tetsuji; Fujimura, Akiko; Murakami, Yasushi; Shiga, Hayao

    1986-01-01

    The multiplanar reconstruction CT imaging of the hypopharynx and the larynx was performed on a total of 20 cases: 8 with laryngeal carcinomas, 6 with hypopharyngeal carcinomas, 4 with vocal cord paralyses due to various causes, 1 with laryngeal amyloidosis, 1 with inflammatory granuloma of the hypopharynx. Coronal, segittal, and parasagittal reconstruction images were obtained from either 1 or 2 mm overlapping axial scans with 4 or 5 mm slice thickness (3 cases) using 5 sec scan times during queit breathing. In 15 cases with coronal reconstruction imaging, the anatomical derangements of the laryngopharyngeal structures especially along the undersurface of the true vocal cord to the false cord level, the lateral wall of the pyriform sinus, and the paraglottic space were demonstrated more clearly than the axial CT imaging. In 5 cases with sagittal reconstruction imaging, the vertical extension of the lesions through the anterior commisure was more clearly depicted than the axial CT imaging. In 8 cases with parasagittal reconstruction imaging, which is along the vocal fold or across the aryepiglottic fold, pathological changes along the aryepiglottic fold, the arytenoid-corniculate cartilage complex, and the tip of the pyriform sinus were more clearly demonstrated than the axial CT imaging. In determining the feasibility of conservation surgery of the larynx and the hypopharynx, reconstruction CT imaging is recommended as the diagnostic procedure of a choice, which would supplement the findings of the routine axial CT imaging. (author)

  17. Pension Reform Act 2004 and its Controversies: Repeating or ...

    African Journals Online (AJOL)

    Pension Reform Act 2004 and its Controversies: Repeating or Learning from Past Mistakes? ... Journal of Research in National Development ... and discusses how the present pension reform will affect active employees when they retire.

  18. The reformation of liquid hydrocarbons in an aqueous discharge reactor

    KAUST Repository

    Zhang, Xuming; Cha, Min

    2015-01-01

    deposition. These findings offer a new approach to the reforming processes of liquid hydrocarbons and provide a novel concept for the design of a practical and compact plasma reformer. © 2015 IOP Publishing Ltd.

  19. How do we improve synchronization between land and water reform?

    CSIR Research Space (South Africa)

    Nortje, Karen

    2014-07-01

    Full Text Available A completed study initiated, managed and funded by the Water Research Commission (WRC) and led by the CSIR is delving into the successes of land reform and water allocation reform in the Maruleng local municipal area....

  20. The Evolution Of Human Resource Management In Reforming The ...

    African Journals Online (AJOL)

    economic reforms across the country. The reform in all sectors aims at addressing dissatisfaction of the Nigerian populace restlessly desiring change for a better Nigeria. The National Economic Empowerment and Development Strategy, (NEEDS), ...

  1. Fostering Home-Grown Democratic Reform | IDRC - International ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    To support the political and governance-related processes taking place, the Arab Reform Initiative ... In the summer of 2012, several papers were commissioned on Egypt's constitutional reform looking at specific issues such ... Related articles ...

  2. MR imaging of prostate cancer

    International Nuclear Information System (INIS)

    Heuck, A.; Scheidler, J.; Sommer, B.; Graser, A.; Mueller-Lisse, U.G.; Massmann, J.

    2003-01-01

    Accurate diagnosis and staging of prostate cancer (PC) is developing into an important health care issue in light of the high incidence of PC and the improvements in stage-adapted therapy. The purpose of this paper is to provide an overview on the current role of MR imaging and MR spectroscopy in the diagnosis and staging of PC.Material and methods Pertinent literature was searched and evaluated to collect information on current clinical indications, study techniques, diagnostic value, and limitations of magnetic resonance imaging and spectroscopy. Major indications for MR imaging of patients with supected PC are to define tumor location before biopsy when clinical or TRUS findings are inconclusive, and to provide accurate staging of histologically proven PC to ascertain effective therapy. Current MR imaging techniques for the evaluation of PC include multiplanar high-resolution T2-weighted FSE and T1-weighted SE sequences using combined endorectal and phased-array coils. Using these techniques, the reported accuracy of MR imaging for the diagnosis of extracapsular tumor extension ranges between 82 and 88% with sensitivities between 80 and 95%, and specificities between 82 and 93%. Typical MR findings of PC in different stages of disease, as well as diagnostic problems, such as chronic prostatitis, biopsy-related hemorrhage and therapy-related changes of prostatic tissue are discussed. In addition, the current perspectives and limitations of MR spectroscopy in PC are summarized. Current MR imaging techniques provide important diagnostic information in the pretherapeutic workup of PC including a high staging accuracy, and is superior to TRUS. (orig.) [de

  3. MR imaging of the finger tendons: Normal anatomy and commonly encountered pathology

    International Nuclear Information System (INIS)

    Ragheb, Dina; Stanley, Anthony; Gentili, Amilcare; Hughes, Tudor; Chung, Christine B.

    2005-01-01

    MR imaging has emerged as a powerful tool in the evaluation of soft tissue structures such as the tendons of the hand and finger due to its excellent soft tissue contrast and multiplanar imaging capabilities. In the finger and hand, perhaps more than in any other location in the body, a detailed and intimate understanding of anatomy is crucial for lesion localization, directing clinical management and predicting long-term prognosis. These issues are of paramount importance to both the clinician and imager, both faced with the challenge of the complex anatomy and pathology associated with these delicate structures. The anatomy of the finger including intrinsic and extrinsic muscles, retinacular structures, and tendons will be discussed. The MR imaging features of common lesions of the tendons of the hand and finger will be reviewed

  4. Reforming Pensions in Europe: Economic Fundamentals and Political Factors

    OpenAIRE

    Ondřej Schneider

    2009-01-01

    This paper analyzes pension reforms in Europe and their determinants. As pension reforms are intrinsically difficult to define and pinpoint, we introduce an alternative measure of pension reforms by comparing long-term forecasts of pension expenditures for seventeen European countries. The larger the decrease in expected spending on public pensions in 2050 between two base years, the more successful a pension reform the country achieved (after controlling for other factors, such as demography...

  5. International Aspects of Social Reform in the Interwar Period

    OpenAIRE

    Douglas Galbi

    2004-01-01

    The reconstruction of the international order after World War I put great emphasis on social reforms through the International Labor Organization (ILO). Three types of arguments were used to promote social reform. The first asserted that international economic competition meant that social reform had to be coordinated internationally in order to maintain the relative competitiveness of countries. The second proposed that social reform was necessary to preserve the stability of states, and hen...

  6. Development of large scale internal reforming molten carbonate fuel cell

    Energy Technology Data Exchange (ETDEWEB)

    Sasaki, A.; Shinoki, T.; Matsumura, M. [Mitsubishi Electric Corp., Hyogo (Japan)

    1996-12-31

    Internal Reforming (IR) is a prominent scheme for Molten Carbonate Fuel Cell (MCFC) power generating systems in order to get high efficiency i.e. 55-60% as based on the Higher Heating Value (HHV) and compact configuration. The Advanced Internal Reforming (AIR) technology has been developed based on two types of the IR-MCFC technology i.e. Direct Internal Reforming (DIR) and Indirect Internal Reforming (DIR).

  7. A comparison of higher education reforms in Egypt and Morocco

    OpenAIRE

    Kohstall, Florian

    2012-01-01

    This doctoral thesis examines the impact of international aid agencies on the reform agenda of North African countries. It analyses and compares the paths of higher education reform (1997-2007) in Egypt and Morocco, using analytical instruments pertaining to new approaches in public policy theory. For a long time, both countries appeared relatively immune against reform pressure from outside. Still, the analysis of their reform processes shows that the internationalization of higher educa...

  8. Implementing Active Learning Reform in the Maldives: Challenges and Opportunities

    Science.gov (United States)

    Di Biase, Rhonda

    2009-01-01

    Many countries are adopting child-centered active learning reforms as they strive to improve the quality of primary education. Consistent challenges can be found in the implementation of similar, global reforms. These issues are discussed here within the following framework: the cultural appropriateness of such reforms; the extent to which active…

  9. Constructivism and Pedagogical Reform in China: Issues and Challenges

    Science.gov (United States)

    Tan, Charlene

    2017-01-01

    This article critically discusses the constructivist ideas, assumptions and practices that undergird the current pedagogical reform in China. The pedagogical reform is part of a comprehensive curriculum reform that has been introduced across schools in Mainland China. Although the official documents did not specify the underpinning theories for…

  10. The New Technology and Educational Reform: Guidelines for School Administrators.

    Science.gov (United States)

    Matthews, Mark; Karr-Kidwell, PJ

    This paper presents the results of a literature review on educational methodology reforms. The first section discusses five factors in broad-based school reforms: change theory; organizational theory; state/national politics; local politics/governance; and leadership theory. Five types of reforms for school-wide success are described in the second…

  11. Experimental characterization and modeling of an ethanol steam reformer

    DEFF Research Database (Denmark)

    Mandø, Matthias; Bovo, Mirko; Nielsen, Mads Pagh

    2006-01-01

    This work describes the characterization of an ethanol reforming system for a high temperature PEM fuel cell system. High temperature PEM fuel cells are well suited for operation on reformate gas due to the superior CO tolerance compared with low temperature PEM. Steam reforming of liquid biofuels...

  12. 76 FR 30869 - Promoting Transmission Investment Through Pricing Reform

    Science.gov (United States)

    2011-05-27

    ...] Promoting Transmission Investment Through Pricing Reform May 19, 2011. AGENCY: Federal Energy Regulatory... varied. \\1\\ Promoting Transmission Investment through Pricing Reform, Order No. 679, 71 FR 43294 (Jul. 31... issued Order No. 679, Promoting Transmission Investment through Pricing Reform, which was further refined...

  13. Validity Theory: Reform Policies, Accountability Testing, and Consequences

    Science.gov (United States)

    Chalhoub-Deville, Micheline

    2016-01-01

    Educational policies such as Race to the Top in the USA affirm a central role for testing systems in government-driven reform efforts. Such reform policies are often referred to as the global education reform movement (GERM). Changes observed with the GERM style of testing demand socially engaged validity theories that include consequential…

  14. The Heart of Economic Reform: China's Banking Reform and State Enterprise Restructuring

    National Research Council Canada - National Science Library

    Tong, Daochi

    1999-01-01

    ... priority in the reform agenda. This study examines how financial resources are misallocated under the current financial system in China, and the impact of such misallocation of capital on the strength of the banking sector...

  15. Pending reforms: challenges to governabilty in Brazil

    Directory of Open Access Journals (Sweden)

    Sonia Fleury

    2012-04-01

    Full Text Available After President Lula’s two terms of office, the election of Dilma Rousseff generated all kinds of different expectations, whether because of the candidate’s lack of a political career within the Workers’ Party (PT, or because of her rather uncharismatic personality and poor propensity towards political negotiations with the allied parties that favoured the governability of the previous term of office. The country she has inherited is in a much better situation than the one inherited by the first PT government, with a stabilised economy and inflation under control. The sustainable policies for reducing poverty have generated conditions that encourage the enlargement of the middle class which, together with the creation of popular credit mechanisms, have served to halt the effects of the world crisis and have generated enormous expectations of social mobility. This scenario, together with the country’s increasingly recognised presence as an important international actor, provides unprecedented possibilities for the advancement of the “development with social inclusion” project. Nevertheless, certain reforms still need to be implemented that could threaten governability: political reform, federative agreement and tax reform, as well as social reforms.

  16. Advances in Schoolwide Inclusive School Reform

    Science.gov (United States)

    Sailor, Wayne

    2015-01-01

    This article highlights three significant advances in schoolwide inclusive school reform and suggests three next steps to improve educational outcomes for "all" students, particularly for students for whom typical instruction is not effective. Significant advances are as follows: (a) a multi-tiered system of support (MTSS) with embedded…

  17. ELi institutsioonide ja juhtimise reform / Ivar Raig

    Index Scriptorium Estoniae

    Raig, Ivar, 1953-

    2003-01-01

    Kuna Eestist võib 2004. aasta mais saada EL-i liige, siis on vaja kujundada seisukoht, milline EL-i institutsioonide ja juhtimise reform oleks kõige vastuvõetavam Eesti kui erilise majanduspoliitikaga väikeriigi huvidest lähtuvalt. Märkused valitsuse sellekohaste seisukohtade suhtes ja ettepanekud nende muutmiseks või täiendamiseks

  18. Barreda, Vasconcelos, and Mexican Educational Reforms.

    Science.gov (United States)

    Skirius, John

    1983-01-01

    Reviews the contributions to Mexican education of Gabino Barredas' positivism between 1867-1898 and the contributions of Jose Vasconcelos during the 1920s. Discusses the secondary curriculum reforms of Barreda's era and the vocational education and the education for women and adults during the Vasconcelos era. (SB)

  19. The Gendered Consequences of Unemployment Insurance Reforms

    Science.gov (United States)

    Mooi-Reci, Irma; Mills, Melinda

    2012-01-01

    This study examines whether a series of unemployment insurance benefit reforms that took place over a 20-year period in the Netherlands had a gendered effect on the duration of unemployment and labor market outcomes. Using longitudinal data from the Dutch Labor Supply Panel (OSA) over the period 1980-2000, and adopting a quasi-experimental design,…

  20. Publicity as an Instrument of Reform.

    Science.gov (United States)

    Caudill, Susan

    Albert Einstein and the Emergency Committee of Atomic Scientists (ECAS) conducted a reform-based public communication campaign for the international control of atomic energy after the Second World War. The Committee raised funds and sought publicity for its proposed solution to the problem of war and the management of peace. Its solution was the…

  1. China at the Crossroads: Reform after Tiananmen.

    Science.gov (United States)

    Goldstein, Steven M.

    1992-01-01

    This publication analyzes the reform movement in China before and after the Tiananmen Square demonstrations of 1989. In the aftermath of the cold war and because of recent mutual hostility, U.S.-Chinese relations are at a critical juncture. The events leading up to and encompassing the demonstrations in Tiananmen Square and the brutal manner in…

  2. Business Registration Reform Case Studies : Malaysia

    OpenAIRE

    Olaisen, John

    2009-01-01

    This collection of case studies describes experiences and draws lessons from varied business registration reform programs in economies in vastly different stages of development: Bulgaria, Estonia, Ireland, Madagascar, and Malaysia. Over the last twenty years, a number of countries have recognized the importance of smooth and efficient business start up procedures. A functioning business re...

  3. The Gendered Consequences of Unemployment Insurance Reforms

    NARCIS (Netherlands)

    Mooi-Reci, Irma; Mills, Melinda

    2012-01-01

    This study examines whether a series of unemployment insurance benefit reforms that took place over a 20-year period in the Netherlands had a gendered effect on the duration of unemployment and labor market outcomes. Using longitudinal data from the Dutch Labor Supply Panel (OSA) over the period

  4. Economic Reform Orchestra And Technical Manpower Development ...

    African Journals Online (AJOL)

    The study examined economic reform issues in Nigeria since 1986 and the impact on technical manpower development in Rivers State in particular. Two sets of structured questionnaire were used to elicit responses from target respondents who ultimately comprised 105 instructors and 340 final year students in the four ...

  5. The Spanish reforms on domestic work regulation

    Directory of Open Access Journals (Sweden)

    Elena Desdentado Daroca

    2016-06-01

    Full Text Available This paper analyses the latest Spanish reforms regarding domestic work. The Spanish legislator, doubtlessly influenced by the ILO Domestic Work Convention nº 189 – which, however, was not later ratified in Spain- made a deep reform on domestic work in 2011. This legal reform implied a striking change that affected both working conditions and social security of employees in the family home. The aim of this reform has been to bring the regulation in domestic work closer to the general regulation for other workers, although maintaining certain specialties. Regarding working conditions, their setting as “particular employment relationship” has been held. However, the differences between this relationship and the common ones have been reduced. As for social security, domestic employees have been incorporated into the General Social Security System, but with important specialties, thus erasing the Special Domestic Employees System. The paper also examines the legal changes that have taken place in this field after the new Government arose.

  6. Two Roads to School Finance Reform

    Science.gov (United States)

    Berke, Joel S.; And Others

    1976-01-01

    Research on legislative and electoral consideration of school finance reforms identifies three important elements; the art of compromise, the fiscal context, and political leadership. Adoption of new school finance formulas is far more likely through the legislative process than through a referendum. (Author/AM)

  7. Thoughts on a comprehensive tax reform

    Institute of Scientific and Technical Information of China (English)

    Li Wanfu

    2015-01-01

    "The Decision on Several Major Issues Regarding the Deepening of Reform" adopted by the Third Plenum of the Eighteenth Session of the CPC Central Committee gave a new position to the next round of tax reform,and proposed its objectives,tone,mission,and core tasks.The new round of tax reform should cover a wide range of issues,including state governance,tax legislation,economic reform and development,social management,globalization,ecological and environmental protection,improvement of tax collection,as well as other related issues.Particular attention should be paid to replacing business tax with VAT,completing legislation on VAT,adjusting the scope,collection mechanisms,and rates of consumption tax;strengthening regulation and control,implementing a personal income tax system that considers both aggregate income and income by source,promoting real estate tax legislation,expanding the ad valorem natural resource tax,accelerating the gradual replacement of fees with taxes,and introducing legislation on environmental protection taxes.

  8. Judicial Reforms in Russia: 1864 to 2014

    Directory of Open Access Journals (Sweden)

    Irina Reshetnikova

    2015-01-01

    Full Text Available In 2014 we celebrate the 150th anniversary of the Judicial Reform in Russia. The 1860s are known as a time of major reforms in various spheres of life, one of them being the Judicial Reform adopted in 1864. Before 1864 civil procedure was considered to be the classical form of inquisitorial justice1 with active judges and passive parties. Inquisitorial procedure was a written process conducted in secret with no legal representatives in court, and with formal evaluation of evidence (otsenka dokazatel’stv. Instead of an inquisitorial procedure the Judicial Reform introduced an adversarial system with active parties and more or less passive judges, an open, oral (public process, legal representatives, and free evaluation of evidence. So, for Russian procedure it was a revolution as it happened in other countries of Europe, which turned away from an inquisitorial to an adversarial system of justice.

  9. Labor tax reform, unemployment, and search

    NARCIS (Netherlands)

    Heijdra, Ben J.; Ligthart, Jenny E.

    A key obstacle to reducing payroll taxes in many industrialized and transition countries is the direct revenue loss to the government that it implies. This paper studies a simple and practical labor tax reform of reducing a payroll tax and increasing a progressive wage tax that keeps the marginal

  10. International Aspects of Nigeria's Economic Reforms | Iyoha ...

    African Journals Online (AJOL)

    This paper attempts to draw a relationship between Nigeria's previous failed economic reforms and external influences from international financial institutions, which had constantly resulted in chronic economic misfortunes. Now that homegrown economic programmes are currently being undertaken in Africa through ...

  11. Still Reforming after All These Years

    Science.gov (United States)

    McKenzie, William

    2014-01-01

    This article presents an interview with Terry Grier, superintendent of the Houston Independent School District (HISD), Texas's largest district. Before taking this post, he had been a principal or superintendent for most of three decades and remains a reformer five years into his leadership. Grier has maintained his passion for improving schools…

  12. The Danish Electricity Reform - Success or Failure?

    DEFF Research Database (Denmark)

    Olsen, Ole Jess; Larsen, Anders

    2007-01-01

    implementation: market power, restructuring and regulation of the network monopoly. Even if the Danish market reform gets very good marks in the EU benchmarking, there has been major problems in all three areas. As for market power the Danish Competition Authority has accused the two large generators of abuse...

  13. Sintering of nickel steam reforming catalysts

    DEFF Research Database (Denmark)

    Sehested, Jens; Larsen, Niels Wessel; Falsig, Hanne

    2014-01-01

    . In this paper, particle migration and coalescence in nickel steam reforming catalysts is studied. Density functional theory calculations indicate that Ni-OH dominate nickel transport at nickel surfaces in the presence of steam and hydrogen as Ni-OH has the lowest combined energies of formation and diffusion...

  14. Photocatalytic reforming of biomass for hydrogen production

    NARCIS (Netherlands)

    Ripken, R.M.; de Boer, V.J.H.W.; Gardeniers, J.G.E.; le Gac, S.

    2017-01-01

    Here, we describe a novel microfluidic device to determine the required bandgap for the photocatalytic reforming of biomass model substrates (ethylene glycol, glycerol, xylose and xylitol) in water. Furthermore, this device is applied to eventually elucidate the reaction mechanism of aqueous

  15. Education Reform Sparks Teacher Protest in Mexico

    Science.gov (United States)

    Levinson, Bradley A.

    2014-01-01

    The current tumult in the Mexican education arena has deep roots in politics and tradition, but it is latter-day global competition and international measures of student performance that are driving reform efforts. Teacher strikes and demonstrations are not new in Mexico, but issues raised by today's protesting teachers represent a combination of…

  16. Doing Business 2007 : How to Reform

    OpenAIRE

    World Bank; International Finance Corporation

    2006-01-01

    Doing Business 2007: How to reform is the fourth in a series of annual reports investigating the regulations that enhance business activity and those that constrain it. Doing Business presents quantitative indicators on business regulations and the protection of property rights that can be compared across 175 economies-from Afghanistan to Zimbabwe-and over time. This publication points out...

  17. The Ideology of Welfare Reform: Deconstructing Stigma.

    Science.gov (United States)

    Mills, Frederick B.

    1996-01-01

    Critiques recent welfare reform proposals and recommends social work practices that humanize Aid to Families with Dependent Children (AFDC). The critique deconstructs the labels "dependent,""addict," and "illegitimate" as they are applied to AFDC mothers and explores the reproduction of stigma through social work…

  18. Motherhood, Gender Education Reforms, Empowerment, MDGS ...

    African Journals Online (AJOL)

    reforms/innovations in motherhood/gender education in enhancing attainment of the Millennium Development Goals in Africa for sustainable development. In doing this, responses of 1,672 working mothers, randomly selected from North, South, East, and West Africa were analyzed which identified top among ten others as ...

  19. The gendered consequences of unemployment insurance reforms

    NARCIS (Netherlands)

    Mooi-Reci, I.; Mills, M.

    2012-01-01

    This study examines whether a series of unemployment insurance benefit reforms that took place over a 20-year period in the Netherlands had a gendered effect on the duration of unemployment and labor market outcomes. Using longitudinal data from the Dutch Labor Supply Panel (OSA) over the period

  20. China Update: Economic Reforms and Political Realities.

    Science.gov (United States)

    Eaton, Jana Sackman

    1999-01-01

    Illustrates that China has been undergoing an unprecedented rapidity of change. Discusses the high unemployment rates, job markets, reform movements, differences in economic equality, the role of the National People's Congress, and the changing political climate. Reveals that freedom is subtly beginning to permeate the lives of Chinese citizens.…

  1. National Reform Programs in Local Practices

    DEFF Research Database (Denmark)

    Hjelholt, Morten; Jensen, Tina Blegind

    . In particular, we emphasize the practices in which national strategic formulations are legitimized and accepted or abandoned by the actors involved. Building on a case study conducted over a two-year time span, we show how a local actor engages with and promotes a national reform program by evoking a discourse...

  2. Reducing rebound effect through fossil subsidies reform

    DEFF Research Database (Denmark)

    Ren, Jingzheng; Yang, Yingkui; Li, Hong

    2017-01-01

    China has committed a sharp reduction in its carbon intensity by 2020 and proposed to take integrated policy package including energy subsidy reform to achieve this goal. While energy efficiency improvement is the key influencing factor for this goal, its effectiveness is significantly determined...

  3. Learning Autonomy: Higher Education Reform in Kazakhstan

    Science.gov (United States)

    Hartley, Matthew; Gopaul, Bryan; Sagintayeva, Aida; Apergenova, Renata

    2016-01-01

    Higher education is a key economic and social priority in the global arena. Many countries have sought to advance reforms aimed at increasing access, promoting greater educational quality, and ensuring financial responsibility and sustainability. Often, strategies for achieving these aims are informed by experiences elsewhere. However,…

  4. Curriculum Reform as Adaptive Leadership Challenge

    Science.gov (United States)

    Wolfe, Kathy J.

    2015-01-01

    Serious curricular reform is both exhilarating in its possibilities and exhausting in its particulars. When its scope is significant and it is undertaken in response to a variety of difficult challenges, curriculum revision becomes more about cultural change than a mere matter of logistics. While studying adaptive leadership with colleagues at the…

  5. A new paradigm for doing Reformed dogmatics

    Directory of Open Access Journals (Sweden)

    G. J. Spykman

    1992-06-01

    Full Text Available When discussing Reformational Theology: A New Paradigm for Doing Dogmatics some people may call it my opus magnum. Perhaps time 'will tell. The book has only recently - early 1992 - entered the marketplace of theological ideas. How critic readers and reviewers respond will go a long way toward settling the case.

  6. Comprehensive District Reform: Philadelphia's Grand Experiment.

    Science.gov (United States)

    Useem, Elizabeth; Balfanz, Robert

    2002-01-01

    This report describes "Philadelphia's Grand Experiment" in comprehensive school district reform, from its conception through its initial months of implementation. In 2001, as part of the remedy for low student performance, the governor ordered the state to take over governance of the Philadelphia School District, with a substantial…

  7. MEDICINAL CANNABIS LAW REFORM IN AUSTRALIA.

    Science.gov (United States)

    Freckelton, Ian

    2016-03-01

    Attempts at medicinal cannabis law reform in Australia are not new. However, in historical perspective 2015 and 2016 will be seen as the time when community debate about legalisation of medicinal cannabis reached a tipping point in a number of Australian jurisdictions and when community impetus for change resulted in major reform initiatives. In order to contextualise the changes, the August 2015 Report of the Victorian Law Reform Commission (VLRC) and then the Access to Medicinal Cannabis Bill 2015 (Vic) introduced in December 2015 into the Victorian Parliament by the Labor Government are scrutinised. In addition, this editorial reviews the next phase of developments in the course of 2015 and 2016, including the Commonwealth Narcotic Drugs Amendment Act 2016 and the Queensland Public Health (Medicinal Canna- bis) Bill 2016. It identifies the principal features of the legislative initiatives against the backdrop of the VLRC proposals. It observes that the principles underlying the Report and the legislative developments in the three Australian jurisdictions are closely aligned and that their public health approach, their combination of evidence-based pragmatism, and their carefully orchestrated checks and balances against abuse and excess constitute a constructive template for medicinal cannabis law reform.

  8. Reforming Administrator Training: Here We Go Again!

    Science.gov (United States)

    Drury, William R.

    1989-01-01

    The National Policy Board for Educational Administration report ("Improving the Preparation of School Administrators: An Agenda for Reform") reiterates the need for program improvements for educational administrators. Obstacles to any real change occurring in the near future are pointed out. (six references) (SI)

  9. Artifacts as Authoritative Actors in Educational Reform

    Science.gov (United States)

    März, Virginie; Kelchtermans, Geert; Vermeir, Karen

    2017-01-01

    Educational reforms are often translated in and implemented through artifacts. Although research has frequently treated artifacts as merely functional, more recent work acknowledges the complex relationship between material artifacts and human/organizational behavior. This article aims at disentangling this relationship in order to deepen our…

  10. GLOBALIZATION, NEOLIBERALISM, EDUCATIONAL REFORMS AND CREATIVITY

    Directory of Open Access Journals (Sweden)

    Octavio González-Vázquez

    2015-07-01

    Full Text Available Globalization and neoliberalism strongly affect education reforms in our country. Changes involving the three processes have conditions that can promote or inhibit the development of creativity. We can use one or the other with the development of our own creativity.

  11. Computer Modeling of Platinum Reforming Reactors | Momoh ...

    African Journals Online (AJOL)

    This paper, instead of using a theoretical approach has considered a computer model as means of assessing the reformate composition for three-stage fixed bed reactors in platforming unit. This is done by identifying many possible hydrocarbon transformation reactions that are peculiar to the process unit, identify the ...

  12. Reforms and innovations in Nordic vocational education:

    DEFF Research Database (Denmark)

    Jørgensen, Christian Helms

    2018-01-01

    The chapter examines policy reforms and innovations in the Nordic vocational education and training systems (VET) related to two challenges. The first is to improve the links of the VET system to the labour market and to ease the students’ transition to employment. It examines three new types...

  13. EU agricultural reform fails on biodiversity

    NARCIS (Netherlands)

    Pe'er, G.; Dicks, L.V.; Visconti, A.; Arlettaz, R.; Baldi, A.; Kleijn, D.; Scott, A.V.

    2014-01-01

    In December 2013, the European Union (EU) enacted the reformed Common Agricultural Policy (CAP) for 2014–2020, allocating almost 40% of the EU's budget and influencing management of half of its terrestrial area. Many EU politicians are announcing the new CAP as “greener,” but the new environmental

  14. AFT Chief Promises Due-Process Reform

    Science.gov (United States)

    Sawchuk, Stephen

    2010-01-01

    The president of the American Federation of Teachers (AFT), Randi Weingarten, is putting the sensitive issue of due process on the education reform table, with a pledge to work with districts to streamline the often-cumbersome procedures for dismissing teachers who fail to improve their performance after receiving help and support. She has also…

  15. France's scientists rally to oppose Allegre's reforms

    CERN Multimedia

    Butler, D

    1998-01-01

    Plans by Allegre, the French science minister, for a profound reform of the country's research system are in doubt after a backlash by the scientific community. The issue came to a head at a meeting in Paris on the 14th of December.

  16. Can We Pay for Current Education Reform?

    Science.gov (United States)

    Odden, Allan

    2012-01-01

    For more than 30 years, the United States has been engaged in education reform efforts designed to dramatically boost student performance and close achievement gaps linked to poverty and ethnicity. Can schools afford those education ambitions? Most educators have their doubts. The author believes educators can improve student learning even when…

  17. Digital vascular imaging

    International Nuclear Information System (INIS)

    Ludwig, J.W.; Engels, B.C.H.

    1981-01-01

    Digitalizing videosignals from an image intensifying TV-chain, followed by subtraction, contrast intensifying, and reformation to analogous signal deliver angiography pictures of high quality after intravenous injection of the contrast medium. As the examination is only little invasive it can be carried out on outdoor patients or in the polyclinics. The possibilities of the digital vessel imagination (DVI) are shown at vessel images of different parts of the body; a 36 cm image intensifyer which can be switched to 3 different sorts of operation and has a plumbicon-TV recording tube is used as receiver. (orig.) [de

  18. Recent advances in imaging technologies in implant dentistry

    Directory of Open Access Journals (Sweden)

    Sharad Sahai

    2015-01-01

    Full Text Available Dental implants have become a part of routine treatment plans in oral rehabilitation. Diagnostic imaging is critical to presurgical treatment planning and the success of implants. Various imaging modalities may aid the placing of implants in an appropriate location with relative ease and also obtain a predictable outcome. Cross-sectional imaging techniques such as computed tomography (CT and, more recently, cone beam-computed tomography (CBCT are invaluable during preoperative planning for endosseous dental implantation procedures. An understanding of geometric and software parameters, and image formatting options to maximize image display is necessary to optimize diagnostic yield while maintaining minimal patient radiation dose. Multiplanar CT or CBCT images contain far more detailed information of the maxillofacial region than do panoramic or other bidimensional (2D images and necessitate a thorough knowledge of the tridimensional (3D anatomy of the region and considerations of variability in the range of the anatomically normal. This article provides: (1 an overview of the fundamental principles of operation of maxillofacial CT and CBCT; (2 an understanding of image processing and display protocols specific to pre-implant bone assessment; (3 the basics of qualitative and quantitative bone evaluation; and (4 an introduction to image-guided implant surgery using custom or computer-generated surgical guides.

  19. Factors affecting science reform: Bridging the gap between reform initiatives and teaching practices

    Science.gov (United States)

    Pensak, Karl John

    In response to the perceived deficiencies in science education today, and to the expressed need for research into the culture of schools (due primarily to the failure of many science reforms in the past), this study used a broad based approach to study the gap between science education research and science education practice. This study identified 47 factors that may encourage or inhibit science curriculum reform. A survey was conducted to determine which factors were perceived to be important by local and national K-12 classroom teachers, science supervisors/coordinators, and college/university professors. Continual staff development (scheduled as part of teachers' work day/week/month), funding (for long-term staff development, teacher training and support, science laboratory facilities and materials), teacher motivation and "ownership" of the reform, the need for collaborative opportunities for classroom teachers, teachers' college preparation, textbook reform, community support, and reform initiatives that are "in tune" with assessment, are major factors identified as having a substantial affect on the successful adoption, implementation, and institutionalization of science reforms.

  20. Working on reform. How workers' compensation medical care is affected by health care reform.

    Science.gov (United States)

    Himmelstein, J; Rest, K

    1996-01-01

    The medical component of workers' compensation programs-now costing over $24 billion annually-and the rest of the nation's medical care system are linked. They share the same patients and providers. They provide similar benefits and services. And they struggle over who should pay for what. Clearly, health care reform and restructuring will have a major impact on the operation and expenditures of the workers' compensation system. For a brief period, during the 1994 national health care reform debate, these two systems were part of the same federal policy development and legislative process. With comprehensive health care reform no longer on the horizon, states now are tackling both workers' compensation and medical system reforms on their own. This paper reviews the major issues federal and state policy makers face as they consider reforms affecting the relationship between workers' compensation and traditional health insurance. What is the relationship of the workers' compensation cost crisis to that in general health care? What strategies are being considered by states involved in reforming the medical component of workers compensation? What are the major policy implications of these strategies?

  1. Bending the curve through health reform implementation.

    Science.gov (United States)

    Antos, Joseph; Bertko, John; Chernew, Michael; Cutler, David; de Brantes, Francois; Goldman, Dana; Kocher, Bob; McClellan, Mark; McGlynn, Elizabeth; Pauly, Mark; Shortell, Stephen

    2010-11-01

    In September 2009, we released a set of concrete, feasible steps that could achieve the goal of significantly slowing spending growth while improving the quality of care. We stand by these recommendations, but they need to be updated in light of the new Patient Protection and Affordable Care Act (ACA). Reducing healthcare spending growth remains an urgent and unresolved issue, especially as the ACA expands insurance coverage to 32 million more Americans. Some of our reform recommendations were addressed completely or partially in ACA, and others were not. While more should be done legislatively, the current reform legislation includes important opportunities that will require decisive steps in regulation and execution to fulfill their potential for curbing spending growth. Executing these steps will not be automatic or easy. Yet doing so can achieve a healthcare system based on evidence, meaningful choice, balance between regulation and market forces, and collaboration that will benefit patients and the economy (see Appendix A for a description of these key themes). We focus on three concrete objectives to be reached within the next five years to achieve savings while improving quality across the health system: 1. Speed payment reforms away from traditional volume-based payment systems so that most health payments in this country align better with quality and efficiency. 2. Implement health insurance exchanges and other insurance reforms in ways that assure most Americans are rewarded with substantial savings when they choose plans that offer higher quality care at lower premiums. 3. Reform coverage so that most Americans can save money and obtain other meaningful benefits when they make decisions that improve their health and reduce costs. We believe these are feasible objectives with much progress possible even without further legislation (see Appendix B for a listing of recommendations). However, additional legislation is still needed to support consumers

  2. Optimal green tax reforms yielding double dividend

    International Nuclear Information System (INIS)

    Fernandez, Esther; Perez, Rafaela; Ruiz, Jesus

    2011-01-01

    In an stylized endogenous growth economy with a negative externality created by CO2 emissions and in which abatement activities are made by private firms, we find a wide range of dynamically feasible green tax reforms yielding the double dividend without any need to assume a complex production structure or tax system, or a variety of externalities in production. As a remarkable finding, we obtain certain scenarios in which increasing the emissions tax up to the Pigouvian level and removing completely the income tax is dynamically feasible and, also, it is the second-best reform. Hence, as a difference to previous literature, in these scenarios the first-best tax mix is implementable, allowing for the elimination of both environmental and non-environmental inefficiencies. Our result arises because of the consideration of public debt issuing and the management of the government budget balance with an intertemporal perspective. The result is obtained for an intermediate range of environmental bearing in preferences, the valid range being contingent on the pre-existing income tax rate. The type of tax reform that we propose could also be implemented for different energy taxes. - Highlights: → We use an endogenous growth model with a negative externality from CO2 emissions. → Abatement activities are made by private firms to reduce payment of emissions taxes. → We find dynamically feasible green tax reforms yielding the double dividend result. → Our result arises thanks to the inclusion of public debt issuing as a financing device. → The type of tax reform proposed can be implemented for other energy taxes.

  3. Medical liability and health care reform.

    Science.gov (United States)

    Nelson, Leonard J; Morrisey, Michael A; Becker, David J

    2011-01-01

    We examine the impact of the Affordable Care Act (ACA) on medical liability and the controversy over whether federal medical reform including a damages cap could make a useful contribution to health care reform. By providing guaranteed access to health care insurance at community rates, the ACA could reduce the problem of under-compensation resulting from damages caps. However, it may also exacerbate the problem of under-claiming in the malpractice system, thereby reducing incentives to invest in loss prevention activities. Shifting losses from liability insurers to health insurers could further undermine the already weak deterrent effect of the medical liability system. Republicans in Congress and physician groups both pushed for the adoption of a federal damages cap as part of health care reform. Physician support for damages caps could be explained by concerns about the insurance cycle and the consequent instability of the market. Our own study presented here suggests that there is greater insurance market stability in states with caps on non-economic damages. Republicans in Congress argued that the enactment of damages caps would reduce aggregate health care costs. The Congressional Budget Office included savings from reduced health care utilization in its estimates of cost savings that would result from the enactment of a federal damages cap. But notwithstanding recent opinions offered by the CBO, it is not clear that caps will significantly reduce health care costs or that any savings will be passed on to consumers. The ACA included funding for state level demonstration projects for promising reforms such as offer and disclosure and health courts, but at this time the benefits of these reforms are also uncertain. There is a need for further studies on these issues.

  4. Imaging anatomy of the infraorbital ethmoid cells on multislice CT

    International Nuclear Information System (INIS)

    Pan Zhenyu; Qian Xiaojun; Gu Hua; Zhai Renyou

    2008-01-01

    Objective: To study the anatomic characteristics of the infraorbital ethmoid cells on multislice CT (MSCT) and explore the relationship between the infraobital ethmoid cells and mucosal swelling of sinuses. Methods: Two hundred sixty patients (520 sides) of consecutive axial scans by GE Hispeed VCT and the multiplanar reformation (MPR), virtual endoscopy(VE) reconstruction images by GE AW 4.2 workstation were reviewed retrospectively. The following CT features were assessed: (1) the anatomic characteristics of the infraobital ethmoid cells, including the frequency of identification, origin, classification, (2) presence of mucosal swelling of sinuses, (3) the maximal transversal diameter of the infraobital ethmoid cells in ostium of maxillary sinus (perpendicular to the uncinate process), and the diameter of the ostium of maxillary sinus, (4) presence of infraobital ethmoid cells inflammatory findings and a contact between the mucosal surface of the ostium of maxillary sinus. The results were analyzed by using Chi-square test and logistic regression analysis with the statistical software SPSS 11.5. Results: (1) Unilateral infraobital ethmoid cells were found in 68 patients (26.1%), and bilateral infraobital ethmoid cells were found in 81 patients (31.2%). Infraobital ethmoid cells were found in 230 sides on left side (120 sides) and right side(110 sides). (2)Infraobital ethmoid cells originated from the anterior ethmoid cells in 124 sides (53.9%) and from posterior ethmoidal cells in 62 sides (27%), originated from both the anterior ethmoidal cells and the posterior ethmoidal cells in 44 sides( 19. 1% ). (3)The classification of the infraobital ethmoid cells included three types. Infraobital ethmoid cells with different origination differed significantly in their types (X 2 =193.433, P 2 =1.824, P>0.05). The maximal transversal diameter of the infraobital ethmoid cells in ostium of maxillary sinus did not differ significantly between the cases with or without

  5. Economic growth and institutional reform in modern monarchies and republics

    DEFF Research Database (Denmark)

    Bjørnskov, Christian; Kurrild-Klitgaard, Peter

    2014-01-01

    Conventional arguments suggest that republics ought to grow faster than monarchies and experience lower transitional costs following reforms. We employ a panel of 27 countries observed from 1820 to 2000 to estimate these differences. Results show no significant growth differences between the two...... regime types. Effects of incremental reforms do not differ between them, but those of large-scale reforms do. Specifically, we find a strong valley-of-tears effect of large reforms in republics, and monarchies benefit from such reforms in the ten-year perspective adopted here. We offer some tentative...

  6. Economic Growth and Institutional Reform in Modern Monarchies and Republics

    DEFF Research Database (Denmark)

    Bjørnskov, Christian; Kurrild-Klitgaard, Peter

    2014-01-01

    Conventional arguments suggest that republics ought to grow faster than monar- chies and experience lower transitional costs following reforms. We employ a panel of 27 countries observed from 1820 to 2000 to estimate these differences. Results show no significant growth differences between the two...... regime types. Ef- fects of incremental reforms do not differ between them, but those of large-scale reforms do. Specifically, we find a strong valley-of-tears effect of large reforms in republics, and monarchies benefit from such reforms in the ten-year perspective adopted here. We offer some tentative...

  7. Head and neck imaging with MDCT

    International Nuclear Information System (INIS)

    Imhof, H.; Czerny, Chr.; Dirisamer, A.

    2003-01-01

    Multi-slice CT (MDCT) is rapidly becoming the new standard in radiological imaging. Although its advantages in cardiovascular, thoracic and abdominal imaging are evident, the extent of its usefulness for imaging the head and neck has yet to be clarified. Because of the shorter examination time motion artifacts are reduced, phonation-studies are possible. Due to the thin-slicing and nearly isotropic multiplanar reconstruction (MPR) examination in only one plane is necessary, saving both time and radiation exposure. The shorter examination requires the use of higher concentrated contrast medium (400 mg of iodine/ml). The use of such a contrast medium produces a higher degree of contrast enhancement and provides a 5-10% higher contrast between the surrounding normal and pathological tissue, but is more time critical. MPRs are easily done in any plane within seconds and enables also three-dimensional visualization, what helps in the use of minimal invasive therapy, training and teaching and provides a way of handling the hundreds of images acquired during scanning

  8. Advanced imaging of the scapholunate ligamentous complex

    Energy Technology Data Exchange (ETDEWEB)

    Shahabpour, Maryam; Maeseneer, Michel de; Boulet, Cedric; Mey, Johan de [Universitair Ziekenhuis Brussel (UZ Brussel), Department of Radiology, Brussels (Belgium); Staelens, Barbara; Scheerlinck, Thierry [Universitair Ziekenhuis Brussel (UZ Brussel), Department of Orthopaedics and Traumatology, Brussels (Belgium); Overstraeten, Luc van [Hand and Foot Surgery Unit (HFSU), Tournai (Belgium)

    2015-12-15

    The scapholunate joint is one of the most involved in wrist injuries. Its stability depends on primary and secondary stabilisers forming together the scapholunate complex. This ligamentous complex is often evaluated by wrist arthroscopy. To avoid surgery as diagnostic procedure, optimization of MR imaging parameters as use of three-dimensional (3D) sequences with very thin slices and high spatial resolution, is needed to detect lesions of the intrinsic and extrinsic ligaments of the scapholunate complex. The paper reviews the literature on imaging of radial-sided carpal ligaments with advanced computed tomographic arthrography (CTA) and magnetic resonance arthrography (MRA) to evaluate the scapholunate complex. Anatomy and pathology of the ligamentous complex are described and illustrated with CTA, MRA and corresponding arthroscopy. Sprains, mid-substance tears, avulsions and fibrous infiltrations of carpal ligaments could be identified on CTA and MRA images using 3D fat-saturated PD and 3D DESS (dual echo with steady-state precession) sequences with 0.5-mm-thick slices. Imaging signs of scapholunate complex pathology include: discontinuity, nonvisualization, changes in signal intensity, contrast extravasation (MRA), contour irregularity and waviness and periligamentous infiltration by edema, granulation tissue or fibrosis. Based on this preliminary experience, we believe that 3 T MRA using 3D sequences with 0.5-mm-thick slices and multiplanar reconstructions is capable to evaluate the scapholunate complex and could help to reduce the number of diagnostic arthroscopies. (orig.)

  9. Electricity reform in developing and transition countries: A reappraisal

    International Nuclear Information System (INIS)

    Williams, J.H.; Ghanadan, R.

    2006-01-01

    Since about 1990, many developing and transition countries have undertaken market-oriented reforms in their electric power sectors. Despite the widespread adoption of a standard policy model, reform processes and outcomes have often failed to meet expectations. Drawing on an extensive literature review and case studies in Asia, Africa, Latin America, and Eastern Europe, this paper describes common features of non-OECD electricity reform and reappraises reform policies and underlying assumptions. Comparison with the sector-focused policy goals of deregulation in OECD countries highlights the importance of national fiscal crises, macroeconomic reforms, and persuasion by multilateral lenders in shaping non-OECD reforms. It also makes clear reform's dependence on attracting foreign capital, and consequent vulnerability to volatile international financial conditions. Case studies of Bolivia, Ghana, India, Poland, and Thailand illustrate reform's diverse pathways and problems in different settings. A broad range of non-OECD reform experiences indicates that disappointing results have often resulted from a narrow focus on finance and cost recovery, inflexibly applied. The paper concludes that improving reform will require emphasizing a broader set of objectives, including service provision, public benefits, effective regulation, and social/political legitimacy. Above all, reforms must be based on realistic assessments of national needs and capabilities. (author)

  10. Experimental analysis of an autothermal reformer for automotive purposes

    International Nuclear Information System (INIS)

    Caners, C.; Peppley, B.; Harrison, S.; Oosthuizen, P.

    2004-01-01

    This paper describes the experimental analysis, concomitant with modeling research, to determine improved operating parameters and design of an autothermal reformer. The reformer, utilizing both partial oxidation and steam reforming reactions, along with the water gas shift phenomena is well suited for the mobile application of transportation. This is due to the novel geometry of the autothermal reformer, which seeks to improve the heat transfer characteristics of the process, whereby the exothermic partial oxidation reaction provides the heat energy required to drive the steam reforming reaction, to the point of a thermally neutral system. The paper will present data from the experimental results of reforming iso-octane as a surrogate for gasoline in the form of reformate composition, iso-octane conversion percentages and efficiencies in terms of hydrogen realized per mol of fuel input. (author)

  11. Magnetic resonance imaging of the abdomen and pelvis

    International Nuclear Information System (INIS)

    Anon.

    1989-01-01

    Magnetic resonance imaging (MRI) of the abdomen presents greater inherent difficulties than other anatomic regions. However, new techniques now allow imaging comparable in quality to computed tomography (CT). Magnetic resonance imaging offers the advantages of greater tissue contrast, multiplanar imaging, and lack of ionizing radiation or risk of toxic reactions from iodinated contrast media. Its use remains limited by high cost, limited availability, lack of a bowel contrast agent, and long imaging time, which some patients cannot tolerate. In many areas of abdominal imaging, MRI is now comparable to CT, but because of the greater availability and lesser cost, CT remains the procedure of choice. Magnetic resonance imaging is more accurate for staging neoplasms of the liver, adrenal glands, kidneys, bladder, prostate, uterus, and cervix and may aid in diagnosis of hepatic, adrenal, and uterine masses. In selected patients, especially those in whom CT is inconclusive or those who cannot tolerate iodinated contrast material, MRI can provide valuable information. Development of faster scanning techniques and MRI contrast agents and wider availability will probably increase the usefulness of abdominal MRI. At this time, MRI complements other abdominal imaging procedures. In a small number of patients, however, it can provide unique information in a virtually risk-free manner

  12. Role of magnetic resonance imaging in patient selection for uterine artery embolization

    International Nuclear Information System (INIS)

    Cura, M.; Cura, A.; Bugnone, A.

    2006-01-01

    Uterine fibroids are common tumors of the female pelvis. Uterine artery embolization (UAE) is an effective treatment of symptomatic uterine leiomyoma in the appropriate candidates, reducing or eliminating leiomyoma-related symptoms of bleeding, bulk, and/or pain. Magnetic resonance imaging (MRI) can be used to assess women with symptoms potentially attributable to uterine leiomyomas, and help to determine who is an appropriate candidate for UAE. Because of soft tissue characterization, multiplanar imaging capabilities, and enhancement, MR imaging not only accurately detects and characterizes uterine leiomyomas but also may predict who will benefit from the embolization. MRI ability to detect coexistent uterine or pelvic pathology may change the diagnosis and treatment management of patients being evaluated for UAE

  13. Role of magnetic resonance imaging in patient selection for uterine artery embolization

    Energy Technology Data Exchange (ETDEWEB)

    Cura, M.; Cura, A.; Bugnone, A. [Univ. of Texas Health Science Center, San Antonio, TX (United States). Dept. of Radiology

    2006-12-15

    Uterine fibroids are common tumors of the female pelvis. Uterine artery embolization (UAE) is an effective treatment of symptomatic uterine leiomyoma in the appropriate candidates, reducing or eliminating leiomyoma-related symptoms of bleeding, bulk, and/or pain. Magnetic resonance imaging (MRI) can be used to assess women with symptoms potentially attributable to uterine leiomyomas, and help to determine who is an appropriate candidate for UAE. Because of soft tissue characterization, multiplanar imaging capabilities, and enhancement, MR imaging not only accurately detects and characterizes uterine leiomyomas but also may predict who will benefit from the embolization. MRI ability to detect coexistent uterine or pelvic pathology may change the diagnosis and treatment management of patients being evaluated for UAE.

  14. Advanced large airway CT imaging in children: evolution from axial to 4-D assessment

    International Nuclear Information System (INIS)

    Lee, Edward Y.; Zucker, Evan J.; Restrepo, Ricardo; Daltro, Pedro; Boiselle, Phillip M.

    2013-01-01

    Continuing advances in multidetector computed tomography (MDCT) technology are revolutionizing the non-invasive evaluation of congenital and acquired large airway disorders in children. For example, the faster scanning time and increased anatomical coverage that are afforded by MDCT are especially beneficial to children. MDCT also provides high-quality multiplanar 2-dimensional (2-D), internal and external volume-rendering 3-dimensional (3-D), and dynamic 4-dimensional (4-D) imaging. These advances have enabled CT to become the primary non-invasive imaging modality of choice for the diagnosis, treatment planning, and follow-up evaluation of various large airway disorders in infants and children. It is thus essential for radiologists to be familiar with safe and effective techniques for performing MDCT and to be able to recognize the characteristic imaging appearances of large airway disorders affecting children. (orig.)

  15. Extra-adrenal pheochromocytoma in pregnancy: ultrasonography and magnetic resonance imaging findings

    Energy Technology Data Exchange (ETDEWEB)

    Carson, B.J.W.; Johnston, M.A.; Iwaniuk, G.

    1995-04-01

    The case of a 24-year-old woman with extra-adrenal pheochromocytoma during pregnancy was described. Initial ultrasonography (US) at 27 weeks gestational age failed to show the pheochromocytoma, which was subsequently found by US at 35 weeks gestational age. Magnetic resonance imaging (MRI) provided diagnostic confirmation, as well as important information used by the obstetrician and the surgeon in operative planning. MRI proved to be ideally suited to investigation of extra-adrenal pheochromocytomas in pregnancy because it does not use ionizing radiation, and it has multiplanar capability and high contrast resolution. In the case described, the lesion was demonstrated with all MRI pulse sequences, but was best visualized with turbo spin-echo T2-weighted imaging, as well as with fat-suppressed imaging. 7 refs., 2 figs.

  16. Congenital tracheobiliary fistula diagnosed with contrast-enhanced CT and 3-D reformation

    Energy Technology Data Exchange (ETDEWEB)

    Chawla, Soni C. [Olive View-UCLA Medical Center, Department of Radiological Sciences, Sylmar, CA (United States); University of California, Los Angeles (UCLA), Department of Radiological Sciences, Sylmar, CA (United States); Jha, Priyanka; Breiman, Richard; Gooding, Charles [University of California, San Francisco (UCSF), Department of Radiological Sciences, San Francisco, CA (United States); Farmer, Diana [University of California, San Francisco (UCSF), Department of Pediatric Surgery, San Francisco, CA (United States)

    2008-09-15

    Congenital tracheobiliary fistula (CTBF) is a rare malformation. So far 24 cases have been reported in the English language literature. The imaging techniques used in diagnosis have been bronchography, fistulography, cholangiography, hepatobiliary nuclear imaging and MRI. We report a newborn patient who presented with right lung consolidation and biliptysis. The radiographic diagnosis of tracheobiliary fistula was made on multidetector CT scan of the chest and abdomen. Multiple 3-D volume-rendered reformations were performed. An abnormal air-filled tract was seen connecting the posteroinferior aspect of the carina and left biliary system, which was successfully treated surgically. (orig.)

  17. Imaging by magnetic resonance of pigmented villonodular synovitis

    International Nuclear Information System (INIS)

    Hernandez Moreno, L.; Lafuente Martinez, J.; Marti Bonmati, L.; Perez Diaz, M.; Vilar Samper, J.; Paniagua, J.C.

    1994-01-01

    Magnetic resonance (MR) has become the method of choice for evaluating a large number of musculoskeletal disorders, especially because of its capacity to provide multiplanar tomographic sections and its greater contrast resolution as compared to other imaging methods. This report present seven cases of pigmented villonodular synovitis (PVS) located in joints. In six cases, the diagnosis was suggested by MR on the basis of the fact that the lesions showed hypointense areas with no signal in both the T1 and T2-weighted sequences. This is due to hemosiderin deposition in the lesion. In addition to its diagnostic value, in this disorder, MR is an excellent method for assessing the exact extension and location of the lesions, as well as the follow-up to these patients and the detection of possible recurrences. (Author) 17 refs

  18. NMR imaging of degenerative changes of the spine

    International Nuclear Information System (INIS)

    Beyer, H.K.

    1991-01-01

    Computerized tomography and nuclear spin resonance tomography, are today considered excellent ways of demonstrating herniae of intervertebral disks, especially in the lumbal region, at high sensitivity and accuracy. The facility of multiplanar imaging without reconstruction, the clearly greater amount of information by using different pulse sequences, better contrast resolution, and lacking ionizing radiation speak in favour of nuclear spin resonance tomography. Using nulcear spin resonance tomography, in all parts of the spine the excellent demonstration of the epidural space, of the myeloma, of the nerve roots as well as of the surrounding osseous and ligamentous structure is achieved. So, for the diagnosis of discopathies in the region of the cervical spine nuclear spin resonance tomography should be preferred to computerized tomography. In the region of the lumbar spine, however, CT will be of importance in the diagnosis of discopathies for some time. (orig./MG) [de

  19. Imaging and treatment of a fracture of the hamate bone

    International Nuclear Information System (INIS)

    Andresen, R.; Radmer, S.; Scheufler, O.; Banzer, D.

    2001-01-01

    The relatively rare fractures of the hamate bone are the most common osseous injuries of the distal carpal row, whereby fractures of both the body and the hook of the hamate occur. We present a hamulus ossis hamati fracture that was caused by direct trauma in a high-level game of underwater rugby. Although this was diagnosed by conventional X-ray, the precise position of the fracture was clearly imaged using thin-layer CT, while additional multiplanar MRT revealed further sequelae of the trauma. A CT follow-up after 10 weeks of conservative therapy did not show any osseous consolidation, which indicated the need for surgical revision with exstirpation of the hamulus. (orig.) [de

  20. Image, Image, Image

    Science.gov (United States)

    Howell, Robert T.

    2004-01-01

    With all the talk today about accountability, budget cuts, and the closing of programs in public education, teachers cannot overlook the importance of image in the field of industrial technology. It is very easy for administrators to cut ITE (industrial technology education) programs to save school money--money they might shift to teaching the…

  1. Reforming of natural gas—hydrogen generation for small scale stationary fuel cell systems

    Science.gov (United States)

    Heinzel, A.; Vogel, B.; Hübner, P.

    The reforming of natural gas to produce hydrogen for fuel cells is described, including the basic concepts (steam reforming or autothermal reforming) and the mechanisms of the chemical reactions. Experimental work has been done with a compact steam reformer, and a prototype of an experimental reactor for autothermal reforming was tested, both containing a Pt-catalyst on metallic substrate. Experimental results on the steam reforming system and a comparison of the steam reforming process with the autothermal process are given.

  2. The Translation and Sedimentation of Accounting Reforms

    DEFF Research Database (Denmark)

    Hyndman, Noel; Liguori, Mariannunziata; Meyer, Renate

    Since the late 1980s, there has been a significant and progressive movement away from the traditional Public Administration (PA) systems, in favour of NPM-type accounting tools and ideas inspired by the private sector. More recently, a new focus on governance systems, under the banner Public...... with different administrative regimes (the UK, Italy and Austria), we examine public sector accounting and budgeting reforms and the underlying discourses put forward in order to support the change. We investigate the extent to which the actual content of the reforms and the discourses they are embedded within...... are decided gradually, and only after they have been announced well in advance in the political debate. We find that in all three countries the new ideas and concepts layer and sediment above the existing ones, rather than replace them. Although all three countries underwent similar accounting and budgeting...

  3. The French prescription for health care reform.

    Science.gov (United States)

    Segouin, C; Thayer, C

    1999-01-01

    In 1996, the French government introduced a wide-ranging health care reform which aimed to resolve the problems of rising health expenditure and a levelling off in health sector income. Changes in the regulation of the health care system sought to strengthen quality while improving professional practice. At the same time the changes were intended to encourage greater synergy both between professionals and between the different parts of the system, thus promoting greater cost-effectiveness. The tools designed to achieve these results included: the creation of new regional hospital agencies, the introduction of cash-limited budgets at national and regional level, the launching of a contracting procedure between health authorities and hospitals and the setting up of a new health care accreditation agency. With some signs of improvement in the overall health insurance budgetary situation, the Jospin government seems to be supporting the broad lines of the reform introduced by its predecessor.

  4. Autothermal reforming catalyst having perovskite structure

    Science.gov (United States)

    Krumpel, Michael [Naperville, IL; Liu, Di-Jia [Naperville, IL

    2009-03-24

    The invention addressed two critical issues in fuel processing for fuel cell application, i.e. catalyst cost and operating stability. The existing state-of-the-art fuel reforming catalyst uses Rh and platinum supported over refractory oxide which add significant cost to the fuel cell system. Supported metals agglomerate under elevated temperature during reforming and decrease the catalyst activity. The catalyst is a perovskite oxide or a Ruddlesden-Popper type oxide containing rare-earth elements, catalytically active firs row transition metal elements, and stabilizing elements, such that the catalyst is a single phase in high temperature oxidizing conditions and maintains a primarily perovskite or Ruddlesden-Popper structure under high temperature reducing conditions. The catalyst can also contain alkaline earth dopants, which enhance the catalytic activity of the catalyst, but do not compromise the stability of the perovskite structure.

  5. The Translation and Sedimentation of Accounting Reforms

    DEFF Research Database (Denmark)

    Hyndman, Noel; Liguori, Mariannunziata; Meyer, Renate

    2014-01-01

    Since the late 1980s, there has been a significant and progressive movement away from the traditional Public Administration (PA) systems, in favour of NPM-type accounting tools and ideas inspired by the private sector. More recently, a new focus on governance systems, under the banner Public...... with different administrative regimes (the UK, Italy and Austria), we examine public sector accounting and budgeting reforms and the underlying discourses put forward in order to support the change. We investigate the extent to which the actual content of the reforms and the discourses they are embedded within...... are decided gradually, and only after they have been announced well in advance in the political debate. We find that in all three countries the new ideas and concepts layer and sediment above the existing ones, rather than replace them. Although all three countries underwent similar accounting and budgeting...

  6. Trust and Control in Public Sector Reform

    DEFF Research Database (Denmark)

    Vallentin, Steen; Thygesen, Niels Thyge

    2017-01-01

    to a substitution view when it comes to accounting for public sector reform as structure and process. Also, we propose a widening of the theoretical lens in the form of an emergent view of how trust and control, instead of being beforehand determinable and more or less stable identities, emerge in multiple......This paper provides an analysis of trust-based management reform in the Danish public sector from the point of view of the trust–control nexus. Based on a qualitative case study of home care in the municipality of Copenhagen we argue that a complementary view of trust and control is superior...... and singular ways from multiple events in the organisation. Noticing a dearth of research that explicitly addresses trust issues with regard to public sector management and organisation, the paper is a response to the call for more studies of trust as an institutionally embedded phenomenon....

  7. Lithuanian way of reforms to electricity market

    International Nuclear Information System (INIS)

    Bacauskas, A.

    2002-01-01

    Lithuania has inherited a structure of the energy industry, which originally has been developed not for the country, as an independent state, but according to the provisions of the former USSR energy policy, covering energy demand of whole region, including the Baltic countries, Belarus and the Kaliningrad region of Russia. The Lithuanian power system is interconnected by high voltage power lines and operates in parallel with Latvian, Estonian, Russian and Belarus power systems. During twelve years of independence the power sector passed significant changes from a vertically integrated monopoly to some separate power companies and meets EU requirements to an internal electricity market. The main issues of reforms: transparency of costs, commercial relations in power sector, fulfilment of the Electricity Directive 96/92/EU. The Lithuanian electricity market is small and inefficient. Current reforms of a power sector are directed to create the common Baltic electricity market. (author)

  8. Gothic pedagogy and Victorian reform treatises.

    Science.gov (United States)

    Kehler, Grace

    2008-01-01

    This paper considers the work of bodily affect in three Victorian reform treatises about the industrial working classes: Kay's The Moral and Physical Condition of the Working Classes Employed in the Cotton Manufacture in Manchester, Chadwick's Report on the Sanitary Condition of the Labouring Population of Great Britain, and Engels's The Condition of the Working Class in England. Employing a gothic technology that graphically illustrates and appeals to the sensations, these treatises provide a striking instance of the extent to which Victorian attempts at social reform were routed through the visceral, sensible knowledge of the body. Since, however, the gothic tends toward the excessive, a second crucial feature of its technology entails the arousal of conflicting sensations that problematize class relations.

  9. Social Security Funds Clamor for Reform

    Institute of Scientific and Technical Information of China (English)

    郑秉文

    2008-01-01

    This paper analyzed the institutional deficiencies inherent in China’s social security system based on a dissection of various social security fund violations. It holds that the unscientific design in social security system is the root cause for social security fund violations, which is reflected in low level of social security unification, irrational investment system and legislative loopholes etc. Currently, China’s social security funds are facing risks in management and in system; The key of risk control lies in the reforming of the overall framework of social security system through the following aspects: 1) readjust the unified account system structure to raise the level of unification; 2) reform funds investment system to boost ROI; 3) speeding up legislative to regulate the administrative costs and the behaviors of its entities.

  10. Croatian Energy Sector Reform - Results Achieved

    International Nuclear Information System (INIS)

    Nota, R.

    2001-01-01

    During the past ten years, the energy sector has passed through significant changes including fundamental market, economic, legislative and institutional aspects of sector operation. As the main goal of the Republic of Croatia is the integration into the European Union, the energy sector reform ought to be conducted in keeping with the present market development processes of the EU in such a way as to fulfil all safety criteria. In view of the above mentioned, the Croatian Parliament brought a number of laws during its session in July 2001 (''Official Gazette'' 68/01): 1. Energy Law 2. Energy Activities Regulation Law 3. Electricity Market Law 4. Gas Market Law 5. Oil and Oil Derivatives Market Law, which present the commencement of the energy sector reform (www.mingo.hr).(author)

  11. Merging Educational Finance Reform and Desegregation Goals

    Directory of Open Access Journals (Sweden)

    Deborah M. Kazal-Thresher

    1993-06-01

    Full Text Available Educational finance reforms and desegregation have both sought to address inequities in educational opportunities for minorities and low income families. The recent methods of addressing desegregation issues have tended to focus on attaining racial balance rather than educational quality, however. This paper explores how desegregation goals can be merged with educational finance reform to more systematically address educational quality in schools serving low income and minority populations. By moving toward centralized control over school financing, the inequity of school outcomes that are based on unequal school resources can be reduced. In addition, state determined expenditures when combined with desegregation monies, would meet the original intention of desegregation funds by clearly providing add-on monies for additional services for minority children, while at the same time, creating a better monitoring mechanism.

  12. The reform of the Swedish electricity market

    International Nuclear Information System (INIS)

    Petsala, B.

    1995-01-01

    The objective of the ongoing reform of deregulation of the electricity market in Sweden is to create and improve the prerequisites for more efficient use of the generation and distribution, thus bringing about a more efficient price building. Similar reforms take place in the other Nordic countries. As a result of these changes the possibilities for international trade in electricity increases considerably. Tendencies towards concentration of production and distribution as well as increased vertical integration make it important for the State to monitor the development and if necessary suggest measures to counteract possible undesired effects. The national character of the former electricity market does no longer constitute a restriction to trade and the power companies already operate in each other's market. (author). 2 figs., 4 tabs., 6 refs

  13. Conditions for successful land reform in Africa

    Directory of Open Access Journals (Sweden)

    JA Groenewald

    2004-11-01

    Full Text Available Land reform has traditionally had two objectives: equity and productivity. Food insecurity and the need for agriculture to contribute to development emphasise the need to maintain and improve productivity while improving equitability. Land must foster production and agriculture must attract good human material. The following areas need to be considered in policy formulation and delivery: an effective institutional framework involving all the relevant public and private bodies; efficient fiscal planning is essential; potentially successful farmers must be selected and given special support, including extension and adult education; complementary services and infrastructure are needed; prioritisation of functions and land tenure reform is often necessary. In addition, international agricultural markets are very important for Africa.  Wealthy nations should cease trade-distorting protection of their own farmers.

  14. Curriculum reform at Chinese medical schools: what have we learned?

    Science.gov (United States)

    Huang, Lei; Cheng, Liming; Cai, Qiaoling; Kosik, Russell Olive; Huang, Yun; Zhao, Xudong; Xu, Guo-Tong; Su, Tung-Ping; Chiu, Allen Wen-Hsiang; Fan, Angela Pei-Chen

    2014-12-01

    Curriculum reform at Chinese medical schools has attracted a lot of attention recently. Several leading medical schools in China have undergone exploratory reforms and in so doing, have accumulated significant experience and have made considerable progress. An analysis of the reforms conducted by 38 Chinese medical colleges that were targeted by the government for upgrade was performed. Drawing from both domestic and international literature, we designed a questionnaire to determine what types of curricular reforms have occurred at these institutions and how they were implemented. Major questions touched upon the purpose of the reforms, curricular patterns, improvements in teaching methods post-reform, changes made to evaluation systems post-reform, intra-university reform assessment, and what difficulties the schools faced when instituting the reforms. Besides the questionnaire, relevant administrators from each medical school were also interviewed to obtain more qualitative data. Out of the 38 included universities, twenty-five have undergone major curricular reforms. Among them, 60.0% adopted an organ system-based curriculum model, 32.0% adopted a problem-based curriculum model, and 8.0% adopted a hybrid curriculum model. About 60.0% of the schools' reforms involved both the "pre-clinical" and the "clinical" curricula, 32.0% of the schools' reforms were limited to the "pre-clinical" curricula, and 8.0% of the schools' reforms only involved the "clinical" curricula. Following curricular reform, 60.0% of medical schools experienced an overall reduction in teaching hours, 76.0% reported an increase in their students' clinical skills, and 60.0% reported an increase in their students' research skills. Medical curricular reform is still in its infancy in China. The republic's leading medical schools have engaged in various approaches to bring innovative teaching methods to their respective institutions. However, due to limited resources and the shackle of traditional

  15. Anatomic Illustrations of Cranial Ultrasound Images Obtained Through the Mastoid Fontanelle in Neonates

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Bong Man; Lee, Young Seok [Dankook University Hospital, Cheonan (Korea, Republic of)

    2011-09-15

    Neonatal cranial sonography performed through the mastoid fontanelle is more useful to evaluate the peripheral structures at the convexity of the cerebral hemispheres and brainstem rather than that performed through the anterior fontanelle. The purpose of this study is to demonstrate the anatomy of the extracerebral CSF space and brainstem and to suggest appropriate scan planes for performing neonatal cranial sonography through the mastoid fontanelle using MRI and multiplanar reconstruction programs. A neonate with normal features on ultrasonography and good image quality on MRI, including the 3D-SPGR axial scans, was selected. We made the reconstructed MR images corresponding to the sonongraphic planes and the anatomic models of the neonatal cranial sonographic images by using axial MRI as the standard reference on the same screen. We demonstrated the sonographic images at the levels of the body of the caudate nucleus and lentiform nucleus, the head of the caudate nucleus and thalamus, the third ventricle and midbrain, and the midbrain and cerebellar vermis on the oblique axial scans. Four oblique coronal images at the levels of the periventricular white matter, basal ganglia, thalamus and tentorium were also obtained. We illustrated the anatomic atlas with including four oblique axial scans and four oblique coronal scans that corresponded to the neonatal cranial sonographic images through the mastoid fontanelle. We objectively analyzed the anatomy of the extracerebral CSF space and brainstem by using MRI and multiplanar reconstruction programs and we provided the standardized sonographic scan planes through the mastoid fontanelle. This study will be very helpful for evaluating the abnormalities of the peripheral structures at the convexity of the cerebral hemispheres and brainstem

  16. Policy Reform Impact on Food Manufacturing

    OpenAIRE

    Celikkol, Pinar; Dunn, James W.; Stefanou, Spiro E.

    2003-01-01

    The impact of agricultural policies and their reform is of major concern when addressing issues of growth, innovation and consolidation in the food manufacturing sector. Growth is one of the forces fueling the globalization of food manufacturing activities. Market- and policy-driven forces present a myriad of opportunities to influence growth and reorientation of patterns at the nexus where food manufacturing links the food system. The productivity and international competitiveness of the foo...

  17. Board Governance: Transformational Approaches Under Healthcare Reform.

    Science.gov (United States)

    Zastocki, Deborah K

    2015-01-01

    Previous successes of healthcare organizations and effective governance practices in the pre-reform environment are not predictive of future success. Healthcare has been through numerous phases of growth and development using tried-and-true strategies. The challenge is that our toolbox does not contain what is needed to build the future healthcare delivery systems required in the post-reform world. Healthcare has had a parochial focus at the local level, with some broadening of horizons at the state and national levels. But healthcare delivery is now a global issue that requires a totally different perspective, and many countries are confronting similar issues. US healthcare reform initiatives have far-reaching implications. Compounding the reform dynamics are the simultaneously occurring, gamechanging accelerants such as enabling information technologies and mobile health, new providers of healthcare, increased consumer demands, and limited healthcare dollars, to name a few. Operating in this turbulent environment requires transformational board, executive, and physician leadership because traditional ways of planning for incremental change and attempting to time those adjustments can prove disastrous. Creating the legacy healthcare system for tomorrow requires governing boards and executive leadership to act today as they would in the desired future system. Boards need to create a culture that fosters.innovation with a tolerance for risk and some failure. To provide effective governance, boards must essentially develop new skills, expertise, and ways of thinking. The rapid rate of change requires board members to possess certain capabilities, including the ability to deal with ambiguity and uncertainty while demonstrating flexibility and adaptability, all with a driving commitment to metrics and results. This requires development plans for both individual members and the overall board. In short, the board needs to function differently, particularly regarding the

  18. A Photo Essay of a Failed Reform

    OpenAIRE

    Zweig, David

    2016-01-01

    In mid-1975, Deng Xiaoping, with Mao’s blessing, initiated reforms that targeted the negative consequences of the Cultural Revolution. To bolster Deng’s effort, Mao endowed him with penultimate authority over the Party, government, and military. However, in late October, Mao turned on Deng, and within five months, Mao and the radicals toppled Deng from power. As a foreign student at Peking University, David Zweig observed and photographed four key points in this historic struggle: (1) the ini...

  19. Korea's Post-Crisis Monetary Policy Reforms

    OpenAIRE

    Donghyun Park; Junggun Oh

    2005-01-01

    Korea's financial crisis of 1997–1998 was brought about by the unsustainable combination of large capital inflows and an inefficient financial system. The Bank of Korea contributed to the crisis primarily through its failures as the regulator of the financial system rather than as the conductor of monetary policy. Our paper explores the role of the two major monetary policy reforms Korea has implemented in response to the crisis — the establishment of a new financial regulator and the adoptio...

  20. Reforming the educated person in Bolivia

    OpenAIRE

    Uski, Juha Janne Olavi

    2011-01-01

    The Bolivian educational reform law nr. 070 was approved in 2010 and its implementation is beginning in 2012. Basing itself on a combination of Marxist and Cultural Studies -influenced theories, the thesis examines the tensions between the vision of Law 070 and the conditions and aspirations of the stakeholders. A central concept in this discussion is ”the cultural production of the educated person”, and the development of the concept of the educated person through the history of Bolivia is d...