WorldWideScience

Sample records for norwood technique sindrome

  1. Nova técnica: operação de Norwood com perfusão regional cerebral e coronariana New technique: Norwood operation with regional cerebral and coronary perfusion

    Directory of Open Access Journals (Sweden)

    Gláucio Furlanetto

    2009-12-01

    Full Text Available OBJETIVO: Avaliar o resultado imediato da operação de Norwood modificado com nova técnica de perfusão regional cerebral (PRCeA anterógrada associado a perfusão regional coronariana (PRCoR retrógrada em substituição à parada circulatória total com hipotermia profunda em crianças portadoras da Síndrome da Hipoplasia do Coração Esquerdo (SHCE com aorta ascendente extremamente hipoplásica (AH. MÉTODOS: No período de dezembro de 2006 a fevereiro de 2008, a operação de Norwood modificado com tubo entre o ventrículo direito e as artérias pulmonares ou shunt tipo Sano foi realizada em oito crianças portadoras de SHCE e aorta ascendente com diâmetro inferior a 3 mm, (quatro do sexo masculino e quatro do sexo feminino com idade média de 9,2 dias (variando de 1 a 29 dias e peso médio de 3,3 kg (variando de 2,7 a 3,8 kg. Utilizada CEC e hipotermia a 25ºC com duas cânulas venosas e anastomose de um enxerto de politetrafluoretileno com a artéria inominada utilizado como linha arterial e para PRCeA. A PRCoR foi realizada por meio de um desvio na linha arterial e colocação de um cateter na aorta ascendente. Foram analisados o resultado cirúrgico imediato e a presença de alterações neurológicas nesse período. RESULTADOS: O resultado cirúrgico imediato revelou mortalidade de 25% e ausência de comprometimento neurológico ao exame clínico. CONCLUSÃO: A operação de Norwood modificado pode ser realizada com PRCeA e PRCoR em crianças com SHCE e AH com resultado cirúrgico imediato satisfatório e ausência de complicações neurológicas.OBJECTIVE: To assess the immediate result of the modified Norwood procedure with new technique of anterograde regional cerebral perfusion (ARCeP and retrograde regional coronary perfusion (RRCoP in substitution of profound hypothermia and circulatory arrest in children with hypoplastic left heart syndrome (HLHS with extremely hypoplastic ascending aorta (HA. METHODS: In the period of

  2. The Norwood procedure: in favor of the RV-PA conduit.

    Science.gov (United States)

    Barron, David J

    2013-01-01

    Evolution of the Norwood procedure has culminated in there currently being three treatment strategies available for initial management: the 'classical' Norwood (utilizing a Blalock-Taussig shunt), the Norwood with right-ventricle to pulmonary artery (RV-PA) conduit, and the 'hybrid' Norwood procedure utilizing bilateral pulmonary artery banding and ductal stenting. Each variant has its potential advantages and disadvantages, and this paper looks to examine the evidence in favor of each strategy, with emphasis on the supportive data for the RV-PA conduit. The 'classical' procedure has the benefit of the greatest accumulated surgical experience and avoids any incision into the ventricle. However, the diastolic run-off of the Blalock-Taussig shunt can cause hemodynamic instability and unpredictable coronary steal phenomenon. The RV-PA conduit has the advantage of maintaining diastolic pressure with a more stable postoperative course, but at the cost of a ventriculotomy that may have detrimental long-term sequelae. The 'hybrid' procedure has the advantage of avoiding cardiopulmonary bypass, but does not always secure coronary blood flow and has a high inter-stage morbidity and reintervention rate. The evidence shows that each technique may have its place in future management, and that treatment algorithms could emerge that direct the choice of procedure for specific patient groups. Copyright © 2013 Elsevier Inc. All rights reserved.

  3. Norwood with right ventricle-to-pulmonary artery conduit is more effective than Norwood with Blalock-Taussig shunt for hypoplastic left heart syndrome: mathematic modeling of hemodynamics.

    Science.gov (United States)

    Mroczek, Tomasz; Małota, Zbigniew; Wójcik, Elżbieta; Nawrat, Zbigniew; Skalski, Janusz

    2011-12-01

    The introduction of right ventricle to pulmonary artery (RV-PA) conduit in the Norwood procedure for hypoplastic left heart syndrome resulted in a higher survival rate in many centers. A higher diastolic aortic pressure and a higher mean coronary perfusion pressure were suggested as the hemodynamic advantage of this source of pulmonary blood flow. The main objective of this study was the comparison of two models of Norwood physiology with different types of pulmonary blood flow sources and their hemodynamics. Based on anatomic details obtained from echocardiographic assessment and angiographic studies, two three-dimensional computer models of post-Norwood physiology were developed. The finite-element method was applied for computational hemodynamic simulations. Norwood physiology with RV-PA 5-mm conduit and Blalock-Taussig shunt (BTS) 3.5-mm shunt were compared. Right ventricle work, wall stress, flow velocity, shear rate stress, energy loss and turbulence eddy dissipation were analyzed in both models. The total work of the right ventricle after Norwood procedure with the 5-mm RV-PA conduit was lower in comparison to the 3.5-mm BTS while establishing an identical systemic blood flow. The Qp/Qs ratio was higher in the BTS group. Hemodynamic performance after Norwood with the RV-PA conduit is more effective than after Norwood with BTS. Computer simulations of complicated hemodynamics after the Norwood procedure could be helpful in establishing optimal post-Norwood physiology. Copyright © 2011 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.

  4. Prevalensi Sindrom Metabolik pada Pekerja Perusahaan

    Directory of Open Access Journals (Sweden)

    Zahtamal Zahtamal

    2014-12-01

    Full Text Available Sindrom metabolik adalah masalah kesehatan yang prevalensinya cenderung meningkat pada pekerja. Penelitian ini bertujuan memaparkan prevalensi kasus sindrom metabolik yang terjadi pada pekerja perusahaan. Penelitian ini dilakukan pada tahun 2014 pada dua perusahaan di Provinsi Riau dengan rancangan potong lintang. Sumber data adalah rekam medis pekerja yang melakukan medical check up periode Oktober 2013 hingga Februari 2014. Populasi adalah pekerja yang menderita sindrom metabolik sebanyak 131 orang. Sampel penelitian dipilih dengan cara total sampling yakni 131 orang. Instrumen adalah kuesioner, international physical activity questionnaire, tabel 24 hours food recall, dan tabel bantu pencatatan komponen sindrom metabolik. Pengelolaan data dilakukan secara kuantitatif menggunakan analisis univariat dan bivariat, dengan uji korelasi Spearman’s Rho dan kai kuadrat. Hasil penelitian mendapatkan prevalensi sindrom metabolik sebanyak 21,58%, dengan jenis kelamin terbanyak adalah laki-laki, kelompok usia terbanyak adalah > 50 tahun. Sebagian besar kasus sindrom metabolik memiliki tiga komponen, dengan komponen terbanyak adalah lingkar perut dan tekanan darah. Sebanyak 23,50% kasus memiliki riwayat keluarga obesitas dan diabetes melitus. Sebagian besar kategori aktivitas adalah sedang. Jenis asupan makanan dengan kategori tidak sesuai dengan diet adalah serat pangan dan lemak jenuh. Variabel lingkar perut berhubungan bermakna secara statistik dengan tekanan darah sistolik dan diastolik serta kadar kolesterol high density lipoprotein (p 50 years. Most cases of metabolic syndrome has three components, with the largest component is the abdominal circumference and blood pressure. A total of 23.50% of cases have a family history of obesity and diabetes mellitus. Most categories of activity is moderate. Most types of food intake in the category “out of dietary guidelines” are dietary fiber and saturated fat. Abdominal circumference variable has a

  5. Perbedaan Sindrom Metabolik Pada Wanita Vegetarian Tipe Vegan Dan Non Vegan

    OpenAIRE

    Setiyani, Diah Ari; Wirawanni, Yekti

    2012-01-01

    Latar Belakang: Sindrom metabolik adalah kumpulan kelainan metabolik yang dikaitkan dengan peningkatan risiko penyakit kardiovaskular. Diet vegetarian terutama vegan dapat berperan dalam penurunan risiko sindrom metabolik, tetapi masih didapatkan penelitian yang menyatakan bahwa vegan berisiko sindrom metabolik bahkan lebih tinggi daripada non vegan. Penelitian ini bertujuan untuk mengetahui perbedaan sindrom metabolik pada wanita vegetarian vegan dan non vegan. Metode: Penelitian ini dilakuk...

  6. Tata Laksana Non Imunosupresan Sindrom Nefrotik pada Anak

    Directory of Open Access Journals (Sweden)

    Sudung Oloan Pardede

    2017-08-01

    Full Text Available Sindrom nefrotik adalah keadaan klinis yang terdiri atas proteinuria masif, hipo­albuminemia (< 2,5 g/dL, edema, dan hiperkolesterolemia. Terapi utama sindrom nefrotik adalah imunosupresan terutama kortikosteroid. Pada sindrom nefrotik relaps sering atau dependen steroid, dan sindrom nefrotik resisten steroid, selain steroid diberikan juga imunosupresan lain seperti siklofosfamid, siklosporin, mikofenolat mofetil, takrolimus, atau pun levamisol. Selain pemberian imunosupresan diperlukan terapi suportif, yang meliputi terapi diitetik,  tata laksana edema, hipertensi, hipovolemia, trombosis, hiperlipidemia, dan infeksi. Tata laksana diitetik terdiri atas kalori yang adekuat, protein sesuai recommended daily allowance, lemak low saturated, dan rendah garam. Komposisi zat gizi yang dianjurkan terdiri atas 10-14% protein; 40-50% lemak poly- dan monounsaturated, 40-50% karbohidrat. Tata laksana  edema terdiri atas restriksi cairan, pemberian diuretik, dan infus albumin jika perlu. Infeksi yang sering terjadi pada sindrom nefrotik adalah selulitis peritonitis, dan pneumonia yang diterapi dengan antibiotik sefotaksim, seftriakson, ko-amoksiklav. Antihipertensi yang digunakan pada anak umumnya diuretik, angiotensin converting enzyme inhibitors, angiotensin receptor blockers, calcium channel blockers, (amblodipin, nifedipin, isradipin, alpha-symphatetic agents, beta blockers dan vasodilator. Aktivitas fisik tidak perlu dibatasi, dan pada edema ringan atau tidak berat tidak perlu dilarang pergi ke sekolah

  7. Si?ndrome de Burnout y estre?s laboral en profesores

    OpenAIRE

    Barreto E., Marilu? E.

    2013-01-01

    En la u?ltima de?cada la presencia del si?ndrome de Burnout ha ido en aumento muy considerablemente, como una consecuencia de trabajar intensamente hasta el li?mite de no tomar en cuenta las necesidades personales. Esta situacio?n se acompan?a de sentimientos de falta de ayuda, de impotencia, de actitudes negativas y de una posible pe?rdida de autoestima que sufre el trabajador, descrita como si?ndrome de Burnout (Caballero y Milla?n,1999). La prevalencia del si?ndrome de Burnout a nivel i...

  8. ERITEMA NODOSO Y SINDROME FEBRIL PROLONGADO ASOCIADOS A HIPERPARATIROIDISMO SECUNDARIO

    Directory of Open Access Journals (Sweden)

    Enz P

    2005-06-01

    Full Text Available El hiperparatiroidismo secundario es uno de los principales disturbios causados por la insuficiencia renal crónica, y la paratohormona es considerada una de las toxinas del sindrome urémico. El sindrome febril prolongado secundario a hiperparatiroidismo primario ya ha sido descripto en la literatura, aunque no lo ha sido aun el inducido por hiperparatiroidismo secundario. En el presente reporte se presenta un caso de eritema nodoso y sindrome febril prolongado asociado a hiperparatiroidismo secundario y que resolvió luego de efectuada una paratiroidectomía subtotal.

  9. Hemodynamic Effects of Ventricular Assist Device Implantation on Norwood, Glenn, and Fontan Circulation: A Simulation Study.

    Science.gov (United States)

    Di Molfetta, Arianna; Amodeo, Antonio; Gagliardi, Maria G; Trivella, Maria G; Fresiello, Libera; Filippelli, Sergio; Toscano, Alessandra; Ferrari, Gianfranco

    2016-01-01

    The growing population of failing single-ventricle (SV) patients might benefit from ventricular assist device (VAD) support as a bridge to heart transplantation. However, the documented experience is limited to isolated case reports. Considering the complex and different physiopathology of Norwood, Glenn, and Fontan patients and the lack of established experience, the aim of this work is to realize and test a lumped parameter model of the cardiovascular system able to simulate SV hemodynamics and VAD implantation effects to support clinical decision. Hemodynamic and echocardiographic data of 30 SV patients (10 Norwood, 10 Glenn, and 10 Fontan) were retrospectively collected and used to simulate patients' baseline. Then, the effects of VAD implantation were simulated. Simulation results suggest that the implantation of VAD: (i) increases the cardiac output and the mean arterial systemic pressure in all the three palliation conditions (Norwood 77.2 and 19.7%, Glenn 38.6 and 32.2%, and Fontan 17.2 and 14.2%); (ii) decreases the SV external work (Norwood 55%, Glenn 35.6%, and Fontan 41%); (iii) decreases the pressure pulsatility index (Norwood 65.2%, Glenn 81.3%, and Fontan 64.8%); (iv) increases the pulmonary arterial pressure in particular in the Norwood circulation (Norwood 39.7%, Glenn 12.1% and Fontan 3%); and (v) decreases the atrial pressure (Norwood 2%, Glenn 10.6%, and Fontan 8.6%). Finally, the VAD work is lower in the Norwood circulation (30.4 mL·mm Hg) in comparison with Fontan (40.3 mL·mm Hg) and to Glenn (64.5 mL·mm Hg) circulations. The use of VAD in SV physiology could be helpful to bridge patients to heart transplantations by increasing the CO and unloading the SV with a decrement of the atrial pressure and the SV external work. The regulation of the pulmonary flow is challenging because the Pap is increased by the presence of VAD. The hemodynamic changes are different in the different SV palliation step. The use of numerical models

  10. The Optimal Timing of Stage-2-Palliation After the Norwood Operation.

    Science.gov (United States)

    Meza, James M; Hickey, Edward; McCrindle, Brian; Blackstone, Eugene; Anderson, Brett; Overman, David; Kirklin, James K; Karamlou, Tara; Caldarone, Christopher; Kim, Richard; DeCampli, William; Jacobs, Marshall; Guleserian, Kristine; Jacobs, Jeffrey P; Jaquiss, Robert

    2018-01-01

    The effect of the timing of stage-2-palliation (S2P) on survival through single ventricle palliation remains unknown. This study investigated the optimal timing of S2P that minimizes pre-S2P attrition and maximizes post-S2P survival. The Congenital Heart Surgeons' Society's critical left ventricular outflow tract obstruction cohort was used. Survival analysis was performed using multiphase parametric hazard analysis. Separate risk factors for death after the Norwood and after S2P were identified. Based on the multivariable models, infants were stratified as low, intermediate, or high risk. Cumulative 2-year, post-Norwood survival was predicted. Optimal timing was determined using conditional survival analysis and plotted as 2-year, post-Norwood survival versus age at S2P. A Norwood operation was performed in 534 neonates from 21 institutions. The S2P was performed in 71%, at a median age of 5.1 months (IQR: 4.3 to 6.0), and 22% died after Norwood. By 5 years after S2P, 10% of infants had died. For low- and intermediate-risk infants, performing S2P after age 3 months was associated with 89% ± 3% and 82% ± 3% 2-year survival, respectively. Undergoing an interval cardiac reoperation or moderate-severe right ventricular dysfunction before S2P were high-risk features. Among high-risk infants, 2-year survival was 63% ± 5%, and even lower when S2P was performed before age 6 months. Performing S2P after age 3 months may optimize survival of low- and intermediate-risk infants. High-risk infants are unlikely to complete three-stage palliation, and early S2P may increase their risk of mortality. We infer that early referral for cardiac transplantation may increase their chance of survival. Copyright © 2018 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  11. Current outcomes and risk factors for the Norwood procedure.

    Science.gov (United States)

    Stasik, Chad N; Gelehrter, S; Goldberg, Caren S; Bove, Edward L; Devaney, Eric J; Ohye, Richard G

    2006-02-01

    Tremendous strides have been made in the outcomes for hypoplastic left heart syndrome and other functional single-ventricle malformations over the past 25 years. This progress relates primarily to improvements in survival for patients undergoing the Norwood procedure. Previous reports on risk factors have been on smaller groups of patients or collected over relatively long periods of time, during which management has evolved. We analyzed our current results for the Norwood procedure with attention to risk factors for poor outcome. A single-institution review of all patients undergoing a Norwood procedure for a single-ventricle malformation from May 1, 2001, through April 30, 2003, was performed. Patient demographics, anatomy, clinical condition, associated anomalies, operative details, and outcomes were recorded. Of the 111 patients, there were 23 (21%) hospital deaths. Univariate analysis revealed noncardiac abnormalities (genetic or significant extracardiac diagnosis, P = .0018), gestational age (P = .03), diagnosis of unbalanced atrioventricular septal defect (P = .017), and weight of less than 2.5 kg (P = .0072) to be related to hospital death. On multivariate analysis, only weight of less than 2.5 kg and noncardiac abnormalities were found to be independent risk factors. Patients with either of these characteristics had a hospital survival of 52% (12/23), whereas those at standard risk had a survival of 86% (76/88). Although improvements in management might have lessened the effect of some of the traditionally reported risk factors related to variations in the cardiovascular anatomy, noncardiac abnormalities and low birth weight remain as a future challenge for the physician caring for the patient with single-ventricle physiology.

  12. Syndrome of hypoplasic left ventricle, Description of a clinical case with survival after carrying out of Norwood technique

    International Nuclear Information System (INIS)

    Velasco B, Ana M; Lince V, Rafael; Zapata S, Jorge A and others

    2003-01-01

    A clinical case of a 72 hours newborn patient admitted to the pediatric intensive care unit for reduced cardiac output syndrome showing anuria, metabolic acidosis and respiratory distress, is reported. Mechanical ventilation, inotropic support and continuous prostaglandin e1 infusion were initiated. The echocardiogram showed hypoplasia of the left ventricle. The Norwood procedure stage i under extracorporeal circulation with deep hypothermia and circulatory arrest, was performed at the 6th day of life. During the early postoperative period, the patient developed hypoxaemia and pulmonary hypertension, which improved with controlled hyperventilation and vasodilatation therapy. Other complications were clinical sepsis and abstinence syndrome, which resolved with medical management. The patient was extubated on the sixth postoperative day. Subsequent echocardiograms showed tricuspid valve regurgitation, right ventricular dysfunction with dilation and an organized thrombus in the left atrium. These improved with diuretics, dopamine, milrinone and heparin. The patient was discharged after 32 days of the surgery without signs of congestive heart failure. This case is important, given the high mortality rate of this pathology. The Norwood procedure proved to be a palliative strategy versus the ortotopic cardiac transplant in newborns, because of the difficulty in finding donators at this age and the immunosuppressive therapy complications. This represents a great advance in the Colombian pediatric cardiology because until recent years these patients did not have any other surgical alternative

  13. A operação de Norwood modificada para tratamento da síndrome de hipoplasia do coração esquerdo Modified Norwood procedure for hypoplastic left heart syndrome

    Directory of Open Access Journals (Sweden)

    Fernando A. Fantini

    2004-03-01

    hypoplastic left heart syndrome underwent the modified Norwood operation. Their ages ranged from two to nine days and their weight from 2.5 to 3.7 kg. The mean diameter of the ascending aorta was 6.2 mm. The surgical technique described by FRASER and MEE was employed using exclusively autologous tissue to achieve aortic arch reconstruction. RESULTS: The systemic-pulmonary shunt was perfomed with a 3.0 mm PTFE graft in three patients and with 3.5 mm graft in the other two. Deep hypothermic and circulatory arrest were used in all patients with CP bypass time ranging from 128 to 212 minutes (mean: 154 and circulatory arrest from 41-60 min (mean: 52. There were no intraoperative deaths and all patients underwent delayed sternal closure. There was one postoperative death (9th day caused by sepsis. There was one death two months after discharge cause by aspiration and pneumonia. One child underwent a 2-direcional Glenn and the other two are still waiting for the second stage. CONCLUSION: After this initial experience with this modified Norwood operation we think this is an excellent alternative to correct hypoplastic left heart syndrome in neonates.

  14. EFECTO DE LA ACUPUNTURA EN EL TRATAMIENTO DEL INSOMNIO EN EL SINDROME CLIMATERICO POSTMENOPAUSICO

    OpenAIRE

    GUTIERREZ LOPEZ, ALMA MARGARITA

    2010-01-01

    PALABRAS CLAVE: INSOMNIO, SINDROME CLIMATERICO, ACUPUNTURA. EL INSOMNIO, SEGUN EL MANUAL DIAGNOSTICO Y ESTADISTICO DE TRASTORNOS MENTALES, ES LA DIFICULTAD PARA INICIAR O MANTENER EL SUENO, O NO TENER UN SUENO REPARADOR DURANTE AL MENOS 1 MES. ES UN SINTOMA QUE SE PRESENTA ENTRE EL 20 Y 40 POR CIENTO DE LA POBLACION, AFECTANDO CON MAYOR FRECUENCIA A MUJERES Y ANCIANOS. ESTE PORCENTAJE ES MAYOR ENTRE LA POBLACION DE MUJERES CON SINDROME CLIMATERICO. EL SERVICIO DE CLIMATERIO DEL INSTITUT...

  15. HUBUNGAN ANTARA SINDROM MENOPAUSE DENGAN KUALITAS HIDUP PEREMPUAN MENOPAUSE DI PUSKESMAS SUKAHAJI KABUPATEN MAJALENGKA

    Directory of Open Access Journals (Sweden)

    Ruri Yuni Astari

    2015-01-01

    Full Text Available AbstractMenopause is a natural phase experienced by every woman, a reproduction process characterized by the end of the fertile period of a woman because the ovaries are no longer produce estrogen and progesterone, and may cause menopausal complaints which are referred to as menopausal syndrome. Problems or changes experienced by menopause women may lead to a crisis that will affect the quality of life. This study aims to analyze the correlation between menopausal syndrome and the quality of life. The study method was analytic observational with cross sectional design. The population were women who had experienced menopause for 1-2 years in Sukahaji Majalengka Primary Health Center area and met the study criteria such as were still have a husband, had no menstruation experience for 1-2 years and were able to read. Sampling technique was performed by total sampling, conducted in February until March 2013. Menopausal syndrome was measured by using MSQ (Menopause Symptom Questionnaire and quality of life was measured by using The World Health Organization Quality Of Life questionnaire (WHOQOL - BREF. Data was analyzed with univariate, bivariate and multivariate statistical analysis. The results presented strong negative correlation between physiological and psychological menopausal syndrome aspects in quality of life (r = -0.786, p = 0.000 and r = -0.706, p = 0.000, a negative correlation was simultaneouly strong in physiological and psychological aspects of menopausal syndrome and the quality of life of women (r = -0.772, p = 0.000, a significant correlation between income and education and quality of life (r = -0.313 p = 0.011 and r = -0.359 p = 0.003. Parity was not significantly associated with quality of life of menopause women. Conclusion: menopausal syndrome had impacts on the quality of life of menopause women. Social support, self-confidence and positive attitude towards the complaints of the menopause women to accept menopause as a gift

  16. Serial changes in anatomy and ventricular function on dual-source cardiac computed tomography after the Norwood procedure for hypoplastic left heart syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Goo, Hyun Woo [University of Ulsan College of Medicine, Asan Medical Center, Department of Radiology and Research Institute of Radiology, Seoul (Korea, Republic of)

    2017-12-15

    Accurate evaluation of anatomy and ventricular function after the Norwood procedure in hypoplastic left heart syndrome is important for treatment planning and prognostication, but echocardiography and cardiac MRI have limitations. To assess serial changes in anatomy and ventricular function on dual-source cardiac CT after the Norwood procedure for hypoplastic left heart syndrome. In 14 consecutive patients with hypoplastic left heart syndrome, end-systolic and end-diastolic phase cardiac dual-source CT was performed before and early (average: 1 month) after the Norwood procedure, and repeated late (median: 4.5 months) after the Norwood procedure in six patients. Ventricular functional parameters and indexed morphological measurements including pulmonary artery size, right ventricular free wall thickness, and ascending aorta size on cardiac CT were compared between different time points. Moreover, morphological features including ventricular septal defect, endocardial fibroelastosis and coronary ventricular communication were evaluated on cardiac CT. Right ventricular function and volumes remained unchanged (indexed end-systolic and end-diastolic volumes: 38.9±14.0 vs. 41.1±21.5 ml/m{sup 2}, P=0.7 and 99.5±30.5 vs. 105.1±33.0 ml/m{sup 2}, P=0.6; ejection fraction: 60.1±7.3 vs. 63.8±7.0%, P=0.1, and indexed stroke volume: 60.7±18.0 vs. 64.0±15.6 ml/m{sup 2}, P=0.5) early after the Norwood procedure, but function was decreased (ejection fraction: 64.2±2.6 vs. 58.1±7.1%, P=0.01) and volume was increased (indexed end-systolic and end-diastolic volumes: 39.2±14.9 vs. 68.9±20.6 ml/m{sup 2}, P<0.003 and 107.8±36.5 vs. 162.9±36.2 ml/m{sup 2}, P<0.006, and indexed stroke volume: 68.6±21.7 vs. 94.0±21.3 ml/m{sup 2}, P=0.02) later. Branch pulmonary artery size showed a gradual decrease without asymmetry after the Norwood procedure. Right and left pulmonary artery stenoses were identified in 21.4% (3/14) of the patients. Indexed right ventricular free wall

  17. Stent Placement in a Neonate with Sano Modification of the Norwood using Semi-Elective Extracorporeal Membrane Oxygenation

    Directory of Open Access Journals (Sweden)

    Mustafa Gulgun

    Full Text Available Abstract Extracorporeal membrane oxygenation (ECMO is a well-established tool of cardiopulmonary circulatory support for cardiopulmonary failure in children and adults. It has been used as a supportive strategy during interventional procedures in neonates with congenital heart disease. Herein, we describe a neonate with hypoplastic left heart syndrome who underwent stenting of the Sano shunt and left pulmonary artery after Norwood Sano operation using intra-procedural ECMO support. The use of ECMO as a bridge to recovery might be a feasible and reasonably safe adjunctive approach in the treatment of complications in selective case of neonates having undergone the Norwood Sano procedure.

  18. La sindrome da vibrazioni mano-braccio : studi epidemiologici e clinici della funzione vascolare e neurosensitiva in coorti di lavoratori esposti a vibrazioni segmentali

    OpenAIRE

    Ronchese, Federico

    2013-01-01

    Premesse: un’elevata esposizione a vibrazioni trasmesse al sistema mano-braccio (hand-transmitted vibration, HTV) è correlata con l’insorgenza di disturbi neurologici, vascolari periferici e osteoarticolari a carico degli arti superiori. Il termine “sindrome da vibrazione mano-braccio” (hand-arm vibration syndrome, HAVS) viene comunemente utilizzato per designare unitariamente il complesso di tali lesioni. La componente vascolare di tale sindrome è rappresentata da una forma secondaria di fen...

  19. The influence of systemic hemodynamics and oxygen transport on cerebral oxygen saturation in neonates after the Norwood procedure.

    Science.gov (United States)

    Li, Jia; Zhang, Gencheng; Holtby, Helen; Guerguerian, Anne-Marie; Cai, Sally; Humpl, Tilman; Caldarone, Christopher A; Redington, Andrew N; Van Arsdell, Glen S

    2008-01-01

    Ischemic brain injury is an important morbidity in neonates after the Norwood procedure. Its relationship to systemic hemodynamic oxygen transport is poorly understood. Sixteen neonates undergoing the Norwood procedure were studied. Continuous cerebral oxygen saturation was measured by near-infrared spectroscopy. Continuous oxygen consumption was measured by respiratory mass spectrometry. Pulmonary and systemic blood flow, systemic vascular resistance, oxygen delivery, and oxygen extraction ratio were derived with measurements of arterial, and superior vena cava and pulmonary venous gases and pressures at 2- to 4-hour intervals during the first 72 hours in the intensive care unit. Mean cerebral oxygen saturation was 66% +/- 12% before the operation, reduced to 51% +/- 13% on arrival in the intensive care unit, and remained low during the first 8 hours; it increased to 56% +/- 9% at 72 hours, still significantly lower than the preoperative level (P blood flow and oxygen delivery (P blood flow (P = .001) and hemoglobin (P = .02) and negatively correlated with systemic vascular resistance (P = .003). It was not correlated with oxygen consumption (P > .05). Cerebral oxygen saturation decreased significantly in neonates during the early postoperative period after the Norwood procedure and was significantly influenced by systemic hemodynamic and metabolic events. As such, hemodynamic interventions to modify systemic oxygen transport may provide further opportunities to reduce the risk of cerebral ischemia and improve neurodevelopmental outcomes.

  20. Tata Laksana Kasus Perempuan dengan Pure Gonadal Dysgenesis 46, XY (Sindrom Swyer)

    OpenAIRE

    Kanadi Sumapradja; Mila Maidarti; Achmad K. Harzif; Budi Wiweko; Gita Pratama; Muharam Natadisastra; Andon Hestiantoro

    2016-01-01

    Disorders of sex development (DSD) adalah kelainan medis yang dikaitkan dengan ketidakcocokan antara kromosom, gonad dan fenotip. Sindrom Swyer adalah kelainan berupa disgenesis gonad 46,XY dan diikuti dengan tidak terjadinya pelepasan anti-mullerian hormone (AMH) dari gonad yang mengalami disgenesis sehingga mengakibatkan berkembangnya duktus muller menjadi uterus. Keadaan tersebut mengakibatkan pasien mengeluh amenorea primer dan organ seks sekunder tidak berkembang. Orientasi gender umumn...

  1. Tata Laksana Kasus Perempuan dengan Pure Gonadal Dysgenesis 46, XY (Sindrom Swyer

    Directory of Open Access Journals (Sweden)

    Kanadi Sumapradja

    2016-06-01

    Full Text Available Disorders of sex development (DSD adalah kelainan medis yang dikaitkan dengan ketidakcocokan antara kromosom, gonad dan fenotip. Sindrom Swyer adalah kelainan berupa disgenesis gonad 46,XY dan diikuti dengan tidak terjadinya pelepasan anti-mullerian hormone (AMH dari gonad yang mengalami disgenesis sehingga mengakibatkan berkembangnya duktus muller menjadi uterus. Keadaan tersebut mengakibatkan pasien mengeluh amenorea primer dan organ seks sekunder tidak berkembang. Orientasi gender umumnya adalah sebagai perempuan, karena kurangnya paparan hormon androgen terhadap otak. Tatalaksana kasus Disorders of sex development (DSD sangat mementingkan pasien (patient-centered sehingga tatalaksana medikamentosa maupun pembedahan harus berdasarkan pemahaman pasien terhadap orientasi gendernya. Pada makalah ini dilaporkan kasus sindrom swyer pada seorang perempuan usia 29 tahun dengan keluhan amenorea primer. Hasil analisis kromosom 46,XY (20 metafase dengan hormon follicle stimulating hormone (FSH 31.5miu/ml, luteinizing hormone (LH 10.8miu/ml, estradiol (E2 <5pg/ml, testosteron total (T <0.0025ng/ml. Tatalaksana medikamentosa adalah memberikan terapi hormon estrogen untuk membantu proses feminisasi. Karena risiko tinggi terjadinya tumor pada kasus disgenesis gonad intra-abdomen dengan kromosom Y, maka direncanakan tindakan gonadektomi. Kata kunci: Tatalaksana, Sindrom Swyer, pure gonadal dysgenesis Case Management of Pure Gonadal Dysgenesis 46, XY (Sindrom Swyer Abstract Disorders of sex development (DSD are medical conditions in which the development of chromosomal, gonadal or anatomic sex varies from normal and may be incongruent with each other. Swyer syndrome is a condition caused by pure gonadal dysgenesis 46,XY, which followed by inadequate anti-mullerian (AMH production results in maintenance and further development of mullerian duct into uterus. Therefore, many patients who suffer from this condition initially come with chief complaint of primary

  2. NorWood: a gene expression resource for evo-devo studies of conifer wood development.

    Science.gov (United States)

    Jokipii-Lukkari, Soile; Sundell, David; Nilsson, Ove; Hvidsten, Torgeir R; Street, Nathaniel R; Tuominen, Hannele

    2017-10-01

    The secondary xylem of conifers is composed mainly of tracheids that differ anatomically and chemically from angiosperm xylem cells. There is currently no high-spatial-resolution data available profiling gene expression during wood formation for any coniferous species, which limits insight into tracheid development. RNA-sequencing data from replicated, high-spatial-resolution section series throughout the cambial and woody tissues of Picea abies were used to generate the NorWood.conGenIE.org web resource, which facilitates exploration of the associated gene expression profiles and co-expression networks. Integration within PlantGenIE.org enabled a comparative regulomics analysis, revealing divergent co-expression networks between P. abies and the two angiosperm species Arabidopsis thaliana and Populus tremula for the secondary cell wall (SCW) master regulator NAC Class IIB transcription factors. The SCW cellulose synthase genes (CesAs) were located in the neighbourhoods of the NAC factors in A. thaliana and P. tremula, but not in P. abies. The NorWood co-expression network enabled identification of potential SCW CesA regulators in P. abies. The NorWood web resource represents a powerful community tool for generating evo-devo insights into the divergence of wood formation between angiosperms and gymnosperms and for advancing understanding of the regulation of wood development in P. abies. © 2017 The Authors. New Phytologist © 2017 New Phytologist Trust.

  3. Factores de riesgo para sindrome metabólico en pacientes con higado graso.

    OpenAIRE

    Uzcátegui, Lilia; Ángel, José Gregorio; Martínez, Dasyl; Gómez Pérez, Roald; Arata de Bellabarba, Gabriela

    2008-01-01

    Editorial. Periodismo, mal periodismo, mal de Chagas y ciencias de la salud. Editorial. Journalism, poor journalim, Chagas disease and health sciences. Salinas, Pedro José Cistoadenoma seroso de ovario y embarazo. Reporte de caso. Ovarian serous cystoadenoma and pregnancy. Case report Terán, Penélope; Uribarri, Carolina; Castillo, Sonia y Salinas, Roberto. Factores de riesgo para sindrome metabólico en pacientes con higado graso. Risk factors of the metabolic syndrome i...

  4. Radiographic and tomographic aspects of meningeal hemangiosarcoma in a German Shepherd dog with clinical signs of cauda equina sindrome

    International Nuclear Information System (INIS)

    Pinto, A.C.B. de C.F.; Ferrigno, C.R.A.; Matera, J.M.; Torres, L.N.; Sinhorini, I.L.; Cortopassi, S.R.G.; Hage, M.C.F.N.S.

    2007-01-01

    Hemangiosarcoma is a highly malignant neoplasia derived from the endothelial cell line and, therefore, can arise in any tissue with blood vessels. A case of a rare meningeal site of hemangiosarcoma in an eight-year old German Shepherd dog with clinical signs of cauda equina sindrome is described. The diagnosis was made based on clinical, radiographic, tomographic and histopathological findings [pt

  5. Hypoplastic Left Heart Syndrome is not Associated with Worse Clinical or Neurodevelopmental Outcomes Than Other Cardiac Pathologies After the Norwood-Sano Operation.

    Science.gov (United States)

    Martin, Billie-Jean; De Villiers Jonker, I; Joffe, Ari R; Bond, Gwen Y; Acton, Bryan V; Ross, David B; Robertson, Charlene M T; Rebeyka, Ivan M; Atallah, Joseph

    2017-06-01

    There is evidence to suggest that patients undergoing a Norwood for non-HLHS anatomy may have lower mortality than classic HLHS, but differences in neurodevelopmental outcome have not been assessed. Our objective was to compare survival and neurodevelopmental outcome during the same surgical era in a large, well-described cohort. All subjects who underwent a Norwood-Sano operation between 2005 and 2014 were included. Follow-up clinical, neurological, and developmental data were obtained from the Western Canadian Complex Pediatric Therapies Follow-up Program database. Developmental outcomes were assessed at 2 years of age using the Bayley Scales of Infant and Toddler Development (Bayley-III). Survival was assessed using Kaplan-Meier analysis. Baseline characteristics, survival, and neurodevelopmental outcomes were compared between those with HLHS and those with non-HLHS anatomy (non-HLHS). The study comprised 126 infants (75 male), 87 of whom had HLHS. Five-year survival was the same for subjects with HLHS and those with non-HLHS (HLHS 71.8%, non-HLHS 76.9%; p = 0.592). Ninety-three patients underwent neurodevelopmental assessment including Bayley-III scores. The overall mean cognitive composite score was 91.5 (SD 14.6), language score was 86.6 (SD 16.7) and overall mean motor composite score was 85.8 (SD 14.5); being lower than the American normative population mean score of 100 (SD 15) for each (p-value for each comparison,  0.05). In the generalized linear models, dominant right ventricle anatomy (present in 117 (93%) of patients) was predictive of lower language and motor scores. Comparative analysis of the HLHS and non-HLHS groups undergoing single ventricle palliation including a Norwood-Sano, during the same era, showed comparable 2-year survival and neurodevelopmental outcomes.

  6. Right ventricular to pulmonary artery conduit instead of modified Blalock-Taussig shunt improves postoperative hemodynamics in newborns after the Norwood operation.

    Science.gov (United States)

    Mair, Rudolf; Tulzer, Gerald; Sames, Eva; Gitter, Roland; Lechner, Evelyn; Steiner, Jürgen; Hofer, Anna; Geiselseder, Gertraud; Gross, Christoph

    2003-11-01

    Perioperative mortality, prolonged postoperative recovery after the Norwood procedure, and mortality between stage I and stage II might be related to shunt physiology. A right ventricular to pulmonary artery conduit offers a banded physiology in contrast to a Blalock-Taussig shunt. The purpose of this study was to assess the hemodynamic differences and their consequences in the postoperative course between Norwood patients with a Blalock-Taussig shunt and those with a right ventricular to pulmonary artery conduit. From October 1999 until May 2002, 32 unselected consecutive patients underwent a Norwood procedure at the General Hospital Linz. The first 18 patients received a Blalock-Taussig shunt. In the remaining 14 patients we performed a right ventricular to pulmonary artery conduit. Both groups were compared. The diastolic blood pressure was significantly higher in the right ventricular to pulmonary artery conduit group (P <.001). Despite a higher FIO(2), PO(2) levels tended to be lower in the first 5 postoperative days. At the age of 3 months, catheterization laboratory data showed a lower Qp/Qs ratio in the same group (0.86 [0.78; 1] versus 1.55 [1.15; 1.6]; P =.005) and a higher dp/dt (955 [773; 1110] vs 776 [615; 907]; P =.018). (Descriptive data reflect medians and quartiles [in brackets].) Hospital survival was 72% in the Blalock-Taussig shunt group versus 93% in the right ventricular to pulmonary artery conduit group. Mortality between stage I and stage II was 23% in the Blalock-Taussig shunt group versus 0% in the right ventricular to pulmonary artery conduit group. A higher diastolic blood pressure and a lower Qp/Qs ratio were associated with a more stable and efficient circulation in patients with a right ventricular to pulmonary artery conduit. More intensive ventilatory support was necessary during the first postoperative days. We did not note any adverse effects of the ventriculotomy on ventricular performance.

  7. Sindrome de Lennox-Gastaut com inicio tardio: I - frequencia de casos com inicio anterior e ulterior aos 6 anos de idade, fatores etiologicos e nivel intelectual

    Directory of Open Access Journals (Sweden)

    Amilton Antunes Barreira

    1980-12-01

    Full Text Available De um grupo de 66 pacientes com sindrome de Lennox Gastaut, 15 apresentaram as primeiras manifestações clinicas após os 6 anos de idade. Desses, 12 foram acompanhados durante o período médio de 2 anos e 6 meses, com avaliações neurológicas a intervalos de cerca de 2 meses. A revisão das publicações pertinentes permitiu estabelecer que em 20% das casuisticas apreciadas a sindrome de Lennox-Gastaut se inicia após o 6° ano de vida. As avaliações clinicas permitiram verificar que nosos pacientes apresentaram incidência de lesões neurológicas graves precedendo a instalação da síndrome por vários anos. As avaliações psicométricas evidenciaram intenso comprometimento do nível intelectual em contraste com os dados da literatura sobre a síndrome de Lennox-Gastaut de início tardio.

  8. Sindrome de apnea obstructiva del sueño y alteración en la tolerancia a la glucosa

    OpenAIRE

    Verner, Codoceo R.

    2013-01-01

    La disminución del riesgo cardiovascular sigue siendo uno de los objetivos principales de la Salud Pública. Contribuyen a él patologías como la Diabetes Mellitus, Obesidad e Hipertensión Arterial, todas las cuales no han logrado ser detenidas en su creciente prevalencia. Existen factores hasta ahora no considerados en forma integral al tratamiento de esta triada, como el Sindrome de Apnea Obstructiva del Sueño, que se sabe está asociado a éstas, plantea la idea de un tratamiento sinérgico com...

  9. Pancreatite esclero-gomosa simulando sindrome cancerosa da cabeça do pâncreas

    Directory of Open Access Journals (Sweden)

    A. Penna de Azevedo

    1944-06-01

    Full Text Available Em um homem de 49 anos de idade, observou-se um sindrome de tumor da cabeça do pâncreas. Realizada a intervenççao cirúrgica foi verificada a presença de uma formaão dura de aspecto fibroso, medindo 9 x 7,5 x 6,5 cm. O exame microscópico mostrou tratar-se de uma pancreatite indurativa associada à presença de gomas miliares, infiltração de eosinófilos e lesões produtivas dos vasos sanguíneos, correspondendo ao aspecto dos processo esclerogomosos sifilíticos do pâncreas.A tumor of the head of the pancreas is reported ina a male, 49 years old, which corresponded to a nodule of fibrous tissue measuring 9 x 7,5 x 6,5 cm. Microscopically, a chronic interstitial pancreatitis associated to miliary gummata, eosinophilic infiltration and proliferation of blood vessels was found and the diagnosis of siphilitic pancreatitis was done.

  10. Sindrome de apnea obstructiva del sueño y alteración en la tolerancia a la glucosa

    Directory of Open Access Journals (Sweden)

    Codoceo R. Verner, Dr.

    2013-05-01

    Full Text Available La disminución del riesgo cardiovascular sigue siendo uno de los objetivos principales de la Salud Pública. Contribuyen a él patologías como la Diabetes Mellitus, Obesidad e Hipertensión Arterial, todas las cuales no han logrado ser detenidas en su creciente prevalencia. Existen factores hasta ahora no considerados en forma integral al tratamiento de esta triada, como el Sindrome de Apnea Obstructiva del Sueño, que se sabe está asociado a éstas, plantea la idea de un tratamiento sinérgico como alternativa para lograr las metas terapéuticas. Sin embargo las expectativas creadas no concuerdan con los resultados comunicados, demostrándose que faltan aún estudios que realizar. Se mencionan diversos estudios epidemiológicos y se resumen los fundamentos biológicos que explican la asociación SAOS - DM.

  11. Creation of aorto-pulmonary window with pulmonary artery band is not good palliation for hypoplastic left heart syndrome.

    Science.gov (United States)

    Hosein, Riad B M; Mehta, Chetan; Stickley, John; Mcguirk, Simon P; Jones, Timothy J; Brawn, William J; Barron, David J

    2007-11-01

    A small sub-group of patients with hypoplastic left heart syndrome (HLHS) have normal-sized ascending aorta and arch. An alternative to the Norwood I procedure in these patients is the creation of an aorto-pulmonary (AP) window with a distal pulmonary artery band (PAB). We reviewed our experience with this technique and compared outcomes to the Norwood procedure for HLHS. All patients treated for HLHS in a single institution between 1992 and 2005 were analysed. This identified 13 patients treated with AP window and PAB compared to 333 patients undergoing stage I Norwood procedure. An unrestrictive AP window was created and the main PA was banded. Patient records and echocardiograms were analysed. Median follow-up was 10 (IQR 0-655) days and 100% complete. There were seven early deaths (54%) in the AP window group and two conversions to Norwood circulation. This was a significantly worse outcome than for the Norwood procedure over the same period, which had an early mortality of 29% (p=0.03). Kaplan-Meier actuarial analysis demonstrated a continued survival benefit of the Norwood group at 6 months (p=0.0005). Deaths were due to either low cardiac output syndrome (n=4) or sudden unheralded arrest (n=3). This occurred despite aortic cross-clamp and circulatory arrest times being significantly lower in the AP window group compared to the Norwood group (35+/-27 vs 55+/-16 min, p<0.01 and 16+/-29 vs 55+/-20 min, p<0.01, respectively). No differences in arterial saturations or systolic blood pressure existed between the groups, but diastolic blood pressure was significantly lower in the AP window group at 27+/-10 mmHg compared to 42+/-8 mmHg in the Norwood group (p=0.01) with evidence of flow reversal in the descending aorta. Differences in diastolic blood pressure between groups were abolished after conversion to stage II. Despite favourable anatomy and shorter ischaemic times, the AP window/PAB technique has a poor outcome compared to the Norwood procedure for HLHS. Low

  12. MR imaging in the diagnosis of the os trigonum syndrome; Il ruolo della Risonanza Magnetica nella diagnosi della sindrome dell'os trigonum

    Energy Technology Data Exchange (ETDEWEB)

    Tamburrini, O.; Porpiglia, H.; Barresi, D.; Bertucci, B.; Console, D. [Catanzaro Univ. Magna Grecia, Catanzaro (Italy). Radiologia, Dipt. di Medicina Sperimentale e Clinica

    1999-12-01

    In this paper is investigated the yield of Magnetic Resonance Imaging (MRI) in hind foot conditions, particularly the os trigonum syndrome, which are very difficult to diagnose clinically. 7 consecutive patients were examined. They were complaining of hind foot pain for more than 4 months (male:female=1:6; age range 16-22 years, average 18.6). Three patients practiced competitive sports and 4 ballet. It was performed conventional radiography (orthogonal projections) and then MRI with a 0.5 T superconductive unit with surface coils; MR images were acquired with T1-weighted spin-echo (SE), T2-weighted gradient-echo (GRE), and fast inversion recovery (FIR) fat-suppressed sequences with 4 mm thickness and 0 mm gap. In 2 cases the os trigonum had irregular margins with subchondral sclerosis and widened synchondrosis. In 3 patients it was found flessor hallucis longus tenosynovitis, likely caused by tendon compression and displacement within its sheath; there were neither os trigonum marrow edema nor synchondrosis widening. One patient had os trigonum hypertrophy, mild synchondrosis widening and marrow edema, in the os trigonum and the posterior aspect of talus. One patient had the os trigonum, but no signs referable to the os trigonum syndrome. In the posterior impingement syndrome, the objective is to show inflammatory changes in the posterior capsule of the ankle joint, adjacent ligaments, tendons and chondrosynovial surface. MR provides important information on soft tissues involvement, synovial reaction, chondral and subchondral bone injuries and the association of flexor hallucis longus synovitis, if present. MRI also yields detailed information for correct therapeutic approach. In conclusion, MRI appears to be the technique of choice, after conventional radiography, thanks to its non invasiveness, multi planarity, and high spatial and contrast resolution. [Italian] Scopo di questo lavoro e' quello di sottolineare il determinante contributo informativo della

  13. L' influenza nella regione Lazio dal 1999 al 2003: casi di sindrome influenzale, ricoveri ospedalieri per malattie respiratorie e coperture vaccinali

    Directory of Open Access Journals (Sweden)

    A. Pasquarella

    2003-05-01

    Full Text Available

    Obiettivi: 1 Descrivere l’andamento dei ricoveri ospedalieri per patologie respiratorie acute e croniche concomitanti alle epidemie stagionali da virus influenzale dal 1999 al 2003, in relazione con la segnalazione dei casi di sindrome influenzale (ILI da parte dei medici sentinella. 2 Misurare l’eccesso dell’ospedalizzazione influenza-correlata nelle diverse fasce di età rispetto ai periodi non epidemici. 3 Analizzare le modificazioni del ricorso al ricovero ospedaliero in relazione al tasso di copertura della vaccinazione antinfluenzale nella popolazione anziana, su scala regionale e nelle diverse ASL.

    Metodi: sono stati estratti dal Sistema Informativo
    Ospedaliero i ricoveri per patologie respiratorie
    influenza-correlate (codici ICD9-CM: 480-487; 460-
    466; 490-496 relativi agli anni 1999-2003.
    L’incidenza di ILI è stata stimata sulla base delle
    segnalazioni dei medici sentinella afferenti alla
    rete FLU-ISS dell’Istituto Superiore di Sanità.

    Per il calcolo dei tassi di copertura è stato utilizzato l’archivio
    nominativo dei soggetti vaccinati contro l’influenza,
    attivo nella regione Lazio dal 1999. Nel periodo considerato sono stati messi in relazione i tassi di ospedalizzazione età-specifici, le incidenze di ILI e le coperture vaccinali. L’eccesso di ospedalizzazione è stato misurato confrontando i tassi relativi ai periodi epidemici e non epidemici.

    Risultati: i tassi di ospedalizzazione per malattie respiratorie sono risultati costantemente superiori nei periodi di maggiore circolazione virale, in particolare negli ultrasessantaquattrenni. Con il progressivo aumento del tasso di copertura vaccinale regionale (da circa il 25% della stagione 1999-2000 a oltre il 60% della stagione 2002-2003 non si è registrata una corrispondente diminuzione dei ricoveri ospedalieri per patologie influenza-correlate.
    L

  14. Hubungan Kadar Glukosa Darah Saat Masuk Rumah Sakit Dengan Lama Hari Rawat Pasien Sindrom Koroner Akut (SKA Di RSUP Dr. M. Djamil Padang

    Directory of Open Access Journals (Sweden)

    Rosi Oktarina

    2013-05-01

    Full Text Available AbstrakHiperglikemia masih menjadi topik penelitian yang sering dihubungkan dengan kejadian sindrom koroner akut (SKA di dunia, terutama hiperglikemia saat masuk rumah sakit. Hal ini didasari oleh beberapa pengaruh kadar glukosa darah yang tinggi terhadap sistem kardiovaskuler seperti gangguan fungsi ventrikel kiri, stroke volume yang menurun, regurgitasi katup mitral berulang, gangguan pada waktu pengisian diastolik hingga risiko tinggi untuk arritmia, serta hubungannya dengan peningkatan risiko trombosis. Sehingga semakin memperjelas pengaruh hiperglikemia yang tidak hanya dapat meningkatkan risiko terjadinya SKA, melainkan juga dapat memperburuk kondisi pasien SKA sendiri. Penelitian ini bertujuan mengidentifikasi hubungan kadar glukosa darah sewaktu dengan lama hari rawat pasien Sindrom Koroner Akut (SKA. Jenis penelitian yang digunakan adalah penelitian analitik dengan menggunakan desain penelitian Cross Sectional Study. Penelitian ini menggunakan data sekunder yang diambil di Instalasi Rekam Medik (Medical Record, yakni data rekam medik pasien yang didiagnosis sebagai Sindrom Koroner Akut (SKA yang dirawat inap di Rumah Sakit Umum Pusat DR. M. Djamil Padang Periode Januari–Desember 2011. Ditemukan sebagian besar pasien SKA masuk rumah sakit dengan kadar Glukosa Darah Sewaktu (GDS sebesar ≥ 200 mg/dl (40% dan lama hari rawat sebesar ≥ 7 hari (52%. Dari hasil analisa bivariat dengan menggunakan uji korelasi Spearman ditemukan adanya hubungan searah antara kadar glukosa darah saat masuk rumah sakit dengan lama hari rawat pasien SKA dengan kekuatan hubungan yang sedang, r = +0,492, p = 0, 000 (p<0,05. Pemantauan terhadap kadar GDS yang diperiksa saat pasien masuk rumah sakit perlu dilakukan dan untuk penelitian yang akan datang diharapkan dapat diteliti lebih lanjut faktor-faktor lain yang mempengaruhi lama hari rawat pasien SKA.Kata kunci: Kadar glukosa darah saat masuk RS, lama hari rawatAbstractHyperglicemia is still become a research

  15. Ogilvie's syndrome (acute colonic pseudo-obstruction): review of the literature and report of 6 additional cases; Sindrome di Ogilvie (pseudo-ostruzione della letteratura acuta del colon): revisione della letteratura e descrizione di 6 nuovi casi

    Energy Technology Data Exchange (ETDEWEB)

    Grassi, Roberto; Cappabianca, Salvatore; Porto, Annamaria; Montemarano, Emilio; De Rosa, Roberto [Napoli Univ., Napoli (Italy). Dipartimento medico-chirurgico di internistica clinica e sperimentale, Sezione scientifica di radiodiagnostica, radioterapia e medicina nucleare; Sacco, Maurizio; Quantarelli, Mario [Ospedale San Gennaro, Napoli (Italy). Servisio di radiodiagnostica; Di Mizio, Roberto [Ospedale S. Massimo, Penne (Italy). Servizio di radiologia

    2005-04-01

    Purpose: Ogilvie's syndrome is defined as an acute pseudo-obstruction of the colon, characterized by the signs, symptoms and radiological pattern of a large-bowel obstruction, but without a detectable organic cause. The aetiology of Ogilvie's syndrome appears to be multifactorial, with a series of possibly interacting pathogenic noxae all resulting in colon inactivity. Our study reports on six cases of Ogilvie's syndrome diagnosed and treated between 1997 and 2002. Materials and methods: From October 1997 to September 2002 we studied six patients affected by pseudo-obstruction of the colon. The pseudo-obstruction was recurrent in two cases. Acute dilatation of the colon without radiologically-detectable organic obstruction was the inclusion criterion for the study. Results: Plain abdominal radiography revealed colon dilatation that extended to the splenic flexure in three patients, to the hepatic flexure in two patients, and confined to the transverse colon in one patient. None of the patients showed air-fluid levels of the small intestine. Conclusion: The most relevant clinical finding in Ogilvie's syndrome is abdominal distension, which arises suddenly, has a progressive course and reaches massive levels. The first-line diagnostic investigation is plain abdominal radiography which shows extreme colon dilatation without air-fluid levels of the small intestine. In three of our patients, conservative therapy alone was able to restore normal conditions within five days; two patients required decompressive colonoscopy, and one patient died from cardio-circulatory arrest after 48 hours. [Italian] Scopo: La sindrome di Ogilvie � definita come una pseudo-ostruzione acuta del colon, con i segni, i sintomi e l'aspetto radiologico di un'occlusione del grosso intestino senza una causa organica riconoscibile. L'eziologia della sindrome di Ogilvie appare multifattoriale, come se l'inerzia del colon fosse la via finale comune verso la

  16. Hubungan Resistensi Insulin dengan Gambaran Klinis Sindrom Ovarium Polikistik

    Directory of Open Access Journals (Sweden)

    Meliza Wahyuni

    2015-09-01

    Full Text Available Abstrak Sindrom Ovarium Polikistik (SOPK merupakan kelainan endokrin dan metabolik pada wanita usia reproduksi. SOPK merupakan kumpulan gejala dari amenore, oligomenore, infertilitas, obesitas, hirsutisme, acne, alopesia, dan akantosis nigrikan. Resistensi insulin diyakini sebagai salah satu penyebab tersering dari SOPK melalui berbagai mekanisme. Tujuan penelitian ini adalah untuk mengetahui hubungan resistensi insulindengan gambaran klinis SOPK. Penelitian ini dilakukan pada pasien SOPK dengan menggunakan studi cross sectional dengan pendekatan retrospektif, yaitu mengumpulkan kejadian masa lalu dari tahun 2009 - 2011, jumlah sampel 105 orang. Analisis statistik yang digunakan adalah uji chi-square. Hasil penelitian didapatkan 33,3% penderita SOPK mengalami resistensi insulin. Berdasarkan gambaran klinis 35,23% amenore, 64,77% oligomenore, 72,04% infertilitas, 50,5% obesitas, 0,95% hirsutisme, acne 20%, alopesia dan akantosis nigrikan0%. Dari 33,3% SOPK dengan resistensi insulin 40% amenore, 60% oligomenore, 71,9% infertilitas, 77,14% obesitas, dan 0% hirsutisme. Berdasarkan hasil uji statistik ditemukan hubungan bermakna antara resistensi insulin dengan obesitas (p<0,05 dan tidak ditemukan hubungan bermakna antara resistensi insulin dengan infertilitas, hirsutisme, dan acne (p>0,05.Kata Kunci: SOPK, resistensi insulin, gambaran klinisAbstract Polycystic Ovary Syndrome (PCOS is an endocrine and metabolic disorders that is common in reproductive-aged women. PCOS is a group of symptoms, such as amenorrhea, oligomenorrhea, infertility, obesity, hirsutism, acne, alopecia, and achanthosis nigricans. Insulin resistance is believed to be one of the most common causes of PCOS through a various mechanisms. The objective of this study was to find out the relationship between insulin resistance and clinical manifestation of PCOS. This research was done in patients with PCOS using cross sectional study with retrospective approach. Data was collected from

  17. Modeling single ventricle physiology: review of engineering tools to study first stage palliation of hypoplastic left heart syndrome.

    Science.gov (United States)

    Biglino, Giovanni; Giardini, Alessandro; Hsia, Tain-Yen; Figliola, Richard; Taylor, Andrew M; Schievano, Silvia

    2013-10-30

    First stage palliation of hypoplastic left heart syndrome, i.e., the Norwood operation, results in a complex physiological arrangement, involving different shunting options (modified Blalock-Taussig, RV-PA conduit, central shunt from the ascending aorta) and enlargement of the hypoplastic ascending aorta. Engineering techniques, both computational and experimental, can aid in the understanding of the Norwood physiology and their correct implementation can potentially lead to refinement of the decision-making process, by means of patient-specific simulations. This paper presents some of the available tools that can corroborate clinical evidence by providing detailed insight into the fluid dynamics of the Norwood circulation as well as alternative surgical scenarios (i.e., virtual surgery). Patient-specific anatomies can be manufactured by means of rapid prototyping and such models can be inserted in experimental set-ups (mock circulatory loops) that can provide a valuable source of validation data as well as hydrodynamic information. Such models can be tuned to respond to differing the patient physiologies. Experimental set-ups can also be compatible with visualization techniques, like particle image velocimetry and cardiovascular magnetic resonance, further adding to the knowledge of the local fluid dynamics. Multi-scale computational models include detailed three-dimensional (3D) anatomical information coupled to a lumped parameter network representing the remainder of the circulation. These models output both overall hemodynamic parameters while also enabling to investigate the local fluid dynamics of the aortic arch or the shunt. As an alternative, pure lumped parameter models can also be employed to model Stage 1 palliation, taking advantage of a much lower computational cost, albeit missing the 3D anatomical component. Finally, analytical techniques, such as wave intensity analysis, can be employed to study the Norwood physiology, providing a mechanistic

  18. Sindrom Koroner Akut dengan Komplikasi Udem Paru Akut dan Henti Jantung

    Directory of Open Access Journals (Sweden)

    Eka Fithra Elfi

    2015-05-01

    Full Text Available Abstrak Salah satu manifestasi sindrom koroner akut yang banyak terjadi adalah non ST elevation segment ofmyocardial infarction (NSTEMI. NSTEMI dapat menimbulkan berbagai komplikasi seperti udem paru akut, hentijantung, bahkan kematian. Dilaporkan seorang pasien wanita 53 tahun dengan diagnosis NSTEMI. Pasien mengalamihenti jantung dan udem paru akut yang merupakan gagal jantung akut. Henti jantung pada pasien ini diawali  oleharitmia maligna yang disebabkan oleh kurangnya asupan oksigen pada otot jantung. Pasien memerlukanpenatalaksanaan multidisiplin dan intensif. Pada pasien diberikan dukungan ventilasi mekanik dengan tekanan positifyaitu CPAP untuk mengurangi mortalitas edema paru. Selain itu diperlukan pemantauan ketat hemodinamik danasupan nutrisi pada pasien. Selain masalah jantung dan paru, pada pasien juga terjadi penurunan kesadaran setalahhenti jantung. Gangguan pada sistem saraf pusat merupakan penyebab kematian yang cukup tinggi pada pasien yangselamat dari henti jantung dan resusitasi. Berdasarkan hal itu, perlu dilakukan resusitasi kardioserebral pada pasiendengan henti jantung. Perbedaan utama dengan resusitasi jantung paru adalah pentingnya manajemen j alan nafasyang lebih lengkap dengan ventilasi mekanik.Kata kunci: NSTEMI, henti jantung, udem paru akut Abstract One manifestation of acute coronary syndrome is the case is non-ST segment elevation of myocardial infarction(NSTEMI. NSTEMI may cause various complications: an acute pulmonary edema, cardiac arres, and even death.Reported a 53 years old female patient with a diagnosis of NSTEMI. The patient had a cardiac arrest and acutepulmonary edema is acute heart failure. Cardiac arrest in this patient initiated by malignant arrhythmias caused by lackof oxygen to the heart muscle. Patients require multidisciplinary and intensive management. In patients receivedmechanical ventilatory support with positive pressure that CPAP to reduce the mortality of pulmonary edema. Alsorequired

  19. Molecular diagnostic of Philadelphia chromosome in patients affected by mieloid leukemia

    International Nuclear Information System (INIS)

    Campos Rudin, M.E.

    1996-01-01

    The main objective of this study, was to contribute with new elements, to the clinical diagnostic and the monitoring of hematologic diseases, through molecular techniques. Such technique is known as S outhern Blot . Non radioactive and radioactive methods were used, to sift the presence or absence of Ph chromosome. The sound denominated Transprobe-1 and the Endonuclease Bgl II were used. 41 samples proceeding from pacients diagnosed with LLMC and 9 patients grouped with myloproliferatives sindromes or myeloplast sindromes, which were getting treatment at Hospital San Juan de Dios or at Hospital Mexico, were analyzed. The studies detected the presence of rearrangements between Mocr/ABL and (Ph +), and in the remaining; the results were negative Ph . The author found that the application of one single endonuclease is usefull to make a first general sift of the patients; but the application of another endonuclease is required, to confirm the cases that resulted Ph negative. (S. Grainger)

  20. Right-ventricular global longitudinal strain may predict neo-aortic arch obstruction after Norwood/Sano procedure in children with hypoplastic left heart syndrome.

    Science.gov (United States)

    Raucci, Frank J; Seckeler, Michael D; Saunders, Christine; Gangemi, James J; Peeler, Benjamin B; Jayakumar, K Anitha

    2013-01-01

    Neo-aortic arch obstruction (NAAO) is a common complication following the Norwood/Sano procedure (NP) for hypoplastic left heart syndrome (HLHS) and is associated with increased morbidity and mortality. However, there is currently no objective method for predicting which patients will develop NAAO. This study was designed to test the hypothesis that hemodynamic changes from development of NAAO after NP in patients with HLHS will lead to changes in myocardial dynamics that could be detected before clinical symptoms develop with strain analysis using velocity vector imaging. Patients with HLHS who had at least one cardiac catheterization after NP were identified retrospectively. Strain analysis was performed on all echocardiograms preceding the first catheterization and any subsequent catheterization performed for intervention on NAAO. Twelve patients developed NAAO and 30 patients never developed NAAO. Right ventricular strain was worse in the group that developed NAAO (-6.2 vs. -8.6 %, p = 0.040) at a median of 59 days prior to diagnosis of NAAO. Those patients that developed NAAO following NP were significantly younger at the time of first catheterization than those that did not develop NAAO (92 ± 50 vs. 140 ± 36 days, p = 0.001). This study demonstrates that right ventricular GLS is abnormal in HLHS patients following NP and worsening right ventricular strain may be predictive of the future development of NAAO.

  1. Anterior cruciate ligament reconstruction using autologous hamstring single-bundle Rigidfix technique compared with single-bundle Transfix technique

    Directory of Open Access Journals (Sweden)

    Mousavi Hamid

    2012-01-01

    Full Text Available Background: Initial fixation strength is critical for the early post-operative rehabilitation of patients with anterior cruciate ligament (ACL reconstructions. However, even the best femoral fixation devices remain controversial. We compared the results of 2 of the femoral fixation techniques,Rigidfix and Transfix. Materials and Methods: A total of 30 patients with unilateral ACL deficiency were randomly assigned to 1 of 2 groups. In Group A an anatomic single-bundle ACL reconstruction was performed using Rigidfix technique(Mitek, Norwood,MA, Group B were treated by a single bundle using Transfix technique(Arthrex, Naples, FL, USA. For tibial fixation, a bioabsorbable Intrafix interference screw was used for all the groups and the graft was fashioned from the semitendinosus and gracilis tendons in all patients. The patients were subjected to a clinical evaluation, with assessment of the anterior drawer, Lachman′s and the pivot-shift tests. They also completed the International Knee Documentation Committee (IKDC score. Results: At a mean of 14 months (12-17 followup there were no significant differences concerning time between injury and range of movement between the 2 groups. However, the Rigidfix group showed significantly better results for the subjective assessment of knee function ( P = 0.002. The Lachman, anterior drawer, and pivot-shift tests also showed no significant difference between the 2 groups. The IKDC scale showed no significant difference among the groups ( P < 0.001.There was no difference regarding duration of operation and cost of the operation between the 2 groups.On clinical evaluation there was no significant difference between the 2 groups. However, regardless of the technique, all knees were improved by ACL reconstruction compared with their preoperative status. Conclusion: Both techniques can be used for reconstruction of ACL. Other factors, such as psychic profile of the patients should be considered for surgery

  2. The Optimal Timing of Stage 2 Palliation for Hypoplastic Left Heart Syndrome: An Analysis of the Pediatric Heart Network Single Ventricle Reconstruction Trial Public Data Set.

    Science.gov (United States)

    Meza, James M; Hickey, Edward J; Blackstone, Eugene H; Jaquiss, Robert D B; Anderson, Brett R; Williams, William G; Cai, Sally; Van Arsdell, Glen S; Karamlou, Tara; McCrindle, Brian W

    2017-10-31

    In infants requiring 3-stage single-ventricle palliation for hypoplastic left heart syndrome, attrition after the Norwood procedure remains significant. The effect of the timing of stage 2 palliation (S2P), a physician-modifiable factor, on long-term survival is not well understood. We hypothesized that an optimal interval between the Norwood and S2P that both minimizes pre-S2P attrition and maximizes post-S2P survival exists and is associated with individual patient characteristics. The National Institutes of Health/National Heart, Lung, and Blood Institute Pediatric Heart Network Single Ventricle Reconstruction Trial public data set was used. Transplant-free survival (TFS) was modeled from (1) Norwood to S2P and (2) S2P to 3 years by using parametric hazard analysis. Factors associated with death or heart transplantation were determined for each interval. To account for staged procedures, risk-adjusted, 3-year, post-Norwood TFS (the probability of TFS at 3 years given survival to S2P) was calculated using parametric conditional survival analysis. TFS from the Norwood to S2P was first predicted. TFS after S2P to 3 years was then predicted and adjusted for attrition before S2P by multiplying by the estimate of TFS to S2P. The optimal timing of S2P was determined by generating nomograms of risk-adjusted, 3-year, post-Norwood, TFS versus the interval from the Norwood to S2P. Of 547 included patients, 399 survived to S2P (73%). Of the survivors to S2P, 349 (87%) survived to 3-year follow-up. The median interval from the Norwood to S2P was 5.1 (interquartile range, 4.1-6.0) months. The risk-adjusted, 3-year, TFS was 68±7%. A Norwood-S2P interval of 3 to 6 months was associated with greatest 3-year TFS overall and in patients with few risk factors. In patients with multiple risk factors, TFS was severely compromised, regardless of the timing of S2P and most severely when S2P was performed early. No difference in the optimal timing of S2P existed when stratified by

  3. A Sindrome de Burnout(SB em docentes do ensino superior de instituições privadas de Santarém, PA

    Directory of Open Access Journals (Sweden)

    Loreni Bruch Dutra

    2016-11-01

    Full Text Available A Sindrome de Burnout implica em diversas consequências sociais e afeta negativamente a qualidade de vida do docente e do trabalho desenvolvido. Compreende as seguintes dimensões: Ilusão pelo trabalho, Desgaste psíquico, Indolência e Culpa. O objetivo deste artigo foi estudar a Síndrome de Burnout (SB em docentes das instituições privadas de ensino superior de Santarém-PA e sua relação com características demográficas, laborais e estilo de vida. Foi realizado estudo transversal com 311 docentes das áreas da saúde, exatas e humanas. Utilizou-se o instrumento autoaplicável, Cuestionario para la Evaluación del Síndrome de Quemarse por el Trabajo-CESQT, e regressão linear múltipla para o estudo de cada uma das quatro dimensões da SB. Os resultados mostraram que tempo de docência e tempo de docência na instituição; qualidade da relação com chefias, colegas e alunos; presença de recursos necessários para o trabalho; desejo de mudar de profissão e percepção de saúde foram algumas das características que estiveram relacionados com as dimensões da SB. Portanto, necessita-se de investimentos em políticas institucionais que visem a melhoria da qualidade de vida do docente nas suas funções laborais e investimentos nas condições de trabalho.

  4. Text Generation: The State of the Art and the Literature.

    Science.gov (United States)

    1981-12-01

    Ablex, Norwood, N. J., 1980. [ de Joia 80] de Joia , A., and A. Stenton, Terms in Systemic Linguistics, Batsford Academic and Educational, Ltd...GENERATION TECHNOLOGY ....................................... 1 2. WHAT TECHNIQUES ARE NOW AVAILABLE FOR USE IN SYSTEM DESIGNS ?........... 3. BASIC...M odels of Discourse ............................................................ 6 * 9. DESIGNING IN 1986 FOR PRACTICAL TEXT GENERATION

  5. Os trigonum tarsi syndrome. Magnetic Resonance features; Sindrome dell'os trigonum tarsi. Ruolo della Risonanza Magnetica

    Energy Technology Data Exchange (ETDEWEB)

    Iovane, A.; Finazzo, M.; Carcione, A.; De Maria, M; Lagalla, R. [Palermo Policlinico Univ. P. Giaccone, Palermo (Italy). Ist. di Radiologia; Midiri, M. [Bari Policlinico Univ., Bari (Italy). Ist. di Radiologia

    2000-02-01

    aspect of the tibia, or hypo mobility to pseudoarthrosis. Forced plantar flexion acquisitions are particularly useful in this condition because can demonstrate the mechanism of injury. [Italian] L'os trigonum tarsi e' un osso accessorio del piede localizzato in sede posterolaterale rispetto al tubercolo esterno dell'astragalo e di solito non da' alcuna sintomatologia. In particolari condizioni, che comportano sollecitazioni o microtraumi ripetuti nel tempo a livello del retropiede puo' essere responsabile di talalgia posteriore realizzando la cosidetta sindrome dell'os trigonum tarsi. Il dolore e' localizzato nella sede preachillea. La diagnosi tuttavia risulta particolarmente complessa i quanto numerose altre forme patologiche si manifestano con la medesima sintomatologia clinica. Con la radiologia tradizionale e' possibile dimostrare la presenza dell'os trigonum e le sue eventuali alterazioni morfo-strutturali. La RM (Risonanza Magnetica) di contro consente non solo di identificare le alterazioni strutturali dell'osso ma anche di riconoscere le lesioni associate dei tessuti molli. Sono stati studiati con RM nove pazienti affetti da sindrome dell'os trigonum tarsi. I pazienti sono stati esaminati nella posizione supina con il piede in posizione indifferente e successivamente bloccato nella flessione plantare. Lo studio e' stato condotto con magnete superconduttivo da 0,5 T impiegando una bobina dedicata per le estremita'. Sono state utilizzate sequenze spin-echo T1, gradient-echo T2* e fast inversion recovery secondo piani di scansione assiali e saggitali. In tutti i pazienti esaminati sono state valutate: sede e morfologia dell'os trigonum; caratteristiche dell'intensita' del segnale delle strutture ossee, cartilaginee e dei tessuti adiacenti; presenza di eventuali lesioni tendinee associate. Non sono state osservate anomalie di sede ne' di forma dell'os trigonum. L

  6. Congenital Primary Pachydermoperiostosis and Striate Palmoplantar Keratoderma - a Case Report

    OpenAIRE

    Stojanović Slobodan; Vučković Nada; Jovanović Marina; Petrović Kosta

    2014-01-01

    Uvod. Pahidermoperiostoza (PDP) predstavlja heterogeni sindrom za koji su karakteristične hipertrofi čne promene prvenstveno kože i kostiju ekstremiteta: pahidermija, klabing (clubbing) prstiju šaka i stopala i hipertrofi čna osteoartropatija. Primarna pahidermoperiostoza − sinonim Turen−Solent−Goleov sindrom (Touraine-Solente-Golé) (PPDP), ili primarna hipertrofi čna osteoartropatija (PHO), redak je nasledni poremećaj i predstavlja jedan od dva tipa hipertrofi čne osteoartropatije....

  7. Congenital Primary Pachydermoperiostosis and Striate Palmoplantar Keratoderma - a Case Report

    Directory of Open Access Journals (Sweden)

    Stojanović Slobodan

    2014-06-01

    Full Text Available Uvod. Pahidermoperiostoza (PDP predstavlja heterogeni sindrom za koji su karakteristične hipertrofi čne promene prvenstveno kože i kostiju ekstremiteta: pahidermija, klabing (clubbing prstiju šaka i stopala i hipertrofi čna osteoartropatija. Primarna pahidermoperiostoza − sinonim Turen−Solent−Goleov sindrom (Touraine-Solente-Golé (PPDP, ili primarna hipertrofi čna osteoartropatija (PHO, redak je nasledni poremećaj i predstavlja jedan od dva tipa hipertrofi čne osteoartropatije.

  8. 75 FR 16878 - Self-Regulatory Organizations; Municipal Securities Rulemaking Board; Notice of Filing of...

    Science.gov (United States)

    2010-04-02

    ..., Saber Partners, LLC (``Saber Partners'') to Mr. Pica, dated July 9, 2008; Leslie M. Norwood, Managing... CEO, Saber Partners to Mr. Pica, dated July 9, 2008; Leslie M. Norwood, Managing Director and... Notice, Saber Partners identified this statistic as one that ``can give great insight into the liquidity...

  9. Neonatal aortic arch reconstruction avoiding circulatory arrest and direct arch vessel cannulation.

    Science.gov (United States)

    Tchervenkov, C I; Korkola, S J; Shum-Tim, D; Calaritis, C; Laliberté, E; Reyes, T U; Lavoie, J

    2001-11-01

    Aortic arch reconstruction in neonates routinely requires deep hypothermic circulatory arrest. We reviewed our experience with techniques of continuous low-flow cerebral perfusion (LFCP) avoiding direct arch vessel cannulation. Eighteen patients, with a median age of 11 days (range 1 to 85 days) and a mean weight of 3.2 +/- 0.8 kg, underwent aortic arch reconstruction with LFCP. Seven had biventricular repairs with arch reconstruction, 9 underwent the Norwood operation and 2 had isolated arch repairs. In 1 Norwood and 7 biventricular repair patients, LFCP was maintained by advancing the cannula from the distal ascending aorta into the innominate artery. In 8 of 9 Norwood patients, LFCP was maintained by directing the arterial cannula into the pulmonary artery confluence and perfusing the innominate artery through the right modified Blalock-Taussig shunt fully constructed before cannulation for cardiopulmonary bypass. In 2 patients requiring isolated arch reconstruction, the ascending aorta was cannulated and the cross-clamp was applied just distal to the innominate artery. LFCP was maintained at 0.6 +/- 0.2 L x min(-1) x m(-2) for 41.0 +/- 13.9 minutes at 18.5 degrees C +/- 1.1 degrees C. In 10 of the 18 patients, blood pressure during LFCP was 15 +/- 8 mm Hg remote from the innominate artery (left radial, umbilical or femoral arteries). In 8 of the 18 patients, right radial pressure during LFCP was 24 +/- 10 mm Hg. The mean mixed-venous saturation was 79.8% +/- 10% during LFCP. Two patients had preoperative seizures, whereas none had seizures postoperatively. One patient died. Neonatal aortic arch reconstruction is possible without circulatory arrest or direct arch vessel cannulation. These techniques maintained adequate mixed-venous oxygen saturations with no associated adverse neurologic outcomes.

  10. The Army vs. the People: The Opposition of the Soviet Military to Baltic Independence

    Science.gov (United States)

    1991-04-01

    untouched. General Fyodor Kuz’min, the commander of the Baltic Military District became Gorbachev’s de facto "Military Governer", the only powerful and... Sindrome ’, Neustavshchinye i Natsional’noi Aspekte Voinskoi Sluzhby" [Youth Try on Overcoats: on the ’Occupation Syndrome’, Non-Regulation Behavior, and...that despite the 4 V. Sein, "Komu na Ruku ’Antiarmeiskyi Sindrom ’?" [Who is Responsible for the ’Anti-Army Syndrome’?], Sovetskaya Latvia, July 5, 1989

  11. ERYTHEMA NODOSUM AND PROLONGED FEVER ASSOCIATED TO SECONDARY HYPERPARATHYROIDISM

    Directory of Open Access Journals (Sweden)

    Galimberti R

    2005-08-01

    Full Text Available SUMMARYSecondary hyperparathyroidism is one of the main deragements caused by chronic renal failure, and parathyroid hormone is considered one of the toxins of the uremic syndrome. Prolonged fever due to primary hyperparathyroidism have already been described in the literature but not yet as induced by secondary hyperparathyroidism. In this case report a patient suffering from an erythema nodosum and prolonged fever associated to secondary hyperparathyroidism that disappeared through subtotal parathyroidectomy is presented.RESUMENEl hiperparatiroidismo secundario es uno de los principales disturbios causados por la insuficiencia renal crónica, y la paratohormona es considerada una de las toxinas del sindrome urémico. El sindrome febril prolongado secundario a hiperparatiroidismo primario ya ha sido descripto en la literatura, aunque no lo ha sido aun el inducido por hiperparatiroidismo secundario. En el presente reporte se presenta un caso de eritema nodoso y sindrome febril prolongado asociado a hiperparatiroidismo secundario y que resolvió luego de efectuada una paratiroidectomía subtotal.

  12. Churg-Strauss Syndrome and pregnancy Successful treatment with intravenous immunoglobulin - Reply

    Directory of Open Access Journals (Sweden)

    M. Galeazzi

    2011-09-01

    Full Text Available La sindrome di Churg-Strauss è una malattia estremamente rara e ancora più raro è riscontrarla in una paziente in stato di gravidanza. Il trattamento iniziale della malattia consiste nella somministrazione di alte dosi di corticosteroidi. I pazienti più gravi o che rispondono poco o insoddisfacientemente ai corticosteroidi vengono solitamente trattati con farmaci citotossici. Le immunoglobuline somministrate per via endovenosa (IgEV stanno dimostrando di essere efficaci nel trattamento di questa patologia, tuttavia non esiste un consenso universale sulla loro effettiva utilità nelle vasculiti sistemiche. Noi presentiamo il caso di una donna con sindrome di Churg-Strauss resistente al trattamento con corticosteroidi e ciclofosfamide. Allorché si riscontrò che la paziente era al 3° mese di gravidanza fu iniziata una terapia con alte dosi di IgEV con ottimi risultati. Questo caso conferma l’utilità del trattamento con IgEV della sindrome di Churg-Strauss e ne dimostra l’efficacia anche in stato di gravidanza.

  13. Computer graphics testbed to simulate and test vision systems for space applications

    Science.gov (United States)

    Cheatham, John B.

    1991-01-01

    Artificial intelligence concepts are applied to robotics. Artificial neural networks, expert systems and laser imaging techniques for autonomous space robots are being studied. A computer graphics laser range finder simulator developed by Wu has been used by Weiland and Norwood to study use of artificial neural networks for path planning and obstacle avoidance. Interest is expressed in applications of CLIPS, NETS, and Fuzzy Control. These applications are applied to robot navigation.

  14. Hybrid palliation for critical systemic outflow obstruction: neither rapid stage 1 Norwood nor comprehensive stage 2 mitigate consequences of early risk factors.

    Science.gov (United States)

    Davies, Ryan R; Radtke, Wolfgang; Bhat, Majeed A; Baffa, Jeanne M; Woodford, Edward; Pizarro, Christian

    2015-01-01

    Hybrid palliation with branch pulmonary artery banding (bPAB) has become increasingly common in the early management of patients with critical left ventricular outflow obstruction. Optimal subsequent surgical palliation remains undefined. We retrospectively reviewed patients undergoing initial bPAB for single ventricle physiology with systemic outflow obstruction (2001-2013, n = 37). Patients were stratified by subsequent surgical palliation: stage 1 Norwood (St1N, n = 14), comprehensive stage 2 (CompSt2, n = 11), and none (n = 12). bPAB was performed at a median of 4 days and 2.7-kg, post-bPAB mortality was increased in patients with aortic atresia (odds ratio [OR] = 3.8, 95% confidence interval [CI] = 0.9-15.8) or birth weight <2 kg (OR = 13.8, 95% CI = 1.4-136.4). Palliation strategy did not affect transplant-free survival through second-stage palliation (St1N: 71.4%, CompSt2: 72.7%, P = .9). Among CompSt2 patients, there was a trend toward poorer survival with aortic atresia (0% vs 80%, P = .09); birth weight <2.5 kg was associated with decreased survival (0% vs 89.0%, P = .01). A trend toward lower survival with low birth weight was evident among St1N patients (<2 kg, OR = 0.1, 95% CI = 0.01-1.9, P = .09). CompSt2 mortality occurred on postoperative days 0 and 1. Mortality following St1N occurred at a median of 38.5 days (range = 23.5-104.5). Among survivors of stage 2 palliation, Fontan completion was performed in the same number of patients in each group (St1N: 6/8, 75%, CompSt2: 6/8, 75%). Both St1N and CompSt2 are viable options for subsequent palliation following initial hybrid procedure. Transplant-free survival and eventual Fontan candidacy are similar between groups. Delaying surgical palliation with the CompSt2 did not mitigate the impact of early risk factors such as low birth weight and aortic atresia. Copyright © 2015 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved.

  15. Treatment of right ventricle to pulmonary artery conduit stenosis in infants with hypoplastic left heart syndrome.

    Science.gov (United States)

    Münsterer, Andrea; Kasnar-Samprec, Jelena; Hörer, Jürgen; Cleuziou, Julie; Eicken, Andreas; Malcic, Ivan; Lange, Rüdiger; Schreiber, Christian

    2013-09-01

    To determine the incidence of right ventricle-to-pulmonary artery (RV-PA) conduit stenosis after the Norwood I operation in patients with hypoplastic left heart syndrome (HLHS), and to determine whether the treatment strategy of RV-PA conduit stenosis has an influence on interstage and overall survival. Ninety-six patients had a Norwood operation with RV-PA conduit between 2002 and 2011. Details of reoperations/interventions due to conduit obstruction prior to bidirectional superior cavopulmonary anastomosis (BSCPA) were collected. Overall pre-BSCPA mortality was 17%, early mortality after Norwood, 6%. Early angiography was performed in 34 patients due to desaturation at a median of 8 days after the Norwood operation. Fifteen patients (16%) were diagnosed with RV-PA conduit stenosis that required treatment. The location of the conduit stenosis was significantly different in the patients with non-ringed (proximal) and the patients with ring-enforced conduit (distal), P = 0.004. In 6 patients, a surgical revision of the conduit was performed; 3 of them died prior to BSCPA. Another 6 patients had a stent implantation and 3 were treated with balloon dilatation followed by a BSCPA in the subsequent 2 weeks. All patients who were treated interventionally for RV-PA conduit obstruction had a successful BSCPA. Patients who received a surgical RV-PA conduit revision had a significantly higher interstage (P = 0.044) and overall mortality (P = 0.011) than those who received a stent or balloon dilatation of the stenosis followed by an early BSCPA. RV-PA conduit obstruction after Norwood I procedure in patients with HLHS can be safely and effectively treated by stent implantation, balloon dilatation and early BSCPA. Surgical revision of the RV-PA conduit can be reserved for patients in whom an interventional approach fails, and an early BSCPA is not an option.

  16. Physician counseling, informed consent and parental decision making for infants with hypoplastic left-heart syndrome.

    Science.gov (United States)

    Paris, J J; Moore, M P; Schreiber, M D

    2012-10-01

    Until the development in 1980 by William Norwood of a staged palliative surgical procedure for hypoplastic left heart syndrome (HPLHS), there was no treatment for that condition. With medical developments in the 1980s, parents had the option of the Norwood procedure, transplantation or comfort care for a child born with HPLHS. With an improvement in the survival rate for the Norwood procedure from an initial 30% to now better than 80%, some physicians believe that comfort care should no longer be an option. If, however, medically sophisticated parents, who know the neurological and motor skills impairments that accompany HPLHS, object to the surgery, they are allowed to opt for comfort care. This two-pronged approach to medical treatment seems to violate the norms on equity and fairness in the care of the patient. Parents need to be informed about long-term neurological and motor skill development as well as survival rates to give informed consent.

  17. EVANS SYNDROME IN A 10 YEAR OLD GIRL

    Directory of Open Access Journals (Sweden)

    A. Ariputra

    2015-10-01

    Full Text Available Evans syndrome is a coexistence of simultaneous or sequential positive direct Coombs test in conjunctionwith  immune-mediated  thrombocytopenia with no known underlying etiology. The  clinical  course  ischronic and relapsing, and the therapy is generally progressive. Recurrences of thrombocytopenia, anemiaand neutropenia are common, as well as episodes of hemorrhage and serious infections. Noncrossreactingautoantibodies are directed against red cells, platelets, and neutrophils antigens. Evans syndrome isa rare condition, no predilection is known and its exact prevalent is unknown. We report a case of Evanssyndrome in 10 years old girl with severe anemia and thrombocytopenia. Patient came with clinicalsymptoms of severe anemia. The laboratory evaluation showed severe anemia, increased reticulocytecount, anisopoikilocytosis erythrocyte, increased unconjugated bilirubin, positive direct Coombs testand thrombocytopenia. Patient was then managed with high doses of corticosteroids and showed goodresponse from both clinical and laboratory evaluations. [MEDICINA 2015;46:61-66].Sindrom Evans adalah suatu penyakit yang ditandai dengan adanya hasil positif pada direct Coombstest dan trombositopenia yang diperantarai  imun secara simultan atau sekuensial tanpa penyebabyang  jelas. Perjalanan klinis umumnya bersifat kronis, sering mengalami relaps dan memerlukanterapi yang progresif. Kejadian trombositopenia, anemia, neutropenia, perdarahan dan episode infeksiberat berulang umum terjadi. Pada sindrom ini, terjadi reaksi autoantibodi spesifik terhadap antigensel darah merah, trombosit dan juga neutrofil. Sindrom Evans merupakan kasus yang jarang ditemukandan dengan predileksi serta prevalensi yang belum banyak diketahui. Kami melaporkan satu kasusSindrom Evans pada anak perempuan usia 10 tahun.  Pasien dengan gejala klinis anemia berat dan padapemeriksaan laboratorium menunjukkan suatu anemia berat, peningkatan hitung retikulosit, gambaraneritrosit

  18. Pilot Study Comparing Closed Versus Open Tracheal Suctioning in Postoperative Neonates and Infants With Complex Congenital Heart Disease.

    Science.gov (United States)

    Tume, Lyvonne N; Baines, Paul B; Guerrero, Rafael; Hurley, Margaret A; Johnson, Robert; Kalantre, Atul; Ramaraj, Ram; Ritson, Paul C; Walsh, Laura; Arnold, Philip D

    2017-07-01

    To determine the hemodynamic effect of tracheal suction method in the first 36 hours after high-risk infant heart surgery on the PICU and to compare open and closed suctioning techniques. Pilot randomized crossover study. Single PICU in United Kingdom. Infants undergoing surgical palliation with Norwood Sano, modified Blalock-Taussig shunt, or pulmonary artery banding in the first 36 hours postoperatively. Infants were randomized to receive open or closed (in-line) tracheal suctioning either for their first or second study tracheal suction in the first 36 hours postoperatively. Twenty-four infants were enrolled over 18 months, 11 after modified Blalock-Taussig shunt, seven after Norwood Sano, and six after pulmonary artery banding. Thirteen patients received the open suction method first followed by the closed suction method second, and 11 patients received the closed suction method first followed by the open suction method second in the first 36 hours after their surgery. There were statistically significant larger changes in heart rate (p = 0.002), systolic blood pressure (p = 0.022), diastolic blood pressure (p = 0.009), mean blood pressure (p = 0.007), and arterial saturation (p = 0.040) using the open suction method, compared with closed suctioning, although none were clinically significant (defined as requiring any intervention). There were no clinically significant differences between closed and open tracheal suction methods; however, there were statistically significant greater changes in some hemodynamic variables with open tracheal suctioning, suggesting that closed technique may be safer in children with more precarious physiology.

  19. Libros

    Directory of Open Access Journals (Sweden)

    Facultad de Medicina Revista

    1952-09-01

    Full Text Available Precis de Parasitologie Humaine / Sindromes Pathologiques du Nourrisson et. de L'enfant / Practique Neurnlogique / Precis D'Anatomie / Traite de Medecine / Traite de Therapeutique Chirurgicale

  20. Temporal ecological assessment of oil contaminated soils before and after bioremediation

    Energy Technology Data Exchange (ETDEWEB)

    Dorn, Philip B.; Salanitro, Joseph P. [Equilon Enterprises, Westhollow Technology Center, Houston, TX (United States)

    2000-02-01

    Ecotoxicity methods were used to assess different soil and oil combinations before, during and after laboratory bioremediation with associated hydrocarbon analyses. Heavy, medium and light crude oil (API gravity 14, 30 and 55) was spiked (ca. 5% w/w) into two sandy soils in the laboratory having organic carbon concentrations of 0.3 (Norwood) and 4.7% (Norwood/Baccto). The earthworm (Eisenia fetida) 14-d lethality assay, the modified Microbics Microtox Solid-Phase assay, and the 14-d plant seed germination and growth assays using corn, wheat and oats, were spiked and tested during a 360-d laboratory remediation. Eisenia was the most sensitive of the three methods utilised with survival increasing throughout bioremediation with fastest toxicity reduction in the high carbon Norwood/Baccto soils where LC50s were 100% or greater at the end of 90-d whereas, >150-d were required to achieve a similar result in the low carbon soil. Analysis of the undiluted treatments with oily soil alone showed that earthworm survival was high after 90-d in all high organic carbon soils, and after eight months in the low carbon soils, except for the Norwood soil-light oil treatment, which required 360-d to achieve 100% survival. The Microtox assay was less sensitive with EC50s 100% or greater observed after 90-d in high carbon soils and after 245-d for all low carbon soils. After bioremediation, no effects on seed germination were observed, although some plant growth inhibition effects remained. There was no direct correlation between total petroleum hydrocarbon concentrations and toxicity. (Author)

  1. Consequências da síndrome da tensão pré-menstrual na vida da mulher Consequencias de la sindrome de la tension pre-menstrual en la vida de la mujer The consequences of the syndrome of the pre-menstrual tension in the woman's life

    Directory of Open Access Journals (Sweden)

    Clarice H. Muramatsu

    2001-09-01

    Full Text Available Este estudo tem como objetivo identificar as possíveis conseqüências da Síndrome da Tensão Pré-Menstrual na vida da mulher. Através do questionário, identificamos distúrbios relacionados a alterações físicas, emocionais e, como consequências às alterações nos relacionamentos envolvendo filho, marido/ namorado e familiar, assim como no ambiente de trabalho.Este estudio tuvo como objetivo identificar las posibles consequencias de la sindrome de la tensión pre-menstrual en la vida de la mujer. Atraves de un questionário, identificamos disturbios relacionados con alteraciones físicas y emocionales que por vez danãn los relacionamentos envolviendo hijo, marido, enamorado y familiares, asi como en el ambiente de trabajo.This study has as objective to identify the possible consequences of the Syndrome of the Pré-menstrual Tension in the woman's life. Through the questionnaire, we identified disturb related to physical and emotional discomfort and as consequences the alterations in the relationships involving son, husband / boyfriend and family, as well as in the work atmosphere.

  2. Later in Life

    Science.gov (United States)

    ... tics Planes de Educación Individualizados Efectos sobre el Aprendizaje Prevención del Acoso Escolar/Bullying: Estrategias Positivas ¡LEVANTEMONOS PARA SINDROME DE TOURETTE! Para los conductores de autobús Artículos Médicos ¿ ...

  3. Geriatric Medicine, Sarkopenia, Frailty, dan Kualitas Hidup Pasien Usia Lanjut: Tantangan Masa Depan Pendidikan, Penelitian dan Pelayanan Kedokteran di Indonesia

    Directory of Open Access Journals (Sweden)

    Siti Setiati

    2014-04-01

    Full Text Available Geriatri adalah cabang ilmu kedokteran dengan fokus pada penuaan dini dan tatalaksana penyakit terkaitusia lanjut. Proses menua mengakibatkan penurunan fungsi sistem organ seperti sistem sensorik, sarafpusat, pencernaan, kardiovaskular, dan sistem respirasi. Selain itu terjadi pula perubahan komposisitubuh, yaitu penurunan massa otot, peningkatan massa dan sentralisasi lemak, serta peningkatanlemak intramuscular. Masalah yang sering dijumpai pada pasien geriatri adalah sindrom geriatri yangmeliputi: imobilisasi, instabilitas, inkontinensia, insomnia, depresi, infeksi, defisiensi imun, gangguanpendengaran dan penglihatan, gangguan intelektual, kolon irritable, impecunity, dan impotensi. Dimasa yang akan datang diperlukan tempat rawat jalan terpadu dan perawatan kasus akut geriatri dirumah sakit di seluruh Indonesia. Program lainnya adalah nutrisi usia lanjut, tempat istirahat sementara,layanan psiko-geriatri dan dementia care, dukungan care giver, pencegahan penyakit kronis dankonseling, serta menyiapkan moda transportasi yang sesuai.Kata kunci: geriatri, kedokteran, penurunan fungsi, sindrom geriatri.

  4. Enfrentamiento de las vasculitis primarias

    Directory of Open Access Journals (Sweden)

    Dr. D. Santiago Rivero

    2012-07-01

    El diagnóstico diferencial incluye patologías muy diversas; trombosis ateroesclerótica; embolias ateroescleróticas, embolias sépticas, el uso de drogas ilícitas, y la trombosis secundaria al Sindrome Antifosfolípido.

  5. Sindrom diabeticheskoy stopy

    Directory of Open Access Journals (Sweden)

    Mikhail Borisovich Antsiferov

    2001-06-01

    Full Text Available Поражения нижних конечностей у больных сахарным диабетом (СД касаются врачей различных специальностей. Это связано с тем, что нарушение углеводного обмена приводит к изменениям периферического кровотока, иннервации, развитию трофических язв, а в ряде случаев к необходимости ампутации конечности. Хроническая гипергликемия утяжеляет течение и усложняет лечение язвенных дефектов другого генеза (посттромбофлебитический синдром, липоидный некробиоз, экзема и др.. Все это определяет необходимость точной диагностики, дифференциации и выбора адекватного лечения в каждом случае развития трофического нарушения кожи нижних конечностей. Синдром диабетической стопы объединяет патологические изменения периферической нервной системы, артериального и микроциркуляторного русла, костно-суставного аппарата, которые представляют непосредственную угрозу развития язвеннонекротических процессов и гангрены стопы. Несмотря на достаточный объем информации по патогенезу, диагностике, методам лечения и профилактики осложнений СД, данные по частоте и исходу поражений нижних конечностей по-прежнему остаются неутешительными. Настоящий обзор освещает современное представление о патогенезе, способах лечения и профилактике развития синдрома диабетической стопы.

  6. Use of Ventricular Assist Device in Univentricular Physiology: The Role of Lumped Parameter Models.

    Science.gov (United States)

    Di Molfetta, Arianna; Ferrari, Gianfranco; Filippelli, Sergio; Fresiello, Libera; Iacobelli, Roberta; Gagliardi, Maria G; Amodeo, Antonio

    2016-05-01

    Failing single-ventricle (SV) patients might benefit from ventricular assist devices (VADs) as a bridge to heart transplantation. Considering the complex physiopathology of SV patients and the lack of established experience, the aim of this work was to realize and test a lumped parameter model of the cardiovascular system, able to simulate SV hemodynamics and VAD implantation effects. Data of 30 SV patients (10 Norwood, 10 Glenn, and 10 Fontan) were retrospectively collected and used to simulate patients' baseline. Then, the effects of VAD implantation were simulated. Additionally, both the effects of ventricular assistance and cavopulmonary assistance were simulated in different pathologic conditions on Fontan patients, including systolic dysfunction, diastolic dysfunction, and pulmonary vascular resistance increment. The model can reproduce patients' baseline well. Simulation results suggest that the implantation of VAD: (i) increases the cardiac output (CO) in all the three palliation conditions (Norwood 77.2%, Glenn 38.6%, and Fontan 17.2%); (ii) decreases the SV external work (SVEW) (Norwood 55%, Glenn 35.6%, and Fontan 41%); (iii) increases the mean pulmonary arterial pressure (Pap) (Norwood 39.7%, Glenn 12.1%, and Fontan 3%). In Fontan circulation, with systolic dysfunction, the left VAD (LVAD) increases CO (35%), while the right VAD (RVAD) determines a decrement of inferior vena cava pressure (Pvci) (39%) with 34% increment of CO. With diastolic dysfunction, the LVAD increases CO (42%) and the RVAD decreases the Pvci. With pulmonary vascular resistance increment, the RVAD allows the highest CO (50%) increment with the highest decrement of Pvci (53%). The single ventricular external work (SVEW) increases (decreases) increasing the VAD speed in cavopulmonary (ventricular) assistance. Numeric models could be helpful in this challenging and innovative field to support patients and VAD selection to optimize the clinical outcome and personalize the therapy

  7. Hyperlucent lung; Pulmon hiperlucente

    Energy Technology Data Exchange (ETDEWEB)

    Jimenez-Gutierrez, Florana; Soto-Quiros, Manuel E [Hospital Nacional de Ninos, Servicio de Neumologia, apartado 1654-1000, San Jose (Costa Rica)

    2007-10-15

    Unilateral hyperlucent lung is also known as Swyer-James Syndrome, Macleod Syndrome or lobular or unilateral emphysema. It is an uncommon disease characterized by lung or unilateral lobe hiperlucency associated to an air trapping upon expiration. As regards to etiology, this syndrome is considered to be an acquired disease that appears secondary to respiratory infections during the early years of life, probably bronchiolitis and/ or viral pneumonia. The clinical presentation varies among patients. Some of them are asymptomatic, others present a history of recurrent episodes of pulmonary infections from early years of life or present effort dyspnea. The diagnosis is usually made accidentally by a chest radiograph in a child with history of respiratory infections or in an adult during a routine chest x- ray in an asymptomatic person. It is important to differentiate this syndrome from other causes of unilateral pulmonary hiperlucency on conventional chest x-rays. Few cases of Swyer-James Syndrome in children have been reported, it is presented the clinical case of a patient who had a parainfluenza 3 bronchopneumonia when he was a month and eighteen days of age. The differential diagnosis of this syndrome should be done with other thoracic entities that diminish the radiological pulmonary unilateral density. A case of a child who is the bearer of hyperlucent lung is described. (author) [Spanish] El pulmon hiperlucente unilateral tambien se ha denominado Sindrome de Swyer-James, Sindrome de Macleod o enfisema lobular o unilateral. Es una enfermedad poco frecuente que se caracteriza por una hiperclaridad pulmonar o lobar unilateral asociada a un atrapamiento aereo en la espiracion. En cuanto a la etiologia, existe evidencia que se atribuye a una enfermedad adquirida que aparece tras una infeccion pulmonar durante la infancia, probablemente una bronquiolitis o una neumonia viral. El cuadro clinico es variable: algunos pacientes se encuentran asintomaticos, otros con

  8. Consideraciones sobre el hidrocefalo de baja presion

    Directory of Open Access Journals (Sweden)

    E. Herskovits

    1976-12-01

    Full Text Available Se analizan las condiciones fisiopatológicas del sindrome de hidrocéfalo de presión normal. De un grupo de 21 pacientes con sintomatologia clínica correspondiente a esta entidad, se seleccionan 10 que presentan un diagnóstico clínico, radiológico y cisternográfico indudable de la entidad en estudio. Se observó que, a pesar de esta selección solamente un 50% de ellos se vió beneficiado con la colocación de una válvula de baja presión. Surge entonces la hipotésis de que este cuadro es un sindrome multicausal; que por un proceso fisiopatogenico común produce un cuadro clínico, radiológico y cisternográfico similar y que serían beneficiados únicamente aquellos enfermos en los que se soluciona el problema mecánico.

  9. 78 FR 22296 - Notice Pursuant to the National Cooperative Research and Production Act of 1993-Heterogeneous...

    Science.gov (United States)

    2013-04-15

    .... Specifically, Analog Devices Inc., Norwood, MA; University of Bologna, Bologna, ITALY; Sandia Corporation, Albuquerque, NM; Marvell International LTD, Hamilton, HM, BERMUDA; Swarm64 GmbH, Berlin, GERMANY; Sony Mobile...

  10. Auto immunity in the Ovarian Resistance Syndrome: research and methodology development; Autoinmunidad en el Sindrome de Resistencia Ovarica: investigacion y desarrollo de metodologia

    Energy Technology Data Exchange (ETDEWEB)

    Oliver, P; Balter, H; Robles, A

    1998-07-01

    The project evaluates, it selects it develops, it optimizes and been worth, analytic methods for the detection and quantification of antibodies antireceptor of FSH, decisive of precocious ovarian flaw for insensibility gonadal: Syndrome of Ovarian Resistance (SRO). The study method involves the competitive inhibition of the union marked FSH with Iodine-125 of membrane receiver. The investigations include the following components of the analysis system: to) membrane Receivers, b) Radiotracers, c) negative and positive control Serums, d) Buffers. The constants of likeness and numbers of receivers are evaluated in the material biological employee by means of graphics of Scatchard. Ace for the control of quality, the study of the maximum capacity of union was selected of the ligature to the receiver, like one of the parameters that bigger information toasts on the performance of the same one. The clinical validation was made by means of the use of isolated immuno-globulines starting from the serum of healthy donors considered as negative power stations and of women with SRO confirmed by studies made in the exterior considered as central positive. All this, provides the development of a sensitive and specific reliable qualitative method for the determination of antibodies antireceptor of FSH of immediate application in the area of the human health in our means. [Spanish] El proyecto evalua, selecciona, desarrolla, optimiza y valida, metodos analiticos para la deteccion y cuantificacion de anticuerpos antireceptor de FSH, determinantes de falla ovarica precoz por insensibilidad gonadal: Sindrome de Resistencia Ovarica (SRO). El metodo de estudio involucra la inhibicion competitiva de la union hFSH marcada con Iodo-125 de receptor de membrana. Las investigaciones incluyen los siguientes componentes del sistema de analisis: a) Receptores de membrana, b) Radiotrazadores, c) Sueros de control negativos y positivos, d) Buffers. Se evaluan las constantes de afinidad y numeros

  11. Farmacologia da unidade motora: aspectos de interesse em neurologia Pharmacology of motor end-plate: aspects related to neurology

    Directory of Open Access Journals (Sweden)

    Paulina Sannomiya

    1975-09-01

    Full Text Available Os AA fazem revisão sobre a unidade motora em seu aspecto morfológico, fisiológico e farmacológico como base para o estudo e tratamento da miastenia grave e da síndrome miastênica. Estudos eletromiográficos, farmacológicos e eletrofisiológicos, realizados por diversos autores, determinam características especiais que definem a miastenia grave e a síndrome miastênica. Certos sinais e sintomas, comumente observados em casos de envenenamento por elapídeos, são semelhantes aos causados por drogas bloqueadoras neuromusculares.In order to understand the treatment of miasthenia gravis and miasthenic sindrome, the morphology, physiology and pharmacology of the motor unit were reviewed. Electromiographic, pharmacologic and electrophysiologic studies accomplished by several authors have special caractheristics which define miasthenia gravis and miasthenic sindrome. Certain venoms such as those from Elapidae can produce signals and symptoms resembling those produced by neuromuscular blocking drugs.

  12. Exploring the Role of Polycythemia in Patients With Cyanosis After Palliative Congenital Heart Surgery.

    Science.gov (United States)

    Siehr, Stephanie L; Shi, Shenghui; Hao, Shiying; Hu, Zhongkai; Jin, Bo; Hanley, Frank; Reddy, Vadiyala Mohan; McElhinney, Doff B; Ling, Xuefeng Bruce; Shin, Andrew Y

    2016-03-01

    To understand the relationship between polycythemia and clinical outcome in patients with hypoplastic left heart syndrome following the Norwood operation. A retrospective, single-center cohort study. Pediatric cardiovascular ICU, university-affiliated children's hospital. Infants with hypoplastic left heart syndrome admitted to our medical center from September 2009 to December 2012 undergoing stage 1/Norwood operation. None. Baseline demographic and clinical information including first recorded postoperative hematocrit and subsequent mean, median, and nadir hematocrits during the first 72 hours postoperatively were recorded. The primary outcomes were in-hospital mortality and length of hospitalization. Thirty-two patients were included in the analysis. Patients did not differ by operative factors (cardiopulmonary bypass time and cross-clamp time) or traditional markers of severity of illness (vasoactive inotrope score, lactate, saturation, and PaO2/FIO2 ratio). Early polycythemia (hematocrit value > 49%) was associated with longer cardiovascular ICU stay (51.0 [± 38.6] vs 21.4 [± 16.2] d; p polycythemia remained independently associated with the length of hospitalization after controlling for the amount of RBC transfusion (weight, 4.36 [95% CI, 1.35-7.37]; p polycythemia following the Norwood operation is associated with longer length of hospitalization even after controlling for blood cell transfusion practices. We hypothesize that polycythemia may be caused by hemoconcentration and used as an early marker of capillary leak syndrome.

  13. Mode of Action of Shigella Toxin: Effects on Ribosome Structure and Function

    Science.gov (United States)

    1988-05-01

    1974. Sindrome hemolitico uremico: reporte de 60 casos asociados a una epidemia de enterocolitis hemorragica. Revista Colombiana de Ped. Puericult. 28...1518-1521. 34. Fong, J.S.C., J-P de Chadarevian and B.S. Kaplan. 1982. Hemolytic-uremic syndrome: current concepts and management. Ped. Clin. North Am

  14. Medical Problems Related to Altitude in: Human Performance Physiology and Environmental Medicine at Terrestrial Extremes. Chapter 14,

    Science.gov (United States)

    1987-10-01

    function primarily to increase oxygen availability at the tissue level. The most significant changes occur in the cardiovascular and pulmonary systems...52. 40. Monge, M.C. La Enfermedad de Los Andes. Sindromes Eritremicos. Ann. Fac. Med. (Peru) 11:1, 1928. 41. Moore, L..G., G.L. Harrison, R.E

  15. Oximetria: papel no estudo do doente respiratório

    Directory of Open Access Journals (Sweden)

    J.C. Winck

    1998-05-01

    Full Text Available RESUMO: A oximetria de pulso é uma técnica espectrofotométrica, que mede a variação pulsátil da traosmissão da luz. A relação dn absorção pulsátil em doís comprimentos de onda corresponde à Saturação de 02 (Sa02. As grandes vantagens dn oximetria são o seu carácter não invasivo, a medição continua e resposta rápida, que permite o reconhecimento instantâneo da hipoxemia. A sua fiabilidade diminui nomeadamente em presença de hemoglubinas anormais, hipotermia e anemia. As suas aplicações clínicas no âmbito do diagnóstic da sindrome da apeneia do sono até à monitorização da ventiloterapia domicíliária.REV PORT PNEUMOL 1998; IV (3: 307-313 ABSTRACT: Pulse oximetry is a spectrophotomtnic technique that measures the pulsatile change in light transmission. The ratio of pulsatile absorption at two wave lengths corresponds to 02, saturation (Sa02. Oximetry has the advantge of being noninvansive, allowing for continuous of rapid measurements leading to the immediate recognition of hypoxemia. It is less reliable in the presence of dyshemoglobins, hypotermia and anemia. The clinical uses of oxymetry in respiratory medicine are very wide: from the diagnosis of sleep apnoea syndrome to monitoring nasal ventilation.REV PORT PNEUMOL 1998; IV (3: 387-313 Key-words: Pulse oximtuy, Sleep apnoea syndrome, COPD, Home mechanical ventilation, Palavras chave: Oximetria de pulso, Sindrome da apneia do sono, DPOC, Ventiloterapia domiciliária

  16. Compact solid state radio frequency amplifiers in kW regime for ...

    Indian Academy of Sciences (India)

    RF amplifier; solid state amplifier; power combiner and divider; .... was designed using planar and coaxial transmission line baluns with minimum lumped variable ..... Cripps S C 1999 RF power amplifiers for wireless communication. Norwood: ...

  17. Military Influence in Russian Politics

    Science.gov (United States)

    1992-09-01

    militarization Union. I have concluded that the disappeared. 5 Indeed, a de -militarization military’s opportunity and motivation to of Soviet society and... sindrom 41-go." Novoe vremya, No. 8 (February volunteers over conscripts, and the Navy 1991); Maj. Gen. V.G. Strekozov, "Zakony ob oborone i statuse

  18. Siektes van peroksisome - 'n oorsig

    African Journals Online (AJOL)

    (x 14 SOO). Peroksisoomsiektes2. ,3,5.6. Ongeveer 12 genetiese siektes wat as gevolg van foute in die ontwikkeling of in die samestelling van peroksisome antstaan, is reeds beskryf. Volgens die omvang van die biogenetiese fout en die graad van verlies aan peroksisoomfunksies word hierdie sindrome in 3 groepe.

  19. Pneumonia Nosokomial

    OpenAIRE

    Keliat, E.N; Abidin, Alwinsyah; Lubis, Nursyamsiah

    2017-01-01

    Pada masa yang lalu pneumonia diklasifikasikan sebagai pneumonia tipikal yang disebabkan oleh Str. Pneumonia daan atipikal yang disebabkan kuman atipik seperti halnya M. pneumonia. Kemudian ternyata manifestasi dari patogen lain seperti H. influenza, S. aureus dan bakteri Gram negatif memberikan sindrom klinik yang identik dengan pneumonia oleh Str E.N Keliat

  20. SINDROME KID: ABORDAJE INTERDISCIPLINARIO

    Directory of Open Access Journals (Sweden)

    Carla De Negri

    Full Text Available Se presenta el caso clínico, de una niña de 2 años de edad, nacida en el Centro Hospitalario Pereira Rossell, portadora del Síndrome KID. Se trata de una displasia congénita ectodérmica caracterizada por la asociación de queratitis, ictiosis y sordera. Es producida por un desorden autosómico dominante, esporádico. Algunos autores lo refieren asociado a la presencia de alteraciones estructurales de órganos dentarios, del tipo hipoplasia e hipomineralización del esmalte y también a gingivitis y candidiasis a nivel de la mucosa bucal. La intervención oportuna del odontopediatra, integrando el equipo de salud, brinda un aporte importante, en la búsqueda de estrategias terapéuticas adecuadas al paciente y al contexto asistencial. El abordaje de tratamiento en pacientes portadores del Síndrome KID debe ser multidisciplinario, requiriendo en niños, la integración de un equipo de salud con pediatra, dermatólogo, oftalmólogo, otorrinolaringólogo y odontopediatra

  1. Sindromes endocrinos autoinmunes: cuándo sospechar y estudiar un sindrome poliglandular (SPG)

    OpenAIRE

    B. María Carolina Letelier, Dra.

    2013-01-01

    Los síndromes poliglandulares autoinmunes comprenden un amplio espectro de trastornos endocrinos. Estos síndromes incluyen trastornos monogénicos como el síndrome poliglandular tipo 1 (tipo juvenil) y trastornos genéticos complejos como el síndrome poliglandular tipo 2 (tipo adulto). Estos trastornos se basan en la presencia de infiltración linfocitaria de la glándula afectada, anticuerpos órgano-específico en sangre, defectos en la inmunidad celular y asociación con los genes de los antígeno...

  2. Los nuevos tratamientos de la esquizofrenia: estudios comparativos de métodos y resultados

    Directory of Open Access Journals (Sweden)

    Julio Manrique

    1939-08-01

    Full Text Available Después de que el método de SAKEL se empleó con éxito en el tratamiento del sindrome esquizofrénico, el advenimiento de la tono-clono terapia de V. MEDUNA originó la comparación de los resultados obtenidos, para decidir cual de los procedimientos habia obtenido mayores éxitos.

  3. 75 FR 12748 - Ocean Transportation Intermediary License Applicants

    Science.gov (United States)

    2010-03-17

    ... Shipping & Logistics, LLC, 10651 SW. 108 Avenue, 3A, Miami, FL 33176, Officers: Lorenzo A. Macias... Castleton Street, 263, City of Industry, CA 91748, Officers: Hua Yang, Vice President, (Qualifying Individual), Zhenfen Wu, Chairman. Qingfeng Wang dba Global Intertrans Logistics, 200 East Norwood Place, San...

  4. 76 FR 18136 - National Oil and Hazardous Substances Pollution Contingency Plan; National Priorities List...

    Science.gov (United States)

    2011-04-01

    ... and Hazardous Substances Pollution Contingency Plan; National Priorities List: Deletion of the Norwood... amended, is an appendix of the National Oil and Hazardous Substances Pollution Contingency Plan (NCP). The... we view this as a noncontroversial revision and anticipate no adverse comment. We have explained our...

  5. EKOLOGIJA LESENE GRADNJE

    OpenAIRE

    Kuhelnik, Lidija

    2011-01-01

    Diplomska naloga obravnava sisteme lesene montažne gradnje. Opisani so vsi trije sistemi, torej skeletni, okvirni in masivni. Obravnavani so lesni kompoziti za konstrukcije. V nadaljevanju je obravnavana gradbena biologija in zelena trajnostna gradnja. Podrobno je opisana zdrava hiša in njeni materiali. Predstavljen je tudi sindrom nezdrave zgradbe. Opisana je konstrukcijska zaščita lesa in modifikacija lesa.

  6. Information Warfare: An Air Force Policy for the Role of Public Affairs

    Science.gov (United States)

    1996-06-01

    war on remote foreign soil will almost always be a bad story in a liberal democracy. The easiest way for defense establishments to man- age the media...30 pages. NORWOOD, J. Scott, Maj, USAF. Thunderbolts and Eggshells : Composite Air Operations during Desert Storm and Implications for USAF

  7. Restorative Practices from Candy and Punishment to Celebrations and Problem-Solving Circles

    Science.gov (United States)

    Goldys, Patrice H.

    2016-01-01

    Norwood Elementary, a Title I science, technology, engineering, and math (STEM) school in Baltimore County, MD, recently realized that traditional behavior management programs and processes were not working with their students. Over time, school administrators discovered more successful approaches, and restorative practices became the way to…

  8. Ataxia cerebelosa persistente despues de la administracion toxica de difenilhidantoina

    Directory of Open Access Journals (Sweden)

    Andrés M. Villa

    1994-12-01

    Full Text Available La intoxicacion cronica con difenilhidantoina (DFH es bien conocida como causa de ataxia irreversible en pacientes epilépticos debida a atrofia cerebelosa con perdida de células de Purkinje. No es asi con la intoxicación aguda, puesto que sus signos y síntomas son reversibles. Presentamos un paciente con convulsiones parciales complejas, secundarias a un quiste temporal, que habia sido tratado irregularmente con DFH durante dos años con dosis variables que oscilaban en los 100 mg/dia. Dada la refractariedad de su cuadro convulsivo en una entrevista previa a su ingreso se le indico un aumento brusco de la dosis del fármaco que alcanzo a los 400 mg/dia. Ello ocasiono un sindrome pancerebeloso severo que motivo su internación. Posteriormente a la suspension de la DFH y la exeresis del quiste temporal mejoro su cuadro convulsivo, aunque quedo con ataxia de miembros inferiores y asinergia de tronco, cuadro con el que fue dado de alta. Un año despues, el paciente se encontraba libre de convulsiones, pero su sindrome cerebeloso no se habia modificado. El estudio por imágenes no evidencio atrofia cerebelosa.

  9. Distributed Spacing Stochastic Feature Selection and its Application to Textile Classification

    Science.gov (United States)

    2011-09-01

    bias that can occur from differing signal strengths. The heuristic returns values based on a sequential set of calculations. A flowchart of the...and Electro-Optical Systems. Artech House Inc., Norwood, MA, 1999. 21. editors, Martingale. A to Z of Knitting: The Ultimate Guide for the Beginner to

  10. Afferent loop syndrome - a case report; Sindrome da alca aferente - relato de um caso

    Energy Technology Data Exchange (ETDEWEB)

    Borges, Ana Karina Nascimento; Pinheiro, Marco Antonio Lopes; Galvao, Cristine Norwig [Fundacao Pio XII - Hospital do Cancer de Barretos, SP (Brazil)

    2000-02-01

    The afferent loop syndrome occurs in patients with previous gastric surgery for tumor, when there is anastomotic edema, use of inappropriate reconstruction technique for gastro jejunostomy or recurrent gastric cancer. Complaints such jaundice, intermittent abdominal distension associated with pain, and vomiting should be investigated in order to rule out this syndrome. (author)

  11. Use of mathematic modeling to compare and predict hemodynamic effects of the modified Blalock-Taussig and right ventricle-pulmonary artery shunts for hypoplastic left heart syndrome.

    Science.gov (United States)

    Bove, Edward L; Migliavacca, Francesco; de Leval, Marc R; Balossino, Rossella; Pennati, Giancarlo; Lloyd, Thomas R; Khambadkone, Sachin; Hsia, Tain-Yen; Dubini, Gabriele

    2008-08-01

    Stage one reconstruction (Norwood operation) for hypoplastic left heart syndrome can be performed with either a modified Blalock-Taussig shunt or a right ventricle-pulmonary artery shunt. Both methods have certain inherent characteristics. It is postulated that mathematic modeling could help elucidate these differences. Three-dimensional computer models of the Blalock-Taussig shunt and right ventricle-pulmonary artery shunt modifications of the Norwood operation were developed by using the finite volume method. Conduits of 3, 3.5, and 4 mm were used in the Blalock-Taussig shunt model, whereas conduits of 4, 5, and 6 mm were used in the right ventricle-pulmonary artery shunt model. The hydraulic nets (lumped resistances, compliances, inertances, and elastances) were identical in the 2 models. A multiscale approach was adopted to couple the 3-dimensional models with the circulation net. Computer simulations were compared with postoperative catheterization data. Good correlation was found between predicted and observed data. For the right ventricle-pulmonary artery shunt modification, there was higher aortic diastolic pressure, decreased pulmonary artery pressure, lower Qp/Qs ratio, and higher coronary perfusion pressure. Mathematic modeling predicted minimal regurgitant flow in the right ventricle-pulmonary artery shunt model, which correlated with postoperative Doppler measurements. The right ventricle-pulmonary artery shunt demonstrated lower stroke work and a higher mechanical efficiency (stroke work/total mechanical energy). The close correlation between predicted and observed data supports the use of mathematic modeling in the design and assessment of surgical procedures. The potentially damaging effects of a systemic ventriculotomy in the right ventricle-pulmonary artery shunt modification of the Norwood operation have not been analyzed.

  12. Down Syndrome = Sindrome de Down.

    Science.gov (United States)

    Pueschel, S. M.; Glasgow, R. E.

    Presented both in English and Spanish, the brochure is primarily concerned with biological and developmental characteristics of the person with Down's syndrome. An emphasis is on the valuable humanizing influence these individuals have on society. Brief sections in the document discuss the delayed developmental aspects of Down's syndrome; the…

  13. 78 FR 60956 - Self-Regulatory Organizations; Municipal Securities Rulemaking Board; Notice of Filing of...

    Science.gov (United States)

    2013-10-02

    ... 19, 2013 (``BDA Letter''); Leslie M. Norwood, Managing Director and Associate General Counsel, SIFMA... orders.\\49\\ \\48\\ See BDA Letter at 2. \\49\\ MSRB Letter at 4. 3. Representations by Dealers Required by... periods where retail orders are given priority over other orders, as described above.\\52\\ \\50\\ See BDA...

  14. Gentlemen We Are Out of Money...Now We Have to Think - Prioritization of Objectives in a Resource Constrained Environment

    Science.gov (United States)

    2012-02-15

    Additionally I would like to thank Dr. Greg Parnell, Ph.D., MAJ Melanie Vinton, COL William Sorrells, COL Simon Goerger, Ph.D., COL Chris Hill, Ph.D., and... Klein , J. Orasanu, R. Calderwood, & C. E. Zsambok (Eds.), Decision Making in Action: Models and Methods (pp. 327-345). Norwood, NJ: Ablex Publishers

  15. Aktivitas Olahraga dengan Kejadian Sindrom Premenstruasi pada Anggota Perempuan UKM INKAI UNS

    Directory of Open Access Journals (Sweden)

    Arantika Meidya Pratiwi

    2016-03-01

    Full Text Available The purpose of this study is to determine the relationship between sport activies with premenstrual syndrome. Observational research methods using analytic techniques with cross sectional approach. This research was conducted at UKM (Unit of Student Activity INKAI (Institute Karate Indonesia UNS, on June 2012. The 36 sample of population from 40 of woman member was taken by simple random sampling. Analysis test with alpha= 0,05 obtained of Spearman rank correlation value at -0,821 that indicated strengthen correlation in negative direction. The signifi cance value are 0,000 smaller than 0,05 that indicated Ho was rejected and Ha was accepted. The conclusion are any negative relationship between sports activities with the premenstrual syndrome, if the value of sports activity was higher the value of premenstrual syndrome was lower.

  16. Real-Time PCR Assay for a Unique Chromosomal Sequence of Bacillus anthracis

    Science.gov (United States)

    2004-12-01

    13061 Neisseria lactamica .............................................................. 23970 Bacillus coagulans ...NEG Bacillus coagulane 7050 NEG NEG Bacillus cereus 13472 NEG NEG Bacillus licheniforms 12759 NEG NEG Bacillus cereus 13824 NEG NEG Bacillus ...Assay for a Unique Chromosomal Sequence of Bacillus anthracis Elizabeth Bode,1 William Hurtle,2† and David Norwood1* United States Army Medical

  17. Clinical findings in right ventricular noncompaction in hypoplastic left heart syndrome.

    Science.gov (United States)

    Gardner, Monique M; Cohen, Meryl S

    2017-12-01

    Noncompaction is a poorly understood form of cardiomyopathy that typically affects the left ventricle and may be associated with congenital heart disease. Right ventricular noncompaction (RVNC) may occur when the left ventricle is affected but is rarely seen in isolation. RVNC may have clinical significance affecting surgical and long-term outcomes. We describe the diagnosis and clinical course in three patients at our institution. We performed a retrospective review of patients diagnosed with RVNC over a 12-month period at our institution and reviewed their imaging and clinical course. Three patients were identified. All had diagnosis of RVNC by echocardiography (echo) made on postnatal imaging which reviewed degree of trabeculation, and noncompaction-to-compaction ratio of the myocardium. Patient A was a neonate with hypoplastic left heart syndrome (HLHS) who underwent a Norwood operation with Sano modification. Her postoperative course was notable for low-normal RV function. She returned with a pericardial effusion warranting immediate pericardiocentesis. She continued to have effusions, which were medically managed. She was subsequently found to have an RV apical pseudoaneurysm, which required surgical resection. Patient B was a neonate with HLHS who had a Norwood operation with Sano modification. She had low-normal RV function on echo. She required medical management for pericardial effusion. Patient C was a neonate with HLHS who also underwent a Norwood operation with Sano modification. His postoperative course was notable for elevated serum brain natriuretic peptide, which was treated with digoxin. RVNC is a rare diagnosis with limited known clinical impact. One of these patients had a very rare complication after pericardiocentesis (pseudoaneurysm) that may have been related to the RVNC. Our understanding of this disease process is limited and requires additional investigation, but emphasizes the importance of appropriate diagnosis to allow for timely

  18. Bilateral pulmonary arterial banding results in an increased need for subsequent pulmonary artery interventions.

    Science.gov (United States)

    Davies, Ryan R; Radtke, Wolfgang A; Klenk, Dore; Pizarro, Christian

    2014-02-01

    Despite increasing use of bilateral branch pulmonary artery banding (bPAB), both as a temporary stabilizing treatment and as part of comprehensive hybrid management of hypoplastic left heart syndrome, little is known about the long-term outcomes of the pulmonary arteries (PAs) in banded patients. We conducted a retrospective review of all patients with ductal-dependent systemic circulation (2001-2013) undergoing bPAB placement at a single institution (bPAB, n = 50); patients who underwent a stage I Norwood procedure (Norwood, n = 53) were used for comparison. The need for PA interventions (surgical arterioplasty, balloon angioplasty, and stent implantation) and PA growth were assessed. Bands were in place for a median of 76 days. PA growth and size were similar between groups, but bPAB patients required more interventions (1.4 ± 2.9 vs 0.5 ± 1.2, P = .01). In competing risks analysis, only 20% of bPAB patients were alive and free from intervention at 5 years after bPAB removal. Multivariable Cox proportional hazards regression of operative interventions within the bPAB group demonstrated the following risk factors: subsequent 2-ventricle repairs (hazard ratio [HR], 2.2; 95% confidence interval [CI], 0.7-6.7), smallest band diameter (HR per additional millimeter, 0.059; 95% CI, 0.004-0.849), and duration of band placement more than 90 days (HR, 3.5; 95% CI, 1.0-12.6). Hemodynamics and Fontan candidacy did not differ between groups. Patients with bPAB require additional interventions at earlier time points than Norwood patients. Patients with smaller bands and longer duration of banding are at high risk. Despite stenoses requiring additional interventions, Fontan candidacy is maintained. Copyright © 2014 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.

  19. Tic-Tac-Toe Performance as a Function of Maturational Level of Retarded Adolescents and Nonretarded Children

    Science.gov (United States)

    Spitz, Herman H.; Winters, Emilia A.

    1977-01-01

    Available from: Ablex Publishing Corporation, 355 Chestnut Street, Norwood, New Jersey 07648. Two groups (36 Ss) of educable and trainable mentally retarded adolescents in an institution were compared with two groups (38 Ss) of nonretarded children (ages 8-9 years old) on a modified tic-tac-toe game for foresight in logical problem solving. (MH)

  20. Papiledema unilateral na síndrome do pseudotumor cerebral

    Directory of Open Access Journals (Sweden)

    Mário L. R. Monteiro

    1985-06-01

    Full Text Available São apresentadas as fotografias de fundo de olho de 6 mulheres com papiledema unilateral e a síndrome do pseudotumor cerebral. Achados associados foram: obesidade em 5 e a sindrome da sela vazia parcial em 2. São discutidas as possíveis explicações para o desenvolvimento de papiledema unilateral nesses pacientes e que favorecem um mecanismo presente na porção distal dos nervos ópticos.

  1. Education for Liberal Democracy: Fred Clarke and the 1944 Education Act

    Science.gov (United States)

    Ku, Hsiao-Yuh

    2013-01-01

    Fred Clarke (1880-1952), an English educationist, emerged as a leading figure with his liberal approach alongside such key figures as R. H. Tawney and Cyril Norwood in the reform leading to the 1944 Education Act. Many of his reform proposals, which were provided by the new Act, reflected his ideals of liberal democracy. Nevertheless, his…

  2. Estrutura e síndromes de dispersão de espécies arbóreas em um trecho de mata ciliar, Sirinhaém, Pernambuco, Brasil Structure and dispersal syndromes of tree species in a stretch of riparian vegetation, Sirinhaém, Pernambuco State, Brazil

    Directory of Open Access Journals (Sweden)

    Roseane Karla Soares da Silva

    2012-03-01

    Full Text Available

    Este trabalho teve por objetivo conhecer a fitossociologia do componente arboreo em uma mata ciliar de um corrego que desagua no Rio Sirinhaem, localizado no Engenho Buranhem, Sirinhaem, PE e identificar as sindromes de dispersao das especies. O corrego esta situado em um fragmento de Floresta Ombrofila Densa de Terras Baixas, com 272 ha. Utilizou-se como area amostral um hectare (40 unidades amostrais, 10 m x 25 m onde foram registrados 1.307 individuos arboreos com circunferencia a altura do peito (CAP ≥ 15 cm. Foram identificadas 118 especies, pertencentes a 40 familias botanicas. Protium heptaphyllum e Pouteria sp.1 foram as especies mais abundantes. Em termos de valor de importancia (VI, as especies Protium heptaphyllum, Pouteria sp.1 e Virola gardneri estao entre as mais importantes ecologicamente. As sindromes de dispersao predominantes foram: zoocoria (72,8%, autocoria (13,6% e anemocoria (4,8%. Nao foi possivel determinar a sindrome de dispersao de 8,8% das especies estudadas.

     

    doi: 10.4336/2012.pfb.32.69.01

    This study aimed to know the phytosociology of the tree component of riparian vegetation in a stream that flows into the Sirinhaem River in Engenho Buranhem, Sirinhaem, Pernambuco State, and identify the species dispersal syndromes. The stream is located in a fragment of dense rain forest of the lowlands, with 272 ha. It was sempled used one hectare (40 sampling units of 10 m x 25 m each. It was registered 1,307 trees with circumference at breast height (CAP . 15 cm. We identified 118 species belonging to 40 botanical families. Protium heptaphyllum and Pouteria sp.1 were the most abundant species. In terms of importance value (IV, Protium heptaphyllum, Pouteria sp.1 and Virola gardneri are among the most important ecologically species. The predominant dispersal syndromes were zoocory (72.8%, autocory (13.6% and anemochory (4.8%. It was not possible to determine the type of dispersal of 8.8% of the

  3. SYM1, l’ortologo di lievito del gene umano MPV17, codifica per una proteina indotta da stress che modula lo stato bioenergetico e morfogenetico del mitocondrio

    OpenAIRE

    Dallabona, Cristina

    2010-01-01

    Mutazioni nel gene MPV17 causano l’insorgenza di una forma epatocerebrale della sindrome da deplezione del DNA mitocondriale. MPV17 codifica per una piccola proteina idrofobica localizzata nella membrana mitocondriale interna con funzione sconosciuta. Per cercare di chiarire le basi molecolari che causano la patologia, abbiamo utilizzato il lievito S. cerevisiae come organismo modello grazie alla presenza di un ortologo di MPV17: SYM1. Abbiamo dimostrato che la proteina Sym1 è essenziale per ...

  4. Revista de tesis

    OpenAIRE

    Revista, Facultad de Medicina

    2011-01-01

    Sindromes abdominales agudos y bloqueo anestésico esplácnico semi-lunar. Tesis de grado "Meritoria". 1945. - Presentada por Guillermo Moreno Díaz / Estudio de algunas funciones hepáticas de la anemia tropical. Tesis de grado. 1945. - Presentada por Primitivo Rey Rey / Endoscopia, laringe, traquea, bronquios y esófago. Tesis de grado declarada "Meritoria". 1945. - Presentada por Carlos Alberto /  Cleves. el neumoperitoneo en el tratamiento de la tuberculosis intestinal y peritoneal y como medi...

  5. Body to scalp: Evolving trends in body hair transplantation

    Directory of Open Access Journals (Sweden)

    Kuldeep Saxena

    2017-01-01

    Full Text Available Follicular unit extraction (FUE is becoming an increasingly popular method for hair restoration. As FUE leaves behind no linear scars, it is more suitable to harvest from various body areas including beard, chest, and extremities in hirsute individuals. Body hair characteristics such as thickness, length, and hair cycle may not completely match to that of the scalp hair. The techniques of harvesting body hairs are more time consuming, requiring higher degree of skill than regular scalp FUE. Body hair transplantation can be successfully used either alone or in combination with scalp hair in advanced grades of baldness, for improving the cosmetic appearance of hairlines and in scarring alopecia when there is paucity of donor scalp hair. Harvesting of body hairs opens up a new viable donor source for hair restoration surgeons, especially in cases of advanced Norwood grades five and above of androgenetic alopecia.

  6. Post-Correlation Semi-Coherent Integration for High-Dynamic and Weak GPS Signal Acquisition (Preprint)

    Science.gov (United States)

    2008-06-01

    average signal model in (8) is repeated below with simplified notations as: )2( 0φπγδ += kjkk Bez (14) where δk = bkbk+1, B = MA2 , γ = 2αTs2M2, φ0...1995. [2] E.D. Kaplan and C.J. Hegarty (eds.), Understanding GPS: Principles and Applications (2nd Ed.) Artech House Publishers, Norwood, MA, 2006

  7. Sindrome disfágica Dysphagic syndrome

    Directory of Open Access Journals (Sweden)

    Ronaldo Mafia Cuenca

    2007-06-01

    Full Text Available INTRODUÇÃO: A disfagia é o principal sintoma das doenças do esôfago e é representada pela dificuldade em deglutir o alimento ingerido no trajeto da orofaringe até o estômago. Ela é queixa comum na prática clínica diária envolvendo várias especialidades na sua investigação. MÉTODOS: Foi realizada revisão atualizada da literatura internacional através do Pubmed (www.pubmed.com e nacional (www.lilacs.br utilizando-se as seguintes palavras-chave: disfagia e transtornos da deglutição. A extensão do tema foi limitado aos seguintes enfoques: etiologia, diagnóstico e exames complementares mais aplicáveis à exploração propedêutica. CONCLUSÃO: Embora a literatura apresente bom entendimento do processo disfágico, no diagnóstico preciso de sua causa há freqüentemente necessidade de múltiplos exames complementares que associados fazem melhor entender o que acomete o paciente e orientará mais adequadamente a conduta a ser tomadaBACKGROUND: Dysphagia is the main symptom of diseases of the esophagus, being manifested by deglutition difficulties, which reaches the oropharynx and stomach pathway. Is a common daily complaint in the clinical practice, involving numerous specialties regarding its investigation. METHODS: An international literature review was made using Pubmed (www.pubmed.com and a national utilizing (www.lilacs.br the following keywords: dysphagia and deglutition disorders. The extension of the subject was limited to the following areas: etiology, diagnosis and complementary exams which were aplicable to exploratory propedeutics. CONCLUSION: Eventhough the literature presents a good understanding of the dysphagic process, the need for multiple complementary exams is frequent during diagnosis, developing a better understanding of what the patient has, adequately orienting which conduct should be taken.

  8. Sindrome de regresión caudal

    OpenAIRE

    Maldonado, A.; Pastor, A.; Sorni, A.; Pastor Durán, Xavier; Palomeque,A.

    1995-01-01

    El síndrome de regresión caudal o de agenesia sacra se caracteriza por un déficit funcional de los esfínteres y de la muscultatura de los miembros inferiores. Se suele asociar con otras malformaciones, como son las esqueléticas, genitourinarias y del tracto intestinal. La diabetes mellitus materna es uno de los factores predisponentes más destacados. Aquí se presenta un caso de síndrome de regresión caudal con insufiencia renal secundaria a la uropatía malformativa asociada. Se comentan los d...

  9. SINDROME DE COLAPSO DE MORDIDA POSTERIOR

    Directory of Open Access Journals (Sweden)

    Paula Alejandra Baldión

    2012-07-01

    El objetivo del artículo es describir la manera como evoluciona la enfermedad, la evaluación multidisciplinaria para obtener un diagnóstico preciso y la secuencia de tratamiento integral, revisando los conceptos para un mejor entendimiento del tratamiento periodontal y restaurativo que requieren los pacientes con síndrome de colapso de mordida posterior; caracterizado por procesos patológicos como enfermedad periodontal, caries dental con subsecuente alteración de la integridad del arco dentario que genera perdida de soporte posterior conllevando a un trauma oclusal secundario y disminución de la dimensión vertical oclusal. El control del proceso inflamatorio y la estabilización periodontal son puntos de partida indispensables en el tratamiento integral del paciente. La migración patológica de los dientes y las alteraciones del plano oclusal pueden exigir la corrección ortodóntica de los arcos y en algunos casos el concurso de cirugía oral para la nivelación del plano oclusal. La secuencia organizada del tratamiento por fases permite la restauración predecible de los pacientes con este síndrome, tomando en cuenta las diferentes alternativas protésicas tanto removibles como fijas con o sin implantes de oseointegración, para el éxito integral a largo plazo.

  10. SINDROME DE COLAPSO DE MORDIDA POSTERIOR

    Directory of Open Access Journals (Sweden)

    Paula Alejandra Baldión

    2012-12-01

    Full Text Available El Síndrome de Colapso de Mordida posterior es una patología oclusal que se presenta como consecuencia de problemas dentales, periodontales y oclusales, que exige la correcta evaluación de los signos y síntomas que lo caracterizan.  El objetivo del artículo es describir la manera como evoluciona la enfermedad, la evaluación multidisciplinaria para obtener un diagnóstico preciso y la secuencia de tratamiento integral, revisando los conceptos para un mejor entendimiento del tratamiento periodontal y restaurativo que requieren los pacientes con síndrome de colapso de mordida posterior; caracterizado por procesos patológicos como enfermedad periodontal, caries dental con subsecuente alteración de la integridad del arco dentario que genera perdida de soporte posterior conllevando a un trauma oclusal secundario y disminución de la dimensión vertical oclusal. El control del proceso inflamatorio y la estabilización periodontal son puntos de partida indispensables en el tratamiento integral del paciente. La migración patológica de los dientes y las alteraciones del plano oclusal pueden exigir la corrección ortodóntica de los arcos y en algunos casos el concurso de cirugía oral para la nivelación del plano oclusal. La secuencia organizada del tratamiento por fases permite la restauración predecible de los pacientes con este síndrome, tomando en cuenta las diferentes alternativas protésicas tanto removibles como fijas con o sin implantes de oseointegración, para el éxito integral a largo plazo.

  11. Relacion entre problemas habituales del sueño con deficit atencional y trastornos conductuales en niños

    OpenAIRE

    Lucila Andrade, A.

    2013-01-01

    Los trastornos del sueño en niños son frecuentes y afectan el desarrollo neurológico. Los sindromes de apnea obstructiva del sueño y piernas inquietas se destacan por sus efectos cognitivo-conductuales. Los Trastornos del neurodesarrollo, como Autismo, Síndrome Déficit Atención/hiperactividad (TDAH) y las co-morbilidades asociadas, presentan alta prevalencia de trastornos del sueño, con dificultades para conciliar el sueño e incremento de los despertares nocturnos, los que frecuentemente pasa...

  12. Human Factors Influencing Decision Making

    Science.gov (United States)

    1998-07-01

    and Einhom (1991); Zeelenberg et al. (1997). This environmental context also makes it difficult to associate measured personality traits with specific... Zeelenberg and Beattie5 (1997): People are motivated to minimize post-decision regret. As a result people can become risk averse or risk seeking...188-201), Ablex, Norwood NJ, 1993. 5 Zeelenberg M. and J. Beattie. "Consequences of regret aversion 2: additional evidence for effects of feedback on

  13. Ahmad's NPRT System: A Practical Innovation for Documenting Male Pattern Baldness

    OpenAIRE

    Ahmad, Muhammad

    2016-01-01

    Various classifications for male pattern baldness are mentioned in the literature. The 'Norwood's classification is the most commonly used but it has certain limitations. The new system has included 'three' extra features which were not mentioned in any other classification. It provides an opportunity to document the full and correct picture while documenting male pattern baldness. It also aids in assessing the treatment for various degrees of baldness.

  14. Ahmad's NPRT system: A practical innovation for documenting male pattern baldness

    Directory of Open Access Journals (Sweden)

    Muhammad Ahmad

    2016-01-01

    Full Text Available Various classifications for male pattern baldness are mentioned in the literature. The 'Norwood's classification is the most commonly used but it has certain limitations. The new system has included 'three' extra features which were not mentioned in any other classification. It provides an opportunity to document the full and correct picture while documenting male pattern baldness. It also aids in assessing the treatment for various degrees of baldness.

  15. Communicating by using PECS for Children with Rubinstein-Taybi Syndrome

    Directory of Open Access Journals (Sweden)

    Derwena Mohd Bazain

    2017-07-01

    Full Text Available This study discusses communication aid using the Picture Exchange Communication System (PECS to children with Rubinstein Taybi Syndrome (RTS. RTS's children suffer mental retardation, have the - the autistic, can not speak and can not manage themselves well. The aim of this study was to determine the effectiveness of using PECS and RTS students can improve their language to communicate better to all. Based on the theory of constructivism introduced by Gagne that emphasizes learning system must start from the simple to the complex. The study design is a case study of a child suffering from Rubinstein-Taybi syndrome. In conclusion, the PECT implemented is expected can help children’s RTS and improve their academic performance. Kajian ini membincangkan mengenai bantuan komunikasi menggunakan Picture Exchange Communication System (PECS kepada kanak-kanak Sindrom Rubinstein Taybi (RTS. Kanak-kanak RTS ini mengalami kerencatan akal, memiliki ciri – ciri autisme, tidak boleh bertutur dan tidak boleh urus diri dengan baik. Tujuan kajian ini adalah untuk melihat keberkesanan menggunakan PECS dan murid RTS dapat meningkatkan penguasaan bahasa untuk berkomunikasi dengan lebih baik kepada semua. Berdasarkan teori konstruktivisme yang diperkenalkan oleh Gagne yang menekankan sistem pembelajaran harus bermula daripada yang mudah kepada yang rumit. Rekabecntuk kajian ini berbentuk kajian kes terhadap seorang kanak-kanak yang mengalami sindrom Rubinstein-Taybi. Kesimpulannya, diharapkan dengan adanya PECS yang dilaksanakan dapat membantu kanak-kanak RTS ini serta meningkatkan prestasi akademik mereka.

  16. Paralisis de la mirada conjugada lateral de origen pontino: discusión neuroanatómica del fasciculo longitudinal medio

    Directory of Open Access Journals (Sweden)

    E. J. Faccio

    1981-03-01

    Full Text Available Se presenta el caso de un paciente con una parálisis de la mirada conjugada hacia la izquierda que además presentó un sindrome cerebeloso de igual lado y una paresia para la mirada conjugada hacia arriba. Durante la evolu-ción el paciente se recupera de la parálisis de la mirada hacia arriba, de su sindrome cerebeloso, para quedar con la parálisis de la mirada conjugada lateral. Posteriormente realiza un cuadro caracterizado por una dificultad en la comprensión con lenguaje mal articulado. La necropsia reveló un reblande-cimiento quístico en la cintilla longitudinal izquierda, con igual tipo de lesión en pié de la protuberancia dei lado izquierdo que comprometia al lemnisco motor. También se observo un reblandecimiento más reciente en el girus transverso izquierdo que comprometia la sustância blanca subortical. El estúdio de la cintilla mediante Ias degeneraciones secundarias reveló que se trataba de una cintilla de recorrido recto, que no se decusaba por encima del sexto par, tal cual está descripto. También se observó un balonamiento de Ias células dei núcleo intersticial de Cajal, de igual lado. Estos hallazgos justifican la sintomatologia clínica y la falta de oftalmoplejía internuclear anterior hacia la derecha.

  17. Hantaran Sinyal Leptin dan Obesitas: Hubungannya dengan Penyakit Kardiovaskuler

    Directory of Open Access Journals (Sweden)

    David Limanan

    2013-11-01

    Full Text Available Diperkirakan saat ini jumlah orang dengan obesitas melebihi 250 juta orang, yaitu 7% dari populasi orang dewasa di dunia. Mortalitas obesitas erat hubungannya dengan sindrom metabolik yang merupakan kelainan metabolik meliputi obesitas, resistensi insulin, gangguan toleransi glukosa, abnormalitas trigliserida dan hemostasis, disfungsi endotel dan hipertensi. Leptin dihasilkan adiposit dan merupakan anggota dari adipositokin; berperan dalam hantaran sinyal hormon jaringan adiposa. Kelainan leptin maupun reseptornyadapat menyebabkan seseorang mengalami obesitas, metabolik sindrom, diabetes dan penyakit kardiovaskuler. Kompleks leptin-reseptor mengaktifkan sistem transduksi sinyal, yang paling dominan adalah jalur janus kinase-signal transducer and activator of transcription-3 (JAK-STAT3, kemudian phospatidyl inositol 3- kinase (PI3K, mitogen-activated protein kinase (MAPK, 5’adenosine monophosphate-activated protein kinase (AMPK, dan mammalian target of rapamycin (mTOR. Jalur leptin-associated PI3K dengan ERK cascade berperan penting dalam proliferasi kardiomiosit dan melindungi jantung dari ischemia reperfusion injury. ERK1/2 mengaktifkan target gen seperti c-fos dan egr-1 yang berperan dalam proliferasi dan diferensiasi. Nuclear factor κB diduga sebagai target jalur p38 dan JNK MAPK. Faktor transkripsi inu berperan pentingdalam mengatur transkripsi sitokin proinflamasi seperti tumor necrosis factor (TNF-α dan interleukin (IL-1β. Leptin dapat meningkatkan pembentukan reactive oxygen species (ROS sel endotel pembuluh darah dan menstimulasi sekresi TNF-α dan IL-6 yang merupakan promotor hipertensi dan aterosklerosis.Kata Kunci: obesitas, leptin, sistem kardiovaskuler 

  18. Etnopsihologijski okvir hrvatske i srpske nacije

    OpenAIRE

    Rendić-Miočević, Ivo

    2000-01-01

    Na području jugoistočne Europe (Ilirik) homogenost se ostvarivala na temelju tradicionalnih modela. Istraživanje nacionalizama i nacija u jugoistočnoj Europi moguće je i etnopsihološkim pristupom. U patrijarhalnom društvu, na temelju ideologije (narodne pjesme, mitovi i dr.), autor otkriva sindrom Kraljevića Marka (simptomi: projekcije, paranoja i narcizam). Srednjovjekovna Srbija u kojoj su bile povezane država i crkva imala je drukčiji društveni razvoj od europskog društva (dugo trajanje or...

  19. Possibilidades e desafios na formação de professores de língua inglesa a indivíduos com a Síndrome de Asperger

    OpenAIRE

    Eduardo Pimentel da Rocha

    2016-01-01

    Este trabalho tem o intuito de (re)pensar a formação de professores de inglês (LI), no que tange às suas possibilidades e os seus desafios, por meio da trans-multidisciplinaridade, mais especificamente por meio do referencial teórico da Neuroeducação, e o ensino de LI para aprendizes com a Sindrome de Asperger (SA), tendo como contexto a Universidade Estadual de Londrina (UEL) e as leis de inclusão. Para tanto, dois objetivos foram propostos, a saber: 1) Identificar se e como o curso de licen...

  20. Human Processing of Knowledge from Texts: Acquisition, Integration, and Reasoning

    Science.gov (United States)

    1979-06-01

    comprehension. Norwood, N.J.: Ablex, 1977. Craik , F.I.M., and Lockhart , R. S. Levels of processing : for memory research. Journal of Verbal Learning A...Table 5.9 presents summary data regarding the performance levels and memory and search processes of individual subjects. The first row in Table 5.9...R-2256-ARP A June 1979 ARPA Order No.: 189-1 9020 Cybernetics Technology Human Processing of Knowledge from Texts: Acquisition, Integration, and

  1. Separation and Depleted Uranium Fragments from Gun Test Catchment. Volume 2. Catchment System and Separations Methods

    Science.gov (United States)

    1993-12-30

    Reference 3) was to demonstrate methods of microfiltration of uranium- contaminated water generated during munitions tests at Eglin AFB and to determine...compliance with the 10 CFR 20 standard. TTI Engineering of Norwood, Maine, fabricated and tested a pilot-scale microfiltration system to compare the...by drawing an analogy with the time constant of a spring. Writing the restoring force of a spring as F=-kAx L (7) where k - spring constant, N Ax

  2. SINDROME DE APNEAS/HIPOPNEAS DURANTE EL SUEÑO EN EDAD PEDIÁTRICA

    Directory of Open Access Journals (Sweden)

    Navazo Eguía A

    2006-08-01

    Full Text Available SUMMARY:Sleep disordered breathing (SDB is a common condition in children. Sleep Apnea/Hypopnea syndrome (SAHS in children is a frequent sleep disorder, with a prevalence estimated to be 1 - 3% of all children. The most frequent cause of SAHS in children is the adenotonsillar hypertrophy. SAHS in children can result in severe complications if left untreated such as impaired physical growth, delayed development, poor school performance and in severe cases, hypertension and cor pulmonale, nevertheless, yet it is an under recognized condition. The gold standard diagnostic technique is the nocturnal polysomnography (PSG, guidelines for performing laboratory-based polysomnography in children have been established, the sleep laboratory should be a nonthreatening environment and personnel with pediatric training should record, score and interpret the study. The diagnostic criteria for SAHS in adults is not useful for diagnosis of SAHS in children. Adenotonsillectomy is the most common treatment for children with SAHS.RESUMEN:Los trastornos respiratorios del sueño en los niños, en particular el Síndrome de Apneas/Hipopneas durante el sueño (SAHS, es una patología frecuente, que afecta entre el 1 - 3% de la población infantil, siendo su causa más frecuente la hipertrofia adenoamigdalar. Es una enfermedad infradiagnosticada y que conlleva importantes complicaciones como son alteraciones del crecimiento, alteraciones cognitivas e incluso en casos severos Cor Pulmonale. La polisomnografía nocturna (PSG, es la técnica diagnóstica de elección para el diagnóstico del SAHS en los niños, pero en la población infantil es necesario tener en cuenta una serie de consideraciones, como son la edad de la población que se estudia, entorno adecuado y la necesidad de técnicos entrenados en el cuidado de los niños. Los criterios diagnósticos del SAHS para adultos no son útiles en los niños. El tratamiento de elección en los niños con SAHS es la

  3. Zollinger-Ellison syndrome; Sindrome de Zollinger-Ellison

    Energy Technology Data Exchange (ETDEWEB)

    Muraro, Cirilo Luiz de Pardo Meo; Cunha, Hercio Azevedo de Vasconcelos; Freitas Junior, Carlos Eduardo de [Pontificia Univ. Catolica de Campinas, SP (Brazil). Faculdade de Ciencias Medicas. Hospital e Maternidade Celso Pierro

    2000-12-01

    The authors report a 49 years old, female patient who have been operated on several times (antrectomy with Billroth II reconstruction, partial gastrectomy with troncular vagotomy and total gastrectomy) in the last 5 years for recurrent ulcer disease. Three months ago, an abdomen ultra sound was done showing multiples images that suggested liver metastasis, which was confirmed by CT and MR. Two months ago, one new abdomen CT specifically to pancreas was done showing an expansive process in pancreas. Serial gastrine was 1532 pg/ml at the time (reference - until 115) and among clinical history and images exams Zollinger-Ellison Syndrome was suggested, a rare disease case. (author)

  4. LA SINDROME OSSESSIVA SPAZIO-TEMPORALE DEGLI ITALIANI

    African Journals Online (AJOL)

    User

    “Spazio e tempo sono maledizioni che gravano sulla terra”. La citazione è tratta dall'opera Trunkene Flut del 1949, tradotta in italiano con il titolo Flutto ebbro (a cura di A.M. Carpi, Guanda, Parma, 1989). Il pessimismo è una delle caratteristiche principali di Gottfried Benn (1886-1956), medico di professione, autore anche ...

  5. EL SINDROME VESTIBULAR EN EL ADULTO MAYOR

    Directory of Open Access Journals (Sweden)

    Dr. Hamlet Suárez

    2016-11-01

    Full Text Available El vértigo, la inestabilidad y las caídas tienen una incidencia relevante en el adulto mayor, disminuye su calidad de vida y puede ser causa de muerte en esta población. Este artículo describe las presentaciones clínicas y el abordaje de la evaluación de la patología vestibular en este grupo de edad, utilizando diferentes instrumentos para el diagnóstico así como también las reglas generales del tratamiento.

  6. Churg Strauss syndrome; Sindrome de Churg Strauss

    Energy Technology Data Exchange (ETDEWEB)

    Lopez Rengifo, Diana Milena; Contreras Zuniga, Eduardo; Osio, Luis Fernando

    2007-07-01

    The Churg-Strauss syndrome, also called allergic granulomatosis and angiitis, is a multisystem disorder characterized by allergic rhinitis, asthma, and prominent peripheral blood eosinophilia. The most common organ involved is the lung, followed by the skin. The Churg-Strauss syndrome, however, can affect any organ system, including the cardiovascular, gastrointestinal, renal, and central nervous systems.

  7. Churg-Strauss syndrome; Sindrome de Churg Strauss

    Energy Technology Data Exchange (ETDEWEB)

    Ayala, Jose Javier; Velasquez, Juan Carlos

    2005-07-01

    Churg-Strauss Syndrome was described in 1951 and it is characterized by asthma, fever, hypereosinophilia and vasculitis. In 1990, following the discussion of several proposals for its classification, the American College of Rheumatology established its diagnostic criteria. A 55 year-old female patient was seen recently at the Military Hospital in Bogota, Colombia, with leucocytoclastic vasculitis, wheezing, pulmonary infiltrates and hypereosinophilia, who met all the criteria to be classified as a Churg-Strauss patient.

  8. Ejercicio, Obesidad y Sindrome Metabólico

    Directory of Open Access Journals (Sweden)

    A. Carlos Jorquera, Nut. Msc

    2012-05-01

    Full Text Available Los bajos niveles de actividad física y/o ejercicio, junto a los malos hábitos alimentarios presentes a nivel nacional e internacional, han traído consigo una serie de complicaciones y/o morbilidades que han provocado un importante aumento de las tasas de mortalidad por enfermedades adquiridas, muchas de ellas ligadas a esta malnutrición por exceso y sedentarismo, descritos en encuestas nacionales e internacionales. La falta de movimiento es extrema en la población chilena y mundial, cada día la industria desarrolla elementos que buscan disminuir la ejecución de ejercicio físico, lo que se refleja de cierta manera en las encuestas ejecutadas, donde las tasas de inactividad física son elevadísimas, tanto en adultos como en niños, ya sean estos hombres o mujeres. Esto, sumado a los elevados niveles de obesidad, hace que enfoquemos nuestra atención al desarrollo de un tratamiento que combata estos dos factores de riesgo de manera paralela, pues en la ecuación de Balance Energético un 50% de ella corresponde a la ingesta y un 50% al gasto de energía. Los elevados niveles de sobrepeso y obesidad de nuestra realidad chilena (60% de la población, son la evidencia de un balance energético positivo provocado por una mayor ingesta de alimentos y un menor gasto en actividad física lo que ha llevado a que aumente progresivamente el Síndrome Metabólico y las ECNT en nuestra población.

  9. Graves Disease And Down Sindrome : Clinical Case

    Directory of Open Access Journals (Sweden)

    Scrinic Olesea

    2015-08-01

    Full Text Available Introduction: Pacients with Down’s syndrome present an increase revalence of autoimune endocrine disorders. We communicate the case of 14 years and 6 months old pacient known with Down syndrome admitted in Endocrinology department with suspicion of hyperthyroidism, the diagnosis being confirmed by hormonal dosage. The particularity of the case consists in: symptomatology onset during puberty, clinical evolution with mild symptoms, without ocular involvement, morphological and functional remission obtained relatively soon after the initiation of antithyroid therapy, lack of posttherapy side effects, favorabile evolution under the “block and replace” therapy

  10. Abordagem neurologica na sindrome do X fragil

    OpenAIRE

    Marilisa Mantovani Guerreiro

    1993-01-01

    Resumo: Com o propósito de realizar a abordagem neurológica na Síndrome do X Frágil (SXF), estudaram-se 11 pacientes com este diagnóstico citogenético. A idade variou de 8 a 19 anos. Nove pacientes eram do sexo masculino e dois do feminino. Todos os indivíduos apresentaram pavilhões auriculares grandes e faces alongadas. Observou-se fronte proeminente em 63% dos casos e macrorquidia em 33% dentre aqueles do sexo masculino. Atraso na aquisição da fala, fala repetitiva, perseverativa, impulsiva...

  11. Sindromes Dolorosos Regionales, Columna, Hombro y Rodilla

    Directory of Open Access Journals (Sweden)

    Wolff C. Verónica, Dra.

    2012-07-01

    En la rodilla, los trastornos periarticulares incluyen bursitis y tendinitis de distintas estructuras, y hay que considerar la osteonecrosis dentro del diagnóstico diferencial del dolor de rodilla del adulto mayor.

  12. Improving early outcomes following hybrid procedure for patients with single ventricle and systemic outflow obstruction: defining risk factors†.

    Science.gov (United States)

    Pizarro, Christian; Davies, Ryan R; Woodford, Edward; Radtke, Wolfgang A

    2015-06-01

    The hybrid procedure has become an accepted management strategy for patients with single ventricle and systemic outflow obstruction (SVSOO), particularly those considered at high risk for mortality following Stage I Norwood. We sought to refine patient selection by identifying clinical variables associated with early mortality. Single-centre review of all patients with SVSOO undergoing a hybrid procedure between January 2003 and December 2012. Demographic, clinical and outcome data were collected from the electronic medical record. The primary outcome was operative mortality (mortality within 30 days of the operation or prior to hospital discharge). Thirty-four patients underwent hybrid palliation at a median age of 5 days (IQR 3-8.5) and a median weight of 2.5 kg (IQR 2.2-2.9). Aortic atresia was present in 13 of 34 patients. Emergency banding for resuscitation was performed in 8 cases. Subsequent procedures included Stage I Norwood in 14, combined Stage I and II Norwood in 8, biventricular repair in 3 and cardiac transplantation in 2. Median cardiac intensive care unit length of stay was 54 days (IQR 27-92). Seven patients had no subsequent procedure. There were 11 operative deaths. Non-modifiable patient-related factors had a significant association with operative mortality, including weight under 2.0 kg (OR 18; 95% CI 1.8-188.3, P = 0.0008) and aortic atresia (OR 6.1; 95% CI 1.2-30.1, P = 0.026). Most significant was the interaction between aortic atresia and weight under 2.0 kg on early mortality (OR 13.1; 95% CI 1.9-92 P = 0.0039). The multivariate analysis demonstrated that the presence of aortic atresia (OR 13.4; 95% CI 1.2-151) and a birthweight of 2.0 kg or less (OR 51; 95% CI 2.4-999) were also significant predictors of operative mortality. Non-modifiable patient-related factors have a profound effect on early survival following a hybrid procedure for SVSOO. Outcomes for patients under 2.0 kg with aortic atresia remain very poor. Risk stratification

  13. MR study of the intrinsic acromial angle in 74 symptomatic patients; Studio RM dell'angolo intrinseco dell'acromion in 74 pazienti sintomatici

    Energy Technology Data Exchange (ETDEWEB)

    Di Mario, Mario; Fraracci, Lucio [Ospedale Fondazione Santa Lucia IRCCS, Roma (Italy). Servizio di radiologia

    2005-09-15

    effectiveness of the two quantitative parameters (intrinsic acromial angle and acromio-humeral distance) which are important causative factors in impingement syndrome. These parameters were found to be consistent and comparable with tue Bigliani classification of acromial morphology which, although providing useful qualitative data, does not fully respond to our quantitative needs. Our study suggests that impingement syndrome is negatively correlated to acromio-humeral distance and positively correlated to intrinsic acromial angle. These parameters, which are readily detected with MRI, may be used by the radiologist and orthopaedic surgeon to screen patients with nonspecific impingement syndrome. [Italian] Scopo. Lo scopo e stato quello di individuare un piano di scansione con alcune misurazioni associate che fornissero delle indicazioni quantitative sullo spazio subacromiale nei pazienti affetti di sindrome da impingement aspecifica. Materiale e metodi. Settantaquattro pazienti (47 maschi, 27 femmine, eta compresa tra 35 e 62 anni) che presentavano una sintomatologia da sospetta sindrome da impingement sono stati sottoposti al nostro studio. Le immagini sono state eseguite utilizzando sequenze SE TI pesate (TR 500 ms ,TE 12 ms ) e FSE T2 pesate (TR 3500, TE 25 ms) con bobina dedicata e scansioni acquisite lungo i piani sagittale obliquo e coronale. E stata adottata la classificazione di Bigliani per la morfologia dell'acromion confrontata con il nostro metodo di misura basato sulla rilevazione del valore espresso in gradi dell'angolo intrinseco dell'acromion e sulla misura della distanza acromion-omerale. Risultati. I dati ricavati del valore dell'angolo risultano correlati alla classificazione di Bigliani. L'angolo acromiale intrinseco espresso tra l'asse longitudinale dell'acromion e la tangente alla superficie inferiore dell'acromion stesso e risultato nei casi in nostra osservazione compreso tra 0 e 17{sup o}. Nelle rotture parziali

  14. ПРОФИЛЬ СВОБОДНЫХ АМИНОКИСЛОТ СЫВОРОТКИ КРОВИ И МОЧИ У ДЕТЕЙ С СИНДРОМОМ ДАУНА

    Directory of Open Access Journals (Sweden)

    Vlada FURDUI

    2015-12-01

    Full Text Available PROFILUL AMINOACIZILOR LIBERI ÎN SERUL SANGUIN ŞI ÎN URINA COPIILOR CU SINDROM DOWNA fost investigat profilul aminoacizilor liberi în serul sanguin şi în urina copiilor cu sindrom Down, ce poate servi drept model al dizontogenezei. Aceasta din urmă este condiţionată de modificările genetice şi se caracterizează prin leziuni ale componentei cognitive a sănătăţii psihice. Rezultatele prezentului studiu sugerează implicarea directă a amino-acizilor liberi în dezvoltarea disfuncţiilor structurilor cerebrale şi diverselor sisteme ale organismului, ca urmare a unui dezechilibru al aminoacizilor cu conţinut de sulf, mediatori, esenţiali şi cetogeni. Acest dezechilibru duce în mod inevi-tabil la subdezvoltarea componentelor neurofiziologic, verbal, cognitiv, social-comportamental ale sănătăţii psihice.PROFILE FREE AMINO ACIDS OF SERUM AND URINE IN CHILDREN WITH DOWN SYNDROMEThere was investigated the amino acids profile of serum and urine in children with Down's syndrome, which can serve as a model dizontogenezis due to changes in gene and is characterized by lesions of the cognitive component of mental health. The results of this study suggest direct involvement of free amino acids in the development of dysfunction of brain structures and the various systems of the body as a result of an imbalance of sulfur, mediator, essential and ketogenic amino acids. This inevitably leads to underdevelopment of neurophysiologic, speech, cognitive, social and behavioral components of mental health.

  15. Consideraciones sobre el hidrocefalo de baja presion Considerations on low pressure hydrocephalus

    Directory of Open Access Journals (Sweden)

    E. Herskovits

    1976-12-01

    Full Text Available Se analizan las condiciones fisiopatológicas del sindrome de hidrocéfalo de presión normal. De un grupo de 21 pacientes con sintomatologia clínica correspondiente a esta entidad, se seleccionan 10 que presentan un diagnóstico clínico, radiológico y cisternográfico indudable de la entidad en estudio. Se observó que, a pesar de esta selección solamente un 50% de ellos se vió beneficiado con la colocación de una válvula de baja presión. Surge entonces la hipotésis de que este cuadro es un sindrome multicausal; que por un proceso fisiopatogenico común produce un cuadro clínico, radiológico y cisternográfico similar y que serían beneficiados únicamente aquellos enfermos en los que se soluciona el problema mecánico.The physiopathological conditions of the normal pressure hydrocephalus syndrome are analysed. Within a group of 21 patients with clinical sinto- mathology pertaining this entity, only were 10 selected with a clinical, radiological and cisternografic indubitable diagnosis. It has been noticed that in spite of the stricked selection only a 50% of them have been beneficed by the application of a low pressure valve. Then, the hypothesis that the disease is a multicausal syndrome appears, which by an identical physiopathologic process produces or exhibits a similar clinical, radiological and cisternographic picture. Only those patients on whom the mechanical problem is solved would be beneficed by neurosurgery.

  16. Repercusiones endocrinólogicas en el apnea obstructiva del sueño

    Directory of Open Access Journals (Sweden)

    Enrique Cipriani

    2010-01-01

    Full Text Available Las alteraciones en la oxigenación que ocurren en el Sindrome Obstructivo del Apnea de sueño comprometen el funcionamiento tisular de todos los órganos del ser humano; con relación a la disfunción endocrinológica, los aspectos concernientes a esta no son bien conocidos. La intención de este trabajo fue revisar la información existente al respecto, a través de una búsqueda en las referencias MEDLINE entre los años 1995 y 2009.(Rev Med Hered 2010;21:39-45.

  17. Patología Linfática

    OpenAIRE

    Ponzinibbio, Carlos; Lima, María Silvia

    2017-01-01

    Se presenta en modo esquemático la patología del Sistema Linfoide con exclusión de las leucemias. Se repasan las bases de la ontogenia linfoide. Se presenta en forma esquemática la patología no neoplásica, aguda y crónica. Como protipo de sindrome linfoproliferativo benigno se presenta la mononucleosis infecciosa. Se presentan los fundamentos de la génesis de las neoplasias sólidas del tejido linfático: los linfomas. Se mencionan las traslocaciones como alteraciones genéticas más frecuentes p...

  18. Recent Advances in HNC’s Context Vector Information Retrieval Technology

    Science.gov (United States)

    1996-05-01

    infectados 14 20 0.360 portadoras 5 5 0.358 deficiencia 8 10 0.351 vih 10 18 0.343 adquirida 26 28 0.340 infection 12 22 0.337 aids "patients 12...0.607 portadores 16 31 0.528 immunodeficiency 6 6 0.514 infectadas 18 21 0.504 hiv 18 49 0.496 vih 10 18 0.489 aids 86 578 0.481 infectados 14...34 Table 2 shows the stem tree for the tie-word "AIDS". In Spanish, AIDS has the acronym " SIDA " which stands for sindrome inmuno deficiencia

  19. Hydrogeochemical and stream sediment detailed geochemical survey for Thomas Range-Wasatch, Utah. Farmington Project area

    International Nuclear Information System (INIS)

    Butz, T.R.; Bard, C.S.; Witt, D.A.; Helgerson, R.N.; Grimes, J.G.; Pritz, P.M.

    1980-01-01

    Results of the Farmington project area of the Thomas Range-Wasatch detailed geochemical survey are reported. Field and laboratory data are presented for 71 groundwater samples, 345 stream sediment samples, and 178 radiometric readings. Statistical and areal distributions of uranium and possible uranium-related variables are given. A generalized geologic map of the project area is provided, and pertinent geologic factors which may be of significance in evaluating the potential for uranium mineralization are briefly discussed. Uranium concentrations in groundwater range from <0.20 to 21.77 ppB. The highest values are from groundwaters producing from areas in or near the Norwood Tuff and Wasatch, Evanston, and/or Echo Canyon Formations, and the Farmington Canyon Complex. The uranium:boron ratio delineates an anomalous trend associated with the Farmington Canyon Complex. Variables associated with uranium in groundwaters producing from the Norwood Tuff and Wasatch, Evanston, and/or Echo Canyon Formations include the uranium:sulfate ratio, boron, barium, potassium, lithium, silicon, chloride, selenium, and vanadium. Soluble uranium concentrations (U-FL) in stream sediments range from 0.99 to 86.41 ppM. Total uranium concentrations (U-NT) range from 1.60 to 92.40 ppM. Thorium concentrations range from <2 to 47 ppM. Anomalous concentrations of these variables are associated with the Farmington Canyon Complex. Variables which are associated with uranium include cerium, sodium, niobium, phosphorus, titanium, and yttrium

  20. Cogeneration techniques; Les techniques de cogeneration

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-10-01

    This dossier about cogeneration techniques comprises 12 parts dealing successively with: the advantages of cogeneration (examples of installations, electrical and thermal efficiency); the combustion turbine (principle, performances, types); the alternative internal combustion engines (principle, types, rotation speed, comparative performances); the different configurations of cogeneration installations based on alternative engines and based on steam turbines (coal, heavy fuel and natural gas-fueled turbines); the environmental constraints of combustion turbines (pollutants, techniques of reduction of pollutant emissions); the environmental constraints of alternative internal combustion engines (gas and diesel engines); cogeneration and energy saving; the techniques of reduction of pollutant emissions (pollutants, unburnt hydrocarbons, primary and secondary (catalytic) techniques, post-combustion); the most-advanced configurations of cogeneration installations for enhanced performances (counter-pressure turbines, massive steam injection cycles, turbo-chargers); comparison between the performances of the different cogeneration techniques; the tri-generation technique (compression and absorption cycles). (J.S.)

  1. Aplicacion de la ozonoterapia en el sindrome cocleovestibular

    OpenAIRE

    Alejandro del Cerro; Silvia Menéndez; Tania Alvarez

    2010-01-01

    Se les llama síndromes cócleo-vestibulares a un grupo de afecciones caracterizadas por alteraciones de la audición y del equilibrio. Son motivos frecuentes de consulta médica y de elevado ausentismo laboral. El vértigo es el síntoma principal, aunque la hipoacusia, los acúfenos, el dolor y la sensación de humedad pueden estar presentes. Esta afección tiene una importante prevalencia y representa un alto costo económico, debido a la gama de medicamentos utilizados y prolongados tratamientos qu...

  2. SINDROME DE SILVER-RUSSELL, REPORTE DE UN CASO

    Directory of Open Access Journals (Sweden)

    Ángela Liliana Grandas Ramírez

    2012-07-01

    Full Text Available El síndrome Silver-Russell es un desorden genético (hipometilación en la región centro 1 (ICR1 del  IGF2 /H19  locus 11p15 y clínicamente heterogéneo, caracterizado por retardo del crecimiento intrauterino, baja talla y peso, y perímetro cefálico normal. Su tratamiento se basa en la  hormona del crecimiento. Se presenta el caso de una niña de 5 años que ingresa al servicio de Estomatología Pediátrica de la Fundación HOMI Hospital de la Misericordia de Bogotá, con antecedente de retardo del crecimiento intrauterino, manejada con dieta rica en carbohidratos y uso de biberón hasta los 2 y medio años, Al examen talla 88 cm y peso 9 Kg,  cara forma triangular, frente prominente, micrognatismo mandibular, apiñamiento dental y caries de la infancia temprana. Se diagnostica con retardo de la edad ósea, dental y morfológica. El tratamiento programa individual riesgo de caries y proveer una alta calidad de salud oral.

  3. Syndrome of Churg Strauss; Sindrome de Churg Strauss

    Energy Technology Data Exchange (ETDEWEB)

    Sanchez Morales, Edgar Alberto; Saavedra Rodriguez, Alfredo; Henao Riveros, Sandra

    2002-09-01

    The Churg-Strauss syndrome denominated allergic granulomatosis and angeitis is characterized by a systemic vasculitis of small glasses, extravascular granulomas and hypereosinophilia. Initially described by Jacob Churg and Lotte Strauss, two pathologists who in 1951 they published the description of 13 patient postmortem with tisular infiltration for eosinophils, necrotizant vasculitis and extravascular granulomas. The paper includes nomenclature, classification approaches, pathogenesis, pathology, and clinical aspects and diagnostic.

  4. SINDROME DE SILVER-RUSSELL, REPORTE DE UN CASO

    Directory of Open Access Journals (Sweden)

    Ángela Liliana Grandas Ramírez

    2012-12-01

    Full Text Available El síndrome Silver-Russell es un desorden genético (hipometilación en la región centro 1 (ICR1 del  IGF2 /H19  locus 11p15 y clínicamente heterogéneo, caracterizado por retardo del crecimiento intrauterino, baja talla y peso, y perímetro cefálico normal. Su tratamiento se basa en la  hormona del crecimiento. Se presenta el caso de una niña de 5 años que ingresa al servicio de Estomatología Pediátrica de la Fundación HOMI Hospital de la Misericordia de Bogotá, con antecedente de retardo del crecimiento intrauterino, manejada con dieta rica en carbohidratos y uso de biberón hasta los 2 y medio años, Al examen talla 88 cm y peso 9 Kg,  cara forma triangular, frente prominente, micrognatismo mandibular, apiñamiento dental y caries de la infancia temprana. Se diagnostica con retardo de la edad ósea, dental y morfológica. El tratamiento programa individual riesgo de caries y proveer una alta calidad de salud oral.

  5. [Giant intradiploic infratentorial epidermoid cyst].

    Science.gov (United States)

    Alberione, F; Caire, F; Fischer-Lokou, D; Gueye, M; Moreau, J J

    2007-10-01

    Epidermoid cysts are benign, uncommon lesions (1% of all intracranial tumors). Their localization is intradiploic in 25% of cases, and exceptionally subtentorial. We report here a rare case of giant intradiploic infratentorial epidermoid cyst. A 74-year old patient presented with recent diplopia and sindrome cerebellar. CT scan and MR imaging revealed a giant osteolytic extradural lesion of the posterior fossa (5.2 cm x 3.8 cm) with a small area of peripheral enhancement after contrast injection. Retrosigmoid suboccipital craniectomy allowed a satisfactory removal of the tumor, followed by an acrylic cranioplasty. The outcome was good. Neuropathological examination confirmed an epidermoid cyst. We review the literature and discuss our case.

  6. INFEKSI SALURAN KEMIH PADA GERIATRI

    Directory of Open Access Journals (Sweden)

    Kokeela Torayraju

    2015-04-01

    Full Text Available Jumlah penderita infeksi saluran kemih (ISK pada geriatri di Indonesia akan semakin meningkat dan menjadi penyebab kedua tersering setelah pneumonia. Pendekatan diagnosis dan terapi ISK pada geriatri memiliki kekhususan. Ada tidaknya gejala dan tanda spesifik serta bagaimana cara pengambilan spesimen turut berperan dalam diagnosis ISK pada geriatri. Faktor predisposisi penderita ISK pada geriatri meliputi diabetes melitus, gizi kurang, gangguan faal kognitif, depresi, gangguan status fungsional, prostatitis, riwayat operasi, dan prolaps vagina. Gejala dan tanda yang sering muncul adalah sindrom delirium, inkontinensia urin dan syncope yang diawali oleh penurunan nafsu makan. Strategi penatalaksanaan meliputi modalitas non‐ farmakologik dan farmakologik. Kata Kunci : infeksi saluran kemih (ISK, geriatri.

  7. Body hair transplant: An additional source of donor hair in hair restoration surgery

    Directory of Open Access Journals (Sweden)

    Poswal Arvind

    2007-01-01

    Full Text Available Androgenic alopecia (pattern baldness is a condition in which there is androgen mediated progressive miniaturization and loss of hair follicles in a genetically susceptible individual. A 47-year-old male patient with advanced degree of hair loss (Norwood 6 category wanted to go for full hair restoration surgery. Due to the limited availability of donor hair in the scalp, a small session with 700-chest hair was performed. On follow-up at eight months it was observed that chest hair grew and formed a cosmetically acceptable forelock.

  8. VALIDASI PEMERIKSAAN INFEKSI MENULAR SEKSUAL SECARA PENDEKATAN SINDROM PADA KELOMPOK WANITA BERPERILAKU RISIKO TINGGI

    Directory of Open Access Journals (Sweden)

    Endang R. Sedyaningsih Mamahit

    2012-09-01

    Full Text Available Accurate and adequate treatment of STIs is a critical component of STI-control activities to reduce transmission and sequelaes. On the other hand, chronic shortage in skilled staff and laboratory equipment in many countries necessitate the use of clinical skills more in order to diagnose and differentiate STIs. For these places, the WHO has recommended and produced a protocol of it syndromic approach management of STIs in place of treatment by -etiology. Since 1997 the Indonesia Ministry of Health has been conducting national training on this method. However, the syndromic approach for vaginal discharge is known to be problematic since differentiation among cervicitis, vaginitis, and even normal condition is difficult. The main objective of this study is to determine the sensitivity, specificity and positive predictive value of the syndromic approach management of women with signs and/or symptoms of abnormal vaginal discharge. The sample population were women with high risk sexual behaviors in East Java and North Sulawesi provinces. The laboratory tests using DNA hybridization probe technique (the PACE 2 test, Gen-Probe, San Diego, Calif. for Neisseria gonorrhoeae and Chlamydia trachomatis were used as gold standard. In addition, we also compared the clinical approach widely used by clinicians (mainly at hospitals with laboratory results. A total of 439 participants was recruited purposively (230 from E. Java and 209 from N.Sulawesi. In E.Java, the sensitivity, specificity, and predictive value of the syndromic management for vaginal discharge are 31%, 83%, and 59%, respectively, and in N.Sulawesi 49%, 56%, and 40%,respectively. The clinical approach did not show better results. In E.Java the sensitivity, specificity, and positive predictive value are 13%, 89%, and 50%, res­pectively, while in N.Sulawesi they are 42%, 61%, and 39%, respectively. As a conclusion, the current form of syndromic management has little use for STI screening among

  9. Dismantling techniques

    Energy Technology Data Exchange (ETDEWEB)

    Wiese, E.

    1998-03-13

    Most of the dismantling techniques used in a Decontamination and Dismantlement (D and D) project are taken from conventional demolition practices. Some modifications to the techniques are made to limit exposure to the workers or to lessen the spread of contamination to the work area. When working on a D and D project, it is best to keep the dismantling techniques and tools as simple as possible. The workers will be more efficient and safer using techniques that are familiar to them. Prior experience with the technique or use of mock-ups is the best way to keep workers safe and to keep the project on schedule.

  10. Dismantling techniques

    International Nuclear Information System (INIS)

    Wiese, E.

    1998-01-01

    Most of the dismantling techniques used in a Decontamination and Dismantlement (D and D) project are taken from conventional demolition practices. Some modifications to the techniques are made to limit exposure to the workers or to lessen the spread of contamination to the work area. When working on a D and D project, it is best to keep the dismantling techniques and tools as simple as possible. The workers will be more efficient and safer using techniques that are familiar to them. Prior experience with the technique or use of mock-ups is the best way to keep workers safe and to keep the project on schedule

  11. Esquistossomose pulmonar. II. Forma crônica reativada com hipertensão e Cor pulmonale

    Directory of Open Access Journals (Sweden)

    Jayme Neves

    1980-12-01

    Full Text Available Os Autores descrevem um caso grave de esquistossomose mansoni (forma hepática com hipertensão portal associada a forma pulmonar com hipertensão pulmonar e cor pulmonalej sobre o qual evoluiu uma sindrome toxi-infectuosa grave e de longa duração. Sucessivos exames radiológicos do tórax revelaram acometimento predominantemente arteriolar, ao lado de uma micronodulação pulmonar grosseira e difusa em ambos os hemitóraces e configuração de coração pulmonar. A histopatologia de material de biópsia pulmonar identificou basicamente uma arterite pulmonar característica, inflamação granulomatosa atípica provocada principalmente por vermes e raros ovos de S. mansoni envolvidos por escassa reação inflamatória. Para explicar a origem de constelação clínica toxi-infectuosa, foram afastadas as hipóteses de associação da esquistossomose a concausas infectuosas ou não, mas de curso febril, e a superposição de uma forma toxêmica sobre outra crônica pré-existente. Com base em dados clínicos, particularmente em subsídios da laparoscopia, e anatômicos, concluiu-se tratar o caso de uma forma crônica de esquistossomose reativada, provavelmente em virtude de alterações imunológicas inusitadas do hospedeiro. Ao que tudo parece indicar, o desvio de ovos e de vermes aos pulmões deveu-se à sindrome de hipertensão portal, cujos shunts entre a circulação portal e sistêmica determinaram a rota preferencial da migração.

  12. Mielopatia neuro-óptica: Artério e arteriolosclerose. Considerações a propósito de um caso anátomo-clínico

    Directory of Open Access Journals (Sweden)

    J. Lamartine de Assis

    1951-06-01

    Full Text Available Os autores fazem uma síntese sobre o problema atual das doenças desmielinizantes do sistema nervoso, salientando o papel da alergia, de acordo com os trabalhos mais modernos, em particular os de Ferraro e col. Assinalam a dificuldade para o estabelecimento de uma classificação, em virtude da falta de conhecimento dos agentes etiológicos desencadeantes na maioria dos casos. Apresentam uma observação anátomo-clínica de mielo-patia neuro-óptica com artério e arteriolosclerose, em que a doença se iniciou pelo acometimento do nervo óptico direito, e, somente dois meses depois, surgiram os primeiros sinais de acometimento da medula espinal. No quarto mês de doença estabeleceu-se, de modo completo, o quadro medular, com uma sindrome motora tetraplégica pirâmido-extrapiramidal, outra motora primária nas extremidades distais dos membros superiores, por acometimento das pontas anteriores e, finalmente, uma sindrome sensitiva de tipo cordonai, abrangendo todas as formas de sensibilidade, a partir de C3. A enfermidade evoluiu em 12 meses, ocorrendo a morte em conseqüência de insuficiência respiratória de origem bulbar provável. O exame anátomo-patológico mostrou atrofia e esclerose total dos nervos ópticos, discretos infiltrados parvicelulares em torno de alguns vasos intracerebrais e piais e, na medula, um quadro histopatológico comparável ao que de regra se encontra na oftalmoneuromielite; apenas, no segmento cervical, onde as lesões eram muito extensas, havia foco de amolecimento mais pronunciado do que aqueles que se observam mais freqüentemente. 0 fato talvez decorra de esclerose arterial concomitante existente neste caso. Havia, também, lesões bulbares discretas.

  13. Big Bologna. Le anomalie degli spazi pubblici in grande scala

    Directory of Open Access Journals (Sweden)

    Richard Ingersoll

    2013-06-01

    Full Text Available Nella periferia di Bologna sono nati recentemente nuovi spazi pubblici, molto diversi rispetto a quelli della città storica, che esprimono chiaramente  la mania della grandezza, la sindrome di Big Bologna. Ovunque si getta lo sguardo si notano nuove manifestazioni di una scala fuori proporzione che contribuisce alla segregazione sociale. Da quando sono arrivate le torri bianche della megastruttura di Kenzo Tange alla Fiera, la grande scala ha dato origine a spazi pubblici poco ameni per la vita urbana. Forse questi megaprogetti sono inevitabili segni dell’epoca della globalizzazione, ma ci si chiede se i committenti e i loro architetti sono stati consapevoli di quanto la progettazione di tali forme causa un deterrente alla socializzazione.

  14. Study of repeated transcranial magnetic stimulation on the treatment of cocaine addiction

    OpenAIRE

    Philip Leite Ribeiro

    2012-01-01

    INTRODUÇÃO: dependência de cocaína é um problema grave de saúde no Brasil e no mundo. Até hoje não existe um tratamento específico eficaz para este sindrome. A Estimulação Magnética Transcraniana de repetição(EMTr) é um método capaz de neuromodular o cérebro. MÉTODOS: Em um estudo randomizado duplo cego 25 pacientes dependentes de cocaína com diagnóstico feito pelo DSM IV-TR foram tratados em condição de EMTr de alta freqüência ativa (1250 pulsos/dia) ou EMTr placebo.O tratamento consiste em ...

  15. Patient-specific parameter estimation in single-ventricle lumped circulation models under uncertainty

    Science.gov (United States)

    Schiavazzi, Daniele E.; Baretta, Alessia; Pennati, Giancarlo; Hsia, Tain-Yen; Marsden, Alison L.

    2017-01-01

    Summary Computational models of cardiovascular physiology can inform clinical decision-making, providing a physically consistent framework to assess vascular pressures and flow distributions, and aiding in treatment planning. In particular, lumped parameter network (LPN) models that make an analogy to electrical circuits offer a fast and surprisingly realistic method to reproduce the circulatory physiology. The complexity of LPN models can vary significantly to account, for example, for cardiac and valve function, respiration, autoregulation, and time-dependent hemodynamics. More complex models provide insight into detailed physiological mechanisms, but their utility is maximized if one can quickly identify patient specific parameters. The clinical utility of LPN models with many parameters will be greatly enhanced by automated parameter identification, particularly if parameter tuning can match non-invasively obtained clinical data. We present a framework for automated tuning of 0D lumped model parameters to match clinical data. We demonstrate the utility of this framework through application to single ventricle pediatric patients with Norwood physiology. Through a combination of local identifiability, Bayesian estimation and maximum a posteriori simplex optimization, we show the ability to automatically determine physiologically consistent point estimates of the parameters and to quantify uncertainty induced by errors and assumptions in the collected clinical data. We show that multi-level estimation, that is, updating the parameter prior information through sub-model analysis, can lead to a significant reduction in the parameter marginal posterior variance. We first consider virtual patient conditions, with clinical targets generated through model solutions, and second application to a cohort of four single-ventricle patients with Norwood physiology. PMID:27155892

  16. Studying geodesy and earthquake hazard in and around the New Madrid Seismic Zone

    Science.gov (United States)

    Boyd, Oliver Salz; Magistrale, Harold

    2011-01-01

    Workshop on New Madrid Geodesy and the Challenges of Understanding Intraplate Earthquakes; Norwood, Massachusetts, 4 March 2011 Twenty-six researchers gathered for a workshop sponsored by the U.S. Geological Survey (USGS) and FM Global to discuss geodesy in and around the New Madrid seismic zone (NMSZ) and its relation to earthquake hazards. The group addressed the challenge of reconciling current geodetic measurements, which show low present-day surface strain rates, with paleoseismic evidence of recent, relatively frequent, major earthquakes in the region. The workshop presentations and conclusions will be available in a forthcoming USGS open-file report (http://pubs.usgs.gov).

  17. Applying Signature Extraction and Classification Algorithms on Express on Profiles of CD Markers and Toll Like Receptors to Classify and Predict Exposures to Various Pathogens

    Science.gov (United States)

    2016-02-10

    various time points  in more than three  replicates  each.    Host gene expression in vitro: Microarray analysis was carried out at 3‐6 time periods post...Bibliography 1. Gibb TR, Norwood DA, Jr., Woollen N, Henchal EA: Viral replication and host gene expression in alveolar macrophages...infected with Ebola virus (Zaire strain). Clin Diagn Lab Immunol 2002, 9:19-27. 2. Henchal EA, Teska JD, Ludwig GV, Shoemaker DR, Ezzell JW: Current

  18. Surface science techniques

    CERN Document Server

    Bracco, Gianangelo

    2013-01-01

    The book describes the experimental techniques employed to study surfaces and interfaces. The emphasis is on the experimental method. Therefore all chapters start with an introduction of the scientific problem, the theory necessary to understand how the technique works and how to understand the results. Descriptions of real experimental setups, experimental results at different systems are given to show both the strength and the limits of the technique. In a final part the new developments and possible extensions of the techniques are presented. The included techniques provide microscopic as well as macroscopic information. They cover most of the techniques used in surface science.

  19. Sindrome de Vogt-Koyanagi-Harada: relato de um caso

    Directory of Open Access Journals (Sweden)

    José Geraldo Camargo Lima

    1978-03-01

    Full Text Available É relatado um caso de síndrome de Vogt-Koyanagi-Harada que se iniciou por um quadro oftálmico inicialmente unilateral e, depois, bilateral. Um mês após o início da doença manifestou-se um quadro psiquiátrico tipo mania com fugas de idéias, euforia e diminuição do senso crítico. As alterações encontradas nos eletrencefalogramas e exames de líquido cefalorraqueano são analisadas. O caso foi seguido durante três anos e meio e apesar de ter sido submetido a corticoterapia teve má evolução do ponto de vista oftalmológico. Do ponto de vista psiquiátrico evoluiu bem. não restando sequela alguma.

  20. Sindrome de Vogt-Koyanagi-Harada: relato de dois casos

    Directory of Open Access Journals (Sweden)

    Paulo E. Marchiori

    1981-12-01

    Full Text Available Os autores relatam a síndrome de Vogt-Koyanagi-Harada em duas mulheres adultas e de cor parda. São discutidos os aspectos clínicos, epidemiológicos, heredofamiliares e imunológicos.

  1. Noonan syndrome and chylothorax; Sindrome de Noonan y quilotorax

    Energy Technology Data Exchange (ETDEWEB)

    Martinez-Leon, M. I.; Ceres-Ruiz, L.; Solbes-Vila, R.; Valls-Moreno, E. [Hospital Infantil del C.H.U. Carlos Haya. Malaga (Spain)

    2001-07-01

    Chylothorax during childhood usually develops as a result of posto-perative complications following cardiothoracic surgery. It is rarely due to the malformations of the lymphatic system associated with dysmorphic syndrome. We report two cases of Noonan syndrome involving neonatal development of chylothorax. In children with the Noonan phenotype who develop pleural effusion during the neonatal period in the absence of obstetric trauma, it is advisable to rule out the presence of congenital lymphatic malformation and study the pleural effusion, initially introducing conservative treatment with dietary therapy. Chest radiography, ultrasound and computed tomography reveal the presence of the pleural effusion and parenchymal pattern compatible with chloroethoxy and lymphangiectasis. (Author) 15 refs.

  2. EPR - spektroskopiya pri ozhirenii i metabolicheskom sindrome u zhenshchin

    Directory of Open Access Journals (Sweden)

    A G Maksina

    2001-03-01

    Full Text Available Цель. Исследовать изменения в структуре мембран эритроцитов крови при ожирении в сочетании с другими нарушениями, характерными для метаболического синдрома. Материалы и методы. Обследованы 42 пациентки в возрасте от 23 до 50 лет с избыточной массой тела и ожирением и контрольная группа (12 женщин с применением метода спинового зонда. Результаты. У пациенток и избытком массы тела и ожирением показатель мембранной упорядоченности фосфолипидов был выше, чем в контроле. . Изменение параметра S в цельной крови и сыворотке более выражено по сравнению с таковым в эритроцитах. При ожирении с сопутствующей артериальной гипертензией параметр упорядоченности достоверно выше (р

  3. Sindrom metaboličke inzulinske rezistencije i metabolizam ugljikohidrata

    OpenAIRE

    Metelko, Željko; Crkvenčić, Neva

    2004-01-01

    Stanje metaboličke inzulinske rezistencije jest nemogućnost ostvarenja biološkog učinka inzulina u koncentracijama koje su učinkovite u zdravih osoba. Utjecaj se primjećuje na metabolizmu glukoze, metabolizmu lipida, funkciji krvnih žila i trombocita te regulaciji autonomnoga živčanog sustava. Fizička neaktivnost, nepravilna prehrana i sedentarni način života značajno pridonose razvoju pretilosti, metaboličke inzulinske rezistencije i tipa 2 šećerne bolesti. Metaboličk...

  4. SINDROMES HEREDITARIOS QUE PREDISPONEN AL DESARROLLO DEL CANCER COLORRECTAL

    Directory of Open Access Journals (Sweden)

    Dr. Benedito Mauro Rossi

    2017-07-01

    En ambos síndromes, el estudio genético de los pacientes permite en altos porcentajes identificar las mutaciones causantes. En base a estos resultados, se pueden identificar los familiares portadores de mutaciones, y ofrecerles los esquemas de vigilancia y eventuales tratamientos profilácticos correspondientes a su enfermedad. Para el manejo integral de estas familias es esencial contar con un equipo multidisciplinario, para poder ofrecer consejería genética, estudio genético, educación a las familias y tratamiento respectivo en forma adecuada.

  5. Decomposition techniques

    Science.gov (United States)

    Chao, T.T.; Sanzolone, R.F.

    1992-01-01

    Sample decomposition is a fundamental and integral step in the procedure of geochemical analysis. It is often the limiting factor to sample throughput, especially with the recent application of the fast and modern multi-element measurement instrumentation. The complexity of geological materials makes it necessary to choose the sample decomposition technique that is compatible with the specific objective of the analysis. When selecting a decomposition technique, consideration should be given to the chemical and mineralogical characteristics of the sample, elements to be determined, precision and accuracy requirements, sample throughput, technical capability of personnel, and time constraints. This paper addresses these concerns and discusses the attributes and limitations of many techniques of sample decomposition along with examples of their application to geochemical analysis. The chemical properties of reagents as to their function as decomposition agents are also reviewed. The section on acid dissolution techniques addresses the various inorganic acids that are used individually or in combination in both open and closed systems. Fluxes used in sample fusion are discussed. The promising microwave-oven technology and the emerging field of automation are also examined. A section on applications highlights the use of decomposition techniques for the determination of Au, platinum group elements (PGEs), Hg, U, hydride-forming elements, rare earth elements (REEs), and multi-elements in geological materials. Partial dissolution techniques used for geochemical exploration which have been treated in detail elsewhere are not discussed here; nor are fire-assaying for noble metals and decomposition techniques for X-ray fluorescence or nuclear methods be discussed. ?? 1992.

  6. Freqüência da mutação gene da síndrome do estresse suíno e sua associação com características reprodutivas em marrãs híbridas Frequency of the porcine stress sindrome gene mutation and its association with reproductive traits in crossbred gilts

    Directory of Open Access Journals (Sweden)

    Simone Eliza Facioni Guimarães

    1999-01-01

    Full Text Available O objetivo deste trabalho foi determinar a freqüência do gene causador da síndrome do estresse em suíno (PSS e sua associação com características reprodutivas em marrãs híbridas. Setenta e duas marrãs híbridas Landrace x Large White, provenientes de granjas comerciais localizadas na região de Ponte Nova - Minas Gerais, foram analisadas para a presença da mutação PSS. No diagnóstico da mutação feito por reação em cadeia da polimerase - polimorfismo de comprimento de fragmentos de restrição (PCR-RFLP, o fragmento de 659pb do gene ryr-1 foi amplificado e, nos mutantes a substituição de citosina por timina, que acarreta mudança de aminoácidos da proteína madura de arginina para cisteína nos animais afetados, foi identificado. Dados relativos ao número de leitões nascidos vivos, leitões nascidos com baixa viabilidade e leitões natimortos por leitegada, peso médio dos leitões ao nascer e repetições de cio foram analisados. Do total de marrãs analisadas, foram encontradas 13,88% de marrãs heterozigotas e nenhuma homozigota recessiva. Não houve efeito dos genótipos sobre as características analisadas.The objective of this work was to determine the frequency of the porcine stress sindrome (PSS gene mutation and its association with reproductive traits in crossbred gilts. Seventy two crossbred Landrace x Large White females from commercial farms of Ponte Nova region location - Minas Gerais State, were analyzed for the PSS mutation. The mutation diagnose was made by polimerase chain reaction - restriction fragment length polimorphism, where the 659pb fragment from the ryr-1 gene was amplifyied, and in the mutants the substitution of cytosine by thimine, that leads to the change in the mature protein amino acids from arginine to cysteine in the affected animals, was identified. Data relative to the number of piglets born alive, born alive with low viability and dead piglets per litter, average piglets born weight and

  7. Translation Techniques

    OpenAIRE

    Marcia Pinheiro

    2015-01-01

    In this paper, we discuss three translation techniques: literal, cultural, and artistic. Literal translation is a well-known technique, which means that it is quite easy to find sources on the topic. Cultural and artistic translation may be new terms. Whilst cultural translation focuses on matching contexts, artistic translation focuses on matching reactions. Because literal translation matches only words, it is not hard to find situations in which we should not use this technique.  Because a...

  8. Specific radiography technique

    International Nuclear Information System (INIS)

    Abdul Nassir Ibrahim; Azali Muhammad; Ab. Razak Hamzah; Abd. Aziz Mohamed; Mohamad Pauzi Ismail

    2008-01-01

    Beside radiography testing using x-ray machine and gamma source, there are several technique that developed specifically to complete the testing that cannot be done with the two earlier. This technique was specific based on several factor, for the example, the advantages of neutron and electron using to show the image was unique compare to x-ray and gamma. Besides that, these special radiography techniques maybe differ in how to detect the radiation get through the object. These technique can used to inspect thin or specimen that contained radioactive material. There are several technique will discussed in this chapter such as neutron radiography, electron radiography, fluoroscopy and also autoradiography.

  9. Bone suture anchor fixation in the lower extremity: a review of insertion principles and a comparative biomechanical evaluation.

    Science.gov (United States)

    Scranton, Pierce E; Lawhon, S Michael; McDermott, John E

    2005-07-01

    Suture anchors have been developed for the fixation of ligaments, capsules, or tendons to bone. These devices have led to improved fixation, smaller incisions, earlier limb mobility, and improved outcomes. They were originally developed for use in shoulder reconstructions but are now used in almost all extremities. In the lower leg they are used in the tibia, the talus, the calcaneus, tarsal bones, and phalanges. Nevertheless, techniques for insertion and mechanisms of failure are not well described. Five suture anchors were studied to determine the pullout strength in four distal cadaver femurs and four proximal cadaver tibias from 55- and 62-year-old males. Eight hundred ninety Newton line was used, testing the anchors to failure with an Instron testing device (Instron, Norwood, MA). The anchor devices were inserted randomly and tested blindly (12 tests per anchor device, 60 tests in all). Two anchors in each group tested failed at low loads. Both types of plastic anchors had failures at the eyelet. Average pullout strength varied from 85.4 to 185.6 N. Insertion techniques are specific for each device, and they must be followed for optimal fixation. In this study, in all five groups of anchors tested two of the 12 anchors in each group failed with minimal force. On the basis of this finding we recommend that, if suture anchor fixation is necessary, at least two anchors should be used. Since there appears to be a percentage of failure in all devices, the second anchor can serve as a backup. It is imperative that surgeons be familiar with the insertion techniques of each device before use.

  10. Validity of self reported male balding patterns in epidemiological studies

    Directory of Open Access Journals (Sweden)

    Leavy Justine E

    2004-12-01

    Full Text Available Abstract Background Several studies have investigated the association between male pattern baldness and disease such as prostate cancer and cardiovascular disease. Limitations in the lack of standardized instruments to measure male pattern baldness have resulted in researchers measuring balding patterns in a variety of ways. This paper examines the accuracy and reliability of assessment of balding patterns by both trained observers and men themselves, using the Hamilton-Norwood classification system. Methods An observational study was carried out in Western Australia with 105 male volunteers aged between 30 and 70 years. Participants completed a short questionnaire and selected a picture that best represented their balding pattern. Two trained data collectors also independently assessed the participant's balding pattern using the same system and the men's self assessment was compared with the trained observer's assessment. In a substudy, observers assessed the balding pattern in a photo of the man aged 35 years while the man independently rated his balding at that age. Results Observers were very reliable in their assessment of balding pattern (85% exact agreement, κ = 0.83. Compared to trained observers, men were moderately accurate in their self-assessment of their balding status (48–55% exact agreement, κ = 0.39–0.46. For the substudy the exact agreement between the men and the observers was 67% and the agreement within balding groups was 87%. Conclusions We recommend that male balding patterns be assessed by trained personnel using the Hamilton-Norwood classification system. Where the use of trained personnel is not feasible, men's self assessment both currently and retrospectively has been shown to be adequate.

  11. Point of Technique

    African Journals Online (AJOL)

    .

    Minimally invasive techniques are becoming popular choice for the recent times. These techniques are lowering the cost and giving the best cosmetic results. For cardiovascular surgery these techniques are much more newer and much more unknown. Open lumbar sympathectomy for certain indications is a very well ...

  12. Uranium exploration techniques

    International Nuclear Information System (INIS)

    Nichols, C.E.

    1984-01-01

    The subject is discussed under the headings: introduction (genetic description of some uranium deposits; typical concentrations of uranium in the natural environment); sedimentary host rocks (sandstones; tabular deposits; roll-front deposits; black shales); metamorphic host rocks (exploration techniques); geologic techniques (alteration features in sandstones; favourable features in metamorphic rocks); geophysical techniques (radiometric surveys; surface vehicle methods; airborne methods; input surveys); geochemical techniques (hydrogeochemistry; petrogeochemistry; stream sediment geochemistry; pedogeochemistry; emanometry; biogeochemistry); geochemical model for roll-front deposits; geologic model for vein-like deposits. (U.K.)

  13. Persian fencing techniques

    Directory of Open Access Journals (Sweden)

    Manouchehr Moshtagh Khorasani

    2012-07-01

    Full Text Available There are numerous manuscripts, poems and stories that describe, specifically and in detail, the different techniques used in Persian swordsmanship. The present article explains the origins and the techniques of Persian swordsmanship. The article also describes the traditional code of conduct for Persian warriors. Additionally, it describes an array of techniques that were deployed in actual combat in Iran’s history. Some of these techniques are represented via the miniatures that are reproduced herein. This is the first article on Persian swordsmanship published in any periodical.

  14. Radiation scattering techniques

    International Nuclear Information System (INIS)

    Edmonds, E.A.

    1986-01-01

    Radiation backscattering techniques are useful when access to an item to be inspected is restricted to one side. These techniques are very sensitive to geometrical effects. Scattering processes and their application to the determination of voids, thickness measuring, well-logging and the use of x-ray fluorescence techniques are discussed. (U.K.)

  15. Workshop on New Madrid geodesy and the challenges of understanding intraplate earthquakes

    Science.gov (United States)

    Boyd, Oliver; Calais, Eric; Langbein, John; Magistrale, Harold; Stein, Seth; Zoback, Mark

    2013-01-01

    On March 4, 2011, 26 researchers gathered in Norwood, Massachusetts, for a workshop sponsored by the U.S. Geological Survey and FM Global to discuss geodesy in and around the New Madrid seismic zone (NMSZ) and its relation to earthquake hazard. The group addressed the challenge of reconciling current geodetic measurements, which show low present-day surface strain rates, with paleoseismic evidence of recent, relatively frequent, major earthquakes in the region. Several researchers were invited by the organizing committee to give overview presentations while all participants were encouraged to present their most recent ideas. The overview presentations appear in this report along with a set of recommendations.

  16. Protein losing enteropathy secondary to a pulmonary artery stent

    Directory of Open Access Journals (Sweden)

    Narayanswami Sreeram

    2012-01-01

    Full Text Available A 2-year-old patient with hypoplastic left heart syndrome presented 6 months following Fontan completion with protein-losing enteropathy (PLE. He had undergone stent implantation in the left pulmonary artery after the Norwood procedure, followed by redilation of the stent prior to Fontan completion. Combined bronchoscopic and catheterization studies during spontaneous breathing confirmed left bronchial stenosis behind the stent, and diastolic systemic ventricular pressure during expiration of 25 mm Hg. We postulate that the stent acts as a valve, against which the patient generates high expiratory pressures, which are reflected in the ventricular diastolic pressure. This may be the cause of PLE.

  17. Preference for different relaxation techniques by COPD patients: comparison between six techniques

    Directory of Open Access Journals (Sweden)

    Hyl

    2016-09-01

    Full Text Available Michael E Hyland,1 David MG Halpin,2 Sue Blake,3 Clare Seamark,3 Margaret Pinnuck,3 David Ward,3 Ben Whalley,1 Colin J Greaves,4 Adam L Hawkins,5 Dave Seamark3 1School of Psychology, University of Plymouth, Plymouth, 2Department of Respiratory Medicine, Royal Devon and Exeter Hospital, Exeter, 3Honiton Group Practice, Honiton, 4University of Exeter Medical School, Exeter, 5GSK House, Brentford, UK Background: A review of the effectiveness of relaxation techniques for chronic obstructive pulmonary disease patients has shown inconsistent results, but studies have varied in terms of technique and outcome measures. Aim: To determine patient preference for different relaxation techniques. Methods: Chronic obstructive pulmonary disease patients were presented with six techniques via a DVD and asked to rate the techniques in terms of effectiveness, rank in order of likely use, and comment. Results: Patients differed in the technique preferred and reason for that preference, but the most commonly preferred technique both for effectiveness and ease of use was “thinking of a nice place” followed by progressive relaxation and counting. Familiarity and ease of activity were commonly given reasons for preference. Conclusion: Rather than providing patients with a single technique that they might find difficult to implement, these results suggest that it would be better to give a choice. “Thinking of a nice place” is a popular but under-investigated technique. Keywords: COPD exacerbation, anxiety, relaxation techniques

  18. Training techniques for industry

    International Nuclear Information System (INIS)

    Jones, D.W.

    1978-01-01

    The advantages and disadvantages of commonly used training techniques in relation to cost-effective, prevention-oriented Quality Assurance are examined. Important questions are whether training techniques teach cost effectiveness and whether the techniques are, themselves, cost effective. To answer these questions, criteria for evaluating teaching techniques for cost effectiveness were developd, and then commonly used techniques are evaluated in terms of specific training program objectives. Motivation of personnel is also considered important to the success of a training program, and methods are outlined by which recognition of the academic quality of industrial training can be used as a motivational technique

  19. ACUTE RENAL FAILURE WITH NORMAL PLASMA UREA LEVEL SECONDARY TO ACUTE PYELONEPHITIS IN A SINGLE KIDNEY PATIENT

    Directory of Open Access Journals (Sweden)

    Imperiali N

    2006-03-01

    Full Text Available SUMMARYAcute renal failure is a syndrome that usually runs with an increase in creatinine and urea plasma levels. However, there are clinical situations in which this syndrome may run with an increase in plasma creatinine keeping normal the urea one.In this report we present a case of acute renal failure with normal plasma urea level secondary to an acute pyelonephritis in a single kidney patient. The patient had an increased fractional excretion of urea which could explain the normal plasma urea levels found despite of his reduced glomerular filtration. This increased urea excretion state was interpreted as a consequence of the nephrogenic diabetes insipidus and alteration of the intra-renal urea reciclying process that the acute pyelonephritis induced. In conclusion: Acute pyelonephritis in a single kidney patient can appear as a pattern of acute renal failure with normal plasma urea levels. RESUMEN:La insuficiencia renal aguda es un sindrome que característicamente cursa con niveles plasmáticos elevados de urea y creatinina. Sin embargo, hay situaciones clínicas en las cuales este sindrome puede cursar con un incremento de la creatininemia sin presentar elevación de la uremia.En este reporte presentamos un caso clínico de una insuficiencia renal aguda con uremia normal secundaria a una pielonefritis aguda en un paciente con riñón único. El paciente presentaba una elevada excreción fraccional de urea lo cual podía explicar su uremia normal pese a estar cursando una caída del filtrado gomerular. Dicha excreción de urea elevada fue interpretada como secundaria a una diabetes insipida nefrogénica y una alteración en el recirculado intra-renal de la urea ambos producto de la pielonefritis aguda. Concluimos que la pielonefritis aguda en un paciente mono-reno puede presentarse con un patrón de insuficiencia renal aguda con uremia normal.

  20. Diagnosis and treatment for sick building; Diagnostico y tratamiento para edificios saludables

    Energy Technology Data Exchange (ETDEWEB)

    Perez, Maria M; Salomon, Jorge A; Lazcano, Alejandro S [Facultad de Ingenieria UADY, Merida Yucatan (Mexico)

    2000-07-01

    In recent years, the indoor air quality (IAQ) in work spaces have acquired special importance. Health symptoms refer to a productivity and economic loss. IAQ health symptoms associated with acute discomfort that improve while away from work. More common, however, are apparent outbreaks of illness within work spaces in which neither environmental causes non recognized diseases can be identified. Usually reported within the last years, these events are often called sick building syndrome. To determine a sick building diagnosis and treatment, it is necessary to plan methodology based on environment comfort, habitability, energy efficiency use and nature preservation. Hereby it is presented a methodology to determine a sick building diagnosis and treatment which was applied in Superior Court of Justice building (Tribunales Primero y Segundo del Decimocuarto Circuito del Poder Judicial de la Federacion), where employees have expressed diseases as sleepiness, cold and difficulty breathing. [Spanish] En los ultimos anos, la calidad del aire en el ambiente de trabajo ha adquirido especial interes debido a la importancia que representa para el bienestar, eficiencia y productividad de los empleados. Los edificios carentes de esa calidad del aire ocasionan trastornos de salud relacionados con la falta de confort que prevalece en el ambiente de trabajo, es comun encontrar en los empleados que alli laboran, brotes de sintomas como dolores de cabeza, letargo y resfriados, entre otros. Usualmente encontrados en los ultimos anos en ambientes de oficinas a estos sintomas se les llama sindrome del edificio enfermo. Para lograr el diagnostico y tratamiento de un edificio enfermo es necesario plantear una metodologia basada en criterios de confort ambiental, habitabilidad, uso eficiente de la energia y preservacion del medio ambiente. En este trabajo presentamos una metodologia para el diagnostico y tratamiento de edificios con ese sindrome y presentamos un estudio de casos de los

  1. INSUFICIENCIA RENAL AGUDA CON UREMIA NORMAL EN PACIENTE MONO-RENO SECUNDARIA A PIELONEFRITIS AGUDA

    Directory of Open Access Journals (Sweden)

    Musso CG

    2006-03-01

    Full Text Available RESUMEN:La insuficiencia renal aguda es un sindrome que característicamente cursa con niveles plasmáticos elevados de urea y creatinina. Sin embargo, hay situaciones clínicas en las cuales este sindrome puede cursar con un incremento de la creatininemia sin presentar elevación de la uremia.En este reporte presentamos un caso clínico de una insuficiencia renal aguda con uremia normal secundaria a una pielonefritis aguda en un paciente con riñón único. El paciente presentaba una elevada excreción fraccional de urea lo cual podía explicar su uremia normal pese a estar cursando una caída del filtrado gomerular. Dicha excreción de urea elevada fue interpretada como secundaria a una diabetes insipida nefrogénica y una alteración en el recirculado intra-renal de la urea ambos producto de la pielonefritis aguda. Concluimos que la pielonefritis aguda en un paciente mono-reno puede presentarse con un patrón de insuficiencia renal aguda con uremia normal. SUMMARYAcute renal failure is a syndrome that usually runs with an increase in creatinine and urea plasma levels. However, there are clinical situations in which this syndrome may run with an increase in plasma creatinine keeping normal the urea one.In this report we present a case of acute renal failure with normal plasma urea level secondary to an acute pyelonephritis in a single kidney patient. The patient had an increased fractional excretion of urea which could explain the normal plasma urea levels found despite of his reduced glomerular filtration. This increased urea excretion state was interpreted as a consequence of the nephrogenic diabetes insipidus and alteration of the intra-renal urea reciclying process that the acute pyelonephritis induced. In conclusion: Acute pyelonephritis in a single kidney patient can appear as a pattern of acute renal failure with normal plasma urea levels.

  2. INSUFICIENCIA RENAL AGUDA CON UREMIA NORMAL EN PACIENTE MONO-RENO SECUNDARIA A PIELONEFRITIS AGUDA

    Directory of Open Access Journals (Sweden)

    Musso CG

    2007-04-01

    Full Text Available RESUMENLa insuficiencia renal aguda es un sindrome que característicamente cursa con niveles plasmáticos elevados de urea y creatinina. Sin embargo, hay situaciones clínicas en las cuales este sindrome puede cursar con un incremento de la creatininemia sin presentar elevación de la uremia. En este reporte presentamos un caso clínico de una insuficiencia renal aguda con uremia normal secundaria a una pielonefritis aguda en un paciente con riñón único. El paciente presentaba una elevada excreción fraccional de urea lo cual podía explicar su uremia normal pese a estar cursando una caída del filtrado gomerular. Dicha excreción de urea elevada fue interpretada como secundaria a una diabetes insipida nefrogénica y una alteración en el recirculado intra-renal de la urea ambos producto de la pielonefritis aguda. Concluimos que la pielonefritis aguda en un paciente mono-reno puede presentarse con un patrón de insuficiencia renal aguda con uremia normal.SUMMARYAcute renal failure is a syndrome that usually runs with an increase in creatinine and urea plasma levels. However, there are clinical situations in which this syndrome may run with an increase in plasma creatinine keeping normal the urea one. In this report we present a case of acute renal failure with normal plasma urea level secondary to an acute pyelonephritis in a single kidney patient. The patient had an increased fractional excretion of urea which could explain the normal plasma urea levels found despite of his reduced glomerular filtration. This increased urea excretion state was interpreted as a consequence of the nephrogenic diabetes insipidus and alteration of the intra-renal urea reciclying process that the acute pyelonephritis induced. In conclusion: Acute pyelonephritis in a single kidney patient can appear as a pattern of acute renal failure with normal plasma urea levels.

  3. ACUTE RENAL FAILURE WITH NORMAL PLASMA UREA LEVEL SECONDARY TO ACUTE PYELONEPHITIS IN A SINGLE KIDNEY PATIENT

    Directory of Open Access Journals (Sweden)

    Algranati L

    2007-04-01

    Full Text Available SUMMARY: Acute renal failure is a syndrome that usually runs with an increase in creatinine and urea plasma levels. However, there are clinical situations in which this syndrome may run with an increase in plasma creatinine keeping normal the urea one. In this report we present a case of acute renal failure with normal plasma urea level secondary to an acute pyelonephritis in a single kidney patient. The patient had an increased fractional excretion of urea which could explain the normal plasma urea levels found despite of his reduced glomerular filtration. This increased urea excretion state was interpreted as a consequence of the nephrogenic diabetes insipidus and alteration of the intra-renal urea reciclying process that the acute pyelonephritis induced. In conclusion: Acute pyelonephritis in a single kidney patient can appear as a pattern of acute renal failure with normal plasma urea levels.RESUMEN: La insuficiencia renal aguda es un sindrome que característicamente cursa con niveles plasmáticos elevados de urea y creatinina. Sin embargo, hay situaciones clínicas en las cuales este sindrome puede cursar con un incremento de la creatininemia sin presentar elevación de la uremia. En este reporte presentamos un caso clínico de una insuficiencia renal aguda con uremia normal secundaria a una pielonefritis aguda en un paciente con riñón único. El paciente presentaba una elevada excreción fraccional de urea lo cual podía explicar su uremia normal pese a estar cursando una caída del filtrado gomerular. Dicha excreción de urea elevada fue interpretada como secundaria a una diabetes insipida nefrogénica y una alteración en el recirculado intra-renal de la urea ambos producto de la pielonefritis aguda. Concluimos que la pielonefritis aguda en un paciente mono-reno puede presentarse con un patrón de insuficiencia renal aguda con uremia normal.

  4. Syndrome of low T{sub 3} in patients with thyroid illness; Sindrome de T{sub 3} baja en pacientes con enfermedad de tiroides

    Energy Technology Data Exchange (ETDEWEB)

    Badillo A, V.; Castaneda L, R.; Carrera D, A.A. [Laboratorio de Radioinmunoanalisis, UAZ, 98000 Zacatecas (Mexico)]: vbadillocren@hotmail.com

    2008-07-01

    The euthyroid sick syndrome or non-thyroid systemic illness, described by first time in 1974, is a syndrome characterized by alterations of laboratory of the thyroid tests, being values, normal serics of TSH, together with low thyroxine concentrations (T{sub 4}) and triiodothyronine (T{sub 3}) totals. The more common alteration it is the fall of the concentrations of peripheral T{sub 3} caused by the decrease of the activity 5'-deiodinase and to the deficit of the capacity of fixation of the transporter proteins. In the professional practice it should differ if the changes evidenced in the thyroid hormonal levels are induced by overthrow of the thyroid function or by non-thyroid systemic illnesses. The quantification in the laboratory it makes by means of analytical techniques appropriate and sensitive as the radioimmunoanalysis (RIA) or the immunoradiometric analysis (IRMA). These nuclear analytical techniques are based on the biochemical reaction of the antigen with the antibody where in the radioimmunoanalysis (RIA), an antigen without marking well-known as 'cold' it competes with a labelled antigen with a radioisotope I-125, well-known as 'hot', by the places of union of the antibody, and in the technique of immunoradiometric analysis (IRMA), an antibody without marked is saturated with the 'cold' antigen and the biochemical reaction is completed uniting a 'hot' antibody marked with a radioisotope I-125 this reaction is also known as 'Sandwich', in both techniques the count of the radioactivity will be in function of the concentration of the antigen without marking or 'cold'. This work was carried out in the Laboratory of Radioimmunoanalysis of the Academic Unit of Nuclear studies of the Autonomous University of Zacatecas. They were studied at 813 ambulatory patients that go to be carried out exams like part of a health control, the results that were obtained are the following 103 patients with

  5. Pulse holographic measurement techniques

    International Nuclear Information System (INIS)

    Kim, Cheol Jung; Baik, Seong Hoon; Hong, Seok Kyung; Kim, Jeong Moog; Kim, Duk Hyun

    1992-01-01

    With the development of laser, remote inspection techniques using laser have been growing on. The inspection and measurement techniques by pulse holography are well-established technique for precise measurement, and widely used in various fields of industry now. In nuclear industry, this technology is practically used because holographic inspection is remote, noncontact, and precise measurement technique. In relation to remote inspection technology in nuclear industry, state-of-the art of pulse HNDT (Holographic non-destructive testing) and holographic measurement techniques are examined. First of all, the fundamental principles as well as practical problems for applications are briefly described. The fields of pulse holography have been divided into the HNDT, flow visualization and distribution study, and other application techniques. Additionally holographic particle study, bubble chamber holography, and applications to other visualization techniques are described. Lastly, the current status for the researches and applications of pulse holography to nuclear industry which are carried out actively in Europe and USA, is described. (Author)

  6. SEM-based characterization techniques

    International Nuclear Information System (INIS)

    Russell, P.E.

    1986-01-01

    The scanning electron microscope is now a common instrument in materials characterization laboratories. The basic role of the SEM as a topographic imaging system has steadily been expanding to include a variety of SEM-based analytical techniques. These techniques cover the range of basic semiconductor materials characterization to live-time device characterization of operating LSI or VLSI devices. This paper introduces many of the more commonly used techniques, describes the modifications or additions to a conventional SEM required to utilize the techniques, and gives examples of the use of such techniques. First, the types of signals available from a sample being irradiated by an electron beam are reviewed. Then, where applicable, the type of spectroscopy or microscopy which has evolved to utilize the various signal types are described. This is followed by specific examples of the use of such techniques to solve problems related to semiconductor technology. Techniques emphasized include: x-ray fluorescence spectroscopy, electron beam induced current (EBIC), stroboscopic voltage analysis, cathodoluminescnece and electron beam IC metrology. Current and future trends of some of the these techniques, as related to the semiconductor industry are discussed

  7. Nuclear techniques in hydrology

    International Nuclear Information System (INIS)

    Moser, H.

    1976-01-01

    The nuclear techniques used in hydrology are usually tracer techniques based on the use of nuclides either intentionally introduced into, or naturally present in the water. The low concentrations of these nuclides, which must be detected in groundwater and surface water, require special measurement techniques for the concentrations of radioactive or of stable nuclides. The nuclear techniques can be used most fruitfully in conjunction with conventional methods for the solution of problems in the areas of hydrology, hydrogeology and glacier hydrology. Nuclear techniques are used in practice in the areas of prospecting for water, environment protection and engineering hydrogeology. (orig.) [de

  8. Hepato-renal Syndrome: Etiopathogenesis, Diagnosis and Treatment

    Directory of Open Access Journals (Sweden)

    Nešić Jelena

    2014-06-01

    Full Text Available Hepatorenalni sindrom (HRS predstavlja reverzibilnu bubrežnu insufi cijenciju kod bolesnika sa uznapredovalom cirozom ili akutnom insufi cijencijom jetre . Cilj rada je da utvrdi patogenetske mehanizme razvoja hepatorenalnog sindroma i da ukaže na klinički značaj ranog otkrivanja i pravovremenog lečenja bolesnika sa hepatorenalnim sindromom. Jednogodisnja stopa hepatorenalnog sindroma kod bolesnika sa cirozom jetre iznosi 18-20%. U faktore rizika za nastanak hepatorenalnog sindroma spadaju: spontani bakterijski peritonitis, gastrointestinalno krvarenje, nefrotoksični lekovi, diuretici, nesteroidni antiinflamatorni lekovi, hiponatriemija. Primarni plan lečenja je transplantacija jetre, dok sekundarni plan lečenja je primena vazokonstriktora u kombinaciji sa albuminima. Rano dijagnostikovanje i pravovremena primena odgovarajućeg lečenja znatno smanjuju stopu smrtnosti bolesnika obolelih od hepatorenalnog sindroma.

  9. Meningo-encefalite equina da Halicephalobus gingivalis: contributo casistico nell’ambito delle attività di sorveglianza della Febbre del Nilo occidentale (West Nile disease

    Directory of Open Access Journals (Sweden)

    Gabriella Di Francesco

    2012-12-01

    Full Text Available Un cavallo di 7 anni è stato abbattuto dopo aver manifestato una grave sindrome neurologica a rapida evoluzione. Campioni tessutali sono stati inviati al Centro Studi Malattie Esotiche dell’Istituto Zooprofilattico Sperimentale dell’Abruzzo e del Molise “G. Caporale” (Istituto G. Caporale per gli accertamenti diagnostici del caso. Gli esami per le più comuni virosi neurologiche equine non hanno evidenziato la presenza di infezioni in atto. Istologicamente, si è osservata a livello encefalico la presenza di manicotti perivascolari e numerosi corpi parassitari, morfologicamente riferibili a Halicephalobus gingivalis. Il rinvenimento ha consentito di formulare la diagnosi di meningo-encefalite da H. gingivalis. Il caso riportato conferma che le encefaliti parassitarie devono essere annoverate nella diagnosi differenziale delle encefalopatie equine e sottolinea l’utilità dell’approccio diagnostico multidisciplinare.

  10. Complicações pulmonares de endocardite tricúspide num doente toxicómano

    Directory of Open Access Journals (Sweden)

    Carlos Lousada

    1997-01-01

    Full Text Available RESUMO: Os autore apresentam o caso clínico de um doente toxicodependente com embolias pulmonares sépticas, pneumotórax e derrame pleural secundários a endocardite tricúspide e sindrome nefrótico.Discutese o diagnóstico, mecanismos etiopatogénicos, terapêutica médica, indicações cirúrgicas e prognóstico destas situações. SUMMARY: The authors present a case of an intravenous drug addict with septic pulmonary embolism, pneumothorax and pleural effusion secondary to tricuspid infectious endocarditis and nephrotic syndrome.The diagnosis, etiopathogenic mechanisms, treatment implications, the role of surgery and the prognosis are discussed. Palavras-chave: embolia pulmonar séptica, pneumotórax, endocardite tricúspide, Key-Word: septic pulmonary emboli, pneumothorax, tricuspid endocarditis

  11. Protaper--hybrid technique.

    Science.gov (United States)

    Simon, Stephane; Lumley, Philip; Tomson, Phillip; Pertot, Wilhelm-Joseph; Machtou, Pierre

    2008-03-01

    Crown down preparation is the most known and described technique since the introduction of Nickel Titanium (NiTi) rotary instruments in endodontics. This technique gives good results but has limitations, such as not addressing the initial anatomy of oval or dumb-bell shaped canals. The specific design of the Protaper instruments allows use of them with a different technique and, specifically, with a brushing motion in the body of the canal. The recent introduction of hand Protaper files has expanded the range of application of this system, especially in curved canals. The 'hybrid technique', using rotary and hand files, and the advantages of the combination of both instruments, are clearly described in this article. Used with this technique, the Protaper is a very safe system to use, and more controllable, for both inexperienced and experienced practitioners alike, than other systems. To understand the precautions needed with rotary files, and how to use them to preserve the anatomy of the canal and get a tapered shaping, even in severely curved canals.

  12. [Polycystic ovary sindrome: impact on reproductive and material fetal health].

    Science.gov (United States)

    Fux Otta, Carolina; Iraci, Gabriel Santino; Szafryk de Mereshian, Paula; Fiol de Cuneo, Marta

    2016-01-01

    Polycystic ovary syndrome (PCOS) is characterized by hyperandrogenism (H), oligo-anovulation (O) and / or polycystic ovaries (P). There is currently little information on perinatal complications. to investigate obstetric and neonatal characteristics of women with PCOS in our population. we studied 87 pregnant women with PCOS (categorized in four phenotypes according Rotterdam Consensus: A (H + O + P) n = 53; B (H + O) n = 9; C (H + P) n = 16 and D (O + P) n = 9) and 96 without PCOS (control). We analyzed clinical and biochemical features (age, anthropometry hirsutism, acanthosis nigricans, OGTT, insulin, lipid profile, androgen and gonadotropins) during preconception, (weight gain, blood pressure, OGTT) through gestation and occurrence of perinatal complications. we found no differences in age (29.4 ± 4 and 28.7 ± 5 years) and body mass index (28.2 ± 6 and 27.8 ± 6 kg / m2) in both groups; while patients with PCOS had higher waist circumference, blood pressure and acanthosis nigricans versus control. Despite similar weight gain, patients with PCOS had higher percentage of perinatal complications. In the A phenotype RR for perinatal adverse outcomes was 2.37 (95%CI: 1.67-3.36, p <0.001). The HOMA-IR index preconception and fasting glucose during pregnancy were the predictors for these complications (p=0.01). patients with PCOS have a higher risk for complications during pregnancy and newborns more frequently have low weight or macrosomy. A careful history can recognize patients with higher perinatal risk to develop complications.

  13. Giperkortitsizm i metabolicheskiy sindrom: slozhnosti differentsial'noy diagnostiki i lecheniya

    Directory of Open Access Journals (Sweden)

    L K Dzeranova

    2012-06-01

    Full Text Available Hypercortisolism is a severe endocrine disorder that leads to all types of metabolic disturbances. The most frequent symptom of hypercortisolism is a specific weight gain and body fat distribution - "cushingoid" obesity which clinically reflects the pathological changes in protein, carbohydrate and lipids metabolism. We provide a clinical case of a patient with Cushing's disease. This clinical case represents challenges in the differential diagnosis of this rare endocrine disorder and metabolic syndrome, and specific approach in further evaluation and treatment of Cushing's disease that requires all the latest technology in this field to be employed.

  14. Giperkortitsizm i metabolicheskiy sindrom: slozhnosti differentsial'noy diagnostiki i lecheniya

    Directory of Open Access Journals (Sweden)

    2012-06-01

    Full Text Available Hypercortisolism is a severe endocrine disorder that leads to all types of metabolic disturbances. The most frequent symptom of hypercortisolism is a specific weight gain and body fat distribution - "cushingoid" obesity which clinically reflects the pathological changes in protein, carbohydrate and lipids metabolism. We provide a clinical case of a patient with Cushing's disease. This clinical case represents challenges in the differential diagnosis of this rare endocrine disorder and metabolic syndrome, and specific approach in further evaluation and treatment of Cushing's disease that requires all the latest technology in this field to be employed.

  15. SINDROME DE BURNOUT E SUAS CONSEQUENCIAS NOS PROFISSIONAIS DE ENFERMAGEM

    Directory of Open Access Journals (Sweden)

    Clecilene Gomes CARVALHO

    2011-01-01

    Full Text Available Burnout is an English word that refers to something that crashed from exhaustion. It is a problem that affects service professionals, particularly those facing care activities with others, in which the provision of care or service often occurs in situations of emotional changes. The syndrome takes a multidimensional concept, whosemanifestation is characterized by emotional exhaustion, reduced personal accomplishment and depersonalization of the other. Taking into consideration that nurses, technicians and nursing assistants, are a great group with a predisposition to develop the syndrome because they are health professionals who spend more time in contact with the patient and their family members within the work environment emotional situations of constant change, we performed abibliographic review in order to gather information on key risk factors that favor the onset of the Burnout syndrome and its consequences for the individual, organization and society. This work will serve as a subsidy for reflection and discussion, both the professionals involved, as future managers and professionals.

  16. Low current beam techniques

    Energy Technology Data Exchange (ETDEWEB)

    Saint, A.; Laird, J.S.; Bardos, R.A.; Legge, G.J.F. [Melbourne Univ., Parkville, VIC (Australia). School of Physics; Nishijima, T.; Sekiguchi, H. [Electrotechnical Laboratory, Tsukuba (Japan).

    1993-12-31

    Since the development of Scanning Transmission Microscopy (STIM) imaging in 1983 many low current beam techniques have been developed for the scanning (ion) microprobe. These include STIM tomography, Ion Beam Induced Current, Ion Beam Micromachining and Microlithography and Ionoluminense. Most of these techniques utilise beam currents of 10{sup -15} A down to single ions controlled by beam switching techniques This paper will discuss some of the low beam current techniques mentioned above, and indicate, some of their recent applications at MARC. A new STIM technique will be introduced that can be used to obtain Z-contrast with STIM resolution. 4 refs., 3 figs.

  17. Low current beam techniques

    Energy Technology Data Exchange (ETDEWEB)

    Saint, A; Laird, J S; Bardos, R A; Legge, G J.F. [Melbourne Univ., Parkville, VIC (Australia). School of Physics; Nishijima, T; Sekiguchi, H [Electrotechnical Laboratory, Tsukuba (Japan).

    1994-12-31

    Since the development of Scanning Transmission Microscopy (STIM) imaging in 1983 many low current beam techniques have been developed for the scanning (ion) microprobe. These include STIM tomography, Ion Beam Induced Current, Ion Beam Micromachining and Microlithography and Ionoluminense. Most of these techniques utilise beam currents of 10{sup -15} A down to single ions controlled by beam switching techniques This paper will discuss some of the low beam current techniques mentioned above, and indicate, some of their recent applications at MARC. A new STIM technique will be introduced that can be used to obtain Z-contrast with STIM resolution. 4 refs., 3 figs.

  18. Applications of Electromigration Techniques: Applications of Electromigration Techniques in Food Analysis

    Science.gov (United States)

    Wieczorek, Piotr; Ligor, Magdalena; Buszewski, Bogusław

    Electromigration techniques, including capillary electrophoresis (CE), are widely used for separation and identification of compounds present in food products. These techniques may also be considered as alternate and complementary with respect to commonly used analytical techniques, such as high-performance liquid chromatography (HPLC), or gas chromatography (GC). Applications of CE concern the determination of high-molecular compounds, like polyphenols, including flavonoids, pigments, vitamins, food additives (preservatives, antioxidants, sweeteners, artificial pigments) are presented. Also, the method developed for the determination of proteins and peptides composed of amino acids, which are basic components of food products, are studied. Other substances such as carbohydrates, nucleic acids, biogenic amines, natural toxins, and other contaminations including pesticides and antibiotics are discussed. The possibility of CE application in food control laboratories, where analysis of the composition of food and food products are conducted, is of great importance. CE technique may be used during the control of technological processes in the food industry and for the identification of numerous compounds present in food. Due to the numerous advantages of the CE technique it is successfully used in routine food analysis.

  19. Contemporary results of surgical repair of recurrent aortic arch obstruction.

    Science.gov (United States)

    Mery, Carlos M; Khan, Muhammad S; Guzmán-Pruneda, Francisco A; Verm, Raymond; Umakanthan, Ramanan; Watrin, Carmen H; Adachi, Iki; Heinle, Jeffrey S; McKenzie, E Dean; Fraser, Charles D

    2014-07-01

    There is a paucity of data on the current outcomes of surgical intervention for recurrent aortic arch obstruction (RAAO) after initial aortic arch repair in children. The goal of this study is to report the long-term results in these patients. All patients undergoing surgical intervention for RAAO at Texas Children's Hospital from 1995 to 2012 were included. The cohort was divided into four groups based on initial procedure: (1) simple coarctation repair, (2) Norwood procedure, (3) complex congenital heart disease, and (4) interrupted aortic arch. A total of 48 patients age 9 months (range, 22 days to 36 years) underwent 49 procedures for RAAO. All patients had an anatomic repair consisting of either patch aortoplasty (n=27, 55%), aortic arch advancement (n=8, 16%), sliding arch aortoplasty (n=6, 12%), placement of an interposition graft (n=2, 17%), reconstruction with donor allograft (n=4, 8%), extended end-to-end anastomosis (n=1, 2%), or redo Norwood-type reconstruction (n=1, 2%). Most procedures (n=46, 94%) were performed through a median sternotomy using cardiopulmonary bypass. At a median follow-up of 6.1 years (range, 9 days to 17 years), only 2 patients required surgical or catheter-based intervention for RAAO. Hypertension was present in 10% of patients at last follow-up. There were no neurologic or renal complications. There was 1 perioperative death after an aortic arch advancement in group 1. Four other patients have died during follow-up, none of the deaths related to RAAO. Anatomic repair of RAAO is a safe procedure associated with low morbidity and mortality, and low long-term reintervention rates. Copyright © 2014 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  20. Spectrometric techniques 4

    CERN Document Server

    Vanasse, George A

    2013-01-01

    Spectrometric Techniques, Volume IV discusses three widely diversified areas of spectrometric techniques. The book focuses on three spectrometric methods. Chapter 1 discusses the phenomenology and applications of Coherent Anti-Stokes Raman Spectroscopy (CARS), the most commonly used optical technique that exploit the Raman effect. The second chapter is concerned with diffraction gratings and mountings for the Vacuum Ultraviolet Spectral Region. Chapter 3 accounts the uses of mass spectrometry, detectors, types of spectrometers, and ion sources. Physicists and chemists will find the book a go

  1. Spectrometric techniques 2

    CERN Document Server

    Vanasse, George A

    2013-01-01

    Spectrometric Techniques, Volume II provides information pertinent to vacuum ultraviolet techniques to complete the demonstration of the diversity of methods available to the spectroscopist interested in the ultraviolet visible and infrared spectral regions. This book discusses the specific aspects of the technique of Fourier transform spectroscopy.Organized into five chapters, this volume begins with an overview of the large number of systematic effects in the recording of an interferogram. This text then examines the design approach for a Fourier transform spectrometer with focus on optics.

  2. Spectrometric techniques 3

    CERN Document Server

    Vanasse, George A

    2013-01-01

    Spectrometric Techniques, Volume III presents the applications of spectrometric techniques to atmospheric and space studies. This book reviews the spectral data processing and analysis techniques that are of broad applicability.Organized into five chapters, this volume begins with an overview of the instrumentation used for obtaining field data. This text then reviews the contribution that space-borne spectroscopy in the thermal IR has made to the understanding of the planets. Other chapters consider the instruments that have recorded the planetary emission spectra. This book discusses as well

  3. Quality Attribute Techniques Framework

    Science.gov (United States)

    Chiam, Yin Kia; Zhu, Liming; Staples, Mark

    The quality of software is achieved during its development. Development teams use various techniques to investigate, evaluate and control potential quality problems in their systems. These “Quality Attribute Techniques” target specific product qualities such as safety or security. This paper proposes a framework to capture important characteristics of these techniques. The framework is intended to support process tailoring, by facilitating the selection of techniques for inclusion into process models that target specific product qualities. We use risk management as a theory to accommodate techniques for many product qualities and lifecycle phases. Safety techniques have motivated the framework, and safety and performance techniques have been used to evaluate the framework. The evaluation demonstrates the ability of quality risk management to cover the development lifecycle and to accommodate two different product qualities. We identify advantages and limitations of the framework, and discuss future research on the framework.

  4. Detour technique, Dipping technique, or IIeal bladder flap technique for surgical correction of uretero-ileal anastomotic stricture in orthotopic ileal neobladder

    Directory of Open Access Journals (Sweden)

    Mohamed Wishahi

    2015-08-01

    Full Text Available ABSTRACTBackground:Uretero-ileal anastomotic stricture (UIAS is a urological complication after ileal neobladder, the initial management being endourological intervention. If this fails or stricture recurs, surgical intervention will be indicated.Design and Participants:From 1994 to 2013, 129 patients were treated for UIAS after unsuccessful endourological intervention. Unilateral UIAS was present in 101 patients, and bilateral in 28 patients; total procedures were 157. The previous ileal neobladder techniques were Hautmann neobladder, detubularized U shape, or spherical shape neobladder.Surgical procedures:Dipping technique was performed in 74 UIAS. Detour technique was done in 60 renal units. Ileal Bladder flap was indicated in 23 renal units. Each procedure ended with insertion of double J, abdominal drain, and indwelling catheter.Results:Follow-up was done for 12 to 36 months. Patency of the anastomosis was found in 91.7 % of cases. Thirteen patients (8.3% underwent antegrade dilatation and insertion of double J.Conclusion:After endourological treatment for uretero-ileal anastomotic failure, basically three techniques may be indicated: dipping technique, detour technique, and ileal bladder flap. The indications are dependent on the length of the stenotic/dilated ureteral segment. Better results for long length of stenotic ureter are obtained with detour technique; for short length stenotic ureter dipping technique; when the stenotic segment is 5 cm or more with a short ureter, the ileal tube flap is indicated. The use of double J stent is mandatory in the majority of cases. Early intervention is the rule for protecting renal units from progressive loss of function.

  5. Emerging optical nanoscopy techniques

    Directory of Open Access Journals (Sweden)

    Montgomery PC

    2015-09-01

    Full Text Available Paul C Montgomery, Audrey Leong-Hoi Laboratoire des Sciences de l'Ingénieur, de l'Informatique et de l'Imagerie (ICube, Unistra-CNRS, Strasbourg, France Abstract: To face the challenges of modern health care, new imaging techniques with subcellular resolution or detection over wide fields are required. Far field optical nanoscopy presents many new solutions, providing high resolution or detection at high speed. We present a new classification scheme to help appreciate the growing number of optical nanoscopy techniques. We underline an important distinction between superresolution techniques that provide improved resolving power and nanodetection techniques for characterizing unresolved nanostructures. Some of the emerging techniques within these two categories are highlighted with applications in biophysics and medicine. Recent techniques employing wider angle imaging by digital holography and scattering lens microscopy allow superresolution to be achieved for subcellular and even in vivo, imaging without labeling. Nanodetection techniques are divided into four subcategories using contrast, phase, deconvolution, and nanomarkers. Contrast enhancement is illustrated by means of a polarized light-based technique and with strobed phase-contrast microscopy to reveal nanostructures. Very high sensitivity phase measurement using interference microscopy is shown to provide nanometric surface roughness measurement or to reveal internal nanometric structures. Finally, the use of nanomarkers is illustrated with stochastic fluorescence microscopy for mapping intracellular structures. We also present some of the future perspectives of optical nanoscopy. Keywords: microscopy, imaging, superresolution, nanodetection, biophysics, medical imaging

  6. Techniques involving extreme environment, nondestructive techniques, computer methods in metals research, and data analysis

    International Nuclear Information System (INIS)

    Bunshah, R.F.

    1976-01-01

    A number of different techniques which range over several different aspects of materials research are covered in this volume. They are concerned with property evaluation of 4 0 K and below, surface characterization, coating techniques, techniques for the fabrication of composite materials, computer methods, data evaluation and analysis, statistical design of experiments and non-destructive test techniques. Topics covered in this part include internal friction measurements; nondestructive testing techniques; statistical design of experiments and regression analysis in metallurgical research; and measurement of surfaces of engineering materials

  7. Separation techniques: Chromatography

    Science.gov (United States)

    Coskun, Ozlem

    2016-01-01

    Chromatography is an important biophysical technique that enables the separation, identification, and purification of the components of a mixture for qualitative and quantitative analysis. Proteins can be purified based on characteristics such as size and shape, total charge, hydrophobic groups present on the surface, and binding capacity with the stationary phase. Four separation techniques based on molecular characteristics and interaction type use mechanisms of ion exchange, surface adsorption, partition, and size exclusion. Other chromatography techniques are based on the stationary bed, including column, thin layer, and paper chromatography. Column chromatography is one of the most common methods of protein purification. PMID:28058406

  8. New techniques in quality assurance

    International Nuclear Information System (INIS)

    Fornicola, J.C.

    1987-01-01

    GPU Nuclear Corp. has a multifaceted quality assurance (QA) program. This program includes a comprehensive QA organization to help ensure its implementation. The QA organization employs various techniques in assuring quality at GPU Nuclear. These techniques not only include the typical QA/quality-control verification activities, i.e., QA engineering, quality control, and audits, but also include some new innovative techniques. Several new techniques have been developed for verifying activities. These techniques include monitoring and functional audits of safety systems. Several new techniques for assessing performance and adequacy and effectiveness of plant and QA programs, such as plant assessments and QA systems engineering evaluations, have also been developed. This paper provides an overview of these and other new techniques being employed by GPU Nuclear's QA organization

  9. Microalgae harvesting techniques: A review.

    Science.gov (United States)

    Singh, Gulab; Patidar, S K

    2018-07-01

    Microalgae with wide range of commercial applications have attracted a lot of attention of the researchers in the last few decades. However, microalgae utilization is not economically sustainable due to high cost of harvesting. A wide range of solid - liquid separation techniques are available for microalgae harvesting. The techniques include coagulation and flocculation, flotation, centrifugation and filtration or a combination of various techniques. Despite the importance of harvesting to the economics and energy balance, there is no universal harvesting technique for microalgae. Therefore, this review focuses on assessing technical, economical and application potential of various harvesting techniques so as to allow selection of an appropriate technology for cost effectively harvesting of microalgae from their culture medium. Various harvesting and concentrating techniques of microalgae were reviewed to suggest order of suitability of the techniques for four main microalgae applications i.e biofuel, human and animal food, high valued products, and water quality restoration. For deciding the order of suitability, a comparative analysis of various harvesting techniques based on the six common criterions (i.e biomass quality, cost, biomass quantity, processing time, species specific and toxicity) has been done. Based on the order of various techniques vis-a-vis various criteria and preferred order of criteria for various applications, order of suitability of harvesting techniques for various applications has been decided. Among various harvesting techniques, coagulation and flocculation, centrifugation and filtration were found to be most suitable for considered applications. These techniques may be used alone or in combination for increasing the harvesting efficiency. Copyright © 2018 Elsevier Ltd. All rights reserved.

  10. Method for automatically evaluating a transition from a batch manufacturing technique to a lean manufacturing technique

    Science.gov (United States)

    Ivezic, Nenad; Potok, Thomas E.

    2003-09-30

    A method for automatically evaluating a manufacturing technique comprises the steps of: receiving from a user manufacturing process step parameters characterizing a manufacturing process; accepting from the user a selection for an analysis of a particular lean manufacturing technique; automatically compiling process step data for each process step in the manufacturing process; automatically calculating process metrics from a summation of the compiled process step data for each process step; and, presenting the automatically calculated process metrics to the user. A method for evaluating a transition from a batch manufacturing technique to a lean manufacturing technique can comprise the steps of: collecting manufacturing process step characterization parameters; selecting a lean manufacturing technique for analysis; communicating the selected lean manufacturing technique and the manufacturing process step characterization parameters to an automatic manufacturing technique evaluation engine having a mathematical model for generating manufacturing technique evaluation data; and, using the lean manufacturing technique evaluation data to determine whether to transition from an existing manufacturing technique to the selected lean manufacturing technique.

  11. Non-contact ultrasound techniques

    International Nuclear Information System (INIS)

    Khazali Mohd Zin

    2001-01-01

    Non-contact ultrasound plays significant role in material characterisation and inspection. Unlike conventional ultrasonic techniques, non-contact ultrasonic is mostly applicable to areas where the former has its weaknesses and limitations. It is interesting to note that the non-contact ultrasonic technique has an important significant application in industry. The technique is signified by the fact that the object to be inspected is further away from the ultrasonic source, no couplant is needed and inconsistent pressure between the transducer and the specimen can be eliminated. The paper discusses some of the non-contact ultrasound technique and its applications. (Author)

  12. Principles of fluorescence techniques

    CERN Document Server

    2016-01-01

    Fluorescence techniques are being used and applied increasingly in academics and industry. The Principles of Fluorescence Techniques course will outline the basic concepts of fluorescence techniques and the successful utilization of the currently available commercial instrumentation. The course is designed for students who utilize fluorescence techniques and instrumentation and for researchers and industrial scientists who wish to deepen their knowledge of fluorescence applications. Key scientists in the field will deliver theoretical lectures. The lectures will be complemented by the direct utilization of steady-state and lifetime fluorescence instrumentation and confocal microscopy for FLIM and FRET applications provided by leading companies.

  13. Disagreements around techniques

    International Nuclear Information System (INIS)

    Sachsse, H.

    The modern man lives in disagreement with its techniques. Technical progress is the foundation of its material and spiritual existence, but he does not like it. Specialization, difficult understanding of the technical procedures and the price that has to be paid for technical progress, have led to a deep-going enstrangement. Therefore the question: What kind of human function has our technique. It is understood as an extension and perfection of our bodily organs, in order to increase our ability to see and to hear enormously, and to intervene formatively in the existing reality. Technique is therefore an instrument of comprehensive self-realization of man. (orig./GL) [de

  14. Advanced analytical techniques

    International Nuclear Information System (INIS)

    Mrochek, J.E.; Shumate, S.E.; Genung, R.K.; Bahner, C.T.; Lee, N.E.; Dinsmore, S.R.

    1976-01-01

    The development of several new analytical techniques for use in clinical diagnosis and biomedical research is reported. These include: high-resolution liquid chromatographic systems for the early detection of pathological molecular constituents in physiologic body fluids; gradient elution chromatography for the analysis of protein-bound carbohydrates in blood serum samples, with emphasis on changes in sera from breast cancer patients; electrophoretic separation techniques coupled with staining of specific proteins in cellular isoenzymes for the monitoring of genetic mutations and abnormal molecular constituents in blood samples; and the development of a centrifugal elution chromatographic technique for the assay of specific proteins and immunoglobulins in human blood serum samples

  15. Changes in urological surgical techniques

    Directory of Open Access Journals (Sweden)

    Oktay Üçer

    2010-06-01

    Full Text Available Recently, laparoscopic and afterwards robotic techniques have constituted most of urologic surgery procedures. Open surgery may give place to robotic surgery due to possible widespread use of robots in the future. Studies, that compare these two techniques are usually designed about radical prostatectomy, since it is the most common operation performed by using these techniques. In literature,robotic surgery seems more advantageous than other techniques but the most important disadvantage of this technique is cost-effective problems. In present review,history of open, laparoscopic and robotic surgery, and comparison of advantages, disadvantages and cost of these techniques have been discussed with literature.

  16. Amniotic Membrane Transplant with a Special Technique (Motowa's Sandwich Technique) in Mooren's Ulcer.

    Science.gov (United States)

    Al Motowa, Saeed; Al Zobidi, Mohammed

    2015-01-01

    To illustrate amniotic membrane transplant (AMT) with a novel surgical technique ("sandwich technique") for treating patients with malignant Mooren's ulcer. A case report of a patient with bilateral, malignant Mooren's ulcer who had undergone systemic steroid therapy and topical immunosuppresive therapy to stabilize his condition. However, perforation of cornea occurred in one eye. AMT with a new surgical technique ("Motowa's sandwich technique") was performed to treat this case. On the 1(st) day postoperatively, there was no pain, no photophobia, and visual acuity was same as preoperatively. At 4 weeks postoperatively, visual acuity improved in the right eye to 20/160 with pinhole, and there was no fluorescein staining. The right eye was quiet. Amniotic membrane transplant with "Motowa's sandwich technique" resulted in the preservation of the anatomical integrity and progression of disease was halted along with an improved vision. This technique is a novel surgical modality in treating Mooren's ulcer. Further study on a large cohort of patients is required for evidence-based data to verify the outcome of this initial case report.

  17. Enseignement technique/Technical Training

    CERN Multimedia

    1998-01-01

    Bureautique et techniques administratives/Office Automation & Administrative Techniques - Premiers pas/Getting started - E-Mail - Management Tools - WWW - Applications bureautiques/Office applications

  18. Tracer techniques in microelectronics

    International Nuclear Information System (INIS)

    Flachowsky, J.; Freyer, K.

    1981-01-01

    Tracer technique and neutron activation analysis are capable of measuring impurities in semiconductor material or on the semiconductor surface in a very low concentration range. The methods, combined with autoradiography, are also suitable to determine dopant distributions in silicon. However, both techniques suffer from certain inherent experimental difficulties and/or limitations which are discussed. Methods of tracer technique practicable in the semiconductor field are described. (author)

  19. Contamination Control Techniques

    Energy Technology Data Exchange (ETDEWEB)

    EBY, J.L.

    2000-05-16

    Welcome to a workshop on contamination Control techniques. This work shop is designed for about two hours. Attendee participation is encouraged during the workshop. We will address different topics within contamination control techniques; present processes, products and equipment used here at Hanford and then open the floor to you, the attendees for your input on the topics.

  20. Contamination Control Techniques

    International Nuclear Information System (INIS)

    EBY, J.L.

    2000-01-01

    Welcome to a workshop on contamination Control techniques. This work shop is designed for about two hours. Attendee participation is encouraged during the workshop. We will address different topics within contamination control techniques; present processes, products and equipment used here at Hanford and then open the floor to you, the attendees for your input on the topics

  1. Next generation initiation techniques

    Science.gov (United States)

    Warner, Tom; Derber, John; Zupanski, Milija; Cohn, Steve; Verlinde, Hans

    1993-01-01

    Four-dimensional data assimilation strategies can generally be classified as either current or next generation, depending upon whether they are used operationally or not. Current-generation data-assimilation techniques are those that are presently used routinely in operational-forecasting or research applications. They can be classified into the following categories: intermittent assimilation, Newtonian relaxation, and physical initialization. It should be noted that these techniques are the subject of continued research, and their improvement will parallel the development of next generation techniques described by the other speakers. Next generation assimilation techniques are those that are under development but are not yet used operationally. Most of these procedures are derived from control theory or variational methods and primarily represent continuous assimilation approaches, in which the data and model dynamics are 'fitted' to each other in an optimal way. Another 'next generation' category is the initialization of convective-scale models. Intermittent assimilation systems use an objective analysis to combine all observations within a time window that is centered on the analysis time. Continuous first-generation assimilation systems are usually based on the Newtonian-relaxation or 'nudging' techniques. Physical initialization procedures generally involve the use of standard or nonstandard data to force some physical process in the model during an assimilation period. Under the topic of next-generation assimilation techniques, variational approaches are currently being actively developed. Variational approaches seek to minimize a cost or penalty function which measures a model's fit to observations, background fields and other imposed constraints. Alternatively, the Kalman filter technique, which is also under investigation as a data assimilation procedure for numerical weather prediction, can yield acceptable initial conditions for mesoscale models. The

  2. Managerial Techniques in Educational Administration.

    Science.gov (United States)

    Lane, John J.

    1983-01-01

    Management techniques developed during the past 20 years assume the rational bureaucratic model. School administration requires contingent techniques. Quality Circle, Theory Z, and the McKenzie 7-Framework are discussed as techniques to increase school productivity. (MD)

  3. Addendum: First injection technique recommendations for patients with diabetes, Forum for Injection Techniques India

    Directory of Open Access Journals (Sweden)

    Sanjay Kalra

    2013-01-01

    Full Text Available The forum for injection techniques, India recommendation, the first ever in the country on insulin injcetion techniques, have covered the science and the art of insulin injection technique in an exhaustive manner. However, a few gaps were identified in the document, which are addressed in the current addendum. This article focuses on insulin injection technique in special clinical situations, including geriatric people, women in pregnancy and those with dermatological or surgical disease who live with diabetes. The addendum also covers salient features of administration of insulin using the insulin pump.

  4. Parachute technique for partial penectomy

    Directory of Open Access Journals (Sweden)

    Fernando Korkes

    2010-04-01

    Full Text Available PURPOSE: Penile carcinoma is a rare but mutilating malignancy. In this context, partial penectomy is the most commonly applied approach for best oncological results. We herein propose a simple modification of the classic technique of partial penectomy, for better cosmetic and functional results. TECHNIQUE: If partial penectomy is indicated, the present technique can bring additional benefits. Different from classical technique, the urethra is spatulated only ventrally. An inverted "V" skin flap with 0.5 cm of extension is sectioned ventrally. The suture is performed with vicryl 4-0 in a "parachute" fashion, beginning from the ventral portion of the urethra and the "V" flap, followed by the "V" flap angles and than by the dorsal portion of the penis. After completion of the suture, a Foley catheter and light dressing are placed for 24 hours. CONCLUSIONS: Several complex reconstructive techniques have been previously proposed, but normally require specific surgical abilities, adequate patient selection and staged procedures. We believe that these reconstructive techniques are very useful in some specific subsets of patients. However, the technique herein proposed is a simple alternative that can be applied to all men after a partial penectomy, and takes the same amount of time as that in the classic technique. In conclusion, the "parachute" technique for penile reconstruction after partial amputation not only improves the appearance of the penis, but also maintains an adequate function.

  5. Handbook of laboratory techniques

    International Nuclear Information System (INIS)

    2002-01-01

    The Nuclear Regulatory Authority in Argentina have laboratories of support to regulations functions on radiological and nuclear safety, safeguards and physical protection, that have a surface of 2950 m 2 in the Ezeiza Atomic Center. The manual describes in seven chapters the different techniques developed and applied in the laboratories along four decades of existence. The chapter 1: Dedicated to the treatment of environmental samples, described the procedures associated with the different types of samples: deposits, waters, sediments, vegetables, milk, fish and diet. The chapter 2: Details 48 radiochemical techniques associated to the measurements of americium 241, carbon 16, strontium 90, iodine 129, plutonium, radium 226, radon, uranium, nickel and actinides. The chapter 3: Describes the measurements techniques of alpha and gamma spectrometry. The different techniques of biological and physical dosimetry are described in the chapters 5 and 6 respectively. The final chapter is dedicated the techniques of external and internal contamination. It s important to emphasize that this manual contains the standardized technologies that the Nuclear Regulatory Authority of Argentina submits regularly to international comparisons

  6. Ultrasonic techniques for fluids characterization

    CERN Document Server

    Povey, Malcolm J W

    1997-01-01

    This book is a comprehensive and practical guide to the use of ultrasonic techniques for the characterization of fluids. Focusing on ultrasonic velocimetry, the author covers the basic topics and techniques necessaryfor successful ultrasound measurements on emulsions, dispersions, multiphase media, and viscoelastic/viscoplastic materials. Advanced techniques such as scattering, particle sizing, and automation are also presented. As a handbook for industrial and scientific use, Ultrasonic Techniques for Fluids Characterization is an indispensable guide to chemists and chemical engineers using ultrasound for research or process monitoring in the chemical, food processing, pharmaceutical, cosmetic, biotechnology,and fuels industries. Key Features * Appeals to anyone using ultrasound to study fluids * Provides the first detailed description of the ultrasound profiling technique for dispersions * Describes new techniques for measuring phase transitions and nucleation, such as water/ice and oil/fat * Presents the l...

  7. Nuclear techniques in industry

    International Nuclear Information System (INIS)

    Hammad, F.H.

    1994-01-01

    Nuclear techniques are utilized in almost every industry. The discussion in this paper includes discussions on tracer methods and uses nucleonic control systems technology; non-destructive testing techniques and radiation technology. 1 fig., 2 tabs

  8. Airway Clearance Techniques (ACTs)

    Medline Plus

    Full Text Available ... many challenges, including medical, social, and financial. By learning more about how you can manage your disease every day, you can ultimately help find a ... Cycle of Breathing Technique Airway Clearance Techniques Autogenic ...

  9. Approximation techniques for engineers

    CERN Document Server

    Komzsik, Louis

    2006-01-01

    Presenting numerous examples, algorithms, and industrial applications, Approximation Techniques for Engineers is your complete guide to the major techniques used in modern engineering practice. Whether you need approximations for discrete data of continuous functions, or you''re looking for approximate solutions to engineering problems, everything you need is nestled between the covers of this book. Now you can benefit from Louis Komzsik''s years of industrial experience to gain a working knowledge of a vast array of approximation techniques through this complete and self-contained resource.

  10. Airway Clearance Techniques (ACTs)

    Medline Plus

    Full Text Available ... decisions about your health care. CF Genetics: The Basics CF Mutations Video Series Find Out More About ... of Breathing Technique Airway Clearance Techniques Autogenic Drainage Basics of Lung Care Chest Physical Therapy Coughing and ...

  11. Airway Clearance Techniques (ACTs)

    Medline Plus

    Full Text Available ... Active Cycle of Breathing Technique Airway Clearance Techniques Autogenic Drainage Basics of Lung Care Chest Physical Therapy ... clearance. Facebook Twitter Email More Related Content Medications Autogenic Drainage Positive Expiratory Pressure High-Frequency Chest Wall ...

  12. Airway Clearance Techniques (ACTs)

    Medline Plus

    Full Text Available ... a range of treatment options. Airway Clearance Active Cycle of Breathing Technique Airway Clearance Techniques Autogenic Drainage ... LEGACY GIFT Sponsor a Participant CF Climb CF Cycle for Life Great Strides Xtreme Hike Participate In ...

  13. Airway Clearance Techniques (ACTs)

    Medline Plus

    Full Text Available ... Cycle of Breathing Technique Airway Clearance Techniques Autogenic Drainage Basics of Lung Care Chest Physical Therapy Coughing ... Facebook Twitter Email More Related Content Medications Autogenic Drainage Positive Expiratory Pressure High-Frequency Chest Wall Oscillation ( ...

  14. Sterility test by radiometric technique

    International Nuclear Information System (INIS)

    Faruq, Muhammad

    1980-01-01

    Sterility test of pharmaceuticals can be carried out by the application of pharmacopoeia and radiometric technique. In Indonesia the application of pharmacopoeia technique is carried out through liquid germination for aerobacteria and for fungus and yeast. Radiometric technique is applied to autotrop and heterotrop bacteria. (SMN)

  15. Recurrent protein-losing enteropathy and tricuspid valve insufficiency in a transplanted heart: a causal relationship?

    Science.gov (United States)

    Aggarwal, Sanjeev; Delius, Ralph E; Walters, Henry L; L'Ecuyer, Thomas J

    2012-01-01

    This case report describes a toddler who developed a protein-losing enteropathy (PLE) 4 years after orthotopic heart transplantation (OHT). He was born with a hypoplastic left heart syndrome for which he underwent a successful Norwood procedure, a Hemi-Fontan palliation, and a Fontan palliation at 18 months of age. Fifteen months following the Fontan operation, he developed a PLE and Fontan failure requiring OHT. Four years after OHT, he developed a severe tricuspid regurgitation and a PLE. His PLE improved after tricuspid valve replacement. It is now 2 years since his tricuspid valve replacement and he remains clinically free of ascites and peripheral edema with a normal serum albumin level. His prosthetic tricuspid valve is functioning normally. © 2011 Wiley Periodicals, Inc.

  16. Review of advanced imaging techniques

    Directory of Open Access Journals (Sweden)

    Yu Chen

    2012-01-01

    Full Text Available Pathology informatics encompasses digital imaging and related applications. Several specialized microscopy techniques have emerged which permit the acquisition of digital images ("optical biopsies" at high resolution. Coupled with fiber-optic and micro-optic components, some of these imaging techniques (e.g., optical coherence tomography are now integrated with a wide range of imaging devices such as endoscopes, laparoscopes, catheters, and needles that enable imaging inside the body. These advanced imaging modalities have exciting diagnostic potential and introduce new opportunities in pathology. Therefore, it is important that pathology informaticists understand these advanced imaging techniques and the impact they have on pathology. This paper reviews several recently developed microscopic techniques, including diffraction-limited methods (e.g., confocal microscopy, 2-photon microscopy, 4Pi microscopy, and spatially modulated illumination microscopy and subdiffraction techniques (e.g., photoactivated localization microscopy, stochastic optical reconstruction microscopy, and stimulated emission depletion microscopy. This article serves as a primer for pathology informaticists, highlighting the fundamentals and applications of advanced optical imaging techniques.

  17. DCT-based cyber defense techniques

    Science.gov (United States)

    Amsalem, Yaron; Puzanov, Anton; Bedinerman, Anton; Kutcher, Maxim; Hadar, Ofer

    2015-09-01

    With the increasing popularity of video streaming services and multimedia sharing via social networks, there is a need to protect the multimedia from malicious use. An attacker may use steganography and watermarking techniques to embed malicious content, in order to attack the end user. Most of the attack algorithms are robust to basic image processing techniques such as filtering, compression, noise addition, etc. Hence, in this article two novel, real-time, defense techniques are proposed: Smart threshold and anomaly correction. Both techniques operate at the DCT domain, and are applicable for JPEG images and H.264 I-Frames. The defense performance was evaluated against a highly robust attack, and the perceptual quality degradation was measured by the well-known PSNR and SSIM quality assessment metrics. A set of defense techniques is suggested for improving the defense efficiency. For the most aggressive attack configuration, the combination of all the defense techniques results in 80% protection against cyber-attacks with PSNR of 25.74 db.

  18. Comparison of a new noncoplanar intensity-modulated radiation therapy technique for craniospinal irradiation with 3 coplanar techniques

    DEFF Research Database (Denmark)

    Hansen, Anders T; Lukacova, Slavka; Lassen-Ramshad, Yasmin A.

    2015-01-01

    When standard conformal x-ray technique for craniospinal irradiation is used, it is a challenge to achieve satisfactory dose coverage of the target including the area of the cribriform plate, while sparing organs at risk. We present a new intensity-modulated radiation therapy (IMRT), noncoplanar...... patient using the noncoplanar IMRT-based technique, a coplanar IMRT-based technique, and a coplanar volumetric-modulated arch therapy (VMAT) technique. Dosimetry data for all patients were compared with the corresponding data from the conventional treatment plans. The new noncoplanar IMRT technique...... substantially reduced the mean dose to organs at risk compared with the standard radiation technique. The 2 other coplanar techniques also reduced the mean dose to some of the critical organs. However, this reduction was not as substantial as the reduction obtained by the noncoplanar technique. Furthermore...

  19. Airway Clearance Techniques (ACTs)

    Medline Plus

    Full Text Available ... to loosen mucus from airway walls. See how different airway clearance techniques work to help you clear the thick, sticky mucus ... Offer their tips for fitting ACTs into daily life Airway Clearance Techniques | Webcast ... Facebook Twitter ...

  20. Biomechanical comparison of the double-push technique and the conventional skate skiing technique in cross-country sprint skiing.

    Science.gov (United States)

    Stöggl, Thomas; Müller, Erich; Lindinger, Stefan

    2008-09-01

    The aims of the study were to: (1) adapt the "double-push" technique from inline skating to cross-country skiing; (2) compare this new skiing technique with the conventional skate skiing cross-country technique; and (3) test the hypothesis that the double-push technique improves skiing speed in a short sprint. 13 elite skiers performed maximum-speed sprints over 100 m using the double-push skate skiing technique and using the conventional "V2" skate skiing technique. Pole and plantar forces, knee angle, cycle characteristics, and electromyography of nine lower body muscles were analysed. We found that the double-push technique could be successfully transferred to cross-country skiing, and that this new technique is faster than the conventional skate skiing technique. The double-push technique was 2.9 +/- 2.2% faster (P push technique had a longer cycle length and a lower cycle rate, and it was characterized by higher muscle activity, higher knee extension amplitudes and velocities, and higher peak foot forces, especially in the first phase of the push-off. Also, the foot was more loaded laterally in the double-push technique than in the conventional skate skiing technique.

  1. Legal technique: approaches to section on types

    Directory of Open Access Journals (Sweden)

    І. Д. Шутак

    2015-11-01

    Full Text Available Legal technique is a branch of knowledge about the rules of doing legal work and creating in the process a variety of legal documents, which had previously been part of the theory of law. In modern conditions of the legal technique are isolated in a separate branch of legal science, focused on solving practical problems. The purpose of this article is to analyze the types of legal techniques, in particular, on the basis of theoretical propositions about legal technique to allocate substantial characteristics and types of legal technique. O. Malko and M. Matuzov consider legal technique as a set of rules, techniques, methods of preparation, creation, registration of legal documents, their classification and accounting for their excellence, efficient use. A similar meaning is investing in this concept Alekseev, determining that the legal technique is a set of tools and techniques used in accordance with accepted rules in the formulation and systematization of legal acts to ensure their perfection. So, legal technique – theoretical and applied legal science, which studies the regularities of rational legal practice in the creation, interpretation and implementation of law. In relation to the type of legal techniques in the literature proposed different classifications. For example, G. Muromtsev technique, which is used only in the field of law, divide on the technique of law-making (legislative technique, technique of law enforcement, interpretation, technique of judicial speech, interrogation, notarial activities. V. Kartashov shared legal technique on law making and enforcement (prorealtime, interpretive yourself and prevacidrebatezw, judicial or investigative, prosecutorial, and the like. Some authors clearly indicate that the criterion by which to distinguish types of legal techniques. So, S. Alekseev notes that legal technique is classified from the point of view of the legal nature of the act made on: a techniques of legal acts; b the

  2. Analytical system availability techniques

    NARCIS (Netherlands)

    Brouwers, J.J.H.; Verbeek, P.H.J.; Thomson, W.R.

    1987-01-01

    Analytical techniques are presented to assess the probability distributions and related statistical parameters of loss of production from equipment networks subject to random failures and repairs. The techniques are based on a theoretical model for system availability, which was further developed

  3. GPU Pro advanced rendering techniques

    CERN Document Server

    Engel, Wolfgang

    2010-01-01

    This book covers essential tools and techniques for programming the graphics processing unit. Brought to you by Wolfgang Engel and the same team of editors who made the ShaderX series a success, this volume covers advanced rendering techniques, engine design, GPGPU techniques, related mathematical techniques, and game postmortems. A special emphasis is placed on handheld programming to account for the increased importance of graphics on mobile devices, especially the iPhone and iPod touch.Example programs and source code can be downloaded from the book's CRC Press web page. 

  4. Strategie di coping e sindrome da burnout nei Vigili del Fuoco

    Directory of Open Access Journals (Sweden)

    Alessandra Curtacci

    2017-03-01

    Full Text Available In the last decades, we have seen a rapid growth in the culture of prevention, safety and care for people involved in dramatic events. These calamites, both natural and human made, can have a profound effect on the mental stability of individuals and communities. These effects can have consequences on people, which may go on for days, months and even years during the recovery, rebuilding and re-establishment of an ordinary situation. Each event due to these circumstances is an emergency from a technical-practical and also human point of view. And that is because people are forced to fight in order to survive physically and emotionally in a state of dangerousness and dramatic force. During an emergency it is necessary to help people recognize normality in their own reactions, which are consequences of a situation out of ordinary. A greater focus on the emotional and cognitive component of the person involved is needed. Actually, this component proves to be very important both for the successful management of the situation - being involved in the prevention and preparation phases - and for its contribution to a mitigation of the effects of a specific event. It is widely known that during an emergency, interventions by psychologists trained to face various contexts (e.g., incidents, natural disasters and so on and able to cooperate with other professionals are needed. The aim is to promote in the people involved, both rescuers and victims, the capacity to cope with the situation, in the short term and in the long term.

  5. Imaging in Cushing's syndrome; Imagem em sindrome de Cushing

    Energy Technology Data Exchange (ETDEWEB)

    Sahdev, Anju; Evanson, Jane [St. Bartholomew' s Hospital, London (United Kingdom). Dept. of Diagnostic Imaging; Reznek, Rodney H. [St. Bartholomew' s Hospital, London (United Kingdom). Institute of Cancer. Cancer Imaging; Grossman, Ashley B. [St. Bartholomew' s Hospital, London (United Kingdom). Dept. of Endocrinology]. E-mail: anju.sahdev@bartsandthelondon.nhs.uk

    2007-11-15

    Once the diagnosis of Cushing's syndrome (CS) has been established, the main step is to differentiate between ACTH dependent and independent disease. In adults, 80% of CS is due to ACTH-dependent causes and 20% due to adrenal causes. ACTH-secreting neoplasms cause ACTH-dependent CS. These are usually anterior pituitary microadenomas, which result in the classic Cushing's disease. Non-pituitary ectopic sources of ACTH, such as a small-cell lung carcinoma or carcinoid tumours, are the source of the remainder of ACTH-dependent disease. In the majority of patients presenting with clinical and biochemical evidence of CS, modern non-invasive imaging can accurately and efficiently provide the cause and the nature of the underlying pathology. Imaging is essential for determining the source of ACTH in ectopic ACTH production, locating the pituitary tumours and distinguishing adrenal adenomas, carcinomas and hyperplasias. In our chapter we review the adrenal appearances in ACTH-dependent and ACTH-independent CS. We also include a discussion on the use of MRI and CT for the detection and management of pituitary ACTH secreting adenomas. CT of the chest, abdomen and pelvis with intravenous injection of contrast medium is the most sensitive imaging modality for the identification of the ectopic ACTH source and detecting adrenal pathology. MRI is used for characterising adrenal adenomas, problem solving in difficult cases and for detecting ACTH-secreting pituitary adenomas. (author)

  6. Heterotaxy syndrome: a case report; Sindrome de heterotaxia: relato de caso

    Energy Technology Data Exchange (ETDEWEB)

    Carneiro, Daniel de Souza; Arantes, Jamil Hussein de; Souza, Gustavo Veloso de; Barreto, Aline Santos; Cardoso, Mychaell Luciano; Gontijo, Flavia, E-mail: danielmed124@gmail.com [Hospital Madre Tereza, Belo Horizonte, MG (Brazil)

    2013-05-15

    The present report describes the findings at chest computed tomography angiography of a 28-year-old female patient with heterotaxy syndrome. This syndrome consists of a variety of anomalies of position and morphology of thoracoabdominal organs which do not follow the situs solitus or situs inversus arrangement. Imaging studies play a fundamental role in the individualization of the approach to the patient. (author)

  7. Nueve casos del sindrome HELLP (hemolisis, enzimas hepaticas Elevadas y plaquetopenia

    Directory of Open Access Journals (Sweden)

    M. F. Capellino

    2003-10-01

    Full Text Available El síndrome HELLP (hemólisis, enzimas hepáticas elevadas y plaquetopenia descripto por Weinstein en 1982, se asocia a alta morbi-mortalidad materna y perinatal. Se evaluaron retrospectivamente las pacientes que presentaron síndrome HELLP entre marzo 1998 y marzo 2001 en el Hospital Privado de Córdoba. Se identificaron nueve pacientes con Síndrome HELLP (incidencia 2.3‰. La edad media de las pacientes fue 24.5 años (15-36 con una edad gestacional media de 34.5 semanas (29-40. Cinco pacientes fueron nulíparas. El síntoma principal fue epigastralgia (77.7%. El parto fue por cesárea en siete pacientes y tres tuvieron síndrome HELLP post-parto. Tres pacientes presentaron hipertensión de difícil manejo, una eclampsia y otra coagulación intravascular diseminada, insuficiencia renal aguda y muerte. Tres requirieron transfusión de derivados sanguíneos y el promedio de internación fue 4.4 días. Seis (75% neonatos fueron pretérmino. El peso medio de nacimiento fue 2030 gramos (736-3200. Cuatro recién nacidos tuvieron un score de Apgar menor de 7 al minuto y todos mayor de 7 a los cinco minutos. Tres neonatos presentaron trastornos alimentarios, uno hipoglucemia y otro enfermedad de membrana hialina, ductus arterioso permeable, sepsis y plaquetopenia. Debido a la morbi-mortalidad materna y perinatal el síndrome HELLP requiere atención en un centro de alta complejidad mediante un equipo multidisciplinario.HELLP syndrome (Hemolysis, Elevated Liver Enzymes and Low Platelets was described by Weinstein in 1982. It has a high maternal and perinatal morbi-mortality rate. We undertook this study to evaluate perinatal outcome in patients with HELLP syndrome. Patients with HELLP syndrome were identified in a retrospective study between March 1998 and March 2001 at the Hospital Privado de Córdoba. Maternal and neonatal variables were analized. Nine patients with HELLP syndrome were identified (incidence 2.3‰. Mean maternal age was 24.5 (15-36 years. Five patients were nuliparous. The mean gestacional age was 34.5 weeks (29-40. The main symptom was epigastric pain (77.7%. In seven women delivery was made by cesarean section. Three patients had postpartum HELLP syndrome. Three patients had difficult control hypertension; one had eclampsia and another one had disseminated intravascular coagulopathy with acute renal failure and died. Three women needed blood products transfusions. The average admission time was 4.4 days. There were six preterm infants (75%. Mean birth weight was 2030 g (736-3200. Four neonates had Apgar score 7 at 5 minutes. Three neonates had alimentary disorders, one had hypoglucemia and another hyaline membrane disease, patent ductus arteriosus, sepsis and thrombocytopenia. The high maternal and perinatal morbi-mortality of HELLP syndrome requires management in a centre where intensive maternal and neonatal care are available.

  8. A sindrome da tensão pre-menstrual : uma abordagem psicanalitica

    OpenAIRE

    Vera Aparecida de Carvalho Zoldan

    2001-01-01

    Resumo: O interesse por esta pesquisa orienta-se sobre as questões surgidas na clinica psicanalítica a partir do atendimento de pacientes vítimas da Síndrome da Tensão Pré-Menstrual (STPM) e suas manifestações sintomáticas, não somente físicas, mas predominantemente psíquicas. Embora seja considerada pela Medicina como uma doença resultante das próprias alterações orgânicas e hormonais associadas ao ciclo reprodutor feminino, a análise psicanalítica revela a existência de relações particularm...

  9. Diagnostic imaging in Bouveret's syndrome. A report of two cases; Diagnostico por imagen del sindrome de Bouveret. A proposito de dos casos

    Energy Technology Data Exchange (ETDEWEB)

    Aguirre, I.; Echevarria, J. J.; Vidales, L.; Abaitua, J. M. [Hospital del Galdacano. Vizacaya (Spain)

    2001-07-01

    Bouveret's syndrome is an uncommon disorder that consists of localized obstruction of the pyloroduodenal region caused by the passage of a gallstone through a cholecystoenteric fistula. It is most common in elderly women with a previous history of cholelithiasis. As the clinical signs are nonspecific, radiological studies are of great importance in the attempt to reach an early diagnosis, thus improving the prognosis. We present two patients with a history of cholelithiasis in whom Bouveret's syndrome was diagnosed preoperatively by different imaging techniques. (Author) 8 refs.

  10. Initial shunt type at the Norwood operation impacts myocardial function in hypoplastic left heart syndrome.

    Science.gov (United States)

    Ruotsalainen, Hanna K; Pihkala, Jaana; Salminen, Jukka; Hornberger, Lisa K; Sairanen, Heikki; Ojala, Tiina

    2017-08-01

    We investigated the impact of initial shunt type, a Blalock-Taussig (BT) shunt versus a right ventricle to pulmonary artery conduit (RV-PA) on myocardial function at different stages of surgical palliation in patients with hypoplastic left heart syndrome (HLHS). A population-based cohort of 63 Finnish children with HLHS (BT n  = 23, RV-PA n  = 40) born between 2003 and 2010 were studied retrospectively by echocardiography prior to Stages 1, 2 and 3 palliation and 0.5-3 years after Stage 3. For comparison of systolic myocardial function, we evaluated the RV fractional area change (FAC), strain, strain rate and mechanical synchrony from the apical 4-chamber view by velocity vector imaging. There were no intergroup differences in demographics during the study period. At baseline, no intergroup differences were detected in RV systolic myocardial function. Before Stage 2, RV FAC was higher ( P  = 0.03) in the RV-PA conduit group. At Stage 3, an increase in all systolic myocardial functional parameters was observed in the BT shunt group. After Stage 3, the BT shunt group had better RV systolic function. In multiple regression analysis, the shunt type and the stage of palliation had an impact on myocardial function. Although patients with HLHS initially palliated with a BT shunt demonstrate lower RV FAC after Stage I, RV FAC improves after Stage 2 with better systolic performance after Stage 3 compared with those initially palliated with an RV-PA conduit. © The Author 2017. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

  11. EDITORIAL: Measurement techniques for multiphase flows Measurement techniques for multiphase flows

    Science.gov (United States)

    Okamoto, Koji; Murai, Yuichi

    2009-11-01

    Research on multiphase flows is very important for industrial applications, including power stations, vehicles, engines, food processing and so on. Multiphase flows originally have nonlinear features because of multiphase systems. The interaction between the phases plays a very interesting role in the flows. The nonlinear interaction causes the multiphase flows to be very complicated. Therefore techniques for measuring multiphase flows are very useful in helping to understand the nonlinear phenomena. The state-of-the-art measurement techniques were presented and discussed at the sixth International Symposium on Measurement Techniques for Multiphase Flows (ISMTMF2008) held in Okinawa, Japan, on 15-17 December 2008. This special feature of Measurement Science and Technology includes selected papers from ISMTMF2008. Okinawa has a long history as the Ryukyus Kingdom. China, Japan and many western Pacific countries have had cultural and economic exchanges through Okinawa for over 1000 years. Much technical and scientific information was exchanged at the symposium in Okinawa. The proceedings of ISMTMF2008 apart from these special featured papers were published in Journal of Physics: Conference Series vol. 147 (2009). We would like to express special thanks to all the contributors to the symposium and this special feature. This special feature will be a milestone in measurement techniques for multiphase flows.

  12. Ethical Use of Gestalt Techniques.

    Science.gov (United States)

    Given, Jane A.

    The purpose of this paper is to engender a healthy respect for Gestalt theory and techniques and the use of the techniques in the client's best interest and in the interest of positive professional and self-development in the practitioner. An overview of Gestalt techniques is provided, concentrating on the two category divisions of experiments and…

  13. Hubungan Kadar Gula Darah saat Masuk Rumah Sakit dengan Jenis Sindroma Koroner Akut di RS Dr. M. Djamil Padang

    Directory of Open Access Journals (Sweden)

    Willy Valerian

    2015-05-01

    Full Text Available AbstrakSindrom Koroner Akut (SKA merupakan spektrum dari penyakit arteri koroner yang tidak stabil, mulai dari angina pektoris tidak stabil sampai infark miokardium. SKA terbagi atas Unstable Angina Pectoris (UAP, ST elevation myocardial infarction (STEMI, Non-ST elevation myocardial infarction (NSTEMI. Tujuan penelitian ini adalah untuk menentukan hubungan antara kadar gula darah saat masuk rumah sakit dan jenis SKA. Metode penelitian yang digunakan adalah cross sectional. Penelitian dilakukan di Instalasi Rekam Medik RS Dr. M. Djamil Padang dengan mengambil data pasien SKA dari Januari 2012 sampai Desember 2012. Hasil penelitian ini didapatkan jenis SKA dengan gula darah yang tidak normal dari 60 sampel, yaitu: UAP 25%, NSTEMI 35%, STEMI 40%. Hasil pengolahan data dapat dilihat bahwa nilai p = 0,592 yang artinya tidak terdapat hubungan yang bermakna antara kadar gula darah saat masuk rumah sakit dengan jenis SKA. Hal ini terjadi mungkin karena terlalu sedikitnya sampel dan banyak sampel kriteria ekslusi dalam pencarian data. Sebaiknya dalam penelitian yang akan datang dapat memperbanyak sampel.Kata kunci: sindrom koroner akut, kadar gula darah, hubungan kadar gula darah dengan SKA AbstractAcute Coronary Syndrome (ACS is a spectrum of coronary artery disease that is not stable, ranging from unstable angina to myocardial infarction. Acute Coronary Syndrome is divided into Unstable Angina Pectoris (UAP, ST elevation myocardial infarction (STEMI, non-ST elevation myocardial infarction (NSTEMI. The objective of this study was to determine the relationship between blood sugar levels when admitted to hospital and Acute Coronary Syndrome type by using cross sectional study. The study was conducted at the Medical Records RS Dr. M. Djamil Padang. The ACS data collected from January 2012 until December 2012. The results of this study was found the SKA with abnormal blood sugar of 60 samples, i.e. UAP25%, NSTEMI35%, 40% STEMI. On the results of data

  14. Comparison of symptoms, physical examination and electromyography findings, with the results of surgery of carpal tunnel release, in patients treated between January 2007 and December 2008, at the Hospital Calderon Guardia; Comparacion de la sintomatologia, exploracion fisica y hallazgos electromiograficos, con los resultados de la cirugia de liberacion de tunel carpal, en pacientes tratados entre enero 2007 y diciembre 2008, en el Hospital Calderon Guardia

    Energy Technology Data Exchange (ETDEWEB)

    Chavarria Alvarado, Manuel

    2010-07-01

    A comparison of the preoperative findings was performed in patients with the diagnosis of carpal tunnel syndrome, with functional outcomes and postoperative residual pain, using the scale Patient Rate Wrist Evaluation (PRWE). All patients have had clinical history, physical examination and electromyography studies. They were operated by minimally invasive open surgery. The information was collected in an Excel table and patients have located via telephone. 100% of the evaluated patients have engaged in activities that involve trauma or repetitive wrist movements. The physical sign with predicative positive value for suspect of carpal tunnel syndrome has been the Phalen, present in over 70% of cases. The amount of physical signs present preoperatively and postoperative results were found without correlation. The mixed lesion, both sensory and motor has been the most found in electrodiagnostic studies. Patients whose studies have been negative, postoperative results have showed less favorable. Only 69% of patients operated in the orthopedic service of the Hospital Rafael Angel Calderon Guardia (HCG), have had favorable postoperative results. (author) [Spanish] Una comparacion de los hallazgos preoperatorios fue realizada en los pacientes con diagnostico del sindrome del tunel carpal, con los resultados funcionales y dolor residual en el posoperatorio, utilizando la escala Patient Rate Wrist Evaluation (PRWE). Todos los pacientes han tenido historia clinica, examen fisico y estudios electromiograficos. Ellos fueron intervenidos mediante cirugia abierta minimamente invasiva. La informacion fue recolectada en una tabla de excel y los pacientes fueron localizados via telefonica. El 100% de los pacientes evaluados se han dedicado a realizar actividades que implican trauma o movimientos repetitivos de las munecas. El signo fisico con valor predictivo positivo para la sospecha de sindrome de tunel carpal ha sido el Phalen, presente en mas del 70% de los casos. La cantidad

  15. Advanced in-flight measurement techniques

    CERN Document Server

    Lawson, Nicholas; Jentink, Henk; Kompenhans, Jürgen

    2013-01-01

    The book presents a synopsis of the main results achieved during the 3 year EU-project "Advanced Inflight Measurement Techniques (AIM)" which applied advanced image based measurement techniques to industrial flight testing. The book is intended to be not only an overview on the AIM activities but also a guide on the application of advanced optical measurement techniques for future flight testing. Furthermore it is a useful guide for engineers in the field of experimental methods and flight testing who face the challenge of a future requirement for the development of highly accurate non-intrusive in-flight measurement techniques.

  16. [Impressions techniques--Part 2].

    Science.gov (United States)

    Levartovsky, S; Masri, M; Alter, E; Pilo, R

    2012-10-01

    A dental impression is a positive replica of the teeth, the surrounding gingiva and the border between them; the purpose of which is to create an accurate master model. Two major techniques for impressions exist today: The conventional and the digital impressions. The current article describes both techniques. In the conventional impressions, it is important to choose a proper tray, stock or custom, and to mix the material properly. The commonly used impression techniques for making a conventional impression are described with a review on the effect of the technique on its accuracy. The effect of the wash bulk on the accuracy of the stone dies and/or the restoration is discussed, as well. The digital impressions with their advantages and disadvantages are described in comparison to the conventional impressions. Although, digital impressions eliminate some of the negative characteristics of conventional impressions, proper soft-tissue management and isolation of tooth preparation margins is still mandatory.

  17. Orbital welding technique

    International Nuclear Information System (INIS)

    Hoeschen, W.

    2003-01-01

    The TIG (Tungsten-inert gas) orbital welding technique is applied in all areas of pipe welding. The process is mainly used for austenitic and ferritic materials but also for materials like aluminium, nickel, and titanium alloys are commonly welded according to this technique. Thin-walled as well as thick-walled pipes are welded economically. The application of orbital welding is of particular interest in the area of maintenance of thick-walled pipes that is described in this article. (orig.) [de

  18. Analysis and analytical techniques

    Energy Technology Data Exchange (ETDEWEB)

    Batuecas Rodriguez, T [Department of Chemistry and Isotopes, Junta de Energia Nuclear, Madrid (Spain)

    1967-01-01

    The technology associated with the use of organic coolants in nuclear reactors depends to a large extent on the determination and control of their physical and chemical properties, and particularly on the viability, speed, sensitivity, precision and accuracy (depending on the intended usage) of the methods employed in detection and analytical determination. This has led to the study and development of numerous techniques, some specially designed for the extreme conditions involved in working with the types of product in question and others adapted from existing techniques. In the specific case of polyphenyl and hydropolyphenyl mixtures, which have been the principal subjects of study to date and offer greatest promise, the analytical problems are broadly as follows: Composition of initial product or virgin coolant composition of macro components and amounts of organic and inorganic impurities; Coolant during and after operation. Determination of gases and organic compounds produced by pyrolysis and radiolysis (degradation and polymerization products); Control of systems for purifying and regenerating the coolant after use. Dissolved pressurization gases; Detection of intermediate products during decomposition; these are generally very unstable (free radicals); Degree of fouling and film formation. Tests to determine potential formation of films; Corrosion of structural elements and canning materials; Health and safety. Toxicity, inflammability and impurities that can be activated. Although some of the above problems are closely interrelated and entail similar techniques, they vary as to degree of difficulty. Another question is the difficulty of distinguishing clearly between techniques for determining physical and physico-chemical properties, on one hand, and analytical techniques on the other. Any classification is therefore somewhat arbitrary (for example, in the case of dosimetry and techniques for determining mean molecular weights or electrical conductivity

  19. Anatomic partial nephrectomy: technique evolution.

    Science.gov (United States)

    Azhar, Raed A; Metcalfe, Charles; Gill, Inderbir S

    2015-03-01

    Partial nephrectomy provides equivalent long-term oncologic and superior functional outcomes as radical nephrectomy for T1a renal masses. Herein, we review the various vascular clamping techniques employed during minimally invasive partial nephrectomy, describe the evolution of our partial nephrectomy technique and provide an update on contemporary thinking about the impact of ischemia on renal function. Recently, partial nephrectomy surgical technique has shifted away from main artery clamping and towards minimizing/eliminating global renal ischemia during partial nephrectomy. Supported by high-fidelity three-dimensional imaging, novel anatomic-based partial nephrectomy techniques have recently been developed, wherein partial nephrectomy can now be performed with segmental, minimal or zero global ischemia to the renal remnant. Sequential innovations have included early unclamping, segmental clamping, super-selective clamping and now culminating in anatomic zero-ischemia surgery. By eliminating 'under-the-gun' time pressure of ischemia for the surgeon, these techniques allow an unhurried, tightly contoured tumour excision with point-specific sutured haemostasis. Recent data indicate that zero-ischemia partial nephrectomy may provide better functional outcomes by minimizing/eliminating global ischemia and preserving greater vascularized kidney volume. Contemporary partial nephrectomy includes a spectrum of surgical techniques ranging from conventional-clamped to novel zero-ischemia approaches. Technique selection should be tailored to each individual case on the basis of tumour characteristics, surgical feasibility, surgeon experience, patient demographics and baseline renal function.

  20. Telescopes and Techniques

    CERN Document Server

    Kitchin, C R

    2013-01-01

    Telescopes and Techniques has proved itself in its first two editions, having become probably one of the most widely used astronomy texts, both for amateur astronomers and astronomy and astrophysics undergraduates. Both earlier editions of the book were widely used for introductory practical astronomy courses in many universities. In this Third Edition the author guides the reader through the mathematics, physics and practical techniques needed to use today's telescopes (from the smaller models to the larger instruments installed in many colleges) and how to find objects in the sky. Most of the physics and engineering involved is described fully and requires little prior knowledge or experience. Both visual and electronic imaging techniques are covered, together with an introduction to how data (measurements) should be processed and analyzed. A simple introduction to radio telescopes is also included. Brief coverage of the more advanced topics of photometry and spectroscopy are included, but mainly to enable ...

  1. A Technique: Exposure Therapy

    Directory of Open Access Journals (Sweden)

    Serkan AKKOYUNLU

    2013-08-01

    Conclusion: Exposure with response prevention is a basic and effective technique. Every cognitive behavior therapist must be able to implement this technique and be cognizant of pearls of this procedure. (Journal of Cognitive Behavioral Psychotherapy and Research 2013, 2: 121-128 [JCBPR 2013; 2(2.000: 121-128

  2. Techniques of radiation dosimetry

    International Nuclear Information System (INIS)

    Mahesk, K.

    1985-01-01

    A text and reference with an interdisciplinary approach to physics, atomic energy, radiochemistry, and radiobiology. Chapters examine basic principles, experimental techniques, the methodology of dose experiments, and applications. Treats 14 different dosimetric techniques, including ionization chamber, thermoluminescence, and lyoluminescence. Considers the conceptual aspects and characteristic features of radiation

  3. Adaptive algebraic reconstruction technique

    International Nuclear Information System (INIS)

    Lu Wenkai; Yin Fangfang

    2004-01-01

    Algebraic reconstruction techniques (ART) are iterative procedures for reconstructing objects from their projections. It is proven that ART can be computationally efficient by carefully arranging the order in which the collected data are accessed during the reconstruction procedure and adaptively adjusting the relaxation parameters. In this paper, an adaptive algebraic reconstruction technique (AART), which adopts the same projection access scheme in multilevel scheme algebraic reconstruction technique (MLS-ART), is proposed. By introducing adaptive adjustment of the relaxation parameters during the reconstruction procedure, one-iteration AART can produce reconstructions with better quality, in comparison with one-iteration MLS-ART. Furthermore, AART outperforms MLS-ART with improved computational efficiency

  4. Millimicrosecond pulse techniques

    CERN Document Server

    Lewis, Ian A D

    1959-01-01

    Millimicrosecond Pulse Techniques, Second Edition focuses on millimicrosecond pulse techniques and the development of devices of large bandwidth, extending down to comparatively low frequencies (1 Mc/s). Emphasis is on basic circuit elements and pieces of equipment of universal application. Specific applications, mostly in the field of nuclear physics instrumentation, are considered. This book consists of eight chapters and opens with an introduction to some of the terminology employed by circuit engineers as well as theoretical concepts, including the laws of circuit analysis, Fourier analysi

  5. ESTUDIOS DE CASOS Y CONTROLES: A PROPÓSITO DE DOS ESTUDIOS EN CIMEL

    Directory of Open Access Journals (Sweden)

    Francisco Javier Bonilla-Escobar

    2013-08-01

    Full Text Available Los estudios de casos y controles han existido desde el siglo XIX con el analisis de Jhon Snow en Inglaterra sobre la fuente del Colera, y han tomado inusitada importancia despues de su puesta en marcha en diversos campos de la ciencia moderna (1, siendo objeto de amplias discusiones metodologicas hace mas de 50 anos. En los dos numeros anteriores de la revista CIMEL, se encuentran dos de estas publicaciones, tituladas: Factores asociados al Sindrome de Aspiracion Meconial en el hospital Jose Cayetano Heredia Piura-Peru, de Purizaca y col. (2, y Factores asociados al desarrollo de preeclampsia en un hospital de Piura, Peru, de Benites-Condor y col. (3. Reconociendo la importancia de este tipo de publicaciones y el trabajo requerido para su elaboracion, queremos mencionar aciertos y falencias metodologicas que hemos encontrado en estas publicaciones y las cuales afectan las afirmaciones de los autores

  6. Combination of behavioural and cognitive techniques

    Directory of Open Access Journals (Sweden)

    Leonida Rotvejn Pajič

    2001-03-01

    Full Text Available The cognitive - behavioral approach in the treatment of behavioral disorders, emotional disorders and learning difficulties is not limited to a single theoretical principle or technique, but integrates different techniques. The variants techniques are derived from theoretical and empirical findings in different domains of developmental psychology (self-control, social cognition, memory, metacognitive and attritional processes. The aim of the article is to present some basic cognitive and behavioral techniques that are individually adapted during therapy and mutually complete each other. A practical case of combining techniques is presented.

  7. Does technique matter; a pilot study exploring weighting techniques for a multi-criteria decision support framework.

    Science.gov (United States)

    van Til, Janine; Groothuis-Oudshoorn, Catharina; Lieferink, Marijke; Dolan, James; Goetghebeur, Mireille

    2014-01-01

    There is an increased interest in the use of multi-criteria decision analysis (MCDA) to support regulatory and reimbursement decision making. The EVIDEM framework was developed to provide pragmatic multi-criteria decision support in health care, to estimate the value of healthcare interventions, and to aid in priority-setting. The objectives of this study were to test 1) the influence of different weighting techniques on the overall outcome of an MCDA exercise, 2) the discriminative power in weighting different criteria of such techniques, and 3) whether different techniques result in similar weights in weighting the criteria set proposed by the EVIDEM framework. A sample of 60 Dutch and Canadian students participated in the study. Each student used an online survey to provide weights for 14 criteria with two different techniques: a five-point rating scale and one of the following techniques selected randomly: ranking, point allocation, pairwise comparison and best worst scaling. The results of this study indicate that there is no effect of differences in weights on value estimates at the group level. On an individual level, considerable differences in criteria weights and rank order occur as a result of the weight elicitation method used, and the ability of different techniques to discriminate in criteria importance. Of the five techniques tested, the pair-wise comparison of criteria has the highest ability to discriminate in weights when fourteen criteria are compared. When weights are intended to support group decisions, the choice of elicitation technique has negligible impact on criteria weights and the overall value of an innovation. However, when weights are used to support individual decisions, the choice of elicitation technique influences outcome and studies that use dissimilar techniques cannot be easily compared. Weight elicitation through pairwise comparison of criteria is preferred when taking into account its superior ability to discriminate between

  8. The Delphi Technique in Educational Research

    Directory of Open Access Journals (Sweden)

    Ravonne A. Green

    2014-04-01

    Full Text Available The Delphi Technique has been useful in educational settings in forming guidelines, standards, and in predicting trends. Judd lists these major uses of the Delphi Technique in higher education: (a cost-effectiveness, (b cost–benefit analysis, (c curriculum and campus planning, and (d university-wide educational goals and objectives. The thorough Delphi researcher seeks to reconcile the Delphi consensus with current literature, institutional research, and the campus environment. This triangle forms a sound base for responsible research practice. This book gives an overview of the Delphi Technique and the primary uses of this technique in research. This article on the Delphi Technique will give the researcher an invaluable resource for learning about the Delphi Technique and for applying this method in educational research projects.

  9. Relaxation techniques for stress

    Science.gov (United States)

    ... raise your heart rate. This is called the stress response. Relaxation techniques can help your body relax and lower your blood pressure ... also many other types of breathing techniques you can learn. In many cases, you do not need much ... including those that cause stress. Meditation has been practiced for thousands of years, ...

  10. Diagnostic techniques

    International Nuclear Information System (INIS)

    Berquist, T.H.; Bender, C.E.; James, E.M.; Brown, M.L.; McLeod, R.A.; Broderick, D.F.; Welch, T.J.

    1989-01-01

    Proper application of imaging procedures is essential to obtain needed information for diagnosis and therapy planning in patients with suspected foot and/or ankle pathology. This paper provides basic background data for the numerous imaging techniques

  11. Strongly correlated systems experimental techniques

    CERN Document Server

    Mancini, Ferdinando

    2015-01-01

    The continuous evolution and development of experimental techniques is at the basis of any fundamental achievement in modern physics. Strongly correlated systems (SCS), more than any other, need to be investigated through the greatest variety of experimental techniques in order to unveil and crosscheck the numerous and puzzling anomalous behaviors characterizing them. The study of SCS fostered the improvement of many old experimental techniques, but also the advent of many new ones just invented in order to analyze the complex behaviors of these systems. Many novel materials, with functional properties emerging from macroscopic quantum behaviors at the frontier of modern research in physics, chemistry and materials science, belong to this class of systems. The volume presents a representative collection of the modern experimental techniques specifically tailored for the analysis of strongly correlated systems. Any technique is presented in great detail by its own inventor or by one of the world-wide recognize...

  12. Two sampling techniques for game meat

    Directory of Open Access Journals (Sweden)

    Maretha van der Merwe

    2013-03-01

    Full Text Available A study was conducted to compare the excision sampling technique used by the export market and the sampling technique preferred by European countries, namely the biotrace cattle and swine test. The measuring unit for the excision sampling was grams (g and square centimetres (cm2 for the swabbing technique. The two techniques were compared after a pilot test was conducted on spiked approved beef carcasses (n = 12 that statistically proved the two measuring units correlated. The two sampling techniques were conducted on the same game carcasses (n = 13 and analyses performed for aerobic plate count (APC, Escherichia coli and Staphylococcus aureus, for both techniques. A more representative result was obtained by swabbing and no damage was caused to the carcass. Conversely, the excision technique yielded fewer organisms and caused minor damage to the carcass. The recovery ratio from the sampling technique improved 5.4 times for APC, 108.0 times for E. coli and 3.4 times for S. aureus over the results obtained from the excision technique. It was concluded that the sampling methods of excision and swabbing can be used to obtain bacterial profiles from both export and local carcasses and could be used to indicate whether game carcasses intended for the local market are possibly on par with game carcasses intended for the export market and therefore safe for human consumption.

  13. Two sampling techniques for game meat.

    Science.gov (United States)

    van der Merwe, Maretha; Jooste, Piet J; Hoffman, Louw C; Calitz, Frikkie J

    2013-03-20

    A study was conducted to compare the excision sampling technique used by the export market and the sampling technique preferred by European countries, namely the biotrace cattle and swine test. The measuring unit for the excision sampling was grams (g) and square centimetres (cm2) for the swabbing technique. The two techniques were compared after a pilot test was conducted on spiked approved beef carcasses (n = 12) that statistically proved the two measuring units correlated. The two sampling techniques were conducted on the same game carcasses (n = 13) and analyses performed for aerobic plate count (APC), Escherichia coli and Staphylococcus aureus, for both techniques. A more representative result was obtained by swabbing and no damage was caused to the carcass. Conversely, the excision technique yielded fewer organisms and caused minor damage to the carcass. The recovery ratio from the sampling technique improved 5.4 times for APC, 108.0 times for E. coli and 3.4 times for S. aureus over the results obtained from the excision technique. It was concluded that the sampling methods of excision and swabbing can be used to obtain bacterial profiles from both export and local carcasses and could be used to indicate whether game carcasses intended for the local market are possibly on par with game carcasses intended for the export market and therefore safe for human consumption.

  14. Informationization nuclear apparatus communication technique

    International Nuclear Information System (INIS)

    Yu Tiqi; Fang Zongliang; Wen Qilin

    2006-01-01

    The paper explains the request of communication ability in nuclear technique application area. Based on the actuality of nuclear apparatus communication ability, and mainly combining with the development of communication technique, the authors analyzes the application trend of communication technique applying in nuclear apparatus, for the apparatus and system needing communication ability, they need selecting suitable communication means to make them accomplish the task immediately and effectively. (authors)

  15. Applying Brainstorming Techniques to EFL Classroom

    OpenAIRE

    Toshiya, Oishi; 湘北短期大学; aPart-time Lecturer at Shohoku College

    2015-01-01

    This paper focuses on brainstorming techniques for English language learners. From the author's teaching experiences at Shohoku College during the academic year 2014-2015, the importance of brainstorming techniques was made evident. The author explored three elements of brainstorming techniques for writing using literaturereviews: lack of awareness, connecting to prior knowledge, and creativity. The literature reviews showed the advantage of using brainstorming techniques in an English compos...

  16. Enseignement technique : Séminaire de l'enseigement technique

    CERN Multimedia

    2004-01-01

    Mardi 4 mai 2004 SEMINAIRE DE L'ENSEIGNEMENT TECHNIQUE de 14:00 à 17:00 - Training Centre Auditorium - bât. 593 Le SPC - Statistical Process Control - dans une démarche de qualité totale Hakim Bourahla, Maurice Arrius, Charbel Tannous - ABW Concept - F-74950 SCIONZIER, France Ce nouveau séminaire de l'Enseignement Technique sera consacré à la présentation du SPC, le Statistical Process Control. Le SPC apporte une grande efficacité dans l'amélioration de la qualité des produits. Cette méthode, permettant d'assurer une qualité optimum à l'aide d'un outil statistique, est fondée sur deux concepts de base : le suivi et le pilotage des procédés industriels par cartes de contrôle, et l'étude des capabilités des systèmes de production. - Origine et objectifs du SPC - Concepts du ...

  17. Enseignement technique : Séminaire de l'enseignement technique

    CERN Multimedia

    2004-01-01

    Mardi 4 mai 2004 SEMINAIRE DE L'ENSEIGNEMENT TECHNIQUE de 14:00 à 17:00 - Training Centre Auditorium - bât. 593 Le SPC - Statistical Process Control - dans une démarche de qualité totale Hakim Bourahla, Maurice Arrius, Charbel Tannous - ABW Concept - F-74950 SCIONZIER, France Ce nouveau séminaire de l'Enseignement Technique sera consacré à la présentation du SPC, le Statistical Process Control. Le SPC apporte une grande efficacité dans l'amélioration de la qualité des produits. Cette méthode, permettant d'assurer une qualité optimum à l'aide d'un outil statistique, est fondée sur deux concepts de base : le suivi et le pilotage des procédés industriels par cartes de contrôle, et l'étude des capabilités des systèmes de production. - Origine et objectifs du SPC - Concepts du ...

  18. Hyphenated analytical techniques for materials characterisation

    International Nuclear Information System (INIS)

    Armstrong, Gordon; Kailas, Lekshmi

    2017-01-01

    This topical review will provide a survey of the current state of the art in ‘hyphenated’ techniques for characterisation of bulk materials, surface, and interfaces, whereby two or more analytical methods investigating different properties are applied simultaneously to the same sample to better characterise the sample than can be achieved by conducting separate analyses in series using different instruments. It is intended for final year undergraduates and recent graduates, who may have some background knowledge of standard analytical techniques, but are not familiar with ‘hyphenated’ techniques or hybrid instrumentation. The review will begin by defining ‘complementary’, ‘hybrid’ and ‘hyphenated’ techniques, as there is not a broad consensus among analytical scientists as to what each term means. The motivating factors driving increased development of hyphenated analytical methods will also be discussed. This introduction will conclude with a brief discussion of gas chromatography-mass spectroscopy and energy dispersive x-ray analysis in electron microscopy as two examples, in the context that combining complementary techniques for chemical analysis were among the earliest examples of hyphenated characterisation methods. The emphasis of the main review will be on techniques which are sufficiently well-established that the instrumentation is commercially available, to examine physical properties including physical, mechanical, electrical and thermal, in addition to variations in composition, rather than methods solely to identify and quantify chemical species. Therefore, the proposed topical review will address three broad categories of techniques that the reader may expect to encounter in a well-equipped materials characterisation laboratory: microscopy based techniques, scanning probe-based techniques, and thermal analysis based techniques. Examples drawn from recent literature, and a concluding case study, will be used to explain the

  19. Hyphenated analytical techniques for materials characterisation

    Science.gov (United States)

    Armstrong, Gordon; Kailas, Lekshmi

    2017-09-01

    This topical review will provide a survey of the current state of the art in ‘hyphenated’ techniques for characterisation of bulk materials, surface, and interfaces, whereby two or more analytical methods investigating different properties are applied simultaneously to the same sample to better characterise the sample than can be achieved by conducting separate analyses in series using different instruments. It is intended for final year undergraduates and recent graduates, who may have some background knowledge of standard analytical techniques, but are not familiar with ‘hyphenated’ techniques or hybrid instrumentation. The review will begin by defining ‘complementary’, ‘hybrid’ and ‘hyphenated’ techniques, as there is not a broad consensus among analytical scientists as to what each term means. The motivating factors driving increased development of hyphenated analytical methods will also be discussed. This introduction will conclude with a brief discussion of gas chromatography-mass spectroscopy and energy dispersive x-ray analysis in electron microscopy as two examples, in the context that combining complementary techniques for chemical analysis were among the earliest examples of hyphenated characterisation methods. The emphasis of the main review will be on techniques which are sufficiently well-established that the instrumentation is commercially available, to examine physical properties including physical, mechanical, electrical and thermal, in addition to variations in composition, rather than methods solely to identify and quantify chemical species. Therefore, the proposed topical review will address three broad categories of techniques that the reader may expect to encounter in a well-equipped materials characterisation laboratory: microscopy based techniques, scanning probe-based techniques, and thermal analysis based techniques. Examples drawn from recent literature, and a concluding case study, will be used to explain the

  20. Microscopy techniques in flavivirus research.

    Science.gov (United States)

    Chong, Mun Keat; Chua, Anthony Jin Shun; Tan, Terence Tze Tong; Tan, Suat Hoon; Ng, Mah Lee

    2014-04-01

    The Flavivirus genus is composed of many medically important viruses that cause high morbidity and mortality, which include Dengue and West Nile viruses. Various molecular and biochemical techniques have been developed in the endeavour to study flaviviruses. However, microscopy techniques still have irreplaceable roles in the identification of novel virus pathogens and characterization of morphological changes in virus-infected cells. Fluorescence microscopy contributes greatly in understanding the fundamental viral protein localizations and virus-host protein interactions during infection. Electron microscopy remains the gold standard for visualizing ultra-structural features of virus particles and infected cells. New imaging techniques and combinatory applications are continuously being developed to push the limit of resolution and extract more quantitative data. Currently, correlative live cell imaging and high resolution three-dimensional imaging have already been achieved through the tandem use of optical and electron microscopy in analyzing biological specimens. Microscopy techniques are also used to measure protein binding affinities and determine the mobility pattern of proteins in cells. This chapter will consolidate on the applications of various well-established microscopy techniques in flavivirus research, and discuss how recently developed microscopy techniques can potentially help advance our understanding in these membrane viruses. Copyright © 2013 Elsevier Ltd. All rights reserved.

  1. Teaching Speaking Through Debate Technique

    Directory of Open Access Journals (Sweden)

    . Suranto

    2016-07-01

    Full Text Available Abstract : Teaching Speaking Through Debate Technique. Speaking is one of the basic competence from the other fourth basic competence (listening, speaking, reading and writing. Speaking ability should be mastered by every students, in order to achieve that competence students should be given the right technique to study sepaking. The successfull of the students speaking can be seen from their ability to express idea, thought and feeling through speaking. The objective of this Action Research is to improve students’s oral communication skill through the debate technique. This study was conducted at MA Ma’arif Nu 5 Sekampung Lampung Timur from March to April 2014. The research data were taken from students in the eleventh class, with 28 students and analyzed qualitatively and quantitatively. The research findings indicate that there are improvements in students’ english speaking skill through the debate technique. By analyzing data qualitatively and quantitatively from the end of the first cycle to the second cycle and it was found that the students’ English speaking skill increased 20,9% over the standard that has been determined by the researcher that is 65%. The researcher concludes that the students’ english speaking skill can be improve through the debate technique in learning process.   Key words : action research, debate technique, english speaking skill

  2. Highly reliable TOFD UT Technique

    International Nuclear Information System (INIS)

    Acharya, G.D.; Trivedi, S.A.R.; Pai, K.B.

    2003-01-01

    The high performance of the time of flight diffraction technique (TOFD) with regard to the detection capabilities of weld defects such as crack, slag, lack of fusion has led to a rapidly increasing acceptance of the technique as a pre?service inspection tool. Since the early 1990s TOFD has been applied to several projects, where it replaced the commonly used radiographic testing. The use of TOM lead to major time savings during new build and replacement projects. At the same time the TOFD technique was used as base line inspection, which enables monitoring in the future for critical welds, but also provides documented evidence for life?time. The TOFD technique as the ability to detect and simultaneously size flows of nearly any orientation within the weld and heat affected zone. TOM is recognized as a reliable, proven technique for detection and sizing of defects and proven to be a time saver, resulting in shorter shutdown periods and construction project times. Thus even in cases where inspection price of TOFD per welds is higher, in the end it will result in significantly lower overall costs and improve quality. This paper deals with reliability, economy, acceptance criteria and field experience. It also covers comparative study between radiography technique Vs. TOFD. (Author)

  3. Lymphography - an outdated technique

    International Nuclear Information System (INIS)

    Peters, P.E.

    1982-01-01

    The indications for lymphography have changed with the availability of non-invasive techniques like ultrasonic techniques and computerized tomography. This review discusses: Recent results of lymphography in histologically verified patient collectives with lymphatic systemic diseases and lymphatic metastizing tumors. The present role of lymphography is derived from this status report as well as the future perspectives. (orig.) [de

  4. Presentation Technique

    International Nuclear Information System (INIS)

    Froejmark, M.

    1992-10-01

    The report presents a wide, easily understandable description of presentation technique and man-machine communication. General fundamentals for the man-machine interface are illustrated, and the factors that affect the interface are described. A model is presented for describing the operators work situation, based on three different levels in the operators behaviour. The operator reacts routinely in the face of simple, known problems, and reacts in accordance with predetermined plans in the face of more complex, recognizable problems. Deep fundamental knowledge is necessary for truly complex questions. Today's technical status and future development have been studied. In the future, the operator interface will be based on standard software. Functions such as zooming, integration of video pictures, and sound reproduction will become common. Video walls may be expected to come into use in situations in which several persons simultaneously need access to the same information. A summary of the fundamental rules for the design of good picture ergonomics and design requirements for control rooms are included in the report. In conclusion, the report describes a presentation technique within the Distribution Automation and Demand Side Management area and analyses the know-how requirements within Vattenfall. If different systems are integrated, such as geographical information systems and operation monitoring systems, strict demands are made on the expertise of the users for achieving a user-friendly technique which is matched to the needs of the human being. (3 figs.)

  5. Higher-order techniques in computational electromagnetics

    CERN Document Server

    Graglia, Roberto D

    2016-01-01

    Higher-Order Techniques in Computational Electromagnetics explains 'high-order' techniques that can significantly improve the accuracy, computational cost, and reliability of computational techniques for high-frequency electromagnetics, such as antennas, microwave devices and radar scattering applications.

  6. Contralateral breast doses measured by film dosimetry: tangential techniques and an optimized IMRT technique

    International Nuclear Information System (INIS)

    Saur, S; Frengen, J; Fjellsboe, L M B; Lindmo, T

    2009-01-01

    The contralateral breast (CLB) doses for three tangential techniques were characterized by using a female thorax phantom and GafChromic EBT film. Dose calculations by the pencil beam and collapsed cone algorithms were included for comparison. The film dosimetry reveals a highly inhomogeneous dose distribution within the CLB, and skin doses due to the medial fields that are several times higher than the interior dose. These phenomena are not correctly reproduced by the calculation algorithms. All tangential techniques were found to give a mean CLB dose of approximately 0.5 Gy. All wedged fields resulted in higher CLB doses than the corresponding open fields, and the lateral open fields resulted in higher CLB doses than the medial open fields. More than a twofold increase in the mean CLB dose from the medial open field was observed for a 90 deg. change of the collimator orientation. Replacing the physical wedge with a virtual wedge reduced the mean dose to the CLB by 35% and 16% for the medial and lateral fields, respectively. Lead shielding reduced the skin dose for a tangential technique by approximately 50%, but the mean CLB dose was only reduced by approximately 11%. Finally, a technique based on open medial fields in combination with several IMRT fields is proposed as a technique for minimizing the CLB dose. With and without lead shielding, the mean CLB dose using this technique was found to be 0.20 and 0.27 Gy, respectively.

  7. The Matador Technique: A technique to improve prostatic ...

    African Journals Online (AJOL)

    A. Pai

    Abstract. The accuracy of brachytherapy seed implantation is reduced by the movement of the prostate when needles are introduced transperineally. This report describes a simple method of introducing the first two needles, which reduces prostate deflection. This technique is analogous to the way a matador uses two ...

  8. MODIFIED TECHNIQUE OF TOTAL LARYNGECTOMY

    Directory of Open Access Journals (Sweden)

    Predrag Spirić

    2010-12-01

    Full Text Available Surgical technique of total laryngectomy is well presented in many surgical textbooks. Essentially, it has remained the same since Gluck an Soerensen in 1922 described all its details. Generally, it stresses the U shape skin incision with releasing laryngeal structures and removing larynx from up to down. Further, pharyngeal reconstruction is performed with different kinds of sutures in two or more layers and is finished with skin suture and suction drainage. One of worst complications following this surgery is pharyngocutaneous fistula (PF. Modifications proposed in this this article suggests vertical skin incision with larynx removal from below upwards. In pharyngeal reconstruction we used the running locked suture in submucosal plan with „tobacco sac“ at the end on the tongue base instead of traditional T shaped suture. Suction drains were not used.The aim of study was to present the modified surgical technique of total laryingectomy and its impact on hospital stay duration and pharyngocutanous fistula formation. In this randomized study we analyzed 49 patients operated with modified surgical technique compared to 49 patient operated with traditional surgical technique of total laryngectomy. The modified technique of total laryngectomy was presented. Using modified technique we managed to decrease the PF percentage from previous 20,41% to acceptable 8,16% (p=0,0334. Also, the average hospital stay was shortened from 14,96 to 10,63 days (t =-2.9850; p=0.0358.The modified technique of total laryngectomy is safe, short and efficient surgical intervention which decreases the number of pharyngocutaneos fistulas and shortens the hospital stay.

  9. A Comparative of business process modelling techniques

    Science.gov (United States)

    Tangkawarow, I. R. H. T.; Waworuntu, J.

    2016-04-01

    In this era, there is a lot of business process modeling techniques. This article is the research about differences of business process modeling techniques. For each technique will explain about the definition and the structure. This paper presents a comparative analysis of some popular business process modelling techniques. The comparative framework is based on 2 criteria: notation and how it works when implemented in Somerleyton Animal Park. Each technique will end with the advantages and disadvantages. The final conclusion will give recommend of business process modeling techniques that easy to use and serve the basis for evaluating further modelling techniques.

  10. Industrial applications of radioisotopes: techniques and procedures of (NTIS) Nuclear Techniques Industrial Service

    International Nuclear Information System (INIS)

    Smith, S.W.; Kruger, J.

    1985-06-01

    Radioisotope handling procedures followed by personnel of the Nuclear Techniques Industrial Service (NTIS) during the conduction of investigations in industry are described. Possible radiological implications as a result of the various measuring techniques and different types of plants are discussed. Conditions under which permanent authorization has been granted for the use of radioisotopes are mentioned

  11. Composite Techniques Based Color Image Compression

    Directory of Open Access Journals (Sweden)

    Zainab Ibrahim Abood

    2017-03-01

    Full Text Available Compression for color image is now necessary for transmission and storage in the data bases since the color gives a pleasing nature and natural for any object, so three composite techniques based color image compression is implemented to achieve image with high compression, no loss in original image, better performance and good image quality. These techniques are composite stationary wavelet technique (S, composite wavelet technique (W and composite multi-wavelet technique (M. For the high energy sub-band of the 3rd level of each composite transform in each composite technique, the compression parameters are calculated. The best composite transform among the 27 types is the three levels of multi-wavelet transform (MMM in M technique which has the highest values of energy (En and compression ratio (CR and least values of bit per pixel (bpp, time (T and rate distortion R(D. Also the values of the compression parameters of the color image are nearly the same as the average values of the compression parameters of the three bands of the same image.

  12. Recent developments in building diagnosis techniques

    CERN Document Server

    2016-01-01

    This book presents a collection of recent research on building diagnosis techniques related to construction pathology, hygrothermal behavior and durability, and diagnostic techniques. It highlights recent advances and new developments in the field of building physics, building anomalies in materials and components, new techniques for improved energy efficiency analysis, and diagnosis techniques such as infrared thermography. This book will be of interest to a wide readership of professionals, scientists, students, practitioners, and lecturers.

  13. Applicability of statistical process control techniques

    NARCIS (Netherlands)

    Schippers, W.A.J.

    1998-01-01

    This paper concerns the application of Process Control Techniques (PCTs) for the improvement of the technical performance of discrete production processes. Successful applications of these techniques, such as Statistical Process Control Techniques (SPC), can be found in the literature. However, some

  14. Glycoprotein and proteoglycan techniques

    International Nuclear Information System (INIS)

    Beeley, J.G.

    1985-01-01

    The aim of this book is to describe techniques which can be used to answer some of the basic questions about glycosylated proteins. Methods are discussed for isolation, compositional analysis, and for determination of the primary structure of carbohydrate units and the nature of protein-carbohydrate linkages of glycoproteins and proteoglycans. High resolution NMR is considered, as well as radioactive labelling techniques. (Auth.)

  15. Laser induced pyrolysis techniques

    International Nuclear Information System (INIS)

    Vanderborgh, N.E.

    1976-01-01

    The application of laser pyrolysis techniques to the problems of chemical analysis is discussed. The processes occurring during laser pyrolysis are first briefly reviewed. The problems encountered in laser pyrolysis gas chromatography are discussed using the analysis of phenanthrene and binary hydrocarbons. The application of this technique to the characterization of naturally occurring carbonaceous material such as oil shales and coal is illustrated

  16. Fundamental study on repairing technique for cracked or damaged parts of structures by cold gas dynamic spray technique

    International Nuclear Information System (INIS)

    Ogawa, Kazuhiro; Amao, Satoshi; Ichikawa, Yuji; Shoji, Tetsuo

    2008-01-01

    This study proposes an innovative technique for repairing of cracked or damaged parts of structures, such as nuclear or thermal power plants, by means of cold gas dynamic spray (CS) technique. In the case of generation of cracks etc. in the structure, the cracks can be repaired by welding. However, the welding spends considerable time on repair, and also needs special skills. The CS technique is known as a new technique not only for coatings but also for thick depositions. It has many advantages, i.e. dense deposition, high deposition rate and low oxidation. Therefore, it has a possibility to apply the CS technique instead of welding to repair the cracks etc. In this study, the cold gas dynamic spray technique as a new repairing technique for some structures is introduced. (author)

  17. Modern recording techniques

    CERN Document Server

    Huber, David Miles

    2013-01-01

    As the most popular and authoritative guide to recording Modern Recording Techniques provides everything you need to master the tools and day to day practice of music recording and production. From room acoustics and running a session to mic placement and designing a studio Modern Recording Techniques will give you a really good grounding in the theory and industry practice. Expanded to include the latest digital audio technology the 7th edition now includes sections on podcasting, new surround sound formats and HD and audio.If you are just starting out or looking for a step up

  18. Surface science techniques

    CERN Document Server

    Walls, JM

    2013-01-01

    This volume provides a comprehensive and up to the minute review of the techniques used to determine the nature and composition of surfaces. Originally published as a special issue of the Pergamon journal Vacuum, it comprises a carefully edited collection of chapters written by specialists in each of the techniques and includes coverage of the electron and ion spectroscopies, as well as the atom-imaging methods such as the atom probe field ion microscope and the scanning tunnelling microscope. Surface science is an important area of study since the outermost surface layers play a crucial role

  19. Single well techniques

    International Nuclear Information System (INIS)

    Drost, W.

    1983-01-01

    The single well technique method includes measurement of parameters of groundwater flow in saturated rock. For determination of filtration velocity the dilution of radioactive tracer is measured, for direction logging the collimeter is rotated in the probe linked with the compass. The limiting factor for measurement of high filtration velocities is the occurrence of turbulent flow. The single well technique is used in civil engineering projects, water works and subsurface drainage of liquid waste from disposal sites. The radioactive tracer method for logging the vertical fluid movement in bore-holes is broadly used in groundwater survey and exploitation. (author)

  20. Craniospinal irradiation techniques

    Energy Technology Data Exchange (ETDEWEB)

    Scarlatescu, Ioana, E-mail: scarlatescuioana@gmail.com; Avram, Calin N. [Faculty of Physics, West University of Timisoara, Bd. V. Parvan 4, 300223 Timisoara (Romania); Virag, Vasile [County Hospital “Gavril Curteanu” - Oradea (Romania)

    2015-12-07

    In this paper we present one treatment plan for irradiation cases which involve a complex technique with multiple beams, using the 3D conformational technique. As the main purpose of radiotherapy is to administrate a precise dose into the tumor volume and protect as much as possible all the healthy tissues around it, for a case diagnosed with a primitive neuro ectoderm tumor, we have developed a new treatment plan, by controlling one of the two adjacent fields used at spinal field, in a way that avoids the fields superposition. Therefore, the risk of overdose is reduced by eliminating the field divergence.

  1. Authentication techniques for smart cards

    International Nuclear Information System (INIS)

    Nelson, R.A.

    1994-02-01

    Smart card systems are most cost efficient when implemented as a distributed system, which is a system without central host interaction or a local database of card numbers for verifying transaction approval. A distributed system, as such, presents special card and user authentication problems. Fortunately, smart cards offer processing capabilities that provide solutions to authentication problems, provided the system is designed with proper data integrity measures. Smart card systems maintain data integrity through a security design that controls data sources and limits data changes. A good security design is usually a result of a system analysis that provides a thorough understanding of the application needs. Once designers understand the application, they may specify authentication techniques that mitigate the risk of system compromise or failure. Current authentication techniques include cryptography, passwords, challenge/response protocols, and biometrics. The security design includes these techniques to help prevent counterfeit cards, unauthorized use, or information compromise. This paper discusses card authentication and user identity techniques that enhance security for microprocessor card systems. It also describes the analysis process used for determining proper authentication techniques for a system

  2. Radio techniques for probing the terrestrial ionosphere.

    Science.gov (United States)

    Hunsucker, R. D.

    The subject of the book is a description of the basic principles of operation, plus the capabilities and limitations of all generic radio techniques employed to investigate the terrestrial ionosphere. The purpose of this book is to present to the reader a balanced treatment of each technique so they can understand how to interpret ionospheric data and decide which techniques are most effective for studying specific phenomena. The first two chapters outline the basic theory underlying the techniques, and each following chapter discusses a separate technique. This monograph is entirely devoted to techniques in aeronomy and space physics. The approach is unique in its presentation of the principles, capabilities and limitations of the most important presently used radio techniques. Typical examples of data are shown for the various techniques, and a brief historical account of the technique development is presented. An extended annotated bibliography of the salient papers in the field is included.

  3. Two sampling techniques for game meat

    OpenAIRE

    van der Merwe, Maretha; Jooste, Piet J.; Hoffman, Louw C.; Calitz, Frikkie J.

    2013-01-01

    A study was conducted to compare the excision sampling technique used by the export market and the sampling technique preferred by European countries, namely the biotrace cattle and swine test. The measuring unit for the excision sampling was grams (g) and square centimetres (cm2) for the swabbing technique. The two techniques were compared after a pilot test was conducted on spiked approved beef carcasses (n = 12) that statistically proved the two measuring units correlated. The two sampling...

  4. A True Open-Loop Synchronization Technique

    DEFF Research Database (Denmark)

    Golestan, Saeed; Vidal, Ana; Yepes, Alejandro G.

    2016-01-01

    Synchronization techniques can be broadly classified into two major categories: Closed-loop and open-loop methods. The open-loop synchronization (OLS) techniques, contrary to the closed-loop ones, are unconditionally stable and benefit from a fast dynamic response. Their performance, however, tends...... is to develop a true OLS (and therefore, unconditionally stable) technique without any need for the calculation of sine and cosine functions. The effectiveness of the proposed synchronization technique is confirmed through the simulation and experimental results....

  5. Technique Selectively Represses Immune System

    Science.gov (United States)

    ... Research Matters December 3, 2012 Technique Selectively Represses Immune System Myelin (green) encases and protects nerve fibers (brown). A new technique prevents the immune system from attacking myelin in a mouse model of ...

  6. Nuclear techniques in analytical chemistry

    CERN Document Server

    Moses, Alfred J; Gordon, L

    1964-01-01

    Nuclear Techniques in Analytical Chemistry discusses highly sensitive nuclear techniques that determine the micro- and macro-amounts or trace elements of materials. With the increasingly frequent demand for the chemical determination of trace amounts of elements in materials, the analytical chemist had to search for more sensitive methods of analysis. This book accustoms analytical chemists with nuclear techniques that possess the desired sensitivity and applicability at trace levels. The topics covered include safe handling of radioactivity; measurement of natural radioactivity; and neutron a

  7. SHOT PUT O’BRIAN TECHNIQUE, EXTENDING THE ANALYSIS OF TECHNIQUE FROM FOUR TO SIX PHASES WITH THE DESCRIPTION

    Directory of Open Access Journals (Sweden)

    Zlatan Saračević

    2011-09-01

    Full Text Available Due to the complexity of the motion, shot put technique is described in phases for easier analysis, easer learning of technique and error correction. It is complete so that in its implementation the transition from phase to phase is not noticed. In aforementioned and described phases of O'Brian spinal shot put technique a large distance, emptiness and disconnection appear between the initial position phase and a phase of overtaking the device, which in the training methods and training technique in primary and secondary education, as well as for students and athletes beginners in shot put represents a major problem regarding connecting, training and technique advancement. Therefore, this work is aimed at facilitating the methods of training of shot put technique, extending from four to six phases, which have been described and include the complete O'Brian technique.

  8. Point-source inversion techniques

    Science.gov (United States)

    Langston, Charles A.; Barker, Jeffrey S.; Pavlin, Gregory B.

    1982-11-01

    A variety of approaches for obtaining source parameters from waveform data using moment-tensor or dislocation point source models have been investigated and applied to long-period body and surface waves from several earthquakes. Generalized inversion techniques have been applied to data for long-period teleseismic body waves to obtain the orientation, time function and depth of the 1978 Thessaloniki, Greece, event, of the 1971 San Fernando event, and of several events associated with the 1963 induced seismicity sequence at Kariba, Africa. The generalized inversion technique and a systematic grid testing technique have also been used to place meaningful constraints on mechanisms determined from very sparse data sets; a single station with high-quality three-component waveform data is often sufficient to discriminate faulting type (e.g., strike-slip, etc.). Sparse data sets for several recent California earthquakes, for a small regional event associated with the Koyna, India, reservoir, and for several events at the Kariba reservoir have been investigated in this way. Although linearized inversion techniques using the moment-tensor model are often robust, even for sparse data sets, there are instances where the simplifying assumption of a single point source is inadequate to model the data successfully. Numerical experiments utilizing synthetic data and actual data for the 1971 San Fernando earthquake graphically demonstrate that severe problems may be encountered if source finiteness effects are ignored. These techniques are generally applicable to on-line processing of high-quality digital data, but source complexity and inadequacy of the assumed Green's functions are major problems which are yet to be fully addressed.

  9. Inter-operator Variability in Defining Uterine Position Using Three-dimensional Ultrasound Imaging

    DEFF Research Database (Denmark)

    Baker, Mariwan; Jensen, Jørgen Arendt; Behrens, Claus F.

    2013-01-01

    significantly larger inter-fractional uterine positional displacement, in some cases up to 20 mm, which outweighs the magnitude of current inter-operator variations. Thus, the current US-phantom-study suggests that the inter-operator variability in addressing uterine position is clinically irrelevant.......In radiotherapy the treatment outcome of gynecological (GYN) cancer patients is crucially related to reproducibility of the actual uterine position. The purpose of this study is to evaluate the inter-operator variability in addressing uterine position using a novel 3-D ultrasound (US) system....... The study is initiated by US-scanning of a uterine phantom (CIRS 404, Universal Medical, Norwood, USA) by seven experienced US operators. The phantom represents a female pelvic region, containing a uterus, bladder and rectal landmarks readily definable in the acquired US-scans. The organs are subjected...

  10. Androgenic alopecia in women: an Indian perspective.

    Science.gov (United States)

    Sehgal, Virendra N; Srivastava, Govind; Aggarwal, Ashok K; Midha, Reshmi

    2013-01-01

    The authors sought to investigate androgenic alopecia (AA) utilizing clinical and investigative procedures to establish the pattern of AA in the Indian subcontinent. A total of 35 consecutive women presenting with AA were included. After obtaining informed consent, a detailed history/examination, hair pull test, trichogram, and a scalp biopsy were performed in patients. AA classification was attempted across Ludwig and Norwood guidelines. Of 35 women, 16 had grade I, 10 had grade II, and 1 had grade III Ludwig classification. In addition, 6 other women had Christmas tree baldness: 1 each of fronto-parietal and male pattern baldness. Several investigations including hormonal profile were inconclusive; however, hair pull test and trichogram may be helpful in understanding the sequence in AA in women. AA has infrequently been reported, particularly India and in Asia in general.

  11. Nuclear techniques in agriculture

    International Nuclear Information System (INIS)

    Bhagwat, S.G.

    2012-01-01

    Crops provide us food grains and many other products. Demand for food and other agricultural products is increasing. There is also need for improvement of quality of the agricultural produce. There are several technologies in use for achieving the goal of increasing the quantity and quality of agricultural produce. Nuclear techniques provide us with an option which has certain advantages. The characteristics of crop plants are determined by the genetic make up of the plant. Traditionally the genetic make up was modified using conventional breeding techniques such as cross breeding to improve crops for yield, disease resistance, stress tolerance, resistance to insect pests or to improve quality. New varieties of crops are produced which replace the earlier ones and thus the demands are met. The process of development of new varieties is long and time consuming. Nuclear technique called mutation breeding provides an efficient way of breeding new varieties or improving the older ones. This technique merely enhances the process of occurrence of mutations. In nature mutations occur at a rate of approximately one in a million, while when mutations are induced using radiations such as gamma rays the efficiency of inducing mutations is enhanced. Useful mutations are selected, the mutants are evaluated and developed as a new variety. In the Nuclear Agriculture and Biotechnology Division (NA and BTD) this technique has been used to develop mutants of many crop plants. The mutants can be used to develop a variety directly or by using it in further breeding programme. Using these approaches the NA and BTD has developed 40 new varieties of crops such as groundnut, mungbean, urid, pigeon pea, mustard, soybean, sunflower, cowpea, jute. These varieties are developed in collaboration with other agricultural institutions and are popular among the farming community. The method of mutation breeding can be applied to many other crops for improvement. There is increasing interest among

  12. Novel food processing techniques

    Directory of Open Access Journals (Sweden)

    Vesna Lelas

    2006-12-01

    Full Text Available Recently, a lot of investigations have been focused on development of the novel mild food processing techniques with the aim to obtain the high quality food products. It is presumed also that they could substitute some of the traditional processes in the food industry. The investigations are primarily directed to usage of high hydrostatic pressure, ultrasound, tribomechanical micronization, microwaves, pulsed electrical fields. The results of the scientific researches refer to the fact that application of some of these processes in particular food industry can result in lots of benefits. A significant energy savings, shortening of process duration, mild thermal conditions, food products with better sensory characteristics and with higher nutritional values can be achieved. As some of these techniques act also on the molecular level changing the conformation, structure and electrical potential of organic as well as inorganic materials, the improvement of some functional properties of these components may occur. Common characteristics of all of these techniques are treatment at ambient or insignificant higher temperatures and short time of processing (1 to 10 minutes. High hydrostatic pressure applied to various foodstuffs can destroy some microorganisms, successfully modify molecule conformation and consequently improve functional properties of foods. At the same time it acts positively on the food products intend for freezing. Tribomechanical treatment causes micronization of various solid materials that results in nanoparticles and changes in structure and electrical potential of molecules. Therefore, the significant improvement of some rheological and functional properties of materials occurred. Ultrasound treatment proved to be potentially very successful technique of food processing. It can be used as a pretreatment to drying (decreases drying time and improves functional properties of food, as extraction process of various components

  13. Efficacy of the World Health Organization-recommended handwashing technique and a modified washing technique to remove Clostridium difficile from hands.

    Science.gov (United States)

    Deschênes, Philippe; Chano, Frédéric; Dionne, Léa-Laurence; Pittet, Didier; Longtin, Yves

    2017-08-01

    The efficacy of the World Health Organization (WHO)-recommended handwashing technique against Clostridium difficile is uncertain, and whether it could be improved remains unknown. Also, the benefit of using a structured technique instead of an unstructured technique remains unclear. This study was a prospective comparison of 3 techniques (unstructured, WHO, and a novel technique dubbed WHO shortened repeated [WHO-SR] technique) to remove C difficile. Ten participants were enrolled and performed each technique. Hands were contaminated with 3 × 10 6 colony forming units (CFU) of a nontoxigenic strain containing 90% spores. Efficacy was assessed using the whole-hand method. The relative efficacy of each technique and of a structured (either WHO or WHO-SR) vs an unstructured technique were assessed by Mann-Whitney U test and Wilcoxon signed-rank test. The median effectiveness of the unstructured, WHO, and WHO-SR techniques in log 10 CFU reduction was 1.30 (interquartile range [IQR], 1.27-1.43), 1.71 (IQR, 1.34-1.91), and 1.70 (IQR, 1.54-2.42), respectively. The WHO-SR technique was significantly more efficacious than the unstructured technique (P = .01). Washing hands with a structured technique was more effective than washing with an unstructured technique (median, 1.70 vs 1.30 log 10 CFU reduction, respectively; P = .007). A structured washing technique is more effective than an unstructured technique against C difficile. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

  14. A review on creatinine measurement techniques.

    Science.gov (United States)

    Mohabbati-Kalejahi, Elham; Azimirad, Vahid; Bahrami, Manouchehr; Ganbari, Ahmad

    2012-08-15

    This paper reviews the entire recent global tendency for creatinine measurement. Creatinine biosensors involve complex relationships between biology and micro-mechatronics to which the blood is subjected. Comparison between new and old methods shows that new techniques (e.g. Molecular Imprinted Polymers based algorithms) are better than old methods (e.g. Elisa) in terms of stability and linear range. All methods and their details for serum, plasma, urine and blood samples are surveyed. They are categorized into five main algorithms: optical, electrochemical, impedometrical, Ion Selective Field-Effect Transistor (ISFET) based technique and chromatography. Response time, detection limit, linear range and selectivity of reported sensors are discussed. Potentiometric measurement technique has the lowest response time of 4-10 s and the lowest detection limit of 0.28 nmol L(-1) belongs to chromatographic technique. Comparison between various techniques of measurements indicates that the best selectivity belongs to MIP based and chromatographic techniques. Copyright © 2012 Elsevier B.V. All rights reserved.

  15. Statistical Techniques for Project Control

    CERN Document Server

    Badiru, Adedeji B

    2012-01-01

    A project can be simple or complex. In each case, proven project management processes must be followed. In all cases of project management implementation, control must be exercised in order to assure that project objectives are achieved. Statistical Techniques for Project Control seamlessly integrates qualitative and quantitative tools and techniques for project control. It fills the void that exists in the application of statistical techniques to project control. The book begins by defining the fundamentals of project management then explores how to temper quantitative analysis with qualitati

  16. Scalable Techniques for Formal Verification

    CERN Document Server

    Ray, Sandip

    2010-01-01

    This book presents state-of-the-art approaches to formal verification techniques to seamlessly integrate different formal verification methods within a single logical foundation. It should benefit researchers and practitioners looking to get a broad overview of the spectrum of formal verification techniques, as well as approaches to combining such techniques within a single framework. Coverage includes a range of case studies showing how such combination is fruitful in developing a scalable verification methodology for industrial designs. This book outlines both theoretical and practical issue

  17. Artificial intelligence techniques in Prolog

    CERN Document Server

    Shoham, Yoav

    1993-01-01

    Artificial Intelligence Techniques in Prolog introduces the reader to the use of well-established algorithmic techniques in the field of artificial intelligence (AI), with Prolog as the implementation language. The techniques considered cover general areas such as search, rule-based systems, and truth maintenance, as well as constraint satisfaction and uncertainty management. Specific application domains such as temporal reasoning, machine learning, and natural language are also discussed.Comprised of 10 chapters, this book begins with an overview of Prolog, paying particular attention to Prol

  18. Use of communication techniques by Maryland dentists.

    Science.gov (United States)

    Maybury, Catherine; Horowitz, Alice M; Wang, Min Qi; Kleinman, Dushanka V

    2013-12-01

    Health care providers' use of recommended communication techniques can increase patients' adherence to prevention and treatment regimens and improve patient health outcomes. The authors conducted a survey of Maryland dentists to determine the number and type of communication techniques they use on a routine basis. The authors mailed a 30-item questionnaire to a random sample of 1,393 general practice dentists and all 169 members of the Maryland chapter of the American Academy of Pediatric Dentistry. The overall response rate was 38.4 percent. Analysis included descriptive statistics, analysis of variance and ordinary least squares regression analysis to examine the association of dentists' characteristics with the number of communication techniques used. They set the significance level at P communication techniques and 3.6 of the seven basic techniques, whereas pediatric dentists reported using a mean of 8.4 and 3.8 of those techniques, respectively. General dentists who had taken a communication course outside of dental school were more likely than those who had not to use the 18 techniques (P communication course outside of dental school were more likely than those who had not to use the 18 techniques (P communication techniques that dentists used routinely varied across the 18 techniques and was low for most techniques. Practical Implications. Professional education is needed both in dental school curricula and continuing education courses to increase use of recommended communication techniques. Specifically, dentists and their team members should consider taking communication skills courses and conducting an overall evaluation of their practices for user friendliness.

  19. New diagnostic technique for Zeeman-compensated atomic beam slowing: technique and results

    OpenAIRE

    Molenaar, P.A.; Straten, P. van der; Heideman, H.G.M.; Metcalf, H.

    1997-01-01

    We have developed a new diagnostic tool for the study of Zeeman-compensated slowing of an alkali atomic beam. Our time-of-flight technique measures the longitudinal veloc- ity distribution of the slowed atoms with a resolution below the Doppler limit of 30 cm/s. Furthermore, it can map the position and velocity distribution of atoms in either ground hyperfine level inside the solenoid without any devices inside the solenoid. The technique reveals the optical pumping ef- fects, and shows in de...

  20. A Study on Nondestructive Technique Using Laser Technique for Evaluation of Carbon fiber Reinforced Plastic

    International Nuclear Information System (INIS)

    Choi, Sang Woo; Lee, Joon Hyun; Seo, Kyeong Cheol; Byun, Joon Hyung

    2005-01-01

    Fiber reinforced plastic material should be inspected in fabrication process in order to enhance quality by prevent defects such as delamination and void. Generally, ultrasonic technique is widely used to evaluate FRP. In conventional ultrasonic techniques, transducer should be contacted on FRP. However, conventional contacting method could not be applied in fabrication process and novel non-contact evaluating technique was required. Laser-based ultrasonic technique was tried to evaluate CFRP plate. Laser-based ultrasonic waves propagated on CFRP were received with various transducers such as accelerometer and AE sensor in order to evaluate the properties of waves due to the variation of frequency. Velocities of laser-based ultrasonic waves were evaluated for various fiber orientation. In addition, laser interferometry was used to receive ultrasonic wave in CFRP and frequency was analysed

  1. The Delphi technique in radiography education research

    International Nuclear Information System (INIS)

    John-Matthews, J.St.; Wallace, M.J.; Robinson, L.

    2017-01-01

    Objectives: To describe and review the Delphi technique as a tool for radiographers engaged in mixed-methods research whereby agreement is required on the proficiencies needed by educational programmes for pre- and post- registration radiographers. This is achieved through a description offering a brief history of the technique. Through a literature search, radiography education research using this technique is identified. A protocol for a research project using the technique is presented. Using this worked example, advantages and disadvantages of the method are explored including sampling of participants, sample size, number of rounds and methods of feedback. Key findings: There are limited examples of the use of the Delphi technique in radiography literature including considerations on how to select experts and panel size. Conclusion: The Delphi technique is a suitable method for establishing collective agreement in the design of radiography educational interventions. Additional research is needed to deepen this evidence-based knowledge. - Highlights: • The Delphi Technique is used to gain collective agreement in forecasting healthcare education priorities. • There is increase of the use of the technique in healthcare education literature. • There are some examples of the technique in radiography education research. • A worked example of this technique is provided to critically evaluate this tool.

  2. Stargate: Energy Management Techniques

    OpenAIRE

    Vijay Raghunathan; Mani Srivastava; Trevor Pering; Roy Want

    2004-01-01

    This poster presents techniques for energy efficient operation of the Stargate wireless platform. In addition to conventional power management techniques such as dynamic voltage and scaling and processor shutdown, the Stargate features several mechanisms for energy efficient operation of the communication subsystem, such as support for hierarchical radios, Bluetooth based remote wakeup, mote based wakeup, etc. Finally, design optimizations including the use of power gating, and provision for ...

  3. Modern techniques of surface science

    CERN Document Server

    Woodruff, D Phil

    2016-01-01

    This fully revised, updated and reorganised third edition provides a thorough introduction to the characterisation techniques used in surface science and nanoscience today. Each chapter brings together and compares the different techniques used to address a particular research question, including how to determine the surface composition, surface structure, surface electronic structure, surface microstructure at different length scales (down to sub-molecular), and the molecular character of adsorbates and their adsorption or reaction properties. Readers will easily understand the relative strengths and limitations of the techniques available to them and, ultimately, will be able to select the most suitable techniques for their own particular research purposes. This is an essential resource for researchers and practitioners performing materials analysis, and for senior undergraduate students looking to gain a clear understanding of the underlying principles and applications of the different characterisation tec...

  4. Radiation technique for the destruction of plutella

    International Nuclear Information System (INIS)

    1980-01-01

    Plutella can be destroyed by cultivation technique where cabbage is grown interchangebly with other plants, biological technique where the natural enemy of plutella is used, and chemical technique where insecticide is used. Those method do not better results than the sterile male technique which can be either nuclear or chemical in nature. Laboratory, semifield research, and research in a limited field have been carried out when applying the sterile male technique. (SMN)

  5. Experimental techniques; Techniques experimentales

    Energy Technology Data Exchange (ETDEWEB)

    Roussel-Chomaz, P. [GANIL CNRS/IN2P3, CEA/DSM, 14 - Caen (France)

    2007-07-01

    This lecture presents the experimental techniques, developed in the last 10 or 15 years, in order to perform a new class of experiments with exotic nuclei, where the reactions induced by these nuclei allow to get information on their structure. A brief review of the secondary beams production methods will be given, with some examples of facilities in operation or under project. The important developments performed recently on cryogenic targets will be presented. The different detection systems will be reviewed, both the beam detectors before the targets, and the many kind of detectors necessary to detect all outgoing particles after the reaction: magnetic spectrometer for the heavy fragment, detection systems for the target recoil nucleus, {gamma} detectors. Finally, several typical examples of experiments will be detailed, in order to illustrate the use of each detector either alone, or in coincidence with others. (author)

  6. Food physics and radiation techniques

    International Nuclear Information System (INIS)

    Szabo, A. S.

    1999-01-01

    In the lecture information is given about food physics, which is a rather new, interdisciplinary field of science, connecting food science and applied physics. The topics of radioactivity of foodstuffs and radiation techniques in the food industry are important parts of food physics detailed information will be given about the main fields (e.g. radio stimulation, food preservation) of radiation techniques in the agro-food sector. Finally some special questions of radioactive contamination of foodstuffs in hungary and applicability of radioanalytical techniques (e.g. Inaa) for food investigation will be analyzed and discussed

  7. A simplified indirect bonding technique

    Directory of Open Access Journals (Sweden)

    Radha Katiyar

    2014-01-01

    Full Text Available With the advent of lingual orthodontics, indirect bonding technique has become an integral part of practice. It involves placement of brackets initially on the models and then their transfer to teeth with the help of transfer trays. Problems encountered with current indirect bonding techniques used are (1 the possibility of adhesive flash remaining around the base of the brackets which requires removal (2 longer time required for the adhesive to gain enough bond strength for secure tray removal. The new simplified indirect bonding technique presented here overcomes both these problems.

  8. Imaging Techniques in Endodontics: An Overview

    Science.gov (United States)

    Deepak, B. S.; Subash, T. S.; Narmatha, V. J.; Anamika, T.; Snehil, T. K.; Nandini, D. B.

    2012-01-01

    This review provides an overview of the relevance of imaging techniques such as, computed tomography, cone beam computed tomography, and ultrasound, to endodontic practice. Many limitations of the conventional radiographic techniques have been overcome by the newer methods. Advantages and disadvantages of various imaging techniques in endodontic practice are also discussed. PMID:22530184

  9. Motion Transplantation Techniques: A Survey

    NARCIS (Netherlands)

    van Basten, Ben; Egges, Arjan

    2012-01-01

    During the past decade, researchers have developed several techniques for transplanting motions. These techniques transplant a partial auxiliary motion, possibly defined for a small set of degrees of freedom, on a base motion. Motion transplantation improves motion databases' expressiveness and

  10. Tendon 'turnover lengthening' technique.

    Science.gov (United States)

    Cerovac, S; Miranda, B H

    2013-11-01

    Tendon defect reconstruction is amongst the most technically challenging areas in hand surgery. Tendon substance deficiency reconstruction techniques include lengthening, grafting, two-stage reconstruction and tendon transfers, however each is associated with unique challenges over and above direct repair. We describe a novel 'turnover lengthening' technique for hand tendons that has successfully been applied to the repair of several cases, including a case of attritional flexor and traumatic extensor tendon rupture in two presented patients where primary tenorrhaphy was not possible. In both cases a good post-operative outcome was achieved, as the patients were happy having returned back to normal activities of daily living such that they were discharged 12 weeks post-operatively. Our technique avoids the additional morbidity and complications associated with grafting, transfers and two stage reconstructions. It is quick, simple and reproducible for defects not exceeding 3-4 cm, provides a means of immediate one stage reconstruction, no secondary donor site morbidity and does not compromise salvage by tendon transfer and/or two-stage reconstruction in cases of failure. To our knowledge no such technique has been previously been described to reconstruct such hand tendon defects. Crown Copyright © 2013. Published by Elsevier Ltd. All rights reserved.

  11. The attribute measurement technique

    International Nuclear Information System (INIS)

    MacArthur, Duncan W.; Langner, Diana; Smith, Morag; Thron, Jonathan; Razinkov, Sergey; Livke, Alexander

    2010-01-01

    Any verification measurement performed on potentially classified nuclear material must satisfy two seemingly contradictory constraints. First and foremost, no classified information can be released. At the same time, the monitoring party must have confidence in the veracity of the measurement. An information barrier (IB) is included in the measurement system to protect the potentially classified information while allowing sufficient information transfer to occur for the monitoring party to gain confidence that the material being measured is consistent with the host's declarations, concerning that material. The attribute measurement technique incorporates an IB and addresses both concerns by measuring several attributes of the nuclear material and displaying unclassified results through green (indicating that the material does possess the specified attribute) and red (indicating that the material does not possess the specified attribute) lights. The attribute measurement technique has been implemented in the AVNG, an attribute measuring system described in other presentations at this conference. In this presentation, we will discuss four techniques used in the AVNG: (1) the 1B, (2) the attribute measurement technique, (3) the use of open and secure modes to increase confidence in the displayed results, and (4) the joint design as a method for addressing both host and monitor needs.

  12. Practical techniques for pediatric computed tomography

    International Nuclear Information System (INIS)

    Fitz, C.R.; Harwood-Nash, D.C.; Kirks, D.R.; Kaufman, R.A.; Berger, P.E.; Kuhn, J.P.; Siegel, M.J.

    1983-01-01

    Dr. Donald Kirks has assembled this section on Practical Techniques for Pediatric Computed Tomography. The material is based on a presentation in the Special Interest session at the 25th Annual Meeting of the Society for Pediatric Radiology in New Orleans, Louisiana, USA in 1982. Meticulous attention to detail and technique is required to ensure an optimal CT examination. CT techniques specifically applicable to infants and children have not been disseminated in the radiology literature and in this respect it may rightly be observed that ''the child is not a small adult''. What follows is a ''cookbook'' prepared by seven participants and it is printed in Pediatric Radiology, in outline form, as a statement of individual preferences for pediatric CT techniques. This outline gives concise explanation of techniques and permits prompt dissemination of information. (orig.)

  13. Advanced sensing techniques for cognitive radio

    CERN Document Server

    Zhao, Guodong; Li, Shaoqian

    2017-01-01

    This SpringerBrief investigates advanced sensing techniques to detect and estimate the primary receiver for cognitive radio systems. Along with a comprehensive overview of existing spectrum sensing techniques, this brief focuses on the design of new signal processing techniques, including the region-based sensing, jamming-based probing, and relay-based probing. The proposed sensing techniques aim to detect the nearby primary receiver and estimate the cross-channel gain between the cognitive transmitter and primary receiver. The performance of the proposed algorithms is evaluated by simulations in terms of several performance parameters, including detection probability, interference probability, and estimation error. The results show that the proposed sensing techniques can effectively sense the primary receiver and improve the cognitive transmission throughput. Researchers and postgraduate students in electrical engineering will find this an exceptional resource.

  14. The Technique of Special-Effects Cinematography.

    Science.gov (United States)

    Fielding, Raymond

    The author describes the many techniques used to produce cinematic effects that would be too costly, too difficult, too time-consuming, too dangerous, or simply impossible to achieve with conventional photographic techniques. He points out that these techniques are available not only for 35 millimeter work but also to the 16 mm. photographer who…

  15. Neutron techniques

    International Nuclear Information System (INIS)

    Charlton, J.S.

    1986-01-01

    The way in which neutrons interact with matter such as slowing-down, diffusion, neutron absorption and moderation are described. The use of neutron techniques in industry, in moisture gages, level and interface measurements, the detection of blockages, boron analysis in ore feedstock and industrial radiography are discussed. (author)

  16. Applying contemporary statistical techniques

    CERN Document Server

    Wilcox, Rand R

    2003-01-01

    Applying Contemporary Statistical Techniques explains why traditional statistical methods are often inadequate or outdated when applied to modern problems. Wilcox demonstrates how new and more powerful techniques address these problems far more effectively, making these modern robust methods understandable, practical, and easily accessible.* Assumes no previous training in statistics * Explains how and why modern statistical methods provide more accurate results than conventional methods* Covers the latest developments on multiple comparisons * Includes recent advanc

  17. Materials characterization techniques

    National Research Council Canada - National Science Library

    Zhang, Sam; Li, L; Kumar, Ashok

    2009-01-01

    "With an emphasis on practical applications and real-world case studies, Materials Characterization Techniques presents the principles of widely used advanced surface and structural characterization...

  18. A disposition of interpolation techniques

    NARCIS (Netherlands)

    Knotters, M.; Heuvelink, G.B.M.

    2010-01-01

    A large collection of interpolation techniques is available for application in environmental research. To help environmental scientists in choosing an appropriate technique a disposition is made, based on 1) applicability in space, time and space-time, 2) quantification of accuracy of interpolated

  19. Comparison of marginal accuracy of castings fabricated by conventional casting technique and accelerated casting technique: an in vitro study.

    Science.gov (United States)

    Reddy, S Srikanth; Revathi, Kakkirala; Reddy, S Kranthikumar

    2013-01-01

    Conventional casting technique is time consuming when compared to accelerated casting technique. In this study, marginal accuracy of castings fabricated using accelerated and conventional casting technique was compared. 20 wax patterns were fabricated and the marginal discrepancy between the die and patterns were measured using Optical stereomicroscope. Ten wax patterns were used for Conventional casting and the rest for Accelerated casting. A Nickel-Chromium alloy was used for the casting. The castings were measured for marginal discrepancies and compared. Castings fabricated using Conventional casting technique showed less vertical marginal discrepancy than the castings fabricated by Accelerated casting technique. The values were statistically highly significant. Conventional casting technique produced better marginal accuracy when compared to Accelerated casting. The vertical marginal discrepancy produced by the Accelerated casting technique was well within the maximum clinical tolerance limits. Accelerated casting technique can be used to save lab time to fabricate clinical crowns with acceptable vertical marginal discrepancy.

  20. Radiotracer techniques in hydrological studies

    International Nuclear Information System (INIS)

    Oladipo, M.O.A.; Funtua, I.I.

    2000-07-01

    The use of radioactive tracers particularly short-lived radioisotopes frequently offers advantages over conventional methods of analyses. Applications of nuclear techniques in the field of hydrology constitute important and sometimes unique tools for obtaining critical information needed for water resources management. Essentially, radiotracer techniques offer a safe, cost effective and powerful tool in the assessment, management and protection of water resources. The Centre for Energy Research and Training, Ahmadu Bello University, Zaria of late has been offering consultancy services to some industries in the area of radiotracer technique. The first nuclear reactor in Nigeria, the MNSR, is expected to be commissioned in the Centre very soon. Many short-lived radioisotopes such as Cu-64, Ga-72, Br-82, Hg-197 etc which are very important in hydrological studies can be produced by the MNSR facility. This article reports on the basic principles of the technique and its roles in hydrology

  1. Research in decommissioning techniques for nuclear fuel cycle facilities in JNC. 7. JWTF decommissioning techniques

    International Nuclear Information System (INIS)

    Ogawa, Ryuichiro; Ishijima, Noboru

    1999-02-01

    Decommissioning techniques such as radiation measuring and monitoring, decontamination, dismantling and remote handling in the world were surveyed to upgrading technical know-how database for decommissioning of Joyo Waste Treatment Facility (JWTF). As the result, five literatures for measuring and monitoring techniques, 14 for decontamination and 22 for dismantling feasible for JWTF decommissioning were obtained and were summarized in tables. On the basis of the research, practical applicability of those techniques to decommissioning of JWTF was evaluated. This report contains brief surveyed summaries related to JWTF decommissioning. (H. Itami)

  2. Weighted hybrid technique for recommender system

    Science.gov (United States)

    Suriati, S.; Dwiastuti, Meisyarah; Tulus, T.

    2017-12-01

    Recommender system becomes very popular and has important role in an information system or webpages nowadays. A recommender system tries to make a prediction of which item a user may like based on his activity on the system. There are some familiar techniques to build a recommender system, such as content-based filtering and collaborative filtering. Content-based filtering does not involve opinions from human to make the prediction, while collaborative filtering does, so collaborative filtering can predict more accurately. However, collaborative filtering cannot give prediction to items which have never been rated by any user. In order to cover the drawbacks of each approach with the advantages of other approach, both approaches can be combined with an approach known as hybrid technique. Hybrid technique used in this work is weighted technique in which the prediction score is combination linear of scores gained by techniques that are combined.The purpose of this work is to show how an approach of weighted hybrid technique combining content-based filtering and item-based collaborative filtering can work in a movie recommender system and to show the performance comparison when both approachare combined and when each approach works alone. There are three experiments done in this work, combining both techniques with different parameters. The result shows that the weighted hybrid technique that is done in this work does not really boost the performance up, but it helps to give prediction score for unrated movies that are impossible to be recommended by only using collaborative filtering.

  3. Twin - Arch technique. Revival of the "edgewise -Technique"?

    Directory of Open Access Journals (Sweden)

    Jacob Karp

    2012-01-01

    The SNB – Bracket brings a new dimension into the orthodontic world which is most apparent in extraction cases. Its Teflon – like material has a very low friction coefficient thus, reducing the treatment time considerably. Through the use of low dimensioned arch wires, the Twin – Arch Technique becomes a Light – wire system and simultaneously provides good anchorage and torque control.

  4. Spray deposition using impulse atomization technique

    International Nuclear Information System (INIS)

    Ellendt, N.; Schmidt, R.; Knabe, J.; Henein, H.; Uhlenwinkel, V.

    2004-01-01

    A novel technique, impulse atomization, has been used for spray deposition. This single fluid atomization technique leads to different spray characteristics and impact conditions of the droplets compared to gas atomization technique which is the common technique used for spray deposition. Deposition experiments with a Cu-6Sn alloy were conducted to evaluate the appropriateness of impulse atomization to produce dense material. Based on these experiments, a model has been developed to simulate the thermal history and the local solidification rates of the deposited material. A numerical study shows how different cooling conditions affect the solidification rate of the material

  5. Invasive and noninvasive dental analgesia techniques.

    Science.gov (United States)

    Estafan, D J

    1998-01-01

    Although needle-administered local anesthesia has been an essential tool of modern dentistry, it has also been responsible for many patients' fears of dental visits. Several new techniques have recently evolved that may offer viable alternatives. Two of these operate via electronic mechanisms that interfere with pain signals, two others involve transmucosal modes of administration, and a fifth technique involves an intraosseous pathway for anesthesia administration. Each of these techniques has different indications for dental procedures, but none is intended to replace needle administration in dentistry. This overview highlights the salient features of these alternative dental anesthesia techniques.

  6. Physical simulations using centrifuge techniques

    International Nuclear Information System (INIS)

    Sutherland, H.J.

    1981-01-01

    Centrifuge techniques offer a technique for doing physical simulations of the long-term mechanical response of deep ocean sediment to the emplacement of waste canisters and to the temperature gradients generated by them. Preliminary investigations of the scaling laws for pertinent phenomena indicate that the time scaling will be consistent among them and equal to the scaling factor squared. This result implies that this technique will permit accelerated-life-testing of proposed configurations; i.e, long-term studies may be done in relatively short times. Presently, existing centrifuges are being modified to permit scale model testing. This testing will start next year

  7. LANDING TECHNIQUES IN BEACH VOLLEYBALL

    Directory of Open Access Journals (Sweden)

    Markus Tilp

    2013-09-01

    Full Text Available The aims of the present study were to establish a detailed and representative record of landing techniques (two-, left-, and right-footed landings in professional beach volleyball and compare the data with those of indoor volleyball. Beach volleyball data was retrieved from videos taken at FIVB World Tour tournaments. Landing techniques were compared in the different beach and indoor volleyball skills serve, set, attack, and block with regard to sex, playing technique, and court position. Significant differences were observed between men and women in landings following block actions (χ²(2 = 18.19, p < 0.01 but not following serve, set, and attack actions. Following blocking, men landed more often on one foot than women. Further differences in landings following serve and attack with regard to playing technique and position were mainly observed in men. The comparison with landing techniques in indoor volleyball revealed overall differences both in men (χ²(2 = 161.4, p < 0.01 and women (χ²(2 = 84.91, p < 0.01. Beach volleyball players land more often on both feet than indoor volleyball players. Besides the softer surface in beach volleyball, and therefore resulting lower loads, these results might be another reason for fewer injuries and overuse conditions compared to indoor volleyball

  8. Landing Techniques in Beach Volleyball

    Science.gov (United States)

    Tilp, Markus; Rindler, Michael

    2013-01-01

    The aims of the present study were to establish a detailed and representative record of landing techniques (two-, left-, and right-footed landings) in professional beach volleyball and compare the data with those of indoor volleyball. Beach volleyball data was retrieved from videos taken at FIVB World Tour tournaments. Landing techniques were compared in the different beach and indoor volleyball skills serve, set, attack, and block with regard to sex, playing technique, and court position. Significant differences were observed between men and women in landings following block actions (χ2(2) = 18.19, p volleyball revealed overall differences both in men (χ2(2) = 161.4, p volleyball players land more often on both feet than indoor volleyball players. Besides the softer surface in beach volleyball, and therefore resulting lower loads, these results might be another reason for fewer injuries and overuse conditions compared to indoor volleyball. Key Points About 1/3 of all jumping actions in beach volleyball result in a landing on one foot. Especially following block situations men land on one foot more often than women. Landing techniques are related to different techniques and positions. Landings on one foot are less common in beach volleyball than indoor volleyball. This could be a reason for fewer injuries and overuse conditions. PMID:24149150

  9. Encefalopatia hipertensiva seudotumoral

    Directory of Open Access Journals (Sweden)

    Ignacio de Gispert Cruz

    1952-03-01

    Full Text Available Se describe con el nombre de encefalopatia hipertensiva seudotumoral aquellos casos en que la hipertensión arterial maligna origina un cuadro de hipertensión endocraneal que puede ir asociado a signos focales cerebrales simulando un proceso expansivo intracraneal. Se considera a la encefalopatia hipertensiva seudotumoral como una complicación relativamente frecuente de la hipertensión maligna arterial primitiva aunque también puede ser provocada a consecuencia de otros procesos causantes de hipertensión arterial (endocrinos, renales, vasculares, etc. Se describen algunas observaciones de encefalopatia hipertensiva en que se planteó el diagnostico diferencial con un tumor cerebral. Los signos clinicos focales (sindrome de Foster-Kennedy, sintomas cerebelosos, etc. aumentaron en algunos casos las dificultades diagnósticas. Se señala la importancia de los exámenes complementarios especialmente de la arteriografia cerebral y neumoencefalografia que han permitido casi siempre evitar errores diagnósticos.

  10. Falso aneurisma da artéria meníngea média importância do diagnóstico angiográfico: relato de caso

    Directory of Open Access Journals (Sweden)

    Carlos A. M. Melro

    1993-09-01

    Full Text Available É objetivo deste artigo relatar o caso de um paciente com falso aneurisma da artéria meníngea média e fazer breve revisão da literatura sobre o assunto. O paciente, etilista e vítima de quedas frequentes, foi internado para investigação de sindrome convulsiva. Dentre os exames realizados observou-se, ao raio-X do crânio, fratura do osso temporal e, na carótido-angiografia comum, presença de dilatação aneurismática na artéria meníngea média em íntima relação com a fratura. O relato do caso se justifica visto a baixa frequência desta patologia e sua analogia com hematomas intracranianos de evolução atípica, bem como para salientar o papel da carótido-angiografia na avaliação de alguns casos de traumatismo crânio-encefálico.

  11. Doença pulmonar induzida pelas radiações ou pelos fármacos citostáticos

    Directory of Open Access Journals (Sweden)

    Ulrich Costabel

    2000-03-01

    Full Text Available RESUMO: O artigo discute dois temas afins: 1 doença pulmonar induzida pela radioterapia nas suas diferentes apresentações: pneumonite de radiação clássica e fibrose pulmonar e outras duas mais recentemente descritas, BOOP e alveolite linfocitária bilateral São discutidos os mecanismos patoeenicos, clinic:a e tratamento; 2 a patologia intersticial induzida por fármacos citostáticos nas suas várias formas de apresentação.REV PORT PNEUMOL 2000; VI (2: 141-144 ABSTRACT: In this paper two topics art adressed: 1 the radiation induced lung injury in its possible forms: classical radiation pneumonitis and radiation fibrosis or two other newly recoenised sindromes BOOP and bilateral lymphodtic alveolitis. The mecanism and treatment are discussed; 2 the cytotocic drug-induced lung diseases and their pulmonary reaction patterns.REV PORT PNEUMOL 2000; VI (2: 141-144 Palavras-chave: Radioterapia, Citostaticos, BOOP, Alveolite Linfocitica, Key-words: Radiation, Cytotocic Drugs, Lymphocitic Alveolitis

  12. TYPES OF DICHOGAMY, BREEDING SYSTEMS AND POLLEN LIMITATION ON Aeschynanthus pulcher (Blume G.Don. (GESNERIACEAE

    Directory of Open Access Journals (Sweden)

    Wiguna Rahman

    2009-07-01

    Full Text Available Observasi tentang tipe dikogami, sistem penyerbukan, dan keterbatasan serbuk sari telah dilakukan pada populasi Aeschynanthus pulcher di Kebun Raya Cibodas. Pengamatan fenologi bunga dilakukan untuk menentukan tipe dikogami. Dalam rangka menentukan sistem perkawinan dan keterbatasan serbuk sari, lima perlakuan penyerbukan telah dilakukan yaitu penyerbukan bebas sebagai kontrol, penyerbukan silang, penyerbukan sendiri, autogami, dan agamospermi. Hasil pengamatan menunjukkan bahwa dikogami pada A. pulcher adalah protandri, tidak sempurna dan durasi tampilan serbuk sari dan stigma reseptif masing-masing yaitu 3-9 hari dan 6-12 hari. A. pulcher merupakan tumbuhan yang dapat membuahi sendiri, sedangkan proses autogami dan agamospermi tidak terjadi. Sindrom keterbatasan serbuk sari pada populasi A. pulcher yang diamati diindikasikan terjadi. Derajat keterbatasan serbuk sari pada A. pulcher mencapai 0.79-0.80. Tiga faktor yang dapat menyebabkan keterbatasan serbuk sari adalah (1 kompetisi antar jenis tumbuhan yang berbunga bersamaan, (2 perilaku berbunga dalam satu periode yang sama, dan (3 kompetisi antara polinator dan pencuri nektar.

  13. hyperlexia and autism report of a case Hiperlexia y autismo

    Directory of Open Access Journals (Sweden)

    Clara Mónika Uribe Pérez

    1998-02-01

    Full Text Available Hyperlexia is an extraordinary skill for spontaneous early reading in the background of an autistic child with serious linguistic disorders. Generally it is a mechanical skill in the transcodification of graphemes to phonemes but there is lack of comprehension. We present the clinical characterization of a case of hyperlexia in an autistic boyas a transcortical developmental aphasia that originated perhaps in a neurodevelopment disconnection syndrome. La hiperlexia es una habilidad excepcional para el aprendizaje precoz y espontáneo de la lectura, en el contexto de un severo retraso en el desarrollo del lenguaje y un sindrome autista. En general es una habilidad mecánica en la transcodificación grafemo-fonemática pero carente, en gran parte, de capacidad comprensiva. Se presenta la caracterización clínica de un cuadro de hiperlexia como disfasia transcortical del desarrollo en un niño autista, originado posiblemente en un síndrome de desconexión durante el neurodesarrollo.

  14. Idiopathic hypereosinophilic syndrome associated with rheumatoid arthritis A case report

    Directory of Open Access Journals (Sweden)

    P. Quattrocchi

    2011-09-01

    Full Text Available The idiopathic hypereosinophilic sindrome (HES is a disease characterized by persistent blood eosinophilia (> 1500 eosinophils/mm3 > 6 months-in absence of other ethiologies for eosinophilia (parasitic, allergic, immunological or malignant diseases-associated with multiple organ involvement (heart, lung, central nervous system, skin, bone marrow, gastrointestinal tract. Reports on rheumatologic manifestations in patients with HES are very rare. In the case we report a typical rheumatoid arthritis developed in a 58-year-old woman with HES treated with glucocorticoids. Because of the marked glucocorticoids side effects shown by the patient(cushingoid habitus, hyperglycemia, we stopped this treatment and replaced it at first by methotrexate and later by cyclosporin, both of them associated with sulfasalazine. These drugs revealed very efficacious both on articular pathology and on the clinical and laboratory manifestations of HES. These data suggest that common pathogenetic mechanisms are likely acting in rheumatoid arthritis and idiopathic hypereosinophilic syndrome.

  15. Biopsy techniques for intraocular tumors

    Directory of Open Access Journals (Sweden)

    Pukhraj Rishi

    2016-01-01

    Full Text Available Biopsy involves the surgical removal of a tissue specimen for histopathologic evaluation. Most intraocular tumors are reliably diagnosed based on the clinical evaluation or with noninvasive diagnostic techniques. However, accurately diagnosing a small percentage of tumors can be challenging. A tissue biopsy is thus needed to establish a definitive diagnosis and plan the requisite treatment. From fine-needle aspiration biopsy (FNAB to surgical excision, all tissue collection techniques have been studied in the literature. Each technique has its indications and limitations. FNAB has been reported to provide for 88-95% reliable and safe ophthalmic tumor diagnosis and has gained popularity for prognostic purposes and providing eye conserving treatment surgeries. The technique and instrumentation for biopsy vary depending upon the tissue involved (retina, choroid, subretinal space, vitreous, and aqueous, suspected diagnosis, size, location, associated retinal detachment, and clarity of the media. The cytopathologist confers a very important role in diagnosis and their assistance plays a key role in managing and planning the treatment for malignancies.

  16. Submucosal tunneling techniques: current perspectives.

    Science.gov (United States)

    Kobara, Hideki; Mori, Hirohito; Rafiq, Kazi; Fujihara, Shintaro; Nishiyama, Noriko; Ayaki, Maki; Yachida, Tatsuo; Matsunaga, Tae; Tani, Johji; Miyoshi, Hisaaki; Yoneyama, Hirohito; Morishita, Asahiro; Oryu, Makoto; Iwama, Hisakazu; Masaki, Tsutomu

    2014-01-01

    Advances in endoscopic submucosal dissection include a submucosal tunneling technique, involving the introduction of tunnels into the submucosa. These tunnels permit safer offset entry into the peritoneal cavity for natural orifice transluminal endoscopic surgery. Technical advantages include the visual identification of the layers of the gut, blood vessels, and subepithelial tumors. The creation of a mucosal flap that minimizes air and fluid leakage into the extraluminal cavity can enhance the safety and efficacy of surgery. This submucosal tunneling technique was adapted for esophageal myotomy, culminating in its application to patients with achalasia. This method, known as per oral endoscopic myotomy, has opened up the new discipline of submucosal endoscopic surgery. Other clinical applications of the submucosal tunneling technique include its use in the removal of gastrointestinal subepithelial tumors and endomicroscopy for the diagnosis of functional and motility disorders. This review suggests that the submucosal tunneling technique, involving a mucosal safety flap, can have potential values for future endoscopic developments.

  17. Lightweight Cryptographic Techniques

    National Research Council Canada - National Science Library

    Yuen, Horace

    2004-01-01

    The objective of this project was to develop new cryptographic techniques, and to modify the important existing ones, for applications to encryption and authentication in energy-constrained sensors...

  18. The ``hydro-wired``: more than a technique, a global concept; ``L`hydrocable``: plus qu`une technique, un concept global

    Energy Technology Data Exchange (ETDEWEB)

    Anon.

    1998-09-01

    The ``hydro-wired`` technique consists in the use of small diameter synthetic pipes for the water supply of hot or cold water to space heating or cooling appliances. This new technique has several advantages regarding the thermal comfort and the realization of installations. However cares must be taken during the application of this technique and the design of installations. This paper describes: the French potential market for this technique (heating and cooling floors, traditional heating, sanitary hot water distribution), the characteristics of this technique with respect to traditional techniques (the sheathing of pipes, the specificities of the `octopus`-type distribution), and the design of installations (the different steps: preliminary thermal analysis, realization, start-up and tests). (J.S.)

  19. THE TECHNIQUES IN TEACHING LISTENING SKILL

    Directory of Open Access Journals (Sweden)

    Hidayah Nor

    2015-12-01

    Full Text Available Listening is very important skill in language because by listening students can produce language like speaking and writing by vocabulary that they get from listening. The English teacher of MAN 3 Banjarmasin used some techniques in teaching listening using the facilities in language laboratory such as tape cassette, television, and VCD/DVD. This research described the techniques in teaching listening skill of the Islamic high school students. The subjects of this study were an English teacher and 48 students of the tenth grade at MAN 3 Banjarmasin in Academic Year 2009/2010. To collect the data, it was used some techniques such as observation, interview, and documentary. Then all data were analyzed using descriptive method qualitatively and quantitatively, by concluding inductively. The result indicates that the techniques in teaching listening applied by the English teacher of the tenth grade students at MAN 3 Banjarmasin in Academic Year 2009/2010 are: Information Transfer, Paraphrasing and Translating, Answering Questions, Summarizing, Filling in Blanks, and Answering to Show Comprehension of Messages. The students’ ability of listening comprehension using six techniques is categorized in very high, high, and average levels. Keywords: listening techniques, teaching listening skill

  20. Intraosseous anesthesia: implications, instrumentation and techniques.

    Science.gov (United States)

    Kleber, Christopher H

    2003-04-01

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

  1. A video authentication technique

    International Nuclear Information System (INIS)

    Johnson, C.S.

    1987-01-01

    Unattended video surveillance systems are particularly vulnerable to the substitution of false video images into the cable that connects the camera to the video recorder. New technology has made it practical to insert a solid state video memory into the video cable, freeze a video image from the camera, and hold this image as long as desired. Various techniques, such as line supervision and sync detection, have been used to detect video cable tampering. The video authentication technique described in this paper uses the actual video image from the camera as the basis for detecting any image substitution made during the transmission of the video image to the recorder. The technique, designed for unattended video systems, can be used for any video transmission system where a two-way digital data link can be established. The technique uses similar microprocessor circuitry at the video camera and at the video recorder to select sample points in the video image for comparison. The gray scale value of these points is compared at the recorder controller and if the values agree within limits, the image is authenticated. If a significantly different image was substituted, the comparison would fail at a number of points and the video image would not be authenticated. The video authentication system can run as a stand-alone system or at the request of another system

  2. Acceleration techniques for the discrete ordinate method

    International Nuclear Information System (INIS)

    Efremenko, Dmitry; Doicu, Adrian; Loyola, Diego; Trautmann, Thomas

    2013-01-01

    In this paper we analyze several acceleration techniques for the discrete ordinate method with matrix exponential and the small-angle modification of the radiative transfer equation. These techniques include the left eigenvectors matrix approach for computing the inverse of the right eigenvectors matrix, the telescoping technique, and the method of false discrete ordinate. The numerical simulations have shown that on average, the relative speedup of the left eigenvector matrix approach and the telescoping technique are of about 15% and 30%, respectively. -- Highlights: ► We presented the left eigenvector matrix approach. ► We analyzed the method of false discrete ordinate. ► The telescoping technique is applied for matrix operator method. ► Considered techniques accelerate the computations by 20% in average.

  3. Diagram Techniques in Group Theory

    Science.gov (United States)

    Stedman, Geoffrey E.

    2009-09-01

    Preface; 1. Elementary examples; 2. Angular momentum coupling diagram techniques; 3. Extension to compact simple phase groups; 4. Symmetric and unitary groups; 5. Lie groups and Lie algebras; 6. Polarisation dependence of multiphoton processes; 7. Quantum field theoretic diagram techniques for atomic systems; 8. Applications; Appendix; References; Indexes.

  4. Constant exposure technique in industrial radiography

    International Nuclear Information System (INIS)

    Domanus, J.C.

    1983-08-01

    The principles and advantages of the constant exposure technique are explained. Choice of exposure factors is analyzed. Film, paper and intensifying screens used throughout the investigation and film and paper processing are described. Exposure technique and the use of image quality indicators are given. Methods of determining of radiographic image quality are presented. Conclusions about the use of constant exposure vs. constant kilovoltage technique are formulated. (author)

  5. Huffman-based code compression techniques for embedded processors

    KAUST Repository

    Bonny, Mohamed Talal

    2010-09-01

    The size of embedded software is increasing at a rapid pace. It is often challenging and time consuming to fit an amount of required software functionality within a given hardware resource budget. Code compression is a means to alleviate the problem by providing substantial savings in terms of code size. In this article we introduce a novel and efficient hardware-supported compression technique that is based on Huffman Coding. Our technique reduces the size of the generated decoding table, which takes a large portion of the memory. It combines our previous techniques, Instruction Splitting Technique and Instruction Re-encoding Technique into new one called Combined Compression Technique to improve the final compression ratio by taking advantage of both previous techniques. The instruction Splitting Technique is instruction set architecture (ISA)-independent. It splits the instructions into portions of varying size (called patterns) before Huffman coding is applied. This technique improves the final compression ratio by more than 20% compared to other known schemes based on Huffman Coding. The average compression ratios achieved using this technique are 48% and 50% for ARM and MIPS, respectively. The Instruction Re-encoding Technique is ISA-dependent. It investigates the benefits of reencoding unused bits (we call them reencodable bits) in the instruction format for a specific application to improve the compression ratio. Reencoding those bits can reduce the size of decoding tables by up to 40%. Using this technique, we improve the final compression ratios in comparison to the first technique to 46% and 45% for ARM and MIPS, respectively (including all overhead that incurs). The Combined Compression Technique improves the compression ratio to 45% and 42% for ARM and MIPS, respectively. In our compression technique, we have conducted evaluations using a representative set of applications and we have applied each technique to two major embedded processor architectures

  6. Neutron techniques in Safeguards

    International Nuclear Information System (INIS)

    Zucker, M.S.

    1982-01-01

    An essential part of Safeguards is the ability to quantitatively and nondestructively assay those materials with special neutron-interactive properties involved in nuclear industrial or military technology. Neutron techniques have furnished most of the important ways of assaying such materials, which is no surprise since the neutronic properties are what characterizes them. The techniques employed rely on a wide selection of the many methods of neutron generation, detection, and data analysis that have been developed for neutron physics and nuclear science in general

  7. Radiographic constant exposure technique

    DEFF Research Database (Denmark)

    Domanus, Joseph Czeslaw

    1985-01-01

    The constant exposure technique has been applied to assess various industrial radiographic systems. Different X-ray films and radiographic papers of two producers were compared. Special attention was given to fast film and paper used with fluorometallic screens. Radiographic image quality...... was tested by the use of ISO wire IQI's and ASTM penetrameters used on Al and Fe test plates. Relative speed and reduction of kilovoltage obtained with the constant exposure technique were calculated. The advantages of fast radiographic systems are pointed out...

  8. Arthroscopic Latarjet Techniques: Graft and Fixation Positioning Assessed With 2-Dimensional Computed Tomography Is Not Equivalent With Standard Open Technique.

    Science.gov (United States)

    Neyton, Lionel; Barth, Johannes; Nourissat, Geoffroy; Métais, Pierre; Boileau, Pascal; Walch, Gilles; Lafosse, Laurent

    2018-05-19

    To analyze graft and fixation (screw and EndoButton) positioning after the arthroscopic Latarjet technique with 2-dimensional computed tomography (CT) and to compare it with the open technique. We performed a retrospective multicenter study (March 2013 to June 2014). The inclusion criteria included patients with recurrent anterior instability treated with the Latarjet procedure. The exclusion criterion was the absence of a postoperative CT scan. The positions of the hardware, the positions of the grafts in the axial and sagittal planes, and the dispersion of values (variability) were compared. The study included 208 patients (79 treated with open technique, 87 treated with arthroscopic Latarjet technique with screw fixation [arthro-screw], and 42 treated with arthroscopic Latarjet technique with EndoButton fixation [arthro-EndoButton]). The angulation of the screws was different in the open group versus the arthro-screw group (superior, 10.3° ± 0.7° vs 16.9° ± 1.0° [P open inferior screws (P = .003). In the axial plane (level of equator), the arthroscopic techniques resulted in lateral positions (arthro-screw, 1.5 ± 0.3 mm lateral [P open technique (0.9 ± 0.2 mm medial). At the level of 25% of the glenoid height, the arthroscopic techniques resulted in lateral positions (arthro-screw, 0.3 ± 0.3 mm lateral [P open technique (1.0 ± 0.2 mm medial). Higher variability was observed in the arthro-screw group. In the sagittal plane, the arthro-screw technique resulted in higher positions (55% ± 3% of graft below equator) and the arthro-EndoButton technique resulted in lower positions (82% ± 3%, P open technique (71% ± 2%). Variability was not different. This study shows that the position of the fixation devices and position of the bone graft with the arthroscopic techniques are statistically significantly different from those with the open technique with 2-dimensional CT assessment. In the sagittal plane, the arthro-screw technique provides the highest

  9. A comparative In vivo efficacy of three spiral techniques versus incremental technique in obturating primary teeth

    Directory of Open Access Journals (Sweden)

    Shalini Chandrasekhar

    2018-01-01

    Full Text Available Background: The aim of this study was to evaluate the efficiency of four different obturating techniques in filling the radicular space in primary teeth. Materials and Methods: This clinical trial was carried out on 34 healthy, cooperative children (5–9 years who had 63 carious primary teeth indicated for pulpectomy. They were divided into four groups, such that in each group, a total of 40 canals were allotted for obturation with respective technique. The root canals of selected primary teeth were filled with Endoflas obturating material using either bi-directional spiral (Group 1; incremental technique (Group 2, past inject (Group 3 or lentulo spiral (Group 4 according to the groups assigned. The effectiveness of the obturation techniques was assessed using postoperative radiographs. The assessment was made for a depth of fill in the canal, the presence of any voids using Modified Coll and Sadrian criteria. The obtained data were analyzed by using ANOVA test and unpaired t-test. Results: Bi-directional spiral and lentulo spiral were superior to other techniques in providing optimally filled canals (P< 0.05. The bi-directional spiral was superior to lentulo spiral in preventing overfill (P< 0.05. Conclusion: Based on the present study results, bi-directional spiral can be recommended as an alternate obturating technique in primary teeth.

  10. Materials characterization techniques

    National Research Council Canada - National Science Library

    Zhang, Sam; Li, L; Kumar, Ashok

    2009-01-01

    ... techniques for quality assurance, contamination control, and process improvement. The book reviews the most popular and powerful analysis and quality control tools, explaining the appropriate uses and related technical requirements...

  11. Vibration transducer calibration techniques

    Science.gov (United States)

    Brinkley, D. J.

    1980-09-01

    Techniques for the calibration of vibration transducers used in the Aeronautical Quality Assurance Directorate of the British Ministry of Defence are presented. Following a review of the types of measurements necessary in the calibration of vibration transducers, the performance requirements of vibration transducers, which can be used to measure acceleration, velocity or vibration amplitude, are discussed, with particular attention given to the piezoelectric accelerometer. Techniques for the accurate measurement of sinusoidal vibration amplitude in reference-grade transducers are then considered, including the use of a position sensitive photocell and the use of a Michelson laser interferometer. Means of comparing the output of working-grade accelerometers with that of previously calibrated reference-grade devices are then outlined, with attention given to a method employing a capacitance bridge technique and a method to be used at temperatures between -50 and 200 C. Automatic calibration procedures developed to speed up the calibration process are outlined, and future possible extensions of system software are indicated.

  12. Empirical techniques in finance

    CERN Document Server

    Bhar, Ramaprasad

    2005-01-01

    This book offers the opportunity to study and experience advanced empi- cal techniques in finance and in general financial economics. It is not only suitable for students with an interest in the field, it is also highly rec- mended for academic researchers as well as the researchers in the industry. The book focuses on the contemporary empirical techniques used in the analysis of financial markets and how these are implemented using actual market data. With an emphasis on Implementation, this book helps foc- ing on strategies for rigorously combing finance theory and modeling technology to extend extant considerations in the literature. The main aim of this book is to equip the readers with an array of tools and techniques that will allow them to explore financial market problems with a fresh perspective. In this sense it is not another volume in eco- metrics. Of course, the traditional econometric methods are still valid and important; the contents of this book will bring in other related modeling topics tha...

  13. Radiation techniques for acromegaly

    Directory of Open Access Journals (Sweden)

    Minniti Giuseppe

    2011-12-01

    Full Text Available Abstract Radiotherapy (RT remains an effective treatment in patients with acromegaly refractory to medical and/or surgical interventions, with durable tumor control and biochemical remission; however, there are still concerns about delayed biochemical effect and potential late toxicity of radiation treatment, especially high rates of hypopituitarism. Stereotactic radiotherapy has been developed as a more accurate technique of irradiation with more precise tumour localization and consequently a reduction in the volume of normal tissue, particularly the brain, irradiated to high radiation doses. Radiation can be delivered in a single fraction by stereotactic radiosurgery (SRS or as fractionated stereotactic radiotherapy (FSRT in which smaller doses are delivered over 5-6 weeks in 25-30 treatments. A review of the recent literature suggests that pituitary irradiation is an effective treatment for acromegaly. Stereotactic techniques for GH-secreting pituitary tumors are discussed with the aim to define the efficacy and potential adverse effects of each of these techniques.

  14. Radiation techniques for acromegaly

    International Nuclear Information System (INIS)

    Minniti, Giuseppe; Scaringi, Claudia; Enrici, Riccardo Maurizi

    2011-01-01

    Radiotherapy (RT) remains an effective treatment in patients with acromegaly refractory to medical and/or surgical interventions, with durable tumor control and biochemical remission; however, there are still concerns about delayed biochemical effect and potential late toxicity of radiation treatment, especially high rates of hypopituitarism. Stereotactic radiotherapy has been developed as a more accurate technique of irradiation with more precise tumour localization and consequently a reduction in the volume of normal tissue, particularly the brain, irradiated to high radiation doses. Radiation can be delivered in a single fraction by stereotactic radiosurgery (SRS) or as fractionated stereotactic radiotherapy (FSRT) in which smaller doses are delivered over 5-6 weeks in 25-30 treatments. A review of the recent literature suggests that pituitary irradiation is an effective treatment for acromegaly. Stereotactic techniques for GH-secreting pituitary tumors are discussed with the aim to define the efficacy and potential adverse effects of each of these techniques

  15. Ion beam techniques in arts and archaeology

    International Nuclear Information System (INIS)

    Qin Guangyong; Pan Xianjia; Sun Zhongtian; Gao Zhengyao

    1991-01-01

    The ion beam techniques used in studies of arts and archaeology are compared with other analytical techniques. Some examples are specially selected to illustrate the achievements and trends of the techniques in this field

  16. Radar rainfall image repair techniques

    Directory of Open Access Journals (Sweden)

    Stephen M. Wesson

    2004-01-01

    Full Text Available There are various quality problems associated with radar rainfall data viewed in images that include ground clutter, beam blocking and anomalous propagation, to name a few. To obtain the best rainfall estimate possible, techniques for removing ground clutter (non-meteorological echoes that influence radar data quality on 2-D radar rainfall image data sets are presented here. These techniques concentrate on repairing the images in both a computationally fast and accurate manner, and are nearest neighbour techniques of two sub-types: Individual Target and Border Tracing. The contaminated data is estimated through Kriging, considered the optimal technique for the spatial interpolation of Gaussian data, where the 'screening effect' that occurs with the Kriging weighting distribution around target points is exploited to ensure computational efficiency. Matrix rank reduction techniques in combination with Singular Value Decomposition (SVD are also suggested for finding an efficient solution to the Kriging Equations which can cope with near singular systems. Rainfall estimation at ground level from radar rainfall volume scan data is of interest and importance in earth bound applications such as hydrology and agriculture. As an extension of the above, Ordinary Kriging is applied to three-dimensional radar rainfall data to estimate rainfall rate at ground level. Keywords: ground clutter, data infilling, Ordinary Kriging, nearest neighbours, Singular Value Decomposition, border tracing, computation time, ground level rainfall estimation

  17. Healthy Cooking Techniques

    Science.gov (United States)

    Healthy Lifestyle Nutrition and healthy eating Healthy-cooking techniques capture the flavor and nutrients of food without extra fat or salt. By Mayo Clinic Staff Healthy cooking doesn't mean that ...

  18. Sindrome de russel tumor diencefálico em uma criança

    Directory of Open Access Journals (Sweden)

    Luiz A. C. Roxo da Motta

    1990-03-01

    Full Text Available Apresenta-se o caso de criança do sexo masculino com síndrome de Russel devida a astrocitoma pilocítico localizado na região diencefálica. O diagnóstico foi realizado aos 16 meses de idade, mas sua sintomatologia se iniciou aos 4 meses, com emagrecimento progressivo. À internação apresentava-se com peso de 6150g e 74cm de estatura, emaciada, sem panículo adiposo, irritadica e com sinais de hipertensão intracraniana. Existia estrabismo convergente, nistagmo vertical do olho esquerdo e papiledema bilateral. Os reflexos tendinosos eram exaltados e tinha tetraparesia espástica. A avaliação endócrina demonstrou aumento basal do GH (23 ng/ml, do TSH (6,2 mUI/l e da prolactina (26 ng/ml. Os dois primeiros hormônios não responderam ao teste agudo com o TRH, enquanto a prolactina teve resposta pobre. Foi submetida a radioterapia com acelerador linear (dose total de 4000 rads e a cirurgia, na qual não se conseguiu extirpar todo o tumor, devido a seu tamanho. Nove meses após, a criança encontra-se bem, com apreciável ganho ponderai (2500g.

  19. SINDROME DE INMUNODEFICIENCIA ADQUIRIDA. COMPROMISO DEL CORAZÓN Y DE LOS VASOS

    Directory of Open Access Journals (Sweden)

    Dr. Jorge Yovanovich S.

    2015-03-01

    Full Text Available Las complicaciones cardiovasculares del SIDA, son a menudo asintomáticas, aunque en ocasiones pueden constituir la causa directa de muerte. Puede comprometerse el pericardio, miocardio, endocardio y los vasos, ya sea como manifestación de la enfermedad de base o como resultado de la terapia antirretroviral y su efecto sobre los factores de riesgo, en el contexto de una patología que es actualmente de evolución crónica y con mejores expectativas de sobrevida gracias a las nuevas drogas empleadas para su control y tratamiento. El objetivo de este artículo es presentar una revisión de los aspectos más relevantes del SIDA que comprometen al corazón y los vasos.

  20. Asupan zink dan magnesium makanan dengan disfungsi ereksi pada penderita sindrom metabolik

    Directory of Open Access Journals (Sweden)

    Saraheni Saraheni

    2014-01-01

    Full Text Available Background: Metabolic syndrome (MetS is a disease of disorder of lipid and nonlipid metabolism. The West of Scotland Coronary Prevention Study found that men with MetS had probability 3.7 dysfunctions of erection (ED by using International Index of Erectile Function (IIEF. Patient with heart disease had the risk 2 times to get ED, hypertension was 1.5-2 times, DM was 3-4 times, depression was 2-3.5 times, testosterone deficiency syndrome (TDS was 1.5-2 times, and high cholesterol was 4 times. The nutrient deficiency of zinc (Zn and magnesium (Mg was suspected being the main component which had a role in resisting a sexuality growth and maturation process. Objective: Knowing the correlation of Zn and Mg feeding with erection dysfunction in MetS person. Method: This study was observational analytic study, with case-control design in the patient aged 30-60 years old. The respondent in this study was people with MetS according to WHO criterion. There was 82 patient divided into two groups, consist of 41 cases of MetS and ED, 41 cases with the normal patient. The data collected by interview, laboratory assessment and anthropometric measurement. The data analysis using univariate, bivariate and multivariate analysis using multiple logistic regression. Results: There was significant correlation between Zn feeding and ED (OR=7.15; 95% Cl=1.47-34.71; p=0.007 and there was significant correlation between Mg feeding with ED (OR=3.34; 95% Cl=1.07-10.4; p=0.033. The end result of the multivariate analysis showed the risk variable to the ED event, that was Zn feeding with OR=15.41. If the intake of Zn accompanied with risk factors associated as a cause of ED, multivariate analysis showed HbA1c’s degree with OR=12.57; triglyceride (OR=10.47; blood pressure (OR=5.82; and abdominal obesity (OR=6.94. The result shows that these risk factors can aggravate or anticipate the onset of dysfunction erection beside low Zn intake. Conclusion: There was statistically significant correlation between Zn and Mg feeding with erection dysfunction in MetS patient.

  1. Estados de mal epiléptico na sindrome Delennox-Gastaut: aspectos terapeuticos

    Directory of Open Access Journals (Sweden)

    José Geraldo Speciali

    1977-09-01

    Full Text Available Foram descritas as condutas terapêuticas utilizadas nos estados de mal epiléptico, convulsivos e não convulsivos, observados em 14 pacientes com síndrome de Lennox-Gastaut. Verificou-se relação temporal entre aparecimento de estado de mal epiléptico e início de tratamento com clonazepam e difenilhidantoina; a retirada dessas medicações foi seguida pelo desaparecimento dos estados de mal. Indicou-se a possibilidade de tratamento dos estados de mal epiléptico modificando-se o esquema terapêutico administrado por via oral, reservando-se o tratamento parenteral para os estados com comprometimento progressivo da consciência e/ou dos distúrbios neurovegetativos.

  2. SINDROME PARANEOPLASICO EN CANCER DE CABEZA Y CUELLO: REPORTE DE UN CASO

    Directory of Open Access Journals (Sweden)

    Danilo Terán Muñoz

    2018-05-01

    Full Text Available Introducción y objetivo:Presentamos el caso de una paciente que presentó un síndrome paraneoplásico como primera manifestación de un carcinoma epidermoide Materiales y Métodos:Varón de 57 años de edad, que  es ingresado en el servicio de neumología por presentar disnea de larga evolución junto a derrame pleural bilateral y artritis en rodillas, carpos y metacarpos de reciente aparición.  Durante su hospitalización presenta eritema y descamación en manos, pabellones auriculares, rodillas y muslos; se objetivó también un mínimo derrame pericárdico.  La analítica de autoinmunidad revelo anticuerpos antinucleares positivos y  Anti Ro positivo, siendo el resto de pruebas normales.  Las lesiones cutáneas son diagnosticadas como queratosis paraneoplásica de Basex.  La exploración física del paciente reveló la presencia de una masa cervical derecha dura y adherida, no objetivándose lesiones faringolaríngeas ni en otras localizaciones.  Se realiza una punción con aguja gruesa de la masa cervical, siendo el resultado del análisis anatomopatológico carcinoma epidermoide.  La lesión es catalogada como metástasis cervical de orígen desconocido. Discusión:Las manifestaciones clínicas sistémicas por los metabolitos de los tumores son denominadas síndromes paraneoplásicos.  Las diferentes metabolitos producidos pueden provocar un amplio abanico de síntomas, generalmente mediados por la acción toxica de las sustancias liberadas por el tumor.  Suelen afectar varios órganos y sistemas: endocrinos, dermatológicos, oculares y osteoarticulares.  Los síndromes paraneoplásicos ocurren en el 1 a 7,4% de todos los pacientes con cáncer, siendo la presentación en las neoplasias de cabeza y cuello infrecuente.  El carcinoma epidermoide es la variante asociada con más frecuencia a este tipo de síndromes, también presentándose con frecuencia en tumores neuroendocrinos,  siendo menor la incidencia en otro tipo de tumores como el adenocarcinoma, carcinoma adenoide quístico, linfomas y sarcomas.  La acroqueratosis paraneoplásica de Basex, fue descrita por primera vez en 1965, siendo asociada a carcinoma del seno piriforme.  Clínicamente se caracteriza por placas cutáneas descamativas eritematosas con predilección en extremidades y es el síndrome paraneoplásico que se presenta más frecuentemente en los tumores de laringe e hipofaringe. Conclusión:Los facultativos que tratan pacientes oncológicos deben ser capaces de diferenciar los síndromes paraneoplásicos de otros desórdenes benignos; estos síndromes pueden dominar el cuadro clínico del paciente llevando a una demora diagnóstica puesto que esta sintomatología eclipsa la patología oncológica de base.  El conocimiento de los síndromes paraneoplásicos es importante porque permite orientar el caso correctamente, para de esta manera realizar un diagnóstico precoz y un tratamiento orientado a la patología  del paciente.

  3. Penatalaksanaan Oligodontia pada Anak 14 Tahun dengan Sindrom Ectodermal Dysplasia: Laporan Kasus

    Directory of Open Access Journals (Sweden)

    Anie Apriani

    2015-12-01

    Full Text Available Ectodermal dysplasia is a hereditary disorder that is rarely seen with approximately 7000 cases in the world. In this disorder, Ectodermal dysplasia occurs as a developmental disorder of organ structures derived from the ectodermal layer such as hair, teeth, nails, and sweat glands. This is a case report of ectodermal dysplasia in a 14-year-old girl with clinical manifestations of oligodontia (tooth loss, more than 6 teeth on the upper and lower jaw, thin and curly hair, abnormal toenail shape, and impaired excretion of sweat. The purpose of the treatment was to make the patient regains her esthetic and masticatory functions, which were disrupted by the absence of permanent tooth buds, as well as to maintain the normal growth of the developing jaws. Treatment for the patient’s with oligodontia included the use of removable denture in lower jaw and application of acrylic crowns on all upper and lower anterior teeth resulting in improved esthetics and masticatory function. It is concluded that the treatment has been able to improve the esthetics and to return the masticatory function of the patient while maintaining the normal growth of the jaws.

  4. Upaya Peningkatan Tingkat Pengetahuan Siswi MAN 2 Palembang Mengenai Sindrom Pra Menstruasi

    Directory of Open Access Journals (Sweden)

    Muhammad Aditya Alfarizki

    2017-03-01

    Full Text Available Premenstrual syndrome characterized by affective, physical, and behavior symptoms with moderate to severe grade, that usually recurrent every luteal phase of menstrual cycle and disappear within menstruation. The frequency of premenstrual syndrome is still high, in Indonesia and all over the world. To overcome this situation, there should be a health promotion. The aim of this community service was to increase the girl’s knowledge of premenstrual syndrome. This community service was held in one day on November 2016 in public islamic high school MAN 2 Palembang. The schedule was start with pre test consist of 15 questions, counseling sesssion using power point media, discussion session, and post test consist of the same questions to measure the knowledge after counseling. Pre test score showed that 13.9% students had good knowledge and post test score showed an increase of good knowledge (66.7%. Conclusion, heatlh education through counseling method bring a change of knowledge.

  5. [Update in continuous renal replacement techniques].

    Science.gov (United States)

    Romero-García, M; de la Cueva-Ariza, L; Delgado-Hito, P

    2013-01-01

    Acute renal failure affects 25% of patients hospitalized in intensive care units. Despite technological advances, the mortality of these patients is still high due to its associated complications. Continuous renal replacement techniques are one of the treatments for acute renal failure because they make it possible to treat the complications and decrease mortality. The nurse's knowledge and skills regarding these techniques will be decisive for the success of the therapy. Consequently, the nurse's experience and training are key components. The objective of this article is to update the knowledge on continuous renal replacement techniques. Keeping this in mind, a review has been made of the physical and chemical principles such as diffusion and convection, among others. A description of the different continuous renal replacement techniques, a presentation of the main vascular access, and a description of the nursing cares and complications related to techniques used have also been provided. Copyright © 2012 Elsevier España, S.L. y SEEIUC. All rights reserved.

  6. Astrophysical techniques

    CERN Document Server

    Kitchin, CR

    2013-01-01

    DetectorsOptical DetectionRadio and Microwave DetectionX-Ray and Gamma-Ray DetectionCosmic Ray DetectorsNeutrino DetectorsGravitational Radiation Dark Matter and Dark Energy Detection ImagingThe Inverse ProblemPhotographyElectronic ImagingScanningInterferometrySpeckle InterferometryOccultationsRadarElectronic ImagesPhotometryPhotometryPhotometersSpectroscopySpectroscopy SpectroscopesOther TechniquesAstrometryPolarimetrySolar StudiesMagnetometryComputers and The Internet.

  7. Techniques for Improving Cash Management.

    Science.gov (United States)

    Lykins, Ronald G.

    1973-01-01

    This article deals with several techniques for regulating cash inflow and outflow and investing surplus cash for short periods of time. The techniques are: (1) consolidating checking accounts, (2) determining surplus cash by examining bank balances in conjunction with the cash book, (3) selecting a minimum bank balance, (4) investing a greater…

  8. Radioisotope Sample Measurement Techniques in Medicine and Biology. Proceedings of the Symposium on Radioisotope Sample Measurement Techniques

    International Nuclear Information System (INIS)

    1965-01-01

    The medical and biological applications of radioisotopes depend on two basically different types of measurements, those on living subjects in vivo and those on samples in vitro. The International Atomic Energy Agency has in the past held several meetings on in vivo measurement techniques, notably whole-body counting and radioisotope scanning. The present volume contains the Proceedings of the first Symposium the Agency has organized to discuss the various aspects of techniques for sample measurement in vitro. The range of these sample measurement techniques is very wide. The sample may weigh a few milligrams or several hundred grams, and may be in the gaseous, liquid or solid state. Its radioactive content may consist of a single, known radioisotope or several unknown ones. The concentration of radioactivity may be low, medium or high. The measurements may be made manually or automatically and any one of the many radiation detectors now available may be used. The 53 papers presented at the Symposium illustrate the great variety of methods now in use for radioactive- sample measurements. The first topic discussed is gamma-ray spectrometry, which finds an increasing number of applications in sample measurements. Other sections of the Proceedings deal with: the use of computers in gamma-ray spectrometry and multiple tracer techniques; recent developments in activation analysis where both gamma-ray spectrometry and computing techniques are applied; thin-layer and paper radio chromatographic techniques for use with low energy beta-ray emitters; various aspects of liquid scintillation counting techniques in the measurement of alpha- and beta-ray emitters, including chemical and colour quenching; autoradiographic techniques; calibration of equipment; and standardization of radioisotopes. Finally, some applications of solid-state detectors are presented; this section may be regarded as a preview of important future developments. The meeting was attended by 203 participants

  9. The Q sort theory and technique.

    Science.gov (United States)

    Nyatanga, L

    1989-10-01

    This paper is based on the author's experience of using the Q sort technique with BA Social Sciences (BASS) students, and the community psychiatric nursing (CPN, ENB No 811 course). The paper focuses on two main issues: 1. The theoretical assumptions underpinning the Q Sort technique. Carl Rogers' self theory and some of the values of humanistic psychology are summarised. 2. The actual technique procedure and meaning of results are highlighted. As the Q Sort technique is potentially useful in a variety of sittings some of which are listed in this paper, the emphasis has deliberately been placed in understanding the theoretical underpinning and the operationalisation (sensitive interpretation) of the theory to practice.

  10. Doppler ultrasound surveillance in deep tunneling compressed-air work with Trimix breathing: bounce dive technique compared to saturation-excursion technique.

    Science.gov (United States)

    Vellinga, T P van Rees; Sterk, W; de Boer, A G E M; van der Beek, A J; Verhoeven, A C; van Dijk, F J H

    2008-01-01

    The Western Scheldt Tunneling Project in The Netherlands provided a unique opportunity to evaluate two deep-diving techniques with Doppler ultrasound surveillance. Divers used the bounce diving techniques for repair and maintenance of the TBM. The tunnel boring machine jammed at its deepest depth. As a result the work time was not sufficient. The saturation diving technique was developed and permitted longer work time at great depth. Thirty-one divers were involved in this project. Twenty-three divers were examined using Doppler ultrasound. Data analysis addressed 52 exposures to Trimix at 4.6-4.8 bar gauge using the bounce technique and 354 exposures to Trimix at 4.0-6.9 bar gauge on saturation excursions. No decompression incidents occurred with either technique during the described phase of the project. Doppler ultrasound revealed that the bubble loads assessed in both techniques were generally low. We find out, that despite longer working hours, shorter decompression times and larger physical workloads, the saturation-excursion technique was associated with significant lower bubble grades than in the bounce technique using Doppler Ultrasound. We conclude that the saturation-excursion technique with Trimix is a good option for deep and long exposures in caisson work. The Doppler technique proved valuable, and it should be incorporated in future compressed-air work.

  11. Premature Ejaculation and Utilization of Cognitive Techniques

    Directory of Open Access Journals (Sweden)

    Serkan AKKOYUNLU

    2013-03-01

    Full Text Available Introduction: Premature ejaculation is the most common male sexual dysfunction leading to distress in many couples. Master and Johnson emphasized the concept of early learned experiences and Kaplan emphasized lack of sensory awareness. For treatment sex therapists mainly utilize start-stop and squeeze techniques as homework. Couples enter sex therapy with some cognitive distortions and beliefs about sex and sexuality. These beliefs are also named sexual myths. For some couples using techniques to challenge cognitive distortions and maladaptive beliefs about sex and sexuality can be used. In this paper by presenting a case we discussed how cognitive techniques can be used along with behaviour techniques with couples. Case: Presenting clients are five years married couple who are thirty and twenty nine years old respectively. They attended to the outpatient clinic with the request of the female client. Their main complaint was premature ejaculation. They were diagnosed premature ejaculation using clinical interview. In treatment besides start and stop technique, cognitive techniques were utilized to address dysfunctional beliefs about sexuality. Discussion: Premature ejaculation is a male sexual dysfunction that causes distress and intimacy problems between couples. Stop start and squeeze techniques were accepted as the choice of treatment but their effectiveness is questioned recently. Also cognitive distortions and maladaptive beliefs may hamper therapy progress. Besides that, behavioral techniques utilizing cognitive techniques to lessen the degree of dysfunctional beliefs about sex and sexuality may help the couple to overcome premature ejaculation and enhance sexual satisfaction and intimacy.

  12. Dual kidney transplant techniques: A systematic review.

    Science.gov (United States)

    Cocco, Annelise; Shahrestani, Sara; Cocco, Nicholas; Hameed, Ahmer; Yuen, Lawrence; Ryan, Brendan; Hawthorne, Wayne; Lam, Vincent; Pleass, Henry

    2017-08-01

    Dual kidney transplantation (DKT) was developed to improve outcomes from transplantation of extended criteria donors (ECD). This study examined which surgical techniques have been reported for DKT and whether any technique had superior patient and graft survival. Electronic databases were searched for published studies mapping to MESH terms: "kidney or renal" AND "transplan*" AND "dual or double." Single case reports, studies of patients less than 18 years old, studies which did not describe the surgical technique, and studies that did not report patient or graft survival were excluded. Fifteen reports of 434 DKT recipients were identified. Three techniques were described: bilateral placement; unilateral placement with separate anastomoses; and unilateral placement with patch anastomoses. Patient survival across all three techniques was over 95% at 1 year, and graft survival was also similar at over 90%. Rates of delayed graft function were between 20% and 30% across all techniques. The three techniques have equivalent delayed graft function as well as patient and graft survival rates. This is an encouraging result as it means that the surgeon can choose to use the technique which is most appropriate for their own skills and for the patient. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  13. Modified grassline technique for orthodontic space closure.

    Science.gov (United States)

    Lohmiller, Rose Marie

    2006-04-01

    Use of traditional orthodontic measures in the periodontally compromised dentition can be problematic. This article describes a variation of the Grassline technique, in which the author uses adhesive bonding to harmoniously re-align malpositioned teeth. In this simple, easy-to-learn technique, a cotton thread is used to achieve orthodontic tooth movement. Initial contact with the saliva causes shrinkage of the thread, exercising a minor force that moves the teeth while allowing enough time for the tissues to regenerate. With this moderate, intermittent force, successful treatment is achieved with minimal risk. Moreover, this orthodontic technique has been associated with an increase in bone volume. This article presents this new technique and details methods for maintaining treatment success. The technique also is compared with an approach described in the literature. Two case reports are presented; the technique is employed in the first to close a diastema in a periodontally compromised dentition and in the second to correct the migration of maxillary and mandibular incisors. Photographs and radiographs show the esthetic improvement achieved in both cases using this technique.

  14. Resolution enhancement techniques in microscopy

    Science.gov (United States)

    Cremer, Christoph; Masters, Barry R.

    2013-05-01

    We survey the history of resolution enhancement techniques in microscopy and their impact on current research in biomedicine. Often these techniques are labeled superresolution, or enhanced resolution microscopy, or light-optical nanoscopy. First, we introduce the development of diffraction theory in its relation to enhanced resolution; then we explore the foundations of resolution as expounded by the astronomers and the physicists and describe the conditions for which they apply. Then we elucidate Ernst Abbe's theory of optical formation in the microscope, and its experimental verification and dissemination to the world wide microscope communities. Second, we describe and compare the early techniques that can enhance the resolution of the microscope. Third, we present the historical development of various techniques that substantially enhance the optical resolution of the light microscope. These enhanced resolution techniques in their modern form constitute an active area of research with seminal applications in biology and medicine. Our historical survey of the field of resolution enhancement uncovers many examples of reinvention, rediscovery, and independent invention and development of similar proposals, concepts, techniques, and instruments. Attribution of credit is therefore confounded by the fact that for understandable reasons authors stress the achievements from their own research groups and sometimes obfuscate their contributions and the prior art of others. In some cases, attribution of credit is also made more complex by the fact that long term developments are difficult to allocate to a specific individual because of the many mutual connections often existing between sometimes fiercely competing, sometimes strongly collaborating groups. Since applications in biology and medicine have been a major driving force in the development of resolution enhancing approaches, we focus on the contribution of enhanced resolution to these fields.

  15. Progress involving new techniques for liposome preparation

    Directory of Open Access Journals (Sweden)

    Zhenjun Huang

    2014-08-01

    Full Text Available The article presents a review of new techniques being used for the preparation of liposomes. A total of 28 publications were examined. In addition to the theories, characteristics and problems associated with traditional methods, the advantages and drawbacks of the latest techniques were reviewed. In the light of developments in many relevant areas, a variety of new techniques are being used for liposome preparation and each of these new technique has particular advantages over conventional preparation methods. However, there are still some problems associated with these new techniques that could hinder their applications and further improvements are needed. Generally speaking, due to the introduction of these latest techniques, liposome preparation is now an improved procedure. These applications promote not only advances in liposome research but also the methods for their production on an industrial scale.

  16. Hlaallele Detection Using Molecular Techniques

    Directory of Open Access Journals (Sweden)

    Philip A. Dyer

    1993-01-01

    Full Text Available There are now many molecular biological techniques available to define HLA class I and class II alleles. Some of these are also applicable to other human polymorphic genes, in particular to those non-HLA genes encoded within the Mhc. The range of techniques available allows laboratories to choose those most suited to their purpose. The routine laboratory supporting solid organ transplants will need to type large numbers of potential recipients over a period of time, probably using PCR-SSOP while donors will be typed singly and rapidly using PCR-SSP with HLA allele compatibility determined by heteroduplex analysis. Laboratories supporting bone marrow transplantation, where time is less pressing, can choose from the whole range of techniques to determine accurately donor recipient Mhc compatibility. For disease studies, techniques defining precise HLA allele sequence polymorphisms are needed and high sample numbers have to be accommodated. When an association is established allele sequencing has to be used. In the near future, the precise role of HLA alleles in transplantation and disease susceptibility is likely to be established unambiguously.

  17. The Algebraic Reconstruction Technique (ART)

    International Nuclear Information System (INIS)

    Raparia, D.; Alessi, J.; Kponou, A.

    1997-01-01

    Projections of charged particle beam current density (profiles) are frequently used as a measure of beam position and size. In conventional practice only two projections, usually horizontal and vertical, are measured. This puts a severe limit on the detail of information that can be achieved. A third projection provides a significant improvement. The Algebraic Reconstruction Technique (ART) uses three or more projections to reconstruct 3-dimensional density profiles. At the 200 MeV H-linac, we have used this technique to measure beam density, and it has proved very helpful, especially in helping determine if there is any coupling present in x-y phase space. We will present examples of measurements of current densities using this technique

  18. New techniques in neutron scattering

    International Nuclear Information System (INIS)

    Hayter, J.B.

    1993-01-01

    New neutron sources being planned, such as the Advanced Neutron Source (ANS) or the European Spallation Source (ESS), will provide an order of magnitude flux increase over what is available today, but neutron scattering will still remain a signal-limited technique. At the same time, the development of new materials, such as polymer and ceramic composites or a variety of complex fluids, will increasingly require neutron-based research. This paper will discuss some of the new techniques which will allow us to make better use of the available neutrons, either through improved instrumentation or through sample manipulation. Discussion will center primarily on unpolarized neutron techniques since polarized neutrons will be the subject of the next paper. (author)

  19. Transvaginal Cystocele Repair by Purse-String Technique Reinforced with Three Simple Sutures: Surgical Technique and Results

    Directory of Open Access Journals (Sweden)

    Ho-Sook Song

    2012-09-01

    Full Text Available Purpose Different techniques for cystocele repair including the conventional anterior colporrhaphy and mesh technique are known. Our goal was to evaluate the anatomical success and safety of our method of transvaginal anterior vaginal wall repair by the purse-string technique reinforced with three simple additional sutures in the repair of cystocele over a 4-year follow-up period. Methods This was a retrospective review of 69 consecutive patients (grades 2 to 4 who underwent the above operations between 2001 and 2011, including their success rates as assessed by use of the Baden-Walker halfway classification system. Results Of the patients, 62 patients (98% were completely cured of cystocele and 1 patient showed grade 2 cystocele recurrence that required no further treatment. Two patients with grade 4 cystocele were completely cured. There was no vaginal erosion related to the cystocele repair. Conclusions Transvaginal anterior colporrhaphy by a purse-string technique reinforced with simple additive sutures appears to be a simple, safe, and easily performed approach in cystocele repair. There is no need for other material for reinforcement, even in high-grade cystocele, which is an advantage of our technique.

  20. Magnetic characterization techniques for nanomaterials

    CERN Document Server

    2017-01-01

    Sixth volume of a 40 volume series on nanoscience and nanotechnology, edited by the renowned scientist Challa S.S.R. Kumar. This handbook gives a comprehensive overview about Magnetic Characterization Techniques for Nanomaterials. Modern applications and state-of-the-art techniques are covered and make this volume an essential reading for research scientists in academia and industry.

  1. Q-Technique and Graphics Research.

    Science.gov (United States)

    Kahle, Roger R.

    Because Q-technique is as appropriate for use with visual and design items as for use with words, it is not stymied by the topics one is likely to encounter in graphics research. In particular Q-technique is suitable for studying the so-called "congeniality" of typography, for various copytesting usages, and for multivariate graphics research. The…

  2. Stochastic Feedforward Control Technique

    Science.gov (United States)

    Halyo, Nesim

    1990-01-01

    Class of commanded trajectories modeled as stochastic process. Advanced Transport Operating Systems (ATOPS) research and development program conducted by NASA Langley Research Center aimed at developing capabilities for increases in capacities of airports, safe and accurate flight in adverse weather conditions including shear, winds, avoidance of wake vortexes, and reduced consumption of fuel. Advances in techniques for design of modern controls and increased capabilities of digital flight computers coupled with accurate guidance information from Microwave Landing System (MLS). Stochastic feedforward control technique developed within context of ATOPS program.

  3. The Dermal Apron Technique for Immediate Implant Socket Management: A Novel Technique.

    Science.gov (United States)

    Levin, Barry P

    2016-01-01

    With immediate implant placement and provisionalization (IIP) in the esthetic zone, measures to counter hard and soft tissue loss are frequently necessary. To reduce the morbidity associated with bone and connective tissue procurement, various exogenous materials are utilized. The "Dermal Apron Technique" presented in this article demonstrates the use of a composite bone particulate (allograft/xenograft) plus a dermal allograft, adapted around screw-retained temporary crowns and secured within a subperiosteal pouch. The purpose is to augment the thickness of peri-implant mucosa for the purpose of preserving ridge dimensions and preventing mucosal recession. Controlled studies are required to further support its use. Clinical significance: Soft tissue health and harmony are critical for successful implant therapy in the esthetic regions of the dentition. Often, autogenous soft tissue grafts are used to augment peri-implant soft tissues. The Dermal Apron Technique is a method, that in specific situations, obviates the need for autogenous grafting. This reduces treatment time and morbidity associated with procurement of these grafts. The Dermal Apron Technique is used simultaneous with immediate placement and provisionalization and can improve long-term esthetic outcomes for patients. © 2016 Wiley Periodicals, Inc.

  4. Development of hotcell non-destructive examination techniques

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Young Uhn; Yu, S. C.; Kang, B. S.; Byun, K. S. [Chungbuk National University, Chungju (Korea)

    2002-01-01

    The purpose of this project is to establish non-destructive examination techniques which needs to determine the status of spent nuclear fuel and/or bundles. Through the project, we will establish an image reconstruction tomography which is a kind of non-destructive techniques in Hotcell. The tomography technique can be used to identify the 2-dimensional density distribution of fission products in the spent fuel rods and/or bundles. And form results of the measurement and analysis of magnetic properties of neutron irradiated material in the press vessel and reactor, we will develop some techniques to test its hardness and defects. In 2001, the first year, we have established mathematical background and necessary data and informations to develop the techniques. We will try to find some experimental results that are necessary in developing the Hotcell non-destructive examination techniques in the coming year. 14 refs., 65 figs., 5 tabs. (Author)

  5. A new neutron noise technique for fast reactors

    International Nuclear Information System (INIS)

    Zhuo Fengguan; Jin Manyi; Yao Shigui; Su Zhuting

    1987-12-01

    This paper gives a new neutron noise technique for fast reactors, which is known as thermalization measurement technique of the neutron noise. The theoretical formulas of the technique were developed, and a digital delayed coincidence time analyzer consisted of TTL integrated circuits was constructed for the study of this technique. The technique has been tested and applied practically at Df-VI fast zero power reactor. It was shown that the provided technique in this work has a number of significant advantages in comparison with the conventional neutron noise method

  6. Seminar on Detectors and measurements techniques

    International Nuclear Information System (INIS)

    Holm, E.

    2002-01-01

    A Nordic Seminar on detectors and radionuclide measurement techniques was held in Lund, Sweden, May 3-4, 2001. The objective was to highlight recent progress and problems for techniques to study environmental radioactivity. It covered the aspect of detector sample geometry's and methods for evaluation of gamma gamma pulse height distributions. Within the field of alpha-spectrometric techniques gridded ionisation chambers, semiconductor detectors and a general description for analysis of alpha-particle-spectra were presented. Recent development in mass spectrometric techniques, AMS (Accelerator Mass Spectrometry) and ICPMS (Inductively Coupled Plasma mass Spectrometry) for long-lived radionuclides was described. Principles for analysis of beta particle emitters, especially by liquid scintillation were presented. The seminar also covered radiochemistry such advantages and disadvantages between ion exchange, solvent extraction and extraction chromatography. The use of controlled laboratory conditions for discerning the dynamics of accumulation in organisms was demonstrated. Other techniques such as neutron activation were also shown to be useful analytical tool for certain long-lived radionuclides. The results of the intercalibration exercises within the Nordic countries showed the importance of such analytical quality control. (au)

  7. A new technique in the surgical treatment of Hangman's fractures: Neurospinal Academy (NSA) technique.

    Science.gov (United States)

    Dalbayrak, Sedat; Yaman, Onur; Yılmaz, Mesut

    2013-07-01

    Treatment of Hangman's fractures is still controversial. Hangman's fractures Type II and IIA are usually treated with surgical procedures. This study aims at describing the Neurospinal Academy (NSA) technique as an attempt to achieve an approximation of the fracture line to the axis body, which may be used for Type II and IIA patients with severe displacement and angulation. NSA technique both pars or pedicle screws are placed bicortically to ensure that anterior surface of C2 vertebral body will be crossed 1-2 mm. A rod is prepared in suitable length and curve to connect the two screws. For placing the rod, sufficient amount of bone is resected from the C2 spinous process. C2 vertebral body is pulled back by means of the screws that crossed the anterior surface of C2 vertebral body. Hangman II and IIA patient are treated with NSA technique. Angulated and tilted C2 vertebral body was pulled back and approximated to posterior elements. In Hangman's fractures Type II and IIA with severe vertebral body and pedicle displacement, NSA technique is an effective and reliable treatment alternative for the approximation of posterior elements to the C2 vertebral body, which is tilted, angulated, and dislocated.

  8. Magnetic Nondestructive Testing Techniques of Constructional Steel

    Directory of Open Access Journals (Sweden)

    Xiong Er-gang

    2016-01-01

    Full Text Available Steel is a kind of ferromagnetic material, which is extensively applied in such fields as buildings, bridges, railways, machines and lifeline engineering etc. Those engineering structures built of constructional steel will unavoidably experience some damages during their service lifetime, thus which will influence the distribution regularity of internal forces in structures, result in over-stresses, cause the local failure of structures, and even lead to collapse of the whole structure. Therefore, it is a pressing topic to study how to directly evaluate the real-time stressed states of structural members, damages and steel characteristics in present structural health monitoring and diagnosing fields. And the achievements of this research will be of theoretical significance and of application value of engineering. This paper summarizes varieties of new magnetic nondestructive testing techniques used in constructional steel, respectively investigates the testing principles, characteristics and application for the magnetic Barkhausen noise technique, magnetic acoustic emission technique, magnetic flux leakage technique, magnetic memory technique and magnetic absorption technique, and points out the problems present in the application of these new techniques to actual testing and the further research objective.

  9. Computer Assisted Audit Techniques

    Directory of Open Access Journals (Sweden)

    Eugenia Iancu

    2007-01-01

    Full Text Available From the modern point of view, audit takes intoaccount especially the information systems representingmainly the examination performed by a professional asregards the manner for developing an activity by means ofcomparing it to the quality criteria specific to this activity.Having as reference point this very general definition ofauditing, it must be emphasized that the best known segmentof auditing is the financial audit that had a parallel evolutionto the accountancy one.The present day phase of developing the financial audithas as main trait the internationalization of the accountantprofessional. World wide there are multinational companiesthat offer services in the financial auditing, taxing andconsultancy domain. The auditors, natural persons and auditcompanies, take part at the works of the national andinternational authorities for setting out norms in theaccountancy and auditing domain.The computer assisted audit techniques can be classified inseveral manners according to the approaches used by theauditor. The most well-known techniques are comprised inthe following categories: testing data techniques, integratedtest, parallel simulation, revising the program logics,programs developed upon request, generalized auditsoftware, utility programs and expert systems.

  10. Fundamentals - state of the art of radiation techniques

    International Nuclear Information System (INIS)

    Wogman, N.A.

    1982-01-01

    In minerals exploration and extraction, nuclear techniques have several advantages. The techniques are elementally specific and their exploration range varies from a few millimeters in average rock formations to more than a meter. Because of the heterogeneous disposition of minerals and difficult environments in which measurements are required (in boreholes, on conveyor belts, in bunkers), interrogating techniques are required which exhibit both elemental specificity and range. It is for these fundamental reasons that nuclear techniques are the only possible techniques which satisfy all requirements. A variety of techniques have been developed and used. These are based on energy dispersive x-ray fluorescence (EDXRF), measurement of natural gamma-ray radiation, gamma-ray attenuation and scattering, and on neutron interactions. This paper discusses the fundamentals of these four techniques and their applications. A table is also provided listing some existing selected applications of nuclear techniques in mineral exploration, mining and processing

  11. Overview of nonchemical decontamination techniques

    International Nuclear Information System (INIS)

    Allen, R.P.

    1984-09-01

    The decontamination techniques summarized in this paper represent a variety of surface cleaning methods developed or adapted for component and facility-type decontamination applications ranging from small hand tools to reactor cavities and other large surface areas. The major conclusion is that decontamination is a complex, demanding technical discipline. It requires knowledgeable, experienced and well-trained personnel to select proper techniques and combinations of techniques for the varied plant applications and to realize their full performance potential. Unfortunately, decontamination in many plants has the lowest priority of almost any activity. Operators are unskilled and turnover is so frequent that expensive decontamination capabilities remain unused while decontamination operations revert to the most rudimentary type of hand scrubbing and water spray cleaning

  12. Radon survey techniques

    International Nuclear Information System (INIS)

    Anon.

    1976-01-01

    The report reviews radon measurement surveys in soils and in water. Special applications, and advantages and limitations of the radon measurement techniques are considered. The working group also gives some directions for further research in this field

  13. An anonymization technique using intersected decision trees

    Directory of Open Access Journals (Sweden)

    Sam Fletcher

    2015-07-01

    Full Text Available Data mining plays an important role in analyzing the massive amount of data collected in today’s world. However, due to the public’s rising awareness of privacy and lack of trust in organizations, suitable Privacy Preserving Data Mining (PPDM techniques have become vital. A PPDM technique provides individual privacy while allowing useful data mining. We present a novel noise addition technique called Forest Framework, two novel data quality evaluation techniques called EDUDS and EDUSC, and a security evaluation technique called SERS. Forest Framework builds a decision forest from a dataset and preserves all the patterns (logic rules of the forest while adding noise to the dataset. We compare Forest Framework to its predecessor, Framework, and another established technique, GADP. Our comparison is done using our three evaluation criteria, as well as Prediction Accuracy. Our experimental results demonstrate the success of our proposed extensions to Framework and the usefulness of our evaluation criteria.

  14. [Intestinal lengthening techniques: an experimental model in dogs].

    Science.gov (United States)

    Garibay González, Francisco; Díaz Martínez, Daniel Alberto; Valencia Flores, Alejandro; González Hernández, Miguel Angel

    2005-01-01

    To compare two intestinal lengthening procedures in an experimental dog model. Intestinal lengthening is one of the methods for gastrointestinal reconstruction used for treatment of short bowel syndrome. The modification to the Bianchi's technique is an alternative. The modified technique decreases the number of anastomoses to a single one, thus reducing the risk of leaks and strictures. To our knowledge there is not any clinical or experimental report that studied both techniques, so we realized the present report. Twelve creole dogs were operated with the Bianchi technique for intestinal lengthening (group A) and other 12 creole dogs from the same race and weight were operated by the modified technique (Group B). Both groups were compared in relation to operating time, difficulties in technique, cost, intestinal lengthening and anastomoses diameter. There were no statistical difference in the anastomoses diameter (A = 9.0 mm vs. B = 8.5 mm, p = 0.3846). Operating time (142 min vs. 63 min) cost and technique difficulties were lower in group B (p anastomoses (of Group B) and intestinal segments had good blood supply and were patent along their full length. Bianchi technique and the modified technique offer two good reliable alternatives for the treatment of short bowel syndrome. The modified technique improved operating time, cost and technical issues.

  15. Magnetic field measurements and mapping techniques

    CERN Multimedia

    CERN. Geneva

    2003-01-01

    These lectures will present an overview of the most common techniques used for the measurement of magnetic field in accelerator magnets. The formalism for a harmonic description of the magnetic field will be presented, including a discussion of harmonics allowed under various types of symmetries in the magnet. The harmonic coil technique for measurement of field harmonics will be covered in depth. Using examples from recent projects, magnetic measurements will be shown to be a powerful tool for monitoring magnet production. Measurements of magnetic axis using extensions of the harmonic coil technique, as well as other techniques, such as the colloidal cell and stretched wire, will be covered. Topics of interest in superconducting magnets, such as time decay and snapback, requiring relatively fast measurements of the harmonics, will also be described.

  16. Soft computing techniques in engineering applications

    CERN Document Server

    Zhong, Baojiang

    2014-01-01

    The Soft Computing techniques, which are based on the information processing of biological systems are now massively used in the area of pattern recognition, making prediction & planning, as well as acting on the environment. Ideally speaking, soft computing is not a subject of homogeneous concepts and techniques; rather, it is an amalgamation of distinct methods that confirms to its guiding principle. At present, the main aim of soft computing is to exploit the tolerance for imprecision and uncertainty to achieve tractability, robustness and low solutions cost. The principal constituents of soft computing techniques are probabilistic reasoning, fuzzy logic, neuro-computing, genetic algorithms, belief networks, chaotic systems, as well as learning theory. This book covers contributions from various authors to demonstrate the use of soft computing techniques in various applications of engineering.  

  17. Integral transform techniques for Green's function

    CERN Document Server

    Watanabe, Kazumi

    2015-01-01

    This book describes mathematical techniques for integral transforms in a detailed but concise manner. The techniques are subsequently applied to the standard partial differential equations, such as the Laplace equation, the wave equation and elasticity equations. Green’s functions for beams, plates and acoustic media are also shown, along with their mathematical derivations. The Cagniard-de Hoop method for double inversion is described in detail, and 2D and 3D elastodynamic problems are treated in full. This new edition explains in detail how to introduce the branch cut for the multi-valued square root function. Further, an exact closed form Green’s function for torsional waves is presented, as well as an application technique of the complex integral, which includes the square root function and an application technique of the complex integral.

  18. New techniques for wound debridement.

    Science.gov (United States)

    Madhok, Brijesh M; Vowden, Kathryn; Vowden, Peter

    2013-06-01

    Debridement is a crucial component of wound management. Traditionally, several types of wound debridement techniques have been used in clinical practice such as autolytic, enzymatic, biodebridement, mechanical, conservative sharp and surgical. Various factors determine the method of choice for debridement for a particular wound such as suitability to the patient, the type of wound, its anatomical location and the extent of debridement required. Recently developed products are beginning to challenge traditional techniques that are currently used in wound bed preparation. The purpose of this review was to critically evaluate the current evidence behind the use of these newer techniques in clinical practice. There is some evidence to suggest that low frequency ultrasound therapy may improve healing rates in patients with venous ulcers and diabetic foot ulcers. Hydrosurgery debridement is quick and precise, but the current evidence is limited and further studies are underway. Debridement using a monofilament polyester fibre pad and plasma-mediated bipolar radiofrequency ablation are both very new techniques. The initial evidence is limited, and further studies are warranted to confirm their role in management of chronic wounds. © 2013 The Authors. International Wound Journal © 2013 John Wiley & Sons Ltd and Medicalhelplines.com Inc.

  19. Dosimetric comparison of field in field intensity-modulated radiotherapy technique with conformal radiotherapy techniques in breast cancer

    International Nuclear Information System (INIS)

    Ercan, T.; Alco, G.; Zengin, F.; Atilla, S.; Dincer, M.; Igdem, S.; Okkan, S.

    2010-01-01

    The aim of this study was to be able to implement the field-in-field intensity-modulated radiotherapy (FiF) technique in our daily practice for breast radiotherapy. To do this, we performed a dosimetric comparison. Treatment plans were produced for 20 consecutive patients. FiF plans and conformal radiotherapy (CRT) plans were compared for doses in the planning target volume (PTV), the dose homogeneity index (DHI), doses in irradiated soft tissue outside the target volume (SST), ipsilateral lung and heart doses for left breast irradiation, and the monitor unit counts (MU) required for treatment. Averaged values were compared using Student's t-test. With FiF, the DHI is improved 7.0% and 5.7%, respectively (P<0.0001) over the bilateral and lateral wedge CRT techniques. When the targeted volumes received 105% and 110% of the prescribed dose in the PTV were compared, significant decreases are found with the FiF technique. With the 105% dose, the SST, heart, and ipsilateral lung doses and the MU counts were also significantly lower with the FiF technique. The FiF technique, compared to CRT, for breast radiotherapy enables significantly better dose distribution in the PTV. Significant differences are also found for soft tissue volume, the ipsilateral lung dose, and the heart dose. Considering the decreased MUs needed for treatment, the FiF technique is preferred over tangential CRT. (author)

  20. Advanced Techniques in Biophysics

    CERN Document Server

    Arrondo, José Luis R

    2006-01-01

    Technical advancements are basic elements in our life. In biophysical studies, new applications and improvements in well-established techniques are being implemented every day. This book deals with advancements produced not only from a technical point of view, but also from new approaches that are being taken in the study of biophysical samples, such as nanotechniques or single-cell measurements. This book constitutes a privileged observatory for reviewing novel applications of biophysical techniques that can help the reader enter an area where the technology is progressing quickly and where a comprehensive explanation is not always to be found.

  1. Nonenhanced MR angiography techniques

    International Nuclear Information System (INIS)

    Lanzman, R.S.; Kroepil, P.; Blondin, D.; Schmitt, P.

    2011-01-01

    Especially in regard to the potential risks for the development of nephrogenic systemic fibrosis (NSF) following the administration of Gadolinium-based contrast material, nonenhanced MR angiography (MRA) methods are becoming ever more important. Besides well-established time-of-flight (TOF) and phase-contrast (PC) MRA, alternative imaging techniques based on balanced steady-state free precession (bSSFP) and turbo-spin-echo (TSE) sequences are increasingly used in combination with or without arterial spin labeling (ASL) strategies. This article provides an overview of the principles and clinical values of different nonenhanced MRA techniques. In addition, recent nonenhanced MRA developments are presented. (orig.)

  2. Materials Science and X-ray Techniques

    International Nuclear Information System (INIS)

    Brock, J.; Sutton, M.

    2008-01-01

    Many novel synchrotron-based X-ray techniques directly address the core questions of modern materials science but are not yet at the stage of being easy to use because of the lack of dedicated beamlines optimized for specific measurements. In this article, we highlight a few of these X-ray techniques and discuss why, with ongoing upgrades of existing synchrotrons and with new linear-accelerator-based sources under development, now is the time to ensure that these techniques are readily available to the larger materials research community.

  3. Alternative Assessment Techniques.

    Science.gov (United States)

    Lowenthal, Barbara

    1988-01-01

    Maintaining the precision necessary for administering norm referenced tests can be a problem for the special education teacher who is trained to assist the student. Criterion-referenced tests, observations, and interviews are presented as effective alternative assessment techniques. (JDD)

  4. Application of functional analysis techniques to supervisory systems

    International Nuclear Information System (INIS)

    Lambert, Manuel; Riera, Bernard; Martel, Gregory

    1999-01-01

    The aim of this paper is to apply firstly two interesting functional analysis techniques for the design of supervisory systems for complex processes, and secondly to discuss the strength and the weaknesses of each of them. Two functional analysis techniques have been applied, SADT (Structured Analysis and Design Technique) and FAST (Functional Analysis System Technique) on a process, an example of a Water Supply Process Control (WSPC) system. These techniques allow a functional description of industrial processes. The paper briefly discusses the functions of a supervisory system and some advantages of the application of functional analysis for the design of a 'human' centered supervisory system. Then the basic principles of the two techniques applied on the WSPC system are presented. Finally, the different results obtained from the two techniques are discussed

  5. The Random-Map Technique: Enhancing Mind-Mapping with a Conceptual Combination Technique to Foster Creative Potential

    Science.gov (United States)

    Malycha, Charlotte P.; Maier, Günter W.

    2017-01-01

    Although creativity techniques are highly recommended in working environments, their effects have been scarcely investigated. Two cognitive processes are often considered to foster creative potential and are, therefore, taken as a basis for creativity techniques: knowledge activation and conceptual combination. In this study, both processes were…

  6. Soil analysis. Modern instrumental technique

    International Nuclear Information System (INIS)

    Smith, K.A.

    1993-01-01

    This book covers traditional methods of analysis and specialist monographs on individual instrumental techniques, which are usually not written with soil or plant analysis specifically in mind. The principles of the techniques are combined with discussions of sample preparation and matrix problems, and critical reviews of applications in soil science and related disciplines. Individual chapters are processed separately for inclusion in the appropriate data bases

  7. The OPPIuM technique: office hysteroscopic technique for the preparation of partially intramural leiomyomas.

    Science.gov (United States)

    Cicinelli, Ettore; Mitsopoulos, Vasileios; Fascilla, Fabiana D; Sioutis, Dimos; Bettocchi, Stefano

    2016-06-01

    Uterine fibroids, also known as leiomyomas, represent the most common benign tumors of the female genital tract. Submucosal leiomyomas are classified into three grades: G0, GI, GII according to the degree of their intramural proportion. A recently developed technique enables the preparation of G1 and G2 leiomyomas for their subsequent successful resection in a second step. The OPPIuM (office preparation of partially intramural leiomyomas) technique aims to downgrade type I and II leiomyomas, in order to facilitate a subsequent easier and safer resectoscopy. Hysteroscopic resection of large GI or GII submucosal fibroids is a complex procedure. OPPIuM technique has been invented and seems to achieve the downgrading of these types of leiomyomas in approximately 93% of cases, without any significant surgical complications or the need of hormonal agents' administration. In this way, the safer and quicker subsequent complete myomectomy is facilitated.

  8. Vasectomy occlusion techniques for male sterilization.

    Science.gov (United States)

    Cook, L A; Vliet, H; Pun, A; Gallo, M F

    2004-01-01

    Vasectomy is an increasingly popular and effective family planning method. A variety of vasectomy techniques are used worldwide including various vas occlusion techniques (excision and ligation, thermal or electrocautery, and mechanical and chemical occlusion methods), vas irrigation and fascial interposition. Vasectomy guidelines largely rely on information from observational studies. Ideally, the choice of vasectomy techniques should be based on the best available evidence from randomized controlled trials. The objective of this review was to compare the effectiveness, safety, acceptability and costs of vasectomy techniques for male sterilization. We searched the computerized databases the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, Popline and LILACS. In addition, we searched the reference lists of relevant articles and book chapters. We included randomized controlled trials and controlled clinical trials comparing vasectomy techniques. We assessed all titles and abstracts located in the literature searches and two reviewers independently extracted articles identified for inclusion. Data were presented in the text of the review. Outcome measures include contraceptive efficacy, safety, discontinuation, and acceptability. Two trials compared vas occlusion with clips versus a conventional vasectomy technique; both were of poor quality. Neither trial found a difference between the two groups with regard to the primary outcome of failure to reach azoospermia. Four trials examined vas irrigation: three compared water irrigation with no irrigation and one compared water irrigation with euflavine. All of the trials were of poor quality. None of the trials found a significant difference between the groups with respect to the primary outcome of time to azoospermia. However, one trial found that the median number of ejaculations to azoospermia was significantly lower in the euflavine group compared to the water irrigation group. The one trial

  9. Seminar on Detectors and measurements techniques

    Energy Technology Data Exchange (ETDEWEB)

    Holm, E. (ed.) [Risoe National Lab., Roskilde (Denmark)

    2002-07-01

    A Nordic Seminar on detectors and radionuclide measurement techniques was held in Lund, Sweden, May 3-4, 2001. The objective was to highlight recent progress and problems for techniques to study environmental radioactivity. It covered the aspect of detector sample geometry's and methods for evaluation of gamma gamma pulse height distributions. Within the field of alpha-spectrometric techniques gridded ionisation chambers, semiconductor detectors and a general description for analysis of alpha-particle-spectra were presented. Recent development in mass spectrometric techniques, AMS (Accelerator Mass Spectrometry) and ICPMS (Inductively Coupled Plasma mass Spectrometry) for long-lived radionuclides was described. Principles for analysis of beta particle emitters, especially by liquid scintillation were presented. The seminar also covered radiochemistry such advantages and disadvantages between ion exchange, solvent extraction and extraction chromatography. The use of controlled laboratory conditions for discerning the dynamics of accumulation in organisms was demonstrated. Other techniques such as neutron activation were also shown to be useful analytical tool for certain long-lived radionuclides. The results of the intercalibration exercises within the Nordic countries showed the importance of such analytical quality control. (au)

  10. New computing techniques in physics research

    International Nuclear Information System (INIS)

    Becks, Karl-Heinz; Perret-Gallix, Denis

    1994-01-01

    New techniques were highlighted by the ''Third International Workshop on Software Engineering, Artificial Intelligence and Expert Systems for High Energy and Nuclear Physics'' in Oberammergau, Bavaria, Germany, from October 4 to 8. It was the third workshop in the series; the first was held in Lyon in 1990 and the second at France-Telecom site near La Londe les Maures in 1992. This series of workshops covers a broad spectrum of problems. New, highly sophisticated experiments demand new techniques in computing, in hardware as well as in software. Software Engineering Techniques could in principle satisfy the needs for forthcoming accelerator experiments. The growing complexity of detector systems demands new techniques in experimental error diagnosis and repair suggestions; Expert Systems seem to offer a way of assisting the experimental crew during data-taking

  11. Artificial intelligence techniques in power systems

    Energy Technology Data Exchange (ETDEWEB)

    Laughton, M.A.

    1997-12-31

    Since the early to mid 1980s much of the effort in power systems analysis has turned away from the methodology of formal mathematical modelling which came from the fields of operations research, control theory and numerical analysis to the less rigorous techniques of artificial intelligence (AI). Today the main AI techniques found in power systems applications are those utilising the logic and knowledge representations of expert systems, fuzzy systems, artificial neural networks (ANN) and, more recently, evolutionary computing. These techniques will be outlined in this chapter and the power system applications indicated. (Author)

  12. New CT-aided stereotactic neurosurgery technique

    International Nuclear Information System (INIS)

    Shao, H.M.; Truong, T.K.; Reed, I.S.; Slater, R.A.

    1985-01-01

    In this communication, a new technique for CT-aided stereotactic neurosurgery is presented. The combination of specially designed hardware and software provides a fast, simple, and versatile tool for the accurate insertion of a probe into the human brain. This system is portable and can be implemented on any CT computer system. The complete procedure to perform the CT-aided stereotactic neurosurgery technique is presented. Experimental results are given which demonstrate the power of the method. Finally, the key algorithms for realizing this technique are described in the Appendix

  13. GPU PRO 3 Advanced rendering techniques

    CERN Document Server

    Engel, Wolfgang

    2012-01-01

    GPU Pro3, the third volume in the GPU Pro book series, offers practical tips and techniques for creating real-time graphics that are useful to beginners and seasoned game and graphics programmers alike. Section editors Wolfgang Engel, Christopher Oat, Carsten Dachsbacher, Wessam Bahnassi, and Sebastien St-Laurent have once again brought together a high-quality collection of cutting-edge techniques for advanced GPU programming. With contributions by more than 50 experts, GPU Pro3: Advanced Rendering Techniques covers battle-tested tips and tricks for creating interesting geometry, realistic sha

  14. Design techniques for mutlivariable flight control systems

    Science.gov (United States)

    1981-01-01

    Techniques which address the multi-input closely coupled nature of advanced flight control applications and digital implementation issues are described and illustrated through flight control examples. The techniques described seek to exploit the advantages of traditional techniques in treating conventional feedback control design specifications and the simplicity of modern approaches for multivariable control system design.

  15. A simplified technique for shakedown load determination

    International Nuclear Information System (INIS)

    Abdalla, H.F.; Younan, M.Y.A.; Megahed, M.M.

    2005-01-01

    In this paper a simple technique is presented to determine the limit shakedown load of a structure or a component using the finite element method. Through the proposed technique, the limit shakedown load is determined without performing time consuming cyclic loading simulations or iterative elastic techniques. Instead, it is determined by performing only two analyses namely, an elastic analysis and an elastic-plastic analysis. By extracting the results of the two analyses, the limit shakedown load of the structure is determined through the calculation of the residual stresses. The technique is applied and verified using two bench mark shakedown problems namely: the two-bar structure subjected to constant axial force and cyclic thermal loading, and the Bree cylinder subjected to constant internal pressure and cyclic high heat fluxes across its wall. The results of the proposed technique showed very good correlation with the, analytically determined, Bree diagrams of both structures. Moreover, the outcomes of the proposed technique showed very good results in comparison to full cyclic loading elasto-plastic finite element simulations of both structures. (authors)

  16. Techniques for freeing deposited canisters. Final report

    International Nuclear Information System (INIS)

    Kalbantner, P.; Sjoeblom, R.

    2000-06-01

    Four different techniques for removal of the bentonite buffer around a deposited canister have been identified, studied and evaluated: mechanical, hydrodynamical, thermal, and electrical techniques. Different techniques to determine the position of the canister in the buffer have also been studied: mechanical, electromagnetic, thermal and acoustic techniques. The mechanical techniques studied are full-face boring, milling and core-drilling. It is expected that the bentonite can be machined relatively easily. It is assessed that cooling by means of flushing water over the outer surfaces of the tools is not feasible in view of the tendency of bentonite to form a gel. The mechanical techniques are characterized by the potential of damaging the canister, a high degree of complexity, and high requirements of energy/power input. The generated byproduct is solid and cannot be removed by means of flushing. Removal is assessed to be simplest in conjunction with full-face boring and most difficult when coredrilling is applied. The hydrodynamical techniques comprise high-pressure hydrodynamic techniques, where pressures above and below 100 bar, and low pressure hydrodynamical techniques (< 10 bar) are separated. At pressures above 100 bar, a water jet with a diameter of approximately a millimetre cuts through the material. If desired, sand can be added to the jet. At pressures below 100 bar the jet has a diameter of one or a few centimetres. The liquid contains a few percent of salt, which is essential for the efficiency of the process. The flushing is important not only because it removes the modified bentonite but also because it frees previously unaffected bentonite and thereby makes it accessible to chemical modification. All of the hydrodynamical techniques are applicable for freeing the end surface as well as the mantle surface. The degree of complexity and the requirement on energy/power decrease with a decrease in pressure. A significant potential for damaging the

  17. Microdialysis technique and interventional radiology

    International Nuclear Information System (INIS)

    An Xiao; Xiao Xiangsheng

    2007-01-01

    Basic research in interventional radiology, including transcatheter artery perfusion especially, is progressing slowly due to lack of proper method. Microdialysis technique, a kind of accurate sampling technique in vivo, may help to solve the problem. Just as its name implies, microdialysis means tiny dialysis with advantages of authenticity, exactness and less error. Furthermore it has been applied widely and should be received with great attention and popularity. (authors)

  18. Fault isolation techniques

    Science.gov (United States)

    Dumas, A.

    1981-01-01

    Three major areas that are considered in the development of an overall maintenance scheme of computer equipment are described. The areas of concern related to fault isolation techniques are: the programmer (or user), company and its policies, and the manufacturer of the equipment.

  19. Multiband RF circuits and techniques for wireless transmitters

    CERN Document Server

    Chen, Wenhua; Ghannouchi, Fadhel M

    2016-01-01

    This book introduces systematic design methods for passive and active RF circuits and techniques, including state-of-the-art digital enhancement techniques. As the very first book dedicated to multiband RF circuits and techniques, this work provides an overview of the evolution of transmitter architecture and discusses current digital predistortion techniques. Readers will find a collection of novel research ideas and new architectures in concurrent multiband power dividers, power amplifiers and related digital enhancement techniques. This book will be of great interest to academic researchers, R&D engineers, wireless transmitter and protocol designers, as well as graduate students who wish to learn the core architectures, principles and methods of multiband RF circuits and techniques. .

  20. Respiratory gated radiotherapy: current techniques and potential benefits

    International Nuclear Information System (INIS)

    Giraud, P.; Campana, F.; Rosenwald, J.C.; Cosset, J.M.; Reboul, F.; Garcia, R.; Clippe, S.; Carrie, C.; Dubray, B.

    2003-01-01

    Respiration-gated radiotherapy offers a significant potential for improvement in the irradiation of tumor sites affected by respiratory motion such as lung, breast and liver tumors. An increased conformality of irradiation fields leading to decreased complications rates of organs at risk (lung, heart...) is expected. Respiratory gating is in line with the need for improved precision required by radiotherapy techniques such as 3D conformal radiotherapy or intensity modulated radiotherapy. Reduction of respiratory motion can be achieved by using either breath hold techniques or respiration synchronized gating techniques. Breath-hold techniques can be achieved with active, in which airflow of the patient is temporarily blocked by a valve, or passive techniques, in which the patient voluntarily breath-hold. Synchronized gating techniques use external devices to predict the phase of the respiration cycle while the patient breaths freely. These techniques presently investigated in several medical centers worldwide. Although promising, the first results obtained in lung and liver cancer patients require confirmation. Physical, technical and physiological questions still remain to be answered. This paper describes the most frequently used gated techniques and the main published clinical reports on the use of respiration-gated radiotherapy in order to evaluate the impact of these techniques. (author)

  1. Bone tissue engineering scaffolding: computer-aided scaffolding techniques.

    Science.gov (United States)

    Thavornyutikarn, Boonlom; Chantarapanich, Nattapon; Sitthiseripratip, Kriskrai; Thouas, George A; Chen, Qizhi

    Tissue engineering is essentially a technique for imitating nature. Natural tissues consist of three components: cells, signalling systems (e.g. growth factors) and extracellular matrix (ECM). The ECM forms a scaffold for its cells. Hence, the engineered tissue construct is an artificial scaffold populated with living cells and signalling molecules. A huge effort has been invested in bone tissue engineering, in which a highly porous scaffold plays a critical role in guiding bone and vascular tissue growth and regeneration in three dimensions. In the last two decades, numerous scaffolding techniques have been developed to fabricate highly interconnective, porous scaffolds for bone tissue engineering applications. This review provides an update on the progress of foaming technology of biomaterials, with a special attention being focused on computer-aided manufacturing (Andrade et al. 2002) techniques. This article starts with a brief introduction of tissue engineering (Bone tissue engineering and scaffolds) and scaffolding materials (Biomaterials used in bone tissue engineering). After a brief reviews on conventional scaffolding techniques (Conventional scaffolding techniques), a number of CAM techniques are reviewed in great detail. For each technique, the structure and mechanical integrity of fabricated scaffolds are discussed in detail. Finally, the advantaged and disadvantage of these techniques are compared (Comparison of scaffolding techniques) and summarised (Summary).

  2. Techniques for Wireless Applications

    KAUST Repository

    Gaaloul, Fakhreddine

    2012-05-01

    Switching techniques have been first proposed as a spacial diversity techniques. These techniques have been shown to reduce considerably the processing load while letting multi-antenna systems achieve a specific target performance. In this thesis, we take a different look at the switching schemes by implementing them for different other wireless applications. More specifically, this thesis consists of three main parts, where the first part considers a multiuser environment and an adaptive scheduling algorithm based on the switching with post-selection scheme for statistically independent but non-identically distributed channel conditions. The performance of this switched based scheduler is investigated and a multitude of performance metrics are presented. In a second part, we propose and analyze the performance of three switched-based algorithms for interference reduction in the downlink of over-loaded femtocells. For instance, performance metrics are derived in closed-form and these metrics are used to compare these three proposed schemes. Finally in a third part, a switch based opportunistic channel access scheme is proposed for a cognitive radio system and its performance is analyzed in terms of two new proposed metrics namely the average cognitive radio access and the waiting time duration.

  3. Optical rangefinding applications using communications modulation technique

    Science.gov (United States)

    Caplan, William D.; Morcom, Christopher John

    2010-10-01

    A novel range detection technique combines optical pulse modulation patterns with signal cross-correlation to produce an accurate range estimate from low power signals. The cross-correlation peak is analyzed by a post-processing algorithm such that the phase delay is proportional to the range to target. This technique produces a stable range estimate from noisy signals. The advantage is higher accuracy obtained with relatively low optical power transmitted. The technique is useful for low cost, low power and low mass sensors suitable for tactical use. The signal coding technique allows applications including IFF and battlefield identification systems.

  4. Photoion spectroscopy of atoms using coincidence techniques

    International Nuclear Information System (INIS)

    Hayaishi, Tatsuji

    1990-01-01

    Interaction of atoms or molecules with photons causes many effects which are often obscured because of many decay paths from the event. To pick up an effect in the mixed-up ones, it is necessary to observe the decay path arising the effect alone. There is a coincidence technique in one of experimental means for the purpose of observing the decay path. In this article, two coincidence measurements are presented; a photoelectron-photoion coincidence technique and a threshold photoelectron-photoion coincidence technique. Furthermore, experimental facts of rare gases atoms obtained by the techniques are reviewed. (author)

  5. Ground-based intercomparison of two isoprene measurement techniques

    Directory of Open Access Journals (Sweden)

    E. Leibrock

    2003-01-01

    Full Text Available An informal intercomparison of two isoprene (C5H8 measurement techniques was carried out during Fall of 1998 at a field site located approximately 3 km west of Boulder, Colorado, USA. A new chemical ionization mass spectrometric technique (CIMS was compared to a well-established gas chromatographic technique (GC. The CIMS technique utilized benzene cation chemistry to ionize isoprene. The isoprene levels measured by the CIMS were often larger than those obtained with the GC. The results indicate that the CIMS technique suffered from an anthropogenic interference associated with air masses from the Denver, CO metropolitan area as well as an additional interference occurring in clean conditions. However, the CIMS technique is also demonstrated to be sensitive and fast. Especially after introduction of a tandem mass spectrometric technique, it is therefore a candidate for isoprene measurements in remote environments near isoprene sources.

  6. Cell-Detection Technique for Automated Patch Clamping

    Science.gov (United States)

    McDowell, Mark; Gray, Elizabeth

    2008-01-01

    A unique and customizable machinevision and image-data-processing technique has been developed for use in automated identification of cells that are optimal for patch clamping. [Patch clamping (in which patch electrodes are pressed against cell membranes) is an electrophysiological technique widely applied for the study of ion channels, and of membrane proteins that regulate the flow of ions across the membranes. Patch clamping is used in many biological research fields such as neurobiology, pharmacology, and molecular biology.] While there exist several hardware techniques for automated patch clamping of cells, very few of those techniques incorporate machine vision for locating cells that are ideal subjects for patch clamping. In contrast, the present technique is embodied in a machine-vision algorithm that, in practical application, enables the user to identify good and bad cells for patch clamping in an image captured by a charge-coupled-device (CCD) camera attached to a microscope, within a processing time of one second. Hence, the present technique can save time, thereby increasing efficiency and reducing cost. The present technique involves the utilization of cell-feature metrics to accurately make decisions on the degree to which individual cells are "good" or "bad" candidates for patch clamping. These metrics include position coordinates (x,y) in the image plane, major-axis length, minor-axis length, area, elongation, roundness, smoothness, angle of orientation, and degree of inclusion in the field of view. The present technique does not require any special hardware beyond commercially available, off-the-shelf patch-clamping hardware: A standard patchclamping microscope system with an attached CCD camera, a personal computer with an imagedata- processing board, and some experience in utilizing imagedata- processing software are all that are needed. A cell image is first captured by the microscope CCD camera and image-data-processing board, then the image

  7. Evaluating inhaler use technique in COPD patients

    Directory of Open Access Journals (Sweden)

    Pothirat C

    2015-07-01

    Full Text Available Chaicharn Pothirat, Warawut Chaiwong, Nittaya Phetsuk, Sangnual Pisalthanapuna, Nonglak Chetsadaphan, Woranoot Choomuang Division of Pulmonary, Critical Care and Allergy, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand Background: Poor inhalation techniques are associated with decreased medication delivery and poor disease control in chronic obstructive pulmonary disease (COPD. The purpose of this study was to evaluate techniques for using inhaler devices in COPD patients.Methods: A prospective cross-sectional study was conducted to assess patient compliance with correct techniques for using inhaler devices across four regimens, ie, the pressurized metered-dose inhaler (pMDI, the pMDI with a spacer, the Accuhaler®, and the Handihaler®. The percentage of compliance with essential steps of correct device usage for each regimen was recorded without prior notification when COPD patients presented for a routine visit, and 1 month after receiving face-to-face training. We compared the percentage of compliance between the devices and risk factors related to incorrect techniques using logistic regression analysis. Percentage of patient compliance with correct techniques was compared between the two visits using the chi-square test. Statistical significance was set at P<0.05.Results: A total of 103 COPD patients (mean age 71.2±9.2 years, males 64.1%, low education level 82.5%, and percent predicted forced expiratory volume in 1 second 51.9±22.5 were evaluated. Seventy-seven patients (74.8% performed at least one step incorrectly. Patients using the Handihaler had the lowest compliance failure (42.5%, and the odds ratio for failure with the other devices compared with the Handihaler were 4.6 (95% confidence interval [CI] 1.8–11.8 for the pMDI, 3.1 (95% CI 1.2–8.2 for the pMDI with a spacer, and 2.4 (95% CI 1.1–5.2 for the Accuhaler. Low education level was the single most important factor related

  8. Power quality research techniques: advantages and disadvantages

    International Nuclear Information System (INIS)

    Gil Montoya, Francisco; Manzano Agugliaro, Francisco; Gomez Lopez, Julio; Sanchez Alguacil, Pedro

    2012-01-01

    Nowadays, power quality (PQ) plays a very important role in power systems. So that is why it is very important to use suitable tools allowing a precise detection of anomalies and perturbations in power systems. Given traditional analysis techniques, such as Fourier Transform, today new tools are being developed based on domain transformation, such as Wavelet Transform (WT) or S-Transform (ST), along with Artificial Intelligence (AI) techniques such as Fuzzy Logic (FL) or Artificial Neural Networks (ANN). In this paper, new algorithm and mathematic techniques are reviewed and discussed, and also compared with traditional techniques, revealing the precision and superiority achieved with these new techniques. ST and WT is detailed, basically, as a tool with great scope and future in power quality analysis because of its precision, noise immunity and its contribution with quality information about PQ.

  9. New techniques for wine aging

    Directory of Open Access Journals (Sweden)

    m Hatice Kalkan Yıldırı

    2017-01-01

    Full Text Available The aging of wine requires a long time therefore it can cause loss of time and money. Therefore using of new techniques for wine aging shortens the length of aging time and wines may be placed on the market more quickly. Nowadays, gamma irradiation, ultrasonic waves, AC electric field and micro-oxygenation are the new techniques for wine aging. Gamma irradiation (after fermentation is accelerated physical maturation method. Gamma irradiation, in a suitable dosage (200 Gy, is a suitable method for improving some wine defects and producing a higher taste quality in wine. The 20 kHz ultrasonic waves aged wine much more quickly than standard aging, with similar quality. The wine treated by 20 kHz ultrasonic waves had a taste equivalent to 1 year aged wine. Wine maturing with AC electric field promises novel process accelerating aging process of fresh wine when suitable conditions are applied. As a result of research, an optimum treatment (electric field 600 V/cm and duration time 3 min was identified to accelerate wine aging. Harsh and pungent raw wine become harmonious and dainty. This process is equivalent to 6 month aging in oak barrel. Microoxygenation is a very important technique used in aging wines in order to improve their characteristics. The techniques of wine tank aging imply the use of small doses of oxygen (2 ml L−1 month−1 and the addition of wood pieces of oak to the wine. Studies concerning these new techniques demonstrated that maturation of wines become more quickly than standard maturation procedures with keeping and improving the wine quality.

  10. Spline techniques for magnetic fields

    International Nuclear Information System (INIS)

    Aspinall, J.G.

    1984-01-01

    This report is an overview of B-spline techniques, oriented toward magnetic field computation. These techniques form a powerful mathematical approximating method for many physics and engineering calculations. In section 1, the concept of a polynomial spline is introduced. Section 2 shows how a particular spline with well chosen properties, the B-spline, can be used to build any spline. In section 3, the description of how to solve a simple spline approximation problem is completed, and some practical examples of using splines are shown. All these sections deal exclusively in scalar functions of one variable for simplicity. Section 4 is partly digression. Techniques that are not B-spline techniques, but are closely related, are covered. These methods are not needed for what follows, until the last section on errors. Sections 5, 6, and 7 form a second group which work toward the final goal of using B-splines to approximate a magnetic field. Section 5 demonstrates how to approximate a scalar function of many variables. The necessary mathematics is completed in section 6, where the problems of approximating a vector function in general, and a magnetic field in particular, are examined. Finally some algorithms and data organization are shown in section 7. Section 8 deals with error analysis

  11. Schlenk Techniques for Anionic Polymerization

    KAUST Repository

    Ratkanthwar, Kedar

    2015-09-01

    Anionic polymerization-high vacuum techniques (HVTs) are doubtlessly the most prominent and reliable experimental tools to prepare polymer samples with well-defined and, in many cases, complex macromolecular architectures. Due to the high demands for time and skilled technical personnel, HVTs are currently used in only a few research laboratories worldwide. Instead, most researchers in this filed are attracted to more facile Schlenk techniques. The basic principle of this technique followed in all laboratories is substantially the same, i.e. the use of alternate vacuum and inert gas atmosphere in glass apparatus for the purification/charging of monomer, solvents, additives, and for the manipulation of air-sensitive compounds such as alkyl metal initiators, organometallic or organic catalysts. However, it is executed quite differently in each research group in terms of the structure of Schlenk apparatus (manifolds, connections, purification/storage flasks, reactors, etc.), the use of small supplementary devices (soft tubing, cannulas, stopcocks, etc.) and experimental procedures. The operational methods are partly purpose-oriented while also featured by a high flexibility, which makes it impossible to describe in detail each specific one. In this chapter we will briefly exemplify the application of Schlenk techniques for anionic polymerization by describing the performance of a few experiments from our own work.

  12. Uranium Detection - Technique Validation Report

    Energy Technology Data Exchange (ETDEWEB)

    Colletti, Lisa Michelle [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Chemistry Division; Garduno, Katherine [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Chemistry Division; Lujan, Elmer J. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Chemistry Division; Mechler-Hickson, Alexandra Marie [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Chemistry Division; Univ. of Wisconsin, Madison, WI (United States); May, Iain [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Chemistry Division; Reilly, Sean Douglas [Los Alamos National Lab. (LANL), Los Alamos, NM (United States). Chemistry Division

    2016-04-14

    As a LANL activity for DOE/NNSA in support of SHINE Medical Technologies™ ‘Accelerator Technology’ we have been investigating the application of UV-vis spectroscopy for uranium analysis in solution. While the technique has been developed specifically for sulfate solutions, the proposed SHINE target solutions, it can be adapted to a range of different solution matrixes. The FY15 work scope incorporated technical development that would improve accuracy, specificity, linearity & range, precision & ruggedness, and comparative analysis. Significant progress was achieved throughout FY 15 addressing these technical challenges, as is summarized in this report. In addition, comparative analysis of unknown samples using the Davies-Gray titration technique highlighted the importance of controlling temperature during analysis (impacting both technique accuracy and linearity/range). To fully understand the impact of temperature, additional experimentation and data analyses were performed during FY16. The results from this FY15/FY16 work were presented in a detailed presentation, LA-UR-16-21310, and an update of this presentation is included with this short report summarizing the key findings. The technique is based on analysis of the most intense U(VI) absorbance band in the visible region of the uranium spectra in 1 M H2SO4, at λmax = 419.5 nm.

  13. History of the Buttonhole Technique.

    Science.gov (United States)

    Misra, Madhukar

    2015-01-01

    The constant side method of access cannulation in hemodialysis, popularly known as the 'buttonhole' method, has an interesting history. Dr. Zbylut J. Twardowski, a Polish nephrologist, discovered this technique by pure serendipity in 1972. A patient with a complicated vascular access history and limited options for cannulation was repeatedly 'stuck' at the same sites by a nurse. Soon it was noticed that the cannulation at the same spot became easier with time. Since the needles were being reused, the sharpness of the needles decreased with time and the bluntness of the needle seemed to minimize the damage to the cannulation tract (another serendipity!). This method soon became popular among patients, and many patients started using this technique. This chapter traces the invention of this technique and its subsequent development following Dr. Twardowski's emigration to the USA. © 2015 S. Karger AG, Basel.

  14. Ultrasonic techniques validation on shell

    International Nuclear Information System (INIS)

    Navarro, J.; Gonzalez, E.

    1998-01-01

    Due to the results obtained in several international RRT during the 80's, it has been necessary to prove the effectiveness of the NDT techniques. For this reason it has been imperative to verify the goodness of the Inspection Procedure over different mock-ups, representative of the inspection area and with real defects. Prior to the revision of the inspection procedure and with the aim of updating the techniques used, it is a good practice to perform different scans on the mock-ups until the validation is achieved. It is at this point, where all the parameters of the inspection at hands are defined; transducer, step, scan direction,... and what it's more important, it will be demonstrated that the technique to be used for the area required to inspection is suitable to evaluate the degradation phenomena that could appear. (Author)

  15. Estimation of Correlation Functions by the Random Decrement Technique

    DEFF Research Database (Denmark)

    Brincker, Rune; Krenk, Steen; Jensen, Jakob Laigaard

    responses simulated by two SDOF ARMA models loaded by the same bandlimited white noise. The speed and the accuracy of the RDD technique is compared to the Fast Fourier Transform (FFT) technique. The RDD technique does not involve multiplications, but only additions. Therefore, the technique is very fast......The Random Decrement (RDD) Technique is a versatile technique for characterization of random signals in the time domain. In this paper a short review of the theoretical basis is given, and the technique is illustrated by estimating auto-correlation functions and cross-correlation functions on modal...

  16. Estimation of Correlation Functions by the Random Decrement Technique

    DEFF Research Database (Denmark)

    Brincker, Rune; Krenk, Steen; Jensen, Jacob Laigaard

    1991-01-01

    responses simulated by two SDOF ARMA models loaded by the same band-limited white noise. The speed and the accuracy of the RDD technique is compared to the Fast Fourier Transform (FFT) technique. The RDD technique does not involve multiplications, but only additions. Therefore, the technique is very fast......The Random Decrement (RDD) Technique is a versatile technique for characterization of random signals in the time domain. In this paper a short review of the theoretical basis is given, and the technique is illustrated by estimating auto-correlation functions and cross-correlation functions on modal...

  17. Estimation of Correlation Functions by the Random Decrement Technique

    DEFF Research Database (Denmark)

    Brincker, Rune; Krenk, Steen; Jensen, Jakob Laigaard

    1992-01-01

    responses simulated by two SDOF ARMA models loaded by the same bandlimited white noise. The speed and the accuracy of the RDD technique is compared to the Fast Fourier Transform (FFT) technique. The RDD technique does not involve multiplications, but only additions. Therefore, the technique is very fast......The Random Decrement (RDD) Technique is a versatile technique for characterization of random signals in the time domain. In this paper a short review of the theoretical basis is given, and the technique is illustrated by estimating auto-correlation functions and cross-correlation functions on modal...

  18. X-ray streak and framing camera techniques

    International Nuclear Information System (INIS)

    Coleman, L.W.; Attwood, D.T.

    1975-01-01

    This paper reviews recent developments and applications of ultrafast diagnostic techniques for x-ray measurements. These techniques, based on applications of image converter devices, are already capable of significantly important resolution capabilities. Techniques capable of time resolution in the sub-nanosecond regime are being considered. Mechanical cameras are excluded from considerations as are devices using phosphors or fluors as x-ray converters

  19. Studies on mutation techniques in rice breeding

    International Nuclear Information System (INIS)

    Wang Cailian; Chen Qiufang; Jin Wei

    2001-01-01

    Synthetical techniques for improving rice mutation breeding efficiency were studied. The techniques consist of corresponding relationship between radiosensitivity and mutation frequency, choosing appropriate materials, combination of physical and chemical mutagens, mutagenic effects of the new mutagenic agents as proton, ions, synchronous irradiation and space mutation. These techniques and methods for inducing mutations are very valuable to increase inducing mutation efficiency and breeding level

  20. Learning mediastinoscopy: the need for education, experience and modern techniques--interdependency of the applied technique and surgeon's training level.

    Science.gov (United States)

    Walles, Thorsten; Friedel, Godehard; Stegherr, Tobias; Steger, Volker

    2013-04-01

    Mediastinoscopy represents the gold standard for invasive mediastinal staging. While learning and teaching the surgical technique are challenging due to the limited accessibility of the operation field, both benefited from the implementation of video-assisted techniques. However, it has not been established yet whether video-assisted mediastinoscopy improves the mediastinal staging in itself. Retrospective single-centre cohort analysis of 657 mediastinoscopies performed at a specialized tertiary care thoracic surgery unit from 1994 to 2006. The number of specimens obtained per procedure and per lymph node station (2, 4, 7, 8 for mediastinoscopy and 2-9 for open lymphadenectomy), the number of lymph node stations examined, sensitivity and negative predictive value with a focus on the technique employed (video-assisted vs standard technique) and the surgeon's experience were calculated. Overall sensitivity was 60%, accuracy was 90% and negative predictive value 88%. With the conventional technique, experience alone improved sensitivity from 49 to 57% and it was predominant at the paratracheal right region (from 62 to 82%). But with the video-assisted technique, experienced surgeons rose sensitivity from 57 to 79% in contrast to inexperienced surgeons who lowered sensitivity from 49 to 33%. We found significant differences concerning (i) the total number of specimens taken, (ii) the amount of lymph node stations examined, (iii) the number of specimens taken per lymph node station and (iv) true positive mediastinoscopies. The video-assisted technique can significantly improve the results of mediastinoscopy. A thorough education on the modern video-assisted technique is mandatory for thoracic surgeons until they can fully exhaust its potential.

  1. Report on COTECH test procedure and characterization techniques

    DEFF Research Database (Denmark)

    Islam, Mohammad Aminul

    that need to be attained for successful characterization of the planned demonstrators and it deals with the material characterization and prototype testing for the COTECH demonstrators. The summary of this report includes:  General description of COTECH industrial demonstrators  COTECH materials...... and material characterization techniques  Characterization techniques of the COTECH demonstrators  Functionality and lifecycle testing of the COTECH demonstrators Besides the general introduction and conclusion each section of the report is dedicated to the characterization techniques and test procedure.......Characterization techniques and test procedure requirements for innovative self-ligating dental brackets (EO) Section 5.Characterization techniques and test procedure requirements for smart diagnostic chips comprising a microfluidic channel system (GBO) Section 6.Characterization techniques and test procedure...

  2. New techniques for subdivision modelling

    OpenAIRE

    BEETS, Koen

    2006-01-01

    In this dissertation, several tools and techniques for modelling with subdivision surfaces are presented. Based on the huge amount of theoretical knowledge about subdivision surfaces, we present techniques to facilitate practical 3D modelling which make subdivision surfaces even more useful. Subdivision surfaces have reclaimed attention several years ago after their application in full-featured 3D animation movies, such as Toy Story. Since then and due to their attractive properties an ever i...

  3. A century of indicator dilution technique

    DEFF Research Database (Denmark)

    Henriksen, Jens H; Jensen, Gorm B; Larsson, Henrik B W

    2014-01-01

    This review imparts the history and the present status of the indicator dilution technique with quantitative bolus injection. The first report on flow measurement with this technique appeared 100 years ago. In 1928, the use of intravascular dyes made possible a widespread application in animals...

  4. Advances in FACE and manipulation techniques

    DEFF Research Database (Denmark)

    Beier, Claus; Larsen, Klaus S.; Mikkelsen, Teis Nørgaard

    Experimental techniques to expose plants and ecosystems to elevated CO2 have been around for decades, starting out with branch cuvettes, chambers and green houses and in the 90ies leading to the development of the FACE (Free Air Carbon Enrichment) technique, which has been and still is widely used....... The FACE technique is used under field conditions and has been developed over the years to be applied for many types of ecosystems from low stature shrub, grass and arable lands to high stature forest trees. These experiments have provided extensive knowledge and data on CO2 effects on individual plants...

  5. Motion Capture Technique Applied Research in Sports Technique Diagnosis

    Directory of Open Access Journals (Sweden)

    Zhiwu LIU

    2014-09-01

    Full Text Available The motion capture technology system definition is described in the paper, and its components are researched, the key parameters are obtained from motion technique, the quantitative analysis are made on technical movements, the method of motion capture technology is proposed in sport technical diagnosis. That motion capture step includes calibration system, to attached landmarks to the tester; to capture trajectory, and to analyze the collected data.

  6. The Helikon technique for isotope enrichment

    International Nuclear Information System (INIS)

    Haarhoff, P.C.

    1976-11-01

    The separating element employed in the UCOR process for uranium enrichment has an enriched stream which is much smaller than the depleted stream. To deal with this small cut and to exploit the full potential of the process, a new cascade technique has been developed, the so-called helikon technique. It is based on the principle that an axial flow compressor can simultaneously compress a number of streams of different isotopic composition, which flow through it in parallel, without any significant mixing between them. The technique makes it possible to achieve the desired enrichment with a relatively small number of separating units, by making the best use of the high enrichment factor available. A further feature of the helikon technique is that a module yields an enrichment factor which is not constant, but can vary. In this way a cascade can be built up from modules of a fixed size, which is a great advantage when compared to conventional cascade arrangements where several unit sizes are required. A general theoretical treatment of the helikon technique is given and the similarity between helikon and conventional cascades is pointed out. Practical helikon cascades are subsequently discussed on the basis of the UCOR process

  7. Psychodrama Techniques for Inservice Teacher Training

    Science.gov (United States)

    Kohut, Sylvester, Jr.

    1976-01-01

    By using psychodrama techniques in inservice programming, improvement in communication among members of the school community occurs. With modification the psychodrama approach can be used with inservice teachers and administrators to improve self-realization and communication. A program using psychodrama techniques is described in the article.…

  8. Optimal Technique in Cardiac Anesthesia Recovery

    NARCIS (Netherlands)

    Svircevic, V.

    2014-01-01

    The aim of this thesis is to evaluate fast-track cardiac anesthesia techniques and investigate their impact on postoperative mortality, morbidity and quality of life. The following topics will be discussed in the thesis. (1.) Is fast track cardiac anesthesia a safe technique for cardiac surgery?

  9. Computer-assisted techniques to evaluate fringe patterns

    Science.gov (United States)

    Sciammarella, Cesar A.; Bhat, Gopalakrishna K.

    1992-01-01

    Strain measurement using interferometry requires an efficient way to extract the desired information from interferometric fringes. Availability of digital image processing systems makes it possible to use digital techniques for the analysis of fringes. In the past, there have been several developments in the area of one dimensional and two dimensional fringe analysis techniques, including the carrier fringe method (spatial heterodyning) and the phase stepping (quasi-heterodyning) technique. This paper presents some new developments in the area of two dimensional fringe analysis, including a phase stepping technique supplemented by the carrier fringe method and a two dimensional Fourier transform method to obtain the strain directly from the discontinuous phase contour map.

  10. Development of testing techniques for mine fan performance

    Institute of Scientific and Technical Information of China (English)

    WU Zheng-yan; JIANG Shu-guang; PENG Dan-ren

    2006-01-01

    Three progressive stages of testing techniques are elaborated, which are entirely manual operating, taking separate instruments testing and computer program controlling. The testing method and principle are detailed based on the testing process for meteorological parameters, air pressure, air quality and rotating velocity. And every testing technique is analyzed. Finally, the technique outlook is viewed. All this plays a leading role in development of the testing techniques.

  11. Applications of the phased array technique

    International Nuclear Information System (INIS)

    Erhard, A.; Schenk, G.; Hauser, Th.; Voelz, U.

    1999-01-01

    The application of the phased array technique was limited to heavy and thick wall components as present in the nuclear industry. With the improvement of the equipment and probes other application areas are now open for the phased array technique, e.g. the inspection of the turbine blade root, weld inspection in a wall thickness range between 12 and 40 mm, inspection of aircraft components, inspection of spot welds or inspection of concretes. The aim of the use of phased array techniques has not been changed related to the first applications, i.e. the adaptation of the sound beam to the geometry by steering the angel of incidence or the skewing angle as well as the focussing of sound fields. Due to the fact, that the new applications of the phased array techniques in some cases don't leave the laboratories for the time being, the examples of this contribution will focus applications with practical background. (orig.)

  12. New applications using phased array techniques

    International Nuclear Information System (INIS)

    Erhard, A.; Schenk, G.; Hauser, Th.; Voelz, U.

    2001-01-01

    In general, the application of phased array techniques used to be limited to heavy components with large wall thicknesses, such as those in the nuclear power industry. With the improvement of the phased array equipment, including phased array search units, other application areas are now accessible for the phased array inspection technique, e.g. the inspection of turbine blade roots, weld inspection with a wall thickness ranging from 12 to 40 mm, inspection of aircraft components, inspection of spot welds and the inspection of concrete building components. The objective for the use of phased array techniques has not significantly changed since their first application, e.g. instant adjustment of the sound beam to the geometry of the test object by steering incidence angle, skew angle and/or sound field focusing. Because some new phased array technique applications are still in the experimental (laboratory) stage, this article will focus on some examples for practical, real-weld applications

  13. Silicon Processors Using Organically Reconfigurable Techniques (SPORT)

    Science.gov (United States)

    2014-05-19

    AFRL-OSR-VA-TR-2014-0132 SILICON PROCESSORS USING ORGANICALLY RECONFIGURABLE TECHNIQUES ( SPORT ) Dennis Prather UNIVERSITY OF DELAWARE Final Report 05...5a. CONTRACT NUMBER Silicon Processes for Organically Reconfigurable Techniques ( SPORT ) 5b. GRANT NUMBER FA9550-10-1-0363 5c...Contract: Silicon Processes for Organically Reconfigurable Techniques ( SPORT ) Contract #: FA9550-10-1-0363 Reporting Period: 1 July 2010 – 31 December

  14. Uranium exploration techniques in Bolivia

    International Nuclear Information System (INIS)

    Virreira, V.

    1981-01-01

    The exploration techniques used by the Bolivian Nuclear Energy Commission/Comision Boliviana de Energia Nuclear (COBOEN) in certain areas of Bolivia that are considered promising from the standpoint of uranium deposits are presented in summary form. The methods and results obtained are described, including the techniques used by the Italian company AGIP-URANIUM during four years of exploration under contract with COBOEN. Statistical data are also given explaining the present level of uranium exploration in Bolivia. (author)

  15. Sharing a Reading Technique with Families

    Science.gov (United States)

    Irish, Christy K.; Parsons, Seth A.

    2016-01-01

    Sharing reading techniques with families is an important responsibility of teachers. Dialogic reading is one way to improve young students' expressive vocabulary skills, which are important for later reading success. Dialogic reading also supports students' understanding of story structure and content. This well researched technique has not been…

  16. Spectral amplitude coding OCDMA using and subtraction technique.

    Science.gov (United States)

    Hasoon, Feras N; Aljunid, S A; Samad, M D A; Abdullah, Mohamad Khazani; Shaari, Sahbudin

    2008-03-20

    An optical decoding technique is proposed for a spectral-amplitude-coding-optical code division multiple access, namely, the AND subtraction technique. The theory is being elaborated and experimental results have been done by comparing a double-weight code against the existing code, Hadamard. We have proved that the and subtraction technique gives better bit error rate performance than the conventional complementary subtraction technique against the received power level.

  17. [Molecular techniques in mycology].

    Science.gov (United States)

    Rodríguez-Tudela, Juan Luis; Cuesta, Isabel; Gómez-López, Alicia; Alastruey-Izquierdo, Ana; Bernal-Martínez, Leticia; Cuenca-Estrella, Manuel

    2008-11-01

    An increasing number of molecular techniques for the diagnosis of fungal infections have been developed in the last few years, due to the growing prevalence of mycoses and the length of time required for diagnosis when classical microbiological methods are used. These methods are designed to resolve the following aspects of mycological diagnosis: a) Identification of fungi to species level by means of sequencing relevant taxonomic targets; b) early clinical diagnosis of invasive fungal infections; c) detection of molecular mechanisms of resistance to antifungal agents; and d) molecular typing of fungi. Currently, these methods are restricted to highly developed laboratories. However, some of these techniques will probably be available in daily clinical practice in the near future.

  18. Evaluation of radiographic imaging techniques in lung nodule detection

    International Nuclear Information System (INIS)

    Ho, J.T.; Kruger, R.A.

    1989-01-01

    Dual-energy radiography appears to be the most effective technique to address bone superposition that compromises conventional chest radiography. A dual-energy, single-exposure, film-based technique was compared with a dual-energy, dual-exposure technique and conventional chest radiography in a simulated lung nodule detection study. Observers detected more nodules on images produced by dual-energy techniques than on images produced by conventional chest radiography. The difference between dual-energy and conventional chest radiography is statistically significant and the difference between dual-energy, dual-exposure and single-exposure techniques is statistically insignificant. The single-exposure technique has the potential to replace the dual-exposure technique in future clinical application

  19. Chromatographic Techniques for Rare Earth Elements Analysis

    Science.gov (United States)

    Chen, Beibei; He, Man; Zhang, Huashan; Jiang, Zucheng; Hu, Bin

    2017-04-01

    The present capability of rare earth element (REE) analysis has been achieved by the development of two instrumental techniques. The efficiency of spectroscopic methods was extraordinarily improved for the detection and determination of REE traces in various materials. On the other hand, the determination of REEs very often depends on the preconcentration and separation of REEs, and chromatographic techniques are very powerful tools for the separation of REEs. By coupling with sensitive detectors, many ambitious analytical tasks can be fulfilled. Liquid chromatography is the most widely used technique. Different combinations of stationary phases and mobile phases could be used in ion exchange chromatography, ion chromatography, ion-pair reverse-phase chromatography and some other techniques. The application of gas chromatography is limited because only volatile compounds of REEs can be separated. Thin-layer and paper chromatography are techniques that cannot be directly coupled with suitable detectors, which limit their applications. For special demands, separations can be performed by capillary electrophoresis, which has very high separation efficiency.

  20. Flexible single-incision surgery: a fusion technique.

    Science.gov (United States)

    Noguera, José F; Dolz, Carlos; Cuadrado, Angel; Olea, José; García, Juan

    2013-06-01

    The development of natural orifice transluminal endoscopic surgery has led to other techniques, such as single-incision surgery. The use of the flexible endoscope for single-incision surgery paves the way for further refinement of both surgical methods. To describe a new, single-incision surgical technique, namely, flexible single-incision surgery. Assessment of the safety and effectiveness of endoscopic cholecystectomy in a series of 30 patients. This technique consists of a single umbilical incision through which a flexible endoscope is introduced and consists of 2 parallel entry ports that provide access to nonarticulated laparoscopic instruments. The technique was applied in all patients for whom it was prescribed. No general or surgical wound complications were noted. Surgical time was no longer than usual for single-port surgery. Flexible single-incision surgery is a new single-site surgical technique offering the same level of patient safety, with additional advantages for the surgeon at minimal cost.

  1. Evaluation of Extrusion Technique for Nanosizing Liposomes

    Directory of Open Access Journals (Sweden)

    Sandy Gim Ming Ong

    2016-12-01

    Full Text Available The aim of the present study was to study the efficiency of different techniques used for nanosizing liposomes. Further, the aim was also to evaluate the effect of process parameters of extrusion techniques used for nanosizing liposomes on the size and size distribution of the resultant liposomes. To compare the efficiency of different nanosizing techniques, the following techniques were used to nanosize the liposomes: extrusion, ultrasonication, freeze-thaw sonication (FTS, sonication and homogenization. The extrusion technique was found to be the most efficient, followed by FTS, ultrasonication, sonication and homogenization. The extruder used in the present study was fabricated using readily available and relatively inexpensive apparatus. Process parameters were varied in extrusion technique to study their effect on the size and size distribution of extruded liposomes. The results obtained indicated that increase in the flow rate of the extrusion process decreased the size of extruded liposomes however the size homogeneity was negatively impacted. Furthermore, the liposome size and distribution was found to decline with decreasing membrane pore size. It was found that by extruding through a filter with a pore size of 0.2 µm and above, the liposomes produced were smaller than the pore size, whereas, when they were extruded through a filter with a pore size of less than 0.2 µm the resultant liposomes were slightly bigger than the nominal pore size. Besides that, increment of extrusion temperature above transition temperature of the pro-liposome had no effect on the size and size distribution of the extruded liposomes. In conclusion, the extrusion technique was reproducible and effective among all the methods evaluated. Furthermore, processing parameters used in extrusion technique would affect the size and size distribution of liposomes. Therefore, the process parameters need to be optimized to obtain a desirable size range and homogeneity

  2. A simple technique for laparoscopic gastrostomy.

    Science.gov (United States)

    Murphy, C; Rosemurgy, A S; Albrink, M H; Carey, L C

    1992-05-01

    While endoscopically placed gastrostomy tubes are routinely simple, they are not always feasible. Endoscopic technique also does not uniformly secure the tube to the abdominal wall, which presents possible complications, including leakage, accidental early tube removal, intraperitoneal catheter migration and necrosis of the stomach or abdominal wall because of excessive traction. Presented herein is a technique that is rapid, simple and eliminates some of these potential complications. The technique is easily combined with other operative procedures, such as tracheostomy, is done under direct vision, can be performed quickly with intravenous sedation and local anesthetic and is a safe method of tube placement for enteral feeding or gastric decompression.

  3. Technique detection software for Sparse Matrices

    Directory of Open Access Journals (Sweden)

    KHAN Muhammad Taimoor

    2009-12-01

    Full Text Available Sparse storage formats are techniques for storing and processing the sparse matrix data efficiently. The performance of these storage formats depend upon the distribution of non-zeros, within the matrix in different dimensions. In order to have better results we need a technique that suits best the organization of data in a particular matrix. So the decision of selecting a better technique is the main step towards improving the system's results otherwise the efficiency can be decreased. The purpose of this research is to help identify the best storage format in case of reduced storage size and high processing efficiency for a sparse matrix.

  4. Chromatic changes to artificial irises produced using different techniques

    Science.gov (United States)

    Bannwart, Lisiane Cristina; Goiato, Marcelo Coelho; dos Santos, Daniela Micheline; Moreno, Amália; Pesqueira, Aldiéris Alves; Haddad, Marcela Filié; Andreotti, Agda Marobo; de Medeiros, Rodrigo Antonio

    2013-05-01

    Ocular prostheses are important determinants of their users' aesthetic recovery and self-esteem. Because of use, ocular prostheses longevity is strongly affected by instability of the iris color due to polymerization. The goal of this study is to examine how the color of the artificial iris button is affected by different techniques of artificial wear and by the application of varnish following polymerization of the colorless acrylic resin that covers the colored paint. We produce 60 samples (n=10) according to the wear technique applied: conventional technique without varnish (PE); conventional technique with varnish (PEV); technique involving a prefabricated cap without varnish (CA); technique involving a prefabricated cap with varnish (CAV); technique involving inverted painting without varnish (PI); and technique involving inverted painting with varnish (PIV). Color readings using a spectrophotometer are taken before and after polymerization. We submitted the data obtained to analyses of variance and Tukey's test (P<0.05). The color test shows significant changes after polymerization in all groups. The PE and PI techniques have clinically acceptable values of ΔE, independent of whether we apply varnish to protect the paint. The PI technique produces the least color change, whereas the PE and CA techniques significantly improve color stability.

  5. Innovative application of virtual display technique in virtual museum

    Science.gov (United States)

    Zhang, Jiankang

    2017-09-01

    Virtual museum refers to display and simulate the functions of real museum on the Internet in the form of 3 Dimensions virtual reality by applying interactive programs. Based on Virtual Reality Modeling Language, virtual museum building and its effective interaction with the offline museum lie in making full use of 3 Dimensions panorama technique, virtual reality technique and augmented reality technique, and innovatively taking advantages of dynamic environment modeling technique, real-time 3 Dimensions graphics generating technique, system integration technique and other key virtual reality techniques to make sure the overall design of virtual museum.3 Dimensions panorama technique, also known as panoramic photography or virtual reality, is a technique based on static images of the reality. Virtual reality technique is a kind of computer simulation system which can create and experience the interactive 3 Dimensions dynamic visual world. Augmented reality, also known as mixed reality, is a technique which simulates and mixes the information (visual, sound, taste, touch, etc.) that is difficult for human to experience in reality. These technologies make virtual museum come true. It will not only bring better experience and convenience to the public, but also be conducive to improve the influence and cultural functions of the real museum.

  6. Developments in functional neuroimaging techniques

    International Nuclear Information System (INIS)

    Aine, C.J.

    1995-01-01

    A recent review of neuroimaging techniques indicates that new developments have primarily occurred in the area of data acquisition hardware/software technology. For example, new pulse sequences on standard clinical imagers and high-powered, rapidly oscillating magnetic field gradients used in echo planar imaging (EPI) have advanced MRI into the functional imaging arena. Significant developments in tomograph design have also been achieved for monitoring the distribution of positron-emitting radioactive tracers in the body (PET). Detector sizes, which pose a limit on spatial resolution, have become smaller (e.g., 3--5 mm wide) and a new emphasis on volumetric imaging has emerged which affords greater sensitivity for determining locations of positron annihilations and permits smaller doses to be utilized. Electromagnetic techniques have also witnessed growth in the ability to acquire data from the whole head simultaneously. EEG techniques have increased their electrode coverage (e.g., 128 channels rather than 16 or 32) and new whole-head systems are now in use for MEG. But the real challenge now is in the design and implementation of more sophisticated analyses to effectively handle the tremendous amount of physiological/anatomical data that can be acquired. Furthermore, such analyses will be necessary for integrating data across techniques in order to provide a truly comprehensive understanding of the functional organization of the human brain

  7. The simultaneous boost technique

    International Nuclear Information System (INIS)

    Lebesque, J.V.; Keus, R.B.

    1991-01-01

    Simultaneous boost technique in radiotherapy consists of delivering the boost treatment (additional doses to reduced volumes) simultaneously with the basic (large-field) treatment for all treatment sessions. Both the dose per fraction delivered by basic-treatment fields and by boost-treatment fields have to be reduced to end up with the same total dose in boost volume as in the original schedule, where basic treatment preceded boost treatment. These dose reductions and corresponding weighting factors have been calculated using the linear-quadratic (LQ) model and the concept of Normalized Total Dose (NTD). Relative NTD distributions were computed to evaluate the dose distributions resulting for the simultaneous boost technique with respect to acute and late normal tissue damage and tumor control. For the example of treatment of prostate cancer the weighting factors were calculated on basis of NTD for late normal tissue damage. For treatment of oropharyngeal cancer NTD for acute and normal tissue damage was used to determine the weighting factors. In this last example a theoretical sparing of late normal tissue damage can be demonstrated. Another advantage of simultaneous boost technique is that megavoltage images of the large basic-treatment fields facilitates the determination of the position of the patient with respect to the small boost-treatment fields. (author). 42 refs., 8 figs

  8. Image quality in conventional film screen system, digital phosphor storage plate mammography in magnification technique and digital mammography in CCD-technique

    International Nuclear Information System (INIS)

    Schulz-Wendtland, R.; Aichinger, U.; Boehner, C.; Dobritz, M.; Bautz, W.; Saebel, M.

    2000-01-01

    Purpose: Comparison of image quality between conventional film screen system, digital phosphor storage plate mammography in magnification technique and digital mammography in CCD-technique. Materials and Methods: Radiograms of a RMI-mammography phantom were acquired using a conventional film screen system, two digital storage plate systems and two digital systems in CCD-technique. Additionally, the radiograms of one digital phosphor storage plate system were post-processed emphasizing contrast and included in the comparison. Results: The detectability of details was the best with the digital mammography in CCD-technique in comparison with the conventional film screen technique resp. digital phosphor storage plate in magnification technique. Conclusions: Based on these results there is the possibility to replace the conventional film screen system by further studies - this has to be confirmed. (orig.) [de

  9. Mean-Variance-Validation Technique for Sequential Kriging Metamodels

    International Nuclear Information System (INIS)

    Lee, Tae Hee; Kim, Ho Sung

    2010-01-01

    The rigorous validation of the accuracy of metamodels is an important topic in research on metamodel techniques. Although a leave-k-out cross-validation technique involves a considerably high computational cost, it cannot be used to measure the fidelity of metamodels. Recently, the mean 0 validation technique has been proposed to quantitatively determine the accuracy of metamodels. However, the use of mean 0 validation criterion may lead to premature termination of a sampling process even if the kriging model is inaccurate. In this study, we propose a new validation technique based on the mean and variance of the response evaluated when sequential sampling method, such as maximum entropy sampling, is used. The proposed validation technique is more efficient and accurate than the leave-k-out cross-validation technique, because instead of performing numerical integration, the kriging model is explicitly integrated to accurately evaluate the mean and variance of the response evaluated. The error in the proposed validation technique resembles a root mean squared error, thus it can be used to determine a stop criterion for sequential sampling of metamodels

  10. Cellular imaging electron tomography and related techniques

    CERN Document Server

    2018-01-01

    This book highlights important techniques for cellular imaging and covers the basics and applications of electron tomography and related techniques. In addition, it considers practical aspects and broadens the technological focus by incorporating techniques that are only now becoming accessible (e.g. block face imaging).  The first part of the book describes the electron microscopy 3D technique available to scientists around the world, allowing them to characterize organelles, cells and tissues. The major emphasis is on new technologies like scanning transmission electron microscopy (STEM) tomography, though the book also reviews some of the more proven technologies like electron tomography. In turn, the second part is dedicated to the reconstruction of data sets, signal improvement and interpretation.

  11. Techniques de combustion Combustin Techniques

    Directory of Open Access Journals (Sweden)

    Perthuis E.

    2006-11-01

    Full Text Available L'efficacité d'un processus de chauffage par flamme est étroitement liée à la maîtrise des techniques de combustion. Le brûleur, organe essentiel de l'équipement de chauffe, doit d'une part assurer une combustion complète pour utiliser au mieux l'énergie potentielle du combustible et, d'autre part, provoquer dans le foyer les conditions aérodynamiques les plus propices oux transferts de chaleur. En s'appuyant sur les études expérimentales effectuées à la Fondation de Recherches Internationales sur les Flammes (FRIF, au Groupe d'Étude des Flammes de Gaz Naturel (GEFGN et à l'Institut Français du Pétrole (IFP et sur des réalisations industrielles, on présente les propriétés essentielles des flammes de diffusion aux combustibles liquides et gazeux obtenues avec ou sans mise en rotation des fluides, et leurs répercussions sur les transferts thermiques. La recherche des températures de combustion élevées conduit à envisager la marche à excès d'air réduit, le réchauffage de l'air ou son enrichissement à l'oxygène. Par quelques exemples, on évoque l'influence de ces paramètres d'exploitation sur l'économie possible en combustible. The efficiency of a flame heating process is closely linked ta the mastery of, combustion techniques. The burner, an essential element in any heating equipment, must provide complete combustion sa as to make optimum use of the potential energy in the fuel while, at the same time, creating the most suitable conditions for heat transfers in the combustion chamber. On the basis of experimental research performed by FRIF, GEFGN and IFP and of industrial achievements, this article describesthe essential properties of diffusion flames fed by liquid and gaseous fuels and produced with or without fluid swirling, and the effects of such flames on heat transfers. The search for high combustion temperatures means that consideration must be given to operating with reduced excess air, heating the air or

  12. A Safer, Simpler, Classic Intrafascial Supracervical Hysterectomy Technique

    OpenAIRE

    Kim, Dong Ho; Lee, Eun Sil; Park, Sung Dae

    2005-01-01

    Objectives: Our aim is to introduce the technical aspects and advantages of a new classic intrafascial supracervical hysterectomy (CISH) technique over the conventional technique. Methods: We performed a retrospective evaluation (Canadian Task Force classification II-2) of 200 women who underwent conventional CISH technique (100 cases), between March 2000 and September 2000, or the new CISH technique (100 cases) between May 2002 and November 2002. The charts of these 200 women were reviewed r...

  13. Experimental technique of neutron reflection

    International Nuclear Information System (INIS)

    Chen Bo; Huang Chaoqiang; Li Xinxi

    2006-12-01

    It is presented that the classifications, structures and components of neutron reflectometer (NR), as well s functions and parameters of each components, detailed characters of NR facility 'PRN-2M'. Based on the practical experiments, the basic experimental techniques, the measurement and the related experimental settings are described, including the choice of experimental conditions, adjustments of polarized neutron beam line, basic experimental technique and approach of measurement. The above can be an instruction for NR experiments and a reference for NR construction. (authors)

  14. Survey of semantic modeling techniques

    Energy Technology Data Exchange (ETDEWEB)

    Smith, C.L.

    1975-07-01

    The analysis of the semantics of programing languages was attempted with numerous modeling techniques. By providing a brief survey of these techniques together with an analysis of their applicability for answering semantic issues, this report attempts to illuminate the state-of-the-art in this area. The intent is to be illustrative rather than thorough in the coverage of semantic models. A bibliography is included for the reader who is interested in pursuing this area of research in more detail.

  15. Techniques for sensitivity analysis of SYVAC results

    International Nuclear Information System (INIS)

    Prust, J.O.

    1985-05-01

    Sensitivity analysis techniques may be required to examine the sensitivity of SYVAC model predictions to the input parameter values, the subjective probability distributions assigned to the input parameters and to the relationship between dose and the probability of fatal cancers plus serious hereditary disease in the first two generations of offspring of a member of the critical group. This report mainly considers techniques for determining the sensitivity of dose and risk to the variable input parameters. The performance of a sensitivity analysis technique may be improved by decomposing the model and data into subsets for analysis, making use of existing information on sensitivity and concentrating sampling in regions the parameter space that generates high doses or risks. A number of sensitivity analysis techniques are reviewed for their application to the SYVAC model including four techniques tested in an earlier study by CAP Scientific for the SYVAC project. This report recommends the development now of a method for evaluating the derivative of dose and parameter value and extending the Kruskal-Wallis technique to test for interactions between parameters. It is also recommended that the sensitivity of the output of each sub-model of SYVAC to input parameter values should be examined. (author)

  16. The variable finesse locking technique

    International Nuclear Information System (INIS)

    Acernese, F; Al-Shourbagy, M

    2006-01-01

    Virgo is a power recycled Michelson interferometer, with 3 km long Fabry-Perot cavities in the arms. The locking of the interferometer has been obtained with an original lock acquisition technique. The main idea is to lock the instrument away from its working point. Lock is obtained by misaligning the power recycling mirror and detuning the Michelson from the dark fringe. In this way, a good fraction of light escapes through the antisymmetric port and the power build-up inside the recycling cavity is extremely low. The benefit is that all the degrees of freedom are controlled when they are almost decoupled, and the linewidth of the recycling cavity is large. The interferometer is then adiabatically brought on to the dark fringe. This technique is referred to as variable finesse, since the recycling cavity is considered as a variable finesse Fabry-Perot. This technique has been widely tested and allows us to reach the dark fringe in few minutes, in an essentially deterministic way

  17. Imaging techniques for myocardial inflammation

    International Nuclear Information System (INIS)

    O'Connell, J.B.; Henkin, R.E.; Robinson, J.A.

    1986-01-01

    Dilated cardiomyopathy (DC) represents a heterogeneous group of disorders which results in morbidity and mortality in young individuals. Recent evidence suggests that a subset of these patients have histologic evidence of myocarditis which is potentially treatable with immunosuppression. The identification of myocardial inflammation may therefore lead to development of therapeutic regimens designed to treat the cause rather than the effect of the myocardial disease. Ultimately, this may result in improvement in the abysmal prognosis of DC. The currently accepted technique for identification of active myocardial inflammation is endomyocardial biopsy. This technique is not perfect, however, since pathologic standards for the diagnosis of myocarditis have not been established. Furthermore, focal inflammation may give rise to sampling error. The inflammation-avid radioisotope gallium-67 citrate has been used as an adjunct to biopsy improving the yield of myocarditis from 7 percent to 36 percent. Serial imaging correlates well to biopsy results. Future studies are designed to study the applicability of lymphocyte labelling techniques to myocardial inflammatory disease

  18. RFCM Techniques Chamber Facility

    Data.gov (United States)

    Federal Laboratory Consortium — FUNCTION: Provides the capability to develop radio-frequency countermeasure (RFCM) techniques in a controlled environment from 2.0 to 40.0 GHz. The configuration of...

  19. Existing and new techniques in uranium exploration

    International Nuclear Information System (INIS)

    Bowie, S.H.U.; Cameron, J.

    1976-01-01

    The demands on uranium exploration over the next 25 years will be very great indeed and will call for every possible means of improvement in exploration capability. The first essential is to increase geological knowledge of the mode of occurrence of uranium ore deposits. The second is to improve existing exploration techniques and instrumentation while, at the same time, promoting research and development on new methods to discover uranium ore bodies on the earth's surface and at depth. The present symposium is an effort to increase co-operation and the exchange of information in the critical field of uranium exploration techniques and instrumentation. As an introduction to the symposium a brief review is presented, firstly of what can be considered as existing techniques and, secondly, of techniques which have not yet been used on an appreciable scale. Some fourteen techniques used over the last 30 years are identified and their appropriate application, advantages and limitations are briefly summarized and the possibilities of their further development considered. The aim of future research on new techniques, in addition to finding new ways and means of identifying surface deposits, should be mainly directed to devising methods and instrumentation capable of detecting buried ore bodies that do not give a gamma signal at the surface. To achieve this aim, two contributory factors are essential: adequate financial support for research and development and increased specialized training in uranium exploration and instrumentation design. The papers in this symposium describe developments in the existing techniques, proposals for future research and development and case histories of exploration programmes

  20. A new technique in the surgical treatment of Hangman′s fractures: Neurospinal Academy (NSA technique

    Directory of Open Access Journals (Sweden)

    Sedat Dalbayrak

    2013-01-01

    Full Text Available Context: Treatment of Hangman′s fractures is still controversial. Hangman′s fractures Type II and IIA are usually treated with surgical procedures. Aim: This study aims at describing the Neurospinal Academy (NSA technique as an attempt to achieve an approximation of the fracture line to the axis body, which may be used for Type II and IIA patients with severe displacement and angulation. Settings and Design: NSA technique both pars or pedicle screws are placed bicortically to ensure that anterior surface of C2 vertebral body will be crossed 1-2 mm. A rod is prepared in suitable length and curve to connect the two screws. For placing the rod, sufficient amount of bone is resected from the C2 spinous process. C2 vertebral body is pulled back by means of the screws that crossed the anterior surface of C2 vertebral body. Materials and Methods: Hangman II and IIA patient are treated with NSA technique. Result: Angulated and tilted C2 vertebral body was pulled back and approximated to posterior elements. Conclusions: In Hangman′s fractures Type II and IIA with severe vertebral body and pedicle displacement, NSA technique is an effective and reliable treatment alternative for the approximation of posterior elements to the C2 vertebral body, which is tilted, angulated, and dislocated.