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Sample records for sarain stump shoshone

  1. Shoshone Spirituality Archaeological Interpretation in Southeast Idaho

    Energy Technology Data Exchange (ETDEWEB)

    Dean, P. A.; Marler, Clayton Fay

    2001-03-01

    Tribal people in southeast Idaho sincerely desire that archaeologists include Shoshone concepts of spirituality when investigating archaeological materials and sites. However, most archaeologists and resource managers have little understanding about these concepts and this creates difficulties. We examine two important aspects of the Shoshone soul, Mugua’ and Nabushi’aipe, and discuss how understanding these attributes aid in explaining why certain archaeological remains are considered sacred. A greater understanding of Shoshone spirituality will begin to bridge the needs of both tribal people and archaeologists.

  2. Productivity and costs of stump rake and stump harvester

    Energy Technology Data Exchange (ETDEWEB)

    Jouhiaho, A.; Rieppo, K.; Mutikainen, A. (TTS Research, Rajamaeki (Finland)), e-mail: aki.jouhiaho@tts.fi, e-mail: kaarlo.rieppo@tts.fi, e-mail: arto.mutikainen@tts.fi

    2010-07-01

    The cost-effectiveness of the two most common stump extraction equipment used in Finland was investigated in the work study: stump rake and stump harvester. The productivity of stump extraction with the stump rake was on average 12,7 m3 / effective hour and with the stump harvester 12,0 m3 /effective hour. Soil preparation performed during the stump extraction decreased the productivity of stump extraction by 1,9-3,1 m3 / effective hour. Considering the work methods adapted by the drivers, the different revolutions of the engines (RPM) used in the excavators and speed of movement, it is not possible to draw a general conclusion that there would be differences in productivity between stump extraction methods at issue. Even though the acquisition price of the stump harvester was almost double that of the acquisition price of the stump rake with bucket tilt mechanism, the operating costs of the stump harvester were lower due to its lower fuel consumption. The hourly operating costs of the stump rake were 4 per cent or EUR 2,0 / hour higher than the operating costs of the stump harvester. Due to the 6 per cent higher productivity of the stump rake, the unit cost of the stump rake was 2 per cent or EUR 0,09 / m3 lower than that of the stump harvester. (orig.)

  3. 76 FR 22672 - Shoshone Resource Advisory Committee

    Science.gov (United States)

    2011-04-22

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF AGRICULTURE Forest Service Shoshone Resource Advisory Committee AGENCY: Forest Service, USDA. ACTION: Notice of... projects to recommend to the Designated Federal Official (3) Make a decision on travel reimbursements...

  4. Carotid Stump Syndrome

    Directory of Open Access Journals (Sweden)

    Lara Toufic Dakhoul MD

    2014-08-01

    Full Text Available Objectives. To highlight the case of a patient with multiple transient ischemic attacks and visual disturbances diagnosed with carotid stump syndrome and managed with endovascular approach. Case Presentation. We present the case of a carotid stump syndrome in an elderly patient found to have moderate left internal carotid artery stenosis in response to an advertisement for carotid screening. After a medical therapeutic approach and a close follow-up, transient ischemic attacks recurred. Computed tomographic angiography showed an occlusion of the left internal carotid artery and the presence of moderate stenosis in the right internal carotid artery, which was treated by endovascular stenting and balloon insertion. One month later, the patient presented with visual disturbances due to the left carotid stump and severe stenosis of the left external carotid artery that was reapproached by endovascular stenting. Conclusion. Considerations should be given to the carotid stump syndrome as a source of emboli for ischemic strokes, and vascular assessment could be used to detect and treat this syndrome.

  5. Socioeconomic profiles of native American communities: Duckwater Shoshone Reservation

    Energy Technology Data Exchange (ETDEWEB)

    Hamby, M. [Cultural Resources Consultants Ltd., Reno, NV (United States)

    1991-10-01

    This report presents socioeconomic aspects of Native Americans of the Duckwater Shoshone Reservation. A survey is included concerning their views on the proposed Yucca Mountain waste repository. (CBS)

  6. Socioeconomic profiles of native American communities: Yomba Shoshone Reservation

    Energy Technology Data Exchange (ETDEWEB)

    Hamby, M.; Rusco, E. [Cultural Resources Consultants Ltd., Reno, NV (United States)

    1991-10-01

    This report was written by the State of Nevada Agency for Nuclear Projects/Nuclear Waste Project Office. This office oversees the nuclear waste activities for the proposed Yucca Mountain high-level waste facility for the state of Nevada. The Yomba Shoshone Reservation socio-economic profile was the basis of this paper. It describes the life and current status of the Shoshone Indians. Population, utilities, education and social services of the Shoshone are examples of the topics which are discussed. It is intended as base-line information only. It eventually summarizes and compares data from the public opinion of the Shoshone about the high level waste repository at Yucca Mountain. (MB)

  7. Stump Appendicitis: A Clinical Enigma.

    Science.gov (United States)

    Çiftci, F; Abdurrahman, I; Tatar, Z

    2015-01-01

    Appendectomy is one of the most frequently performed operations. Stump appendicitis, as a postoperative complication of appendectomy, is inflammation of the remnant residue when an incomplete excision occurs. We present a patient with stump appendicitis who had been operated on, laparoscopically, for acute appendicitis 6 months before. The patient was diagnosed with acute appendicitis, underwent surgery, and was discharged on postoperative day 3 without complications. Stump appendicitis is a rare cause of acute abdominal disease but should be considered in the differential diagnosis. Ultrasonography is helpful in the diagnosis.

  8. Stump problems in traumatic amputation.

    Science.gov (United States)

    Hirai, M; Tokuhiro, A; Takechi, H

    1993-12-01

    Stump problems in amputations resulting from employment related injuries were investigated in 397 cases in the Chugoku and Shikoku districts of Japan between 1987 and 1991. Ninety-seven patients (24%) had stump problems which interfered the prosthetic fitting. Stump problems of the upper extremity were seen in about 9% (17 amputees), two thirds of which were skin troubles. Stump problems of the lower extremity were seen in about 37% (80 amputees). Certain complaints were associated with specific methods of amputation; abnormal keratosis in Syme's amputation, equinus deformity in Chopart's amputation, reduced muscle power in above the knee (A/K) amputation and joint dysfunction in below the knee (B/K) amputation. Adequate prosthetic fitting was achieved by the modification of the socket and alignment in almost all amputees with stump problems. In only two cases, Chopart's amputation required subsequent Syme's amputation due to equinus deformity with abnormal keratosis. In almost every case, stump problems are avoidable by means of surgeons' deliberate evaluation of the affected limb and adequate choice of the amputation level.

  9. 77 FR 64310 - Shoshone National Forest, WY, Revised Land and Resource Management Plan

    Science.gov (United States)

    2012-10-19

    ... Forest Service Shoshone National Forest, WY, Revised Land and Resource Management Plan AGENCY: Forest... (USDA) Forest Service (USFS), Shoshone National Forest announces the extension of the comment period for the Shoshone National Forest Land Management Plan Revision Draft Environmental Impact Statement. The...

  10. The stump and the prosthesis.

    Science.gov (United States)

    Day, H J

    1980-03-01

    In performing amputations the surgeon must bear in mind the biomechanical and other constraints of the prosthesis likely to be fitted and, so far as possible, should fashion the stump accordingly. The various types of prosthesis and their features are discussed in relation to amputations of the lower and upper limbs at all levels.

  11. [Cancer of the gastric stump].

    Science.gov (United States)

    Rojas Bravo, F; Montero, L

    1992-01-01

    627 cases of gastric cancer treated surgically during the last 5 years, at the Hospital Nacional "Edgardo Rebagliati Martins" from Instituto Peruano de Seguridad Social (Lima-Perú) were revised. 4 of the patients had been operated before of hemigastrectomy or antrectomy with pyloroplasty for peptic ulcer. The time between the first operation and diagnosis of cancer of the gastric stump was more than 20 years. 3 of these cases were able to be resected. The international incidence of cancer in the gastric stump is 1.1% to 9.2% according to different authors. The risk is higher after 15 years. In the pathogenesis are advocated the lower gastric acidity, biliary reflux, the presence of bacteria, the formation of nitrosamines, intestinal metaplasia, etc. Is necessary to perform periodic endoscopic survey in patients who were treated surgically of peptic ulcer with antrectomy or hemigastrectomy with more than 15 years of evolution.

  12. Effect of severing method and stump height on coppice growth

    Science.gov (United States)

    John B. Crist; James A. Mattson; Sharon A. Winsauer

    1983-01-01

    In this study we evaluated the effect of stem severing method and stump height on coppice growth in a short-rotation intensively cultured Populus plantation 1, 2, and 3 years after cutting. Initially, stumps 46 cm high had smaller and significantly more sprouts than either 8 or 15 cm high stumps. However, the dominant sprouts were not affected by the stump height....

  13. Endovascular treatment of the carotid stump syndrome.

    Science.gov (United States)

    Nano, Giovanni; Dalainas, Ilias; Casana, Renato; Malacrida, Giovanni; Tealdi, Domenico G

    2006-01-01

    In patients with an occluded internal carotid artery, the carotid stump syndrome is a potential source of microemboli that pass through the ipsilateral external carotid artery and the ophthalmic artery to the territory of the middle cerebral artery. Thus, the syndrome is associated with carotid territory symptoms although the internal carotid artery is occluded. Surgical exclusion of the internal carotid artery associated with endarterectomy of the external carotid artery has been described as the gold standard of treatment by many authors. This report is the second case, to our knowledge, of endovascular treatment of the carotid stump syndrome with the use of a stent-graft.

  14. Duodenal stump leak following a duodenal switch: A case report

    Directory of Open Access Journals (Sweden)

    Lars Nelson

    2015-01-01

    Conclusion: Duodenal stump leaks must be diagnosed as early as possible, and treated appropriately with operative intervention. Regardless of the operative technique the key to appropriate treatment is stabilize the patient, repair the duodenal stump, and adequate drainage.

  15. Stump sensibility in children with upper limb reduction deficiency

    NARCIS (Netherlands)

    Reinkingh, Marianne; Reinders-Messelink, Heleen A.; Dijkstra, Pieter U.; Maathuis, Karel G. B.; van der Sluis, Corry K.

    2014-01-01

    Objectives: To compare stump sensibility in children with upper limb reduction deficiency with sensibility of the unaffected arm and hand. In addition, to evaluate the associations between stump sensibility, stump length and activity level. Design: Cross-sectional study. Subjects: Children and young

  16. 76 FR 11264 - Notice of Realty Action: Proposed Direct Sale of Public Land in Shoshone County, ID

    Science.gov (United States)

    2011-03-01

    ... Bureau of Land Management Notice of Realty Action: Proposed Direct Sale of Public Land in Shoshone County... Register announcing the proposed direct sale and segregation of 5.07 acres of public land in Shoshone... by direct sale to Sunshine in accordance with Sections 203 and 209 of the Federal Land Policy...

  17. Long-term success of stump sprout regeneration in baldcypress

    Science.gov (United States)

    Richard F. Keim; Jim L. Chambers; Melinda S. Hughes; Emile S. Gardiner; William H. Conner; John W. Day; Stephen P. Faulkner; Kenneth W. McLeod; Craig A. Miller; J. Andrew Nyman; Gary P. Shaffer; Luben D. Dimov

    2006-01-01

    Baldcypress [Taxodium distichum (L.) Rich.] is one of very few conifers that produces stump sprouts capable of becoming full-grown trees. Previous studies have addressed early survival of baldcypress stump sprouts but have not addressed the likelihood of sprouts becoming an important component of mature stands. We surveyed stands throughout south...

  18. Occurrence patterns of lichens on stumps in young managed forests.

    Science.gov (United States)

    Svensson, Måns; Dahlberg, Anders; Ranius, Thomas; Thor, Göran

    2013-01-01

    The increasing demand for forest-derived bio-fuel may decrease the amount of dead wood and hence also the amount of available substrate for saproxylic ( = dead-wood dependent) organisms. Cut stumps constitute a large portion of dead wood in managed boreal forests. The lichen flora of such stumps has received little interest. Therefore, we investigated which lichens that occur on stumps in young (4-19 years), managed forests and analyzed how species richness and occurrence of individual species were related to stump and stand characteristics. We performed lichen inventories of 576 Norway spruce stumps in 48 forest stands in two study areas in Central Sweden, recording in total 77 lichen species. Of these, 14 were obligately lignicolous, while the remaining were generalists that also grow on bark, soil or rocks. We tested the effect of characteristics reflecting successional stage, microclimate, substrate patch size, and the species pool in the surrounding area on (1) total lichen species richness, (2) species richness of obligately lignicolous lichens and (3) the occurrence of four obligately lignicolous lichen species. The most important variables were stump age, with more species on old stumps, and study area, with similar total species richness but differences in occupancy for individual species. Responses for total lichen species richness and species richness of obligately lignicolous lichens were overall similar, indicating similar ecological requirements of these two groups. Our results indicate that species richness measurements serve as poor proxies for the responses of individual, obligately lignicolous lichen species.

  19. Occurrence patterns of lichens on stumps in young managed forests.

    Directory of Open Access Journals (Sweden)

    Måns Svensson

    Full Text Available The increasing demand for forest-derived bio-fuel may decrease the amount of dead wood and hence also the amount of available substrate for saproxylic ( = dead-wood dependent organisms. Cut stumps constitute a large portion of dead wood in managed boreal forests. The lichen flora of such stumps has received little interest. Therefore, we investigated which lichens that occur on stumps in young (4-19 years, managed forests and analyzed how species richness and occurrence of individual species were related to stump and stand characteristics. We performed lichen inventories of 576 Norway spruce stumps in 48 forest stands in two study areas in Central Sweden, recording in total 77 lichen species. Of these, 14 were obligately lignicolous, while the remaining were generalists that also grow on bark, soil or rocks. We tested the effect of characteristics reflecting successional stage, microclimate, substrate patch size, and the species pool in the surrounding area on (1 total lichen species richness, (2 species richness of obligately lignicolous lichens and (3 the occurrence of four obligately lignicolous lichen species. The most important variables were stump age, with more species on old stumps, and study area, with similar total species richness but differences in occupancy for individual species. Responses for total lichen species richness and species richness of obligately lignicolous lichens were overall similar, indicating similar ecological requirements of these two groups. Our results indicate that species richness measurements serve as poor proxies for the responses of individual, obligately lignicolous lichen species.

  20. Through the Eyes of the Eagle (American Indian translation in Shoshone)

    Centers for Disease Control (CDC) Podcasts

    2009-04-09

    The Eagle Books are a series of four books that are brought to life by wise animal characters - Mr. Eagle, Miss Rabbit, and Coyote - who engage Rain That Dances and his young friends in the joy of physical activity, eating healthy foods, and learning from their elders about health and diabetes prevention. Through the Eyes of the Eagle tells children about looking to the healthy ways and wisdom of their elders (Listen to the American Indian translation in Shoshone).  Created: 4/9/2009 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 4/9/2009.

  1. Magnetotelluric Data, Rainier Mesa/Shoshone Mountain, Nevada Test Site, Nevada.

    Energy Technology Data Exchange (ETDEWEB)

    Jackie M. Williams; Jay A. Sampson; Brian D. Rodriguez; and Theodore H. Asch.

    2006-11-03

    The United States Department of Energy (DOE) and the National Nuclear Security Administration (NNSA) at their Nevada Site Office (NSO) are addressing ground-water contamination resulting from historical underground nuclear testing through the Environmental Management (EM) program and, in particular, the Underground Test Area (UGTA) project. From 1951 to 1992, 828 underground nuclear tests were conducted at the Nevada Test Site northwest of Las Vegas. Most of these tests were conducted hundreds of feet above the ground-water table; however, more than 200 of the tests were near or within the water table. This underground testing was limited to specific areas of the Nevada Test Site, including Pahute Mesa, Rainier Mesa/Shoshone Mountain, Frenchman Flat, and Yucca Flat. One issue of concern is the nature of the somewhat poorly constrained pre-Tertiary geology, and its effects on ground-water flow. Ground-water modelers would like to know more about the hydrostratigraphy and geologic structure to support a hydrostratigraphic framework model that is under development for the Rainier Mesa/Shoshone Mountain Corrective Action Unit (Bechtel Nevada, 2006). During 2005, the U.S. Geological Survey (USGS), in cooperation with the DOE and NNSA-NSO, collected and processed data from twenty-six magnetotelluric (MT) and audio-magnetotelluric (AMT) sites at the Nevada Test Site. The 2005 data stations were located on and near Rainier Mesa and Shoshone Mountain to assist in characterizing the pre-Tertiary geology in those areas. These new stations extend the area of the hydrogeologic study previously conducted in Yucca Flat. This work will help refine what is known about the character, thickness, and lateral extent of pre-Tertiary confining units. In particular, a major goal has been to define the upper clastic confining unit (UCCU – late Devonian to Mississippian-age siliciclastic rocks assigned to the Eleana Formation and Chainman Shale) from the Yucca Flat area and west towards

  2. Tinea corporis on the stump leg with Trichophyton rubrum infection

    Directory of Open Access Journals (Sweden)

    Xin Ran

    2015-09-01

    Full Text Available We report a case of tinea corporis on amputated leg stump caused by Trichophyton rubrum. The patient, a 54-year-old male, experienced a serious traffic accident, resulted his right leg amputated 3 years ago. Since then prosthesis was fitted and protective equipment of silicone stocking was worn for the stump. He consulted with circular, patchy and scaly erythemas with itching on his right below knee amputation stump for 2 months. The diagnoses of tinea corporis on the stump was made based on a positive KOH direct microscopic examination, morphologic characteristics and sequencing of the internal transcribed spacers (ITS 1 and 4, confirmed that the isolate from the scales was T. rubrum. The patient was cured with oral terbinafine and topical naftifine-ketaconazole cream following 2% ketaconazole shampoo wash for 3 weeks. Long times using prosthesis together with protective equipment of silicone stocking, leading to the local environment of airtight and humid within the prosthesis favors T. rubrum infection of the stump could be considered as the precipitating factors.

  3. Comparing flow-through and static ice cave models for Shoshone Ice Cave

    Directory of Open Access Journals (Sweden)

    Kaj E. Williams

    2015-05-01

    Full Text Available In this paper we suggest a new ice cave type: the “flow-through” ice cave. In a flow-through ice cave external winds blow into the cave and wet cave walls chill the incoming air to the wet-bulb temperature, thereby achieving extra cooling of the cave air. We have investigated an ice cave in Idaho, located in a lava tube that is reported to have airflow through porous wet end-walls and could therefore be a flow-through cave. We have instrumented the site and collected data for one year. In order to determine the actual ice cave type present at Shoshone, we have constructed numerical models for static and flow-through caves (dynamic is not relevant here. The models are driven with exterior measurements of air temperature, relative humidity and wind speed. The model output is interior air temperature and relative humidity. We then compare the output of both models to the measured interior air temperatures and relative humidity. While both the flow-through and static cave models are capable of preserving ice year-round (a net zero or positive ice mass balance, both models show very different cave air temperature and relative humidity output. We find the empirical data support a hybrid model of the static and flow-through models: permitting a static ice cave to have incoming air chilled to the wet-bulb temperature fits the data best for the Shoshone Ice Cave.

  4. Tectonic and igneous geology of the northern Shoshone Range, Nevada, with sections on gravity in Crescent Valley and economic geology

    Science.gov (United States)

    Gilluly, James; Gates, Olcott; Plouff, Donald; Ketner, K.B.

    1965-01-01

    Part of the northern Shoshone Range and its bordering valleys are shown in the Mount Lewis and Crescent Valley quadrangles of the U.S. Geological Survey's Topographic Atlas. A very small part of the Cortez Mountains extends into the Crescent Valley quadrangle and is also described.

  5. 76 FR 18214 - Idaho Power; Notice of Availability of Land Management Plan Update for the Shoshone Falls Project...

    Science.gov (United States)

    2011-04-01

    ... a Land Management Plan (LMP) update for the project. The LMP is a comprehensive plan to manage... Shoshone Falls Project and Soliciting Comments, Motions To Intervene, and Protests Take notice that the... inspection: a. Application Type: Land Management Plan Update. b. Project No.: 2055-087. c. Date Filed...

  6. 76 FR 18213 - Idaho Power; Notice of Availability of Land Management Plan Update for the Shoshone Falls Project...

    Science.gov (United States)

    2011-04-01

    ... a Land Management Plan (LMP) update for the project. The LMP is a comprehensive plan to manage... Shoshone Falls Project and Soliciting Comments, Motions To Intervene, and Protests Take notice that the... inspection: a. Application Type: Land Management Plan Update. b. Project No.: 2778-062. c. Date Filed...

  7. Comparison of two stump-lifting heads in final felling Norway spruce stand

    Energy Technology Data Exchange (ETDEWEB)

    Karha, K.

    2012-07-01

    The use of stump and root wood chips has increased very rapidly in the 21st century in Finland: in the year 2000, the total consumption of stump wood chips for energy generation was 10 GWh, while in 2010 it was approximately 2 TWh. Metsaeteho Oy and TTS Research evaluated two stump-lifting devices for the lifting of Norway spruce (Picea abies) stumps. The productivity and costs of stump lifting were determined. There was one base machine with one operator in the time study. When lifting stumps with a diameter of 30 cm, the effective hour productivity of stump lifting was 11.2 m{sup 3} solid over bark (sob)/E0 (4.8 ton{sub D}/E{sub 0}) without site preparation using a Vaekevae Stump Processor, and when lifting spruce stumps with a diameter of 40 cm, the productivity was 14.9 m{sup 3} sob/E{sub 0} (6.5 tonD/E0). When the site preparation (mounding) was integrated into lifting work, the stump-lifting productivity decreased 21-27%. The stump-lifting productivity of the other lifting head (Jarvinen) was lower than that of the Vaekevae Stump Processor. Some development suggestions for the Jarvinen lifting head were presented and discussed. The cost calculations showed that stump-lifting costs are extremely high when stump diameter is less than 20 cm. Therefore, the study recommended a change in the current stump-harvesting guidelines of Finland: The study suggested that all the stumps with a diameter less than 20 cm should be left on the harvesting site. (orig.)

  8. A stump appendicitis in a child: a case report

    Directory of Open Access Journals (Sweden)

    Jemaï Radhia

    2009-11-01

    Full Text Available Abstract Background Stump appendicitis is a delayed complication of appendectomy. It is rare and few cases reported in the paediatric literature. The authors report on another case in a child and focus on the diagnostic peculiarities of this entity. Case A 9-year-old boy with previous history of open appendectomy was admitted for a right lower quadrant pain with bilious vomiting and fever. Physical examination demonstrated tenderness in the right lower quadrant and guarding over the appendectomy scar. The white blood cell count was 23.500 cells/mm3. Plain abdominal radiograph and ultrasonography revealed fecalith localized in the right iliac fossa. The diagnosis of stump appendicitis was advocated and confirmed at laparotomy. A gangrenous and perforated appendiceal stump was found and completely removed. The post-operative course was uneventful after 18 months follow-up period. Conclusion Stump appendicitis is rare and should be considered in any patient with right lower quadrant pain even if there is a history of appendectomy. Complete removal of the appendix is the only mean to prevent the occurrence of this complication.

  9. Deep Resistivity Structure of Rainier Mesa-Shoshone Mountain, Nevada Test Site, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    Theodore H. Asch; Brian D. Rodriguez; Jay A. Sampson; Jackie M. Williams; Maryla Deszcz-Pan

    2006-12-12

    The U. S. Department of Energy (DOE) and the National Nuclear Security Administration (NNSA) at their Nevada Site Office (NSO) are addressing groundwater contamination resulting from historical underground nuclear testing through the Environmental Management (EM) program and, in particular, the Underground Test Area (UGTA) project. During 2005, the U.S. Geological Survey (USGS), funded by the DOE and NNSA-NSO, collected and processed data from twenty-six Magnetotelluric (MT) and Audio-Magnetotelluric (AMT) sites at the Nevada Test Site. Data stations were located in and near Rainier Mesa and Shoshone Mountain to assist in characterizing the pre-Tertiary geology in those areas. These new stations extend to the west the hydrogeologic study that was conducted in Yucca Flat in 2003. This work has helped to refine the character, thickness, and lateral extent of pre Tertiary confining units. In particular, a major goal has been to define the upper clastic confining unit (UCCU – late Devonian to Mississippian-age siliciclastic rocks assigned to the Eleana Formation and Chainman Shale(Bechtel Nevada, 2006)) in the Yucca Flat area and west towards Shoshone Mountain in the south, east of Buckboard Mesa, and onto Rainier Mesa in the north. The Nevada Test Site magnetotelluric data interpretation presented in this report includes the results of detailed two-dimensional (2 D) resistivity modeling for each profile (including alternative interpretations) and gross inferences on the three dimensional (3 D) character of the geology within the region. The character, thickness, and lateral extent of the Chainman Shale and Eleana Formation that comprise the Upper Clastic Confining Unit (UCCU) are generally characterized in the upper 5 km. The interpretation is not well determined where conductive TCU overlies conductive Chainman Shale, where resistive Eleana Formation overlies resistive LCA units, or where resistive VTA rock overlies units of the Eleana Formation. The nature of the

  10. Tribal Wind Assessment by the Eastern Shoshone Tribe of the Wind River Reservation

    Energy Technology Data Exchange (ETDEWEB)

    Pete, Belvin; Perry, Jeremy W.; Stump, Raphaella Q.

    2009-08-28

    The Tribes, through its consultant and advisor, Distributed Generation Systems (Disgen) -Native American Program and Resources Division, of Lakewood CO, assessed and qualified, from a resource and economic perspective, a wind energy generation facility on tribal lands. The goal of this feasibility project is to provide wind monitoring and to engage in preproject planning activities designed to provide a preliminary evaluation of the technical, economic, social and environmental feasibility of developing a sustainable, integrated wind energy plan for the Eastern Shoshone and the Northern Arapahoe Tribes, who resides on the Wind River Indian Reservation. The specific deliverables of the feasibility study are: 1) Assessments of the wind resources on the Wind River Indian Reservation 2) Assessments of the potential environmental impacts of renewable development 3) Assessments of the transmission capacity and capability of a renewable energy project 4) Established an economic models for tribal considerations 5) Define economic, cultural and societal impacts on the Tribe

  11. Relation of Stump Length with Various Gait Parameters in Trans-tibial Amputee

    Directory of Open Access Journals (Sweden)

    Koyel Majumdar

    2008-07-01

    Full Text Available The purpose of this paper is evaluating the impact of stump length of unilateral below knee amputees (BKA on different gait parameters. Nine unilateral BKA were chosen and divided into three groups comprising patients with short, medium, and long stump length. Each of them underwent gait analysis test by Computer Dynography (CDG system to measure the gait parameters. It was found that the ground reaction force is higher in the patients with medium stump length whereas the velocity, step length both for the prosthetic and sound limb and cadence were high in longer stump length. Statistical analysis shows a significant difference (p<0.05 between the gait parameters of BKA with medium and longer stump length. The patients with longer stump length were more efficient than medium and short stump patients as they consumed comparatively lesser energy while walking with self-selected velocity and conventional (Solid ankle cushioned heel SACH foot.

  12. Stereotactic body radiation therapy for patients with recurrent pancreatic adenocarcinoma at the abdominal lymph nodes or postoperative stump including pancreatic stump and other stump

    Directory of Open Access Journals (Sweden)

    Zeng XL

    2016-06-01

    Full Text Available Xian-Liang Zeng,* Huan-Huan Wang,* Mao-Bin Meng, Zhi-Qiang Wu, Yong-Chun Song, Hong-Qing Zhuang, Dong Qian, Feng-Tong Li, Lu-Jun Zhao, Zhi-Yong Yuan, Ping Wang Department of Radiation Oncology, Tianjin’s Clinical Research Center for Cancer and Key Laboratory of Cancer Prevention and Therapy, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin, People’s Republic of China *These authors contributed equally to this work Background and aim: The aim of this study is to evaluate the efficacy and safety of stereotactic body radiation therapy (SBRT using CyberKnife in the treatment of patients with recurrent pancreatic adenocarcinoma at the abdominal lymph node or stump after surgery. Patients and methods: Between October 1, 2006 and May 1, 2015, patients with recurrent pancreatic adenocarcinoma at the abdominal lymph node or stump after surgery were enrolled and treated with SBRT at our hospital. The primary end point was local control rate after SBRT. Secondary end points were overall survival, time to symptom alleviation, and toxicity, assessed using the Common Terminology Criteria for Adverse Events version 4.0. Results: Twenty-four patients with 24 lesions (17 abdominal lymph nodes and seven stumps were treated with SBRT, of which five patients presented with abdominal lymph nodes and synchronous metastases in the liver and lung. The 6-, 12-, and 24-month actuarial local control rates were 95.2%, 83.8%, and 62.1%, respectively. For the entire cohort, the median overall survival from diagnosis and SBRT was 28.9 and 12.2 months, respectively. Symptom alleviation was observed in eleven of 14 patients (78.6% within a median of 8 days (range, 1–14 days after SBRT. Nine patients (37.5% experienced Common Terminology Criteria for Adverse Events version 4.0 grade 1–2 acute toxicities; one patient experienced grade 3 acute toxicity due to thrombocytopenia. Conclusion: SBRT is a safe and

  13. Simple estimation of fastest preferential contaminant travel times in the unsaturated zone: application to Rainier Mesa and Shoshone Mountain, Nevada

    Directory of Open Access Journals (Sweden)

    B. A. Ebel

    2010-06-01

    Full Text Available Simulating contaminant transport in unsaturated zones with sparse hydraulic property information is a difficult, yet common, problem. When contaminant transport may occur via preferential flow, simple modeling approaches can provide predictions of interest, such as the first arrival of contaminant, with minimal site characterization. The conceptual model for unsaturated zone flow at two areas within the Nevada Test Site, Rainier Mesa and Shoshone Mountain, establishes the possibility of preferential flow through lithologies between potential radionuclide sources and the saturated zone. Lithology, saturated or near-saturated conditions in portions of the rock matrix, and relatively high recharge rates may act in concert at Rainier Mesa to promote preferential flow, despite the semi-arid climate. After identifying preferential flow as a possible contaminant transport process at Rainier Mesa and Shoshone Mountain, we apply a simple model to estimate fastest unsaturated travel times for conservatively-transported radionuclides to initially reach the saturated zone. Preferential flow travel times at Rainier Mesa are tens to hundreds of years for non-ponded water sources and one to two months for continuously-ponded water sources. If preferential flow occurs at Shoshone Mountain, the fastest travel times are approximately twice the Rainier Mesa estimates. A siliceous rock unit is present at Shoshone Mountain that may provide a barrier to preferential flow; if so, estimated transport times increase to more than a thousand years. Our analysis of unsaturated transport of radionuclides via preferential flow, using a relatively simple model, suggests that contaminated locations associated with continuously-supplied water sources, such as effluent ponds and water-filled tunnels, may have significantly shorter radionuclide travel times than locations not associated with such sources. The simple approach demonstrated here for estimating travel times can be

  14. Analysis of environmentally friendly harvesting systems for integrated stump fuel and roundwood production

    Energy Technology Data Exchange (ETDEWEB)

    Berg, Simon [Swedish Univ. of Agricultural Sciences, Dept. of Forest Resource Management, Umeaa (Sweden)], e-mail: Simon.Berg@slu.se

    2012-11-01

    Tree stumps could potentially make a significant contribution to the transition from reliance on foreign fossil to renewable domestic energy sources in Sweden, but harvesting them can have unintended negative environmental consequences, largely due to ground disturbance. One way to reduce the ground disturbance is to only harvest the central part of the stump, but this is not profitable using current systems. A possible solution is to integrate stump-centre and roundwood harvests. In the presented study the work, productivity and costs of a conventional, separate stem and stump harvesting system were compared in simulations to an integrated system for simultaneously harvesting stem and stump centre. The conventional system involves use of a harvester, a forwarder, a stump harvester and a stump forwarder, while the integrated system consists of a feller-puller that fells trees with the stump centre attached, a processor and a forwarder. The results indicate that integrated harvests could produce stump wood more cheaply than the current stump harvesting system at sites dominated by trees with breast height diameters exceeding 200 mm, which includes about 80% of the clear-cutting sites in Sweden. The study is not yet complete, the results are thus preliminary and require further validation, but such integrated supply systems are promising and warrant further research.

  15. Completion Report for Well ER-16-1 Corrective Action Unit 99: Rainier Mesa - Shoshone Mountain

    Energy Technology Data Exchange (ETDEWEB)

    NSTec Environmental Management

    2006-12-01

    Well ER-16-1 was drilled for the U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office, in support of the Nevada Environmental Restoration Project at the Nevada Test Site, Nye County, Nevada. The well was drilled in June and July 2005 as part of a hydrogeologic investigation program for the Rainier Mesa-Shoshone Mountain Corrective Action Unit, Number 99. The overall purpose of the well was to gather subsurface data to better characterize the hydrogeology of the Shoshone Mountain area, especially in the older Tertiary and pre-Tertiary strata. The main 46.99-centimeter hole was drilled to a depth of 702.9 meters and cased with 33.97-centimeter casing to 663.7 meters. The hole diameter was then decreased to 31.1 centimeters, and the well was drilled to total depth of 1,220.7 meters. A completion string set at the depth of 1,162.4 meters consisted of 13.97-centimeter stainless-steel casing, with one continuous slotted interval open to the lower carbonate aquifer. The fluid level in the borehole soon dropped, so the borehole was deepened in July 2006. To deepen the borehole, the slotted section was cemented and a 12.1-centimeter hole was drilled through the bottom of the completion string to the new total depth of 1,391.7 meters, which is 171.0 meters deeper than the original borehole. A string of 6.03-centimeter carbon-steel tubing with one continuous slotted interval at 1,361.8 to 1,381.4 meters, and open to the lower carbonate aquifer, was installed in the well with no gravel packing or cement, to serve as a monitoring string. Data gathered during and shortly after hole construction include composite drill cuttings samples collected every 3 meters (extra cuttings samples were collected from the Paleozoic rocks for paleontological analyses), sidewall core samples from 37 depths, various geophysical logs, and water level measurements. These data indicate that the well penetrated 646.8 meters of Tertiary volcanic rocks and 744.9 meters

  16. Magnetotelluric Data, Rainier Mesa/Shoshone Mountain, Nevada Test Site, Nevada

    Science.gov (United States)

    Williams, Jackie M.; Sampson, Jay A.; Rodriguez, Brian D.; Asch, Theodore H.

    2006-01-01

    Introduction: The United States Department of Energy (DOE) and the National Nuclear Security Administration (NNSA) at their Nevada Site Office (NSO) are addressing ground-water contamination resulting from historical underground nuclear testing through the Environmental Management (EM) program and, in particular, the Underground Test Area (UGTA) project. During 2005, the U.S. Geological Survey (USGS), in cooperation with the DOE and NNSA-NSO, collected and processed data from twenty-six magnetotelluric (MT) and audio-magnetotelluric (AMT) sites at the Nevada Test Site. The 2005 data stations were located on and near Rainier Mesa and Shoshone Mountain to assist in characterizing the pre-Tertiary geology in those areas. These new stations extend the area of the hydrogeologic study previously conducted in Yucca Flat. The MT data presented in this report will help refine what is known about the character, thickness, and lateral extent of pre Tertiary confining units. Subsequent interpretation will include a three dimensional (3 D) character analysis and a two-dimensional (2 D) resistivity model. The purpose of this report is to release the MT sounding data. No interpretation of the data is included here.

  17. A Rare Case: Appendectomy After Connected Stump Appendicitis Perforation of the Cecum

    Directory of Open Access Journals (Sweden)

    Berke Manoglu

    2016-01-01

    Full Text Available Stump appendicitis is a rare complication after appendectomy . Stump appendicitis made of incomplete appendectomy after a rest appendix tissue develops as a result of the inflammation. Admitted to the emergency department with acute abdomen and a history of appendectomy in patients with a history of current pain in the right lower quadrant , especially that of the patient must be evaluated in terms of stump appendicitis. The fact that the earlier story appendectomy patients , causing a delay in diagnosis and increasing the morbidity Cecal perforation was offered an advanced case of delayed depending on the stump appendicitis in this article.

  18. Stump appendicitis is a rare delayed complication of appendectomy: A case report

    Institute of Scientific and Technical Information of China (English)

    Mehmet Uludag; Adnan Isgor; Muzaffer Basak

    2006-01-01

    Stump appendicitis is an acute inflammation of the residual appendix and one of the rare complications after appendectomy. Paying attention to the possibility of stump appendicitis in patients with right lower abdominal pain after appendectomy can prevent the delay of diagnosis and treatment. In patients with stump appendicitis,CT scan not only assists in making an accurate preoperative diagnosis but also excludes other etiologies. We report a 47-year old man with preoperatively diagnosed stump appendicitis by CT, who underwent an open appendectomy 20 years ago.

  19. Chemical composition of decomposing stumps in successive rotation of Chinese fir (Cunninghamia lanceolata (Lamb.) Hook.) plantations

    Institute of Scientific and Technical Information of China (English)

    HUANG Zhiqun; XU Zhihong; BOYD Sue; WILLIAMS David

    2005-01-01

    Decomposition of stumps in successive rotation of Chinese fir (Cunninghamia lanceolata (Lamb.) Hook.) plantations was studied using a chronosequence approach. The results showed that decomposition rate constant of Chinese fir stump was 0.02695 as calculated from Olson's model. The N content of stump increased during the first two-year decomposition. When the dead stump C/N ratio was 463.2 ± 27.3, the stumps started to release N. The pattern of P release was similar to that for N. However, K content of stumps showed a consistent declining trend over time during the whole decomposition. 13C nuclear magnetic resonance spectroscopy with cross polarization and magic-angle spinning (13C CPMAS-NMR) was used to analyse organic carbon (C) components in decomposing stumps. The 13C CPMAS-NMR spectra of stumps displayed that stump was dominated by cellulose and hemicellulose. The spectra also showed the accumulation of intensity in alkyl C, aromatic C, and carboxyl C spectral regions, which was expected as the labile cellulose and hemicellulose components in O-alkyl C spectral region were selectively decomposed first.

  20. Have stump piles any effect on the pine weevil (Hylobius abietis L. incidence and seedling damage?

    Directory of Open Access Journals (Sweden)

    Abul Rahman

    2015-01-01

    Full Text Available Tree stumps are being increasingly used for bioenergy purposes, which may have significant effects on pine weevil (Hylobius abietis L. populations and the level of damage they can cause to seedlings. Pine weevils are attracted by the smell of fresh stumps in clear-cut areas, and have been shown to cause serious damage to planted coniferous seedlings in European forests. This study was conducted to measure the incidence of pine weevil and damage caused to Norway spruce (Picea abies seedlings in a field experiment including single stump pile plots (SSP, multiple stump pile plots (MSP and control plots in North Karelia, Finland. Pine weevils were significantly more abundant in MSP stump plots (22% higher than in SSP plots, and are 23% more abundant compared to the control plots. The extent of seedling damage was significantly lower in the SSP (by 67% and MSP plots (by 58% than in the controls. Seedlings damage increased significantly with the distance from the stump pile. Stump harvesting practices should be updated and, in particular, multiple stump piles should be avoided in the clearcut area. However, future studies will be required to explore the environmental and physical factors in the stump-removal area influencing pine weevil abundance.

  1. Case of spontaneous tubal stump pregnancy after adnexectomy

    Institute of Scientific and Technical Information of China (English)

    Konrad Futyma; Andrzej Wr ´obel; Aleksandra Filipczak; Tomasz Rechberger

    2016-01-01

    Ectopic pregnancy is a significant problem in women of childbearing potential and affects up to 2%of them. The most common ectopic pregnancy localization is the ampullary area of the Fallopian tube. Patient with spontaneous ectopic pregnancy located in the tubal stump after an ipsilateral adnexectomy performed with a laparotomy due to mucinous cystadenoma was operated by laparoscopy. Remnant of Fallopian tube with ectopic pregnancy was removed. The most important lecture from this case is when adnexectomy or salpingectomy is per-formed, it should be done in the isthmic part, without leaving any remnant.

  2. Case of spontaneous tubal stump pregnancy after adnexectomy

    Directory of Open Access Journals (Sweden)

    Konrad Futyma

    2016-03-01

    Full Text Available Ectopic pregnancy is a significant problem in women of childbearing potential and affects up to 2% of them. The most common ectopic pregnancy localization is the ampullary area of the Fallopian tube. Patient with spontaneous ectopic pregnancy located in the tubal stump after an ipsilateral adnexectomy performed with a laparotomy due to mucinous cystadenoma was operated by laparoscopy. Remnant of Fallopian tube with ectopic pregnancy was removed. The most important lecture from this case is when adnexectomy or salpingectomy is performed, it should be done in the isthmic part, without leaving any remnant.

  3. Short-term responses of decomposers and vegetation to stump removal

    Energy Technology Data Exchange (ETDEWEB)

    Kataja-aho, S.

    2011-07-01

    Stump removal has become a common practice to produce raw material for bioenergy production. It was hypothesized that stump removal is an extensive and more intense disturbance for forest ecosystems (soil decomposer organisms and vegetation) compared to traditional site preparation after clear cutting. Therefore, the effects of stump harvesting on forest soil decomposers, vegetation and nutrient dynamics in undisturbed patches of the forest soil and in exposed mineral soil were compared to the effects of the traditional site preparation method, mounding. Nematodes and enchytraeids were the only decomposer groups that were directly affected (negatively) by the stump removal. Regardless of the treatment, the abundances of most of the decomposer groups were consistently lower in the exposed mineral soil than in the intact forest soil. There was 2-3 times more exposed mineral soil in stump removal sites compared to mounding sites. When this was taken into account, the decomposer community was negatively affected by the stump removal at the forest stand level. However, the greater soil disturbance at the stump harvesting sites enhanced CO{sub 2} production, net nitrogen mineralisation and nitrification. The increased N availability and the changes in microclimate due to the disturbance probably explained the vegetation increase at the stump harvested sites. Planted Norway spruce seedlings grew faster during the first two growing periods at the stump removal sites than at the mounding sites. The seedlings had high and similar ectomycorrhizal colonization rate in both treatments. In the short-term, it is probably not the resources removed in the stumps themselves, but the degree and amount of soil disturbance during the stump harvesting procedure that affects the decomposer community and its function in the clear-felled stands. (orig.)

  4. Vascular thoracic outlet syndrome. Longer posterior rib stump causes poor outcome

    NARCIS (Netherlands)

    Geven, Leontien I.; Smit, Andries J.; Ebels, Tjark

    2006-01-01

    Objective: To assess the role of the relative length of the posterior rib stump in outcome after transaxittary first rib resection for thoracic outlet syndrome. Methods: All patients with a transaxittary first rib resection between January 1990 and February 2004 were selected. Relative rib stump len

  5. Bamboo stumps as mosquito larval habitats in Darjeeling Himalayas,India:A spatial scale analysis

    Institute of Scientific and Technical Information of China (English)

    Gautam Aditya; Rakesh Tamang; Dipendra Sharma; Francis Subba; Goutam K.Saha

    2008-01-01

    Bamboo stumps can be a congenial breeding habitat of the mosquitoes.In view of this,a preliminary assessment of the dipteran immatures inhabiting the stumps of bamboo groves in the Darjeeling Himalayas was carried out at a spatial scale.Of the 104 stumps of Dendrocalamus hamiltoni surveyed,70 were found to host immatures of three dipteran species,the mosquitoes Aedes aegypti and Culex quinquefasciatus and the midges Chironomus sp.in varying densities.Though the stumps varied in diameter,in each stump on average 12.1 immatures were found.The abundance of the immatures was positively correlated with the diameter of the stumps (r = +0.382;P < 0.001) but negatively with the pH of the water present in the stumps (r = -0.336;P < 0.01).The coefficient of association was found to be +8.4 for the Ae.aegypti and Chironomus immatures,while in the rest of the species pair the association seemed to be independent.Thus it can be concluded that the stumps in the bamboo groves of Darjeeling Himalayas provides a favourable habitat for the mosquito and chironomid immatures.

  6. A patient with donning-related stump wounds : A case report

    NARCIS (Netherlands)

    Baars, E. C. T.; Geertzen, J. H. B.

    2008-01-01

    A patient suffering from diabetes and a trans-tibial amputation presented with stump wounds caused by improper donning of the liner. His diminished hand function resulted in improper donning, with air being trapped between the liner and stump. This caused blisters on the skin after loading the prost

  7. A patient with donning-related stump wounds : A case report

    NARCIS (Netherlands)

    Baars, E. C. T.; Geertzen, J. H. B.

    2008-01-01

    A patient suffering from diabetes and a trans-tibial amputation presented with stump wounds caused by improper donning of the liner. His diminished hand function resulted in improper donning, with air being trapped between the liner and stump. This caused blisters on the skin after loading the

  8. Variation in Measurements of Transtibial Stump Model Volume A Comparison of Five Methods

    NARCIS (Netherlands)

    Bolt, A.; de Boer-Wilzing, V. G.; Geertzen, J. H. B.; Emmelot, C. H.; Baars, E. C. T.; Dijkstra, P. U.

    2010-01-01

    Objective: To determine the right moment for fitting the first prosthesis, it is necessary to know when the volume of the stump has stabilized. The aim of this study is to analyze variation in measurements of transtibial stump model volumes using the water immersion method, the Design TT system, the

  9. Evaluation of oak stump sprouting in the Missouri Ozarks ten years after harvest

    Science.gov (United States)

    Randy G. Jensen; Daniel C. Dey

    2008-01-01

    Managers in Missouri often want to manage forests to retain oak in the future. Oaks are valuable for timber and many wildlife species depend on acorns. Large advance reproduction and stump sprouts are the most competitive sources of regeneration. It is well known that oak stump sprouts contribute to future stands in even-age clearcuts in the Missouri Ozarks, but there...

  10. Completion Report for Well ER-12-3. Corrective Action Unit 99: Rainier Mesa - Shoshone Mountain

    Energy Technology Data Exchange (ETDEWEB)

    None, None

    2006-05-01

    Well ER-12-3 was drilled for the U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office, in support of the Nevada Environmental Restoration Project at the Nevada Test Site, Nye County, Nevada. The well was drilled in March and April 2005 as part of a hydrogeologic investigation program for the Rainier Mesa-Shoshone Mountain Corrective Action Unit. The overall purpose of the well was to gather subsurface data to better characterize the hydrogeology of central Rainier Mesa, especially in the older Tertiary volcanic rocks and Paleozoic sedimentary rocks. The main 47.0-centimeter hole was drilled to a depth of 799.2 meters and cased with 33.97-centimeter casing to 743.1 meters. The hole diameter was then decreased to 31.1 centimeters, and the well was drilled to a total depth of 1,496.0 meters. The completion string consisted of 13.97-centimeter stainless steel casing, with two slotted intervals open to the lower carbonate aquifer, suspended from 19.37-centimeter carbon steel casing. A piezometer string was installed outside the 33.97-centimeter casing to a depth of 467.1 meters to monitor a zone of perched water within the Tertiary volcanic section. Data gathered during and shortly after hole construction include composite drill cuttings samples collected every 3 meters (extra cuttings samples were collected from the Paleozoic rocks for paleontological analyses), sidewall core samples from 35 depths, various geophysical logs, and water level measurements. These data indicate that the well penetrated 674.2 meters of Tertiary volcanic rocks and 821.7 meters of Paleozoic dolomite and limestone. Forty-nine days after the well was completed, but prior to well development and testing, the water level inside the main hole was tagged at the depth of 949.1 meters, and the water level inside the piezometer string was tagged at 379.9 meters.

  11. Multiple Neuromas Cause Painful "Jumping Stump" in a Transfemoral Amputee: A Case Report.

    Science.gov (United States)

    Buntragulpoontawee, Montana; Pattamapaspong, Nuttaya; Tongprasert, Siam

    2016-09-01

    Painful "jumping stump" is an uncommon but very disturbing complication postamputation. This condition is one of the movement disorder entities resulting from peripheral nerve pathology, often known as "peripherally induced movement disorders." Previously case reports have been written about painful and nonpainful incidence of "jumping stump"; however, only the earliest "jumping stump" article in 1852 suspected that neuromas might influence the involuntary movement. In this study, we describe a 38-year-old man with bilateral transfemoral amputee who suffered from painful "jumping stump" with multiple neuromas confirmed by imaging. He was treated successfully by ultrasound-guided phenol injection into the sciatic neuroma stalks. The pathophysiology of jumping stump and its possible association with neuroma are briefly discussed.

  12. Modeling stump biomass of stands using harvester measurements for adaptive energy wood procurement systems

    Energy Technology Data Exchange (ETDEWEB)

    Vesa, Lauri [ForestCalc Consulting Oy Ltd., 80230 Joensuu (Finland); Palander, Teijo [School of Forest Sciences, University of Eastern Finland, 80100 Joensuu (Finland)

    2010-09-15

    The value and volumes of industrial stump fuel supply are increasing for energy production. Accurate estimates of aboveground and belowground biomass of trees are important when estimating the potential of stumps as a bioenergy source. In this study two stump biomass equations were adapted and tested using them as calibrated stump biomass models computed as the cumulative sum by a local stand. In addition, variables derived from stem measurements of the forest harvester data were examined to predict stump biomass of a stand by applying regression analysis. The true stump yield (dry weight) was used as the reference data in the study. Both biomass models performed well (adjusted R{sup 2} {proportional_to} 0.84) and no advance was found in using other stem dimensions as independent variables in the model. The stand-level model can be used in innovative stump biomass prediction tools for increasing efficiency of energy wood procurement planning to stands within a certain area. In practice, wood procurement managers would need to adapt developed system and decide whether the degree of accuracy/precision provided by the models is acceptable in their local stand harvesting conditions. (author)

  13. Fuel quality of Norway spruce stumps - influence of harvesting technique and storage method

    Energy Technology Data Exchange (ETDEWEB)

    Anerud, Erik; Jirjis, Raida (Dept. of Energy and Technology, Swedish Univ. of Agricultural Science, Uppsala (Sweden))

    2011-04-15

    The interest in using stump biomass as a biofuel has recently increased in Sweden. The uneven consumption of wood fuel during the year creates a need for storage. This study examined the properties of stump biomass and how they vary at two sites in Sweden depending on harvesting technique, storage method and storage period. Norway spruce stumps, extracted using three different stump harvesting heads (Pallari, Rotary Cutter and Aalto), were stored in windrows or heaps. After 3 months, stumps stored in heaps were gathered into windrows. The fuel quality parameters moisture content (MC), ash content (AC) and calorific value (CV) were evaluated on five occasions in the period May 2008 - September 2009. After 16 months of storage, the MC in all treatments had decreased to <25% (wet basis). Average AC decreased from 3.8% to around 1% (dry basis), whereas CV marginally increased. Stumps split during harvesting dried better than those harvested in one piece. The influence of storage method was minimal, although initial storage in heaps allowed better drying in the stumps harvested in one piece. In general, fuel quality improved in all treatments after storage

  14. [Suggesting the Significance of Pericardial Fat Pad in Bronchial Stump Fistula].

    Science.gov (United States)

    Fukuoka, Tomoki; Sano, Masaaki; Tominaga, Nasa; Sanada, Shotaro; Uno, Yasuo; Oya, Hisaharu; Nishi, Tetsuo; Koshikawa, Katsumi

    2016-05-01

    Bronchial stump fistula is a post-operative complication with poor outcome after pulmonary lobectomy. In order to prevent this complication, the bronchial stump is covered with pericardial fat tissue in our hospital. The case was 58 year old male who received adjuvant chemotherapy after sigmoidectomy for sigmoid colon cancer. As he developed multiple pulmonary metastases, 48 courses of chemotherapy were performed. The lesions had been localized at the right lower lobe, and neither increase in the size of these lesions nor development of other lesions were observed. Hence, an operation was performed. After right lower lobectomy, the bronchial stump was covered with the pericardial fat tissue. Three months after the operation, he developed pneumothorax, and bubbles were detected inside the fat. The pneumothorax was cured conservatively, and the bubbles disappeared spontaneously after 10 months. It is rare that the patient with bubbles in the covering tissue observed for a long time is cured conservatively, suggesting the significance of the stump pad.

  15. Effect of protein synthesis inhibitors on the trophic action of the nerve stump.

    Science.gov (United States)

    Komatsu, K; Higashimori, E; Uchida, K; Satoh, S

    1983-06-01

    We report that protein synthesis inhibitors exert an inhibitory effect on the trophic action of the nerve stump. The sciatic nerve innervating the extensor digitorum longus muscles of mice was cut either as close to, or as far from, the muscle as possible. Denervation changes in the muscle were evaluated using the resting membrane potential and dose-response curves obtained by plotting acetylcholine-induced contractures. Actinomycin D (2 micrograms/kg, i.p.), ethidium bromide (10 micrograms/kg, i.p.), cycloheximide (1 or 5 mg/kg, i.p.), or chloramphenicol (100 mg/kg, p.o.) administration was immediately after neurotomy and continued daily until the day preceding muscle removal. Although denervation changes occurred significantly later in muscles with a long rather than a short nerve stump, the administrated antibiotics, excluding cycloheximide, accelerated the manifestation of denervation changes in muscles with long nerve stumps without affecting those in muscles with short nerve stumps.

  16. Stump treatment against Heterobasidion annosum - Techniques and biological effect in practical forestry

    Energy Technology Data Exchange (ETDEWEB)

    Thor, M. [SkogForsk, Uppsala (Sweden)

    1997-12-31

    This thesis summarises and discusses results from two studies on mechanized stump treatment to control the root rot fungus Heterobasidion annosum (Fr.) Bref. In Sweden, stump treatment is at present carried out with two chemical compounds, urea and disodium octaborate tetrahydrate (DOT), and a biological control agent, Phlebiopsis gigantea (Fr.) Juel. The first study investigated the H. annosum colonization of Norway spruce (Picea abies (L.) Karst) stumps following mechanized thinning and stump treatment with the three control agents mentioned. The stumps were treated in the summer and were compared with untreated stumps, cut in the summer and winter, respectively. Experimental plots were established in 12 first thinning stands of Norway spruce. Six to seven weeks after thinning and treatment, sample discs were collected (N=1246) and examined for presence of H. annosum. Stump treatment with any of the control agents reduced the colonized stump area 6-7 weeks after thinning by 88-98% as compared with untreated stumps cut in the summer. The effects of the different treatments differed neither from each other nor from the effect of winter thinning. The variation between the stands was considerable, but mechanized stump treatment provided as good protection as manual treatment against H. annosum infections. Study II examined the survival of P. gigantea oidiospores in aqueous suspension when exposed to high temperature or pressure, which are potential problems in mechanized application. In the laboratory, temperatures of 20, 30 or 35 deg C did not affect the survival. The spores could withstand 40 deg C for a short period, but died at 60 deg C. Pressure of up to 2 200 kPa for 24 h did not affect P. gigantea spore germination. In the field, temperatures of the working suspension (10{sup 7} spores I{sup -1}) was assessed during practical operations. Spore viability was maintained through the applicator system. As long as the prescriptions are followed up to the time of

  17. Completion Report for Well ER-12-4, Corrective Action Unit 99: Rainier Mesa - Shoshone Mountain (includes Errata Sheet)

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office; Bechtel Nevada

    2006-05-01

    Well ER-12-4 was drilled for the U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office, in support of the Nevada Environmental Restoration Project at the Nevada Test Site, Nye County, Nevada. This well was drilled in May 2005, as part of a hydrogeologic investigation program for the Rainier Mesa-Shoshone Mountain Corrective Action Unit in the north-central portion of the Nevada Test Site. The well is located on Rainier/Aqueduct Mesa, northwest of Yucca Flat, within Area 12 of the Nevada Test Site. The well provided information regarding the radiological and physical environment near underground nuclear tests conducted in U12t Tunnel, information on the pre-Tertiary rocks in the area, and depth to the regional water table.

  18. Stumps of Eucalyptus globulus as a source of antioxidant and antimicrobial polyphenols.

    Science.gov (United States)

    Luís, Ângelo; Neiva, Duarte; Pereira, Helena; Gominho, Jorge; Domingues, Fernanda; Duarte, Ana Paula

    2014-10-13

    These past years have seen an enormous development of the area of natural antioxidants and antimicrobials. Eucalyptus globulus is widely cultivated in subtropical and Mediterranean regions in intensive short rotation coppice plantations. In the Portuguese context, E. globulus is the third species in terms of forest area. The stump is the basal part of the tree, including the near-the-ground stem portion and the woody roots that remain after stem felling. The purpose of this work was to study the phytochemical profile and to evaluate the antioxidant and antimicrobial properties of several crude stump wood and stump bark extracts of E. globulus, comparing it with similar extracts of E. globulus wood (industrial chips). The results showed the presence of high concentrations of total phenolic compounds (>200 mg GAE/g extract) and flavonoids (>10 mg QE/g extract) in E. globulus stump extracts. Generally the stump wood extracts stands out from the other ones, presenting the highest percentages of inhibition of linoleic acid oxidation. It was also possible to conclude that the extracts were more active against Gram-positive bacteria, presenting low MIC values. This study thus provides information supporting the economic valorization of E. globulus stump wood.

  19. Stumps of Eucalyptus globulus as a Source of Antioxidant and Antimicrobial Polyphenols

    Directory of Open Access Journals (Sweden)

    Ângelo Luís

    2014-10-01

    Full Text Available These past years have seen an enormous development of the area of natural antioxidants and antimicrobials. Eucalyptus globulus is widely cultivated in subtropical and Mediterranean regions in intensive short rotation coppice plantations. In the Portuguese context, E. globulus is the third species in terms of forest area. The stump is the basal part of the tree, including the near-the-ground stem portion and the woody roots that remain after stem felling. The purpose of this work was to study the phytochemical profile and to evaluate the antioxidant and antimicrobial properties of several crude stump wood and stump bark extracts of E. globulus, comparing it with similar extracts of E. globulus wood (industrial chips. The results showed the presence of high concentrations of total phenolic compounds (>200 mg GAE/g extract and flavonoids (>10 mg QE/g extract in E. globulus stump extracts. Generally the stump wood extracts stands out from the other ones, presenting the highest percentages of inhibition of linoleic acid oxidation. It was also possible to conclude that the extracts were more active against Gram-positive bacteria, presenting low MIC values. This study thus provides information supporting the economic valorization of E. globulus stump wood.

  20. Gastric stump mucosa: is there a risk for carcinoma?

    Directory of Open Access Journals (Sweden)

    SAFATLE-RIBEIRO Adriana Vaz

    2001-01-01

    Full Text Available Background - Patients who underwent partial gastric resections are at an increased risk for the development of cancer in the gastric remnant. Aim - To assess the long-term patients who underwent surgical treatment for peptic ulcer disease through endoscopic and pathologic evaluation of the gastric stump mucosal alterations. Patients and Methods - Between 1987 and 1990, 154 patients (mean = 20.4 years after gastrectomy were evaluated by upper digestive endoscopy with multiple biopsies and pathological examination. Results - Endoscopic alterations were present in 111 patients (72.1%. The commonest pathologic alterations were foveolar hyperplasia, intestinal metaplasia and cystic dilation. Severe dysplasia was noted in two (1.25% and carcinoma in 13 (8.4% of the cases. In four patients (3.8% the endoscopic findings did not show any evidence of tumors, however they were detected due to multiple biopsies and histologic studies. Conclusions - Surveillance of these patients with endoscopy and multiple biopsies may provide the means to diagnose tumors at an early stage, but the cost benefit ratio of surveillance requires further study.

  1. Births in captive stump-tailed macaques (Macaca arctoides).

    Science.gov (United States)

    Solanki, G S; Zothansiama

    2013-01-01

    In this report, nighttime births of 3 stump-tailed macaques observed at the Aizawl Zoological Park, India, are described. Continuous focal observations were collected a long with video and still photographs, on the 3 parturitions, from the first observed onset of labour. The average time taken for infant birth, beginning with visibility of the head at the vaginal opening, was 45 s. The births observed were similar in many respects, regardless of parity and social context. The average time taken for consuming the placenta was 4 min 4 s and the average number of contractions was 6.3. In all cases births occurred with the infant emerging in the occiput posterior position, assisted by the mother. Individual variations existed in the number of contractions, intercontraction intervals, self-examination of the anogenital region, duration of labour and the interval between infant birth and the delivery of the placenta. Each mother ingested the placenta completely, while holding her neonate, but without paying much attention to the neonate during placentophagia. Placentophagia appears to provide nutrition to the mothers. Detailed data on parturition in non-human primates, and particularly for Macacaarctoides , are still scarce. Data, such as those presented here, contribute to our understanding of primate birth and the adaptive pressures that shape parturition behaviour and reproductive success.

  2. The struggle within superimposing worlds : a comparative case study of the Shoshone-Bannock and the Sámi on language shift and language maintenance

    OpenAIRE

    Cathey, Connor G.

    2009-01-01

    In this comparative case study, language shift and language maintenance are examined among Shoshoni speakers of the Shoshone-Bannock tribes in south eastern Idaho, and North Sámi speakers of Norway. In examining language shift, the following research questions are addressed: what are the mechanisms of language shift according to the members of these speech communities? What are the commonalities of language ideologies and language barriers promoting language shift? To approach the researc...

  3. Corrective Action Investigation Plan for Corrective Action Unit 99: Rainier Mesa/Shoshone Mountain, Nevada Test Site, Nevada with Errata and ROTC 1, Rev. No. 0

    Energy Technology Data Exchange (ETDEWEB)

    McCord, John; Marutzky, Sam

    2004-12-01

    This Corrective Action Investigation Plan (CAIP) was developed for Corrective Action Unit (CAU) 99, Rainier Mesa/Shoshone Mountain. The CAIP is a requirement of the ''Federal Facility Agreement and Consent Order'' (FFACO) agreed to by the State of Nevada, the U.S. Department of Energy (DOE), and the U.S. Department of Defense (DoD) (FFACO, 1996). The FFACO addresses environmental restoration activities at U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office (NNSA/NSO) facilities and sites including the underground testing area(s) of the Nevada Test Site (NTS). This CAIP describes the investigation activities currently planned for the Rainier Mesa/Shoshone Mountain CAU. These activities are consistent with the current Underground Test Area (UGTA) Project strategy described in Section 3.0 of Appendix VI, Revision No. 1 (December 7, 2000) of the FFACO (1996) and summarized in Section 2.1.2 of this plan. The Rainier Mesa/Shoshone Mountain CAU extends over several areas of the NTS (Figure 1-1) and includes former underground nuclear testing locations in Areas 12 and 16. The area referred to as ''Rainier Mesa'' includes the geographical area of Rainier Mesa proper and the contiguous Aqueduct Mesa. Figure 1-2 shows the locations of the tests (within tunnel complexes) conducted at Rainier Mesa. Shoshone Mountain is located approximately 20 kilometers (km) south of Rainier Mesa, but is included within the same CAU due to similarities in their geologic setting and in the nature and types of nuclear tests conducted. Figure 1-3 shows the locations of the tests conducted at Shoshone Mountain. The Rainier Mesa/Shoshone Mountain CAU falls within the larger-scale Rainier Mesa/Shoshone Mountain Investigation Area, which also includes the northwest section of the Yucca Flat CAU as shown in Figure 1-1. Rainier Mesa and Shoshone Mountain lie adjacent to the Timber Mountain Caldera Complex and are composed of

  4. Effect of Stump Length on Postural Steadiness During Quiet Stance in Unilateral Trans-Tibial Amputee

    Directory of Open Access Journals (Sweden)

    P. Lenka

    2010-01-01

    Full Text Available Although force platform based Center of pressure (COP measures of postural steadiness have been used to test the diagnostic significance of various cerebellar and labyrinthine lesions, but very few literature are available on amputees. The aim of this work is to measure the effect of stump length of Trance-Tibial amputee on postural steadiness during quiet stance. The COP variation, which is the major determinant of stability, has been evaluated. Twenty transtibial amputee patients (age: 34±9.57 years participated in this study. Among them, ten patients were having stump length of (19.33±2.04 cm and ten patients were having stump length of (9.2±0.91 cm. Postural stability is evaluated considering following factors like, AP range, ML range, RMS distance, mean distance, sway velocity, sway area and mean power frequency. The result shows that the mean value of all the measure parameters are having higher values in case of patients having shorter stump length than there counterpart. Therefore, it is concluded that transtibial amputee with longer stump length has better postural steadiness.

  5. Biofuels from stumps and small roundwood - Costs and CO{sub 2} benefits

    Energy Technology Data Exchange (ETDEWEB)

    Eriksson, Lisa Naeslund; Gustavsson, Leif [Ecotechnology, Department of Engineering, Physics and Mathematics, Mid Sweden University, SE-831 25 Oestersund (Sweden)

    2008-10-15

    In this study, we analysed and compared costs, primary energy use and CO{sub 2} benefits of recovering stumps and small roundwood from thinnings, together with logging residues. Small roundwood, chipped at a terminal or end-user, has a cost comparable to the chip system and a primary energy use comparable to the bundle system used for recovery of logging residues. The small roundwood system with roadside chipping is more expensive. As productivity in the cutting process improves, the small roundwood alternatives become more cost-effective. The stump system has costs in the same range as or lower than the chip and bundle systems. Forestry operations for stump and small roundwood recovery require considerable primary energy, but net recovery per hectare is much greater than for the chip and bundle systems, which means that more fossil fuel can be displaced per hectare of clearcut than with a chip or a bundle system. Stumps and small roundwood from thinnings can become as cost-effective as logging residues in the near future. Furthermore, when stumps and small roundwood from thinnings are also used to replace fossil fuels, the potential CO{sub 2} reduction will be about four times as great as when only logging residues are used with a traditional chip system. (author)

  6. Common Carotid Artery Stump Syndrome Due to Mobile Thrombus Detected by Carotid Duplex Ultrasonography.

    Science.gov (United States)

    Omoto, Shusaku; Hasegawa, Yuki; Sakai, Kenichiro; Matsuno, Hiromasa; Arai, Ayumi; Terasawa, Yuka; Mitsumura, Hidetaka; Iguchi, Yasuyuki

    2016-10-01

    Carotid stump syndrome is a cause of recurrent embolic stroke following occlusion of the ipsilateral internal carotid artery. The present report describes a case of recurrent cerebral embolism ipsilateral to a chronically occluded left common carotid artery (CCA), i.e., "CCA stump syndrome." Doppler color flow imaging showed anterograde flow in the left internal and external carotid arteries, which were supplied by collateral flow from the superior thyroid artery inflowing just proximal to the left carotid bifurcation. According to carotid duplex ultrasonography (CDU), a low-echoic mobile thrombus was noted at the distal stump of the occluded CCA, which presumably caused distal embolism. The low-echoic mobile thrombus dramatically changed to a homogenously high-echoic thrombus, and there was no recurrence of stroke after antiplatelet and anticoagulant therapy. This is the first report to demonstrate a CDU-verified temporal change in the thrombus at the stump in CCA stump syndrome. CDU is a noninvasive and useful technique to characterize hemodynamics, thrombus morphology, and the response to therapy.

  7. Characterization of Scots pine stump-root biomass as feed-stock for gasification.

    Science.gov (United States)

    Eriksson, Daniel; Weiland, Fredrik; Hedman, Henry; Stenberg, Martin; Öhrman, Olov; Lestander, Torbjörn A; Bergsten, Urban; Öhman, Marcus

    2012-01-01

    The main objective was to explore the potential for gasifying Scots pine stump-root biomass (SRB). Washed thin roots, coarse roots, stump heartwood and stump sapwood were characterized (solid wood, milling and powder characteristics) before and during industrial processing. Non-slagging gasification of the SRB fuels and a reference stem wood was successful, and the gasification parameters (synthesis gas and bottom ash characteristics) were similar. However, the heartwood fuel had high levels of extractives (≈19%) compared to the other fuels (2-8%) and thereby ≈16% higher energy contents but caused disturbances during milling, storage, feeding and gasification. SRB fuels could be sorted automatically according to their extractives and moisture contents using near-infrared spectroscopy, and their amounts and quality in forests can be predicted using routinely collected stand data, biomass functions and drill core analyses. Thus, SRB gasification has great potential and the proposed characterizations exploit it.

  8. The appendiceal stump closure during laparoscopy: historical, surgical, and future perspectives.

    Science.gov (United States)

    Gomes, Carlos Augusto; Nunes, Tarcizo Afonso; Soares, Cleber; Gomes, Camila Couto

    2012-02-01

    During a laparoscopic appendectomy, the closure of the appendiceal stump is an important step because of postoperative complications from its inappropriate management. The development of life-threatening events such as stercoral fistulas, postoperative peritonitis, and sepsis is feared and unwanted. The tactical modification of the appendiceal stump closure with a single endoligature, replacing the invaginating suture, adjusted very well to laparoscopic appendectomy, and nowadays is the procedure of choice, whenever possible. Among the alternatives that do not make use of an invaginating suture, studies advocate the use of an endostapler, endoligature (endo-loop), metal clips, bipolar endocoagulation, and polymeric clips. All alternatives have advantages and disadvantages against the different clinical stages of acute appendicitis, and it should be noted that the different forms of appendiceal stump closure have never been assessed in prospective randomized studies. Knowledge about and appropriate use of all of them are important for a safe and more cost-effective procedure.

  9. Glenohumeral interposition of rotator cuff stumps: a rare complication of traumatic rotator cuff tear*

    Science.gov (United States)

    Agnollitto, Paulo Moraes; Chu, Marcio Wen King; Lorenzato, Mario Muller; Zatiti, Salomão Chade Assan; Nogueira-Barbosa, Marcello Henrique

    2016-01-01

    The present report describes a case where typical findings of traumatic glenohumeral interposition of rotator cuff stumps were surgically confirmed. This condition is a rare complication of shoulder trauma. Generally, it occurs in high-energy trauma, frequently in association with glenohumeral joint dislocation. Radiography demonstrated increased joint space, internal rotation of the humerus and coracoid process fracture. In addition to the mentioned findings, magnetic resonance imaging showed massive rotator cuff tear with interposition of the supraspinatus, infraspinatus and subscapularis stumps within the glenohumeral joint. Surgical treatment was performed confirming the injury and the rotator cuff stumps interposition. It is important that radiologists and orthopedic surgeons become familiar with this entity which, because of its rarity, might be neglected in cases of shoulder trauma. PMID:26929462

  10. Glenohumeral interposition of rotator cuff stumps: a rare complication of traumatic rotator cuff tear

    Directory of Open Access Journals (Sweden)

    Paulo Moraes Agnollitto

    2016-02-01

    Full Text Available Abstract The present report describes a case where typical findings of traumatic glenohumeral interposition of rotator cuff stumps were surgically confirmed. This condition is a rare complication of shoulder trauma. Generally, it occurs in high-energy trauma, frequently in association with glenohumeral joint dislocation. Radiography demonstrated increased joint space, internal rotation of the humerus and coracoid process fracture. In addition to the mentioned findings, magnetic resonance imaging showed massive rotator cuff tear with interposition of the supraspinatus, infraspinatus and subscapularis stumps within the glenohumeral joint. Surgical treatment was performed confirming the injury and the rotator cuff stumps interposition. It is important that radiologists and orthopedic surgeons become familiar with this entity which, because of its rarity, might be neglected in cases of shoulder trauma.

  11. Relationship between socket pressure and EMG of two muscles in trans-femoral stumps during gait.

    Science.gov (United States)

    Hong, Jung Hwa; Mun, Mu Seong

    2005-04-01

    The biomechanical interaction between the leg stump and the prosthetic socket is critical in achieving close-to-normal ambulation. Although many investigations have been performed to understand the biomechanics of trans-tibial sockets, few studies have measured the socket interface pressure for transfemoral amputees. Furthermore, no report has examined how the residual muscle activities in the transfemoral stump affect the socket interface pressure characteristics during gait. In this study, an experimental method was developed to measure the trans-femoral socket interface pressures and EMG of muscles in the stumps of two trans-femoral amputees. Also, the measurement of three-dimensional prosthetic locomotion was synchronized to understand detailed socket biomechanics. Based on the experimental results, a significant correlation (P socket-interface pressure changes during ambulation.

  12. Stump entrapment of the anterior cruciate ligament in late childhood and adolescence

    Energy Technology Data Exchange (ETDEWEB)

    Meyers, Arthur B.; Laor, Tal; Zbojniewicz, Andrew M. [Cincinnati Children' s Hospital Medical Center, Department of Radiology, Cincinnati, OH (United States)

    2011-08-15

    Displacement of a portion of the torn anterior cruciate ligament (ACL) into the intercondylar notch can cause a focal fibrotic reaction similar to that seen following ACL reconstruction. This displacement, which can result in locking or limitation of knee extension, is termed stump entrapment and is described in adult MR imaging literature. We present a pictorial essay of the etiology and appearance of stump entrapment on MR imaging of the knee in an older child and adolescents and review the significance of this finding. (orig.)

  13. Microclimate buffering of winter temperatures by pine stumps in a temperate forest

    Science.gov (United States)

    Walczyńska, Aleksandra; Kapusta, Paweł

    2017-03-01

    In the presented study we evaluated the role of wood in buffering its inhabitants against winter temperatures. We followed the microscale temperature patterns inside and outside decaying pine stumps during two winter periods. We analyzed the data by extracting the minimum, maximum and mean temperatures for the episodes of snow, frost or no frost. We compared the temperature variation by applying an absolute values calculation (=modulus) for the subsequent measurements. Finally, we tested the buffering effect of the horizontal depth inside the stumps by comparing the pattern for 5 and 15 cm depths. The results show that (1) the minimum temperature was significantly higher inside than outside the stumps, while temperature variation tended to be larger outside than inside, (2) the dynamics of temperature varied between weather episodes, i.e. the periods characterized by the presence/absence of snow and of frost, (3) the minimum temperature inside the stumps increased with the horizontal depth, while temperature variation decreased. The results presented are the first truly microclimatic data on wood buffering and they are important for the understanding of the possible effects of climate change on the thermal relationships at the microscale.

  14. The neuroma-like structure of the long-time severed and isolated nerve stumps

    Directory of Open Access Journals (Sweden)

    Eros Abrantes Erhart

    1965-06-01

    Full Text Available The long-time severed and isolated intermediate and distal nerve segments, maintained undisturbed in their connective tissue bed, completely separated from each other and from the proximal stump, are repopulated by nerve-fibres which origin is still unknown. The extremities of such nerve segments present complex nervous nodules capped by fibrous tissue, neuroma-like structures.

  15. Skin Problems of the Stump in Lower Limb Amputees : 2. Influence on Functioning in Daily Life

    NARCIS (Netherlands)

    Meulenbelt, Henk E. J.; Geertzen, Jan H. B.; Jonkman, Marcel F.; Dijkstraa, Pieter U.; Dijkstra, P.U.

    2011-01-01

    The aim of this study was to analyse the influence of stump skin problems on functioning in daily life in lower limb amputees. A cross-sectional study was performed by means of a questionnaire containing 9 questions assessing functioning in daily life. Question scores were added to give a total

  16. Skin problems of the stump and hand function in lower limb amputees : A historic cohort study

    NARCIS (Netherlands)

    Baars, E. C. T.; Dijkstra, P. U.; Geertzen, J. H. B.

    2008-01-01

    The aim of this study was to investigate the relationship between liner-related skin problems of the stump in patients with a lower limb amputation and impaired hand function. Sixty patients who were treated in a rehabilitation hospital from 1998-2006 were included in an historic cohort study. Data

  17. Invagination of the hernial sac stump. Technique for repair of inguinal hernia.

    Science.gov (United States)

    Shafik, A

    1980-09-01

    A technique for repair of indirect inguinal hernia is presented. The hernial sac stump is invaginated in an attempt to secure high ligation of the sac and obliterate any residual peritoneal diverticulum. Four hundred forty-two patients were operated on. The technique consists essentially of division of the internal spermatic fascial tube at the neck as well as embedding of the sac stump by purse-string sutures in a narrow neck of Lembert sutures in a wide neck. The defect in the fascia transversalis is closed over the stump. Three hundred eighty-one patients were followed up 2 to 15 years, with a recurrence rate of 1.6 percent. The concept that in indirect hernia the problem involves the sac rather than the defect is put forward. Recurrence results essentially from the existence of a handmade sac rather than an improperly repaired defect. The role of invagination of the sac in securing complete excision of the sac and proper closure of the defect is discussed. In initiating recurrence, the part played by the redundant peritoneum deep to the internal ring is emphasized. Changes in the dynamics of intraabdominal tension induced by stump embedding are explained.

  18. Effects of covering highland banana stumps with soil on banana weevil Cosmopolites sordidus (Coleoptera: Curculionidae) oviposition

    NARCIS (Netherlands)

    Masanza, M.; Gold, C.S.; Huis, van A.; Ragama, P.E.

    2005-01-01

    The effect of covering post-harvest banana stumps with soil on banana weevil Cosmopolites sordidus (Germar) oviposition levels was investigated at three locations, Sendusu, Kawanda Agricultural Research Institute (KARI) and Ntungamo district of southwestern Uganda. In the first experiment ovipositio

  19. Stump appendicitis 10 years after appendectomy, a rare, but serious complication of appendectomy, a case report.

    Science.gov (United States)

    Van Paesschen, Carl; Haenen, Filip; Bestman, Raymond; Van Cleemput, Marc

    2017-02-01

    We describe a case of stump appendicitis with the formation of abdominal abscesses in a 41-year-old patient 10 years prior appendectomy. The patient consulted with fever (38.1 °C) and abdominal pain, located at the right iliac fossa. Imaging studies showed signs of abscesses, located at the right iliac fossa, without clear origin of these abscesses. The abscesses were drained through diagnostic laparoscopy, no bowel perforation or clear origin of the abscedation was found during laparoscopy. During postoperative stay, the inflammatory parameters rose and the abscesses reoccurred. Re-laparoscopy was performed, the abscesses were drained and on careful inspection and adhesiolysis, a perforated stump appendicitis was revealed, covered underneath layers of fibrous tissue. Stump appendicitis is a rare complication seen after appendectomy and is generally not considered a possible etiology in patients presenting with fever and right iliac fossa abdominal pain with a history of appendectomy. This often delays the correct diagnosis and results in an associated increased incidence of complications. We describe a case of stump appendicitis occurring 10 years after initial appendectomy.

  20. Carbon and nitrogen pools and mineralization rates in boreal forest soil after stump harvesting

    Science.gov (United States)

    Kaarakka, Lilli; Hyvönen, Riitta; Strömgren, Monika; Palviainen, Marjo; Persson, Tryggve; Olsson, Bengt A.; Helmisaari, Heljä-Sisko

    2016-04-01

    The use of forest-derived biomass has steadily increased in the Finland and Sweden during the past decades. Thus, more intensive forest management practices are becoming more common in the region, such as whole-tree harvesting, both above- and belowground. Stump harvesting causes a direct removal of carbon (C) in the form of biomass from the stand and can cause extensive soil disturbance, which in turn can result in increased C mineralization. In this study, the effects of stump harvesting on soil C and nitrogen (N) mineralization, and soil surface disturbance were studied at two different clear-felled Norway spruce (Picea abies) stands in Central Finland. The treatments were conventional stem-only harvesting combined with mounding (WTH) and stump harvesting (i.e. complete tree harvesting) combined with mounding (WTH+S). Logging residues were removed from all study sites. Soil samples down to a depth of 20 cm were systematically collected from the different soil disturbance surfaces (undisturbed soil, the mounds and the pits) 12-13 years after final harvest. Soil samples were incubated in the laboratory to determine the C and N mineralization rates. In addition, total C and N pools were estimated for each disturbance class and soil layer. Soil C and N pools were lower following stump harvesting, however, no statistically significant treatment effect was detected. Instead, C mineralization responses to treatment intensity was site-specific. C/N-ratio and organic matter content were significantly affected by harvest intensity. The observed changes in C and N pools appear to be related to the intrinsic variation of the surface disturbance and soil characteristics, and harvesting per se, rather than treatment intensity. Long-term studies are however needed to draw long-term conclusions whether stump harvesting significantly changes soil C and nutrient dynamics.

  1. EXPERIMENT STUDY AND CLINICAL OBSERVATION WITH LIGATION METHOD FOR CLOSING BRONCHIAL STUMP FOLLOWING LOBECTOMY FOR LUNG NEOPLASMS

    Institute of Scientific and Technical Information of China (English)

    Chen Keneng; Yang Guoliang; Xie Wei; Hu Minbo; Feng Ruiqing; Shi Xiaotian

    1998-01-01

    Objective: Traditional method of closing bronchial stumps after lobectomy was whole layer suture by hand or by stapler. Little is known about the ligated bronchial stump following lobectomy. To evaluate the characteristics of ligation method for closing bronchial stumps. Methods: In this study 90 lobectomies on 15 mongrel dogs and 75 bronchial stump models on fresh cadaver bronchus were performed. Multivariables comparison experimental studies were made on the results of three different closing methods: simple ligation,manual suture and stapling. Results: In the ligation group, the operation time was significantly shortened (P<0.01). The depth of stump cavity between ligation group and suture group was of no difference significantly (P>0.05). The resistance against intrabronchial pressure was greater in the ligation group than in the suture group (P<0.01). Pathological studies illustrated earlier healing of mucosal membrane with milder inflammatory reactions.In clinical practice, 121 lobectomies were successfully performed with simple ligation of the stumps.Conclusion: Simple ligation is a safe, reliable, simple, and applicable method for closing bronchial stump following lobectomies.

  2. Calcaneal fillet flap: a new osteocutaneous free tissue transfer for emergency salvage of traumatic below-knee amputation stumps.

    Science.gov (United States)

    Januszkiewicz, J S; Mehrotra, O N; Brown, G E

    1996-09-01

    Traumatic below-knee amputations do not always leave enough soft tissue of bone with which to fashion a stump of sufficient length and durability to support a prosthesis. Composite free flaps can often be harvested from the amputated limb to provide immediate one-stage stump salvage and to preserve knee function. We report a new technique to increase stump length by incorporating the calcaneus into a foot fillet flap as a vascularized bone transfer. The calcaneal fillet flap is a useful addition to the inventory of available composite flaps. It is recommended for knee joint salvage when there is less than 11 cm of tibial remnant length.

  3. Cicatricial Fibromatosis Diagnosis after Suspected Local Recurrence at the Bronchial Stump Following Lobectomy for Lung Cancer.

    Science.gov (United States)

    Hwang, Wan Jin; Lee, Yeiwon; Jung, Soo Young; Yeh, Daewook; Park, Soon Hyo; Yoon, Yoo Sang

    2016-04-01

    A mass excision surrounding the bronchial stump was performed to exclude malignancy in a 42-year-old man who had undergone a right lower lobectomy for lung cancer. The mass was identified as a cicatricial fibroma. Cicatricial fibromatosis, which is desmoid fibromatosis that arises in a surgical scar, is a well-known clinical condition. It consists of histologically benign neoplasms. Their occurrence after thoracic surgery is extremely rare. Biopsy or excision of suspicious lesions is very important for diagnosis. R0 resection remains the principal outcome for intra-thoracic desmoid fibromatosis. We report that a cicatricial fibromatosis in the subcarinal space was removed after suspicion of local recurrence at the bronchial stump follwing lobectomy for lung cancer.

  4. FDG uptake at the bronchial stump after curative lobectomy for non-small cell lung cancer

    Energy Technology Data Exchange (ETDEWEB)

    Keyzer, Caroline; Corbusier, Florence; Kyratzi, Eirini; Gevenois, Pierre Alain [Universite libre de Bruxelles, Department of Radiology, Hopital Erasme, Brussels (Belgium); Sokolow, Youri [Universite libre de Bruxelles, Department of Thoracic Surgery, Hopital Erasme, Brussels (Belgium); Goldman, Serge [Universite libre de Bruxelles, Department of Nuclear Medicine, Hopital Erasme, Brussels (Belgium)

    2016-05-15

    Focal areas of FDG uptake may occur at the bronchial stump following curative lobectomy for non-small-cell lung carcinoma (NSCLC), even in the absence of suspicious CT changes. The purpose of our study was to investigate the significance of such PET/CT findings. FDG-PET/CT scans performed in 54 patients after lobectomy for NSCLC were reviewed. The presence of focal areas of FDG uptake at the bronchial stump, associated CT abnormalities, SUVmax, and normalized SUV (SUVnorm = SUVmax/mean liver SUV) were recorded. Final diagnosis was based on biopsy or imaging follow-up. Focal areas of FDG uptake at the bronchial stump were detected in 30 patients (56 %). Mean SUVmax was 4.0 ± 1.9 (range; 2.2-12.1) and mean SUVnorm was 1.8 ± 0.8 (range; 0.9-4.5). Biopsy showed recurrence in two patients. In these patients, SUVnorm was respectively 4.4 and 4.5 (with SUVmax of 8.8 and 12.1), whereas SUVnorm was lower than 4.0 in those without recurrence, with mean SUVnorm of 1.6 ± 0.5 (range; 0.9-3.4) and mean SUVmax of 3.6 ± 0.9 (range; 2.2-5.8). The CT component of the PET/CT revealed ill-defined peribronchial soft tissue opacity only in both patients with recurrence. FDG uptake at the bronchial stump is a frequent finding after pulmonary lobectomy. Moderate levels of FDG uptake (i.e., SUVnorm < 4.0) without corresponding abnormal CT findings might be a dual criterion for diagnosing benign post-surgical changes. (orig.)

  5. Greenhouse gas balance of harvesting stumps and logging residues for energy in Sweden

    Energy Technology Data Exchange (ETDEWEB)

    Lindholm, Eva-Lotta; Hansson, Per-Anders (Department of Energy and Technology, Swedish University of Agricultural Sciences, Uppsala (Sweden)), E-mail: eva-lotta.lindholm@slu.se; Stendahl, Johan (Department of Soil and Environment, Swedish University of Agricultural Sciences, Uppsala (Sweden)); Berg, Staffan (Forestry Research Institute of Sweden, Uppsala Science Park, Uppsala (Sweden))

    2011-09-15

    In this case study, forest fuel procurement chains of stumps and logging residues were evaluated using a Life Cycle Assessment perspective. Direct emissions from combustion were not included, but soil organic carbon change was included as changes in carbon stocks in litter and soil. The results showed that primary forest biomass for energy has a climate impact which is time dependent. However, in long-time perspectives, there are large greenhouse gas (GHG) savings. In a short term (20 years), there were no GHG savings when natural gas or coal was replaced. This is due to the fact that the harvest lead to decreased input of organic matter to the soil which is compared to a reference where biomass are left to decompose. The reduction in soil organic carbon may have been underestimated in the stump harvest systems studied, as the effect of soil disturbance per se was not included. Important factors when assessing GHG balance of forest fuels, besides the time horizon used, were site productivity, geographical position and forest fuel resource (stumps or logging residues). When assessing the greenhouse gas savings, efficiency of the end-use, allocation method between heat and power and type of fossil fuel replaced were also important

  6. Phase I Hydrologic Data for the Groundwater Flow and Contaminant Transport Model of Corrective Action Unit 99: Rainier Mesa/Shoshone Mountain, Nevada Test Site, Nye County, Nevada, Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    Nathan Bryant

    2008-05-01

    This document presents a summary and framework of the available hydrologic data and other information directly relevant to the development of the Rainier Mesa/Shoshone Mountain (RMSM) Corrective Action Unit (CAU) 99 groundwater flow models. Where appropriate, data and information documented elsewhere are briefly summarized with reference to the complete documentation.

  7. Phase I Contaminant Transport Parameters for the Groundwater Flow and Contaminant Transport Model of Corrective Action Unit 99: Rainier Mesa/Shoshone Mountain, Nevada Test Site, Nye County, Nevada, Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    Nathan Bryant

    2008-05-01

    This document presents a summary and framework of available transport data and other information directly relevant to the development of the Rainier Mesa/Shoshone Mountain (RMSM) Corrective Action Unit (CAU) 99 groundwater transport model. Where appropriate, data and information documented elsewhere are briefly summarized with reference to the complete documentation.

  8. Comparative study of the pathological characteristics of gastric stump carcinoma and carcinoma of the upper third of the stomach.

    Science.gov (United States)

    Rabin, Igor; Kapiev, Andronik; Chikman, Bar; Halpern, Zvi; Poluksht, Natan; Wassermann, Ilan; Sandbank, Judith; Halevy, Ariel

    2011-09-01

    Gastric stump cancer is often described as a tumor with a poor prognosis and low resectability rates. To compare the pathological characteristics of gastric stump cancer patients with those of patients with proximal gastric cancer. This retrospective study was based on the demographic and pathological data of patients diagnosed with gastric cancer and treated at Assaf Harofeh Medical Center during an 11 year period. The patients were divided into two groups: those undergoing proximal gastrectomy for proximal gastric cancer and those undergoing total gastrectomy for gastric stump cancer. Patients with gastric stump cancer were predominantly male, older (P = 0.202, not significant), and had a lower T stage with less signet-ring type histology, fewer harvested and fewer involved lymph nodes (P = 0.03, statistically significant) and less vascular/lymphatic involvement than patients with proximal gastric cancer. The lower incidence of involved lymph nodes and lymphovascular invasion in gastric stump cancer as compared to proximal gastric cancer in this study may imply that the prognosis of gastric stump cancer may be better than that of proximal gastric cancer. However, to verify this assumption a study comparing patient survival is required.

  9. Effects of season and urea treatment on infection of stumps of Picea abies by Heterobasidion annosum in stands on former arable land

    Energy Technology Data Exchange (ETDEWEB)

    Brandtberg, P.O. [Swedish Univ. of Agricultural Sciences, Uppsala (Sweden). Dept. of Ecology and Environmental Research; Johansson, Martin [Swedish Univ. of Agricultural Sciences, Uppsala (Sweden). Dept. of Forest Mycology and Pathology; Seeger, P. [Swedish Univ. of Agricultural Sciences, Uppsala (Sweden). Dept. of Statistics

    1996-09-01

    Between 1986 and 1990, a series of thinnings were made in previously unthinned first rotation stands on former arable land located in the southern half of Sweden. The aim was to evaluate the effects of season and urea treatment on the frequency of infection of stumps of Norway spruce (Picea abies (L.) Karst.) by the root-rot fungus Heterobasidion annosum (Fr.) Bref. Untreated stumps, resulting from 60 thinnings (22-100 stumps each, altogether ca 3000 stumps) made at different times of year, were investigated 3-24 months after cutting to determine whether they were infected with H. annosum. On average only 2% of the stumps from thinnings made in November-February were infected, whereas the incidence of infection among stumps thinned in June-July was 34%. Two methods of treating stumps with urea to prevent stump infection by H. annosum after thinning were evaluated in terms of effectiveness. The freshly cut stumps were treated with a 20% urea solution, transformed to a gel by adding 0.2% carboxymethyl cellulose, or with a 30% urea solution. On average, the reduction in infection rate obtained was 62% with the first method and 85% with the latter. In a separate study involving a concentration series of urea, there was a considerable drop in protection efficiency, from 89% to 58%, when the concentration was decreased from 30% to 15%. 38 refs, 3 figs, 1 tab

  10. Modeling Approach/Strategy for Corrective Action Unit 99: Rainier Mesa and Shoshone Mountain, Nevada Test Site, Nye County, Nevada, Revision 1, with ROTC-1

    Energy Technology Data Exchange (ETDEWEB)

    Greg Ruskauff

    2008-06-01

    This document describes an approach for preliminary (Phase I) flow and transport modeling for the Rainier Mesa/Shoshone Mountain (RMSM) Corrective Action Unit (CAU). This modeling will take place before the planned Phase II round of data collection to better identify the remaining data gaps before the fieldwork begins. Because of the geologic complexity, limited number of borings, and large vertical gradients, there is considerable uncertainty in the conceptual model for flow; thus different conceptual models will be evaluated, in addition to different framework and recharge models. The transport simulations will not be used to formally calculate the Contaminant Boundary at this time. The modeling (Phase II) will occur only after the available data are considered sufficient in scope and quality.

  11. Treatment of stump complications after above-knee amputation using negative-pressure wound therapy

    Directory of Open Access Journals (Sweden)

    Babić Srđan

    2016-01-01

    Full Text Available Introduction. The stump wound complications after above-knee amputation lead to other problems, such as prolonged rehabilitation, delayed prosthetic restoration, the increase in total treatment cost and high mortality rates. Objective. To evaluate the safety and outcomes of negative-pressure wound therapy (NPWT using Vacuum-Assisted Closure (VACR therapy in patients with stump complication after above-knee amputation (AKA. Methods. From January 2011 to July 2014, AKA was performed in 137 patients at the University Cardiovascular Clinic. Nineteen (12.4% of these patients (mean age 69.3 Ѓ} 9.2 years were treated with NPWT. The following variables were recorded: wound healing and hospitalization time, rate of NPWT treatment failure, and mortality. Results. AKA was performed in 17 (89.5% patients after the vascular or endovascular procedures had been exhausted, while urgent AKA was performed in two (10.5% patients due to uncontrolled infection. The time before NPWT application was 3.1 Ѓ} 1.9 days and the duration of the NPWT use ranged from 15 to 54 days (mean 27.95 Ѓ} 12.1 days. During NPWT treatment, operative debridement was performed in 12 patients. All the patients were kept on culture-directed intravenous antibiotics. The average hospital length of stay was 34.7 days (range 21-77 days. There were four (20.9% failures during the treatment which required secondary amputation. During the treatment, one (5.3% patient died due to multi-organ failure after 27 days. Conclusions. The use of NPWT therapy in the treatment of AKA stump complication is a safe and effective procedure associated with low risk and positive outcome in terms of wound healing time and further complications.

  12. The Classic: Case of osteo-sarcoma of tibia, recurring in stump of thigh, and probably affecting the lung. 1878.

    Science.gov (United States)

    Ewens, John

    2013-03-01

    This Classic article is a reprint of the original work by Mr. John Ewens, "Case of Osteo-Sarcoma of Tibia, Recurring in Stump of Thigh, and Probably Affecting the Lung." The case is of interest, because the findings contradicted an existing idea, "that large malignant growths, springing from the long bones, do not, after amputation, if the whole of the diseased structures be removed, return in the stump, but at some distant part; and, therefore, it is not necessary to amputate above the knee in the case of the tibia, or at the hip-joint in the case of the femur." In Mr. Ewen's case, an osteosarcoma of the tibia was treated with above-the-knee amputation, but, in fact, it recurred in the stump. The mechanism was unclear but could have arisen from the presence of a multifocal lesion in the femur, seeding at the time of amputation (details of the amputation were not provided, although the site of the tumor was apparently not involved), or perhaps subsequent metastasis from elsewhere to the stump. Mr. Ewens was a surgeon at the Hospital for Sick Children in Bristol, England. (No other information on Mr. Ewens could be located, and we have no accompanying biographical sketch.) The Classic Article is © (1878) and is reprinted from Ewens J. Case of Osteo-Sarcoma of Tibia, Recurring in Stump of Thigh, and Probably Affecting the Lung. Brit Med J. 1878; Feb 9;1(893):192-193.

  13. [Prostatic Stromal Tumors of Uncertain Malignant Potential (STUMP): definition, pathology, prognosis and management].

    Science.gov (United States)

    Michaud, S; Moreau, A; Braud, G; Renaudin, K; Branchereau, J; Bouchot, O; Rigaud, J

    2012-10-01

    Prostatic Stromal Tumors of Uncertain Malignant Potential (STUMP) are rare tumor of the prostate of mesenchymal origin, accounting, with sarcoma for 0.1-0.2% of all malignant prostatic tumours. They however require to be individualized, to differentiate it from a benign prostatic hyperplasia or a sarcoma of the prostate. The therapeutic management should be made keeping in mind the risk of degeneration towards a malignant shape. Although the appropriate treatment is unknown, radical prostatectomy seem to be the treatment of reference, especially for young patient or for extensive lesion.

  14. Mixed adenoneuroendocrine carcinoma of the gastric stump following Billroth II gastrectomy: case report and review of the literature.

    Science.gov (United States)

    Cazzo, Everton; de Saito, Helena Paes de Almeida

    2016-01-01

    Gastric stump cancer after gastric resection is a well-known disease. It may be a newly developed cancer after resection due to benign disease, or recurrent or residual disease after oncological surgery. The predominant histological type is usually adenocarcinoma. This study aimed to report on a rare occurrence of a mixed adenoneuroendocrine carcinoma (MANEC) on the gastric stump. The case of an 83-year-old female who presented a locally aggressive gastric stump MANEC, 35 years after Billroth II gastrectomy to treat a peptic ulcer, is reported. The patient underwent resection and adjuvant therapy. She has been followed up for one year without signs of recurrence. MANEC is a rare type of gastrointestinal neoplasm. The classification, histopathology, clinical features, treatment issues and prognosis are discussed along with a brief review of the literature.

  15. The Mass Loss and Humification of Stumps and Roots in Masson Pine Plantations Based on Log File Records.

    Science.gov (United States)

    Zhou, Jiao; Wu, Fuzhong; Yang, Wanqin; Tan, Bo; Xu, Zhenfeng; Zhang, Jian; Duan, Fei; Liu, Hui; Justine, Meta Francis

    2016-01-01

    Stumps account for a large proportion of coarse woody debris in managed forests, but their decay dynamics are poorly understood. The loss of mass and the degree of humification of the above-ground woody debris, below-ground woody debris, bark and root system (R1, 10 mm ≥ diameter > 0 mm; R2, 25 mm ≥ diameter >10 mm; 100 mm ≥ R3 > 25 mm; R4 > 100 mm) of Masson pine (Pinus massoniana) stump systems were evaluated in southwestern China in a chronosequence of plantations cut 1-15 years prior to the study. The results indicated that above-ground woody debris decomposed more quickly than below-ground woody debris and bark, whereas the degree of humification followed the opposite trend. Compared with one-year stumps, the mass losses of 15-year stump systems were 60.4% for above-ground woody debris, 42.1% for below-ground woody debris, 47.3% for bark, 69.9% for R1, 47.3% for R2, 51.0% for R3, and 83.2% for R4. In contrast, below-ground woody debris showed a greater degree of humification compared with other components in the stump system. Among the root system, fine roots (R1, diameter ≤ 10 mm) had the largest k value (0.09), whereas the decay rate of coarser roots (R2, R3, R4; diameter > 10 mm) increased with increasing root diameter. However, coarse roots showed a larger degree of humification (0.2-0.6) than fine roots (0.3-0.4). These results suggest that below-ground woody debris and coarse roots may display a higher degree of humification, showing greater short-term contributions to overall humification when compared with the other components in the stump system.

  16. The effects of slash and stump removal on productivity and quality of forest regeneration operations-preliminary results

    Energy Technology Data Exchange (ETDEWEB)

    Saarinen, Veli-Matti [Finnish Forest Research Institute, Suonenjoki Research Station, FIN-77600 Suonenjoki (Finland)

    2006-04-15

    The object of this study was to survey the effects of slash and stump removal on work productivity and work quality, as well as on the technology of forest regeneration operations. Site preparation and planting were studied in different conditions. Slash and stump treatments 'removal' and 'no removal' were established at each site. Time studies were made during site preparation and planting. The quality of mounding and planting was analysed by measurements of the seedlings. After slash removal, the increase of work productivity (E{sub 0}) in mechanized planting was 18 per cent with a Bracke planting machine and 0 per cent with an Ecoplanter planting machine. The quality of mechanized planting was slightly improved by slash removal. After slash removal, the productivity (E{sub 0}) of excavator-mounted mounders was 22 per cent higher with a mounding blade and 53 per cent higher with a ditching bucket. The quality of mounding was the same for both slash treatments. The productivity (E{sub 0}) of three forwarder-mounted mounders was 5 per cent lower after slash removal, but at the same time the quality of the mounding was much better. In combined stump extraction and mounding, the time consumption of the mounding phase was about 40 per cent lower than for separate mounding after stump removal. The results show that slash and stump removal will improve work productivity and quality when using mechanized mounding and planting methods. In addition after slash and/or stump removal it may be possible and cost-effective to use new planting and site preparation methods based on forwarder-mounted mounders. (author)

  17. Bronchial stump fistula :treatment with covered retrievable hinged metallic stents-preliminary clinical experience

    Institute of Scientific and Technical Information of China (English)

    LI Yong-dong; HAN Xin-wei; WU Gang; LI Ming-hua

    2007-01-01

    Objective To evaluate the preliminaily clinical efficacy and retrievability of a retrievable hinged covered metallic stent in the treatment of the bronchial stump fistula (BSF). Methods Between April 2003 and March 2005, 8 patients with bronchial stump fistula after pneumonectomy or lobectomy were treated with two types (A and B) of retrievable hinged covered metallic stents. Type A stent was placed in 6 patients and type B in 2 under fluoroscopic guidance. The stent was removed with a retrieval set when BSF was healed or complications occurred. Results Stent placement in the bronchial tree was technically successful in all patients, without procedure-related complications. Immediate closure of the BSF was achieved in all patients after the procedure. Stents were removed from all patients but one. Removal of the stents was difficult in two patients due to tissue hyperplasia. Patients were followed up for 6 - 21 months. Placement of the stents remained stable in all patients except one due to severe cough. Permanent closure of BSF was achieved in 7(87.5%) of 8 patients. Conclusion Use of a retrievable hinged covered expandable metallic stent is a simple,safe, and effective procedure for closure of the BSF. Retrieval of the stent seems to be feasible. (J Intervent Radiol, 2007, 16: 253-257)[ Key words ] Fistula, pulmonary; Bronchialpleural fistula; Stents and prostheses; Computed tomography

  18. Stump Invagination Versus Simple Ligation in Open Appendicectomy: A Systematic Review and Meta-Analysis.

    Science.gov (United States)

    Qian, Daohai; He, Zhigang; Hua, Jie; Song, Zhenshun

    2015-07-01

    The aim of this meta-analysis was to compare the superiority of stump closure between stump invagination (SI) and simple ligation (SL) during open appendicectomy (OA). The literature searching was conducted in MEDLINE, EMBASE, the Cochrane Library, and http://scholar.google.com . Available data was extracted by 3 independent reviewers. The clinical outcomes were analyzed by meta-analytic software to compare the difference between 2 methods during OA. The pooled odds ratios (ORs) and weighted mean differences (WMDs) with 95% confidence intervals (95% CIs) were obtained by using fixed effect model. Eleven randomized controlled trials (RCTs) were finally included in this study involving 2634 patients. Postoperative pyrexia and infections were similar between SL and SI groups, respectively, but the former group had a shorter operative time (WMD: 8.72; 95% CI: 6.87-10.56; P < 0.00001); less incidence of postoperative ileus (WMD: 2.02; 95% CI: 1.36-3.01; P = 0.0005); and quicker postoperative recovery (WMD: 0.30; 95% CI: 0.11-0.48; P = 0.002). The above results were based on 5, 11, 4, 11, and 9 articles, respectively. The clinical results revealed that SL was significantly superior to SI. SL should be suggested during OA.

  19. [Pain syndromes following amputation. Analysis of 100 affected patients with chronic stump and phantom pain].

    Science.gov (United States)

    Wörz, R; Wörz, E

    1990-02-10

    One hundred amputees (m = 95, f = 5) with a pain syndrome were analysed. In 80 patients post-amputation pain of the lower, in 20 of the upper, extremities presented. Thirty-two patients suffered bouts of pain, 68 constant pain of various types. The most commonly cited type of pain in the patients with intermittent pain was lancinating, in the case of constant pain a burning sensation. In some patients pain occurred immediately after the loss of the limb, in others not until several years, or even decades, later. Forty per cent of our patients indicated that the incidence and intensity of the pain increased with time. Neurological, orthopedic and internistic causes of stump or phantom pain have been described. In 72% of the patients with constant pain and in 34% of those suffering from bouts of pain, an algogenic psychosyndrome had developed. Complications and late sequelae of amputations are of considerable significance for the development and intensity of stump and phantom pain.

  20. The Classic: Case of Osteo-Sarcoma of Tibia, Recurring in Stump of Thigh, and Probably Affecting the Lung

    OpenAIRE

    Ewens, John

    2012-01-01

    This Classic article is a reprint of the original work by Mr. John Ewens, “Case of Osteo-Sarcoma of Tibia, Recurring in Stump of Thigh, and Probably Affecting the Lung.” The case is of interest, because the findings contradicted an existing idea, “that large malignant growths, springing from the long bones, do not, after amputation, if the whole of the diseased structures be removed, return in the stump, but at some distant part; and, therefore, it is not necessary to amputate above the knee ...

  1. Incidental detection of a pseudoaneurysm at an amputation stump in a Tc-99m HMPAO labeled leukocyte scan

    Energy Technology Data Exchange (ETDEWEB)

    Sohn, Myung Hee; Jeong, Hwan Jeong; Lim, Seok Tae [Chonbuk National University Medical School, Jeonju (Korea, Republic of)

    2007-08-15

    A 20-year-old man underwent a Tc-99m HMPAO labeled leukocyte scan for the evaluation of an infection at the stump of an AK amputation, which was conducted due to an open communicated fracture of the left lower leg. Blood-flow and blood-pool images demonstrated a pseudoaneurysm with a focus of intense activity medial to the stump, and centered within a large photopenic defect by surrounding hematoma. Delayed image obtained at 3 hours post-injection showed persistent intense and slight increased activity. Contrast angiography confirmed the presence of a pseudoaneurysm arising from a branch of the left superficial femoral artery.

  2. A Comparative Evaluation of Mechanical Suturing of the Bronchial Stump with the UKB-25 and UKL-60 Apparatuses in Experimental Pneumonectomies

    Science.gov (United States)

    1960-09-27

    grams of body weight. The thoracic cavity was opened by a left side resection in the sixth intercostal area. After anesthesizing the pulmonary radix...noted in the stump area» The tantalum fasteners firmly brought together the walls of the stump, firmly firing it on a cartilage foundation, and did

  3. Symptoms and radiographic findings in the proximal and distal ulnar stumps after the Sauvé-Kapandji procedure for treatment of chronic derangement of the distal radioulnar joint.

    Science.gov (United States)

    Inagaki, Hironobu; Nakamura, Ryogo; Horii, Emiko; Nakao, Etsuhiro; Tatebe, Masahiro

    2006-01-01

    We analyzed correlations between symptoms and radiographic findings with respect to the proximal and distal ulnar stumps after the Sauvé-Kapandji procedure for treating chronic derangement of the distal radioulnar joint. A total of 26 patients were studied (13 men, 13 women) with a mean age of 46 years at examination. Clinical assessment included elicitation of postoperative symptoms related to the proximal and distal ulnar stumps. In the radiographic study the radioulnar distance in the neutral wrist position and the presence or absence of scalloping at the radius were determined from posteroanterior (PA) views. The total mobility distance of the proximal ulnar stump was measured on the PA and lateral views while the wrist moved from radial to ulnar deviation or from extension to flexion. Eleven patients complained of tenderness over the distal ulnar stump and 5 patients felt discomfort around the proximal ulnar stump during forearm rotation. The postoperative radioulnar distance in patients with tenderness was significantly smaller than in the group without tenderness. Scalloping at the radius was shown in 9 patients but it was not related to the radioulnar distance. The total mobility distance of the proximal ulnar stump on the PA view was significantly greater in patients with tenderness than in those without, and it also was significantly greater in patients with scalloping than in those without. The total mobility distance on the lateral view was significantly greater in the group with discomfort than in the group without discomfort. The radioulnar distance was related to tenderness over the distal ulnar stump but not to the scalloping. Tenderness and scalloping each were related to radioulnar instability of the proximal ulnar stump. Discomfort around the proximal ulnar stump was related to dorsovolar instability of the stump. Prognostic, Level IV.

  4. Estimation of Unsaturated Zone Traveltimes for Rainier Mesa and Shoshone Mountain, Nevada Test Site, Nevada, Using a Source-Responsive Preferential-Flow Model

    Science.gov (United States)

    Ebel, Brian A.; Nimmo, John R.

    2009-01-01

    Traveltimes for contaminant transport by water from a point in the unsaturated zone to the saturated zone are a concern at Rainier Mesa and Shoshone Mountain in the Nevada Test Site, Nevada. Where nuclear tests were conducted in the unsaturated zone, contaminants must traverse hundreds of meters of variably saturated rock before they enter the saturated zone in the carbonate rock, where the regional groundwater system has the potential to carry them substantial distances to a location of concern. The unsaturated-zone portion of the contaminant transport path may cause a significant delay, in addition to the time required to travel within the saturated zone, and thus may be important in the overall evaluation of the potential hazard from contamination. Downward contaminant transport through the unsaturated zone occurs through various processes and pathways; this can lead to a broad distribution of contaminant traveltimes, including exceedingly slow and unexpectedly fast extremes. Though the bulk of mobile contaminant arrives between the time-scale end members, the fastest contaminant transport speed, in other words the speed determined by the combination of possible processes and pathways that would bring a measureable quantity of contaminant to the aquifer in the shortest time, carries particular regulatory significance because of its relevance in formulating the most conservative hazard-prevention scenarios. Unsaturated-zone flow is usually modeled as a diffusive process responding to gravity and pressure gradients as mediated by the unsaturated hydraulic properties of the materials traversed. The mathematical formulation of the diffuse-flow concept is known as Richards' equation, which when coupled to a solute transport equation, such as the advection-dispersion equation, provides a framework to simulate contaminant migration in the unsaturated zone. In recent decades awareness has increased that much fluid flow and contaminant transport within the unsaturated

  5. Estimation of unsaturated zone traveltimes for Rainier Mesa and Shoshone Mountain, Nevada Test Site, Nevada, using a source-responsive preferential-flow model

    Energy Technology Data Exchange (ETDEWEB)

    Brian A. Ebel; John R. Nimmo

    2009-09-11

    Traveltimes for contaminant transport by water from a point in the unsaturated zone to the saturated zone are a concern at Rainier Mesa and Shoshone Mountain in the Nevada Test Site, Nevada. Where nuclear tests were conducted in the unsaturated zone, contaminants must traverse hundreds of meters of variably saturated rock before they enter the saturated zone in the carbonate rock, where the regional groundwater system has the potential to carry them substantial distances to a location of concern. The unsaturated-zone portion of the contaminant transport path may cause a significant delay, in addition to the time required to travel within the saturated zone, and thus may be important in the overall evaluation of the potential hazard from contamination. Downward contaminant transport through the unsaturated zone occurs through various processes and pathways; this can lead to a broad distribution of contaminant traveltimes, including exceedingly slow and unexpectedly fast extremes. Though the bulk of mobile contaminant arrives between the time-scale end members, the fastest contaminant transport speed, in other words the speed determined by the combination of possible processes and pathways that would bring a measureable quantity of contaminant to the aquifer in the shortest time, carries particular regulatory significance because of its relevance in formulating the most conservative hazard-prevention scenarios. Unsaturated-zone flow is usually modeled as a diffusive process responding to gravity and pressure gradients as mediated by the unsaturated hydraulic properties of the materials traversed. The mathematical formulation of the diffuse-flow concept is known as Richards' equation, which when coupled to a solute transport equation, such as the advection-dispersion equation, provides a framework to simulate contaminant migration in the unsaturated zone. In recent decades awareness has increased that much fluid flow and contaminant transport within the

  6. The 5-year survival following the marginal resection of a primary leiomyosarcoma of the distal femur and a stump fracture.

    Science.gov (United States)

    Plath, J; Gurk, S; Strophal, G; Johnson, M; Jansson, V

    2001-09-01

    In this case, we present a 5-year follow-up of a 3-fault-affected primary leiomyosarcoma of the distal femur (spontaneous fracture treated by osteosynthesis; marginal resection; stump fracture after adequate trauma) with an extended local recurrence but without metastasis.

  7. Computer simulation of flow and mixing at the duodenal stump after gastric resection

    Institute of Scientific and Technical Information of China (English)

    Nenad Filipovic; Aleksandar Cvetkovic; Velibor Isailovic; Zoran Matovic; Mirko Rosic; Milos Kojic

    2009-01-01

    AIM: To investigate the flow and mixing at the duodenal stump after gastric resection, a computersimulation was implemented.METHODS: Using the finite element method, two different Billroth ? procedure cases (A and B) were modeled. Case A was defined with a shorter and almost straight duodenal section, while case B has a much longer and curved duodenal section. Velocity,pressure and food concentration distribution were determined and the numerical results were compared with experimental observations.RESULTS: The pressure distribution obtained by numerical simulation was in the range of the recorded experimental results. Case A had a more favorable pressure distribution in comparison with case B.However, case B had better performance in terms of food transport because of more continual fooddistribution,as well as better emptying of the duodenal section.

  8. Physical rehabilitation of patients with amputation stump of thigh because of trauma

    Directory of Open Access Journals (Sweden)

    Efremova O.V.

    2009-10-01

    Full Text Available The article is exposition essence of problem of renewal of ability to work of a problem of restoration after amputation at the hip. The analysis of the standard program of the standard in traumatology programs of physical rehabilitation of patients after amputation and presents the results of the developed physical rehabilitation of patients with amputating the thigh stumps due to injury. The authors propose to use the means of physical rehabilitation in accordance with the flow dynamics of the reparative processes after amputation and clinical features of injury. All this contributes to the development of compensatory own human capabilities, resulting in remission. Since these funds most physiological, their correct application does not cause complications.

  9. Apendicitis del muñón apendicular Appendicitis of the appendicular stump

    Directory of Open Access Journals (Sweden)

    María Carolina Berrogain

    2012-03-01

    Full Text Available La apendicitis del muñón es una entidad rara, caracterizada por un proceso inflamatorio del remanente apendicular luego de una apendicectomía incompleta. Los signos y síntomas no difieren de una apendicitis aguda. Al no ser una patología usualmente pensada como posible diagnóstico diferencial del abdomen agudo inflamatorio, tiene mayor riesgo de complicaciones y morbi-mortalidad. Los métodos seccionales de diagnósticos por imágenes resultan muy beneficiosos para definir el diagnóstico. La ultrasonografía (US y tomografía computada (TC demuestran signos similares a los observados en cuadros habituales de inflamación aguda del apéndice cecal. Se presentan dos casos de apendicitis del muñón, uno de ellos recibió tratamiento quirúrgico y el otro tratamiento médico.Stump appendicitis is a rare entity characterized by inflammation of the appendiceal remanent after incomplete appendectomy. Signs and symptoms do not differ from acute appendicitis. As it is not a condition usually considered as a potential differential diagnosis of acute inflammatory abdomen, it has higher risks of complications and morbidity and mortality. Imaging methods are highly useful to define the diagnosis. Ultrasound (US and Computed Tomography (CT show signs similar to those found in standard cases of acute appendicitis. Two cases of stump appendicitis are reponed: one managed with surgical treatment and the other with medical treatment.

  10. Proximal ulnar stump stability after using the pronator quadratus muscle transfer combined with the Suavé-Kapandji procedure in rheumatoid wrist.

    Science.gov (United States)

    Uerpairojkit, Chairoj; Leechavengvongs, Somsak; Malungpaishorpe, Kanchai; Witoonchart, Kiat; Buddhavibul, Panai

    2014-01-01

    The pronator quadratus muscle transfer combined with the Sauvé-Kapandji procedure was used to treat the distal radioulnar joint disorder in ten rheumatoid wrists for prevention against instability of the proximal ulnar stump. All patients were female with a mean age of 46.6 years. The mean follow-up time was 24.2 months. Postoperatively, supination increased in all patients with a mean of 50 degrees. Pain decreased significantly and none complained of prominence of the proximal ulnar stump in normal pronated position and during a tight grip. The wrist radiographs of both coronal and sagittal planes in normal and stress fisting views were used to evaluate the postoperative static and physiologic loaded stability of the proximal ulnar stump. It had shown this procedure provided good static proximal ulnar stump stability in both coronal and sagittal planes. However, in physiologic loaded condition, it was able to provide stability only in the sagittal plane.

  11. Entero-enteric fistula from the stump of an end-to-side ileocolic anastomosis mimicking cancer recurrence.

    Science.gov (United States)

    Elsafty, N; Clancy, C; Bajwa, R; Memeh, K; Joyce, M R

    2015-09-15

    Enteric fistulae are a complex and technically frustrating complication of any bowel surgery. The constellation of associated non-specific symptoms often leads to extensive investigation and, in this case, suspicion of disease recurrence. A 71-year-old gentleman with a history of previous colorectal cancer presented with chronic diarrhoea, weight loss and left lower quadrant pain. Elective exploratory laparoscopy was performed to investigate possible disease recurrence due to elevated carcinoembryonic antigen levels and a positron emission tomography positive area within the mesentery. A jejunal-ileal fistula was found at laparotomy where the blind ileal stump of the end-to-side ileocolic anastomosis had fistulated into the jejunum. Resection of the affected jejunum was performed with end-to-end jejuno-jejunal re-anastomosis and stapling of the ileal stump. Specimen histology was negative for recurrence. Intestinal fistulae represent a diagnostic challenge. This is the first case report describing an enteric fistula mimicking cancer recurrence.

  12. Reverse Anterolateral Thigh Flap to Revise a Below-knee Amputation Stump at the Mid-tibial Level

    Directory of Open Access Journals (Sweden)

    Parviz Lionel Sadigh, MB ChB

    2013-12-01

    Full Text Available Summary: The reconstruction of defects around the knee often poses a challenge due to the limited availability of local soft tissues. Indeed, this same problem is encountered when attempting to revise a below-knee amputation stump. Moreover, due to a paucity of recipient vessels in those who have undergone previous amputation secondary to trauma, free-flap reconstruction is often challenging and not always successful. We report a case of a reverse anterolateral thigh (ALT flap used to revise a long below-knee amputation stump. Previous reports in the literature attest to the versatility of the reverse ALT to cover defects around the knee and proximal tibia, but to our knowledge, this is the first report of a reverse ALT reaching to the mid-tibial level.

  13. The Effect of Autologous Platelet-Rich Plasma on Bronchial Stump Tissue Granulation after Pneumonectomy: Experimental Study

    OpenAIRE

    Eleftherios Spartalis; Periklis Tomos; Petros Konofaos; Grigorios Karagkiouzis; Georgia Levidou; Nikolaos Kavantzas; Alkistis Pantopoulou; Othon Michail; Despina Perrea; Gregory Kouraklis

    2013-01-01

    Objectives. Recent advances in perioperative management, antibiotics, and surgical materials, including mechanical staplers, have decreased the operative risk of pulmonary resection. However, bronchopleural fistula can still occur in some instances, the occurrence often being lethal. This study investigated whether platelet-rich plasma (PRP) promotes granulation of the bronchial stump after pneumonectomy. Methods. Ten pigs were randomized into two groups: (A) control or non-PRP group (pneumon...

  14. Mixed effect models for predicting breast height diameter from stump diameter of Oriental beech in Göldağ

    Directory of Open Access Journals (Sweden)

    Ilker Ercanli

    2015-06-01

    Full Text Available Diameter at breast height (DBH is the simplest, most common and most important tree dimension in forest inventory and is closely correlated with wood volume, height and biomass. In this study, a number of linear and nonlinear models predicting diameter at breast height from stump diameter were developed and evaluated for Oriental beech (Fagus orientalisLipsky stands located in the forest region of Ayancık, in the northeast of Turkey. A set of 1,501 pairs of diameter at breast height-stump measurements, originating from 70 sample plots of even-aged Oriental beech stands, were used in this study. About 80 % of the otal data (1,160 trees in 55 sample plots was used to fit a number of linear and nonlinear model parameters; the remaining 341 trees in 15 sample plots were randomly reserved for model validation and calibration response. The power model data set was found to produce the most satisfactory fits with the Adjusted Coefficient of Determination, R2adj (0.990, Root Mean Square Error, RMSE (1.25, Akaike’s Information Criterion, AIC (3820.5, Schwarz’s Bayesian Information Criterion, BIC (3837.2, and Absolute Bias (1.25. The nonlinear mixed-effect modeling approach for power model with R2adj(0.993, AIC (3598, BIC (3610.1, Absolute Bias (0.73 and RMSE (1.04 provided much better fitting and precise predictions for DBH from stump diameter than the conventional nonlinear fixed effect model structures for this model. The calibration response including tree DBH and stump diameter measurements of the four largest trees in a calibrated sample plot in calibration produced the highest Bias, -5.31 %, and RMSE, -6.30 %, the greatest reduction percentage.

  15. BUDIDAYA TABAT BARITO (Ficus deltoidea JACK SECARA STUMP DENGAN VARIASI PERLAKUAN MEDIA TANAM DAN PUPUK ORGANIK NASA

    Directory of Open Access Journals (Sweden)

    Yudi Firmanul Arifin

    2016-09-01

    Full Text Available ABSTRACT.  Indonesia is rich of medicinal plants for some ecosystem types of forest, one of which is tabat barito (Ficus deltoidea Jack. The utilization of tabat barito mainly used for women's health and other using. Until present day its use continues to increase, especially for traditional medicines, but efforts for cultivation have not been much done. To overcome the sustainability of raw material, the research of cultivation systems have to be done. The vegetative methods which are using stump is an alternative for reproduction.  The treatments of media and liquid fertilizer NASA were given of every treatment for improving survival rate and the increment of height and diameter.  Result of research showed the treatment for media of top soil was better than sand for height and number of leaf parameter.  The treatment of organic fertilizer was only improving number of leaves.  Keywords: vegetative,  stump,  organic fertilizer, growth ABSTRAK.  Indonesia sangat kaya akan tumbuhan berkhasiat obat yang tumbuh pada berbagai tipe ekosistem hutan.  Tabat barito (Ficus deltoidea Jack adalah salah satu tumbuhan yang sudah dikenal oleh masyarakat berkhasiat obat untuk berbagai penyakit, khususnya untuk kesehatan wanita setelah melahirkan dan penggunanya pun untuk bahan baku industri obat tradisional sudah dilakukan hingga kini.  Untuk mengatasi kekhawatiran akan keberlanjutan bahan baku tersebut, maka penelitian budidaya tumbuhan ini dilakukan.  Metode yang digunakan adalah secara vegetatif dengan cabutan anakan alam (stump.  Perlakuan terhadap media tanam dan pemberian pupuk cair NASA diberikan pada setiap metode untuk meningkatkan daya hidup dan mempercepat pertumbuhan anakan.  Hasil yang diperoleh menunjukkan bahwa Perlakuan media top soil lebih baik dibandingkan dengan media pasir pada parameter tinggi dan jumlah daun.  Perlakuan pemberian pupuk organik cair NASA hanya dapat meningkatkan pertambahan jumlah daun. Kata kunci: vegetatif

  16. Evidence for large-magnitude, post-Eocene extension in the northern Shoshone Range, Nevada, and its implications for Carlin-type gold deposits in the lower plate of the Roberts Mountains allochthon

    Science.gov (United States)

    Colgan, Joseph P.; Henry, Christopher D.; John, David A.

    2014-01-01

    The northern Shoshone and Toiyabe Ranges in north-central Nevada expose numerous areas of mineralized Paleozoic rock, including major Carlin-type gold deposits at Pipeline and Cortez. Paleozoic rocks in these areas were previously interpreted to have undergone negligible postmineralization extension and tilting, but here we present new data that suggest major post-Eocene extension along west-dipping normal faults. Tertiary rocks in the northern Shoshone Range crop out in two W-NW–trending belts that locally overlie and intrude highly deformed Lower Paleozoic rocks of the Roberts Mountains allochthon. Tertiary exposures in the more extensive, northern belt were interpreted as subvertical breccia pipes (intrusions), but new field data indicate that these “pipes” consist of a 35.8 Ma densely welded dacitic ash flow tuff (informally named the tuff of Mount Lewis) interbedded with sandstones and coarse volcaniclastic deposits. Both tuff and sedimentary rocks strike N-S and dip 30° to 70° E; the steeply dipping compaction foliation in the tuffs was interpreted as subvertical flow foliation in breccia pipes. The southern belt along Mill Creek, previously mapped as undivided welded tuff, includes the tuff of Cove mine (34.4 Ma) and unit B of the Bates Mountain Tuff (30.6 Ma). These tuffs dip 30° to 50° east, suggesting that their west-dipping contacts with underlying Paleozoic rocks (previously mapped as depositional) are normal faults. Tertiary rocks in both belts were deposited on Paleozoic basement and none appear to be breccia pipes. We infer that their present east tilt is due to extension on west-dipping normal faults. Some of these faults may be the northern strands of middle Miocene (ca. 16 Ma) faults that cut and tilted the 34.0 Ma Caetano caldera ~40° east in the central Shoshone Range (

  17. Effect of stump flexion contracture with and without prosthetic alignment intervention towards postural stability among transtibial prosthesis users

    Science.gov (United States)

    Ghazali, M. F.; Razak, N. A. Abd; Abu Osman, N. A.; Gholizadeh, H.

    2017-06-01

    Knee flexion contracture on a stump side is a phenomenon in which the stump cannot move in normal range of motion (ROM) or cannot be fully extended. This study has been carried out by using Biodex Stability System (BSS) in order to investigate the effect of stump flexion contracture towards the postural stability among the transtibial prosthesis users with the intervention of alignment accommodation. The BSS provides the reading of anterior-posterior stability index (APSI), medial-lateral stability index (MLSI), and overall stability index (OSI). Higher reading of the index indicates lesser stability. Each of the subjects had been tested in three different sessions that were Visit 1 (before contracture improvement), Visit 2 (after contracture improvement without alignment readjustment), and Visit 3 (after contracture improvement with alignment readjustment). The APSI reading was significantly higher during Visit 2 compared to Visit 1 and Visit 3. The OSI during Visit 2 was also found significantly higher compared to Visit 3. In Visit 2, the degree of contracture was significantly improved with 44.1% less than Visit 1. The stability index in anterior-posterior aspect (APSI) was proven to be lower as the prosthetic alignment was adjusted according to the ROM of knee. This finding explained that the alignment set up based on the adaptation with the stump’s ROM can contribute positively in maintaining postural stability.

  18. Short-term effects of thinning, clear-cutting and stump harvesting on methane exchange in a boreal forest

    Directory of Open Access Journals (Sweden)

    E. Sundqvist

    2014-03-01

    Full Text Available Forest management practices can alter soil conditions, affecting the consumption and production processes that control soil methane (CH4 exchange. We studied the short-term effects of thinning, clear-cutting and stump harvesting on the CH4 exchange between soil and atmosphere at a boreal forest site in central Sweden, using an undisturbed plot as the control. Chambers in combination with a high precision laser gas analyser were used for continuous measurements. Both the undisturbed plot and the thinned plot were net sinks of CH4, whereas the clear-cut plot and the stump harvested plot were net CH4 sources. The CH4 uptake at the thinned plot was reduced in comparison to the undisturbed plot. The shift from sink to source at the clear-cut and stump harvested plots was probably due to a rise of the water table and an increase in soil moisture, leading to lower gas diffusivity and more reduced conditions which favour CH4 production by archea. Reduced evapotranspiration after harvesting leads to wetter soils, decreased CH4 consumption and increased CH4 production, and should be accounted for in the CH4 budget of managed forests.

  19. The effect of autologous platelet-rich plasma on bronchial stump tissue granulation after pneumonectomy: experimental study.

    Science.gov (United States)

    Spartalis, Eleftherios; Tomos, Periklis; Konofaos, Petros; Karagkiouzis, Grigorios; Levidou, Georgia; Kavantzas, Nikolaos; Pantopoulou, Alkistis; Michail, Othon; Perrea, Despina; Kouraklis, Gregory

    2013-12-16

    Objectives. Recent advances in perioperative management, antibiotics, and surgical materials, including mechanical staplers, have decreased the operative risk of pulmonary resection. However, bronchopleural fistula can still occur in some instances, the occurrence often being lethal. This study investigated whether platelet-rich plasma (PRP) promotes granulation of the bronchial stump after pneumonectomy. Methods. Ten pigs were randomized into two groups: (A) control or non-PRP group (pneumonectomy) and (B) PRP group (pneumonectomy and PRP application). PRP was obtained by spinning down the animal's own blood and collecting the buffy coat containing platelets and white blood cells. Results. Increased platelet concentration triggered the healing process. The percentage of granulation tissue formed at the stumps was significantly higher in the PRP group of animals. This observation was confirmed when statistical analysis using Mann-Whitney U test was performed (P = 0.0268). Conclusions. PRP is easily produced with minimal basic equipment and is useful in accelerating granulation of the bronchial stump, although the timing and optimum number of applications in humans require further study. Autologous PRP is a safe, feasible, and reliable new healing promoter with potential therapeutic effects.

  20. The capability of fiber Bragg grating sensors to measure amputees' trans-tibial stump/socket interface pressures.

    Science.gov (United States)

    Al-Fakih, Ebrahim A; Osman, Noor Azuan Abu; Eshraghi, Arezoo; Adikan, Faisal Rafiq Mahamd

    2013-08-12

    This study presents the first investigation into the capability of fiber Bragg grating (FBG) sensors to measure interface pressure between the stump and the prosthetic sockets of a trans-tibial amputee. FBG element(s) were recoated with and embedded in a thin layer of epoxy material to form a sensing pad, which was in turn embedded in a silicone polymer material to form a pressure sensor. The sensor was tested in real time by inserting a heavy-duty balloon into the socket and inflating it by using an air compressor. This test was conducted to examine the sensitivity and repeatability of the sensor when subjected to pressure from the stump of the trans-tibial amputee and to mimic the actual environment of the amputee's Patellar Tendon (PT) bar. The sensor exhibited a sensitivity of 127 pm/N and a maximum FSO hysteresis of around ~0.09 in real-time operation. Very good reliability was achieved when the sensor was utilized for in situ measurements. This study may lead to smart FBG-based amputee stump/socket structures for pressure monitoring in amputee socket systems, which will result in better-designed prosthetic sockets that ensure improved patient satisfaction.

  1. The Capability of Fiber Bragg Grating Sensors to Measure Amputees’ Trans-Tibial Stump/Socket Interface Pressures

    Directory of Open Access Journals (Sweden)

    Faisal Rafiq Mahamd Adikan

    2013-08-01

    Full Text Available This study presents the first investigation into the capability of fiber Bragg grating (FBG sensors to measure interface pressure between the stump and the prosthetic sockets of a trans-tibial amputee. FBG element(s were recoated with and embedded in a thin layer of epoxy material to form a sensing pad, which was in turn embedded in a silicone polymer material to form a pressure sensor. The sensor was tested in real time by inserting a heavy-duty balloon into the socket and inflating it by using an air compressor. This test was conducted to examine the sensitivity and repeatability of the sensor when subjected to pressure from the stump of the trans-tibial amputee and to mimic the actual environment of the amputee’s Patellar Tendon (PT bar. The sensor exhibited a sensitivity of 127 pm/N and a maximum FSO hysteresis of around ~0.09 in real-time operation. Very good reliability was achieved when the sensor was utilized for in situ measurements. This study may lead to smart FBG-based amputee stump/socket structures for pressure monitoring in amputee socket systems, which will result in better-designed prosthetic sockets that ensure improved patient satisfaction.

  2. [Lower limb stump reconstruction with a functional calcaneo-plantar unit free flap. A series of 16 cases].

    Science.gov (United States)

    Malikov, S; Dubert, T; Koupatadze, D; Nabokov, V; Polosov, R

    1999-04-01

    The main objective of surgery, once amputation is inevitable, is to preserve a functional stump. This report describes the immediate reconstruction of 16 leg stumps in children by transfer of a functional calcaneo-plantar unit. Of these, 3 were thigh and 13 were lower leg reconstructions. Amputation was performed for tumor in 4 cases, and was due to accidents in the remaining twelve. The main technical features of flap preparation are preservation of the calcaneum branch and attachment of the heel skin to the greater tuberosity of the calcaneum. One case resulted in failure due to vascular thrombosis. The other 15 cases resulted in bone consolidation after an average of 45 days, sensitive protection by 70 days, and very good trophic and protective results. The provision of good distal pressure area encourages overall development of the child. There was no morbidity at the donor site, and because there is no major muscle mass in the distal fragment, the overall risk is very low compared to that of total proximal leg replantation. The transfer of functional calcaneo-plantar tissue as a single unit is the best strategy for one-step restoration of good distal support area for the stump. All surgeons liable to perform leg amputations should be aware of this technical approach.

  3. Ultrasound-guided alcohol neurolysis and radiofrequency ablation of painful stump neuroma: effective treatments for post-amputation pain

    Science.gov (United States)

    Zhang, Xin; Xu, Yongming; Zhou, Jin; Pu, Shaofeng; Lv, Yingying; Chen, Yueping; Du, Dongping

    2017-01-01

    Background Post-amputation pain (PAP) is highly prevalent after limb amputation, and stump neuromas play a key role in the generation of the pain. Presently, PAP refractory to medical management is frequently treated with minimally invasive procedures guided by ultrasound, such as alcohol neurolysis and radiofrequency ablation (RFA). Objective To record the immediate and long-term efficacy of alcohol neurolysis and RFA. We first used alcohol neurolysis and then, when necessary, we performed RFA on PAP patients. Study design Prospective case series. Setting Pain management center. Methods Thirteen subjects were treated with ultrasound-guided procedures. Results All patients were treated with neurolysis using alcohol solutions guided by ultrasound. Seven (54%) of 13 subjects achieved pain relief after 1–3 alcohol injection treatments. The remaining 6 subjects obtained pain relief after receiving 2 administrations of ultrasound-guided RFA. After a 6-month follow-up evaluation period, pain quantities were also assessed. Both stump pain (including intermittent sharp pain and continuous burning pain) and phantom pain were relieved. The frequency of intermittent sharp pain was decreased, and no complications were noted during the observation. Conclusion The use of ultrasound guidance for alcohol injection and RFA of painful stump neuromas is a simple, radiation-free, safe, and effective procedure that provides sustained pain relief in PAP patients. In this case series, RFA was found to be an effective alternative to alcohol injection. PMID:28223839

  4. A Hydrostrat Model and Alternatives for Groundwater Flow and Contaminant Transport Model of Corrective Action Unit 99: Rainer Mesa-Shoshone Mountain, Nye County, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    NSTec Geotechnical Sciences Group

    2007-03-01

    The three-dimensional hydrostratigraphic framework model for the Rainier Mesa-Shoshone Mountain Corrective Action Unit was completed in Fiscal Year 2006. The model extends from eastern Pahute Mesa in the north to Mid Valley in the south and centers on the former nuclear testing areas at Rainier Mesa, Aqueduct Mesa, and Shoshone Mountain. The model area also includes an overlap with the existing Underground Test Area Corrective Action Unit models for Yucca Flat and Pahute Mesa. The model area is geologically diverse and includes un-extended yet highly deformed Paleozoic terrain and high volcanic mesas between the Yucca Flat extensional basin on the east and caldera complexes of the Southwestern Nevada Volcanic Field on the west. The area also includes a hydrologic divide between two groundwater sub-basins of the Death Valley regional flow system. A diverse set of geological and geophysical data collected over the past 50 years was used to develop a structural model and hydrostratigraphic system for the model area. Three deep characterization wells, a magnetotelluric survey, and reprocessed gravity data were acquired specifically for this modeling initiative. These data and associated interpretive products were integrated using EarthVision{reg_sign} software to develop the three-dimensional hydrostratigraphic framework model. Crucial steps in the model building process included establishing a fault model, developing a hydrostratigraphic scheme, compiling a drill-hole database, and constructing detailed geologic and hydrostratigraphic cross sections and subsurface maps. The more than 100 stratigraphic units in the model area were grouped into 43 hydrostratigraphic units based on each unit's propensity toward aquifer or aquitard characteristics. The authors organized the volcanic units in the model area into 35 hydrostratigraphic units that include 16 aquifers, 12 confining units, 2 composite units (a mixture of aquifer and confining units), and 5 intrusive

  5. Predevelopment Water-Level Contours for Aquifers in the Rainier Mesa and Shoshone Mountain area of the Nevada Test Site, Nye County, Nevada

    Science.gov (United States)

    Fenelon, Joseph M.; Laczniak, Randell J.; Halford, Keith J.

    2008-01-01

    Contaminants introduced into the subsurface of the Nevada Test Site at Rainier Mesa and Shoshone Mountain by underground nuclear testing are of concern to the U.S. Department of Energy and regulators responsible for protecting human health and safety. Although contaminants were introduced into low-permeability rocks above the regional flow system, the potential for contaminant movement away from the underground test areas and into the accessible environment is greatest by ground-water transport. The primary hydrologic control on this transport is evaluated and examined through a series of contour maps developed to represent the water-level distribution within each of the major aquifers underlying the area. Aquifers were identified and their extents delineated by merging and analyzing multiple hydrostratigraphic framework models developed by other investigators from existing geologic information. The contoured water-level distribution in each major aquifer was developed from a detailed evaluation and assessment of available water-level measurements. Multiple spreadsheets that accompany this report provide pertinent water-level and geologic data by well or drill hole. Aquifers are mapped, presented, and discussed in general terms as being one of three aquifer types?volcanic aquifer, upper carbonate aquifer, or lower carbonate aquifer. Each of these aquifer types was subdivided and mapped as independent continuous and isolated aquifers, based on the continuity of its component rock. Ground-water flow directions, as related to the transport of test-generated contaminants, were developed from water-level contours and are presented and discussed for each of the continuous aquifers. Contoured water-level altitudes vary across the study area and range from more than 5,000 feet in the volcanic aquifer beneath a recharge area in the northern part of the study area to less than 2,450 feet in the lower carbonate aquifer in the southern part of the study area. Variations in

  6. Predevelopment Water-Level Contours for Aquifers in the Rainier Mesa and Shoshone Mountain area of the Nevada Test Site, Nye County, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    Joseph M. Fenelon; Randell J. Laczniak; and Keith J. Halford

    2008-06-24

    Contaminants introduced into the subsurface of the Nevada Test Site at Rainier Mesa and Shoshone Mountain by underground nuclear testing are of concern to the U.S. Department of Energy and regulators responsible for protecting human health and safety. Although contaminants were introduced into low-permeability rocks above the regional flow system, the potential for contaminant movement away from the underground test areas and into the accessible environment is greatest by ground-water transport. The primary hydrologic control on this transport is evaluated and examined through a series of contour maps developed to represent the water-level distribution within each of the major aquifers underlying the area. Aquifers were identified and their extents delineated by merging and analyzing multiple hydrostratigraphic framework models developed by other investigators from existing geologic information. The contoured water-level distribution in each major aquifer was developed from a detailed evaluation and assessment of available water-level measurements. Multiple spreadsheets that accompany this report provide pertinent water-level and geologic data by well or drill hole. Aquifers are mapped, presented, and discussed in general terms as being one of three aquifer types—volcanic aquifer, upper carbonate aquifer, or lower carbonate aquifer. Each of these aquifer types was subdivided and mapped as independent continuous and isolated aquifers, based on the continuity of its component rock. Ground-water flow directions, as related to the transport of test-generated contaminants, were developed from water-level contours and are presented and discussed for each of the continuous aquifers. Contoured water-level altitudes vary across the study area and range from more than 5,000 feet in the volcanic aquifer beneath a recharge area in the northern part of the study area to less than 2,450 feet in the lower carbonate aquifer in the southern part of the study area. Variations in

  7. The regenerating antler blastema: the derivative of stem cells resident in a pedicle stump.

    Science.gov (United States)

    Li, Chunyi; Chu, Wenhui

    2016-01-01

    Antlers of the deer are the only mammalian organs that can fully grow back once lost from their pedicles, hence offer the only opportunity to learn how nature has bestowed mammalian epimorphic regeneration. Investigations have demonstrated that it is the proliferation and differentiation of pedicle periosteal cells (PPCs), but not dedifferentiation of the local differentiated cells, that give rise to the antler blastema. PPCs express key embryonic stem cell markers and can be induced to differentiate into multiple cell lineages, so are termed antler stem cells. Further research has found that PPCs can initiate antler regeneration only when they have interacted with cells of the pedicle skin. Histologically, the process of early antler regeneration resembles that of healing of a mouse leg stump wound. However what sets these two apart is the difference in proliferation potential between the PPCs and the periosteal cells of the long bone. We believe that if we can impart a greater proliferation potential to the long bone periosteal cells, we might be able to achieve the dream of regenerating limbs in mammals.

  8. [The endo-exo prosthesis for patients with a problematic amputation stump].

    Science.gov (United States)

    Frölke, Jan Paul M; van de Meent, Henk

    2010-01-01

    Following lower limb amputation, quality of life is highly related to the ability to use a prosthetic limb. The conventional way to attach a prosthetic limb to the body is with a socket. Many patients experience serious discomfort wearing a conventional prosthesis because of pain, instability during walking, pressure sores, bad smell or skin irritation. In addition, sitting is uncomfortable and pelvic and lower back pain due to unstable gait is often seen in these patients. The main disadvantage of the current prosthesis is the attachment of a rigid prosthesis socket to a soft and variable body. The socket must fit tightly for stability during walking but should also be comfortable for sitting. The implantation of an osseointegrated, intramedullary, transcutaneously conducted prosthesis is a new procedure for attaching a limb prosthesis to the human body without the disadvantages of the conventional prosthesis. The intramedullary prosthesis is designed with a rough surface resembling cancellous bone to enable a secure solid integration with the long bone. We treated two patients with this new prosthesis, a 44-year-old man after a transfemoral amputation, and a 32-year-old woman after a lower leg amputation; both amputations were necessary because of trauma. Those two patients are now, more than one year after the operation, showing excellent functional results without infectious complications. We assume that endo-exo prosthesis may be a promising option for selected patients unable to use a conventional prosthesis because of a problematic amputation stump.

  9. A randomised trial of rigid stump dressing following trans-tibial amputation for peripheral arterial insufficiency.

    Science.gov (United States)

    Woodburn, K R; Sockalingham, S; Gilmore, H; Condie, M E; Ruckley, C V

    2004-04-01

    A multicentre randomised controlled trial to determine the effect of a rigid plaster dressing applied at the time of trans-tibial amputation on the number of days to casting for a prosthesis, and the incidence of post-operative stump infection. Patients requiring trans-tibial amputation were randomised to one of 2 groups: In Group 1 (intervention) a rigid above-knee plaster dressing was applied at operation and patients were managed according to a standard protocol. Group 2 (control) had the individual surgeons' usual non-rigid dressing regime. Rehabilitation data were extracted from the national physiotherapy database. On completion of the trial a questionnaire was sent to all participants. 14 surgeons in 7 centres enrolled 154 patients, with 96 ultimately cast for a prosthesis. Patients who received a rigid dressing (n = 78) had reduced days to casting (median 36, confidence interval 30-47) when compared with other dressings (n = 76) (median 42, confidence interval 36-45), these differences did not reach statistical significance. There was no significant difference in post-operative infection rates in the two groups. 64% of surgeons, and all physiotherapists and vascular nurses responding to the post-trial questionnaire felt that the rigid dressing was an improvement on their normal regime and wished to continue with the technique. Despite a median reduction of 6 days in time to casting in patients treated with a rigid post-operative dressing this failed to reach statistical significance. The majority of participants who replied to the post-trial questionnaire expressed a wish to continue using the rigid dressing technique. To confirm that the trends shown in this trial are statistically valid a larger trial is needed.

  10. Pulling telescoped phantoms out of the stump: Manipulating the perceived position of phantom limbs using a full-body illusion

    Directory of Open Access Journals (Sweden)

    Laura eSchmalzl

    2011-11-01

    Full Text Available Most amputees experience phantom limbs, or the sensation that their amputated limb is still attached to the body. Phantom limbs can be perceived in the location previously occupied by the intact limb, or they can gradually retract inside the stump, a phenomenon referred to as telescoping. Telescoping is relevant from a clinical point of view, as it tends to be related to increased levels of phantom pain. In the current study we demonstrate how a full-body illusion can be used to temporarily revoke telescoping sensations in upper limb amputees. During this illusion participants view the body of a mannequin from a first person perspective while being subjected to synchronized visuo-tactile stimulation through stroking, which makes them experience the mannequin’s body as their own. In Experiment 1 we used an intact mannequin, and showed that amputees can experience ownership of an intact body as well as referral of touch from both hands of the mannequin. In Experiment 2 and 3 we used an amputated mannequin, and demonstrated that depending on the spatial location of the strokes applied to the mannequin, participants experienced their phantom hand to either remain telescoped, or to actually be located below the stump. The effects were supported by subjective data from questionnaires, as well as verbal reports of the perceived location of the phantom hand in a visual judgment task. These findings are of particular interest, as they show that the temporary revoking of telescoping sensations does not necessarily have to involve the visualization of an intact hand or illusory movement of the phantom (as in the rubber hand illusion or mirror visual feedback therapy, but that it can also be obtained through mere referral of touch from the stump to the spatial location corresponding to that previously occupied by the intact hand. Moreover, our study also provides preliminary evidence for the fact that these manipulations can have an effect on phantom pain

  11. Ultrasound-guided alcohol neurolysis and radiofrequency ablation of painful stump neuroma: effective treatments for post-amputation pain

    Directory of Open Access Journals (Sweden)

    Zhang X

    2017-02-01

    Full Text Available Xin Zhang, Yongming Xu, Jin Zhou, Shaofeng Pu, Yingying Lv, Yueping Chen, Dongping Du Pain Management Center, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai, People’s Republic of China Background: Post-amputation pain (PAP is highly prevalent after limb amputation, and stump neuromas play a key role in the generation of the pain. Presently, PAP refractory to medical management is frequently treated with minimally invasive procedures guided by ultrasound, such as alcohol neurolysis and radiofrequency ablation (RFA.Objective: To record the immediate and long-term efficacy of alcohol neurolysis and RFA. We first used alcohol neurolysis and then, when necessary, we performed RFA on PAP patients.Study design: Prospective case series.Setting: Pain management center.Methods: Thirteen subjects were treated with ultrasound-guided procedures.Results: All patients were treated with neurolysis using alcohol solutions guided by ultrasound. Seven (54% of 13 subjects achieved pain relief after 1–3 alcohol injection treatments. The remaining 6 subjects obtained pain relief after receiving 2 administrations of ultrasound-guided RFA. After a 6-month follow-up evaluation period, pain quantities were also assessed. Both stump pain (including intermittent sharp pain and continuous burning pain and phantom pain were relieved. The frequency of intermittent sharp pain was decreased, and no complications were noted during the observation.Conclusion: The use of ultrasound guidance for alcohol injection and RFA of painful stump neuromas is a simple, radiation-free, safe, and effective procedure that provides sustained pain relief in PAP patients. In this case series, RFA was found to be an effective alternative to alcohol injection. Keywords: post-amputation pain, neuroma, ultrasound-guided, alcohol neurolysis, radiofrequency ablation

  12. Neurovascular calcaneo-cutaneus pedicle graft for stump capping in congenital pseudarthrosis of the tibia: preliminary report of a new technique.

    Science.gov (United States)

    Weber, Michael

    2002-01-01

    The operative treatment of congenital pseudarthrosis of the tibia, especially when associated with neurofibromatosis type I (Recklinghausen's disease), often leads to failure. Frequently, regardless of the type of deformity, multiple operative procedures end in the amputation of the affected limb. Soft tissue coverage of the amputation stump may confront the surgeon with new problems. Secondary perforation of the soft tissue envelope of the stump owing to terminal overgrowth is not a rare complication. A new technique of stump capping is demonstrated in a 10-year-old boy and a 14-year old girl, both with congenital pseudarthrosis of the tibia of the right leg and neurofibromatosis. During this procedure, a radical resection of the pseudarthrotic tissue is performed although all neurovascular structures supplying the calcaneus are carefully maintained (Arteria, vena et nervus tibialis posterior et peronealis). Subsequently, the tibia and fibula are inserted into the calcaneus. This construct is stabilized with two crossed Kirschner wires. Afterwards, the skin of the lower limb and the hindfoot are sutured together covering the neurovascular bundles, which are arranged in a loop-like fashion. The documented active range of motion was similar to that of the unaffected knee joint. Twelve weeks after operation in both patients, full weight bearing was achieved with a lower-leg prosthesis. This new procedure leads to a durable, full weight-bearing stump with complete sensitive innervation without the risk of future soft tissue perforation caused by the growing bone. The stump fits with an end-bearing lower-leg prosthesis.

  13. Adenocarcinoma arising from vaginal stump: unusual vaginal carcinogenesis 7 years after hysterectomy due to cervical intraepithelial neoplasia.

    Science.gov (United States)

    Shibata, Takashi; Ikura, Yoshihiro; Iwai, Yasuhiro; Tokuda, Hisato; Cho, Yuka; Morimoto, Noriyuki; Nakago, Satoshi; Oishi, Tetsuya

    2013-11-01

    Primary vaginal adenocarcinomas are one of the rarest malignant neoplasms, which develop in the female genital tract. Because of the extremely low incidence, their clinical and pathologic characteristics are still obscure. Recently, we experienced a case of vaginal adenocarcinoma that appeared 7 yr after hysterectomy because of cervical intraepithelial neoplasia. The patient, a 65-yr-old obese woman, was diagnosed as having adenocarcinoma in the vaginal stump and was treated by simple tumor excision and radiation. Immunohistochemical and molecular biologic examinations indicated a potential association with human papilloma virus infection in the development of the vaginal adenocarcinoma. There has been no evidence of recurrence for 3 yr after the operation.

  14. Direct Repair of Chronic Achilles Tendon Ruptures Using Scar Tissue Located Between the Tendon Stumps.

    Science.gov (United States)

    Yasuda, Toshito; Shima, Hiroaki; Mori, Katsunori; Kizawa, Momoko; Neo, Masashi

    2016-07-20

    Several surgical procedures for chronically ruptured Achilles tendons have been reported. Resection of the interposed scar tissue located between the tendon stumps and reconstruction using normal autologous tissue have been well described. We developed a direct repair procedure that uses scar tissue, which obviates the need to use normal autologous tissue. Thirty consecutive patients with Achilles tendon ruptures with a delay in diagnosis of >4 weeks underwent removal of a section of scar and healing tissue with direct primary suture of the ends of the tendon without the use of allograft or autograft. Patients were followed for a mean time of 33 months. Preoperative and postoperative clinical outcomes were measured with the Achilles Tendon Total Rupture Score (ATRS) and the American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot score. In addition, the patients underwent preoperative and postoperative functional measurements and magnetic resonance imaging. Lastly, we evaluated the histology of the interposed healing tissue. The mean AOFAS scores were 82.8 points preoperatively and 98.1 points postoperatively. The mean postoperative ATRS was 92.0 points. At the time of the latest follow-up, none of the patients had experienced tendon reruptures or difficulties in walking or climbing stairs, and all except 2 patients could perform a single-limb heel rise. All athletes had returned to their pre-injury level of sports participation. Preoperative T2-weighted magnetic resonance imaging showed that 22 Achilles tendons were thickened with diffuse intratendinous high-signal alterations, and 8 Achilles tendons were thinned. Postoperative T2-weighted magnetic resonance imaging findings included fusiform-shaped tendon thickening and homogeneous low-signal alterations of the tendons in all patients. Histologically, the interposed scar tissue consisted of dense collagen fibers. Shortening of the tissue between the 2 tendon ends that included healing scar and direct

  15. Early Rupture of an Ultralow Duodenal Stump after Extended Surgery for Gastric Cancer with Duodenal Invasion Managed by Tube Duodenostomy and Cholangiostomy

    Directory of Open Access Journals (Sweden)

    Konstantinos Blouhos

    2013-01-01

    Full Text Available When dealing with gastric cancer with duodenal invasion, gastrectomy with distal resection of the duodenum is necessary to achieve negative distal margin. However, rupture of an ultralow duodenal stump necessitates advanced surgical skills and close postoperative observation. The present study reports a case of an early duodenal stump rupture after subtotal gastrectomy with resection of the whole first part of the duodenum, complete omentectomy, bursectomy, and D2+ lymphadenectomy performed for a pT3pN2pM1 (+ number 13 lymph nodes adenocarcinoma of the antrum. Duodenal stump rupture was managed successfully by end tube duodenostomy, without omental patching, and tube cholangiostomy. Close assessment of clinical, physical, and radiological signs, output volume, and enzyme concentration of the tube duodenostomy, T-tube, and closed suction drain, which was placed near the tube duodenostomy site to drain the leak around the catheter, dictated postoperative management of the external duodenal fistula.

  16. Stump-harvest in Sweden : from an environmental impact assessment study to recommendations and an adaptive forest management approach from the Swedish Forest Agency

    Energy Technology Data Exchange (ETDEWEB)

    Egnell, G. [Swedish Univ. of Agricultural Sciences, Umea (Sweden). Faculty of Forestry, Dept. of Forest Ecology and Management

    2010-07-01

    Sweden is increasingly relying on the production of energy from its forest stocks, and its domestic annual bioenergy market is expanding rapidly. An environmental impact assessment study was conducted to determine the loss of biodiversity through the loss of coarse woody debris; soil damage; methyl mercury releases in surface waters; fine material and organic matter on surface waters; the greenhouse gas (GHG) balance; aesthetics; and side and stand productivity. The aim of the study was to determine the potential impact of tree stump harvesting in Swedish forests. The study showed that moderate stump-harvesting of between 5 and 10 per cent of the annual final cut areas will not have a significant impact on suitable stands. Results of the study will be used to provide recommendations for stand level restrictions where stump-harvesting is practiced.

  17. Two Drosophila model neurons can regenerate axons from the stump or from a converted dendrite, with feedback between the two sites.

    Science.gov (United States)

    Rao, Kavitha S; Rolls, Melissa M

    2017-08-17

    After axon severing, neurons recover function by reinitiating axon outgrowth. New outgrowth often originates from the remaining axon stump. However, in many mammalian neurons, new axons initiate from a dendritic site when the axon is injured close to the cell body. Drosophila sensory neurons are ideal for studying neuronal injury responses because they can be injured reproducibly in a variety of genetic backgrounds. In Drosophila, it has been shown that a complex sensory neuron, ddaC, can regenerate an axon from a stump, and a simple sensory neuron, ddaE, can regenerate an axon from a dendrite. To provide a more complete picture of axon regeneration in these cell types, we performed additional injury types. We found that ddaE neurons can initiate regeneration from an axon stump when a stump remains. We also showed that ddaC neurons regenerate from the dendrite when the axon is severed close to the cell body. We next demonstrated if a stump remains, new axons can originate from this site and a dendrite at the same time. Because cutting the axon close to the cell body results in growth of the new axon from a dendrite, and cutting further out may not, we asked whether the initial response in the cell body was similar after both types of injury. A transcriptional reporter for axon injury signaling, puc-GFP, increased with similar timing and levels after proximal and distal axotomy. However, changes in dendritic microtubule polarity differed in response to the two types of injury, and were influenced by the presence of a scar at the distal axotomy site. We conclude that both ddaE and ddaC can regenerate axons either from the stump or a dendrite, and that there is some feedback between the two sites that modulates dendritic microtubule polarity.

  18. Exploring the Use of Non-Image-Based Ultrasound to Detect the Position of the Residual Femur within a Stump

    Science.gov (United States)

    Chong, Sook-Yee; Röhrle, Oliver

    2016-01-01

    A satisfactorily fitted socket interacts dynamically with the stump in order to support body weight, transmit load effectively, enhance dynamic stability, and enable the control and stabilization of the residual limb. The internal dynamics occurring within a socket is important in determining optimal fit. Many measurement and imaging techniques, such as X-rays, have been utilized to investigate the movement of the residual femur within the stump during gait. However, due to associated health risks and costs, none of the current techniques have been extended to clinical prosthetics. The use of B-mode ultrasound has been suggested as a safe and cheap alternative, and has been utilized in previous studies to monitor the motion of the femur. However, the need to create a duplicate socket and time-consuming analysis of the images were obstacles to the system being applied clinically. This study aims to gauge the effectiveness of a non-image based ultrasound system. Here, we determined errors expected from the measurements. Accuracy errors of 2.9 mm to 8.4 mm and reproducibility measurements within a standard deviation of 3.9 mm are reported. We also estimated errors up to 14.4 mm in in-vivo measurements. We think there is potential in developing this technique, and we hope to reduce some technical difficulties such that it can, one day, be easily incorporated into prosthetic fitting. PMID:27764120

  19. Agency over a phantom limb and electromyographic activity on the stump depend on visuomotor synchrony: a case study

    Directory of Open Access Journals (Sweden)

    Shu eImaizumi

    2014-07-01

    Full Text Available Most patients, post-amputation, report the experience of a phantom limb. Some even sense voluntary movements when viewing a mirror image of the intact limb superimposed onto the phantom limb. While delayed visual feedback of an action is known to reduce a sense of agency, the effect of delayed visual feedback on phantom motor sensation (i.e., sense of controlling a phantom limb has not been examined. Using a video-projection system, we examined the effect of delayed visual feedback on phantom motor sensation in an upper-limb amputee (male; left upper-limb amputation. He was instructed to view mirrored video images of his intact hand clasping and unclasping during a phantom limb movement. He then rated the intensity of the phantom motor sensation. Three types of hand movement images were presented as follows: synchronous, asynchronous with a 250-ms delay, and asynchronous with a 500-ms delay. Results showed that phantom motor sensation decreased when the image was delayed by 250 and 500 ms. However, when we instructed the patient to adjust the phase of phantom limb movement to that of the image with a 500-ms delay, phantom motor sensation increased. There was also a positive correlation between intensity of phantom motor sensation and electromyographic activity on deltoids at the patient’s stump. These results suggest that phantom motor sensation and electromyographic activity on the stump depend on visuomotor synchrony and top-down effects.

  20. The Lateglacial and Postglacial vegetation history of the northwestern limits of Beringia, based on pollen, stomate and tree stump evidence

    Science.gov (United States)

    Pisaric, M. F. J.; MacDonald, G. M.; Velichko, A. A.; Cwynar, L. C.

    2001-01-01

    In order to reconstruct the Late- and Postglacial vegetation history of the northwestern edge of Beringia, a sediment core was collected from a lake north of the present treeline along the lower Lena River of northeastern Siberia, and analysed for fossil pollen and stomates. In addition, fossil tree stumps were collected in the vicinity of the lake. Eight radiocarbon dates indicate that the lake sediment record spans at least the past 12,300 yr BP. The early vegetation at this site was dominated by herb and shrub tundra. Possible evidence of Younger Dryas cooling, consisting of a decrease in shrub birch and increases in grass and herbaceous plants, occurs between 11,000 and 10,000 yr BP. Forests, dominated by Larix dahurica and including Picea obovata, extended northward to the site between 8500 and 3500 yr BP. There is an agreement between the pollen, stomate and tree stump evidence for this advance. The modern vegetation of shrub tundra was established after 3500 yr BP.

  1. Risk factors associated with pancreatic fistula after distal pancreatectomy, which technique of pancreatic stump closure is more beneficial?

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    AIM: To identify risk factors related to pancreatic fistula in patients undergoing distal pancreatectomy (DP) and to determine the effectiveness of using a stapled and a sutured closed of pancreatic stump.METHODS: Sixty-four patients underwent DP during a 10-year period. Information regarding diagnosis,operative details, and perioperative morbidity or mortality was collected. Eight risk factors were examined.RESULTS: Indications for DP included primary pancreatic disease (n = 38, 59%) and non-pancreatic malignancy (n = 26, 41%). Postoperative mortality and morbidity rates were 1.5% and 37% respectively; one patient died due to sepsis and two patients required a reoperation due to postoperative bleeding. Pancreatic fistula was developed in 14 patients (22%); 4 of fistulas were classified as Grade A, 9 as Grade B and only 1 as Grade C. Incidence of pancreatic fistula rate was significantly associated with four risk factors: pathology,use of prophylactic octreotide therapy, concomitant splenectomy, and texture of pancreatic parenchyma.The role that technique (either stapler or suture) of pancreatic stump closure plays in the development of pancreatic leak remains unclear.CONCLUSION: The pancreatic fistula rate after DP is 22%. This is reduced for patients with non-pancreatic malignancy, fibrotic pancreatic tissue, postoperative prophylactic octreotide therapy and concomitant splenectomy.

  2. Fungal Transformation of Tree Stumps into a Suitable Resource for Xylophagous Beetles via Changes in Elemental Ratios

    Directory of Open Access Journals (Sweden)

    Michał Filipiak

    2016-04-01

    Full Text Available The elements present in dead pine stumps inhabited by larvae of wood-boring beetles (Stictoleptura rubra, Arhopalus rusticus and Chalcophora mariana were analyzed over the initial (first 5 years; a chronosequence stages of wood decay. The quantities of N, P, K, Ca, Mg, Fe, Zn, Mn, Cu and Na (but not S increased with increases in the content of ergosterol (used as a proxy for the amount of fungal tissue. In fact, the amounts of P, N, K, Fe and Cu presented marked increases. These findings show that fungi stoichiometrically rearrange dead wood by importing externally occurring nutrients to decaying stumps. During the first years of wood decay, the ratios of C to other elements decrease substantially, but differently, for various elements, whereas the N:Fe, N:Cu, N:P and N:K ratios remain relatively stable. Therefore, the stoichiometric mismatch between xylophages and their food is greatly reduced. By changing the nutritional stoichiometry of dead wood, fungi create a nutritional niche for wood-eaters, and these changes enable the development of xylophages.

  3. Agency over a phantom limb and electromyographic activity on the stump depend on visuomotor synchrony: a case study.

    Science.gov (United States)

    Imaizumi, Shu; Asai, Tomohisa; Kanayama, Noriaki; Kawamura, Mitsuru; Koyama, Shinichi

    2014-01-01

    Most patients, post-amputation, report the experience of a phantom limb. Some even sense voluntary movements when viewing a mirror image of the intact limb superimposed onto the phantom limb. While delayed visual feedback of an action is known to reduce a sense of agency, the effect of delayed visual feedback on phantom motor sensation (i.e., sense of controlling a phantom limb) has not been examined. Using a video-projection system, we examined the effect of delayed visual feedback on phantom motor sensation in an upper-limb amputee (male; left upper-limb amputation). He was instructed to view mirrored video images of his intact hand clasping and unclasping during a phantom limb movement. He then rated the intensity of the phantom motor sensation. Three types of hand movement images were presented as follows: synchronous, asynchronous with a 250-ms delay, and asynchronous with a 500-ms delay. Results showed that phantom motor sensation decreased when the image was delayed by 250 and 500 ms. However, when we instructed the patient to adjust the phase of phantom limb movement to that of the image with a 500-ms delay, phantom motor sensation increased. There was also a positive correlation between intensity of phantom motor sensation and electromyographic (EMG) activity on deltoids at the patient's stump. These results suggest that phantom motor sensation and EMG activity on the stump depend on visuomotor synchrony and top-down effects.

  4. A comparative study of the modified Sauvé-Kapandji procedure for rheumatoid wrist with and without stabilization of the proximal ulnar stump.

    Science.gov (United States)

    Kawabata, A; Egi, T; Hashimoto, H; Masada, K; Saito, S

    2010-10-01

    We compared the clinical and radiological results of the modified Sauvé-Kapandji procedure for 41 of 86 operated rheumatoid wrists with (n=22) and without (n=19) stabilization of the proximal ulnar stump with a slip of half the extensor carpi ulnaris tendon. Gender, age, and follow-up period were similar in the two groups. We found no difference clinically or on radiographs between the two groups other than better early postoperative pain relief in those stabilized. Stabilization of the proximal ulnar stump may not be necessary in the modified Sauvé-Kapandji procedure for rheumatoid wrists.

  5. Stabilization of the Proximal Ulnar Stump after the Darrach or Sauvé-Kapandji Procedure by Using the Extensor Carpi Ulnaris Tendon

    OpenAIRE

    Chu, Po-Jung; Lee, Hung-Maan; Hung, Sheng-Tsai; Shih, Jui-Tien

    2008-01-01

    The Darrach and Sauvé-Kapandji procedures are considered to be useful treatment options for distal radioulnar joint disorders. Postoperative instability of the proximal ulnar stump and radioulnar convergence, however, may cause further symptoms. From October 1999 to May 2002, a total of 19 wrists in 15 men and four women, with an average age of 48.3 years, were treated by stabilizing the proximal ulnar stump with a half-slip of the extensor carpi ulnaris tendon using modified Darrach and Sauv...

  6. 3-D RESERVOIR AND STOCHASTIC FRACTURE NETWORK MODELING FOR ENHANCED OIL RECOVERY, CIRCLE RIDGE PHOSPHORIA/TENSLEEP RESERVOIR, WIND RIVER RESERVATION, ARAPAHO AND SHOSHONE TRIBES, WYOMING

    Energy Technology Data Exchange (ETDEWEB)

    Paul La Pointe; Jan Hermanson; Robert Parney; Thorsten Eiben; Mike Dunleavy; Ken Steele; John Whitney; Darrell Eubanks; Roger Straub

    2002-11-18

    This report describes the results made in fulfillment of contract DE-FG26-00BC15190, ''3-D Reservoir and Stochastic Fracture Network Modeling for Enhanced Oil Recovery, Circle Ridge Phosphoria/Tensleep Reservoir, Wind River Reservation, Arapaho and Shoshone Tribes, Wyoming''. The goal of this project is to improve the recovery of oil from the Tensleep and Phosphoria Formations in Circle Ridge Oilfield, located on the Wind River Reservation in Wyoming, through an innovative integration of matrix characterization, structural reconstruction, and the characterization of the fracturing in the reservoir through the use of discrete fracture network models. Fields in which natural fractures dominate reservoir permeability, such as the Circle Ridge Field, often experience sub-optimal recovery when recovery processes are designed and implemented that do not take advantage of the fracture systems. For example, a conventional waterflood in a main structural block of the Field was implemented and later suspended due to unattractive results. It is estimated that somewhere less than 20% of the OOIP in the Circle Ridge Field have been recovered after more than 50 years' production. Marathon Oil Company identified the Circle Ridge Field as an attractive candidate for several advanced IOR processes that explicitly take advantage of the natural fracture system. These processes require knowledge of the distribution of matrix porosity, permeability and oil saturations; and understanding of where fracturing is likely to be well-developed or poorly developed; how the fracturing may compartmentalize the reservoir; and how smaller, relatively untested subthrust fault blocks may be connected to the main overthrust block. For this reason, the project focused on improving knowledge of the matrix properties, the fault block architecture and to develop a model that could be used to predict fracture intensity, orientation and fluid flow/connectivity properties. Knowledge

  7. Clinical evaluation and treatment of stumps in amputees injured in Wenchuan earthquake%地震后截肢患者残肢的临床评定和康复治疗

    Institute of Scientific and Technical Information of China (English)

    武继祥; 刘宏亮; 周贤丽; 刘青山; 汪琴; 尹清; 余洪俊; 吴宗耀

    2008-01-01

    Objective To analyze the feature and cause of stumps of amputees after Wenchuan earthquake,and study the effects of rehabilitation treatment for stumps.Methods Fifty-two cases with stump limbs post-amputation were evaluated,including stump skin status,stump shape,stump length,stump swelling,range of motion (ROM)of joint and strength of stump,and were treated with physical therapy,stump moulding and kinesiotherapy.Results The incidences of stump ulcer,stump swelling,conical stump,short stump and limitation of ROM of joint in all 52 cases were 76%,73%,34%,40%and 42%respectively.After rehabilitation treatment stump ulcers healed,stump swelling eliminated;stump shape,ROM of joint and muscle strength improved obviously.All poor stumps could be fit with the prosthetic limb and get good function.Conclusion The incidences of poor stump limb post·amputation after earthquake were high.Rehabilitation treatment can improve the stump condition.Early comprehensive rehabilitative intervention after amputation is important for fitting the prosthetic limb tO the stump.%目的 分析地震致截肢患者残肢的特点和原因、观察康复治疗的效果.方法 从残端皮肤情况、残肢形态、残肢长度、残肢肿胀、残肢关节活动度和残肢肌力等方面对52条残肢进行评定,并进行物理治疗、残肢塑形和运动治疗.结果 52条残肢中,残端有溃疡或窦道、残肢肿胀、圆锥形残肢和短残肢分别占76%、73%、34%和40%,残肢关节活动受限者占42%,所有患者残肢肌力明显减退.经康复治疗后,残肢无肿胀、溃疡或窦道完全愈合,残肢形状、关节活动度和肌力明显改善,已达到假肢装配条件,均装配假肢,并获得良好的功能.结论 地震后截肢不良残肢发生率高,综合康复治疗能明显改善残肢条件,早期康复治疗对促进患者康复,安装假肢具有重要意义.

  8. [Effects of a series of food substances on motor and emptying function of the gastric stump and diverting intestinal loop after stomach resection and truncal vagotomy].

    Science.gov (United States)

    Loranskaia, T I; Khoromskiĭ, L N; Benedikt, V V

    1986-01-01

    Altogether 253 patients operated on for peptic ulcer were examined for the action of 30 foods on motor and evacuatory function of the gastric stump and efferent intestinal loop. 213 patients were subjected to gastric resection after Hofmeister-Finsterer and 40 patients to antrum resection and truncal vagotomy. Proceeding from the action on motor function of the gastric stump and efferent intestinal loop the foods were distributed into three groups: with a stimulation, inhibitory of weak effects on the function. The first group included beef and fish broths, boiled meat, rye bread, cabbage, tomato, apple, cherry and black currant juices, rhubarb infusion, fresh kefir, carrot and pumpkin purees. The group of foods producing an inhibitory action comprised milk and milk whey, cottage cheese, sugar, butter, sunflower oil, lard, rice and oat decoctions, mashed potatoes and potato juice, buckwheat porridge and semolina, wheat bread, raw eggs, and honey. The action of the same foods was found to be different as regards the effect on the gastric stump and efferent intestinal loop, on tonic and contractile functions of the organs. The dietetic management of patients undergoing gastric operations should be carried out on a strictly individualized basis with allowance made for the functions of the gastric stump and intestinal loop and for the action of foods on the organs.

  9. Stabilization of the proximal ulnar stump in the Sauvé-Kapandji procedure by using the extensor carpi ulnaris tendon: long-term follow-up studies.

    Science.gov (United States)

    Minami, Akio; Iwasaki, Norimasa; Ishikawa, Jun-Ichi; Suenaga, Naoki; Kato, Hiroyuki

    2006-03-01

    The Sauvé-Kapandji procedure is considered a useful treatment option for distal radioulnar disorders. Postoperative instability of the proximal ulnar stump and radioulnar convergence, however, may be symptomatic. We modified the Sauvé-Kapandji procedure by stabilizing the proximal ulnar stump with a half-slip of the extensor carpi ulnaris tendon. We previously reported on 13 patients with this procedure at an average follow-up period of 35 months; the patients had satisfactory clinical results and improved stability of the proximal ulnar stump as shown by x-ray examination. In this article we address the question of whether those clinical and radiographic results noted at an average follow-up period of 35 months after surgery were maintained at later follow-up examinations. We re-examined 12 of the 13 original patients and compared their initial follow-up results with their current results after an average follow-up period of 95 months. The results of this series after 95 months of follow-up evaluation were similar to the results at 35 months. The results presented in this article suggest that the clinical radiographic results at the 35-month follow-up examination were maintained in the long-term 95-month follow-up evaluation despite the finding that the hole in the proximal ulnar stump had broken in 3 wrists at follow-up examination. Therapeutic, Level IV.

  10. Stabilization of the proximal ulnar stump after the Darrach or Sauvé-Kapandji procedure by using the extensor carpi ulnaris tendon.

    Science.gov (United States)

    Chu, Po-Jung; Lee, Hung-Maan; Hung, Sheng-Tsai; Shih, Jui-Tien

    2008-12-01

    The Darrach and Sauvé-Kapandji procedures are considered to be useful treatment options for distal radioulnar joint disorders. Postoperative instability of the proximal ulnar stump and radioulnar convergence, however, may cause further symptoms. From October 1999 to May 2002, a total of 19 wrists in 15 men and four women, with an average age of 48.3 years, were treated by stabilizing the proximal ulnar stump with a half-slip of the extensor carpi ulnaris tendon using modified Darrach and Sauvé-Kapandji procedures. The average follow-up period was 77 months (range, 62 to 91 months). No patient complained of symptoms due to instability of the proximal ulnar stump. Grip strength improved in all wrists after surgery. Postoperative X-rays, including loading X-rays, showed improved alignment in both coronal and lateral planes. We concluded that stabilization of the proximal ulnar stump with ECU tenodesis is an effective procedure for treating distal radioulnar joint disorder after the Darrach and Sauvé-Kapandji procedures.

  11. NEUROBIOLOGICAL EFFECTS OF NRCF DERIVED FROMDISTAL STUMPS OF MOTOR NERVE AND SENSORY NERVEAND b-FGF ON CULTURED MOTONEURON IN VITRO

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    Objective To explore the mechanism of neurotropism in peripheral nerve regeneration by assessing the bioactivity of regeneration microcircumstance on motoneurons. Methods The motor branch of femoral nerve to quadriceps was incised and the distal stump was sutured with one-end silicone chamber. The nerve regeneration chamber fluids from distal motor nerve stumps ( motor branch of femoral nerve ) ( MD-NR- CF) was collected 7d post-operatively, and with the same method, nerve regeneration conditioned fluids from distal stumps nerve stumps ( saphenous nerve) ( SD-NRCF) was collected. The dissociated rat's motoneurons were co-cultured with MD-NRCF, SD-NRCF, basic fibroblast growth factor (b-FGF) and serum-free medium for 72h respectively and then were photographed under phase-contrast microscope. The longest neurites and cell- body areas of motoneurons from each group were measured by cell image processing computer system. MTT col- orimetric assay was also used to measure cell activation. Results The cells of MD-NRCF group had signifi- cantly longer neurites than the other 3 groups, and their activation was also superior to those of the other groups. Conclusion These results indicate that MD-NRCF has more significant neurite-promoting and neu- robiological effects on motoneuron than SD-NRCF and b-FGF.

  12. Effect of slash and stump removal on soil preparation and planting; Hakkuutaehteiden ja kantojen korjuun vaikutus maanmuokkaukseen ja metsaenviljelyyn - PUUT32

    Energy Technology Data Exchange (ETDEWEB)

    Saarinen, V.-M.; Harstela, P. [Finnish Forest Research Institute, Suonenjoki (Finland)

    2003-07-01

    The object of this study was to survey the effects of slash and stump removal on work productivity, work quality and technology of forest regeneration operations. Site preparation and planting were studied in test areas with and without slash or/and stump removal in different conditions. Work studies were done during site preparation and planting. The quality of mounding and planting was analysed by measurements of the seedlings. After slash removal, the increase of work productivity (E0) in mechanized planting was on average 18 per cent with Braecke and on average 0 per cent with Ecoplanter. The quality of mechanized planting was slightly better after slash removal. The productivity (E0) of excavator-mounted mounders was after slash removal on average about 22 per cent higher with mounding blade and 53 per cent higher with ditching bucket. The quality of mounding was at the same level in both slash treatments. The productivity of three forwarder-mounted mounders (E0) was on average 5 per cent lower after slash removal, but the quality of mounding was much better. In combined stump extraction and mounding the time consumption of mounding phase was on average 40 per cent lower than separate mounding after stump removal. (orig.)

  13. Characterization of sulfur deposition over the period of industrialization in Japan using sulfur isotope ratio in Japanese cedar tree rings taken from stumps.

    Science.gov (United States)

    Ishida, Takuya; Tayasu, Ichiro; Takenaka, Chisato

    2015-07-01

    We characterized the sulfur deposition history over the period of industrialization in Japan based on the sulfur isotope ratio (δ(34)S) in tree rings of Japanese cedar (Cryptomeria japonica D. Don) stumps. We analyzed and compared δ(34)S values in the rings from two types of disk samples from 170-year-old stumps that had been cut 5 years earlier (older forest stand) and from 40-year-old living trees (younger forest stand) in order to confirm the validity of using stump disks for δ(34)S analysis. No differences in δ(34)S values by age were found between the sample types, indicating that stump disks can be used for δ(34)S analysis. The δ(34)S profile in tree rings was significantly correlated with anthropogenic SO2 emissions in Japan (r = -0.76, p tree rings serve as a record of anthropogenic sulfur emissions. In addition, the values did not change largely from pre-industrialization to the 1940s (+4.2 to +6.1‰). The values before the 1940s are expected to reflect the background sulfur conditions in Japan and, thus, disks containing rings formed before the 1940s contain information about the natural environmental sulfur, which is useful for biogeochemical studies.

  14. Pregnancy and birth after intracytoplasmic sperm injection with normal testicular spermatozoa in a patient with azoospermia and tail stump epididymal sperm

    Directory of Open Access Journals (Sweden)

    Betina B. Povlsen

    2015-12-01

    Full Text Available Main findings: An intriguing yet perplexing case report of a successful pregnancy and live birth with intracytoplasmic sperm injection using normal testicular sperm, after the finding of azoospermia in the semen analysis and discovering only tail stump abnormal sperm in the epididymis. Case hypothesis: A tail stump sperm defect of genetic origin was suspected. However, after obtaining normal testicular sperm we concluded that obstructive azoospermia, either idiopathic or secondary to multiple minor genital trauma was the plausible scenario. This has rendered the search of previous reports on a similar condition, but none was found. However, it has raised scientific thoughts for future research. Promising future implications: The importance of reporting this case is to alert urologists performing sperm retrieval that healthy and morphologically normal sperm may be found in the testis of azoospermic men with 100% tail stump epididymal sperm. Retrieval of normal testicular sperm obviates the need of a more complex investigation, including sperm electron microscopy. It also offers the possibility of utilizing such gametes for sperm injections rather than abnormal tail stump sperm that may be associated with a poor reproductive outcome.

  15. Pondering the monoterpene composition of Pinus serotina Michx.: can limonene be used as a chemotaxonomic marker for the identification of old turpentine stumps?

    Science.gov (United States)

    Thomas L. Eberhardt; Jolie M. Mahfouz; Philip M. Sheridan

    2010-01-01

    Wood samples from old turpentine stumps in Virginia were analyzed by GC-MS to determine if the monoterpene compositions could be used for species identification. Given that limonene is reported to be the predominant monoterpene for pond pine (Pinus serotina Michx.), low relative proportions of limonene in these samples appeared to suggest that these...

  16. Comparison and Efficacy of LigaSure and Rubber Band Ligature in Closing the Inflamed Cecal Stump in a Rat Model of Acute Appendicitis

    Directory of Open Access Journals (Sweden)

    Chun-Chieh Yeh

    2015-01-01

    Full Text Available Safety of either LigaSure or rubber band in closing inflamed appendiceal stump in acute appendicitis has been less investigated. In this study, cecal ligation followed by resecting inflamed cecum was performed to mimic appendectomy in a rat model of acute appendicitis. Rats were sacrificed immediately (Group A and 7 days (Group B after cecal resection, respectively. The cecal stumps were closed by silk ligature (S, 5 mm LigaSure (L, or rubber band (R. Seven days after cecal resection, the LigaSure (BL and silk subgroups (BS had significantly less intra-abdominal adhesion and better laparotomy wound healing than rubber band subgroup (BR. The initial bursting pressure at cecal stump was comparable among the three methods; along with tissue healing process, both BL and BS provided a higher bursting pressure than BR 7 days after appendectomy. BL subgroup had more abundant hydroxyproline deposition than BS and BR subgroup. Furthermore, serum TNF-α in BR group kept persistently increasing along with time after cecal resection. Thus, the finding that LigaSure but not rubber band is safe in sealing off the inflamed cecal stump in rat model of acute appendicitis suggests the possibility of applying LigaSure for appendectomy via single port procedure or natural orifice transluminal endoscopic surgery (NOTES.

  17. The Relationships Between Diameter Stump Height (d0.30) and Diameter Breast Height (d1.30) for Scotch Pine (Pinus sylvestris (L.)) in West Black Sea RegionThe Relationships Between Diameter Stump Height (d0.30) and Diameter Breast Height (d1.30) for Scotc

    OpenAIRE

    ŞENYURT, Muammer

    2012-01-01

    In this study, it is proposed to determine the relationship between the diameter at stump height (d0.3) and diameter breast height (d1.30) for Scotch Pine (Pinus sylvestris (L.)) in West Black Sea Region including Kastamonu, Bolu and Ankara forest regional offices. For this purpose, 101 temporary sample plots were obtained and 1111 tree measurements for stump height (d0.3) and diameter breast height (d1.3) were carried out. The different regression models were selected and compared to some ...

  18. Prognosis of R1-resection at the bronchial stump in patients with non-small cell lung cancer

    Institute of Scientific and Technical Information of China (English)

    Lyu Jima; Hao Xuezhi; Hui Zhouguang; Liang Jun; Zhou Zongmei; Feng Qinfu; Xiao Zefen

    2014-01-01

    Background The prognosis of R1-resection at the bronchial stump in patients with non-small cell lung cancer (NSCLC) remains unclear.This study intends to identify the prognostic factors and to optimize treatments for these patients under update conditions.Methods The data of 124 NSCLC patients who underwent R1-resection at the bronchial stump was reviewed.There were 41 patients in the surgery group (S),21 in the postoperative radiotherapy (PORT) group (S+R),30 in the postoperative chemotherapy (POCT) group (S+C),and 32 in the PORT plus POCT group (S+R+C).The constitute proportion in different groups was tested using the X2 method,univariate analysis was performed using the Kaplan-Meier and log-rank method,and multivariate analysis was done using the Cox hazard regression with entry factors including age,sex,pathological type and stage,classification of the residual disease,and treatment procedure.The process was performed stepwise backward with a maximum iteration of 20 and an entry possibility of 0.05 as well as an excluded possibility of 0.10 at each step.Results In univariate analysis,survival was more favorable for patients with squamous cell carcinoma,early pathological T or N stage,and chemotherapy or radiotherapy.There was no significant difference in the survival for patients with different types of the residual disease,except for the difference between patients with carcinoma in situ and lymphangiosis carcinomatosa (P=0.030).The survival for patients receiving chemoradiotherapy was superior to that for those undergoing surgery alone (P=0.016).In multivariate analysis,the pathological type (HR 2.51,95% CI 1.59 to 3.96,P=0.000),pathological T (HR 1.29,95% CI 1.04 to 1.60,P=-0.021) or N stage (HR 2.04,95% CI 1.40 to 2.98,P=0.000),and chemotherapy (HR 0.24,95% CI 0.13 to 0.43,P=0.000) were independent prognostic factors.Conclusion Patients with squamous cell carcinoma,early pathological T or N stage,or receiving chemotherapy had a more favorable

  19. A case of nonisland pedicled foot fillet flap for below-knee amputation stump wound: treatment option for compartment syndrome after fibular free flap surgery.

    Science.gov (United States)

    Hwang, Jae Ha; Kim, Kwang Seog; Lee, Sam Yong

    2014-02-01

    Despite the frequent use of the fibular free flap, there have been no reports of severe compartment syndrome of the donor leg that necessitated limb amputation. A 66-yr-old man had a fibular osseous free flap transfer from the left leg to the mandible that was complicated by postoperative compartment syndrome. An extensive chronic leg wound resulted, which was treated with multiple debridements and finally with below-knee amputation. Successful coverage of the below-knee amputation stump was accomplished with a nonisland pedicled foot fillet flap. Various foot fillet flaps may be used acutely as a free or an island pedicled flap, but dissection of the vascular pedicle may be difficult in a chronically inflamed wound because of inflammation and adhesions to surrounding tissue. The nonisland pedicled foot fillet flap may be considered as a useful option for treatment of a chronically inflamed stump wound after below-knee amputation.

  20. Normal nerve-fibres in the distal segment of nerves completely separated from the proximal stump for more than six months

    Directory of Open Access Journals (Sweden)

    Eros Abrantes Erhart

    1962-12-01

    Full Text Available Our experimental and histopathological findings of normal nerve-fibres in the distal and intermediate segments of nerves completely separated from the proximal stump for more than six months differs from those of previous observers, and the application of our observations in surgical reconstruction of about one hundred human nerves, chiefly from the upper limb, has resulted in appreciably great degrees of success in most cases.

  1. Comparison the effect of stump closure by endoclips versus endoloop on the duration of surgery and complications in patients under laparoscopic appendectomy: A randomized clinical trial

    Science.gov (United States)

    Sadat-Safavi, Seyed Abas; Nasiri, Shirzad; Shojaiefard, Abolfazl; Jafari, Mehdi; Abdehgah, Ali Ghorbani; Notash, Aidin Yghoobi; Soroush, Ahmadreza

    2016-01-01

    Background: Laparoscopic appendectomy is a well-described surgical technique. However, concerns still exist regarding whether the closure of the appendiceal stump should be done with a clip, an endoloop, or other techniques. In this study, the effect of stump closure on duration of surgery and complications by endoclips was compared with endoloop in patients under laparoscopic appendectomy. The study was carried out as a prospective randomized clinical trial between 2013 and 2015 in Shariati Hospital of Tehran. Materials and Methods: Seventy-six patients under laparoscopic appendectomy were enrolled and randomly assigned to receive either endoclips or endoloop for stump closure. The results in terms of the operating time, length of hospital stay, and the complications were compared and analyzed between two groups. After collecting the essential data by using a checklist and examination of patients, the data were analyzed with SPSS. Results: The mean age was 23.13 ± 5.07 years and 44.7% of the patients were male. Moreover, in this study, it was seen that the mean duration of surgery was 23.2 min versus 21.5 min in endoloop and endoclips groups, respectively (P = 0.021). There was no difference between hospital stay among two groups (P > 0.05). Furthermore, the complications were same in two groups (P > 0.05). Conclusion: The effect of stump closure with endoloop versus endoclips is not different for complications, but the duration of surgery was shorter in endoclips method. Both methods could be used based on the opinion of the surgeon without expecting a statistically significant difference in the results. PMID:28163733

  2. A Case of Nonisland Pedicled Foot Fillet Flap for Below-Knee Amputation Stump Wound: Treatment Option for Compartment Syndrome after Fibular Free Flap Surgery

    OpenAIRE

    Hwang, Jae Ha; Kim, Kwang Seog; Lee, Sam Yong

    2014-01-01

    Despite the frequent use of the fibular free flap, there have been no reports of severe compartment syndrome of the donor leg that necessitated limb amputation. A 66-yr-old man had a fibular osseous free flap transfer from the left leg to the mandible that was complicated by postoperative compartment syndrome. An extensive chronic leg wound resulted, which was treated with multiple debridements and finally with below-knee amputation. Successful coverage of the below-knee amputation stump was ...

  3. Retrospective analysis of risk factors affecting pacreatic fistula formation after the closure of the pancreatic stump with sutures in distal pancreatectomy.

    Science.gov (United States)

    Unek, Tarkan; Egeli, Tufan; Ozbilgin, Mucahit; Arslan, Naciye Cigdem; Astarcioglu, Huseyin; Karademir, Sedat; Atasoy, Gulsen; Astarcioglu, Ibrahim

    2013-10-01

    Development of pancreatic fistula after distal pancreatectomy is still a major problem. Various methods have been defined to prevent the development of the fistula. In this study, the results of suture closure of pancreatic duct and closure of pancreatic stump with “U” sutures passing through each other and the risk factors affecting the development of fistula are studied. Fifty-one patients with prospectively collected data were included in the study. In all patients, pancreatic stump was closed with the same surgical technique. Risk factors that may affect fistula formation were studied between groups with and without fistula. Pancreatic fistula definition was made according to the International Study Group on Pancreatic Fistulas classification. Eight (15.7%) of the 51 patients had fistula. Clinically significant fistula ratio was 9.8% (according to ISGPF B and C). Additional organ resections were performed in 18 patients (35.3%). In multivariate analysis, the soft texture of pancreatic parenchyma (OR: 12.420, p = 0.048) and over 150 mL of blood loss (OR: 1.003, p = 0.043) were found as risk factors for the development of fistula. Closure of pancreatic stump after distal pancreatectomy with “U” shaped sutures passing through each other is a method that can be performed safely.

  4. Gastric Stump Cancer: More Than Just Another Proximal Gastric Cancer and Demanding a More Suitable TNM Staging System

    Directory of Open Access Journals (Sweden)

    André Costa-Pinho

    2013-01-01

    Full Text Available Background. Considerable controversy persists about the biological behavior of gastric stump cancer (GSC. The aim of this study is to clarify if this cancer is just another proximal gastric cancer or if it emerges as a distinctive clinicopathologic entity. Methods. This review of a prospectively collected gastric cancer database identified 73 patients with GSC in a single institution between January 1980 and June 2012 and compared them with 328 patients with proximal gastric cancer (PGC and 291 patients with esophagogastric junction cancer (EGJC. Results. Patients with GSC were predominantly males. Eighty-three percent of GSC penetrated the subserosal or the serosal layers. The median number of lymph nodes retrieved in GSC patients was significantly lower than in PGC patients or in EGJC patients. Cumulative survival curves were not different between GSC, PGC, or EGJC patients. Unlike that observed in PGC and in EGJC, no significant differences in cumulative survival according to the TNM staging system were observed in GSC cases. Conclusions. The outcome of patients with GSC displayed significant differences when compared to those with other proximal gastric cancers concerning the lack of survival association with the TNM staging system. Therefore a more suitable staging system should be designed for these unique cancers.

  5. 神经断端肌肉内埋入法治疗汶川地震截肢伤员痛性神经瘤%Treatment of painful stump neuroma by resection and nerve stump implantation into muscle in twelve Wenchuan earthquake amputees

    Institute of Scientific and Technical Information of China (English)

    何纯青; 赵正恩; 许猛; 张立海; 柳现飞; 唐佩福

    2011-01-01

    目的:探讨神经断端肌肉内埋入法治疗地震伤截肢残端痛性神经瘤的临床疗效.方法:应用神经断端肌肉内埋入法治疗汶川地震伤截肢伤员痛性神经瘤12例27处,观察术后症状、体征及患肢功能改变情况.结果:12例全部获随访12~26个月,平均16个月.随访时患者主诉肢体残端疼痛和触电感消失;局部无压痛、叩击痛和Tinel征,残端软组织内未触及硬性结节或包块;患肢功能较术前明显改善.结论:采用神经断端肌肉内埋入法治疗地震伤截肢残端痛性神经瘤,可减轻痛苦,疗效确切.%Objective To investigate the clinical efficacy of a painful stump neuroma treatment by resection and nerve stump implantation into muscle in treating Wenchuan earthquake amputees. Methods In 12 Wenchuan earthquake amputees (27 painful neuromas), painful neuroma underwent resection and implantation into the nearby muscle. Changes of symptoms and limb function were observed. Results All the cases were followed up for 12 -26 months with an average of 16 months. It was shown that limb stump pain and “electric -shock” sensation disappeared without any local tenderness, percussion tenderness or Tinel sign. The soft tissue nodule or mass of limb stump disappeared. Limb function improved, compared with preoperative evaluation. Conclusions Pesection and nerve stump implantation into muscle is a feasible and effective method for treatment of painful stump neuroma after amputation.

  6. A meta-analysis of the impact of bronchial stump coverage on the risk of bronchopleural fistula after pneumonectomy.

    Science.gov (United States)

    Di Maio, Massimo; Perrone, Francesco; Deschamps, Claude; Rocco, Gaetano

    2015-08-01

    The occurrence of bronchopleural fistula (BPF) after pneumonectomy is associated with high morbidity and mortality. The incidence of BPF in historical patients not subjected to bronchial stump coverage (BSC) was between 6 and 12% after pneumonectomy for lung cancer surgery or benign disease. BSC is considered an important prophylactic measure against BPF and is widely used, but its efficacy remains unknown. Our aim was to systematically review the literature, in order to quantify BPF risk in patients receiving or not receiving BSC with any tissue after pneumonectomy. We performed a systematic review in PubMed, for papers published between 1999 and 2012, analysing series of patients treated with pneumonectomy and including both patients receiving coverage and patients not receiving coverage. Both randomized and non-randomized series were eligible. Proportion of failures (i.e. BPF) was analyzed separately in the two groups (patients receiving BSC and patients not receiving BSC). For each study and for the overall series, 95% confidence interval (CI) (without continuity correction) of the observed proportion was calculated. Overall, 21 series were eligible, with 3879 patients (1774 receiving BSC and 2105 not receiving coverage). The decision to perform or not the BSC was randomized only in one small trial, limited to diabetic patients, showing a significant reduction of BPF in favour of coverage. In the 20 remaining studies, baseline risk of BPF in the group of patients receiving BSC and in the group of patients who did not receive coverage was different. In patients receiving coverage, the proportion of BPF was 6.3% (95% CI: 5.3-7.5%). In patients not receiving coverage, the proportion of BPF was 4.0% (95% CI: 3.2-4.9%). In recently published series, the vast majority of patients considered at high risk for BPF received BSC. This common practice hinders an unbiased estimate of the efficacy of BSC in reducing BPF risk. Results of this meta-analysis show that, despite

  7. Tree stumps from the bottom of the Vistula Lagoon as indicators of water level changes in the Southern Baltic during the Late Holocene

    Directory of Open Access Journals (Sweden)

    Szymon Uścinowicz

    2007-06-01

    Full Text Available The Vistula Lagoon is situated along the south-eastern shoreof the Gulf of Gdansk and is linked with the gulf through theStrait of Baltiysk. Separated from the open sea by the VistulaSpit, the Vistula Lagoon is a shallow body of water with a meandepth of 3 m; the bottom is covered with a layer of mud severalmetres thick.This article presents a unique, newly discovered localityof tree stumps occurring in situ at the bottom of the VistulaLagoon. The radiocarbon age of the alder stumps and the top ofthe peat in which they are rooted is Subboreal. The alder woodwas dated to 4770±35 and 3295±35 years BP. Thetop layers of peat were dated to 4670±40, 4410±35and 3690±35 years BP. The considerable scatter of thedates indicates the significance of erosional processes duringmarine transgressions. Radiocarbon dates and pollen analysesindicate that in the late Atlantic - early Subboreal periods,the water level of the Vistula Lagoon was about 3 m lower thanit is today. The -2 m level was passed no earlier than c. 3500years ago; the -1 m level was reached around 2000 years ago.

  8. Pressure distribution at the stump/socket interface in transtibial amputees during walking on stairs, slope and non-flat road.

    Science.gov (United States)

    Dou, Peng; Jia, Xiaohong; Suo, Shuangfu; Wang, Rencheng; Zhang, Ming

    2006-12-01

    Studies examining the stump/socket interface stresses have been restricted to unsupported stance and natural gait, i.e. walking at a comfortable speed on flat and straight walkway. However, the pressure behaviour as to the interface in unilateral transtibial amputees during walking on stairs, slope and non-flat road is unclear. Pressure distribution changes at multiple points, expressed as mean peak stump/socket interface pressure, mean pressure level over 90% of peak pressure, time in which pressure exceeded 90% of peak pressure and time-pressure integral at the period of sustained sub-maximal load, were measured during natural ambulating and walking on stairs, slope and non-flat road. Compared with natural gait, the mean peak pressure and sustained sub-maximal load increase notably over the patellar tendon during walking on stairs and non-flat road, and however decrease or change insignificantly at the patellar tendon on slope and over other measured areas in all conditions; moreover the time period of sustained sub-maximal load changes remarkably, except over the patellar tendon during walking up slope and over the popliteal area on non-flat road; finally, the time-pressure integral in the time period of sustained sub-maximal load changes considerably, except at the patellar tendon during walking up slope. The pressure characteristics during natural ambulating seem not to be highly predictive of what occurs in the conditions of walking on stairs, slope and non-flat road, which leads to significant increase in amplitude domain of tissue loading only at the patellar tendon, and however to remarkable changes in temporal sequences of tissue (un-)loading almost in all measured regions.

  9. In situ ∼2.0 Ma trees discovered as fossil rooted stumps, lowermost Bed I, Olduvai Gorge, Tanzania.

    Science.gov (United States)

    Habermann, Jörg M; Stanistreet, Ian G; Stollhofen, Harald; Albert, Rosa M; Bamford, Marion K; Pante, Michael C; Njau, Jackson K; Masao, Fidelis T

    2016-01-01

    The discovery of fossil rooted tree stumps in lowermost Lower Bed I from the western Olduvai Basin, Tanzania, age-bracketed by the Naabi Ignimbrite (2.038 ± 0.005 Ma) and Tuff IA (1.88 ± 0.05 Ma), provides the first direct, in situ, and to date oldest evidence of living trees at Olduvai Gorge. The tree relicts occur in an interval dominated by low-viscosity mass flow and braided fluvial sediments, deposited at the toe of a largely Ngorongoro Volcano-sourced volcaniclastic fan apron that comprised a widely spaced network of ephemeral braided streams draining northward into the Olduvai Basin. Preservation of the trees occurred through their engulfment by mass flows, post-mortem mold formation resulting from differential decay of woody tissues, and subsequent fluvially-related sediment infill, calcite precipitation, and cast formation. Rhizolith preservation was triggered by the interaction of root-induced organic and inorganic processes to form rhizocretionary calcareous root casts. Phytolith analyses were carried out to complete the paleoenvironmental reconstruction. They imply a pronounced seasonality and indicate a wooded landscape with grasses, shrubs, and sedges growing nearby, comparable to the low, open riverine woodland (unit 4c) along the Garusi River and tributaries in the Laetoli area. Among the tree stump cluster were found outsized lithic clasts and those consisting of quartzite were identified as Oldowan stone tool artifacts. In the context of hominin activity, the identification of wooded grassland in association with nearby freshwater drainages and Oldowan artifacts significantly extends our paleoenvironmental purview on the basal parts of Lower Bed I, and highlights the hitherto underrated role of the yet poorly explored western Olduvai Gorge area as a potential ecologically attractive setting and habitat for early hominins. Copyright © 2015 Elsevier Ltd. All rights reserved.

  10. 上肢残肢的常规康复治疗和肌电信号反馈训练%The prosthetic rehabilitation and training of myoelectric signal for upper limb stumps

    Institute of Scientific and Technical Information of China (English)

    武继祥; 刘宏亮; 周贤丽; 林永辉; 赵正福; 陈东; 吴宗耀

    2008-01-01

    Objective To evaluate the effect of prosthetic rehabilitation and analyze the exercise training program with myoelectric signal for upper limb stumps.Methods Twenty canes with 22 upper limb stumps were treated with exercise for strength training,muscle contraction and control training and the complication of stump were managed.The myoelectrlc signal of upper limb stumps were detected and the stumps were trained with electronic biofeedback software system,including basic signal of biofeedback training and visual biofeedback training.Then the myoelectric prostheses were assembled.Results After prosthetic rehabilitation and myoelectfic signal training,there Wan no significant atrophy of muscle of stumps,muscle strength and range of motion of these twenty limb stumps increased.The amputees could control muscle contraction and grasp,pinch,wrist rotation,elbow extension or flexion consciously.Twenty myoelectrie prostheses were assembled.Conclusion The prosthetic rehabilitation and myoelectric signal training of limb stump is important for assembling myoelectric prosthesis.%目的 探讨上肢截肢患者的常规康复治疗、残肢肌电信号训练程序以及装配肌电假肢的方法 ,并观察其效果.方法 对20例截肢患者(22个残肢)进行常规康复治疗,包括肌力训练、肌肉收缩控制训练和残肢并发症的处理.采用德国Otto Bock公司提供的肌电信号检测和训练软件系统进行肌电信号训练(分为基础肌电信号训练和视觉反馈训练两个阶段),并装配肌电假肢.观察患者的治疗效果.结果 20例截肢患者22个残肢肌肉无明显萎缩,肌力好,关节活动范围无明显受限,患者能较好地控制残肢肌肉收缩.装配肌电假肢20例(20个),所有残肢均能有意识地引出肌电信号,控制假肢的手指打开、闭合以及腕关节的旋转或肘关节的屈伸.结论 残肢常规康复治疗和肌电信号训练对装配肌电假肢,实现有意识地控制假肢功能极为重要.

  11. 应用木腐菌处理松材线虫病疫木伐桩的研究%Study on Using Wood-rotting Fungi to Treat Stumps of Dead Wood Caused by PWN (Bursaphelenchus xylophilus)

    Institute of Scientific and Technical Information of China (English)

    邓习金; 刘晖; 罗惠文; 黄燕洪

    2014-01-01

    Diseased stumps is cure difficulty of pine wood nematode disease, it is an environmental protection, control technology effectively that using wood rotting fungi treated pine wood nematode infected stumps. In th is study, the 13 kinds of wood-rotting fungi were chosen to evaluate the irrelation with Bursaphelenchus xylophilus ( PWN ) , the ability to decompose the wood specimens of Pinus massoniana and the stumps of dead pine trees caused by PWN, by screening and propagating good strains of the wood-rotting fungi, and using to field test, the results showed that all the wood-rotting fungi tested had certa in nematicidal effects on PWN except Schizophyllum commune and Coriolus versicolor, and 6 strains could completely inhibit the pine wood nematode, they are Tremellodon gelatinosum, Fomitopsis pinicola, Pleurotus ostreatus, Laetiporus sulphureus, Poria cocos, Ganoderma lucidum. The test results of decomposing pine wood and disease stumps showed that they had played some decomposition effect to the diseased stumps, after treating stumps inoculating above 6 strains for 70 d, especially, Laetiporus sulphureus showed higher ability to decomposing and colonising the stumps,and inhibiting and killing nematodes, it could be used to treat stumps of dead wood caused by PWN in the future.%疫木伐桩是松材线虫病除治中的难点,利用木腐菌处理松材线虫病疫木伐桩是一项环保、有效的伐桩处理技术。本试验研究了13种木腐菌对松材线虫的抑制作用以及对马尾松木块和松材线虫病疫木伐桩的分解能力,通过对木腐菌的筛选、优良菌株的扩繁,将优良木腐菌应用于松材线虫病疫木伐桩野外试验,结果表明,供试菌株除裂褶菌和杂色云芝外,其他菌都能抑制松材线虫的生长与繁殖,其中虎掌菌、松生拟层孔菌、粗皮侧耳、硫磺菌、茯苓和灵芝等6个菌能完全抑制松材线虫的数量。对马尾松木块及疫木伐桩的分解试

  12. 自制残肢伤口固定套在截肢患者中的应用%Application of homemade stump wound fixed sets for amputees

    Institute of Scientific and Technical Information of China (English)

    唐翠; 许月萍; 王刚

    2014-01-01

    目的:利用自制残肢伤口固定套固定残肢伤口,探讨其临床应用效果。方法选择急诊行截肢手术的肢体毁损伤患者68例,随机分为观察组35例,术后利用自制残肢伤口固定套固定;对照组33例采用敷料外U型石膏固定。比较两组患者术后伤口引流量、局部肿胀程度、残肢皮肤压疮、伤口感染、邻近关节活动功能情况。结果观察组感染率为5.71%,皮肤压疮坏死率为8.57%,肿胀发生率为28.57%,均低于对照组(18.18%,15.15%,54.55%),差异有统计学意义(χ2值分别为3.810,3.340,4.790;P<0.05)。观察组患者术后伤口引流量为(46.80±12.35) ml,邻近关节活动度为(145.68±13.20)°,对照组分别为(89.81±10.61)ml,(112.46±9.21)°,两组比较差异有统计学意义(t值分别为24.721,11.330;P<0.05)。结论利用自制残肢伤口固定套固定残肢伤口,能减少伤口术后出血,促进肿胀消退,减少皮肤压疮,有利于早期邻近关节功能锻炼。%Objective To discuss the clinical effect of homemade stump wound fixed sets for amputees. Methods From January 2010 to November 2013 we treated sixty eight cases of patients with smashed wound, who received emergency amputation surgery.We randomly selected thirty five cases of using homemade stump wound fixed sets as experimental group, and chosenthirty three cases of using the U-shaped plaster dressingmethodto dress outside wound as control group, comparing two groups with postoperative wound drainage, local swelling, stump skin pressure sores, wound infection, joint function close to the situation. Results In the experimental group, the infection rate was 5.71%, skin necrosis rate 8.57%, incidence of swelling 28.57%,while those rate in the control group were 18.18%,15.15% and 54.55% respectively, the differences were statistically signifcant (χ2 =3

  13. 腹腔镜手术治疗残胃癌7例分析%Laparoscopic gastrectomy for gastric stump cancer:analysis of 7 cases

    Institute of Scientific and Technical Information of China (English)

    张人超; 徐晓武; 牟一平; 周育成; 周家瑜; 黄超杰; 许芸芸

    2016-01-01

    目的:探讨腹腔镜手术治疗残胃癌的安全性和可行性。方法回顾性分析2008年1月至2015年7月间在浙江省人民医院胃肠胰外科接受腹腔镜手术治疗的7例残胃癌患者的临床和随访资料。结果7例患者中男性5例,女性2例;年龄(62.1±10.7)岁;胃良性病变术后残胃癌4例,距胃首次手术时间6~30年;胃癌术后残胃再发癌3例,距胃首次手术时间11~15年。首次手术行BillrothⅡ术式者6例,Roux-en-Y术式者1例。本次手术分离腹腔粘连及探查腹腔后确定肿瘤位置后,行残胃切除加淋巴清扫术,然后进行食管空肠Roux-en-Y吻合。1例使用圆形吻合器行食管空肠端侧吻合;2例使用内镜直线切割闭合器食管空肠侧侧吻合;4例行手工缝合食管空肠吻合。手术时间(247.1±17.5) min;术中出血量(100.0±30.8) ml;术中均未输血。淋巴结清扫(19.1±4.8)枚。术后肛门排气时间(3.3±1.5) d;进食流质时间(3.7±0.8) d,住院时间(9.4±2.6) d。1例患者术后出现消化道出血,保守治疗后痊愈;无围手术期死亡者。术后7例均获得随访,随访时间截至2016年1月。随访6~38月。1例术后17月死于腹腔转移,1例术后19月死于阿尔茨海默病。存活的5例至今无肿瘤复发或转移。结论腹腔镜手术治疗残胃癌安全可行。%Objective To evaluate the safety and feasibility of laparoscopic gastrectomy for gastric stump cancer. Methods Clinical and follow-up data of 7 patients who underwent laparoscopic gastrectomy for gastric stump cancer in our department from January 2008 to July 2015 were analyzed retrospectively. Results There were 5 male and 2 female patients, with a mean age of (62.1 ±10.7) years. Initial gastrectomy was performed for gastric cancer in 3 patients and peptic ulceration in 4. The initial surgery was B-Ⅱ gastrojejunostomy in 6 patients and Roux-en-Y gastrojejunostomy in 1

  14. Gastric stump carcinoma after distal subtotal gastrectomy for early gastric cancer: experience of 541 patients with long-term follow-up.

    Science.gov (United States)

    Morgagni, Paolo; Gardini, Andrea; Marrelli, Daniele; Vittimberga, Giovanni; Marchet, Alberto; de Manzoni, Giovanni; Di Cosmo, Maria Antonietta; Rossi, Gian Maria; Garcea, Domenico; Roviello, Franco

    2015-06-01

    Gastric stump carcinoma (GSC) has been studied after primary gastrectomy for benign disease but few studies have evaluated its correlation with gastric cancer. We assessed 541 patients submitted to subtotal gastrectomy for early gastric cancer at least 15 years ago. GSC was diagnosed in 16 (2.9%) patients, giving a 4% cumulative risk of GSC 20 years after surgery. Diagnosis was made within 5 years of surgery in 10 patients and after 8 years in 6 cases. GSC occurred in 13/470 (2.8%) patients submitted to Billroth 2 reconstruction, 2/30 (6.7%) patients who underwent Billroth 1, and 1/41 (2.4%) patients after Roux-en-Y reconstruction. Significant risk factors observed for GSC were histologic type and sex. Other synchronous or metachronous extragastric tumors were registered in 56 (11.2%) patients. The risk of GSC was low, even 20 years after subtotal gastrectomy for early gastric cancer. Lauren intestinal histotype and male sex were frequently associated with GSC. No correlation was observed between GSC and reconstruction technique or multifocality. Clinically speaking, GSC could be considered a subset of gastric cancer. Copyright © 2015 Elsevier Inc. All rights reserved.

  15. Prevalence of phantom limb pain, stump pain, and phantom limb sensation among the amputated cancer patients in India: A prospective, observational study

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    Arif Ahmed

    2017-01-01

    Full Text Available Introduction: The phantom limb pain (PLP and phantom limb sensation (PLS are very common among amputated cancer patients, and they lead to considerable morbidity. In spite of this, there is a lack of epidemiological data of this phenomenon among the Asian population. This study was done to provide the data from Indian population. Methods: The prevalence of PLP, stump pain (SP, and PLS was prospectively analyzed from the amputated cancer patients over a period of 2 years in Dr. B.R.A. Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi. The risk factors and the impact of phantom phenomenon on patients were also noted. Results: The prevalence of PLP was 41% at 3 and 12 months and 45.3% at 6 months, whereas that of SP and PLS was 14.4% and 71.2% at 3 months, 18.75% and 37.1% at 6 months, 15.8% and 32.4% at 12 months, respectively. There was higher prevalence of PLP and PLS among the patients with history of preamputation pain, smoking with proximal level of amputation, receiving general anesthesia, receiving intravenous (IV opioid postoperative analgesia, and developing neuroma or infection. Conclusion: The prevalence of PLP and PLS was higher among the cancer amputees as compared to SP, and a few risk factors responsible for their higher prevalence were found in our study. The PLP and PLS lead to considerable morbidity in terms of sleep disturbance and depression.

  16. Rebrota de cepas de Acacia mearnsii em diferentes idades, épocas do ano e alturas de corte Resprouting of Acacia mearnsii stumps under different ages, seasons and cut heights

    Directory of Open Access Journals (Sweden)

    Edison Rogério Perrando

    2006-04-01

    Full Text Available O objetivo deste trabalho foi avaliar o efeito da idade, da época do ano e da altura de corte sobre a capacidade de rebrota de cepas de Acacia mearnsii De Wild. O trabalho foi conduzido em delineamento de blocos ao acaso e parcelas subdivididas no tempo. Em árvores de quatro e sete anos, foram avaliadas as alturas de corte de 0,15; 0,30; 0,45; 0,60; 1,2 e 2 m aos 15, 30, 45, 60, 75 e 90 dias depois do corte, nas quatro estações do ano. Obteve-se interação significativa entre a altura de corte e a época de avaliação, em ambas as idades avaliadas. As maiores médias, quanto ao número de brotações por cepa, foram constatadas a 1,2 e 2 m de altura, na idade de quatro anos. Elevados porcentuais de mortalidade foram registrados em cepas com sete anos, independentemente da altura de corte. A capacidade de rebrota em cepas de acácia-negra é estimulada, quando o corte é realizado no período entre o outono e a primavera. O verão é a estação menos adequada à rebrota de cepas dessa espécie.The objective of this work was to evaluate the effect of age, time of the year and cut height on the resprouting capacity of Acacia mearnsii De Wild. stumps. The work was conducted in stands of four and seven years of age, in randomized blocks design and time subdivided plots. Different cut heights (0.15; 0.30; 0.45; 0.60; 1.2 and 2 m, and evaluation times (15, 30, 45, 60, 75 and 90 days after cutting, in the four seasons of the year were evaluated. A significant interaction between cut height and evaluation time was found in both ages. The higher averages due to stumps in each strain were verified in 1.2 and 2 m height, in the age of four years. High death percentages were registered in seven years-old stumps, independently of cut height. The resprouting capacity of black wattle stumps is stimulated when cut is conducted between autumn and spring; summer is the least suitable season to stumps resprouting of this specie.

  17. Lateral upper arm retrograde island flap transfer for coverage of stump wound after forearm amputation%上臂外侧逆行岛状皮瓣修复前臂截肢后残端创面

    Institute of Scientific and Technical Information of China (English)

    许亚军; 陈政; 包岳丰; 周晓; 张辉; 周建东; 陈学明

    2014-01-01

    目的 介绍上臂外侧逆行岛状皮瓣修复前臂近端截肢后残端创面的临床经验.方法 对前臂近端截肢后残端创面采用上臂外侧逆行岛状皮瓣修复.结果 临床应用共10例,术后皮瓣8例顺利存活,2例血流稍许受限,拆除蒂部缝线后完全存活.有6例获得3个月的随访,残端伤口愈合佳,皮瓣外形满意,不臃肿,肘关节伸屈活动基本正常,能满足接装义肢的需要.结论 采用上臂外侧逆行岛状皮瓣是修复前臂残端创面的好方法.%Objective To introduce the clinical experience of the application of lateral upper arm retrograde island flap for coverage of stump wound after forearm amputation.Methods The lateral upper arm retrograde island flap was transferred to cover the wound at the stump that was resulted from forearm amputation.Results This flap was applied in a total of 10 cases.Flaps in 8 cases survived uneventfully.Compromised perfusion was observed in 2 cases which were remedied by removing stitches at the pedicle.These 2 flaps also survived completely.Sufficient follow-up was obtained in 6 cases for 3 months.The stump wounds healed well.The flaps were not bulky.The appearance and elbow function were satisfactory.The stump met requirements for prosthetic fitting.Conclusion Lateral upper arm retrograde island flap is a good option for coverage of stump wound after forearm amputation.

  18. 神经端侧缝合治疗手指顽固性残端痛性神经瘤%Treatment of refractory stump pain caused by neuroma by end-to-side neurorrhaphy

    Institute of Scientific and Technical Information of China (English)

    芮永军; 张志海; 施海峰; 吴权; 柯尊山; 寿奎水

    2011-01-01

    目的 介绍一种治疗顽固性残端痛性神经瘤的手术方法.方法 2006年1月至2010年6月,采用神经端侧缝合的方法治疗手指顽固性残端痛性神经瘤共5例6指,术中彻底切除残端神经瘤直至正常神经组织.其中3例将修整后的神经残端直接与邻指正常指神经作端侧缝合;2例(3指)行腓肠神经移植修复,一端与修整后的神经残端作端端缝合,另一端与邻指指神经作端侧缝合.结果 术后经过12~ 63个月的随访,3例残端神经痛完全消失,2年后未复发;1例随访12个月,疼痛无复发;1例环、小指残端痛,术前已有过4次手术,本次术后环指疼痛消失,小指仍有疼痛,术后1个月小指再次行神经松解,随访63个月小指自发性疼痛减轻,但仍有触痛,环指疼痛消失.参照Burchid的疗效评定标准,优良率为83.3%(5/6).结论 神经端侧缝合的方法可有效治疗残端痛性神经瘤.%Objective To introduce a new method to treat refractory stump pain caused by neuroma.Methods From January 2006 to June 2010,6 fingers in 5 patients with refractory stump pain caused by neuroma were treated by end-to-side neurorrhaphy.The surgical technique included neurolysis,neuroma resection and end-to-side neurorrhaphy.The nerve stump was sutured to the uninjured nerve of the neighboring finger directly in an end-to-side fashion in 3 cases.In the other 3 fingers of 2 cases a sural nerve gnat was used,while one end of the graft was attached to the nerve stump by end-to-end neurorrhaphy and the other end was sutured to the digital nerve of the neighboring finger by end-to-side neurorrhaphy.Results Postoperative follow-up interval ranged from 12 to 63 months.Three patients experienced complete pain relief.There was no recurrence 2 years postoperatively.One patient was follow-up for 12 months when no recurrence of stump pain was observed.Another patient who suffered from stump pain of ring and little fingers experienced full pain relief

  19. Residual disease at the bronchial stump is positively associated with the risk of bronchoplerual fistula in patients undergoing lung cancer surgery: a meta-analysis.

    Science.gov (United States)

    Li, Shuangjiang; Fan, Jun; Zhou, Jian; Ren, Yutao; Shen, Cheng; Che, Guowei

    2016-03-01

    Residual disease at the bronchial stump (RDBS) is regarded as an important factor possibly resulting in bronchopleural fistula (BPF) after lung cancer surgery, but this has not been confirmed. We conducted this meta-analysis to evaluate the effects of RDBS on BPF formation in patients undergoing lung cancer surgery. PubMed and EMBASE databases were searched for full-text articles that met our eligibility criteria. Odds ratios (ORs) with 95% confidence interval (95% CI) served as the summarized outcomes. Q-test and I(2) statistic were used to evaluate the level of heterogeneity, determining the fixed-effect model or random-effect model for quantitative synthesis. Sensitivity analysis was conducted to identify the possible origins of heterogeneity. The publication bias was assessed by Begg's test. A total of eight retrospective observational studies were included in our meta-analysis. In overall analysis, the pooled outcomes indicated that RDBS was significantly associated with BPF formation after lung cancer surgery (OR: 3.12; 95% CI: 1.72-5.64; P analysis, the pooled outcomes revealed a significantly increased risk of post-pneumonectomy BPF in patients with RDBS (OR: 2.78; 95% CI: 1.06-7.28; P = 0.037). The subgroup analysis assessing the effects of RDBS on post-lobectomy BPF was given up due to the scarcity of available data. No heterogeneity was revealed within this meta-analysis. No evidence for publication bias was detected by Begg's test. Our meta-analysis indicates that RDBS is positively associated with the increased risk of BPF in patients undergoing lung cancer surgery. The further analysis also reveals an increased risk of post-pneumonectomy BPF in patients with RDBS. More accurate and comprehensive evidence should be collected and summarized in updated meta-analyses. © The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

  20. Resection of gastric stump cancer using da vinci robotic surgical system%达芬奇机器人手术系统施行残胃癌切除术

    Institute of Scientific and Technical Information of China (English)

    钱锋; 余佩武; 石彦; 罗华星; 赵永亮; 唐波; 郝迎学

    2013-01-01

    达芬奇机器人手术系统行胃癌根治术的路径、方法逐渐成熟,但是残胃癌手术难度大,切除率低,目前未见使用达芬奇机器人手术系统行残胃癌切除术的报道.2012年11月第三军医大学西南医院采用达芬奇机器人手术系统成功实施1例残胃癌切除术,随访12个月,近期疗效较好.达芬奇机器人手术系统行残胃癌手术在视野显露、腹壁粘连松解、狭窄空间操作等方面具有优势,其机动灵活的操作、稳固持久的牵引是开腹手术和腹腔镜手术不可比拟的.%Although the surgical procedure and approach of da Vinci robotic surgical system-assisted radical resection of gastric cancer are gradually mature,it is rarely used for the resection of gastric stump cancer because of the complexity and low resection rate.In November of 2012,resection of gastric stump cancer using da Vinci robotic surgical system was performed in the Southwest Hospital.The short-term efficacy was satisfactory after the follow-up for 12 months.Da vinci robotic surgical system has the advantages of clear vision,easy manipulation of abdominal adhesion detaching,flexible operation and stable traction during resection of gastric stump cancer.

  1. The Application of Autologous free Bone Plug Technology in Emergency Repair of Amputation Stump Bone Wound%应用自体游离骨塞技术急诊修复截肢残端骨创面

    Institute of Scientific and Technical Information of China (English)

    李贝; 黄瑞良; 区广鹏; 肖军; 刘伟; 杨康胜; 艾合买提江·玉素甫

    2013-01-01

    Objective:Study the efficacy of free bone plug of discarded limbs after amputation in repairing stump bone wound .Meth-ods:From March 2010 to March 2012 , we emergency repaired 6 cases of amputation stump bone wound in autologous free bone plug tech-nology,5 males and 1 female,the age ranged from 21 to 53 years old, average 35 years old.Causes of injuries:5 cases of traffic accident injury, 1 cases of machine strangulation injury .1 case of upper limb amputation , and 4 cases of lower limb amputation .Special examina-tion:1 cases of distal forearm damage;2 cases of thigh supracondylar and intercondylar comminuted fracture , femoral artery nerve de-structive injury and part of the defect;2 cases of the lower leg tibia and fibula comminuted fractures and popliteal artery injury ;1 cases of knee remote defect .After determining the osteotomy plane , retained inner and outer periosteal flap , osteotomy to the bone surface bleed-ing by swing saws ,sanded the edges of the bones . According the debridement amputation bone surface to design the bone plug size , made class cone type bone plug after removing periosteum , the bone plugs bottom of the cortical bone , surrounded by cancellous bone .Its base is trimmed into a slightly curved bone pad according to the cross -section of the stump osteotomy , stuffed stump medullary cavity .used the periosteal flap closure stump marrow cavity after trim the bottom of the bone plug , Soft tissue flaps designed well in advance embedded stump in turn, placed film drainage in the subcutaneous , a large number of cotton pad dressing , plaster cast processing( hard bandage ) . Results:4 patients wounds first class healing and stitches discharged , 2 patients postoperative wound edge effusion whose wound healing after 20-25 days dressing , Followed up for 3-6 months, all stump without sinus formation .1 year after amputation , assembly prosthetic stump skin are good shape , no ulcers and pressure sores .Conclusion:The results were

  2. The vaginal stump cytology role in follow-up after treatment of cervical cancer%阴道残端超薄细胞学检查在宫颈癌治疗后随访中的作用

    Institute of Scientific and Technical Information of China (English)

    刘春红; 殷超

    2015-01-01

    Objective To assess the clinical role of vaginal stump cytology in follow-up of cervical cancer patients who had surgery treatment. Method A retrospective analysis of these patients underwent cervical cancer surgery in our hospital between January 1, 2002 and December 31, 2005, and the data of the vaginal stump ultra-thin cytology about these patients were intact during postoperative follow-up. Result Totally, 1244 cases of cervical vaginal exam-inations from 300 female patients were involved in our research. Abnormalities in the vaginal cytology stump exami-nation was showed by 187 cases from 93 patients, which including 83 cases of atypical squamous cells without defi-nitely diagnostic significance, 58 cases of low-grade squamous intraepithelial lesions, 34 cases of highly squamous intraepithelial lesion , 6 cases of atypical glandular cell lesions,6 patients of tumor tendency. 25 patients had CINⅡ or worse lesions were showed in colposcopy examination of these abnormal cases. No recurrence or CINⅢof col-poscopy biopsy was not found in these patients which was also better vaginal stump cytological results than HSIL. Conclusion During follow-up, 1/3 cervical cancer survivors may have abnormal cytology; cytological results for HSIL patients should accept the colposcopy. If there is no visible lesions, ASC-US or LSIL patients cannot to col-poscopy in follow up, unless the abnormalities persist.%目的:评估阴道残端细胞学在宫颈癌随访中的作用。方法回顾分析2002年1月至2005年12月在本院因宫颈癌行手术治疗的患者,对300例患者的1244个阴道残端细胞学结果进行分析。结果93例患者的187个细胞学结果异常,包括83个诊断意义尚不明确的非典型鳞状上皮改变( atypical squamous cell of undetermined significance,ASC-US),58个低度鳞状上皮内病变(low grade squamous intraepithelial le-sion,LSIL),34个高度鳞状上皮内病变( high grade squamous intraepithelial lesion,HSIL),6

  3. 3D nuclear organization of telomeres in the Hodgkin cell lines U-HO1 and U-HO1-PTPN1: PTPN1 expression prevents the formation of very short telomeres including "t-stumps"

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    Lemieux Bruno

    2010-12-01

    Full Text Available Abstract Background In cancer cells the three-dimensional (3D telomere organization of interphase nuclei into a telomeric disk is heavily distorted and aggregates are found. In Hodgkin's lymphoma quantitative FISH (3D Q-FISH reveals a major impact of nuclear telomere dynamics during the transition form mononuclear Hodgkin (H to diagnostic multinuclear Reed-Sternberg (RS cells. In vitro and in vivo formation of RS-cells is associated with the increase of very short telomeres including "t-stumps", telomere loss, telomeric aggregate formation and the generation of "ghost nuclei". Results Here we analyze the 3D telomere dynamics by Q-FISH in the novel Hodgkin cell line U-HO1 and its non-receptor protein-tyrosine phosphatase N1 (PTPN1 stable transfectant U-HO1-PTPN1, derived from a primary refractory Hodgkin's lymphoma. Both cell lines show equally high telomerase activity but U-HO1-PTPN differs from U-HO1 by a three times longer doubling time, low STAT5A expression, accumulation of RS-cells (p As expected, multinuclear U-HO1-RS-cells and multinuclear U-HO1-PTPN1-RS-cells differ from their mononuclear H-precursors by their nuclear volume (p Conclusion Abundant RS-cells without additional very short telomeres including "t-stumps", high rate of apoptosis, but low STAT5A expression, are hallmarks of the U-HO1-PTPN1 cell line. These characteristics are independent of telomerase activity. Thus, PTPN1 induced dephosphorylation of STAT5 with consecutive lack of Akt/PKB activation and cellular arrest in G2, promoting induction of apoptosis, appears as a possible pathogenetic mechanism deserving further experimental investigation.

  4. 下肢创伤性截肢后残端问题的影响因素及其手术治疗%Surgical strategies for stump problems following trauma-related amputation of lower extremity

    Institute of Scientific and Technical Information of China (English)

    刘克敏; 王安庆; 唐涛; 赵利; 崔寿昌

    2010-01-01

    目的 探讨下肢创伤性截肢后残端问题的影响因素及其手术治疗.方法 1992年11月至2008年8月共收治72例(80侧)下肢踝关节以上创伤性截肢后因残端问题而进行手术治疗的患者,其中男47例,女25例;年龄9~60岁,平均(28.8±12.4)岁.小腿截肢48侧,大腿截肢32侧.从受伤截肢到因残端问题接受手术治疗的时间平均为32.7个月.对患者残端问题进行评价,将性别、单双侧截肢、截肢部位(大腿与小腿)、致伤原因作为因素,截肢到首次残端修整术时间、软组织多余臃肿、皮肤明显瘢痕、皮肤溃疡、神经瘤、骨刺作为水平,统计分析每一因素与各水平间的关系.通过ADL评分评价手术后的效果.结果 14侧行胫腓骨融合术,12侧残端修整术≥2次,双侧截肢者13例21侧(8例双侧残端同时修整),再截肢5侧.80侧残端问题中有53侧(66.3%)原始截肢时未行残端肌肉固定成形术,瘢痕多者42侧(52.5%),神经瘤38侧(47.5%),软组织过多臃肿皱褶24侧(30.0%),皮肤溃疡14侧(17.5%).原始截肢到首次残端修整术的时间小腿截肢比大腿截肢长,差异存统计学意义(P=0.030);大腿截肢软组织臃肿多于小腿截肢,差异有统计学意义(P=0.007);单侧截肢患者骨刺发生率高于舣侧截肢患者,差异有统计学意义(P=0.018).41例患者入院时ADL评分平均为(85.31±7.24)分,出院时为(95.40±3.92)分,差异有统计学意义(t=-11.536,P=0.000).结论 单双侧截肢、截肢部位是影响下肢创伤性截肢后残端问题的重要因素.选择适当的患者进行残端修整术及胫腓骨融合术可获得良好疗效.%Objective To investigate the surgical management strategies for stump problems fol-lowing trauma-related amputation of lower limb. Methods From November 1992 to August 2008, 72 consecutive patients, who had been troubled by stump problems after above-the-ankle amputation due to trauma, underwent revision surgery of the stump. They were

  5. Efeito prolongado de sistemas de preparo do solo com e sem cultivo de soqueira de cana crua em algumas propriedades físicas do solo Long-term effect of soil tillage systems with and without tillage of green-cane stump in soil physical properties

    Directory of Open Access Journals (Sweden)

    Fábio Camilotti

    2005-04-01

    Full Text Available Este trabalho foi conduzido em Latossolo Vermelho distrófico típico, sob cultivo de cana crua, com o objetivo de avaliar o efeito prolongado de sistemas de preparo do solo, com e sem cultivo da soqueira, e épocas de amostragem sobre algumas propriedades físicas do solo. O delineamento experimental foi o de blocos ao acaso, em esquema de parcelas subsubdivididas, sendo os tratamentos principais quatro sistemas de preparo do solo: (i controle da soqueira com duas gradagens, subsolagem e mais uma gradagem de nivelamento; (ii controle da soqueira com herbicida e uma subsolagem; (iii controle da soqueira com herbicida; (iv controle da soqueira com herbicida, aração com arado de aivecas e uma gradagem de nivelamento. Os tratamentos secundários foram: com cultivo e sem cultivo da soqueira. Os tratamentos ternários foram as épocas de avaliação: dois dias antes e após a quarta colheita da cultura. A porosidade total, macroporosidade, microporosidade e densidade do solo foram avaliadas, além do perfilhamento e da produtividade da cultura. Após quatro sucessivas colheitas de cana crua, houve redução da macroporosidade com aumento da microporosidade nas camadas abaixo de 10 cm e aumento da densidade do solo entre 20 e 50 cm. A densidade do solo não foi alterada de modo consistente em função de todos os tratamentos testados. O cultivo da soqueira favoreceu o aumento da macroporosidade com decréscimo na microporosidade, e o efeito inverso foi observado após a colheita. Os sistemas de preparo do solo e de cultivo da soqueira não afetaram o perfilhamento e a produtividade da cultura.This work was carried out at the field conditions in a Typic Haplustox soil with green-cane crop with the objective to evaluate long-term effect of soil tillage systems with and without tillage of stump in soil physical properties. A complete randomized blocks in split-split-plots arrangement of treatments were used. The principal treatments were four soil

  6. Isolated Roux-en-Y anastomosis of the pancreatic stump in a duct-to-mucosa fashion in patients with distal pancreatectomy with en-bloc celiac axis resection.

    Science.gov (United States)

    Okada, Ken-Ichi; Kawai, Manabu; Tani, Masaji; Hirono, Seiko; Miyazawa, Motoki; Shimizu, Atsushi; Kitahata, Yuji; Yamaue, Hiroki

    2014-03-01

    A pancreatic fistula is one of the most serious complications in distal pancreatectomy with en bloc celiac axis resection (DP-CAR), because the pancreatic transection is performed on the right side of the portal vein, which results in a large cross-section surface, and because post-pancreatectomy hemorrhage is hard to treat by interventional radiology. Therefore, a procedure to decrease the incidence of postoperative pancreatic fistula is urgently needed. Twenty-six consecutive patients who underwent DP-CAR between April 2008 and August 2012 were reviewed retrospectively. The first 13 consecutive patients underwent DP-CAR with no anastomosis, and the subsequent 13 consecutive patients were treated with Roux-en-Y pancreaticojejunostomy (PJ) in a duct-to-mucosa fashion. Extremely high amylase levels (>4000 IU/l) of all drainage fluid specimens on postoperative day (POD) 1, 3 and 4 were detected more frequently in cases with no anastomosis (n = 7) compared to those with PJ (n = 1) (P = 0.056). The incidence of grade B/C pancreatic fistulas was 15.4% in cases with isolated Roux-en-Y anastomosis of the pancreatic stump performed in a duct-to-mucosa fashion, and we are currently examining whether this anastomosis method reduces the pancreatic fistula rate in a multicenter, randomized controlled trial for distal pancreatectomy patients (ClinicalTrials.gov NCT01384617). © 2013 Japanese Society of Hepato-Biliary-Pancreatic Surgery.

  7. Plant growth-promoting rhizobacterial strain-mediated induced systemic resistance in tea (Camellia sinensis (L.) O. Kuntze) through defense-related enzymes against brown root rot and charcoal stump rot.

    Science.gov (United States)

    Mishra, A K; Morang, P; Deka, M; Nishanth Kumar, S; Dileep Kumar, B S

    2014-09-01

    Induction of systemic resistance in host plants through microbes and their bioactive metabolites are attaining popularity in modern agricultural practices. In this regard, individual application of two strains of Pseudomonas, RRLJ 134 and RRLJ 04, exhibited development of induced systemic resistance in tea plants against brown root rot and charcoal stump rot under split root experiments. The experimental findings also confirmed that the cuttings treated with fungal test pathogen and plant growth-promoting rhizobacteria (PGPR) strains survived longer as compared with pathogen-alone-treated cuttings. The enzyme level studies revealed that the presence of PGPR strains reduced the viscosity loss of cellulose and pectin by both the pathogens to a significant level. The activity of defense-related enzymes like L-phenylalanine ammonia lyase, peroxidase, and polyphenol oxidase were also recorded higher in tea cuttings treated with PGPR strains in presence of pathogen. Crude bioactive metabolites isolated from these strains also showed in vitro antagonism against the test pathogens besides reducing the number of diseased plants under gnotobiotic conditions. These findings confirm the utilization of these two strains for induction of systemic resistance against two major root diseases in tea plants under plantation conditions.

  8. DIGITAL FLOOD INSURANCE RATE MAP DATABASE, SHOSHONE COUNTY, IDAHO

    Data.gov (United States)

    Federal Emergency Management Agency, Department of Homeland Security — The Digital Flood Insurance Rate Map (DFIRM) Database depicts flood risk information and supporting data used to develop the risk data. The primary risk...

  9. Estudo comparativo entre a resistência das suturas manual e mecânica do coto brônquico em cães submetidos a pneumonectomia esquerda Comparative study of the resistance of manual and mechanical sutures in the bronchial stump of dogs submitted to left pneumonectomy

    Directory of Open Access Journals (Sweden)

    Antônio Mauro Bof

    2007-04-01

    Full Text Available OBJETIVO: O objetivo do presente trabalho foi comparar a resistência da sutura manual e da sutura mecânica imediatamente após a sutura do coto brônquico esquerdo de cães submetidos a pneumonectomia. MÉTODOS: Foram utilizados 15 cães mestiços, de ambos os sexos, com peso variando entre 8 e 23 kg, distribuídos aleatoriamente em 2 grupos. No grupo I (n = 7, o fechamento do coto brônquico foi realizado com sutura manual (método de Sweet e, no grupo II, utilizou-se sutura mecânica com grampeador. Imediatamente após o fechamento do coto brônquico, foi provocado aumento da pressão intratraqueal de forma progressiva e controlada. RESULTADOS: A média de pressão de ruptura da linha de sutura do coto brônquico foi 33,71 mmHg no grupo I e 89,87 mmHg no grupo II (p OBJECTIVE: To compare the resistance of manual suture with that of mechanical suture immediately after the suture of the left bronchial stump of dogs submitted to pneumonectomy. METHODS: A total of 15 mixed-breed dogs of both genders, each weighing between 8 and 23 kg, were randomly divided into 2 groups. In group I (n = 7, the bronchial stump was sutured manually (the Sweet method and, in group II (n = 8, it was stapled. Immediately after the closure of the bronchial stump, the intratracheal pressure was progressively increased in a controlled manner. RESULTS: The mean rupture pressure of the bronchial stump suture line was 33.71 mmHg in group I and 89.87 mmHg in group II (p < 0.01. CONCLUSION: These data allowed us to conclude that mechanical suture of the bronchial stump, submitted to pressure immediately after closure, is more resistant than is manual suture in dogs submitted to pneumonectomy.

  10. Ligadura simples ou ligadura com confecção de bolsa e sepultamento para tratamento do coto apendicular: estudo comparativo prospecivo randomizado Simple ligation or ligation and purse string invagination for the treatment of the appendiceal stump: a prospective, randomized trial

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    Lauro José Victor Avellán Neves

    2011-03-01

    Full Text Available RACIONAL: Apesar da apendicite aguda ser uma das afecções cirúrgicas mais comuns, o melhor tratamento do coto apendicular ainda não foi definido. Na apendicectomia laparotômica há preferência pela ligadura e sepultamento do coto enquanto, na laparoscópica, pela ligadura simples ou clampeamento. OBJETIVOS: Comparar duas técnicas de tratamento do coto apendicular na apendicectomia laparotômica (ligadura simples vs ligadura com confecção de bolsa e sepultamento por meio de análise prospectiva e randomizada. MÉTODOS: Entre os anos de 2003 e 2005, 113 pacientes foram submetidos à apendicectomia laparotômica por apendicite aguda. O coto apendicular foi tratado por ligadura simples em 49 casos e por ligadura e sepultamento em 64 casos. Os dois grupos foram semelhantes em relação às médias de idade, gênero, sinais e sintomas pré-operatórios, tempo de evolução da doença e fase da apendicite aguda diagnosticada pelo exame anatomopatológico. RESULTADOS: Não houve diferença estatística significativa entre os dois grupos em relação ao tempo de duração da operação, presença de complicações (infecção de ferida operatória, deiscência de ferida, formação de abscessos, obstrução intestinal, seroma e formação de fístula ou tempo de internação. CONCLUSÃO: As duas técnicas são igualmente seguras para tratamento do coto apendicular.BACKGROUND: Although acute appendicitis is one of the most common surgical diseases, the best treatment of the appendicular stump has not been defined. At laparotomy for appendectomy the stump is treated preferably by ligation and burial of the stump and, in laparoscopic surgery, by simple ligation or clamping. AIM: To compare two techniques for the treatment of appendicular stump in appendectomy (simple ligation vs ligation with purse making and burial by a prospective and randomized study. METHODS: Between the years 2003 and 2005, 113 patients underwent laparotomy appendectomy for

  11. 毕Ⅱ式胃切除术后胆总管十二指肠残端吻合术%Choledocho duodenal stump anastomisis after Billroth Ⅱ subtotal gastrectomy

    Institute of Scientific and Technical Information of China (English)

    楼立新; 施维锦

    2001-01-01

    Objective:To discuss the clinical effect and value of modified choledochoduodenostomy.Methods:We retrospectively analyzed fifteen cases after subtotal gastrectomy Billroth Ⅱ. These patients received choledocho-duodenal stump anastomosis and were followed up for an average of eight years.Results:None of the 15 cases suffered from stricture of the anastomosis stoma or retrograde biliary infection. Three cases accepted reoperation but none was because of stricture or retrograde infection.Conclusion:Choledochoduodenostomy after subtotal Billroth Ⅱ gastrectomy is reliable operation, which can prevent entero-biliary reflux and retrograde biliary infection. It also prevents anastomosis stricture induced by chironic drawing. So this operation is safet with, rare complications, so it is suitable for elder and serious patients, or for postoperation of upper abdomon. But the complication of blind loop syndrom still exits, which should be explored in future studies.%目的:探讨经改良后的胆总管十二指肠吻合术,在胆肠吻合中的疗效及应用价值。 方法:对15例行Billroth Ⅱ式胃大部切除术后,十二指肠残端与胆总管进行吻合的病例资料进行回顾分析,并进行术后疗效的随访观察。结果:本组15例经8个月至14年(平均随访8年)的远期随访,无1例发生吻合口狭窄及胆道逆行感染。随访中3例因症状复发而再次手术,但术后证实无1例症状是由吻合口狭窄或逆行感染引起。结论:行Billroth Ⅱ式胃大部切除术后,将排外的十二指肠与胆总管吻合,可克服胆肠返流、胆道逆行感染、吻合口慢性牵拉造成狭窄等缺点,具有手术安全性大、术后并发症少、可大大缩短手术时间等优点,尤其适用于年老体弱、病情危重、且有多次上腹部手术史的病人。但产生盲端综合征的问题可能依旧存在,值得以后在吻合术式的选择中进一步探讨。

  12. Evaluation of anatomical and functional changes esophageal stump of patients with advanced megaesophagus submitted to subtotal laparoscopic esophagectomy Avaliação das alterações anatômicas e funcionais do coto esofágico de pacientes portadores de megaesôfago avançado submetidos à esofagectomia subtotal laparoscópica

    Directory of Open Access Journals (Sweden)

    Júverson Alves Terra Júnior

    2012-09-01

    Full Text Available PURPOSE: Evaluate anatomical and functional changes of the esophageal stump and gastric fundus of patients with advanced megaesophagus, submitted to laparoscopic subtotal esophagectomy. METHODS: Twenty patients with advanced megaesophagus, previously submitted to a videolaparoscopic subtotal esophagectomy , were evaluated. Were conducted: radiological evaluation of the stump esophagus with transposed stomach, electromanometric, endoscopic examination and histopathology of the esophageal stump and gastric fundus, without making gastric tube or pyloroplasty. RESULTS: It was observed that the average height and pressure of the anastomosis, in the electromanometric evaluation, were 23.45cm (±1.84cm and 7.55mmHg (±5.65mmHg. In patients with megaesophagus III, the pressure of the anastomosis was 10.91mmHg (±6.33mmHg, and pressure from the UES, 31.89mmHg (±14.64mm Hg, were significantly higher than those in grade IV. The pathological evaluation detected mild esophagitis in 35% of patients, moderate in 20% and acanthosis glicogenica in 45%. The examination of the gastric fundus showed that 50% of patients were infected with Helicobacter pylori. Chronic gastritis occurred in 95% of the patients. CONCLUSIONS: The laparoscopic esophagectomy shown to be effective in the treatment of advanced achalasia. The cervical level anastomosis protects the esophageal stump from the aggression resulted from gastric reflux after the esophagectomy.OBJETIVO: Avaliar as alterações anatômicas e funcionais do coto esofágico e fundo gástrico de pacientes com megaesôfago avançado, submetidos à esofagectomia subtotal laparoscópica. MÉTODOS: Vinte pacientes com megaesôfago avançado, previamente submetidos à esofagectomia subtotal videolaparoscópica, foram avaliados. Foram realizados: avaliação radiológica do coto esofágico com o estômago transposto, eletromanometria endoscopia e exame histopatológico do coto esofágico e fundo gástrico,sem fazer tubo g

  13. The recovery research of proprioception after the posterior cruciate ligament reconstructive operation with the stump of autoallergic tendon reserving totally%完全保留残端自体腱重建后交叉韧带对本体感觉恢复的影响

    Institute of Scientific and Technical Information of China (English)

    左华; 黄永辉; 胡浪; 李勇

    2014-01-01

    目的:观察完全保留残端自体腱重建后交叉韧带(PCL)术后本体感觉恢复状况,探讨完全保留与非保留残端重建PCL对本体感觉恢复的影响。方法对40例PCL损伤的患者中20例行不保留残端自体绳肌单束重建术(非保留残端组),20例行完全保留残端自体绳肌单束重建术(完全保留残端组)。通过IKDC评分、Lysholm评分及CPM机等速测试膝关节本体感觉,评估两组患者术后本体感觉恢复状况。结果40例均获随访,时间6~24(15.6±4.945)个月。两组患者术后6、12个月膝关节IKDC评分及Lysholm评分均较术前明显改善(P<0.05);两组间比较差异无统计学意义(P>0.05)。术后6个月,在3个不同的膝关节复位角度下,非保留残端组患侧膝关节与健侧比较差异有统计学意义(P<0.05);完全保留残端组患侧膝关节与健侧比较差异无统计学意义(P>0.05);两组间患侧膝关节比较差异有统计学意义(P<0.05)。术后12个月,在3个不同的膝关节复位角度下,两组患侧膝关节与健侧比较差异均无统计学意义(P>0.05)。两组之间患侧膝关节比较差异无统计学意义(P>0.05)。结论完全保留残端重建PCL能够可靠地恢复膝关节的本体感觉,且早期恢复效果优于非保留残端重建PCL。%Objective To observe the recovery states of proprioception after the posterior cruciate ligament recon-structive operation with the stump of autoallergic tendon reserving totally,then to observe the effects of recovery of proprioception by totally reserving and not reserving the stump of autoallergic tendon.Methods 40 patients with the posterior cruciate ligament injured were undergone reconstruction of posterior cruciate ligament of 20 patients by totally reserving stump of autoallergic tendon as the reserving group and 20 patients by not reserving the stump of autoallergic tendon as the not

  14. Soil fertility, organic carbon and fractions of the organic matter at different distances from eucalyptus stumps Fertilidade do solo, carbono orgânico e frações da matéria orgânica em diferentes distâncias da cepa de eucalipto

    Directory of Open Access Journals (Sweden)

    Geraldo Erli Faria

    2009-06-01

    Full Text Available Knowledge on variations in vertical, horizontal and temporal characteristics of the soil chemical properties under eucalyptus stumps left in the soil is of fundamental importance for the management of subsequent crops. The objective of this work was to evaluate the effect of eucalyptus stumps (ES left after cutting on the spatial variability of chemical characteristics in a dystrophic Yellow Argisol in the eastern coastal plain region of Brazil. For this purpose, ES left for 31 and 54 months were selected in two experimental areas with similar characteristics, to assess the decomposition effects of the stumps on soil chemical attributes. Soil samples were collected directly around these ES, and at distances of 30, 60, 90, 120 and 150 cm away from them, in the layers 0-10, 10-20 and 20-40 cm along the row of ES, which is in-between the rows of eucalyptus trees of a new plantation, grown at a spacing of 3 x 3 m. The soil was sampled in five replications in plots of 900 m² each and the samples analyzed for pH, available P and K (Mehlich-1, exchangeable Al, Ca and Mg, total organic carbon (TOC and C content in humic substances (HS and in the free light fraction. The pH values and P, K, Ca2+, Mg2+ and Al3+ contents varied between the soil layers with increasing distance from the 31 and 54-monthold stumps. The highest pH, P, K, Ca2+ and Mg2+ values and the lowest Al3+ content were found in the surface soil layer. The TOC of the various fractions of soil organic matter decreased with increasing distance from the 31 and 54-month-old ES in the 0-10 and 10-20 cm layers, indicating that the root (and stump cycling and rhizodeposition contribute to maintain soil organic matter. The C contents of the free light fraction, of the HS and TOC fractions were higher in the topsoil layer under the ES left for 31 months due to the higher clay levels of this layer, than in those found under the 54-month-old stumps. However, highest C levels of the different

  15. Resistência de pimentas a nematóides de galha e compatibilidade enxerto/porta-enxerto entre híbridos de pimentão e pimentas Hot peppers resistance to root-knot-nematodes and stump/rootstock compatibility among hot peppers and red pepper hybrids

    Directory of Open Access Journals (Sweden)

    Cristina Duda de Oliveira

    2009-12-01

    hybrids grafting. The experiment was carried out in 2005, in Jaboticabal, São Paulo State. Plants were cleft and notch grafted and, 25 days later, the pant surviving was evaluated. Later, the grafted plants and plants without stump were transplanted to a greenhouse and inoculated, individually, with 5,000 eggs and infants in the second phase of M. incognita. The rootstock resistance to nematodes was evaluated at 181 days after inoculation, based on the reproduction factor. The stump/rootstocks compatibility was evaluated considering yield and quality of fruits obtained through seven harvests, 113 to 181 days after seedling transplant. An average of 99,69% of surviving plants was obtained, 25 days after grafting date. The C. annuum and C. frutescens rootstocks were resistant to M. incognita at the end of the vegetative cycle and they provided to grafted plants the higher and lower fruit production and quality respectively, being called compatible and non compatible to stump with Rubia R, Margarita, and Maximos red pepper hybrids. 'Maximos' and 'Margarita', when grafted, presented better productivity and fruit quality, than 'Rubia R'; when non-grafted the productivity did not differ among them, prominence having for 'Margarita' about fruit quality.

  16. Effect of stump girth and height on resprouting of Rhododendron ar-boreum following disturbance in temperate mixed broad leaved forest of Arunachal Pradesh, India%印度阿鲁纳恰尔邦温带阔叶混交林树桩周长和高度对受干扰的树形杜鹃再发芽的影响

    Institute of Scientific and Technical Information of China (English)

    Paul Ashish; Khan Mohamed Latif; Das Ashesh Kumar

    2010-01-01

    在印度北部阿鲁纳恰尔邦两块受干扰的树形杜鹃林地(Paipraw和Falockchar)内,研究了树木采伐后树桩发芽 对林木再生的作用.树桩被分成7个周长、高度等级,评价了树桩周长和高度对发芽的作用.还研究了树桩周长对新发芽成活的影响.结果表明,两块样地内中等周长(50-80,80-110,和110-140 cm)的树桩数最高.但是,Paipraw样 地(1210 stumps·ha-1)内的树桩密度要大于Falockchar样地(1154 stumps·ha-1).Fa|ockchar样地树桩发芽百分比(18%)略高于Paipmw(15%).同样地,两块样地内中等高度(50-80,80-110和110-140 cm)的树桩数量也最多.周长越低树桩的发芽能力越强.树桩抽芽能力与树桩周长、高度显著相关.发芽存活情况也依赖于树桩周长,此外,还与取样时间有关.总的发芽再生能力较低,周长小的树桩抽芽存活能力要好于周长大的树桩.本研究表明,树桩虽有一定的发芽能力,但树桩发芽对树形杜鹃自然再生作用不大.对于肆意砍伐林地来说,树桩发芽只能形成质量较差的小灌木材,以此无法重建林分;种子再生和苗木再生才是更好的选择.

  17. El error neurocientífico de Descartes, entre Spinoza y Aquinas. El debate entre Damasio y Stump sobre el carácter eliminativo o vitalista del materialismo en la neuroética, neuropolítica y neuroeconomía

    Directory of Open Access Journals (Sweden)

    Carlos Ortiz de Landázuri

    2016-04-01

    Full Text Available Normal 0 21 false false false MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Tabla normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} Se analiza el debate entre Eleonore Stump y Antonio Damasio a propósito de dos posibles estrategias a la hora de superar el “error” neurocientífico del dualismo cartesiano respecto de la correlación entre mente y cerebro, a saber: o bien se corrige el “error” neurocientífico de Descartes desde un modelo híbrido de tipo monista como el de Spinoza que ahora también se utiliza para justificar un materialismo eliminativo aún más radicalizado, a pesar de seguir manteniendo de un modo meramente heurístico las diferencias entre mente y cerebro, al modo propuesto por Antonio Damasio; o bien se recurre a un modelo dualista vitalista de integración jerarquizada interactiva entre la mente y el cerebro, al modo propuesto por Aquinas, y aún antes Aristóteles, con una indudable ventaja. En este segundo caso sería posible justificar la existencia de diversos niveles de autorregulación deliberativa entre mente y cerebro, sin tener que restringir de un modo apriorista los márgenes de libertad y espontaneidad a un único nivel autoinmune básico de tipo determinista, salvo que se hiciera con fines meramente heurísticos, al modo ahora también señalado por Eleonore Stump. Por su parte la comunicación analiza las consecuencias que cada una de estas propuestas pueden llegar a tener para la justificación de los diversos tipos de autorregulación que hoy día se asignan a la neuroética, neuropolítica y neuroeconomía.

  18. Apendicectomia pelas técnicas de ligadura simples e de sepultamento sem ligadura do coto apendicular: estudo comparativo em coelhos Appendicectomy using the tie-and-drop and purse-string technique without ligation of appendicular stump: a comparative study in rabbits

    Directory of Open Access Journals (Sweden)

    Alfredo Soares Cabral Junior

    2001-12-01

    Full Text Available OBJETIVO: Comparar as técnicas operatórias de ligadura simples (A e de sepultamento sem ligadura do coto apendicular (B. MÉTODO: Foram utilizados 36 coelhos da linhagem Nova Zelândia, machos, distribuídos aleatoriamente em dois grupos de 18, divididos respectivamente em subgrupos de seis animais cada um e praticada a eutanásia decorrido o tempo pós-operatório de sete, 14 e 21 dias. Foram avaliados macroscopicamente conforme a ferida operatória estivesse limpa, tivessem abscesso ou deiscência e a cavidade abdominal pela presença de aderências peritoneais. Foi feita avaliação histológica pela presença ou ausência dos seguintes parâmetros: infiltrado inflamatório agudo e crônico, fibrose, granuloma de corpo estranho, necrose e integridade da camada mucosa. RESULTADOS: Nos achados macroscópicos não foram observadas diferenças significantes no sétimo, 14º e 21º P.O. quanto à presença de abscesso e deiscência da ferida operatória entre os grupos A e B; o mesmo ocorreu quanto à presença de aderências peritoneais entre alças intestinais. Nos achados microscópicos houve diferença significante no 21º P.O. quanto ao infiltrado inflamatório agudo maior no grupo B, e à integridade da camada mucosa, maior no A. Na contagem de fibras colágenas houve diferença significante no 21º P.O., maior no grupo B. CONCLUSÃO: Do ponto de vista histológico a técnica de ligadura simples é superior à de sepultamento sem ligadura do coto apendicular.BACKGROUND: The purpose of this study was to compare two surgical techniques: tie and drop(A and purse string without ligation of apendicular stump.(B METHOD: The study included 36 young male New Zealand inbred rabbits, randomly distributed into two groups of 18, divided into three subgroups of six each, when eutanasia was done after postoperative periods of 7, 14, and 21 days. The animals were macroscopically evaluated according to the wound presence of abscess or dehiscense, and the

  19. Influência da invasão tumoral da linha de anastomose na sobrevivência de pacientes com câncer de coto gástrico The influence of tumor invasion in anastomotic line on survival of patient with gastric stump cancer

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    Ana Lúcia Granja Scarabel Nogueira Carrasco

    2008-06-01

    pattern for gastric stump cancer; to quantify the anastomotic site invasion by tumor growth; to correlate the invasion of anastomotic site with metastasis in lymph node in general and mesenterial lymph node involvement and the survival. METHODS: One hundred and thirteen patients with gastric stump cancer were retrospectively analyzed along with their medical records, surgical specimens and histopathologic exams. RESULTS: seventy five percent of patients had tumoral invasion in the anastomotic site. In 66.7% there was invasion of the anastomotic site with metastatic lymph nodes. Nine percent had mesenterial lymph node invasion. Fatal cases occurred in 86,5% with metastatic lymph node, 64,7% with invasion of the anastomotic site and 100% with mesenterial lymph node invasion. CONCLUSIONS: Metastatic lymph node dissemination is not specific to gastric stump cancer and does not present a pattern in the lymph node dissemination. Although frequent the tumor invasion in anastomotic line, there is no significant statistical correlation with the invasion of regional or mesenterial lymph nodes. Lymph node invasion reduces survival, mainly when mesenterial lymph node dissemination is present. Tumor invasion in anastomotic line does not reduce survival.

  20. 78 FR 35602 - Coeur d'Alene Basin Restoration Plan, Kootenai, Shoshone and Benewah Counties, Idaho

    Science.gov (United States)

    2013-06-13

    ... the National Environmental Policy Act of 1969, as amended (NEPA), and the Federal Land Policy and...-hearing, or speech disabled (Teletypewriter (TTY)/Telecommunications Device for the Deaf (TDD)/Voice relay... typically subject to the requirements of the National Environmental Policy Act (NEPA) . Proposed Action...

  1. TIGER/Line Shapefile, 2013, county, Shoshone County, ID, Current Address Ranges Relationship File

    Data.gov (United States)

    US Census Bureau, Department of Commerce — The TIGER/Line shapefiles and related database files (.dbf) are an extract of selected geographic and cartographic information from the U.S. Census Bureau's Master...

  2. DCS Terrain Submission for Shoshone County-Placer Creek PAL, ID

    Data.gov (United States)

    Federal Emergency Management Agency, Department of Homeland Security — Terrain data, as defined in FEMA Guidelines and Specifications, Appendix M: Data Capture Standards, describes the digital topographic data that was used to create...

  3. 76 FR 22076 - Bussel 484, Idaho Panhandle National Forests, Idaho, Shoshone County

    Science.gov (United States)

    2011-04-20

    ...,137 acres of timber harvest, fuel treatment resulting from the timber harvest, tree planting in... insects, disease, and fire; provide wood products for local communities; work toward full support of.... Proposed Action The proposed action as described in the FEIS includes timber harvest and associated...

  4. Removing Stumps and Blocks for Students to Reach the Unreached ...

    African Journals Online (AJOL)

    This study sought to determine students' perceptions of quality systems that enhance their ... the descriptive survey design and was both quantitative and qualitative. ... from a population of 250 students using the convenience sampling method.

  5. Appendix stump closure with endoloop in laparoscopic appendectomy.

    Science.gov (United States)

    Caglià, Pietro; Tracia, Angelo; Spataro, Daniele; Borzì, Laura; Lucifora, Bibiana; Tracia, Luciano; Amodeo, Corrado

    2014-01-01

    L’appendicite acuta rappresenta la più comune patologia infiammatoria della cavità adddominale. Mc Burney ne ha per primo descritto il trattamento chirurgico utilizzando la classica incisione nel quadrante addominale inferiore destro. Tale approccio è stato considerato il trattamento standard della patologia appendicolare per più di un secolo, fino all’inizio dell’era video laparoscopica. I rapidi cambiamenti tecnici e gli innegabili vantaggi della procedura videolaparoscopica ha portato ad una ampia diffusione della metodica in ambito clinico. La chiusura del moncone appendicolare, durante l’appendicectomia video laparoscopica, rappresenta uno degli aspetti tecnici fondamentali della procedura per le gravi potenziali complicanze che possono derivare da un suo non appropriato trattamento. Gravi complicanze sono infatti rappresentate da deiscenza, fistole stercoracee e peritonite. La chiusura con endostapler, hem-o-look e legatura intracorporea rappresentano le metodiche più comunemente utilizzate. Tutte le alternative descritte presentano vantaggi e svantaggi e vanno rapportate ai diversi stadi clinici della patologia appendicolare. Va inoltre notato che le differenti metodiche di trattamento del moncone appendicolare non sono state testate in studi randomizzati. In base alla nostra esperienza si può affermare che il trattamento del moncone appendicolare con endoloop può essere utilizzato con sicurezza e dovrebbe essere considerata la metodica di scelta anche in relazione al rapporto costo-beneficio. Metodi alternativi di chiusura del moncone appendicolare andrebbero utilizzati in caso di appendicite flemmonosa o gangrenosa, ascesso peritiflitico e/o contemporaneo trattamento di diverticolo di Meckel.

  6. [Problems and techniques of functional rehabilitation of upper limb stump].

    Science.gov (United States)

    Martini, G; Vitangeli, L; Assennato, P; Drommi, M

    1990-07-15

    The authors discuss problems and techniques of rehabilitation in subjects who have undergone upper limb amputation, as well as the requirements for good application of a prosthesis. Various types of prostheses are described: passive ones, those moved by the body and externally operated ones. The amputee undergoes three stages of rehabilitation: a general preparatory phase for maintenance of good joint function and muscle efficiency; a phase of specific rehabilitation with the help of electromyometry and an electronic training device for the use of the prosthesis, and finally individual and group exercises in laboratories with special facilities.

  7. 3D打印技术在CT引导宫颈癌术后阴道残端肿瘤近距离治疗中应用%Application of 3D printing technology in brachytherapy for vaginal stump tumor after CT-guided cervical carcinoma surgery

    Institute of Scientific and Technical Information of China (English)

    于浪; 连欣; 晏俊芳; 罗春丽; 何蕾; 张悦; 王冠群; 李洪明; 杨波

    2016-01-01

    目的 探讨3D打印技术在腔内近距离治疗个体化施源器制作中的运用.方法 对1例宫颈癌术后阴道残端狭窄并规则实体肿瘤患者,用显影剂浸泡过的纱条对患者阴道进行填塞后进行CT扫描,获取阴道腔内三维几何轮廓.利用软件进行轮廓提取,在靠近病灶侧预留三根腔道,使用3D打印机、医用硅胶材料进行施源器打印.将该施源器重新置入患者阴道内,CT扫描并纠正施源器位置.将最终CT图像输出至TPS进行靶区及OAR勾画,完成剂量分布计算.结果 3D打印个体化阴道施源器可以和靶体积形成良好的贴合,弯曲处管道的曲率>1 cm,可保证放射源的顺利通过;通过对插植软管进行剪切,将总的出源长度统一设定为1 280 mm,可实现个体化施源器与后装机的精确连接;病灶达到处方剂量的同时,膀胱、直肠剂量D2cm3分别为320.4、331.5 cGy,不超过剂量限值.结论 利用3D打印技术制作个体化施源器适用于宫颈癌术后阴道残端狭窄并规则实体肿瘤的治疗,临床疗效与不良反应尚需进一步观察.%Objective To investigate the application of 3D printing technology in the manufacture of individualized source applicator for intraluminal brachytherapy.Methods A retrospective analysis was performed for the clinical data of one patient with vaginal stump stenosis and regular solid tumor after cervical carcinoma surgery.The gauze soaked in the developer was used for vaginal packing,and then CT scan was performed to obtain the three-dimensional intraluminal geometric outline of the vagina.A software was used to extract the outline,and 3 lumens were reserved near the lesion.The 3D printer and medical silica gel were used to manufacture the source applicator.The source applicator was placed in the vagina,and CT scan was performed to adjust the position of the source applicator.The final CT image was transferred to the planning system for the delineation of target volume

  8. Isolamento e seleção de fungos causadores da podridão-branca da madeira em florestas de Eucalyptus spp. com potencial de degradação de cepas e raízes Isolation and screening of wood white rot fungi from Eucalyptus spp. forests with potential for use in degradation of stumps and roots

    Directory of Open Access Journals (Sweden)

    Sandra Kunieda de Alonso

    2007-02-01

    Full Text Available Este trabalho objetivou isolar fungos causadores da podridão-branca da madeira, a partir de basidiocarpos e de fragmentos de madeira de eucalipto coletados em várias regiões do país, bem como testar seu potencial de degradação de cepas e raízes mortas em plantios comerciais de eucalipto, após o corte raso. Para o isolamento dos fungos foi desenvolvido um meio de cultura de serragem de eucalipto-ágar. Dentre 292 isolados obtidos e submetidos ao teste de Bavendamm, 144 foram classificados como causadores de podridão-branca, capazes de produzir fenoloxidases. Dentre as nove relações C/N testadas, observou-se uma tendência de ocorrer maior degradação de cavacos naquelas iguais a 60 : 1, 200 : 1 e 300 : 1. Utilizando a relação C/N igual a 60 : 1, realizaram-se dois experimentos para avaliar a degradação de cavacos de Eucalyptus saligna por isolados fúngicos de podridão-branca. No primeiro experimento, avaliado aos 90 dias de incubação, foram selecionados sete isolados, que causaram perda de peso em cavacos superior ou igual à causada por Trametes versicolor, usado para comparação. No segundo experimento foram testados 46 isolados fúngicos. Dentre os mais eficientes estavam os sete isolados selecionados no primeiro teste, além de outros quatro isolados. Baseado na análise de DNA, seis isolados foram identificados, sendo três pertencentes à espécie Pycnoporus sanguineus, um ao gênero Peniophora sp., um ao gênero Pestalotiopsis sp. e um ao gênero Ganoderma sp.The aim of this work was to isolate native wood white-rot fungi from fungal fruit-bodies and eucalyptus wood fragments from different regions of Brazil and to test their potential for degrading dead stumps and roots in Eucalyptus plantings after harvest. Fungi isolates were obtained in a culture medium composed by Eucalyptus sawdust and agar. Among 292 isolates submitted to the Banvedamm test, 144 were classified as phenoloxidases producing isolates. Among nine C

  9. 78 FR 4377 - Idaho Panhandle National Forests, Coeur d'Alene River Ranger District, Shoshone County, ID...

    Science.gov (United States)

    2013-01-22

    ... preparation, reforestation, and fuel break development. This project is designed to achieve the goals of... standards, improve the abundance of fisheries and other aquatic organisms, and improve the longevity of road... whether to take no action at this time. If it proceeds, she will also decide what project design...

  10. Bloqueio isquiático-femoral guiado por ultra-som para revisão de coto de amputação: relato de caso Bloqueo isquiático-femoral guiado por ultrasonido para revisión de muñón de amputación: relato de caso Ultrasound-guided sciatic-femoral block for revision of the amputation stump: case report

    Directory of Open Access Journals (Sweden)

    Pablo Escovedo Helayel

    2008-10-01

    peripheral nerves, independently of the ability of obtaining sensitive or motor stimulation. CASE REPORT: This is the case of a patient who underwent revision of the amputation stump at the knee under ultrasound-guided sciatic-femoral block with 40 mL of 0.5% ropivacaine, promoting complete sensitive blockade and excellent surgical anesthesia. CONCLUSIONS: Ultrasound assistance is capable of amplifying the spectrum of uses of peripheral nerve blocks in surgical interventions on amputated limbs in situations neurostimulation cannot be used.

  11. Nonoperativ behandling af alvorlige stumpe pancreaslæsioner hos børn

    DEFF Research Database (Denmark)

    Penninga, Luit; Hillingsø, Jens

    2011-01-01

    Diagnosis and treatment of pancreatic trauma in children is challenging. Grade I and II lesions of the pancreas (Organ Injury Scale of the American Association of Trauma) are generally treated non-operatively. However, the optimal treatment of pancreatic lesions with involvement of the pancreatic...

  12. Multiple regeneration from axolotl limb stumps bearing cross-transplanted minced muscle regenerates : brief note

    NARCIS (Netherlands)

    Carlson, Bruce M.

    1975-01-01

    Flexor and extensor muscles in the upper arms of axolotls were minced and cross-transplanted. The limbs were amputated 5 and 30 days after mincing. In each experiment a high percentage of the regenerates consisted of multiple limbs. This demonstrates that the morphogenetic information which produces

  13. From Stars to Stumps: How Retired Flag Officer Political Endorsements Affect Civil-Military Relations

    Science.gov (United States)

    2016-06-01

    NJ: Princeton University Press, 2010), 193. Dempsey cites the “Appeal for Redress ,” a group of military officers that in 2007 appealed to...church, embody the core culture and collectively represent the military community as authoritatively as the active-duty leadership.”20 He concluded...to to garner a collective yawn. There was no “roll out” of the endorsement as was common common in previous prominent endorsements. The first

  14. Multiple regeneration from axolotl limb stumps bearing cross-transplanted minced muscle regenerates : brief note

    NARCIS (Netherlands)

    Carlson, Bruce M.

    1975-01-01

    Flexor and extensor muscles in the upper arms of axolotls were minced and cross-transplanted. The limbs were amputated 5 and 30 days after mincing. In each experiment a high percentage of the regenerates consisted of multiple limbs. This demonstrates that the morphogenetic information which produces

  15. Stump appendicitis: a rare and unusual complication after appendectomy. Case report and review of the literature.

    Science.gov (United States)

    Papi, Simona; Pecchini, Francesca; Gelmini, Roberta

    2014-04-07

    L’appendicite del moncone rappresenta una rara ma importante complicanza che può fare seguito a un intervento di appendicectomia, sia laparoscopica che laparotomica, e rappresenta un’eventualità nosologica da tenere presente, e da includere nella diagnosi differenziale dell’addome acuto di un paziente già appendicectomizzato. I casi riportati in letteratura non sono numerosi, probabilmente però come risultato di una sottostima. Il caso clinico riportato riguarda un uomo di 43 anni operato tre mesi prima di appendicectomia laparoscopica e ricoverato con un tipico caso di addome acuto. L’ecografia si è dimostrata non efficace per la diagnosi, mentre la TC ha definito con sufficiente chiarezza la situazione, ponendo l’indicazione ad una laparotomia esplorativa, nel corso della quale si è proceduto all’asportazione del residuo appendicolare. L’esame istologico ha poi in seguito confermato la diagnosi di appendicite acuta perforata del moncone. A conclusione si è proceduto ad un’analisi di 87 casi analoghi presenti nella letteratura di lingua Inglese per evidenziare le caratteristiche anatomo-chirurgiche ed anatomo- patologiche dei diversi casi, e l’esperienza diagnostica nella definizione del singolo caso. Si conclude con i suggerimenti tecnici per prevenire l’evenienza di tali “appendiciti” ricorrenti sia con la tecnica laparoscopica che laparotomica, e stimolando la consapevolezza di tale eventualità.

  16. A Red-Tailed Hawk perches on a stump at KSC.

    Science.gov (United States)

    2000-01-01

    This red-tailed hawk on the roadside at Kennedy Space Center appears to be eyeing the photographer. The red-tailed hawk has a stocky build and broad, rounded wings. Its wide range covers Alaska and Nova Scotia south to Panama. It can frequently be seen perched in a tree at the edge of a meadow, watching for movement in the grass below. It feeds mainly on small rodents. The Refuge encompasses 92,000 acres that are a habitat for more than 331 species of birds, 31 mammals, 117 fishes, and 65 amphibians and reptiles. The marshes and open water of the refuge provide wintering areas for 23 species of migratory waterfowl, as well as a year-round home for great blue herons, great egrets, wood storks, cormorants, brown pelicans and other species of marsh and shore birds, as well as a variety of insects. Kennedy Space Center shares a boundary with the Merritt Island National Wildlife Refuge, encompassing 92,000 acres that are a habitat for more than 331 species of birds, 31 mammals, 117 fishes, and 65 amphibians and reptiles. The marshes and open water of the refuge provide wintering areas for 23 species of migratory waterfowl, as well as a year-round home for great blue herons, great egrets, wood storks, cormorants, brown pelicans and other species of marsh and shore birds, as well as a variety of insects.

  17. Finite element analysis of the contact interface between trans-femoral stump and prosthetic socket.

    Science.gov (United States)

    Zhang, Linlin; Zhu, Ming; Shen, Ling; Zheng, Feng

    2013-01-01

    Transfemoral amputees need prosthetic devices after amputation surgery, and the interface pressure between the residual limb and prosthetic socket has a significant effect on an amputee's satisfaction and comfort. The purpose of this study was to build a nonlinear finite element model to investigate the interface pressure between the above-knee residual limb and its prosthetic socket. The model was three-dimensional (3D) with consideration of nonlinear boundary conditions. Contact analysis was used to simulate the friction conditions between skin and the socket. The normal stresses up to 80.57 kPa at the distal end of the soft tissue. The longitudinal and circumferential shear stress distributions at the limb-socket interface were also simulated. This study explores the influences of load transfer between trans-femoral residual limb and its prosthetic socket.

  18. Continuous suture of the pancreatic stump and Braun enteroenterostomy in pancreaticoduodenectomy

    Science.gov (United States)

    Meng, Hong-Bo; Zhou, Bo; Wu, Fan; Xu, Jie; Song, Zhen-Shun; Gong, Jian; Khondaker, Mahbuba; Xu, Bin

    2015-01-01

    AIM: To investigate a new modification of pancreaticoduodenectomy (PD)-a mesh-like running suturing of the pancreatic remnant and Braun’s enteroenterostomy. METHODS: Two hundred and three patients underwent PD from 2009 to 2014 and were classified into two groups: Group A (98 patients), who received PD with a mesh-like running suturing for the pancreatic remnant, and Braun’s enteroenterostomy; and Group B (105 patients), who received standard PD. Demographic data, intraoperative findings, postoperative morbidity and perioperative mortality between the two groups were compared by univariate and multivariate analysis. RESULTS: Demographic characteristics between Group A and Group B were comparable. There were no significant differences between the two groups concerning perioperative mortality, and operative blood loss, as well as the incidence of the postoperative morbidity, including reoperation, bile leakage, intra-abdominal fluid collection or infection, and postoperative bleeding. Clinically relevant postoperative pancreatic fistula (POPF) and delayed gastric emptying (DGE) were identified more frequently in Group B than in Group A. Technique A (PD with a mesh-like running suturing of the pancreatic remnant and Braun’s enteroenterostomy) was independently associated with decreased clinically relevant POPF and DGE, with an odds ratio of 0.266 (95%CI: 0.109-0.654, P = 0.004) for clinically relevant POPF and 0.073 (95%CI: 0.010-0.578, P = 0.013) for clinically relevant DGE. CONCLUSION: An additional mesh-like running suturing of the pancreatic remnant and Braun’s enteroenterostomy during PD decreases the incidence of postoperative complications and is beneficial for patients. PMID:25759543

  19. Tophaceous gout in an amputation stump in a patient with chronic myelogenous leukemia

    Energy Technology Data Exchange (ETDEWEB)

    Chung, Christine B.; Mohana-Borges, Aurea; Pathria, Mini [Department of Radiology, UCSD and VAHCS, 3350 La Village Drive, La Jolla, CA 92161 (United States)

    2003-07-01

    Gout is a common rheumatologic disorder that can have an unusual clinical presentation. This case report describes the development of a gouty tophus at a site of remote traumatic forearm amputation in a patient with chronic myelogenous leukemia (CML). It further addresses the imaging characteristics of tophaceous gout as well as the differential diagnostic considerations as regards both the imaging findings and the clinical presentation. (orig.)

  20. 3-D Reservoir and Stochastic Fracture Network Modeling for Enhanced Oil Recovery, Circle Ridge Phosphoria/Tensleep Reservoir, and River Reservation, Arapaho and Shoshone Tribes, Wyoming

    Energy Technology Data Exchange (ETDEWEB)

    La Pointe, Paul R.; Hermanson, Jan

    2002-09-09

    The goal of this project is to improve the recovery of oil from the Circle Ridge Oilfield, located on the Wind River Reservation in Wyoming, through an innovative integration of matrix characterization, structural reconstruction, and the characterization of the fracturing in the reservoir through the use of discrete fracture network models.

  1. Renewal of the Nellis Air Force Range Land Withdrawal Legislative Environmental Impact Statement. Volume 2: Comments, Responses, and Appendices

    Science.gov (United States)

    1999-03-01

    California floater True Bugs Pelocoris shoshone shoshone Pahranagat naucorid bug Beetles Aegialia crescenta Crescent Dune aegialian scarab Aegialia...White bearpoppy; Merriam b. Asclepias eastwoodiana Eastwood milkweed Astragalus aequalis Clokey milkvetch; equal m. Astragalus amphioxys var

  2. Use Stumps to Reinforce Flare Foundation%采用树根桩加固火炬地基基础

    Institute of Scientific and Technical Information of China (English)

    胡道华; 何莉娟; 沈选忠

    1999-01-01

    通过对南充炼油厂火炬筒基础沉降与倾斜的现象进行深入分析,论证了选用树根桩加固火炬地基基础的理由,认真对火炬的上部结构与树根桩进行了详尽的计算和设计,通过实践证实,树根桩加固火炬地基基础是成功的,是一种值得推广的地基处理方法.

  3. Elevated bark temperature in unremoved stumps after disturbances facilitates multi-voltinism in Ips typographus population in a mountainous forest

    Directory of Open Access Journals (Sweden)

    Fleischer Peter

    2016-03-01

    Full Text Available The number of Ips typographus generations developed in a year might be indicative of its population size and of risk to Norway spruce forests. Warm weather and unremoved fallen trees after natural disturbances are thought of as key factors initiating large population increase. We studied I. typographus development in a spruce forest of the Tatra National Park, which was heavily affected by large-scale disturbances in the last decade. Repeated windthrows and consequent bark beetle outbreaks have damaged almost 20,000 hectares of mature Norway spruce forests, what is a half of the National Park forest area. Current I. typographus population size and its response to the environment and to forestry defense measures attract attention of all stakeholders involved in natural resource management, including public. In this paper we analyse the potential I. typographus population size in two consecutive years 2014 and 2015, which represented a climatologically normal year and an extremely hot year, respectively. We used bark temperature and phenology models to estimate the number of generations developed in each year. In 2014, the average bark temperature of standing living trees at study sites was 14.5 °C, in 2015 it increased to 15.7 °C. The bark temperature of fallen logs was 17.7 °C in 2014, and 19.5 °C in 2015. The bark temperature of standing living trees allowed to develop one and two generations in 2014 and 2015, respectively. The elevated bark temperature of fallen logs allowed to develop two generations in 2014 and three generations in 2015. The good match between the predicted and observed timing of each generation emergence as well as the large increase in the number of catches in pheromone traps in 2015 indicated a dramatic increase of the I. typographus population in the extremely warm year, especially at the unmanaged windthrown site.

  4. The effects of rotation and positional change of stump tissues upon morphogenesis of the regenerating axolotl limb

    NARCIS (Netherlands)

    Carlson, Bruce M.

    1972-01-01

    Rotation of a skin cuff 180° around the proximodistal axis of the upper arm in the axolotl results in the formation of multiple regenerates in about 80° of cases after amputation of the limb through the rotated skin. Rotation of the dermis or the flexor and extensor muscles folowed by amputation pro

  5. Epstein-Barr virus in gastric carcinomas and gastric stump carcinomas: a late event in gastric carcinogenesis.

    NARCIS (Netherlands)

    Hausen, A zur; Rees, van B.P.; Beek, van J.; Craanen, M.E.; Bloemena, E.; Offerhaus, GJ; Meijer, C.J.L.M.; Brule, van den AJ

    2004-01-01

    BACKGROUND: To determine at what stage during gastric carcinogenesis Epstein-Barr virus (EBV) enters the gastric epithelial cells, the presence of EBV was investigated in two pathogenetically related but distinct forms of adenocarcinoma of the stomach-gastric carcinoma of the intact stomach (GCIS)

  6. Epstein-Barr virus in gastric carcinomas and gastric stump carcinomas: a late event in gastric carcinogenesis.

    NARCIS (Netherlands)

    Hausen, A zur; Rees, van B.P.; Beek, van J.; Craanen, M.E.; Bloemena, E.; Offerhaus, GJ; Meijer, C.J.L.M.; Brule, van den AJ

    2004-01-01

    BACKGROUND: To determine at what stage during gastric carcinogenesis Epstein-Barr virus (EBV) enters the gastric epithelial cells, the presence of EBV was investigated in two pathogenetically related but distinct forms of adenocarcinoma of the stomach-gastric carcinoma of the intact stomach (GCIS) a

  7. Agency over a phantom limb and electromyographic activity on the stump depend on visuomotor synchrony: a case study

    OpenAIRE

    Imaizumi, Shu; Asai, Tomohisa; Kanayama, Noriaki; Kawamura, Mitsuru; Koyama, Shinichi

    2014-01-01

    Most patients, post-amputation, report the experience of a phantom limb. Some even sense voluntary movements when viewing a mirror image of the intact limb superimposed onto the phantom limb. While delayed visual feedback of an action is known to reduce a sense of agency, the effect of delayed visual feedback on phantom motor sensation (i.e., sense of controlling a phantom limb) has not been examined. Using a video-projection system, we examined the effect of delayed visual feedback on phanto...

  8. Nevada Test and Training Range Depleted Uranium Target Disposal Environmental Assessment

    Science.gov (United States)

    2005-03-01

    licensed area (Air Force 1999). Common small mammals include white-tailed antelope squirrel (Ammospermophilus leucurus), Merriam’s kangaroo rat...Richard Arnold Pahrump Paiute Tribe Pahrump NV 89041 Carmen Bradley Kaibab Band of Southern Paiutes Pipe Springs AZ 86022 Gloria... Kaibab Band of Southern Paiutes Fredonia AZ 86022 Maurice Frank-Churchill Yomba Shoshone Tribe Austin NV 89310 James Birchim Yomba Shoshone

  9. Preliminary report on engineering geology of thirteen tunnel sites, Nevada Test Site

    Science.gov (United States)

    Wilmarth, Verl Richard; McKeown, Francis Alexander; Dobrovolny, Ernest

    1958-01-01

    Reconnaissance of 13 areas in and adjacent to Nevada Test Site was completed. Of the 13 areas, Forty Mile Canyon, South-central Shoshone Mountain, and Southeast Shoshone Mountain named in order of preference, offer many advantages for carrying on future underground nuclear explosions.

  10. M-X Environmental Technical Report. Environmental Characteristics of Alternative Designated Deployment Areas, Native Americans (Nevada/Utah).

    Science.gov (United States)

    1980-12-22

    considerable potential for economic development. It is governed by the nine-member Shoshone-Paiute Business Council headquartered in Owyhee , Nevada...Valley Elk. IR)’ Shoshone/ 289,819 18" 982 E. Wave" Oy0.., WN Owyhee fll, K. P0"ot0 I D...08ter L Ny. ( V’ Shoshone 3,8156 1940-1944 124 E. Nevada 0009...on an individual basis. Favors could be requested directly from the spirit-world at special sites, such as caves and rock outcroppings, where super

  11. Sensor Activation and Radius Adaptation (SARA) in Heterogeneous Sensor Networks

    CERN Document Server

    Bartolini, Novella; la Porta, Thomas; Petrioli, Chiara; Silvestri, Simone

    2010-01-01

    In this paper we address the problem of prolonging the lifetime of wireless sensor networks (WSNs) deployed to monitor an area of interest. In this scenario, a helpful approach is to reduce coverage redundancy and therefore the energy expenditure due to coverage. We introduce the first algorithm which reduces coverage redundancy by means of Sensor Activation and sensing Radius Adaptation (SARA)in a general applicative scenario with two classes of devices: sensors that can adapt their sensing range (adjustable sensors) and sensors that cannot (fixed sensors). In particular, SARA activates only a subset of all the available sensors and reduces the sensing range of the adjustable sensors that have been activated. In doing so, SARA also takes possible heterogeneous coverage capabilities of sensors belonging to the same class into account. It specifically addresses device heterogeneity by modeling the coverage problem in the Laguerre geometry through Voronoi-Laguerre diagrams. SARA executes quickly and is guarante...

  12. Unlimited-Length Proctocolectomy Utilizing Sequential Intussusception and Pull-Through: Novel Clean Endolumenal NOTE-Assisted Technique With Transanal Natural Orifice Specimen Extraction Without Rectal Stump Opening in a Porcine Model.

    Science.gov (United States)

    Kvasha, Anton; Khalifa, Muhammad; Biswas, Seema; Hamoud, Mohamad; Nordkin, Dmitri; Bramnik, Zakhar; Willenz, Udi; Farraj, Moaad; Waksman, Igor

    2016-10-01

    Transanal, hybrid natural orifice translumenal endoscopic surgery (NOTES) and NOTES-assisted natural orifice specimen extraction techniques hold promise as leaders in the field of natural orifice surgery. We report the feasibility of a novel NOTES assisted technique for unlimited length, clean, endolumenal proctocolectomy in a porcine model. This technique is a modification of a transanal intussusception and pull-through procedure recently published by our group. Rectal mobilization was achieved laparoscopically; this was followed by a transanal recto-rectal intussusception and pull-through (IPT). IPT was established in a stepwise fashion. First, the proximal margin of resection was attached laparoscopically to the shaft of the anvil of an end-to-end circular stapler with a ligature around the rectum. Second, this complex was pulled transanally to produce IPT. To achieve an unlimited-length proctocolectomy, the IPT step was repeated several times prior to bowel resection. This was facilitated by removing the ligature applied in the first step of this procedure. Once sequential IPT established the desired length of bowel to be resected, a second ligature was placed around the rectum approximating the proximal and distal resection margins. The specimen was resected and extracted by making a full-thickness incision through the 2 bowel walls. The anastomosis was achieved by deploying the stapler. The technique was found to be feasible. Peritoneal samples, collected after transanal specimen extraction, did not demonstrate bacterial growth. The minimally invasive nature of this evolving technique as well as its aseptic bowel manipulation has the potential to limit the complications associated with abdominal wall incision and surgical site infection.

  13. Effects of the high level of stumping on Elaeagnus angustifolia L.'s coppice shoot growth%平茬高度对沙枣萌条生长的影响

    Institute of Scientific and Technical Information of China (English)

    侯志强; 彭祚登; 关瑞芳; 王利军

    2009-01-01

    沙枣(Elaeagnus angustifolia L.)作为有重要价值的燃料能源林树种,平茬是其利用的主要途径.研究了沙枣距地面0 cm、5cm、10cm 3种高度平茬后的年生长变化及萌条的数量与质量.结果表明,沙枣丛高7、8、9三个月生长最快.3种平茬处理下丛高年生长量分别为147.84、145.88、136.04 cm,极显著大于未平茬丛高年生长量.比较萌条的高径生长指标,发现距地面0 cm平茬>距地面5 cm平茬>距地面10 cm平茬;而萌条总数:距地面10 cm平茬>距地面5cm平茬>距地面0cm平茬.

  14. Novel Totally Laparoscopic Endolumenal Rectal Resection With Transanal Natural Orifice Specimen Extraction (NOSE) Without Rectal Stump Opening: A Modification of Our Recently Published Clean Surgical Technique in a Porcine Model.

    Science.gov (United States)

    Kvasha, Anton; Hadary, Amram; Biswas, Seema; Szvalb, Sergio; Willenz, Udi; Waksman, Igor

    2015-06-01

    Our group has recently described a novel technique for clean endolumenal bowel resection, in which abdominal and transanal approaches were used. In the current study, 2 modifications of this procedure were tested for feasibility in a porcine model. A laparoscopic approach to the peritoneal cavity was employed in rectal mobilization; this was followed by a transanal rectorectal intussusception and pull-through (IPT). IPT was established in a stepwise fashion. First, the proximal margin of resection was attached to the shaft of the anvil of an end-to-end circular stapler with a ligature around the rectum. Second, this complex was pulled transanally to produce IPT. Once IPT was established, a second ligature was placed around the rectum approximating the proximal and distal resection margins. This was followed by a purse string suture through 2 bowel walls, encircling the shaft of the anvil just proximal to the ligatures. The specimen was resected and extracted by making a full-thickness incision through the 2 bowel walls distal to the previously placed purse string suture and ligatures. The anastomosis was achieved by applying the stapler. The technique was found to be feasible. Peritoneal samples, collected after transanal specimen extraction, did not demonstrate bacterial growth. Although, this is a novel and evolving procedure, its minimally invasive nature, as well as aseptic bowel manipulation during endolumenal rectal resection, has the potential to limit the complications associated with abdominal wall incision and surgical site infection.

  15. Different stump heights with Toona sinensis bud vegetable yield and commodity characteristics with field coppice management%不同截干高度对香椿芽菜产量和商品性状的影响

    Institute of Scientific and Technical Information of China (English)

    郝明灼; 李群; 彭方仁; 申鹭鹭; 梁有旺; 韩明慧; 王昆荣

    2013-01-01

    以2年生香椿Toona sinensis实生苗为材料,研究了不同截干高度对香椿芽菜的产量、感官品质、营养成分质量分数等的影响效果.结果表明:①0,20,40,60,80 cm截干处理下,顶芽的感官品质差异不显著,侧芽的感官品质存在极显著差异(P<0.01);顶芽的可溶性糖、可溶性蛋白质和游离氨基酸质量分数均存在极显著差异(P<0.01),顶芽的产量、维生素C质量分数存在显著差异(P<0.05);侧芽的可溶性糖、维生素C和游离氨基酸质量分数存在极显著差异(P<0.01),侧芽的产量及可溶性蛋白质质量分数存在显著差异(P<0.05).②从提高芽菜产量和感官品质考虑,60 cm截干效果最好,顶芽的感官品质最佳,芽菜产量比最差的0 cm截干高22.3%.③顶芽的产量、感官品质和营养成分均比侧芽高,生产中应重点考虑顶芽的商品性状指标;0和20 cm截干,顶芽的可溶性糖和维生素C质量分数相对较高;60 cm和80 cm截干,顶芽的可溶性蛋白质和游离氨基酸相对较高.

  16. 伐桩不同处理对山地刺槐无性更新影响的研究%Stump Treatments Influence on Regeneration of Black Locust Coppice

    Institute of Scientific and Technical Information of China (English)

    董金伟; 杜华兵; 刘呈苓; 有祥亮

    2001-01-01

    实生刺槐林皆伐迹地伐桩的4种处理方式对照0(伐桩不做处理)、处理1(刨伐桩)、处理2(伐桩环剥皮)和处理3(切断伐桩周围侧根),对刺槐无性更新影响的研究表明:伐桩处理不同程度地提高了刺槐第一代萌芽或根蘖更新的效果.其中处理1和处理2更新的幼树生长整齐、干形通直、根系发育良好.林分的前期生长量明显高于对照0,是刺槐林无性更新首选的2种处理方法.

  17. Screening of Wood-rotting Fungi to Treat Stumps of Dead Pine Trees Caused by PWN (Bursaphelenchus xylophilus)%处理松材线虫病病死松树伐桩木腐菌的筛选

    Institute of Scientific and Technical Information of China (English)

    陈瑶; 汪来发; 朴春根; 朱天辉; 申相澈; 郑荣镇

    2008-01-01

    测试了木腐菌对松材线虫繁殖的影响以及对马尾松木块和松材线虫病病死树伐桩的分解能力,结果表明,供试菌株除裂褶菌菌株外,其他菌株都能抑制松材线虫的繁殖,其中松材线虫在松生拟层孔菌菌株W10、W11,硫磺菌菌株5452、6600,粗皮侧耳菌株6221,虎掌菌菌株6320,茯苓菌株6284,灵芝菌株6501菌落上完全不能存活.对马尾松木块的分解试验结果表明,松生拟层孔菌菌株W10、W11、硫磺菌菌株6600、杂色云芝菌株6923、茯苓菌株6284对马尾松木块具有较强的分解能力.田间接种硫磺菌菌株6600、杂色云芝菌株6923、松生拟层孔菌菌株W11、茯苓菌株6284和粗皮侧耳菌株6221处理松材线虫病病死树伐桩70 d后,硫磺菌菌株6600和杂色云芝菌株6923表现出对松材线虫病病死树伐桩较强的分解能力,这2个菌株可作为今后利用木腐菌处理松材线虫病病死树伐桩的潜力菌株.

  18. 木腐菌对松材线虫病病死树伐桩的作用%Effects of Wood-Rotting Fungi on Stumps of Dead Wood Caused by PWN(Bursaphelenchus xylophilus)

    Institute of Scientific and Technical Information of China (English)

    陈瑶; 汪来发; 朴春根; 朱天辉; 申相澈; 郑荣镇

    2008-01-01

    采用硫磺菌菌株6600、杂色云芝菌株6923、松生拟层孔菌菌株W11、茯苓菌株6284和粗皮侧耳菌株6221接种处理松材线虫病病死树伐桩,研究5个菌株对伐桩的分解能力以及对伐桩内松材线虫的作用情况.结果表明:硫磺菌菌株6600对伐桩的分解能力以及对伐桩内松材线虫的抑杀作用都最强;对伐桩内松材线虫数量与伐桩样品质量的相关分析表明两者呈极显著的正相关.该研究为今后在实际生产中利用木腐菌处理伐桩奠定了重要的基础.

  19. 关节镜下保留胫骨残端重建前交叉韧带50例报告%A Report of 50 Cases of Anterior Cruciate Ligament Reconstruction Reserved Tibial Stump in Arthroscopic

    Institute of Scientific and Technical Information of China (English)

    刘磊

    2011-01-01

    目的:探讨保留残端重建前交叉韧带(anterior cruciate ligament ACL)的临床疗效.方法:应用股薄肌、半腱肌肌腱治疗ACL损伤50例,术中保留ACL下止点残端.结果:术后膝关节稳定性增强,Lysholm功能评分,术前平均69.5分,术后平均91.6分,提高22.1分.Lachman试验阴性47例,弱阳性2例,阳性1例.Marshall评分平均45.9分.结论:保留残端重建ACL具有良好临床效果.

  20. Participation of different genes in the ruptures repair of double chain in Escherichia coli stumps exposed to gamma radiation; Participacion de diferentes genes en la reparacion de rupturas de doble cadena en cepas de Escherichia coli expuestas a radiacion gamma

    Energy Technology Data Exchange (ETDEWEB)

    Serment G, J. H.; Martinez M, E.; Alcantara D, D., E-mail: jorge.serment@inin.gob.mx [ININ, Departamento de Biologia, Carretera Mexico-Toluca s/n, 52750 Ocoyoacac, Estado de Mexico (Mexico)

    2013-05-01

    All living organisms are naturally exposed to radiation from different sources. Ionizing radiation produces a plethora of lesions upon DNA that can be categorized as single and double strand breaks and base damage. Among them, unrepaired double strand breaks (Dbs) have the greatest biological significance, since they are responsible of cell death. In Escherichia coli this kind of lesions are repaired mostly by homologous recombination. In this work the participation of some recombination genes in the repair of Dbs is evaluated. Escherichia coli defective strains were exposed to gamma radiation and incubated for different periods in ideal conditions. Both micro electrophoresis and pulse field gel electrophoresis techniques were used to evaluate the kinetics of repair of such lesions, reflecting the importance of each defective gene in the process. (Author)

  1. High-fiber foods

    Science.gov (United States)

    ... gov/pubmed/26514720 . Grodner M, Escott-Stump S, Dorner S. Carbohydrates. In: Grodner M, Escott-Stump S, Dorner S, eds. Nutritional Foundations and Clinical Applications . 6th ed. Philadelphia, PA: Elsevier Mosby; 2016:chap ...

  2. Editorial Commentary: There's No Time Like the Present if You Want to Save Your Mechanoreceptors!

    Science.gov (United States)

    D'Agostino, Ralph B

    2016-02-01

    The timing of stump-sparing surgery for the preservation of mechanoreceptors, volume of the anterior cruciate ligament stump, and number of Ruffini corpuscles matters, with longer delays leading to worse results for patients.

  3. Umbilical Cord Care: Do's and Don'ts for Parents

    Science.gov (United States)

    Healthy Lifestyle Infant and toddler health A newborn's umbilical cord stump typically falls off within about two weeks after birth. In the meantime, treat your baby's umbilical cord stump gently. By Mayo Clinic Staff Wonder how ...

  4. Native Americans and Yucca Mountain: A revised and updated summary report on research undertaken between 1987 and 1991; Volume 2

    Energy Technology Data Exchange (ETDEWEB)

    Fowler, C.S. [Cultural Resources Consultants Ltd., Reno, NV (United States)

    1991-10-15

    This report consists of Yucca Mountain Project bibliographies. It is the appendix to a report that summarizes data collected between September 1986 and September 1988 relative to Native American concerns involving the potential siting of a high-level nuclear waste repository at Yucca Mountain, Nevada. The data were collected from Western Shoshone and Southern Paiute people upon whose aboriginal lands the repository potentially is to be located. Western Shoshone people involved in the study were those resident or affiliated with reservation communities at Yomba and Duckwater, Nevada, and Death Valley, California. Southern Paiute people were at reservation communities at Moapa and Las Vegas. Additional persons of Western Shoshone and Southern Paiute descent were interviewed at Beatty, Tonopah, Caliente, Pahrump, and Las Vegas, Nevada. The work was part of a larger project of socioeconomic studies for the State of Nevada`s Nuclear Waste Projects office, conducted by Mountain West of Phoenix, Arizona.

  5. Native Americans and state and local governments

    Energy Technology Data Exchange (ETDEWEB)

    Rusco, E.R. [Cultural Resources Consultants, Ltd. Reno, Nevada (United States)

    1991-10-01

    Native Americans` concerns arising from the possibility of establishment of a nuclear repository for high level wastes at Yucca Mountain fall principally into two main categories. First, the strongest objection to the repository comes from traditional Western Shoshones. Their objections are based on a claim that the Western Shoshones still own Yucca Mountain and also on the assertion that putting high level nuclear wastes into the ground is a violation of their religious views regarding nature. Second, there are several reservations around the Yucca Mountain site that might be affected in various ways by building of the repository. There is a question about how many such reservations there are, which can only be decided when more information is available. This report discusses two questions: the bearing of the continued vigorous assertion by traditionalist Western Shoshones of their land claim; and the extent to which Nevada state and local governments are able to understand and represent Indian viewpoints about Yucca Mountain.

  6. Native Americans and Yucca Mountain: A revised and updated summary report on research undertaken between 1987 and 1991; Volume 1

    Energy Technology Data Exchange (ETDEWEB)

    Fowler, C.S. [Cultural Resources Consultants Ltd., Reno, NV (United States)

    1991-10-15

    This report summarizes data collected between September 1986 and September 1988 relative to Native American concerns involving the potential siting of a high-level nuclear waste repository at Yucca Mountain, Nevada. The data were collected from Western Shoshone and Southern Paiute people upon whose aboriginal lands the repository potentially is to be located. Western Shoshone people involved in the study were those resident or affiliated with reservation communities at Yomba and Duckwater, Nevada, and Death Valley, California. Southern Paiute people were at reservation communities at Moapa and Las Vegas. Additional persons of Western Shoshone and Southern Paiute descent were interviewed at Beatty, Tonopah, Caliente, Pahrump, and Las Vegas, Nevada. The work was part of a larger project of socioeconomic studies for the State of Nevada`s Nuclear Waste Projects office, conducted by Mountain West of Phoenix, Arizona.

  7. Gastric cancer arising from the remnant stomach after distal gastrectomy: a review.

    Science.gov (United States)

    Takeno, Shinsuke; Hashimoto, Tatsuya; Maki, Kenji; Shibata, Ryosuke; Shiwaku, Hironari; Yamana, Ippei; Yamashita, Risako; Yamashita, Yuichi

    2014-10-14

    Gastric stump carcinoma was initially reported by Balfore in 1922, and many reports of this disease have since been published. We herein review previous reports of gastric stump carcinoma with respect to epidemiology, carcinogenesis, Helicobacter pylori (H. pylori) infection, Epstein-Barr virus infection, clinicopathologic characteristics and endoscopic treatment. In particular, it is noteworthy that no prognostic differences are observed between gastric stump carcinoma and primary upper third gastric cancer. In addition, endoscopic submucosal dissection has recently been used to treat gastric stump carcinoma in the early stage. In contrast, many issues concerning gastric stump carcinoma remain to be clarified, including molecular biological characteristics and the carcinogenesis of H. pylori infection. We herein review the previous pertinent literature and summarize the characteristics of gastric stump carcinoma reported to date.

  8. Ecological impacts of using chloropicrin to control laminated root rot in northwest conifer forests: Growth and mycorrhiza formation of planted douglas-fir seedlings after two growing seasons. Forest Service research paper

    Energy Technology Data Exchange (ETDEWEB)

    Castellano, M.A.; McKay, D.; Thies, W.G.

    1993-06-01

    Barefoot Douglas-fir seedlings inoculated with Rhizopogon sp. and processed by standard nursery and reforestation procedures performed equally well whether planted near Douglas-fir stumps previously fumigated with two dosages of choloropicrin to control Phellinus weirri infection or near stumps not fumigated. Before stump fumigation can be generally recommended for Phellinus-rehabilitation sites, the fate of the chemical and its derivates must be directly assessed under various conditions of stand age, soil, and weather.

  9. Prosthetic fitting problems of the quasi-Syme amputation.

    Science.gov (United States)

    Rubin, G

    1981-10-01

    Unless the original Syme amputation technique has been precisely followed, an amputation stump capable of tolerating little or no end-bearing will frequently result. Such a stump must be fitted with a below knee type of prosthesis as if the patient were a below-knee amputee. Even though it is not designed for other than a below-knee amputation, the socket can be modified to provide a satisfactory prosthesis for a Quasi-Syme stump.

  10. Integrating Archaeological Modeling in DoD Cultural Resource Compliance

    Science.gov (United States)

    2012-10-26

    S. Meyer, Merrill Dicks, James H. Mathews, James R. Morehead, Greg Mikell, Keith Hemphill, Susan DeFrance and Andrea B. Shea 1998 Mitigative Data...groups include: • Blackfeet Tribe • Confederated Tribes of the Goshute Indian Reservation • Crow Tribe of Montana • Eastern Shoshone Tribe • Hopi

  11. Renewal of the Nellis Air Force Range Land Withdrawal, Legislative Environmental Impact Statement. Volume 1. Chapters 1-11

    Science.gov (United States)

    1999-03-01

    feet (Mozingo and Williams 1980; Air Force 1981). Asclepias eastwoodiana Eastwood milkweed SOC, BLM G2S2 Low, few-stemmed perennial herb from...Desert monkey grasshopper (Psychomastix deserticola) SOC Listed by USFWS as potentially occurring on NAFR Pahranagat naucorid bug (Pelocoris shoshone

  12. The Indian Reading Series: Stories and Legends of the Northwest. Level I. Books 1-20.

    Science.gov (United States)

    Northwest Regional Educational Lab., Portland, OR.

    Designed as supplementary reading materials appropriate for Indian and non-Indian children in the primary grades, this series of 20 booklets presents legends and stories of Northwest tribes. Stories in this first level of a six-level series were developed by the Blackfeet, Northern Cheyenne, Skokomish, Shoshone-Bannock, Crow, and Muckleshoot…

  13. 75 FR 57290 - Notice of Inventory Completion: University of Colorado Museum, Boulder, CO

    Science.gov (United States)

    2010-09-20

    ... Reservation, Nevada and Utah; Crow Tribe of Montana; Death Valley Timbi-Sha Shoshone Band of California... individual human remains at the time of death or later as part of the death rite or ceremony. Lastly... Indian Reservation, Arizona, wrote letters or signed the disposition agreement in support of the...

  14. 76 FR 18216 - Dominion Virginia Power/North Carolina Power; Notice of Availability of Shoreline Management Plan...

    Science.gov (United States)

    2011-04-01

    ... Shoreline Management Plan Update for the Shoshone Falls Project and Soliciting Comments, Motions To... Commission and is available for public inspection: a. Application Type: Revised Shoreline Management Plan. b... revised Shoreline Management Plan (SMP) for the project. ] The SMP is a comprehensive plan to protect...

  15. 77 FR 13629 - Notice of Inventory Completion: History Colorado, Denver, CO

    Science.gov (United States)

    2012-03-07

    ... has determined that there is insufficient evidence to reasonably establish cultural affiliation.... DATES: Representatives of any Indian tribe that believes it has a cultural affiliation with the human... Mexico; Shoshone-Bannock Tribes of the Fort Hall Reservation of Idaho; and the Zuni Tribe of the...

  16. 75 FR 65649 - Notice of Realty Action: Segregation To Consider Proposed Sale of Public Lands in Blaine County, ID

    Science.gov (United States)

    2010-10-26

    ... 2003 Amendments to the BLM Shoshone Field Office Land Use Plans for Land Tenure Adjustment and Areas of... Bureau of Land Management Notice of Realty Action: Segregation To Consider Proposed Sale of Public Lands in Blaine County, ID AGENCY: Bureau of Land Management, Interior. ACTION: Notice of realty...

  17. 30 CFR 250.449 - What additional BOP testing requirements must I meet?

    Science.gov (United States)

    2010-07-01

    ... system; (b) Stump test a subsea BOP system before installation. You must use water to conduct this test. You may use drilling fluids to conduct subsequent tests of a subsea BOP system; (c) Alternate tests between control stations and pods; (d) Pressure test the blind or blind-shear ram BOP during stump...

  18. Prototheca associated with banana.

    Science.gov (United States)

    Pore, R S

    1985-06-01

    Prototheca stagnora was found to be a habitant of older harvested banana (Musa sapientum) and plantain (M. paradisiaca) stumps while P. wickerhamii colonized fresh Musa sp. stumps and flower bract water of Heliconia sp. While Prototheca sp. were known to habituate woody plants, this is the first evidence that herbaceous plants also serve as habitats.

  19. Skin problems in lower limb amputees : an overview by case reports

    NARCIS (Netherlands)

    Meulenbelt, H.E.J.; Geertzen, J.H.B.; Dijkstra, Pieter; Jonkman, M.F.

    2007-01-01

    The stump in lower limb amputees is prone to skin problems because it is exposed to several unnatural conditions (shear and stress forces and increased humidity) when a prosthesis is used. This study reviews the literature on case reports of lower limb amputees with skin problems on the stump. In to

  20. Compilation of 1986 Annual Reports of the Navy ELF (Extremely Low Frequency) Communications System Ecological Monitoring Program. Volume 1. TABS A-C.

    Science.gov (United States)

    1987-07-01

    Knowledge of the exact route of Armillaria spread from stumps to seedlings will help us to determine how important stump species, size, and density are as... metabolic activity. If fruiting is tied to carbohydrate supply, mycorrhizal fruiting could be partially explained by events leading to host dormancy in the...Seedling Rhizoplane Streptomycetes ---- 5 INTRODUCTION ------------------------------------------------ 7 PROJECT DESIGN

  1. Langtidsbehandling med spinal cord-stimulation hos en patient med kronisk regionalt smertesyndrom type 1 og fantomsmerter efter amputation

    DEFF Research Database (Denmark)

    Enggaard, Thomas P.; Scherer, Christian; Nikolajsen, Lone

    2008-01-01

    The development of stump and phantom pain after limb amputation in patients with complex regional pain syndrome (CRPS) is very frequent. Stump pain is typically recurred CRPS and the possibilities for effective pharmacological pain relief are often limited. Spinal cord stimulation (SCS) has a well...

  2. The Fundamentals of Thermal Imaging Systems.

    Science.gov (United States)

    1979-05-10

    of Small Craft in Destin, Florida Coastal Waters for Maritime Search and Rescue," F. Zegel, W. Stump, S. Rodak , and P. Stamoulas, NV&EOL Report, July...74 (Unclassified). 2-4 "Thermal Signature Measurements of Four US Army Field Portable Power Generators," S. Rodak , F. Zegel and W. Stump, NV&EOL

  3. Skin problems in lower limb amputees : an overview by case reports

    NARCIS (Netherlands)

    Meulenbelt, H.E.J.; Geertzen, J.H.B.; Dijkstra, Pieter; Jonkman, M.F.

    The stump in lower limb amputees is prone to skin problems because it is exposed to several unnatural conditions (shear and stress forces and increased humidity) when a prosthesis is used. This study reviews the literature on case reports of lower limb amputees with skin problems on the stump. In

  4. Enhancement of musculocutaneous nerve reinnervation after vascular endothelial growth factor (VEGF gene therapy

    Directory of Open Access Journals (Sweden)

    Haninec Pavel

    2012-06-01

    Full Text Available Abstract Background Vascular endothelial growth factor (VEGF is not only a potent angiogenic factor but it also promotes axonal outgrowth and proliferation of Schwann cells. The aim of the present study was to quantitatively assess reinnervation of musculocutaneous nerve (MCN stumps using motor and primary sensory neurons after plasmid phVEGF transfection and end-to-end (ETE or end-to-side (ETS neurorrhaphy. The distal stump of rat transected MCN, was transfected with plasmid phVEGF, plasmid alone or treated with vehiculum and reinnervated following ETE or ETS neurorrhaphy for 2 months. The number of motor and dorsal root ganglia neurons reinnervating the MCN stump was estimated following their retrograde labeling with Fluoro-Ruby and Fluoro-Emerald. Reinnervation of the MCN stumps was assessed based on density, diameter and myelin sheath thickness of regenerated axons, grooming test and the wet weight index of the biceps brachii muscles. Results Immunohistochemical detection under the same conditions revealed increased VEGF in the Schwann cells of the MCN stumps transfected with the plasmid phVEGF, as opposed to control stumps transfected with only the plasmid or treated with vehiculum. The MCN stumps transfected with the plasmid phVEGF were reinnervated by moderately higher numbers of motor and sensory neurons after ETE neurorrhaphy compared with control stumps. However, morphometric quality of myelinated axons, grooming test and the wet weight index were significantly better in the MCN plasmid phVEGF transfected stumps. The ETS neurorrhaphy of the MCN plasmid phVEGF transfected stumps in comparison with control stumps resulted in significant elevation of motor and sensory neurons that reinnervated the MCN. Especially noteworthy was the increased numbers of neurons that sent out collateral sprouts into the MCN stumps. Similarly to ETE neurorrhaphy, phVEGF transfection resulted in significantly higher morphometric quality of myelinated axons

  5. To Compare the Effect of Pre and Post Weight Bearing Anxiety, Depression in Conventional and Modular Prosthesis on Unilateral Transtibial Amputees

    Directory of Open Access Journals (Sweden)

    R. Raja

    2014-01-01

    Full Text Available Aims and Objectives: To compare the effect of anxiety and depression on unilateral trans tibial amputees those who are using conventional and modular patellar tendon bearing (PTB prosthesis with stump exercises. Material and Methods: A sample of 40 persons with below knee amputation who were trained to wear prosthesis were studied with an experimental comparative study design. Patients who were admitted at Kempegowda Institute of Medical Sciences and Research Centre, Bangalore, K. S. Hegde Medical Academy and Research Centre Mangalore, (N=150 who underwent unilateral transtibial, transfemoral and other amputations between August 2009 - December 2011. To find out peri and postoperative prosthetic fitting, anxiety and depression level of transtibial amputees who wear conventional and modular PTB prosthesis. 3 years of experimental comparative study reveals that the outcome measures of peri and post-operative anxiety and depression level while using conventional PTB prosthesis with stump exercises and modular PTB prosthesis with stump exercises on unilateral transtibial amputees. Results: The unilateral transtibial amputees who were trained with modular prosthesis along with stump exercises group patients anxiety and depression levels are reduced as compared to the unilateral transtibial amputees who were trained with conventional PTB prosthesis along with stump exercises. There is no significant difference seen in both the groups while giving stump exercises alone. Conclusion: The unilateral transtibial amputees who were trained with modular prosthesis along with stump exercises group, patient’s anxiety and depression levels are reduced drastically.

  6. Snake River Sockeye Salmon Captive Broodstock Program : Hatchery Element : Annual Progress Report, 2000.

    Energy Technology Data Exchange (ETDEWEB)

    Kline, Paul A.; Willard, Catherine

    2001-04-01

    On November 20, 1991, the National Marine Fisheries Service listed Snake River sockeye salmon Oncorhynchus nerka as endangered under the Endangered Species Act of 1973. In 1991, the Idaho Department of Fish and Game, the Shoshone-Bannock Tribes, and the National Marine Fisheries Service initiated efforts to conserve and rebuild populations in Idaho. Initial steps to recover sockeye salmon included the establishment of a captive broodstock program at the Idaho Department of Fish and Game Eagle Fish Hatchery. Sockeye salmon broodstock and culture responsibilities are shared with the National Marine Fisheries Service at two locations adjacent to Puget Sound in Washington State. Activities conducted by the Shoshone-Bannock Tribes and the National Marine Fisheries Service are reported under separate cover. Idaho Department of Fish and Game monitoring and evaluation activities of captive broodstock program fish releases are also reported under separate cover. Captive broodstock program activities conducted between January 1, 2000 and December 31, 2000 are presented in this report.

  7. Peripheral nerve lengthening as a regenerative strategy

    Institute of Scientific and Technical Information of China (English)

    Kenneth M.Vaz; Justin M.Brown; Sameer B.Shah

    2014-01-01

    Peripheral nerve injury impairs motor, sensory, and autonomic function, incurring substantial ifnancial costs and diminished quality of life. For large nerve gaps, proximal lesions, or chronic nerve injury, the prognosis for recovery is particularly poor, even with autografts, the current gold standard for treating small to moderate nerve gaps. In vivo elongation of intact proximal stumps towards the injured distal stumps of severed peripheral nerves may offer a promising new strategy to treat nerve injury. This review describes several nerve lengthening strategies, in-cluding a novel internal ifxator device that enables rapid and distal reconnection of proximal and distal nerve stumps.

  8. The recurrent Morton neuroma: what now?

    Science.gov (United States)

    Richardson, David R; Dean, Erin M

    2014-09-01

    Interdigital neuromas are a common cause of forefoot pain, and approximately 80% of patients require surgical excision for symptom relief. Although 50% to 85% of patients obtain relief after primary excision, symptoms may recur because of an incorrect diagnosis, inadequate resection, or adherence of pressure on a nerve stump neuroma. The symptom relief rate after reoperation is similar to that after primary excision. A plantar longitudinal incision provides optimal exposure, and transposition of the nerve stump into bone or muscle and avoids traction or pressure on the nerve ending that can result in a painful stump neuroma. Preoperative counseling is essential to align patient expectations with potential outcomes.

  9. Determination of fluoroquinolones in aquaculture products by ultra-performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS).

    Science.gov (United States)

    Pearce, J N; Burns, B G; van de Riet, J M; Casey, M D; Potter, R A

    2009-01-01

    An ultra-performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS) method was developed for the determination of fluoroquinolones-ciprofloxacin (CIPRO), danofloxacin (DANO), enrofloxacin (ENRO) and sarafloxacin (SARA)-in aquaculture products, specifically salmon, shrimp and tilapia. After initial sample extraction with an acidic acetonitrile solution, the extract was diluted with dichloromethane and centrifuged, then an aliquot was concentrated and applied to a C18 solid-phase extraction cartridge and concentrated for a second time. The resultant residue was dissolved in acetonitrile, diluted with water, and then further defatted with hexane. The fluoroquinolone residues were determined by UPLC with an HSS T3 C18 reverse-phase column using an ammonium hydroxide-formic acid buffer in an acetonitrile gradient with MS/MS detection using multiple reaction monitoring. Average recoveries for salmon tissue ranged from 73% for DANO to 95% for SARA, for shrimp from 71% for DANO to 109% for SARA, and from 62% for DANO to 111% for SARA in tilapia, fortified at the 1.0 ng g(-1) level. Standard curves were linear between 0.002 and 0.5 ng injected for all compounds. Detection limits of 0.2 ng g(-1) for CIPRO, DANO, ENRO, and SARA were easily obtainable. The operational errors, interferences, and recoveries for fortified samples demonstrate that this described method is suitable for routine use in a regulatory programme. The recommended method is simple, rapid, specific and reliable for the routine monitoring of fluoroquinolone residues in aquatic species such as salmon, tilapia and shrimp.

  10. An Archeological Overview and Management Plan for Tooele Army Depot North and South

    Science.gov (United States)

    1984-03-29

    is located in the northeast corner of the Depot.- Aside from CAMUS , this is the major activity area on the South Post. The developed portion, located... Albert Sidney Johnston, the officer in charge of an 1857 expedition to Utah, was instructed to find a suitable location for a permanent post near Salt...City: State of Utah. Department of Natural resources, Technical Publication No. 69.* Reagan, Albert B. 1934a. The Shoshone-Gosiute (Goshute), or

  11. Snake River Sockeye Salmon Captive Broodstock Program; Hatchery Element, 1998 Annual Progress Report.

    Energy Technology Data Exchange (ETDEWEB)

    Kline, Paul A.; Heindel, Jeff A.

    1999-12-01

    On November 20, 1991, the National Marine Fisheries Service listed Snake River sockeye salmon as endangered under the Endangered Species Act of 1973. In 1991, the Idaho Department of Fish and Game, the Shoshone-Bannock Tribes, and NMFS initiated efforts to conserve and rebuild populations in Idaho. Captive broodstock program activities conducted between January 1, 1998 and December 31, 1998, are presented in this report.

  12. Ground Wave Emergency Network Final Operational Capability: Environmental Assessment for Central Nevada Relay Node, Site Number RN 8W917NV

    Science.gov (United States)

    1993-03-05

    the Intermountain West in a variety of habitats, including ponderosa pine forests and caves . It is most frequently found in California, Arizona, New...rabbit’s home range and impacts are not expected. The spotted bat habitats of high cliffs and canyons, ponderosa pine forests, and caves are absent from the...90, Tribal Administrator Shoshone-Paiute, but no response has been Owyhee , Nevada received to the letter or to several attempts at phone communication

  13. Fish Remains from Nahas Cave: Archaeological Evidence of Anadromous Fishes in Southwestern Idaho

    OpenAIRE

    Plew, Mark G.

    1980-01-01

    The anadromous fish runs of the Snake and Owyhee rivers and their tributaries have provided an important element of interpretations of native subsistence in southwestern Idaho (see Butler 1978:30-31; Pavesic 1978; Swanson 1965). Prior to the development of major water control systems in the Northwest, anadromous fishes migrated as far east in the Snake River as Shoshone Falls, located adjacent to the present city of Twin Falls, Idaho, and into the Owyhee River (Evermann 1896, 1897; see also S...

  14. Environmental Assessment (EA): Proposed Emergency Power Unit Overhaul Complex at Little Mountain Test Annex, Utah

    Science.gov (United States)

    2014-03-14

    Confederated Tribes of the Goshute Indian Reservation (w/o Attachments 3 and 4) Crow Tribe of Montana (w/o Attachments 3 and 4) Duckwater Shoshone Tribe (w...Demolition cc: Blackfeet Indian Tri be (w/o Attachments 3 and 4) Confederated Tribes of the Goshute Indian Reservation (w/o Attachments 3 and 4) Crow ...Responses From American Indian Tribes LIST OF ACRONYMS AND CHEMICAL TERMS AFB Air Force Base AFCEE Air Force Center for Environmental

  15. The Emergence of Operational Art in the Great Sioux War 1876-1877

    Science.gov (United States)

    2013-12-10

    Sheridan recorded that the report by the Indian Bureau inspector E. C. Watkins of the depredations of the Shoshones, Mandans, Arikaras, Crow and...Second Cavalry, and twenty-five Crow Indian scouts. Arriving at 40 Bailey, 126-7. 41 “Special Files,” telegram from Sheridan to Terry, 9 February...by the Indians ruined the trail where it divided going southeast and southwest. Terry learned from Crow scouts that Crook was in the area at Goose

  16. Snake River Sockeye Salmon Habitat and Limnological Research : 2008 Annual Progress Report.

    Energy Technology Data Exchange (ETDEWEB)

    Kohler, Andre E. [Shoshone-Bannock Tribes; Griswold, Robert G. [Biolines Environmental Consulting; Taki, Doug [Shoshone-Bannock Tribes

    2009-07-31

    In March 1990, the Shoshone-Bannock Tribes petitioned the National Marine Fisheries Service (NMFS) to list Snake River sockeye salmon (Oncorhynchus nerka) as endangered. Snake River sockeye salmon were officially listed as endangered in November 1991 under the Endangered Species Act (56 FR 58619). In 1991, the Snake River Sockeye Salmon Habitat and Limnological Research Project was implemented. This project is part of an interagency effort to prevent the extinction of the Redfish Lake stock of Snake River sockeye salmon. The Shoshone-Bannock Tribal goal for this project is two tiered: the immediate goal is to increase the population of Snake River sockeye salmon while preserving the unique genetic characteristics of the evolutionarily significant unit (ESU). The Tribes long term goal is to maintain a viable population that warrants delisting and provides Tribal harvest opportunities. The Bonneville Power Administration (BPA) provides funding for this interagency Recovery effort. Collaborators in the recovery effort include the National Oceanic and Atmospheric Administration (NOAA), the Idaho Department of Fish and Game (IDFG), the University of Idaho (UI), and the Shoshone-Bannock Tribes (SBT). This report summarizes activities conducted by Shoshone-Bannock Tribal Fisheries Department personnel during the 2008 calendar year. Project tasks include: (1) monitor limnological parameters of the Sawtooth Valley lakes to assess lake productivity; (2) conduct lake fertilization in Pettit and Alturas lakes; (3) reduce the number of mature kokanee salmon spawning in Alturas Lake Creek; (4) monitor, enumerate, and evaluate sockeye salmon smolt migration from Pettit and Alturas lakes; (5) monitor spawning kokanee salmon escapement and estimate fry recruitment in Fishhook and Alturas Lake creeks; (6) conduct sockeye and kokanee salmon population surveys; (7) evaluate potential competition and predation between stocked juvenile sockeye salmon and a variety of fish species in

  17. Snake River Sockeye Salmon Habitat and Limnological Research; 2004 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Kohler, Andre E.; Taki, Doug (Shoshone-Bannock Tribes, Fort Hall, ID); Griswold, Robert G. (Biolines, Stanley, ID)

    2004-06-01

    In March 1990, the Shoshone-Bannock Tribes petitioned the National Marine Fisheries Service (NMFS) to list the Snake River sockeye salmon (Oncorhynchus nerka) as endangered. Snake River sockeye salmon were officially listed as endangered in November 1991 under the Endangered Species Act (56 FR 58619). In 1991, the Snake River Sockeye Salmon Habitat and Limnological Research Program was implemented (Project Number 1991-071-00). This project is part of an interagency effort to prevent the extinction of the Redfish Lake stock of sockeye salmon. The Shoshone-Bannock Tribal goal for this project is two tiered: The immediate goal is to increase the population of Snake River sockeye salmon while preserving the unique genetic characteristics of the Evolutionarily Significant Unit (ESU); The Tribe's long term goal is to maintain a viable population that warrants delisting and provides Tribal harvest opportunities. The Bonneville Power Administration (BPA) provides funding for this interagency recovery program through their Integrated Fish and Wildlife Program. Collaborators in the recovery effort include the National Oceanic and Atmospheric Administration (NOAA), the Idaho Department of Fish and Game (IDFG), the University of Idaho (UI), and the Shoshone-Bannock Tribes (SBT). This report summarizes activities conducted by Shoshone-Bannock Tribal Fisheries Department personnel during the 2004 calendar year. Project tasks include: (1) monitor limnological parameters of the Sawtooth Valley lakes to assess lake productivity; (2) conduct lake fertilization in Pettit Lake; (3) reduce the number of mature kokanee salmon spawning in Fishhook Creek; (4) monitor and enumerate sockeye salmon smolt migration from Pettit and Alturas lakes; (5) monitor spawning kokanee salmon escapement and estimate fry recruitment in Fishhook, Alturas Lake, and Stanley Lake creeks; (6) conduct sockeye salmon and kokanee salmon population surveys; (7) evaluate potential competition and predation

  18. Snake River Sockeye Salmon Habitat and Limnological Research; 2003 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Taki, Doug; Kohler, Andre E. (Shoshone-Bannock Tribes, Fort Hall, ID); Griswold, Robert G. (Biolines, Stanley, ID)

    2004-01-01

    In March 1990, the Shoshone-Bannock Tribes petitioned the National Marine Fisheries Service (NMFS) to list the Snake River sockeye salmon (Oncorhynchus nerka) as endangered. As a result of that petition, the Snake River sockeye salmon was officially listed as endangered in November 1991 under the Endangered Species Act (56 FR 58619). In 1991, the Snake River Sockeye Salmon Habitat and Limnological Research Program was implemented (Project Number 1991-071-00). This project is part of an interagency effort to prevent the extinction of the Redfish Lake stock of sockeye salmon. The Shoshone-Bannock Tribal goal for this project is two tiered: The immediate goal is to increase the population of Snake River sockeye salmon while preserving the unique genetic characteristics of the Evolutionarily Significant Unit (ESU). The Tribes long term goal is to maintain a viable population that warrants delisting and provides Tribal harvest opportunities. The Bonneville Power Administration (BPA) provides funding for this interagency recovery program through the Northwest Power and Conservation Council Fish and Wildlife Program (NPCCFWP). Collaborators in the recovery effort include the National Oceanic and Atmospheric Administration (NOAA), the Idaho Department of Fish and Game (IDFG), the University of Idaho (UI), and the Shoshone-Bannock Tribes (SBT). This report summarizes activities conducted by Shoshone-Bannock Tribal Fisheries Department personnel during the 2003 calendar year. Project objectives include: (1) monitor limnological parameters of the Sawtooth Valley lakes to assess lake productivity; (2) reduce the number of mature kokanee spawning in Fishhook Creek; (3) monitor sockeye salmon smolt migration from the captive rearing program release of juveniles into Pettit and Alturas lakes; (4) monitor spawning kokanee escapement and estimate fry recruitment in Fishhook, Alturas Lake, and Stanley Lake creeks; (5) conduct sockeye and kokanee salmon population surveys; (6

  19. Snake River Sockeye Salmon Habitat and Limnological Research : 2005 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Taki, Doug; Kohler, Andre E.; Griswold, Robert G.; Gilliland, Kim

    2006-07-14

    In March 1990, the Shoshone-Bannock Tribes petitioned the National Marine Fisheries Service (NMFS) to list Snake River sockeye salmon (Oncorhynchus nerka) as endangered. Snake River sockeye salmon were officially listed as endangered in November 1991 under the Endangered Species Act (56 FR 58619). In 1991, the Snake River Sockeye Salmon Habitat and Limnological Research Project was implemented. This project is part of an interagency effort to prevent the extinction of the Redfish Lake stock of Snake River sockeye salmon. The Shoshone-Bannock Tribal goal for this project is two tiered: The immediate goal is to increase the population of Snake River sockeye salmon while preserving the unique genetic characteristics of the Evolutionarily Significant Unit (ESU). The Tribes long term goal is to maintain a viable population that warrants delisting and provides Tribal harvest opportunities. The Bonneville Power Administration (BPA) provides funding for this interagency recovery. Collaborators in the recovery effort include the National Oceanic and Atmospheric Administration (NOAA), the Idaho Department of Fish and Game (IDFG), the University of Idaho (UI), and the Shoshone-Bannock Tribes (SBT). This report summarizes activities conducted by Shoshone-Bannock Tribal Fisheries Department personnel during the 2005 calendar year. Project tasks include: (1) monitor limnological parameters of the Sawtooth Valley lakes to assess lake productivity; (2) conduct lake fertilization in Pettit and Alturas lakes; (3) reduce the number of mature kokanee spawning in Fishhook and Alturas Lake creeks; (4) monitor and enumerate sockeye salmon smolt migration from Pettit and Alturas lakes; (5) monitor spawning kokanee escapement and estimate fry recruitment in Fishhook, Alturas Lake, and Stanley Lake creeks; (6) conduct sockeye and kokanee salmon population surveys; (7) evaluate potential competition and predation between stocked juvenile sockeye salmon and a variety of fish species in

  20. Snake River Sockeye Salmon Habitat and Limnological Research; 2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Kohler, Andre E.; Taki, Doug (Shoshone-Bannock Tribes, Fort Hall, ID); Griswold, Robert G. (Biolines, Stanley, ID)

    2004-08-01

    In March 1990, the Shoshone-Bannock Tribes petitioned the National Marine Fisheries Service (NMFS) to list the Snake River sockeye salmon (Oncorhynchus nerka) as endangered. As a result of that petition the Snake River sockeye salmon was officially listed as endangered in November 1991 under the Endangered Species Act (56 FR 58619). In 1991, the Snake River Sockeye Salmon Habitat and Limnological Research Program was implemented (Project Number 91-71, Intergovernmental Contract Number DE-BI79-91bp22548). This project is part of an interagency effort to prevent the extinction of the Redfish Lake stock of O. nerka. The Shoshone-Bannock Tribal goal for this project is two tiered: The immediate goal is to increase the population of Snake River sockeye salmon while preserving the unique genetic characteristics of the Evolutionarily Significant Unit (ESU). The Tribes long term goal is to maintain a viable population that warrants delisting and provides Tribal harvest opportunities. The Bonneville Power Administration (BPA) provides funding for this interagency recovery program through the Northwest Power Planning Council Fish and Wildlife Program (NPPCFWP). Collaborators in the recovery effort include the National Marine Fisheries Service (NMFS), the Idaho Department of Fish and Game (IDFG), the University of Idaho (UI), U.S. Forest Service (USFS), and the Shoshone-Bannock Tribe (SBT). This report summarizes activities conducted by Shoshone-Bannock Tribal Fisheries Department personnel during the 2002 calendar year. Project objectives include: (1) monitor over-winter survival and emigration of juvenile anadromous O. nerka stocked from the captive rearing program; (2) fertilize Redfish Lake (3) conduct kokanee salmon (non-anadromous O. nerka) population surveys; (4) monitor spawning kokanee escapement and estimate fry recruitment on Fishhook, Alturas Lake, and Stanley Lake creeks; (5) evaluate potential competition and predation between stocked juvenile O. nerka and a

  1. Indian Summer

    Energy Technology Data Exchange (ETDEWEB)

    Galindo, E. [Sho-Ban High School, Fort Hall, ID (United States)

    1997-08-01

    This paper focuses on preserving and strengthening two resources culturally and socially important to the Shoshone-Bannock Indian Tribe on the Fort Hall Reservation in Idaho; their young people and the Pacific-Northwest Salmon. After learning that salmon were not returning in significant numbers to ancestral fishing waters at headwater spawning sites, tribal youth wanted to know why. As a result, the Indian Summer project was conceived to give Shoshone-Bannock High School students the opportunity to develop hands-on, workable solutions to improve future Indian fishing and help make the river healthy again. The project goals were to increase the number of fry introduced into the streams, teach the Shoshone-Bannock students how to use scientific methodologies, and get students, parents, community members, and Indian and non-Indian mentors excited about learning. The students chose an egg incubation experiment to help increase self-sustaining, natural production of steelhead trout, and formulated and carried out a three step plan to increase the hatch-rate of steelhead trout in Idaho waters. With the help of local companies, governmental agencies, scientists, and mentors students have been able to meet their project goals, and at the same time, have learned how to use scientific methods to solve real life problems, how to return what they have used to the water and land, and how to have fun and enjoy life while learning.

  2. Amount of ulnar resection is a predictive factor for ulnar instability problems after the Sauvé-Kapandji procedure: a retrospective study of 44 patients followed for 1-13 years.

    Science.gov (United States)

    Daecke, Wolfgang; Martini, Abdul-Kader; Schneider, Sven; Streich, Nikolaus A

    2006-04-01

    The Sauvé-Kapandji procedure can result in instability of the proximal ulnar stump. We reviewed 44 patients (mean follow-up time 6 (0.6-13) years) to investigate predictive factors for ulnar instability after Sauvé-Kapandji operation. We used several scores including an instability score specifically designed for this study. Patients with a longer proximal ulnar stump had significantly lower instability scores, significantly better Mayo Modified wrist scores and DASH scores, and also less pain than those with shorter proximal ulna. If the shortening of the proximal stump is less than 35 mm, a reliable improvement in motion and a high patient satisfaction can be expected. The risk of a painful ulnar instability is related to the amount of resection, and can be reduced by creating a long upper ulnar stump.

  3. 76 FR 80875 - Los Padres National Forest: California; Environmental Impact Statement for the Removal of the...

    Science.gov (United States)

    2011-12-27

    ... patches, out-compete native vegetation, change soil chemistry by depositing salts in deep ground water on... and then stumps are hand coated with the herbicide, surfactant and colorant using sponge brushes....

  4. Out of character -charliZe Theron%角色之外--查理斯·塞隆

    Institute of Scientific and Technical Information of China (English)

    Sara Davidson

    2006-01-01

    @@ Name a recent Best Actress Oscar winner who grew up milking cows. Stumped?What if, we tell you she's blond and beautiful,except when she s playing a female serial killer, in which case she's shockingly scary?

  5. the poetic voice in Bright Molande's Seasons

    African Journals Online (AJOL)

    not only a picture of falling leaves but also the dynamics of the actual movement ... As Comrade Mugabe perched on a jagged tree stump tearing raw flesh of .... women's breasts and private parts being hacked off while children were being.

  6. Guide for First-Time Parents

    Science.gov (United States)

    ... Development Infections Diseases & Conditions Pregnancy & Baby Nutrition & Fitness Emotions & Behavior School & Family Life First Aid & Safety Doctors & ... it falls off, the cord stump will change color from yellow to brown or black — this is ...

  7. ISSN 2073 ISSN 2073-9990 East Cent. Afr. J. surg. (Online) 9990 ...

    African Journals Online (AJOL)

    DELL

    COSECSA/ASEA Publication East and Central African Journal of Surgery. ... is performed by both open and laparoscopic approaches 3 and has the .... Engstrom L, Fenyo G. Appendicectomy: assessment of stump invagination versus simple.

  8. Nkyi and others.pub

    African Journals Online (AJOL)

    User

    The effects of collar diameter and lifting period on shoot biomass production of Teak (Tectona grandis Linn. F) stumps ... labour at the peak of planting of agricultural crops particularly ..... height and hormone application, Technical. Publication ...

  9. A Real World, Observational Registry of Chronic Wounds and Ulcers

    Science.gov (United States)

    2016-05-18

    Diabetic Foot; Varicose Ulcer; Pressure Ulcer; Surgical Wound Dehiscence; Vasculitis; Skin Ulcer; Leg Ulcer; Wounds and Injuries; Pyoderma; Peripheral Arterial Disease; Diabetic Neuropathies; Lymphedema; Venous Insufficiency; Diabetes Complications; Amputation Stump

  10. Replantation versus prosthetic fitting in traumatic arm amputations : A systematic review

    NARCIS (Netherlands)

    Otto, Iris A.; Kon, Moshe; Schuurman, AH; Van Minnen, L. Paul

    2015-01-01

    Background: Traumatic arm amputations can be treated with replantation or surgical formalization of the stump with or without subsequent prosthetic fitting. In the literature, many authors suggest the superiority of replantation. This systematic review compared available literature to analyze whethe

  11. Devils Lake Wetland Management District: Annual narrative report: Calendar year 1985

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This annual narrative report for Devil's Lake WMD, Kelly's Slough NWR, Stump Lake NWR, Lake Alice NWR, Sullys Hill National Game Preserve, and the easement refuges...

  12. Devils Lake Wetland Management District: Annual narrative report: Calendar year 1984

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This annual narrative report for Devil's Lake WMD, Kelly's Slough NWR, Stump Lake NWR, Lake Alice NWR, Sullys Hill National Game Preserve, and the easement refuges...

  13. Midterm Health and Personnel Outcomes of Recent Combat Amputees

    Science.gov (United States)

    2010-03-01

    998.5b-998.59 Osteomyelitis: 730.Ub-730.99 Cellulitis : 682.Ub-682.99 Chronic infection of amputation stump: 997.62 Infectioii/inflajiimatory due to...Syndrome Anemia Postoperative Infection Osteomyelitis Cellulitis Heterotopic Ossification Amputation Slump Complications Chronic Infection of Amputation...Infectiims Postoperative Infecüon Osteomyelilis Cellulitis Chronic Infection , Amputation Slump Infection /Inflammatory Due to Device Septicemia Stump

  14. Radiotherapy for carcinoma of the uterine cervix with short uterine cavity

    Energy Technology Data Exchange (ETDEWEB)

    Tsuchida, Emiko; Sugita, Tadashi; Matsumoto, Yasuo; Sasamoto, Ryuta; Sakai, Kunio [Niigata Univ. (Japan). School of Medicine; Sueyama, Hiroo; Yamanoi, Tadayoshi; Ito, Takeshi; Umetsu, Hisao

    2001-11-01

    We have reviewed 11 patients treated with radiotherapy for carcinoma of the uterine cervix with short uterine cavity less than 3 cm. They consisted of 5 patients with stump cancer and 6 with atrophic uterus. Two patients with stump cancer had local failure and died of tumor progression. The 5-year cause-specific survival was 82%. Rectal and bladder injuries occurred in 5 and 2 patients, respectively. These complications were observed frequently in the patients with atrophic uterus. (author)

  15. Choosing best components for an amputee: a methodology for the best decision-making

    OpenAIRE

    Matos, José Pedro; Tomás, Mª Teresa

    2016-01-01

    Introduction - The harmony between the stump and the prosthesis is critical to allow it to fulfill its function enabling an efficient gait. A well fitted socket, with an efficient and comfortable suspension, allows the amputee to continue their daily living activities, maintaining the stump functional, making this correlation between socket and suspension very important in the functionality of the prosthesis, mobility and overall satisfaction with the device. Of our knowledge, the quantitativ...

  16. Heterobasidion annosum root and butt rot of Norway spruce, Picea abies: Colonization by the fungus and its impact on tree growth

    Energy Technology Data Exchange (ETDEWEB)

    Bendz-Hellgren, M. [Swedish Univ. of Agricultural Sciences, Uppsala (Sweden). Dept. of Forest Mycology and Pathology

    1997-12-31

    Diameter growth losses associated with decay were quantified on a nationwide scale, and volume growth losses were measured in two stands. Diameter growth losses were 8-10% during a 5-year period in the nationwide study and 23% in one of the stands, whereas in the other stand, no volume losses could be attributed to decay. The effects of stump moisture content, temperature and time elapsed between felling and inoculation on the establishment of H. annosum spore infections in stumps were investigated among stumps resulting from thinnings and clear-cuttings. Furthermore, inoculations with H. annosum conidia were made between 0 hours and 4 weeks after thinning. The incidence of stump infections was lower on clear-cut areas than in thinned stands, but high enough to warrant stump treatment on clear-cuttings. A positive relation was found between heartwood moisture content and the proportion of heartwood infected, whereas the opposite relation was found for sapwood. The establishment of new conidiospore infections decreased with time, and it appeared that stumps were no longer susceptible to infection after 3 weeks had elapsed since felling. Roots of stumps and trees on forest land or former arable land were inoculated with H. annosum treated sawdust. The growth rate of H. annosum in roots of stumps was 25 cm/year, corresponding to 2.5 to 3 times the growth rate in tree roots. Previous land use did not affect the fungal rate of spread. Also, the average initial spread rate of H. annosum in naturally infected Norway spruce stems was estimated at 30 cm/year 156 refs, 9 figs

  17. Farmer Artists

    Institute of Scientific and Technical Information of China (English)

    1998-01-01

    THERE is a huge tree stump in front of my house, and clumps of mushrooms grow on it. I always stand there looking at them and wondering how to include them into my painting." On the second floor of the China Art Gallery, Liu Suying stands in front of her work, "Picking Mushrooms," and vividly describes the process of creation. The color of the painting resembles that of the yellow earth in her hometown. Eight huge stumps are

  18. [Radiological and clinical study of the ulna's end instability after Sauvé-Kapandji procedure].

    Science.gov (United States)

    Brunet, P; Moineau, G; Liot, M; Burgaud, A; Dubrana, F; Le Nen, D

    2004-08-01

    The aim of the study was to analyse the ulnar proximal stump's behaviour after Sauvé-Kapandji procedure. The procedure was performed for post-traumatic disorders of the distal radio-ulnar joint. This is a retrospective study of 14 patients. The mean age of patients at the operation was 49 years. Most of them began immediate mobilisation into pronation and supination. After a 5 year follow-up period, the clinical examination was centred on the ulnar proximal stump. An original radiologic study was made with static and dynamic X-Ray. Seven patients indicated pain on the ulnar stump during pronosupination. A clunk on the ulnar side of the wrist was noticed by three patients and an instability of the ulnar stump was observed two times. Clinically, there were a sagittal instability in all patients and a frontal instability four times. The sagittal instability was confirmed by dynamic X-Ray on each occasion, but the frontal instability was never confirmed. Every patient had instability of the ulnar stump; however, it was well tolerated. In practice, 12 patients were satisfied or very satisfied (86%). Instability of the proximal ulnar stump remains a problem, because it occurs despite a strict technique.

  19. Laparoscopic trans teres vault suspension, a new laparoscopic method of treatment of female genital prolapse – a preliminary report

    Directory of Open Access Journals (Sweden)

    Ewa Milnerowicz-Nabzdyk

    2016-03-01

    Full Text Available Introduction : Pelvic organ prolapse (POP is treated with a great variety of procedures and none is fully satisfactory. The aim of the study was to introduce and evaluate the effectives of laparoscopic trans teres vault suspension (LTTVS technique as a new method for POP treatment. Material and methods: In the years 2013-2014, eight symptomatic women with grades II-IV POP underwent LTTVS procedure. The mean age of patients was 65.25 years (range from 52 to 76 years. The surgery encompassed total hysterectomy, suturing the vagina and fixation of uterosacral ligaments to the vaginal stump, fixation of stumps of round ligaments to the vaginal stump, and fixation of the vaginal stump to the anterior rectus fascia. Mean follow-up was 17.75 months (range from 6 to 27 months. Results : Eight patients were successfully operated. The symptoms of POP resolved after surgery and subjective quality of life increased. In one case a complication such as common fibular nerve injury appeared; however, it resolved after one month of physiotherapy. The other patient reported radiating pain down the leg after three months. No recurrence of vaginal stump prolapse was observed during the follow-up. Conclusions : LTTVS is a promising method for POP treatment. Due to repair with the use of native tissues, physiological placement of vaginal stump, and high efficacy it can be considered as an alternative to other POP surgeries. The method requires additional research on larger groups of patients.

  20. Epineural Sheath Jacket as a New Surgical Technique for Neuroma Prevention in the Rat Sciatic Nerve Model.

    Science.gov (United States)

    Siemionow, Maria; Bobkiewicz, Adam; Cwykiel, Joanna; Uygur, Safak; Francuzik, Wojciech

    2017-10-01

    Terminal neuromas resulting from severe nerve injuries and traumatic or surgical limb amputations can become a source of pain, and significantly impair patients' quality of life. Recently, the number of patients with peripheral nerve injuries increased due to modern war conflicts, natural disasters, and traffic accidents. This study investigated the efficacy of the epineural sheath jacket (ESJ) as a novel technique for neuroma prevention in the rat sciatic nerve model. A 20-mm segment of the right sciatic nerve was excised in 18 Lewis rats, and the animals were divided into 3 experimental groups (n = 6/group): group I-control, nerve stump without protection; group II-muscle burying group, nerve stump buried in the muscle; group III-ESJ group, nerve stump protected by ESJ. The ESJ was created from the excised sciatic nerve and applied as a "cap" over the proximal nerve stump. The presence of neuropathic pain was assessed weekly by pinprick test and Tinel sign, up to 24 weeks postsurgery. At 24 weeks, assessments, such as macroscopic evaluation, retrograde neuronal labeling analysis, histomorphometry, and neural/connective tissue ratio were performed. Epineural sheath jacket significantly reduced neuroma formation, which was associated with decreased Tinel sign (16.7%, P < 0.05) response compared with the nerve stump control. Moreover, ESJ reduced axonal sprouting, bulb-shaped nerve ending formation and perineural adhesions, as confirmed by macroscopic evaluation. Histological evaluation confirmed that nerve stumps protected with the ESJ showed less fibrosis and presented well-organized axonal structure. Neural/connective tissue ratio and retrograde neuronal labeling analysis revealed significantly improved results in the ESJ group compared to the control nerve stump group (P = 0.032 and P = 0.042, respectively). The protective effect of the ESJ against neuroma formation was confirmed by behavioral and histological analyses, showing outcomes comparable to the muscle

  1. Psychophysical correlates of phantom limb experience.

    Science.gov (United States)

    Katz, J

    1992-09-01

    Phantom limb phenomena were correlated with psychophysiological measures of peripheral sympathetic nervous system activity measured at the amputation stump and contralateral limb. Amputees were assigned to one of three groups depending on whether they reported phantom limb pain, non-painful phantom limb sensations, or no phantom limb at all. Skin conductance and skin temperature were recorded continuously during two 30 minute sessions while subjects continuously monitored and rated the intensity of any phantom limb sensation or pain they experienced. The results from both sessions showed that mean skin temperature was significantly lower at the stump than the contralateral limb in the groups with phantom limb pain and non-painful phantom limb sensations, but not among subjects with no phantom limb at all. In addition, stump skin conductance responses correlated significantly with the intensity of non-painful phantom limb paresthesiae but not other qualities of sensation or pain. Between-limb measures of pressure sensitivity were not significantly different in any group. The results suggest that the presence of a phantom limb, whether painful or painless, is related to the sympathetic-efferent outflow of cutaneous vasoconstrictor fibres in the stump and stump neuromas. The hypothesis of a sympathetic-efferent somatic-afferent mechanism involving both sudomotor and vasoconstrictor fibres is proposed to explain the relationship between stump skin conductance responses and non-painful phantom limb paresthesiae. It is suggested that increases in the intensity of phantom limb paresthesiae follow bursts of sympathetic activity due to neurotransmitter release onto apposing sprouts of large diameter primary afferents located in stump neuromas, and decreases correspond to periods of relative sympathetic inactivity. The results of the study agree with recent suggestions that phantom limb pain is not a unitary syndrome, but a symptom class with each class subserved by

  2. [Comparative study of the volume difference vs. healthy limb, morphological and population description in transfemoral amputees].

    Science.gov (United States)

    Mendoza-Cruz, Felipe; Rodríguez-Reyes, Gerardo; Galván Duque-Gastélum, Carlos; Alvarez-Camacho, Michelín

    2014-07-01

    Knowledge of the general characteristics and physical condition that keeps the transfemoral amputation stump to select and adapt appropriate type of prosthesis to restore a walking pattern amputee patient acceptable and useful design parameters set to propose new prosthetic systems. In this paper, the degree of difference between the volumes of the limb stump and healthy as well as morphological features occurred more frequently in the stumps of transfemoral amputees who were treated at the Laboratory of Orthotics and Prosthetics (LOP), Instituto Nacional de Rehabilitación (INR) in 2008. It captured all patients with unilateral transfemoral amputation left and right, over 18 years old, both sexes, use of hearing candidates were evaluated clinically and took three measurements of the circumferences at different wavelengths and the limb stump healthy, were calculated volumes of both sides using the mathematical model of the truncated cone and analyzed in three groups according to the level of amputation (proximal, middle and distal third). We obtained 49 patients, 39 men and 10 women, the difference stump volume compared to healthy limb volume per group were: 44.9% proximal third, middle third and distal 26.5%, 21.1%, the frequency of diagnostic data showed a stump right transfemoral amputees, due to metabolic, without use of prostheses, the most common morphological features indicate that the stump has a conical shape and size distal third, whose tissue is semi-flaccid consistency, the scar is not adhered to deep planes and shows a negative tinel, the mattress soft tissue is 2.15 ± 1.3 cm and physically presents a force level 4 in the clinical rating scale Daniels. The data are consistent with other studies comparing the percentage of the volume change with the percentages of reduced diameters transfemoral stump muscle, likewise agrees most amputees incidence of diabetes mellitus with other studies, cataloging it eat first cause amputation. The general description

  3. Harvesting potential and procurement costs of logging residues in Sweden

    Energy Technology Data Exchange (ETDEWEB)

    Athanassiadis, D.; Melin, Y.; Nordfjell, A.; Lunstroem, A. (Swedish Univ. of Agricultural Sciences, Umeaa (Sweden), Dept. of Forest Resource Management), Email: dimitris.athanassiadis@srh.slu.se

    2009-07-01

    The aim of this study was (I) to provide an estimation of the potential amount of logging residues (branches, tops and stumps with attached root system) that will be produced in Sweden (thinning and regeneration fellings) during the next decade (2010-2019) and (II) calculate the costs for harvesting the residue, comminute it and bring it to the end user. Depending on the level of ecological, technical and economical restrictions the potential amount of slash (branches, tops and stumps) in regeneration fellings varied from 3.2 to 7,4 Mt OD annually while the potential amount (Mt OD) of stumps varied from 4,2 to 11,7 annually. The corresponding annual figures in thinning for slash and stumps were 1.7 to 3.9 and 1.8 to 5.7 Mt OD annually, respectively. 80% of the potential amount of slash and stumps at level 3 of ecological, technical and economical restrictions in regeneration fellings would be available for 85 EUR/ODT and 110 EUR/ODT, respectively. (orig.)

  4. Modification of the Sauvé-Kapandji procedure with extensor carpi ulnaris tenodesis.

    Science.gov (United States)

    Minami, A; Kato, H; Iwasaki, N

    2000-11-01

    The Sauvé-Kapandji procedure is a useful treatment option for osteoarthritis of the distal radioulnar joint. Recent reports of a painful unstable proximal ulnar stump prompted us to develop a method of stabilizing the proximal stump of the ulna during the Sauvé-Kapandji procedure by using a half-slip of the extensor carpi ulnaris. Thirteen osteoarthritic wrists (8 primary and 5 traumatic) in 8 men and 5 women with an average age of 50 years were treated by this method. The length of the follow-up periods averaged 36 months. Pain improved in all patients after surgery but pain was elicited over 1 ulnar stump by direct pressure. Both pronation/supination and flexion/extension had statistically significant improvement with the exception of flexion. Grip strength improved in all wrists after surgery. Postoperative x-rays improved alignment in both coronal and lateral planes. Stabilization of the proximal ulnar stump associated with Sauvé-Kapandji procedure is a useful procedure to prevent an unstable ulnar stump in the treatment of osteoarthritis of the distal radioulnar joint.

  5. Effects of 2 Kinds of Vaginal Suturation in Total Abdominal Hysterectomy on the Recovery of the Patients%经腹全子宫切除术两种阴道缝合方式对患者康复的影响

    Institute of Scientific and Technical Information of China (English)

    曾文红

    2015-01-01

    Objective To discuss the effect of open saturation of vaginal stump and that of closed saturation in total abdominal hys-terectomy on the recovery of the patients.Methods 428 cases for total abdominal hysterectomy were divided into 2 groups:observation group (n=201) and control group (n=227);open saturation of vaginal stump was made to patients in observation group while close satu-ration of vaginal stump was made to patients in control group;a comparative study was made to the recovery of the patients between the 2 groups.Results There existed a difference of statistical significance in postoperative fever lasting time,bleeding of vaginal stump,ab-sorption of Vicryl suture and the occurrence of vaginal stump polyps between the 2 groups (P0.05).结论 开放式阴道残端缝合优于传统闭合式阴道残端缝合,利于患者术后康复.

  6. Temporary prosthetic fitting for below-knee amputation.

    Science.gov (United States)

    Ozyalcin, H; Sesli, E

    1989-08-01

    The problems encountered in fitting and using the permanent below-knee prosthesis in developing countries are the high price of the prosthesis, inadequate fitting and lack of proper rehabilitation. In Turkey, the preferred treatment of the stump post-operatively is by the soft dressing method with bandaging for maturation and shrinkage. Generally, the application of the permanent prosthesis is in the sixth month post-operatively. Since in patellar-tendon-bearing (PTB) sockets, stumps have to withstand high pressures in limited areas, the PTB socket can only tolerate small volume changes in the stump. For this reason bandaging over a long period may be insufficient for adequate stump shrinkage and amputees will need another below-knee prosthesis, which most of them cannot afford after only a few weeks use. In the authors' clinic, 19 amputees were fitted with simple, effective and inexpensive temporary prostheses following either conventional immediate post-operative dressing or the soft dressing method. The temporary prosthesis is worn for two months. It produces fast stump shrinkage, helps maturation and permits ambulatory discharge even in bilateral amputees. For economical reasons, only eight of nineteen patients were fitted with permanent prostheses, all wearing them successfully without the necessity of further rehabilitation.

  7. Reverse engineering and rapid prototyping techniques to innovate prosthesis socket design

    Science.gov (United States)

    Colombo, Giorgio; Bertetti, Massimiliano; Bonacini, Daniele; Magrassi, Grazia

    2006-02-01

    The paper presents an innovative approach totally based on digital data to optimize lower limb socket prosthesis design. This approach is based on a stump's detailed geometric model and provides a substitute to plaster cast obtained through the traditional manual methodology with a physical model, realized with Rapid Prototyping technologies; this physical model will be used for the socket lamination. The paper discusses a methodology to reconstruct a 3D geometric model of the stump able to describe with high accuracy and detail the complete structure subdivided into bones, soft tissues, muscular masses and dermis. Some different technologies are used for stump acquisition: non contact laser technique for external geometry, CT and MRI imaging technologies for the internal structure, the first one dedicated to bones geometrical model, the last for soft tissues and muscles. We discuss problems related to 3D geometric reconstruction: the patient and stump positioning for the different acquisitions, markers' definition on the stump to identify landmarks, alignment's strategies for the different digital models, in order to define a protocol procedure with a requested accuracy for socket's realization. Some case-studies illustrate the methodology and the results obtained.

  8. Effect of coppicing height on the regeneration and productivity of certain firewood shrubs in alkaline soils of north Indian plains

    Energy Technology Data Exchange (ETDEWEB)

    Misra, P.N.; Tewari, S.K.; Singh, Dheer; Katiyar, R.S. [National Botanical Research Inst., Lucknow (India)

    1995-12-31

    Four shrubs, viz. Hibiscus tiliaceus, Leucaena leucocephala, Vitex negundo and Sesbania sesban, were evaluated for their performance as firewood crops in coppiced stands of varying cutting heights (15, 30 and 45 cm) in repeated annual harvests (4) on alkaline soils of the North Indian plains. The dry wood yield of Leucaena and Sesbania ranged between 22.9-42.6 and 9.9-18.0 tonnes ha{sup -1} year{sup -1}, respectively. Leucaena showed progressive increases in yield from coppiced stumps up to the 4th harvest while Sesbania showed a reduction after the third harvest mainly due to the high degeneration (60%) of coppiced stumps. Degeneration was low (< 10%) in Leucaena and Vitex. The coppicing heights generally did not show any significant effect on the growth and productivity. The number of coppice shoots per stump increased with stump height and production of coppice shoots was maximum in Vitex and minimum in Leucaena. The average diameter of coppice shoots tended to decrease with increasing coppicing height of the stumps. (author)

  9. Development of an air pneumatic suspension system for transtibial prostheses.

    Science.gov (United States)

    Pirouzi, Gholamhossein; Abu Osman, Noor Azuan; Oshkour, Azim Ataollahi; Ali, Sadeeq; Gholizadeh, Hossein; Abas, Wan A B Wan

    2014-09-09

    The suspension system and socket fitting of artificial limbs have major roles and vital effects on the comfort, mobility, and satisfaction of amputees. This paper introduces a new pneumatic suspension system that overcomes the drawbacks of current suspension systems in donning and doffing, change in volume during daily activities, and pressure distribution in the socket-stump interface. An air pneumatic suspension system (APSS) for total-contact sockets was designed and developed. Pistoning and pressure distribution in the socket-stump interface were tested for the new APSS. More than 95% of the area between each prosthetic socket and liner was measured using a Tekscan F-Scan pressure measurement which has developed matrix-based pressure sensing systems. The variance in pressure around the stump was 8.76 kPa. APSS exhibits less pressure concentration around the stump, improved pressure distribution, easy donning and doffing, adjustability to remain fitted to the socket during daily activities, and more adaptability to the changes in stump volume. The volume changes were adjusted by utility of air pressure sensor. The vertical displacement point and reliability of suspension were assessed using a photographic method. The optimum pressure in every level of loading weight was 55 kPa, and the maximum displacement was 6 mm when 90 N of weight was loaded.

  10. Development of an Air Pneumatic Suspension System for Transtibial Prostheses

    Directory of Open Access Journals (Sweden)

    Gholamhossein Pirouzi

    2014-09-01

    Full Text Available The suspension system and socket fitting of artificial limbs have major roles and vital effects on the comfort, mobility, and satisfaction of amputees. This paper introduces a new pneumatic suspension system that overcomes the drawbacks of current suspension systems in donning and doffing, change in volume during daily activities, and pressure distribution in the socket-stump interface. An air pneumatic suspension system (APSS for total-contact sockets was designed and developed. Pistoning and pressure distribution in the socket-stump interface were tested for the new APSS. More than 95% of the area between each prosthetic socket and liner was measured using a Tekscan F-Scan pressure measurement which has developed matrix-based pressure sensing systems. The variance in pressure around the stump was 8.76 kPa. APSS exhibits less pressure concentration around the stump, improved pressure distribution, easy donning and doffing, adjustability to remain fitted to the socket during daily activities, and more adaptability to the changes in stump volume. The volume changes were adjusted by utility of air pressure sensor. The vertical displacement point and reliability of suspension were assessed using a photographic method. The optimum pressure in every level of loading weight was 55 kPa, and the maximum displacement was 6 mm when 90 N of weight was loaded.

  11. Prostatic stromal tumor with fatal outcome in a young man: histopathological and immunohistochemical case presentation

    Directory of Open Access Journals (Sweden)

    Massimo Roncalli

    2010-12-01

    Full Text Available Stromal tumors of the prostate are rare and only a few cases have been described in the literature, including exceptional cases of stromal tumors with unknown malignant potential (STUMP and a fatal outcome in young patients. Morphologically distinguishing a STUMP from a stromal sarcoma of the prostate (PSS is still a challenge. We describe the histopathological and immunohistochemical findings in a 34-year-old man with a malignant specialized cell stromal tumor of the prostate that was diagnosed initially as STUMP, and he developed lung metastases within a few months. The patient attended our hospital because of lower urinary tract symptoms, after having excreted tissue through the urethra a few months before. Ultrasonography and urethrocystoscopy examinations showed a mass arising from the verumontanum, and a transurethral resection (TUR revealed a high-grade spindle cell sarcoma reminiscent of a phyllode tumor of the breast. The tumor cells were immunoreactive for vimentin, progesterone receptor and, focally, CD34. The preliminary histo­logical findings were subsequently confirmed after radical prostatectomy. The patient developed bilateral lung metastases and died 25 months after the initial diagnosis. Although rare in young patients, the challenging differential diagnosis of STUMP and PSS means that a prostate STUMP diagnosis made on the basis of biopsy or TUR specimens also requires urethrocystoscopic monitoring for the early detection of any progression to PSS. Radical prostatectomy should also be carefully considered.

  12. Effectiveness of Tachosil(®) in the prevention of postoperative pancreatic fistula after distal pancreatectomy: a systematic review and meta-analysis.

    Science.gov (United States)

    Hüttner, Felix J; Mihaljevic, André L; Hackert, Thilo; Ulrich, Alexis; Büchler, Markus W; Diener, Markus K

    2016-03-01

    Postoperative pancreatic fistula (POPF) is a frequent and clinically relevant problem after distal pancreatectomy. A variety of methods have been tested in the attempt to prevent POPF, most of them without convincing results. A systematic literature search was conducted in PubMed, Embase and the Cochrane Library to identify clinical studies comparing pancreatic stump closure with the addition of Tachosil(®) to conventional stump closure. The identified studies were critically appraised, and meta-analyses were performed using a random-effects model. Dichotomous data were pooled using odds ratios, and weighted mean differences were calculated for continuous outcomes, together with the corresponding 95 % confidence intervals. Four studies (two randomised controlled trials and two retrospective clinical studies) reporting data from 738 patients were included in the meta-analysis. Overall POPF, clinically-relevant POPF, mortality, reoperations, intraoperative blood loss and length of hospital stay did not differ significantly between conventional closure and additional covering of the pancreatic stump with Tachosil(®). A sensitivity analysis of only randomised controlled trials confirmed the results. The application of Tachosil(®) to the pancreatic stump after distal pancreatectomy is a safe procedure but provides no relevant benefit in terms of POPF, mortality, reoperation rate, blood loss or length of hospital stay. Future research should concentrate on novel methods of pancreatic stump closure to prevent POPF after distal pancreatectomy.

  13. Snake River Sockeye Salmon Habitat and Limnological Research; 2001 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Kohler, Andre E.; Taki, Doug (Shoshone-Bannock Tribes, Fort Hall, ID); Griswold, Robert G. (Biolines, Stanley, ID)

    2004-08-01

    In March 1990, the Shoshone-Bannock Tribes petitioned the National Marine Fisheries Service (NMFS) to list the Snake River sockeye salmon Oncorhynchus nerka as endangered. As a result of that petition the Snake River sockeye salmon was officially listed as endangered in November 1991 under the Endangered Species Act (56 FR 58619). In 1991, the Snake River Sockeye Salmon Habitat and Limnological Research Program was implemented (Project Number 91-71, Intergovernmental Contract Number DE-BI79-91bp22548). This project is part of an interagency effort to prevent the extinction of the Redfish Lake stock of O. nerka. The Bonneville Power Administration (BPA) provides funding for this interagency recovery program through the Northwest Power Planning Council Fish and Wildlife Program (Council). Collaborators in the recovery effort include the National Marine Fisheries Service (NMFS), the Idaho Department of Fish and Game (IDFG), the University of Idaho (UI), U.S. Forest Service (USFS), and the Shoshone-Bannock Tribe (SBT). This report summarizes activities conducted by Shoshone-Bannock Tribal Fisheries Department personnel during the 2001 calendar year. Project objectives include: (1) monitor over-winter survival and emigration of juvenile anadromous O. nerka stocked from the captive rearing program; (2) fertilize Redfish Lake, fertilization of Pettit and Alturas lakes was suspended for this year; (3) conduct kokanee (non-anadromous O. nerka) population surveys; (4) monitor spawning kokanee escapement and estimate fry recruitment on Fishhook, Alturas Lake, and Stanley Lake creeks; (5) evaluate potential competition and predation interactions between stocked juvenile O. nerka and a variety of fish species in Redfish, Pettit, and Alturas lakes; (6) monitor limnological parameters of Sawtooth Valley lakes to assess lake productivity.

  14. Vacuum-assisted closure for bilateral severe ischemic foot after revascularization: a case report.

    Science.gov (United States)

    Nishimura, K; Kanaoka, Y; Ishiguro, S; Harada, S; Shiraya, S; Fujiwara, Y; Nakamura, Y; Kamihira, S; Nishimura, M

    2009-08-01

    Vacuum-assisted closure (VAC) therapy is a unique system that helps promote wound healing. We report a case of severe ischemic foot in which VAC therapy markedly improved wound healing. A 73-year-old man underwent left axillopopliteal bypass and left 3rd, 4th , and 5th digital amputations for gangrene. Although his amputation stumps were complicated with methicillin-resistant Staphylococcus aureus (MRSA) infection, the stumps were successfully healed by VAC. He also had gangrene in his right 1st toe, which could not healed by VAC alone, and we performed right femoropopliteal bypass and right 1st digital amputation. The stump with MRSA infection was also successfully healed by VAC. Histopathologic examination revealed a lot of microvessels in the increased granulation tissue.

  15. Amputation and prosthesis implantation shape body and peripersonal space representations.

    Science.gov (United States)

    Canzoneri, Elisa; Marzolla, Marilena; Amoresano, Amedeo; Verni, Gennaro; Serino, Andrea

    2013-10-03

    Little is known about whether and how multimodal representations of the body (BRs) and of the space around the body (Peripersonal Space, PPS) adapt to amputation and prosthesis implantation. In order to investigate this issue, we tested BR in a group of upper limb amputees by means of a tactile distance perception task and PPS by means of an audio-tactile interaction task. Subjects performed the tasks with stimulation either on the healthy limb or the stump of the amputated limb, while wearing or not wearing their prosthesis. When patients performed the tasks on the amputated limb, without the prosthesis, the perception of arm length shrank, with a concurrent shift of PPS boundaries towards the stump. Conversely, wearing the prosthesis increased the perceived length of the stump and extended the PPS boundaries so as to include the prosthetic hand, such that the prosthesis partially replaced the missing limb.

  16. Microfungi in the soil beneath common oak and their effect on Armillaria occurrence

    Directory of Open Access Journals (Sweden)

    Hanna Kwaśna

    2014-08-01

    Full Text Available Microfungal assemblages in a soil beneath 30- and 50·year-old oaks and their 2-year-old stumps were studied using the soil dilution plate method. A total of 98 culturable microfungi were isolated. Compared to the living oaks before felling and the control living oaks, the density of Mortierella macrocystis, Penicillium jonczewskii, Pseudogymnoascus roseus Sporothrix schenckii, Tolypoccladiumum inflatum and Umbelopsis vinacea sigificantly inacased in the soil beneath slumps in the 32- and 52-year-old stands. Density of Aspergillus kanagawaensis, Monodictys lepraria, P. daleae and sterile dematiaceous hyphomycetes increased significantly in the 32-year-old stand and Chrysosporium merdarium in the 52·year-old stand. These fungi are known 'stimulants' of Armillaria rhizomorph formation. It is suggested that the increase in density of Armillaria rhizomorph 'stimulants' in a soil beneath oak stumps may increase the possibility of colonization of stumps by Armillaria.

  17. Advanced prosthetic techniques for below knee amputations.

    Science.gov (United States)

    Staats, T B

    1985-02-01

    Recent advances in the evaluation of the amputation stump, the materials that are available for prosthetic application, techniques of improving socket fit, and prosthetic finishings promise to dramatically improve amputee function. Precision casting techniques for providing optimal fit of the amputation stump using materials such as alginate are described. The advantages of transparent check sockets for fitting the complicated amputation stump are described. Advances in research that promise to provide more functional prosthetic feet and faster and more reliable socket molding are the use of CAD-CAM (computer aided design-computer aided manufacturing) and the use of gait analysis techniques to aid in the alignment of the prosthesis after socket fitting. Finishing techniques to provide a more natural appearing prosthesis are described. These advances will gradually spread to the entire prosthetic profession.

  18. National forest inventory of Finland and its role estimating the carbon balance forests. COST E21 Workshop. Contribution of forests and forestry to mitigate greenhouse effects. Joensuu (Finland. 28-30 Sep 2000

    Directory of Open Access Journals (Sweden)

    Tomppo E.

    2000-01-01

    Full Text Available The paper presents the total stem volume increment and total drain, as well as the corresponding carbon contents, of the trees of Finnish forests. The carbon contents are converted to carbon dioxide equivalents. The total increment is above stump stem wood volume increment including bark. The estimates come from the National Forest Inventory of Finland conducted by the Finnish Forest Research Institute. The method is briefly described. The total drain includes fellings, i.e. removals and cutting waste, as well as natural mortality of above stump stem wood volume of trees including bark. The above stump stem volumes are converted to total tree biomass, total dry matter and total carbon content using available coefficients.

  19. Characterization of evoked tactile sensation in forearm amputees with transcutaneous electrical nerve stimulation

    Science.gov (United States)

    Chai, Guohong; Sui, Xiaohong; Li, Si; He, Longwen; Lan, Ning

    2015-12-01

    Objective. The goal of this study is to characterize the phenomenon of evoked tactile sensation (ETS) on the stump skin of forearm amputees using transcutaneous electrical nerve stimulation (TENS). Approach. We identified the projected finger map (PFM) of ETS on the stump skin in 11 forearm amputees, and compared perceptual attributes of the ETS in nine forearm amputees and eight able-bodied subjects using TENS. The profile of perceptual thresholds at the most sensitive points (MSPs) in each finger-projected area was obtained by modulating current amplitude, pulse width, and frequency of the biphasic, rectangular current stimulus. The long-term stability of the PFM and the perceptual threshold of the ETS were monitored in five forearm amputees for a period of 11 months. Main results. Five finger-specific projection areas can be independently identified on the stump skin of forearm amputees with a relatively long residual stump length. The shape of the PFM was progressively similar to that of the hand with more distal amputation. Similar sensory modalities of touch, pressure, buzz, vibration, and numb below pain sensation could be evoked both in the PFM of the stump skin of amputees and in the normal skin of able-bodied subjects. Sensory thresholds in the normal skin of able-bodied subjects were generally lower than those in the stump skin of forearm amputees, however, both were linearly modulated by current amplitude and pulse width. The variation of the MSPs in the PFM was confined to a small elliptical area with 95% confidence. The perceptual thresholds of thumb-projected areas were found to vary less than 0.99 × 10-2 mA cm-2. Significance. The stable PFM and sensory thresholds of ETS are desirable for a non-invasive neural interface that can feed back finger-specific tactile information from the prosthetic hand to forearm amputees.

  20. Chopart prosthesis and semirigid foot orthosis in traumatic forefoot amputation. Comparative gait analysis.

    Science.gov (United States)

    Hirsch, G; McBride, M E; Murray, D D; Sanderson, D J; Dukes, I; Menard, M R

    1996-01-01

    Gait was analyzed in seven otherwise healthy males at least 11 mo after they had recovered from a traumatic unilateral transmetatarsal amputation incurred during the course of their usual occupation. All seven were fitted with a semirigid foot orthosis. Four were also fitted with a Chopart prosthesis. Gait was evaluated with forceplate measurements of ground reaction force during free walking, by clinical observation of such ambulation on videotape, and by the subjective impression of the men as obtained by a questionnaire. In all men, with unmodified footwear, with the orthosis, and with the prosthesis, the forceplate data showed an abnormal pattern characterized by reduced stance duration and deficient forward propulsion on the amputated side. The abnormality and asymmetry of ground-reaction forces were less with greater preserved stump length and for a given stump length were with the above-ankle concept (Chopart) prosthesis than with the below-ankle concept. These features were recognized during the clinical analysis of all footwear, but there was an extra irregularity of weight progression noted with the fixed ankle of the Chopart prosthesis. The questionnaire reported stump problems to be the principal difficulty, and the follow-up revealed persistent attempts at surgical management including consideration of amputation at a higher level. It was concluded that the patient and the surgeons are likely to choose preservation of limb length over considerations of function during acute care and that the prosthetic concept best suited to deal with the resulting stump should emphasize unloading the distal part of the stump and smoothing out the impulsive force peak on the stump in late stance to minimize pain and to enhance ambulation capacity.

  1. Nerve Cross-Bridging to Enhance Nerve Regeneration in a Rat Model of Delayed Nerve Repair

    Science.gov (United States)

    2015-01-01

    There are currently no available options to promote nerve regeneration through chronically denervated distal nerve stumps. Here we used a rat model of delayed nerve repair asking of prior insertion of side-to-side cross-bridges between a donor tibial (TIB) nerve and a recipient denervated common peroneal (CP) nerve stump ameliorates poor nerve regeneration. First, numbers of retrogradely-labelled TIB neurons that grew axons into the nerve stump within three months, increased with the size of the perineurial windows opened in the TIB and CP nerves. Equal numbers of donor TIB axons regenerated into CP stumps either side of the cross-bridges, not being affected by target neurotrophic effects, or by removing the perineurium to insert 5-9 cross-bridges. Second, CP nerve stumps were coapted three months after inserting 0-9 cross-bridges and the number of 1) CP neurons that regenerated their axons within three months or 2) CP motor nerves that reinnervated the extensor digitorum longus (EDL) muscle within five months was determined by counting and motor unit number estimation (MUNE), respectively. We found that three but not more cross-bridges promoted the regeneration of axons and reinnervation of EDL muscle by all the CP motoneurons as compared to only 33% regenerating their axons when no cross-bridges were inserted. The same 3-fold increase in sensory nerve regeneration was found. In conclusion, side-to-side cross-bridges ameliorate poor regeneration after delayed nerve repair possibly by sustaining the growth-permissive state of denervated nerve stumps. Such autografts may be used in human repair surgery to improve outcomes after unavoidable delays. PMID:26016986

  2. Nerve cross-bridging to enhance nerve regeneration in a rat model of delayed nerve repair.

    Science.gov (United States)

    Gordon, Tessa; Hendry, Michael; Lafontaine, Christine A; Cartar, Holliday; Zhang, Jennifer J; Borschel, Gregory H

    2015-01-01

    There are currently no available options to promote nerve regeneration through chronically denervated distal nerve stumps. Here we used a rat model of delayed nerve repair asking of prior insertion of side-to-side cross-bridges between a donor tibial (TIB) nerve and a recipient denervated common peroneal (CP) nerve stump ameliorates poor nerve regeneration. First, numbers of retrogradely-labelled TIB neurons that grew axons into the nerve stump within three months, increased with the size of the perineurial windows opened in the TIB and CP nerves. Equal numbers of donor TIB axons regenerated into CP stumps either side of the cross-bridges, not being affected by target neurotrophic effects, or by removing the perineurium to insert 5-9 cross-bridges. Second, CP nerve stumps were coapted three months after inserting 0-9 cross-bridges and the number of 1) CP neurons that regenerated their axons within three months or 2) CP motor nerves that reinnervated the extensor digitorum longus (EDL) muscle within five months was determined by counting and motor unit number estimation (MUNE), respectively. We found that three but not more cross-bridges promoted the regeneration of axons and reinnervation of EDL muscle by all the CP motoneurons as compared to only 33% regenerating their axons when no cross-bridges were inserted. The same 3-fold increase in sensory nerve regeneration was found. In conclusion, side-to-side cross-bridges ameliorate poor regeneration after delayed nerve repair possibly by sustaining the growth-permissive state of denervated nerve stumps. Such autografts may be used in human repair surgery to improve outcomes after unavoidable delays.

  3. [Long term effect of spinal cord stimulation in a patient with complex regional pain syndrome and phantom pain syndrome type 1 after amputation].

    Science.gov (United States)

    Enggaard, Thomas Peter; Scherer, Christian; Nikolajsen, Lone; Andersen, Claus

    2008-02-04

    The development of stump and phantom pain after limb amputation in patients with complex regional pain syndrome (CRPS) is very frequent. Stump pain is typically recurred CRPS and the possibilities for effective pharmacological pain relief are often limited. Spinal cord stimulation (SCS) has a well-documented pain relieving effect in patients with CRPS. This case story summarises the long term effect of SCS in a patient with CRPS after two amputations of the right leg. Pharmacological pain therapies as well as Guanethidine blockade were found to be ineffective.

  4. Eastern hemlock found in Macon County, Alabama

    Science.gov (United States)

    David B. South; Brian Via; Henri D. Grissino-Mayer; Richard Martin; Richard Shelby; Sandie McCall

    2016-01-01

    Alabama is currently the southern limit of the range of eastern hemlock [Tsuga canadensis (L.) Carriere]. In 2012, several well preserved stumps were excavated from a farm located in Notasulga, Alabama (32 º 33” 6’ N; 85º 40” 22’ W). Even though they were buried in a saturated soil for approximately 1,500 years, the stumps were remarkably well preserved. The low-...

  5. Adenokarcinom i rectumstump ved inflammatoriske tarmsygdomme

    DEFF Research Database (Denmark)

    Petersen, C.N.; Raahave, D.

    2008-01-01

    We describe two cases of adenocarcinoma occurring in a closed rectal stump approximately 30 years after subtotal colectomy for ulcerative colitis, respectively, Cohn's disease. After many years disease-free, the patients presented with rectal secretions, including blood, and were diagnosed...... with metastasizing rectal cancer. Since malignant degeneration of a closed rectal stump may not give rise to symptoms until late in the disease process, it is suggested that the rectum should be controlled endoscopically every 2nd year following a subtotal colectomy for inflammatory bowel disease to enable radical...

  6. Coenotypes in Submerged Paleoforests in the Qianhu Bay,Fujian Province

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    The paleoforest remains studied are distributed within a range of 18000 m2 in the intertidal zone of the Qianhu Bay, Fujian Province. Eighty-nine ancient tree stumps can be clearly recognized in the paleoforest remains. Microscopic studies of 10 relatively low-carbonized stump samples definitely showed four species: Glyptostrobus pensili (Staunt) Kouch, Schima superba Gardn., Cinnamomum Schaeffer, and Litsea Lam. The 14C dating of some samples yielded the ages of 42560±350 to >43000 a B.P., corresponding to the late Late Pleistocene.

  7. [A case of strangulated congenital diaphragmatic hernia with necrosis and rupture of the colon and herniation into a left hemithorax in an adult (author's transl)].

    Science.gov (United States)

    Sarris, M; Georgoulis, J; Gatos, M; Dariotis, A

    This is a case report of a successful repair of congenital diaphragmatic hernia in a 48 years old male that contained the transverse colon which was strangulated and ruptured in the left thoracic cavity. It was approached in two stages. First through a laparotomy the proximal part of the transverse colon was divided. The side going to the hernial sac was sutured and the proximal stump was anastomosed to the descending colon. In a second stage, two days later, through a felt thoracotomy the strangulated and ruptured colon was resected and the distal stump of the transverse colon was sutured and the hernia repaired.

  8. Langtidsbehandling med spinal cord-stimulation hos en patient med kronisk regionalt smertesyndrom type 1 og fantomsmerter efter amputation

    DEFF Research Database (Denmark)

    Enggaard, Thomas Peter; Scherer, Christian; Nikolajsen, Lone

    2008-01-01

    The development of stump and phantom pain after limb amputation in patients with complex regional pain syndrome (CRPS) is very frequent. Stump pain is typically recurred CRPS and the possibilities for effective pharmacological pain relief are often limited. Spinal cord stimulation (SCS) has a well......-documented pain relieving effect in patients with CRPS. This case story summarises the long term effect of SCS in a patient with CRPS after two amputations of the right leg. Pharmacological pain therapies as well as Guanethidine blockade were found to be ineffective. Udgivelsesdato: 2008-Feb-4...

  9. Langtidsbehandling med spinal cord-stimulation hos en patient med kronisk regionalt smertesyndrom type 1 og fantomsmerter efter amputation

    DEFF Research Database (Denmark)

    Enggaard, Thomas P.; Scherer, Christian; Nikolajsen, Lone

    2008-01-01

    The development of stump and phantom pain after limb amputation in patients with complex regional pain syndrome (CRPS) is very frequent. Stump pain is typically recurred CRPS and the possibilities for effective pharmacological pain relief are often limited. Spinal cord stimulation (SCS) has a well......-documented pain relieving effect in patients with CRPS. This case story summarises the long term effect of SCS in a patient with CRPS after two amputations of the right leg. Pharmacological pain therapies as well as Guanethidine blockade were found to be ineffective. Udgivelsesdato: 2008-Feb-4...

  10. A new species of Dyoros (Brachiopoda; Chonetoidea) from Nevada (United States) and stratigraphic implications for the Pennsylvanian and Permian Antler Overlap assemblage [Une nouvelle espèce de Dyoros (Brachiopoda; Chonetoidea) du Nevada (États-Unis) et implications stratigraphiques pour le Complexe chevauchant d'Antler (Pennsylvanien et Permien)

    Science.gov (United States)

    Racheboeuf, Patrick R.; Moore, Thomas E.; Blodgett, Robert B.

    2004-01-01

    Newly discovered fossil localities in coarse-grained deposits of the Pennsylvanian and Permian Antler overlap assemblage in the southern Shoshone Range, north-central Nevada have yielded a low-diversity assemblage consisting chiefly of a new species of chonetoidean brachiopod: Dyoros (Lissosia) nevadaensis nov. sp. The subgenus Dyoros (Lissosia), is known from Leonardian and lower Guadalupian strata in North America, mainly in Texas. The coarse-grained lithology of the host strata, their unconformable relation on deformed lower Paleozoic rocks, and the Leonardian and(or) lower Guadalupian age indicated by Dyoros (Lissosia) provide evidence that host strata are younger than strata of the Antler overlap assemblage in nearby areas of the southern Shoshone Range and suggest that an unconformity of local extent may be present within the overlap assemblage. The fossil age ranges and lithologic data suggest that the host strata may be correlative with the Guadalupian Edna Mountain Formation, an unconformity-bounded unit that forms the upper part of the Antler sequence in the Battle Mountain area to the north. This correlation suggests that the unconformity beneath these strata may have regional extent in north-central Nevada. The origin of the inferred regional unconformity is unknown and may have resulted from relative changes of sea level or regional extensional or contractional tectonism in the area of the former Antler highlands, which forms the substrate for the Antler overlap assemblage. ?? 2004 Elsevier SAS. All rights reserved.

  11. High complication rate after low anterior resection for mid and high rectal cancer; results of a population-based study

    NARCIS (Netherlands)

    Bakker, I. S.; Snijders, H. S.; Wouters, M. W.; Havenga, K.; Tollenaar, R. A. E. M.; Wiggers, T.; Dekker, J. W. T.

    2014-01-01

    Background: Surgical resection is the cornerstone of treatment for rectal cancer patients. Treatment options consist of a primary anastomosis, anastomosis with defunctioning stoma or end-colostomy with closure of the distal rectal stump. This study aimed to compare postoperative outcome of these thr

  12. Skin problems in lower limb amputees : A systematic review

    NARCIS (Netherlands)

    Meulenbelt, HEJ; Dijkstra, PU; Jonkman, MF; Geertzen, JHB

    Purpose. Skin problems of the stump in lower limb amputees are relative common in daily rehabilitation practice, possibly impeding prosthetic use. This impediment may have great impact in daily life. Our objective was to review literature systematically concerning incidence and prevalence of skin

  13. Precommercial Stocking Control of Coast Redwood at Caspar Creek, Jackson Demonstration State Forest

    Science.gov (United States)

    James Lindquist

    2007-01-01

    Regeneration of coast redwood by stump sprouting often results in a stand condition that is very dense. A precommercial thinning of redwood sprouts allows managers to select trees and spacing that can best utilize the productivity of the site. The study of five thinning treatments with an unthinned control was initiated on a 19-year old third growth stand. Treatments...

  14. 78 FR 68079 - Information Collection Activities: Oil and Gas Well-Completion Operations; Submitted for Office...

    Science.gov (United States)

    2013-11-13

    ... INFORMATION: Title: 30 CFR 250, Subpart E, Oil and Gas Well-Completion Operations. OMB Control Number: 1014... driller's report. 517(d)(8) Function test ROV 10 17 wells 170 interventions on your subsea BOP stack... completions..... 13 autoshear and deadman on your subsea BOP stack during stump test; document all...

  15. Cerebral monitoring during carotid endarterectomy – a comparison ...

    African Journals Online (AJOL)

    use thereof.6 Stump pressure (SP) measurement using a 50. mmHg cut-off has been ..... ing during carotid endarterectomy: Is it appropriate for selecting patients in need of a shunt? ... tery: Another look at selective shunting. Am J Surg 1995; ...

  16. Timber supply and demand assessment of the Green and White Mountain National Forests' market area

    Science.gov (United States)

    Chris B. LeDoux; Paul E. Sendak; William H. McWilliams; Neil Huyler; Thomas Malecek; Worthen Muzzey; Toni Jones

    2001-01-01

    This report describes a timber supply and demand assessment of the Green and White Mountain National Forests' market area using USDA Forest Service, Forest Inventory and Analysis data, production information provided by forest industry, and a stump-to-mill logging cost-prediction model. Nonavailable timberland that includes reserve and steep-terrain lands is...

  17. Commodity chemicals from forest biomass - Bioforest

    Energy Technology Data Exchange (ETDEWEB)

    Granstrom, T. [Aalto University, Espoo (Finland)], email: tom.granstrom@aalto.fi

    2012-07-01

    To develop an economic process for production of commodity chemicals from mixed forest biomass (tree tops, limbs, twigs and stumps from softwoods and hardwoods) and recycled fibers within an integrated forest products complex. The chemicals that will be produced are: butanol, isopropanol and ethanol.

  18. Screening of patients for first time prostheses after amputation of lower limbs

    Directory of Open Access Journals (Sweden)

    Vetra A.

    2016-01-01

    More than 25% of those who followed the recommended treatment and rehabilitation programme to prepare the amputation stump, reduced contracture and enhanced physical working abilities were declared to be appropriate for further prostheses. This indicates serious shortcomings in medical treatments during the early post-amputation period.

  19. Analysis of harvesting opportunities for thinning eastern hardwoods on steep terrain

    Science.gov (United States)

    Chris B. LeDoux; John E. Baumgras

    1988-01-01

    Harvesting cost and revenue models were used to evaluate yarding costs by yarder type and to compare stump-to-mill harvesting costs to revenues available from multiproduct thinnings in eastern hardwoods. This analysis includes six types of cable yarders and thinnings in stands where the average diameter at breast height of trees harvested ranged from 7 to 12 inches. To...

  20. Gastroenterostoma after Billroth antrectomy as a premalignant condition

    NARCIS (Netherlands)

    Sitarz, Robert; Maciejewski, Ryszard; Polkowski, Wojciech P.; Offerhaus, G. Johan A.

    2012-01-01

    Gastric stump carcinoma (GSC) following remote gastric surgery is widely recognized as a separate entity within the group of various types of gastric cancer. Gastrectomy is a well established risk factor for the development of GSC at a long time after the initial surgery. Both exo- as well as endoge

  1. Rare case of urinary tract infections and the "forgotten" solution

    NARCIS (Netherlands)

    Ten Donkelaar, Celine S.; Wortel, Ruud C.; Lock, M. T W T

    2015-01-01

    This report presents a rare case of recurrent urinary tract infections in a kidney transplant patient. Analysis revealed a ureteral stump calculus 31 years after bilateral nephrectomy which was disintegrated by means of flexible ureteroscopy and holmium laser. In case of unexplained recurrent urinar

  2. Cradle-to-gate life cycle impacts of redwood forest resource harvesting in northern California

    Science.gov (United States)

    Han-Sup Han; Elaine Oneil; Richard D. Bergman; Ivan L. Eastin; Leonard R. Johnson

    2015-01-01

    The first life cycle impact assessment for redwood (Sequoia sempervirens) forest management activities (i.e. a cradle-to-sawmill gate input) including the growing, harvesting, and hauling of redwood sawlogs to a sawmill was completed. In the stump-to-truck timber harvesting analysis, primary transport activities such as skidding and yarding consumed...

  3. [Covering dental defects with aluminum cast dowel construction and technology of their manufacture].

    Science.gov (United States)

    Khudonogov, G I

    1995-01-01

    Clinical and laboratory studies have revealed benefits of aluminum cast constructions. Its cast dowel inserts are used in the system of fixed metal-free dentures made from ceramics (dental bridges, single crowns, etc.). The high efficiency, availability of casting technology for aluminum reduces patients' treatment periods and ensures accurate attachment of dowel insets to the root canal and stump of a tooth.

  4. The Winter Park Amputee Ski Teaching System.

    Science.gov (United States)

    O'Leary, Hal

    The three track method of teaching amputees to ski is presented in the illustrated manual. Problems unique to amputee skiers--care of hands, conditioning, care of stump, fatigue, excessive standing, wind, and balance--are discussed in terms of their implications to the amputee skier and practical solutions in attempting to solve them. Specific…

  5. tractability conditions for disc ploughing on a loamy sand soil in the ...

    African Journals Online (AJOL)

    Dr Obe

    prediction equations; which are useful in studies of soil-machine interactions. 1. INTRODUCTION ... stones, stumps, ant-hills, etc. and be of a light vegetative cover, 15 to 30 cm ... necessary for adequate plant growth and machine performance ...

  6. 角色之外--查理斯·塞隆

    Institute of Scientific and Technical Information of China (English)

    Sara; Davidson

    2006-01-01

    Name a recent Best Actress Oscar winner who grew up milking cows. Stumped?What if, we tell you she's blond and beautiful,except when she s playing a female serial killer, in which case she's shockingly scary?……

  7. Modeling in-situ pine root decomposition using data from a 60-year chronosequence

    Science.gov (United States)

    Kim H. Ludovici; Stanley J. Zarnoch; Daniel D. Richter

    2002-01-01

    Because the root system of a mature pine tree typically accounts for 20-30% of the total tree biomass, decomposition of large lateral roots and taproots following forest harvest and re-establishment potentially impact nutrient supply and carbon sequestration in pine systems over several decades. If the relationship between stump diameter and decomposition of...

  8. Control techniques for invasive alien plants

    Directory of Open Access Journals (Sweden)

    Michele de Sá Dechoum

    2013-03-01

    Full Text Available Invasive alien species are recognized as a major threat to the conservation of biodiversity. These species should be managed based on local and regional environmental conditions. Control techniques were tested for ten invasive species in Santa Catarina State: the trees Casuarina equisetifolia, Hovenia dulcis, Psidium guajava, Syzygium cumini, and Terminalia catappa, and shrubs and herbs Rubus fruticosus, Furcraea foetida, Hedychium coronarium, Impatiens walleriana, and Tradescantia zebrina. Treatments applied for trees were cut stump, frill and girdling or ring-barking followed by herbicide application, while the other species were treated with foliar spray, application of herbicide on the root system, cut stump and herbicide injection. The active ingredients tested were Triclopyr, Glyphosate, and the combination of Triclopyr + Fluroxipyr in concentrations from 2 to 6%, according to the species. The cut stump method was efficient for all of the woody species, while ring-barking and frilling followed by herbicide application and basal bark application resulted in different levels of efficiency for the species tested. The most efficient method for herbs and shrubs was foliar spray, and the least efficient methods were cut stump and herbicide injection.

  9. Timber Production and Its Environmental Impacts. AIO Red Paper #21.

    Science.gov (United States)

    Provost, Julia K.

    The supply of the nation's forests is very great, and of this supply, approximately 1 1/2 percent comes from American Indian forests. Timber resources are three-fold: the slash (unusable limbs, tops, and stumps), as well as the unmarketable trees, provide wood for fuel; the sale of timber provides tribal revenue from a renewable source; and the…

  10. Economic Competitiveness: A Campaign Primer

    Science.gov (United States)

    Fischer, Karin

    2008-01-01

    With the dollar's continued swoon and grim news on the job front, American economic competitiveness has become a central theme in the presidential election. Stumping in Ohio and Pennsylvania, old-line industrial states hit hard by the flight of manufacturing jobs, Democrats Hillary Rodham Clinton and Barack Obama have called for renegotiating the…

  11. Scyllarides obtusus spec. nov., the scyllarid lobster of Saint Helena, Central South Atlantic (Crustacea: Decapoda Reptantia: Scyllaridae)

    NARCIS (Netherlands)

    Holthuis, L.B.

    1993-01-01

    A new species of slipper lobster is described from Saint Helena, where the species seems to be endemic. Known under the vernacular name Stump, the species forms the subject of a local fishery, carried out since early times. Previously the species has been identified with various Scyllarides species

  12. Modeling Regional Seismic Waves

    Science.gov (United States)

    1992-03-24

    are earth- quakes for a given long-period energy level and is attributed, in part, to the differences in characteristic tern ) oral and spatial source...McLaughlin, 1991) Mid various observational stndies ( Vih ,’elli, I1973, Stump, 1985; Taylor and lVandall, 1989; nI d P’alt oi, 199•!)) conclitde thati

  13. The endovascular management of a neurofibromatosis vasculopathy: a case report.

    Science.gov (United States)

    Choong, Andrew; Alagaratnam, Swethan; Suliman, Samir; Gikas, Panagiotis; Briggs, Timothy; Loh, Alexander; Lotzof, Kevin

    2012-10-01

    We describe the management of a 30-year-old male with type I neurofibromatosis who required an above-knee amputation for bleeding, infection, swelling, and multiple severe joint instability. Postoperatively, he continued to bleed from the stump site. Angiography revealed multiple small distal bleeding aneurysms. Hemostasis was eventually achieved with standard microcoil embolization.

  14. The efficacy of six elite isolates of the fungus Chondrostereum purpureum against the sprouting of European aspen.

    Science.gov (United States)

    Hamberg, Leena; Hantula, Jarkko

    2016-04-15

    The sprouting of broad-leaved trees after cutting is problematic in forest regeneration areas, along roads and railways, under electric power and above gas pipe lines. In Finland, one of the most difficult species to control in these areas is the European aspen (Populus tremula), which produces both stump sprouts and root suckers after saplings have been cut. In this study, we investigated whether a decay fungus of broad-leaved trees, Chondrostereum purpureum, could be used as a biological control agent against aspen sprouting. The efficacy of six elite strains of C. purpureum (improved earlier in a breeding process) was investigated on aspen for three years. The most efficient C. purpureum strain, R53, tested earlier on birch (Betula pendula and B. pubescens), was efficient in causing mortality of aspen stumps and preventing the development of root suckers. With this strain, stump mortality was 78%, while significantly lower in control stumps which were cut only (47%). Aspen trees in the vicinity of the treatments (within a 10 m radius around each sapling) decreased the efficacy of C. purpureum. This study shows that the decay fungus C. purpureum can successfully be used in the sprout control of aspen saplings.

  15. Hyd-Mech FB7 short rotation hardwood feller-buncher test

    Science.gov (United States)

    Dennis Curtin; Bryce Stokes; Doug Fredericks

    1985-01-01

    The FB7 is a first-generation prototype continuous feller-buncher manufactured by Hyd-Mech Engineering, Ltd. of Woodstock, Ontario. It was developed and funded by the National Research Council of Canada to harvest short-rotational bioenergy plantations of hybrid poplar. The development specifications were for stumps with diameters of up to eight inches and with a...

  16. Agronomic, pests and economic factors influencing sustainability of ...

    African Journals Online (AJOL)

    Mo

    that pests and diseases, declining soil fertility, poor management and lack of good markets .... relationship than other crops, and a long shelf life, which ... products. Banana types and their importance. Table 2 shows the patterns of banana production at the three .... pruning, mulching, training, stumping/changing crop cycle.

  17. 33 CFR 80.750 - Sanibel Island, FL to St. Petersburg, FL.

    Science.gov (United States)

    2010-07-01

    ... the general trend of the seaward, highwater shorelines. (b) A line drawn from La Costa Test Pile North Light to Port Boca Grande Light. (c) Lines drawn across Gasparilla and Stump Passes parallel to the..., highwater shoreline. (f) A line drawn from Big Sarasota Pass Light 14 to the southernmost extremity of...

  18. Leptographium tereforme, sp. nov. and other Ophiostomatales isolated from the redhaired pine bark beetle, Hylurgus ligniperda, in California

    Science.gov (United States)

    S. Kim; T.C. Harrington; J. C. Lee; S. J. Seybold

    2011-01-01

    The redhaired pine bark beetle Hylurgus ligniperda (F.) is native to Europe but was discovered in Los Angeles, California, in 2003. This root- and stump-feeding beetle is a common vector of Ophiostomatales, which are potential tree pathogens or causes of blue stain of conifer sapwood. In this study Ophiostomatales were isolated on a...

  19. Microfluidic chips for in vivo imaging of cellular responses to neural injury in Drosophila larvae.

    Directory of Open Access Journals (Sweden)

    Mostafa Ghannad-Rezaie

    Full Text Available With powerful genetics and a translucent cuticle, the Drosophila larva is an ideal model system for live imaging studies of neuronal cell biology and function. Here, we present an easy-to-use approach for high resolution live imaging in Drosophila using microfluidic chips. Two different designs allow for non-invasive and chemical-free immobilization of 3(rd instar larvae over short (up to 1 hour and long (up to 10 hours time periods. We utilized these 'larva chips' to characterize several sub-cellular responses to axotomy which occur over a range of time scales in intact, unanaesthetized animals. These include waves of calcium which are induced within seconds of axotomy, and the intracellular transport of vesicles whose rate and flux within axons changes dramatically within 3 hours of axotomy. Axonal transport halts throughout the entire distal stump, but increases in the proximal stump. These responses precede the degeneration of the distal stump and regenerative sprouting of the proximal stump, which is initiated after a 7 hour period of dormancy and is associated with a dramatic increase in F-actin dynamics. In addition to allowing for the study of axonal regeneration in vivo, the larva chips can be utilized for a wide variety of in vivo imaging applications in Drosophila.

  20. Prosthetic fitting in a patient with a transtibial amputation due to a congenital vascular malformation of the right leg

    NARCIS (Netherlands)

    Simmelink, Elisabeth K.; Rommers, Gerardus M.; Gardeniers, Jean W. M.; Zijlstra, Henk

    2014-01-01

    Background: The problems of prescribing a prosthesis for a young girl with severe congenital vascular malformation deformity leading to a transtibial amputation. Case description and methods: Due to the high risk of recurrent bleeding and limitations regarding full weight bearing of the stump, a nor

  1. Rules, Praise, and self-esteem%规则、赞美与自尊

    Institute of Scientific and Technical Information of China (English)

    小波

    2004-01-01

    @@ I couldn't follow a single rule. I was attending a one-day writing seminar1 with short writing assignments. The rules included no crossing out, no stopping to reread what you've written, and no commenting when others read their work except to say, "Thank you. "There were other rules, but this final one stumped2 me.

  2. Recurrence of meralgia paresthetica years after a neurexeresis procedure: A case report.

    Science.gov (United States)

    de Ruiter, Godard C W; Wurzer, Johannes A L; Kloet, Alfred

    2015-01-01

    Recurrence of meralgia paresthetica after a pain-free interval following a neurexeresis or neurectomy procedure has not been reported before. We present a case of recurrence 5 years after neurexeresis of the lateral femoral cutaneous nerve. Resection of the proximal stump through a suprainguinal approach in this case again led to complete and long-lasting pain relief.

  3. Difficult to predict early failure after major lower-extremity amputations

    DEFF Research Database (Denmark)

    Kristensen, Morten Tange; Holm, Gitte; Gebuhr, Peter

    2015-01-01

    INTRODUCTION: The successful outcome of a major amputation depends on several factors, including stump wound healing. The purpose of this study was to examine the criteria upon which the index amputation was based and to identify factors associated with early amputation failure after major non...

  4. Phantom pain and risk factors : A multivariate analysis

    NARCIS (Netherlands)

    Dijkstra, PU; Geertzen, JHB; Stewart, R; van der Schans, CP

    2002-01-01

    Phantom pain has been given considerable attention in literature. Phantom Pain reduces quality of life, and patients suffering from phantom pain make heavy use of the medical system. Many risk factors have been identified for phantom Pain in univariate analyses, including phantom sensations, stump P

  5. Short-term impacts of energy wood harvesting on ectomycorrhizal fungal communities of Norway spruce saplings.

    Science.gov (United States)

    Huusko, Karoliina; Tarvainen, Oili; Saravesi, Karita; Pennanen, Taina; Fritze, Hannu; Kubin, Eero; Markkola, Annamari

    2015-03-01

    The increased demand for harvesting energy wood raises questions about its effects on the functioning of the forest ecosystems, soil processes and biodiversity. Impacts of tree stump removal on ectomycorrhizal fungal (EMF) communities of Norway spruce saplings were studied with 454-pyrosequencing in a 3-year field experiment replicated in 3 geographical areas. This is possibly the most thorough investigation of EMF communities associated with saplings grown on sites subjected to energy wood harvesting. To separate impacts of tree stump and logging residue removal on EMF and plant variables, we used three harvesting treatments with increasing complexity from patch mounding alone (P) to patch mounding combined with logging residue removal (RP), and patch mounding combined with both logging residue and stump removal (SRP). Saplings grown in uncut forests (F) served as references for harvesting treatments. A majority of sequences (>92%) and operational taxonomic units (OTUs, 55%) were assigned as EMF. EMF OTU richness, fungal community composition or sapling growth did not differ between harvesting treatments (P, RP and SRP), while EMF OTU richness, diversity and evenness were highest and sapling growth lowest in the undisturbed reference forests (F). The short study period may partially explain the similarities in fungal and sapling variables in different harvesting treatments. In conclusion, our results indicate that neither stump removal nor logging residue removal have significant additional negative impacts on EMF communities or growth of Norway spruce saplings in the short-term compared with the impacts of more conventional harvesting methods, including clear cutting and patch mounding.

  6. A comparative finite-element analysis of bone failure and load transfer of osseointegrated prostheses fixations.

    NARCIS (Netherlands)

    Tomaszewski, P.K.; Verdonschot, N.J.J.; Bulstra, S.K.; Verkerke, G.J.

    2010-01-01

    An alternative solution to conventional stump-socket prosthetic limb attachment is offered by direct skeletal fixation. This study aimed to assess two percutaneous trans-femoral implants, the OPRA system (Integrum AB, Goteborg, Sweden), and the ISP Endo/Exo prosthesis (ESKA Implants AG, Lubeck, Germ

  7. Shape sensing for computer aided below-knee prosthetic socket design.

    Science.gov (United States)

    Fernie, G R; Griggs, G; Bartlett, S; Lunau, K

    1985-04-01

    Shape sensing is useful in the computer aided prosthetic fitting process for two purposes. 1. To input characteristic prosthetic shapes that have been developed over the years through the experience of prosthetists. 2. To provide an accurate and rapid measurement of the anatomical shape of the stump. This paper describes two instruments which have been built to meet these objectives.

  8. Difficult to predict early failure after major lower-extremity amputations

    DEFF Research Database (Denmark)

    Kristensen, Morten Tange; Holm, Gitte; Gebuhr, Peter

    2015-01-01

    INTRODUCTION: The successful outcome of a major amputation depends on several factors, including stump wound healing. The purpose of this study was to examine the criteria upon which the index amputation was based and to identify factors associated with early amputation failure after major non-tr...

  9. Immunohistochemical Profile of Uterine Leiomyoma With Bizarre Nuclei; Comparison With Conventional Leiomyoma, Smooth Muscle Tumors of Uncertain Malignant Potential and Leiomyosarcoma

    Science.gov (United States)

    Dastranj Tabrizi, Ali; Ghojazadeh, Morteza; Thagizadeh Anvar, Hanieh; Vahedi, Amir; Naji, Siamak; Mostafidi, Elmira; Berenjian, Siamak

    2015-01-01

    Purpose: To assess the immunohistochemical profile of the atypical nuclei in leiomyoma with bizarre nuclei and compare with benign and malignant counterparts. Methods: 26 cases of uterine smooth muscle tumors including 12 leiomyosarcoma(LMS), 10 leiomyoma with bizarre nuclei (LBN) and 4 smooth muscle tumor with uncertain malignant potential (STUMP) were selected using whole tissue sections for this study and analysis. Six cases of ordinary leiomyoma were included as benign control group. All representative section were stained for P53, Ki67, estrogen receptor and progestrone receptor. Analysis was carried out using SPSS 16.0 for windows software. Results: Six out of 12 cases of LMS showed strong and diffuse nuclear staining with p53 antibody (50%). In contrast none of STUMPs and only one case of LBN cases showed focal positive reaction with P53. Percentage of positive cells for ki67 in LMS was 14.92 while only 0.85% of cells in LBNs was labeled with Ki67 proliferative marker. (P<0.001). Regarding steroid hormone receptors a significant loosing trend was found in these receptors from benign toward malignant tumors through LBN and STUMP cases. Conclusion: Loss of inhibitory function of wild type P53 gene in leiomyosarcoma is an essential event that discriminate frankly malignant tumors from STUMP and atypical leiomyoma. PMID:26793616

  10. Chemsearch Journal Volume 4 Number 1, June, 2013

    African Journals Online (AJOL)

    Magashi

    2013-06-01

    Jun 1, 2013 ... crystals are especially, important for the theoretical understanding of the ... 2b) were synthesized according to a literature procedure [Meier et al. 2004], from ..... Grafe A., Jung C., D., Sawade H., Stumpe J. andJanietz D. (2005) ...

  11. Contributions to the Mosquito Fauna of Southeast Asia. XIV. The Subgenus Stegomyia of Aedes in Southeast Asia I - The Scutellaris Group of Species

    Science.gov (United States)

    1972-01-01

    in Malaysia and in fallen abaca leaf and leaf axils in the Philippines. The immature stages have been collected associated with malayensis in...coconut husks, coconut fronds and bamboo stumps in the Philippines. It has also been found in a tree hole, a hole in a log and in a fallen abaca

  12. Spinal Cord Stimulation

    DEFF Research Database (Denmark)

    Meier, Kaare

    2014-01-01

    pain after failed back surgery syndrome (FBSS)(4), pain due to peripheral nerve injury, stump pain(5), peripheral vascular disease(6) and diabetic neuropathy(7,8); whereas phantom pain(9), postherpetic neuralgia(10), chronic visceral pain(11), and pain after partial spinal cord injury(12) remain more...

  13. Supravaginal eller total hysterektomi?

    DEFF Research Database (Denmark)

    Edvardsen, L; Madsen, E M

    1994-01-01

    is examined. It is concluded that the risk of developing carcinoma of the cervical stump is low, and no longer a weighty indication for the total in preference to the supravaginal hysterectomy as long as subsequent screening of the cervix is performed. At the same time it is important to inform the women...

  14. A DIFFERENT TECHNIQUE OF PRIMARY INDIRECT INGUINAL HERNIA REPAIR BY INSERTING A SYNTHETIC MESH INTO THE PRE AND RETROPERITONEAL SPACES TO WRAP THE PERITONEAL REFLECTION: PRELIMINARY REPORT

    Directory of Open Access Journals (Sweden)

    Professor Aydın Altan

    2010-01-01

    Full Text Available In most methods of indirect inguinal hernia repair, the region of the sac stump remains a potential site of recurrence. A different technique that covers the site of the indirect sac stump is presented. Anterior parietal peritoneum is reflected posteriorly in the inguinal canal. In cases with Gilbert type I-II inguinal hernia, after the indirect sac is removed, the pre and retroperitoneal spaces in this region are dissected. A synthetic mesh is placed into these spaces, lateral to the inferior epigastric vessels. The posterior wall of this type hernia is intact. In cases with Gilbert type III inguinal hernia, either posterior wall repair is accomplished by using one of the tissue approximation techniques after placing a mesh in the region of the sac stump, or the entire peritoneal reflection in the inguinal canal is wrapped with a mesh after dissecting the pre and retroperitoneal spaces. This technique was performed in five patients. Of five patients, mesh was inserted on the region of stump in three (Gilbert I and II and along the entire peritoneal reflection in two (Gilbert III. There were no postoperative complications such as seroma and pain and no recurrence till follow-up. This technique effectively wraps the peritoneal reflection and may prevent recurrences in primary indirect inguinal hernia, but it needs to be performed in a large number of cases for further evaluation.

  15. 38 CFR 4.46 - Accurate measurement.

    Science.gov (United States)

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Accurate measurement. 4... RATING DISABILITIES Disability Ratings The Musculoskeletal System § 4.46 Accurate measurement. Accurate measurement of the length of stumps, excursion of joints, dimensions and location of scars with respect...

  16. Decaying toxic wood as sodium supplement for herbivorous mammals in Gabon.

    Science.gov (United States)

    Iwata, Yuji; Nakashima, Yoshihiro; Tsuchida, Sayaka; Nguema, Pierre Philippe Mbehang; Ando, Chieko; Ushida, Kazunari; Yamagiwa, Juichi

    2015-10-01

    African rainforest harbors herbivores at high density. However, because plants and soils typically lack in some essential minerals, rainforest is not always a suitable habitat for herbivores. How they fulfill the mineral requirements is therefore an important question to animal ecology and conservation. Although large marshes, called 'bais', are often mentioned as efficient mineral-resource, little information on other sodium resources has still been available. Our laboratory works and field surveys found that a peculiar item, decaying wood stumps of Anthostema aubryanum, played as a major sodium resource for herbivores in Moukalaba-Doudou National Park, Gabon. When A. aubryanum is alive, the sodium content of its bark is low and its latex is toxic. Sodium is accumulated in decaying stumps (mean=1,343 mg/kg dry matter). Eight herbivores visited stumps to ingest the dead wood. Fecal sample analysis revealed that western lowland gorillas, a species most-frequently using the stumps, consumed large amount of the dead wood as regular food. Our findings suggest that decaying A. aubryanum is critical sodium-resources and is a key species for herbivores in our study area. Importance of the A. aubryanum may be particularly large there, because it is a limited sodium-rich material that is available year round. Our study site is known as the site where the densities of several herbivores are among the highest at Central Africa. The relatively high herbivores density in our study site may partly depend on decaying A. aubryanum as sodium resources.

  17. Dental management of a patient fitted with subcutaneous Implantable Cardioverter Defibrillator device and concomitant warfarin treatment

    Directory of Open Access Journals (Sweden)

    Altaf Hussain Shah

    2015-07-01

    This article presents the dental management of a 60 year-old person with an ICD and concomitant anticoagulant therapy. The patient was on multiple medications and was treated for a grossly neglected mouth with multiple carious root stumps. This case report outlines the important issues in managing patients fitted with an ICD device and at a risk of sudden cardiac death.

  18. Literature review of the possible advantages of silicon liner socket use in trans-tibial prostheses

    NARCIS (Netherlands)

    Baars, ECT; Geertzen, JHB

    2005-01-01

    The silicon liner socket has been used in the trans-tibial prosthesis since the 1980s. Silicon liner sockets are sleeves of silicon material that are rolled onto the stump and fix the prosthesis to it. The producers of the liners propagate many advantages in their use i.e. better suspension of the p

  19. A Comparative Finite-Element Analysis of Bone Failure and Load Transfer of Osseointegrated Prostheses Fixations

    NARCIS (Netherlands)

    Tomaszewski, P. K.; Verdonschot, N.; Bulstra, S. K.; Verkerke, G. J.

    2010-01-01

    An alternative solution to conventional stump-socket prosthetic limb attachment is offered by direct skeletal fixation. This study aimed to assess two percutaneous trans-femoral implants, the OPRA system (Integrum AB, Goteborg, Sweden), and the ISP Endo/Exo prosthesis (ESKA Implants AG, Lubeck, Germ

  20. Description of Himalayan mosquito pupae III, Ochlerotatus albolateralis and Ochlerotatus deccanus.

    Science.gov (United States)

    Darsie, Richard F

    2012-03-01

    The pupae of Ochlerotatus albolateralis and Oc. deccanus are described and illustrated for the first time from specimens collected in the Himalayan Mountains in Nepal, breeding in tree holes and bamboo stumps. Chaetotaxal tables and illustrations show the morphology of their setae. Characters to recognize each species are explained.

  1. Micro Injection Moulding

    DEFF Research Database (Denmark)

    Kjær, Erik Michael; Johansen, Bjørn B.; Sørensen, Hans H.;

    2000-01-01

    Microstructures were created in SiO2 wafers using RIE and KOH etching. The mould inserts was manufactured by Ni electroplating the wafers. Different types of microstructures were made in the mould; rows of quadratic columns, rows of pyramids and of pyramid stumps. The structures (from the SiO2 wa...

  2. Side-To-Side Nerve Bridges Support Donor Axon Regeneration Into Chronically Denervated Nerves and Are Associated With Characteristic Changes in Schwann Cell Phenotype.

    Science.gov (United States)

    Hendry, J Michael; Alvarez-Veronesi, M Cecilia; Snyder-Warwick, Alison; Gordon, Tessa; Borschel, Gregory H

    2015-11-01

    Chronic denervation resulting from long nerve regeneration times and distances contributes greatly to suboptimal outcomes following nerve injuries. Recent studies showed that multiple nerve grafts inserted between an intact donor nerve and a denervated distal recipient nerve stump (termed "side-to-side nerve bridges") enhanced regeneration after delayed nerve repair. To examine the cellular aspects of axon growth across these bridges to explore the "protective" mechanism of donor axons on chronically denervated Schwann cells. In Sprague Dawley rats, 3 side-to-side nerve bridges were placed over a 10-mm distance between an intact donor tibial (TIB) nerve and a recipient denervated common peroneal (CP) distal nerve stump. Green fluorescent protein-expressing TIB axons grew across the bridges and were counted in cross section after 4 weeks. Immunofluorescent axons and Schwann cells were imaged over a 4-month period. Denervated Schwann cells dedifferentiated to a proliferative, nonmyelinating phenotype within the bridges and the recipient denervated CP nerve stump. As donor TIB axons grew across the 3 side-to-side nerve bridges and into the denervated CP nerve, the Schwann cells redifferentiated to the myelinating phenotype. Bridge placement led to an increased mass of hind limb anterior compartment muscles after 4 months of denervation compared with muscles whose CP nerve was not "protected" by bridges. This study describes patterns of donor axon regeneration and myelination in the denervated recipient nerve stump and supports a mechanism where these donor axons sustain a proregenerative state to prevent deterioration in the face of chronic denervation.

  3. Prostatic Stromal Tumor of Uncertain Malignant Potential Which Was Difficult to Diagnose

    Directory of Open Access Journals (Sweden)

    Satoko Matsuyama

    2015-01-01

    Full Text Available Here, we report a case of stromal tumor of uncertain malignant potential (STUMP that was difficult to diagnose. A 53-year-old male was found to have a hard nodule on digital rectal examination; magnetic resonance imaging revealed a large nodule on the left side of the prostate, indicating prostate cancer. However, pathological diagnosis of the biopsy specimen was benign prostatic hyperplasia. Although a papillary tumor in the prostatic urethra was also seen on urethrocystoscopy, the tumor specimen obtained from transurethral resection was not malignant. The tumor in the prostatic urethra recurred only 3 months after transurethral resection, and pathological findings revealed benign hyperplasia not only in the stromal tissue but also in the epithelium; therefore, the prostate tumor was suspected to be STUMP. It took many prostate pathologists a long time to reach the final diagnosis of STUMP. STUMP is a rare benign tumor, difficult to diagnose, and sometimes transforms into stromal sarcoma. Thus, we should consider radical resection in such cases.

  4. PRODUCTION IN THE WEST 'MAM'PRUSI DISTRICT OF GHANA

    African Journals Online (AJOL)

    artificial features of the universe. Such features include .... {ion they will all runmvay and leave me alone because it is a means of survival.” .... In addition, evidence of stump count and the extent of the vegetation depletion can be seen clearly ...

  5. Floristic composition, structure, and species associations of dry Miombo woodland in Tanzania

    DEFF Research Database (Denmark)

    Mwakalukwa, Ezekiel Edward; Meilby, Henrik; Treue, Thorsten

    2014-01-01

    Village Land Forest Reserve, a dry Miombo woodland area in Tanzania. A total of 35 nested circular plots with radii of 5, 15, and 20 m were used to collect data on woody species and soil samples across the 6,065 ha community-managed forest reserve. Stumps were measured 20 cm above ground. A total of 88...

  6. Phantom limb pain: a case of maladaptive CNS plasticity?

    DEFF Research Database (Denmark)

    Flor, Herta; Nikolajsen, Lone; Jensen, Troels Staehelin

    2006-01-01

    Phantom pain refers to pain in a body part that has been amputated or deafferented. It has often been viewed as a type of mental disorder or has been assumed to stem from pathological alterations in the region of the amputation stump. In the past decade, evidence has accumulated that phantom pain...... studies and derive suggestions for innovative interventions aimed at alleviating phantom pain....

  7. Phantom pain and risk factors : A multivariate analysis

    NARCIS (Netherlands)

    Dijkstra, PU; Geertzen, JHB; Stewart, R; van der Schans, CP

    2002-01-01

    Phantom pain has been given considerable attention in literature. Phantom Pain reduces quality of life, and patients suffering from phantom pain make heavy use of the medical system. Many risk factors have been identified for phantom Pain in univariate analyses, including phantom sensations, stump P

  8. Bondgraph modelling and simulation of the dynamic behaviour of above-knee prostheses

    NARCIS (Netherlands)

    Veen, van de P.G.; Tempel, van der W.; Vreiss, de J.

    1987-01-01

    A mathematical model was used to investigate the dynamic behaviour of an above-knee (AK) prosthesis in the swing phase and to analyse the influence of mass and mass distribution on the maximal stump load and the required energy. The model consists of a bondgraph model of the prosthesis and a “walkin

  9. 38 CFR 4.63 - Loss of use of hand or foot.

    Science.gov (United States)

    2010-07-01

    ... case of the foot, could be accomplished equally well by an amputation stump with prosthesis. (a... foot. 4.63 Section 4.63 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS SCHEDULE... foot. Loss of use of a hand or a foot, for the purpose of special monthly compensation, will be held...

  10. 7 CFR 301.50-2 - Regulated articles.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 5 2010-01-01 2010-01-01 false Regulated articles. 301.50-2 Section 301.50-2... articles. The following are regulated articles: (a) Pine products (Pinus spp.), as follows: Bark products... pine wreaths and garlands; and stumps. (b) Any article, product, or means of conveyance not covered...

  11. Cover Story: Different Strokes

    Science.gov (United States)

    Guhin, Paula

    2009-01-01

    The author and her class used chalk pastels before, in the typical manner with much blending and mixing of color. She felt her high-school class needed to try another technique with no smudging with tissues, no using tortillons (blending stumps), no soft color merging. All too often, young artists blend too many colors together and lose the…

  12. Notes to Parents - When Your Child Has Undergone Amputation.

    Science.gov (United States)

    Pierson, Margaret Hauser

    Designed to provide parents with basic information about the physical and emotional aspects of amputation, the booklet gives information about the grief response, body image, phantom limb sensation, stump care, and the prosthesis. The section on the grief process describes normal reactions to loss: denial, anger, bargaining, depression, and…

  13. PROFIT-PC: a program for estimating maximum net revenue from multiproduct harvests in Appalachian hardwoods

    Science.gov (United States)

    Chris B. LeDoux; John E. Baumgras; R. Bryan Selbe

    1989-01-01

    PROFIT-PC is a menu driven, interactive PC (personal computer) program that estimates optimum product mix and maximum net harvesting revenue based on projected product yields and stump-to-mill timber harvesting costs. Required inputs include the number of trees/acre by species and 2 inches diameter at breast-height class, delivered product prices by species and product...

  14. Small gap anastomosis to repair peripheral nerve rupture using a nerve regeneration chamber constructed by scissoring and sleeve jointing autologous epineurium

    Institute of Scientific and Technical Information of China (English)

    Peiji Wang; Zhongliang Zhou; Qirong Dong

    2011-01-01

    A number of studies have shown how to eliminate the misorientated docking of the peripheral nerve bundle in the traditional epineurium or perineudum anastomosis, thus avoiding neuroma formation and axonal outgrowth from the coaptation sites, and seriously hindering neural function recovery. Based on the "peripheral nerve selective regeneration theory", this experiment was designed to investigate the feasibility and benefits of a new small gap anastomosis repairing peripheral nerve rupture, by scissoring and sleeve jointing an autologous epineurium. In the proximal stump of the nerve, a 1 mm-long epineurium was annularly separated and removed, while a 3 mm-long epineurium was longitudinally incised in the distal stump after the epineurium was dissociated from proximal to distal. The epineuria of the two stumps and the longitudinal incision were sutured, leaving a 2 mm gap between the two nerve stumps. Results show that the experimental rats quickly recovered autonomic activities, and there were minimal adhesions at the outer surface of the epineurial tube to the surrounding tissue. The morphologic changes to the sciatic nerve showed that connective tissue hyperplasia of the small gaps was significantly reduced, and nerve fibers were arranged orderly. No such changes were observed in the neurorrhaphy in situ group. Thus, the experiment confirmed that the new small gap anastomosis to repair peripheral nerve rupture by scissoring and sleeve jointing autologous epineurium is feasible, and that it is superior to epineurium neurorrhaphy in situ.

  15. Infrared parietal colorectal flowmetry: a new application of the pulse oximeter. Is this method useful for general surgeons in preventing anastomotic leakage after colorectal resections?

    Directory of Open Access Journals (Sweden)

    Delfrate R

    2015-06-01

    Full Text Available Roberto Delfrate,1 Massimo Bricchi,1 Paolo Forti,1 Claude Franceschi2 1Surgery Unit, Figlie Di San Camillo Hospital, Cremona, Italy; 2Vascular Exploration Service, St Joseph Hospital, Paris, France Background: Anastomotic leak is a major complication of colorectal surgery. Among the causes of dehiscence, anastomotic ischemia seems to be fundamental and consequently so is the evaluation of the parietal flow. We proposed a new application of infrared flowmeter for the evaluation of the parietal flow at the stumps after colon resection. Objective: The aim of this study is to assess the feasibility of using an intraoperative intestinal wall flowmeter to assess arterial capillary flow in order to avoid the execution of anastomoses in poorly vascularized segments of bowel, and consequently to reduce the risk of anastomotic leakage.Methods: Retrospective analysis of two groups of patients with different methods of evaluation of colon resection stump vascularization. Ninety-two consecutive patients (Group A underwent surgical colorectal resection for cancer. In this group, we used a pulse-oximetry sensor to assess the parietal flow: once the magnitude of the colon resection was established according to surgical and oncological criteria, the exact location of the resection was adjusted according to the parietal flowmetry curve. This method was compared with 139 consecutive colorectal resections (Group B in which vascularization was assessed by checking the pulsatility of the mesenteric arteries, macroscopic wall resection stump appearance, and bleeding of the wall stump. The main outcome measure was the reduction in anastomotic dehiscence.Results: In Group A no anastomotic leakage occurred (0/92. Conversely, in Group B six anastomotic leaks occurred (6/139. The statistical analysis of the two groups thanks to the Fisher's exact test shows that P<0.05, which is statistically significant.Conclusion: We tested a new application of the pulse oximeter: the

  16. Cytokine responses during chronic denervation

    Directory of Open Access Journals (Sweden)

    Olsson Tomas

    2005-11-01

    Full Text Available Abstract Background The aim of the present study was to examine inflammatory responses during Wallerian degeneration in rat peripheral nerve when the regrowth of axons was prevented by suturing. Methods Transected rat sciatic nerve was sutured and ligated to prevent reinnervation. The samples were collected from the left sciatic nerve distally and proximally from the point of transection. The endoneurium was separated from the surrounding epi- and perineurium to examine the expression of cytokines in both of these compartments. Macrophage invasion into endoneurium was investigated and Schwann cell proliferation was followed as well as the expression of cytokines IL-1β, IL-10, IFN-γ and TNF-α mRNA. The samples were collected from 1 day up to 5 weeks after the primary operation. Results At days 1 to 3 after injury in the epi-/perineurium of the proximal and distal stump, a marked expression of the pro-inflammatory cytokines TNF-α and IL-1β and of the anti-inflammatory cytokine IL-10 was observed. Concurrently, numerous macrophages started to gather into the epineurium of both proximal and distal stumps. At day 7 the number of macrophages decreased in the perineurium and increased markedly in the endoneurium of both stumps. At this time point marked expression of TNF-α and IFN-γ mRNA was observed in the endo- and epi-/perineurium of the proximal stump. At day 14 a marked increase in the expression of IL-1β could be noted in the proximal stump epi-/perineurium and in the distal stump endoneurium. At that time point many macrophages were observed in the longitudinally sectioned epineurium of the proximal 2 area as well as in the cross-section slides from the distal stump. At day 35 TNF-α, IL-1β and IL-10 mRNA appeared abundantly in the proximal epi-/perineurium together with macrophages. Conclusion The present studies show that even during chronic denervation there is a cyclic expression pattern for the studied cytokines. Contrary to the

  17. Effect of comprehensive treatment before and after fabrication of lower limb prostheses for persons wounded in Wenchuan earthquake%地震伤员下肢假肢装配前后的综合康复治疗

    Institute of Scientific and Technical Information of China (English)

    周贤丽; 武继祥; 刘宏亮; 尚超平; 陈足源; 吴宗耀

    2008-01-01

    Objective To observe the effect of comprehensive rehabilitation treatment before and after fabrication of lower limb prostheses for the earthquake wounded.Methods The patients were treated with comprehensive rehabilitation treatment before and after fabrication of lower limb prostheses,including stump treatment(massage,pat and stump mold),physiotherapy(range of motion,strength,balance,standing and walking training,and use of physical agents),psychological therapy.Results The percentage of stump ulcer,stump swelling,limitation of joint motion and stump pain of all 42 cases was 74%,72%,41%and 5%,respectively.Stump ulcer healed and stump swelling decreased after comprehensive rehabilitative treatment.The stump shape,motion of joint and muscle strength improved significantly.All stumps can be fit with prosthetic limb.Excellent,good and fair walk functions of prosthetic limb were 51%,44%,and 2%,respectively.Conclusion The rate of poor stump limb was high after earthquake.Application of comprehensive rehabilitation treatment before and after fabrication of lower limb prostheses is very important for the earthquake wounded.%目的 观察地震伤员下肢假肢装配前后综合康复治疗的效果.方法 安装假肢前后对地震伤员采取综合康复治疗,包括:残端处理(按摩和拍打、残肢塑型)、运动疗法(关节活动度训练、肌力训练、平衡功能训练、站立与步行训练等)、物理治疗,心理治疗.结果 42例残肢中,残端有溃疡或寞道、残肢肿胀、髋膝关节屈曲挛缩、残肢痛分别占74%、72%、41%和5%,残肢肌力明显减退.经综合康复治疗后,残肢无肿胀、溃疡或窦道完全愈合,残肢形状、关节活动度和肌力明显改善,已达到假肢装配条件,均装配假肢,并获得良好的功能.假肢行走功能结局,良好:20例(51%);一般:17例(44%);较差:2例(5%).结论 地震后截肢不良残肢发生率高,安装假肢前后对地震伤员采取综合康复治疗,确保假肢装配成功十分必要.

  18. Hyperbaric oxygenation accelerates prosthetic rehabilitation of lower limb amputees.

    Science.gov (United States)

    Igor, Simanic; Mirko, Teofilovski; Dalibor, Paspalj; Milutin, Radotic; Dusica, Djordjevic; Vladimir, Zivkovic; Vladimir, Jakovljevic

    2013-01-01

    The purpose of the study was to assess the effects of hyperbaric oxygen (HBO2) therapy on prosthetic rehabilitation of patients with unilateral lower limb amputation. Narang's scale,the Locomotor Capabilities Index and the two-minute walk test were used to assess functional abilities of amputees on the admission and on discharge from hospital. We also kept records of some clinical parameters whose improvement enables better mobility of patients: thigh and lower leg girth, strength of amputation stump, existence of amputation stump contracture, existence of some other complications on amputation stump, blood oxygenation and pulse palpation. Our results show that hyperbaric oxygenation accelerates prosthetic rehabilitation of lower limb amputees. HBO2-treated patients were discharged from the hospital faster than the controls (hospitalized for 133.2 +/- 54.87 days vs. 158.36 +/- 53.05 days), they had improved arterial Hb saturation (97.40 +/- 3.51% vs. 94.74 +/- 3.28 %) and pulse palpability (pulse palpable in 27 vs. 18 subjects), less complications of the amputation stump (complications present in 24 vs. 30 subjects), greater healthy leg thigh girth (50.75 +/- 3.96 cm vs. 48.90 +/- 2.59 cm), stronger amputation stump (mark 3.90 +/- 0.54 vs. 3.33 +/- 0.47) and better functional abilities as measured by adapted Narang's scale (category 3.43 +/- 1.30 vs. 4.10 +/- 1.12) and locomotor capabilities index (score 38.06 +/- 10.90 vs. 33.16 +/- 8.80). These findings highlight the increasing validity of this procedure after limb amputation, which should be confirmed by further research in multicenter studies involving a larger number of respondents.

  19. Morphological observation of antler regeneration in red deer (Cervus elaphus).

    Science.gov (United States)

    Li, Chunyi; Suttie, James M; Clark, Dawn E

    2004-12-01

    Deer antler offers a unique opportunity to explore how nature solves the problem of mammalian appendage regeneration. Annual antler renewal is an example of epimorphic regeneration, which is known to take place through initial blastema formation. Detailed examination of the early process of antler regeneration, however, has thus far been lacking. Therefore, we conducted morphological observations on antler regeneration from naturally cast and artificially created pedicle/antler stumps. On the naturally cast pedicle stumps, early antler regeneration underwent four distinguishable stages (with the Chinese equivalent names): casting of previous hard antlers (oil lamp bowl), early wound healing (tiger eye), late wound healing and early regeneration (millstone), and formation of main beam and brown tine (small saddle). Overall, no cone-shaped regenerate, a common feature to blastema-based regeneration, was observed. Taken together with the examination on the sagittal plane of each regenerating stage sample, we found that there are considerable overlaps between late-stage wound healing and the establishment of posterior and anterior growth centers. Observation of antler regeneration from the artificially created stumps showed that the regeneration potential of antler remnants was significantly reduced compared with that of pedicle tissue. Interestingly, the distal portion of a pedicle stump had greater regeneration potential than the proximal region, although this differential potential may not be constitutive, but rather caused by whether or not pedicle antlerogenic tissue becomes closely associated with the enveloping skin at the cut plane. Antler formation could take place from the distal peripheral tissues of an antler/pedicle stump, without the obvious participation of the entire central bony portion. Overall, our morphological results do not support the notion that antler regeneration takes place through the initial formation of a blastema; rather, it may be a stem

  20. The evaluation of the caveolin-1 and AT-rich interactive domain 1 alpha expressions in uterine smooth muscle tumors

    Directory of Open Access Journals (Sweden)

    Duygu Ayaz

    2016-01-01

    Full Text Available Objectives: This retrospective study was designed to evaluate the importance of tissue expressions of caveolin-1 (Cav-1 and AT-rich interactive domain 1 alpha (ARID-1A which are known as signal regulator and tumor suppressor in differential diagnosis of uterine smooth muscle tumors (SMTs. Materials and Methods: Thirty patients recently diagnosed as uterine SMTs at the Tepecik Training and Research Hospital were identified using pathology databases. Immunohistochemical stains for Cav-1 and ARID-1A were performed. Results: In this series, there were 10 leiomyosarcomas (LMSs, 10 uterine smooth muscle tumors of uncertain malignant potentials (STUMPs, and 10 leiomyomas (LMs. Cav-1 expression located cytoplasmic or perivascular area. Cytoplasmic Cav-1 expression was determined in 5 LMSs and 2 STUMPs while perivascular Cav-1 expression was determined in 9 LMSs and 2 STUMPs. Statistically, it was determined that if the tumor becomes malignant and more invasive, it gains the perivascular Cav-1 expression (P = 0.029. On the other hand, the mean nuclear staining rate for ARID-1A in LMSs (63 ± 23.4% was higher than both STUMPs (60 ± 18.5% and LMs (34.5 ± 16.5%. Statistically, it was determined that the expression of ARID-1A was significantly downregulated in LMs when compared with STUMPs and LMSs (P = 0.004. Conclusions: Our findings were demonstrated that perivascular Cav-1 expression was seen to be a marker for malignancy of uterine SMTs. Similarly, we found to link of ARID-1A expression and the aggressiveness of SMTs. Therefore, it may be suggested that Cav-1 and ARID-1A may act as predictive biomarkers in uterine SMTs.

  1. Relative importance of various regeneration mechanisms in different restoration stages of Quercus variabilis forest after selective logging

    Directory of Open Access Journals (Sweden)

    Yaoqin Xue

    2014-08-01

    Full Text Available Aim of study: Quercus variabilis (Chinese cork oak reproduces asexually and sexually. This study aimed to determine the status and growth of asexual and sexual recruits of Q. variabilis in different forest recovery stages.Area of study: Three selective logged stands and one unlogged stand in Q. variabilis forest, Shaanxi Province, China.Material and Methods: Origin, number, basal diameter, height and size structure of Q. variabilis shoots (height ≤200 cm were investigated in the plots of 5, 10, and 20-years post-logging stands and unlogged stand. Effects of recovery stage on the density and growth of the three original recruits (stump sprouts, stem base sprouts and true seedlings were analysis by One-way ANOVA.Main results: Sprouts dominated logged stands, whereas true seedlings dominated unlogged stand, stem base sprouts only existed in 20-years post-logging and unlogged stands. Stump sprout density and sprout number per stump both declined with extended post-logging time. True seedlings density increased from 7 to 20 shoots/100 m2 as the postlogging time extended, and peaked in unlogged stand (94 shoots/100 m2. An ongoing size structure was observed in true seedlings in all stands. Stump sprouts were taller and greater than true seedlings.Research highlights: Stump sprouts contributed more to Q. variabilis forest recovery in the early stage after disturbance. The contribution of true seedlings was limited in the same stage, but they were beneficial for population long-term development. Stem base sprouts were most likely to be a survival strategy rather than a reproductive strategy.Key words: asexual reproduction; true seedling; post-logging time; Chinese cork oak.

  2. Motor control over the phantom limb in above-elbow amputees and its relationship with phantom limb pain.

    Science.gov (United States)

    Gagné, M; Reilly, K T; Hétu, S; Mercier, C

    2009-08-04

    Recent evidence shows that the primary motor cortex continues to send motor commands when amputees execute phantom movements. These commands are retargeted toward the remaining stump muscles as a result of motor system reorganization. As amputation-induced reorganization in the primary motor cortex has been associated with phantom limb pain we hypothesized that the motor control of the phantom limb would differ between amputees with and without phantom limb pain. Eight above-elbow amputees with or without pain were included in the study. They were asked to produce cyclic movements with their phantom limb (hand, wrist, and elbow movements) while simultaneously reproducing the same movement with the intact limb. The time needed to complete a movement cycle and its amplitude were derived from the kinematics of the intact limb. Electromyographic (EMG) activity from different stump muscles and from the homologous muscles on the intact side was recorded. Different EMG patterns were recorded in the stump muscles depending on the movement produced, showing that different phantom movements are associated with distinct motor commands. Phantom limb pain was associated with some aspects of phantom limb motor control. The time needed to complete a full cycle of a phantom movement was systematically shorter in subjects without phantom limb pain. Also, the amount of EMG modulation recorded in a stump muscle during a phantom hand movement was positively correlated with the intensity of phantom limb pain. Since phantom hand movement-related EMG patterns in above-elbow stump muscles can be considered as a marker of motor system reorganization, this result indirectly supports the hypothesis that amputation-induced plasticity is associated with phantom limb pain severity. The discordance between the (amputated) hand motor command and the feedback from above-elbow muscles might partially explain why subjects exhibiting large EMG modulation during phantom hand movement have more phantom

  3. Experimental induction of a perceived telescoped limb using a full-body illusion

    Directory of Open Access Journals (Sweden)

    Laura eSchmalzl

    2011-04-01

    Full Text Available Phantom limbs refer to the sensation that an amputated or missing limb is still attached to the body. Phantom limbs may be perceived as continuous with the stump so as to resemble a normal limb, or as telescoped with the more distal portion of the phantom being perceived as having withdrawn within the stump. Telescoping tends to be related to increased levels of phantom pain, making it a clinically relevant phenomenon to investigate. In the current study we show that a full-body illusion can be used to induce the sensation of a telescoped limb in healthy individuals. For the induction of the full-body illusion, participants saw the body of a mannequin from a first person perspective while being subjected to synchronized visuo-tactile stimulation through stroking. Crucially, the mannequin was missing its left hand so as to resemble an amputee. By manipulating the positioning of the strokes applied to the mannequin’s stump with respect to the participants’ hand we were able to evoke the sensation of the participants’ hand being located either below the stump or, more crucially, inside the stump, i.e. telescoped. In three separate experiments these effects were supported by complementary subjective data from questionnaires, verbally reported perceived location of the hand, and manual pointing movements indicating hand position (proprioceptive drift. Taken together our results show that healthy individuals can experience the body of an upper limb amputee as their own, and that this can be associated with telescoping sensations. This is a theoretically important observation as it shows that ownership of an entire body can be evoked in the context of gross anatomical incongruence for a single limb, and that telescoping sensations occur as a consequence of the body representation system trying to reduce this incongruence. Furthermore, the present study might provide a new platform for future studies of the relationship between telescoping and

  4. Loss of ATRX and DAXX expression identifies poor prognosis for smooth muscle tumours of uncertain malignant potential and early stage uterine leiomyosarcoma.

    Science.gov (United States)

    Slatter, Tania L; Hsia, Howard; Samaranayaka, Ari; Sykes, Peter; Clow, William Bill; Devenish, Celia J; Sutton, Tim; Royds, Janice A; Pc, Philip; Cheung, Annie N; Hung, Noelyn Anne

    2015-04-01

    Uterine smooth muscle tumours of uncertain malignant potential (STUMP) are diagnostically and clinically challenging. The alternative lengthening of telomeres (ALT) telomere maintenance mechanism is associated with poor survival in soft tissue leiomyosarcoma. Time to first recurrence and survival were known for 18 STUMP and 43 leiomyosarcomata (LMS). These were screened for ALT telomere maintenance by the presence of ALT-associated PML bodies (APBs) and for changes associated with the ALT phenotype, namely aberrant p53 expression, isocitrate dehydrogenase 1 mutation (R132H substitution) expression, mutant ATRX (αthalassemia/mental retardation syndrome X-linked) expression and mutant DAXX (death-domain-associated protein) expression by immunohistochemistry (IHC). Overexpression of p16(INK4A) was examined immunohistologically in a subset of cases. Many of the tumours associated with death or recurrence demonstrated APBs commensurate with ALT telomere maintenance. However, all uterine STUMP (4/4), and vaginal STUMP (2/2) patients, and almost all LMS patients (88.4%, 23/26, including 90% (9/10) of stage 1 LMS cases), who had died of disease or who had recurrent disease, displayed loss of ATRX or DAXX expression. Loss of ATRX or DAXX expression identified poor prognosis (95% CI 2.1 to 40.8, p ATRX or DAXX expression in uterine smooth muscle tumours identifies a clinically aggressive molecular subtype of early stage LMS and when histopathological features are problematic such as in STUMP. As ATRX and DAXX IHC is readily performed in diagnostic laboratories these are potentially useful for routine histopathological classification and management.

  5. Magnetotelluric Data, Mid Valley, Nevada Test Site, Nevada.

    Energy Technology Data Exchange (ETDEWEB)

    Jackie M. Williams; Erin L. Wallin; Brian D. Rodriguez; Charles R. Lindsay; and Jay A. Sampson

    2007-08-15

    The United States Department of Energy (DOE) and the National Nuclear Security Administration (NNSA) at their Nevada Site Office (NSO) are addressing ground-water contamination resulting from historical underground nuclear testing through the Environmental Management (EM) program and, in particular, the Underground Test Area (UGTA) project. One issue of concern is the nature of the somewhat poorly constrained pre-Tertiary geology and its effects on ground-water flow. Ground-water modelers would like to know more about the hydrostratigraphy and geologic structure to support a hydrostratigraphic framework model that is under development for the Rainier Mesa/Shoshone Mountain Corrective Action Unit (CAU) (Bechtel Nevada, 2006). During 2003, the U.S. Geological Survey (USGS), in cooperation with the DOE and NNSA-NSO, collected and processed data at the Nevada Test Site in and near Yucca Flat (YF) to help define the character, thickness, and lateral extent of the pre-tertiary confining units. We collected 51 magnetotelluric (MT) and audio-magnetotelluric (AMT), stations for that research (Williams and others, 2005a, 2005b, 2005c, 2005d, 2005e, 2005f). In early 2005 we extended that research with 26 additional MT data stations (Williams and others, 2006), located on and near Rainier Mesa and Shoshone Mountain (RM-SM). The new stations extended the area of the hydrogeologic study previously conducted in Yucca Flat. This work was done to help refine what is known about the character, thickness, and lateral extent of pre-Tertiary confining units. In particular, a major goal was to define the upper clastic confining unit (UCCU). The UCCU is comprised of late Devonian to Mississippian siliciclastic rocks assigned to the Eleana Formation and Chainman Shale. The UCCU underlies the Yucca Flat area and extends westward towards Shoshone Mountain, southward to Buckboard Mesa, and northward to Rainier Mesa. Late in 2005 we collected another 14 MT stations in Mid Valley and in

  6. A Historical Evaluation of the U16a Tunnel, Nevada National Security Site, Nye County, Nevada Volume 1

    Energy Technology Data Exchange (ETDEWEB)

    Jones, robert C [DRI; Drollinger, Harold [DRI; Bullard, Thomas F [DRI; Ashbaugh, Laurence J [DRI; Griffin, Wayne R [DRI

    2013-06-01

    This report presents a historical evaluation of the U16a Tunnel on the Nevada National Security Site in southern Nevada. The work was conducted by the Desert Research Institute at the request of the U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office and the U.S. Department of Defense, Defense Threat Reduction Agency. The U16a Tunnel was used for underground nuclear weapons effects tests in Shoshone Mountain in Area 16 of the Nevada National Security Site. Six nuclear tests were conducted in the U16a Tunnel from 1962 to 1971. These tests are Marshmallow, Gum Drop, Double Play, Ming Vase, Diamond Dust, and Diamond Mine. The U.S. Department of Defense Threat Reduction Agency, with participation from Lawrence Livermore National Laboratory and Las Alamos National Laboratory, sponsored the tests. Fifteen high explosives tests were also conducted at the tunnel. Two were calibration tests during nuclear testing and the remaining were U.S. Department of Defense, Defense Threat Reduction Agency tunnel defeat tests. The U16a Tunnel complex is on the top and slopes of Shoshone Mountain, encompassing an area of approximately 16.7 hectares (41.1 acres). Major modifications to the landscape are a result of three principal activities, road construction and maintenance, mining activities related to development of the tunnel complex, and site preparation for activities related to testing. Forty-seven cultural features were recorded at the portal and on the slopes of Shoshone Mountain. At the portal area, features relate to the mining, construction, testing, and general every day operational support activities within the tunnel. These include concrete foundations for buildings, equipment pads, and rail lines. Features on the slopes above the tunnel relate to tunnel ventilation, borehole drilling, and data recording. Feature types include soil-covered bunkers, concrete foundations, instrument cable holes, drill holes, and ventilation shafts. The U16

  7. Sienogranitos leucocráticos do Domínio Macururé, Sistema Orogênico Sergipano, Nordeste do Brasil: Stock Glória Sul

    Directory of Open Access Journals (Sweden)

    Joane Almeida da Conceição

    Full Text Available RESUMO: O Stock Glória Sul (SGS (41 km2 é arredondado e intrusivo na parte central do Domínio Macururé, no Sistema Orogênico Sergipano (SOS. Internamente o Stock é formado por vários tipos de sienogranitos leucocráticos (biotita sienogranito, sienogranito com muscovita e biotita e muscovita sienogranito. Os biotita sienogranitos apresentam abundância de enclaves máficos microgranulares que correspondem a sienitos e são ocasionais nos sienogranitos com muscovita e biotita. Os sienogranitos são metaluminosos, com termos mais evoluídos peraluminosos, posicionando-se no campo dos granitos do tipo I e exibem assinatura geoquímica cálcio-alcalino de alto K2O. Os enclaves sieníticos são metaluminosos e exibem assinatura shoshonítica. Os dados geoquímicos sugerem que as diferentes rochas presentes no SGS podem ser explicadas como produto da mistura entre um magma fortemente diferenciado e peraluminoso (≈ 73% SiO2 com outro máfico shoshonítico (≈ 56% SiO2, representado pelos enclaves. Os valores dos elementos traços são mais elevados nos enclaves do que nos granitos, tais como Ba (1.179 - 319 ppm, Rb (351 - 55,3 ppm, Y (16,7 - 1,6 ppm. Os padrões de elementos terras raras mostram variação de ∑38,58 - 299,21 ppm, LaN/YbN 12,57 - 137,22 e Eu/Eu* 0,72 - 1,94. O SGS, ante aos resultados obtidos neste estudo, evidencia que a granitogênese no Domínio Macururé (DM é complexa e que os sienogranitos leucocráticos que ocorrem bem distribuídos nesse domínio são pós-tectônicos e representam o produto de interação entre magmas riolíticos peraluminosos com magmas mantélicos shoshoníticos.

  8. A Historical Evaluation of the U16a Tunnel, Nevada National Security Site, Nye County, Nevada Volume 2

    Energy Technology Data Exchange (ETDEWEB)

    Jones, Roberrt C. [Desert Research Inst. (DRI), Reno, NV (United States); Drollinger, Harold [Desert Research Inst. (DRI), Reno, NV (United States)

    2013-06-01

    This report presents a historical evaluation of the U16a Tunnel on the Nevada National Security Site in southern Nevada. The work was conducted by the Desert Research Institute at the request of the U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office and the U.S. Department of Defense, Defense Threat Reduction Agency. The U16a Tunnel was used for underground nuclear weapons effects tests in Shoshone Mountain in Area 16 of the Nevada National Security Site. Six nuclear tests were conducted in the U16a Tunnel from 1962 to 1971. These tests are Marshmallow, Gum Drop, Double Play, Ming Vase, Diamond Dust, and Diamond Mine. The U.S. Department of Defense Threat Reduction Agency, with participation from Lawrence Livermore National Laboratory and Las Alamos National Laboratory, sponsored the tests. Fifteen high explosives tests were also conducted at the tunnel. Two were calibration tests during nuclear testing and the remaining were U.S. Department of Defense, Defense Threat Reduction Agency tunnel defeat tests. The U16a Tunnel complex is on the top and slopes of Shoshone Mountain, encompassing an area of approximately 16.7 hectares (41.1 acres). Major modifications to the landscape are a result of three principal activities, road construction and maintenance, mining activities related to development of the tunnel complex, and site preparation for activities related to testing. Forty-seven cultural features were recorded at the portal and on the slopes of Shoshone Mountain. At the portal area, features relate to the mining, construction, testing, and general every day operational support activities within the tunnel. These include concrete foundations for buildings, equipment pads, and rail lines. Features on the slopes above the tunnel relate to tunnel ventilation, borehole drilling, and data recording. Feature types include soil-covered bunkers, concrete foundations, instrument cable holes, drill holes, and ventilation shafts. The U16

  9. A Historical Evaluation of the U16a Tunnel, Nevada National Security Site, Nye County, Nevada Volume 1

    Energy Technology Data Exchange (ETDEWEB)

    Jones, Robert C. [Desert Research Inst. (DRI), Reno, NV (United States); Drollinger, Harold [Desert Research Inst. (DRI), Reno, NV (United States); Bullard, Thomas F. [Desert Research Inst. (DRI), Reno, NV (United States); Ashbaugh, Laurence J. [Desert Research Inst. (DRI), Reno, NV (United States); Griffin, Wayne R. [Desert Research Inst. (DRI), Reno, NV (United States)

    2013-01-01

    This report presents a historical evaluation of the U16a Tunnel on the Nevada National Security Site in southern Nevada. The work was conducted by the Desert Research Institute at the request of the U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office and the U.S. Department of Defense, Defense Threat Reduction Agency. The U16a Tunnel was used for underground nuclear weapons effects tests in Shoshone Mountain in Area 16 of the Nevada National Security Site. Six nuclear tests were conducted in the U16a Tunnel from 1962 to 1971. These tests are Marshmallow, Gum Drop, Double Play, Ming Vase, Diamond Dust, and Diamond Mine. The U.S. Department of Defense Threat Reduction Agency, with participation from Lawrence Livermore National Laboratory and Las Alamos National Laboratory, sponsored the tests. Fifteen high explosives tests were also conducted at the tunnel. Two were calibration tests during nuclear testing and the remaining were U.S. Department of Defense, Defense Threat Reduction Agency tunnel defeat tests. The U16a Tunnel complex is on the top and slopes of Shoshone Mountain, encompassing an area of approximately 16.7 hectares (41.1 acres). Major modifications to the landscape are a result of three principal activities, road construction and maintenance, mining activities related to development of the tunnel complex, and site preparation for activities related to testing. Forty-seven cultural features were recorded at the portal and on the slopes of Shoshone Mountain. At the portal area, features relate to the mining, construction, testing, and general every day operational support activities within the tunnel. These include concrete foundations for buildings, equipment pads, and rail lines. Features on the slopes above the tunnel relate to tunnel ventilation, borehole drilling, and data recording. Feature types include soil-covered bunkers, concrete foundations, instrument cable holes, drill holes, and ventilation shafts. The U16

  10. Magnetotelluric Data, Mid Valley, Nevada Test Site, Nevada.

    Energy Technology Data Exchange (ETDEWEB)

    Jackie M. Williams; Erin L. Wallin; Brian D. Rodriguez; Charles R. Lindsay; and Jay A. Sampson

    2007-08-15

    The United States Department of Energy (DOE) and the National Nuclear Security Administration (NNSA) at their Nevada Site Office (NSO) are addressing ground-water contamination resulting from historical underground nuclear testing through the Environmental Management (EM) program and, in particular, the Underground Test Area (UGTA) project. One issue of concern is the nature of the somewhat poorly constrained pre-Tertiary geology and its effects on ground-water flow. Ground-water modelers would like to know more about the hydrostratigraphy and geologic structure to support a hydrostratigraphic framework model that is under development for the Rainier Mesa/Shoshone Mountain Corrective Action Unit (CAU) (Bechtel Nevada, 2006). During 2003, the U.S. Geological Survey (USGS), in cooperation with the DOE and NNSA-NSO, collected and processed data at the Nevada Test Site in and near Yucca Flat (YF) to help define the character, thickness, and lateral extent of the pre-tertiary confining units. We collected 51 magnetotelluric (MT) and audio-magnetotelluric (AMT), stations for that research (Williams and others, 2005a, 2005b, 2005c, 2005d, 2005e, 2005f). In early 2005 we extended that research with 26 additional MT data stations (Williams and others, 2006), located on and near Rainier Mesa and Shoshone Mountain (RM-SM). The new stations extended the area of the hydrogeologic study previously conducted in Yucca Flat. This work was done to help refine what is known about the character, thickness, and lateral extent of pre-Tertiary confining units. In particular, a major goal was to define the upper clastic confining unit (UCCU). The UCCU is comprised of late Devonian to Mississippian siliciclastic rocks assigned to the Eleana Formation and Chainman Shale. The UCCU underlies the Yucca Flat area and extends westward towards Shoshone Mountain, southward to Buckboard Mesa, and northward to Rainier Mesa. Late in 2005 we collected another 14 MT stations in Mid Valley and in

  11. An Empirical Analysis of a Dominant Firm’s Market Power in a Restructured Electricity Market, A Case Study of Colorado

    Science.gov (United States)

    2007-11-02

    412 2002 IPPs American Atlas 81 50 0 50 Estimate 2002 IPPs Biogas 1 - IPP 4 10 0 10 Estimate 2002 IPPs E Co IPP Hydro 6 0 0 0 Estimate 2002 IPPs...112 17.6 0 17.6 RDI 2002 PSCo Shoshone 14 0.3 0 0.3 FERC Form 1 2002 PSCo Tacoma 9 0 0 0 FERC Form 1 2002 PSCo Total Cogeneration 19 12.8 0 12.8 PUC...Ruxton 0 0 0 0 EIA-412 2003 CO Springs Tesla 1 25 0 0 0 EIA-412 2003 IPPs American Atlas 81 50 0 50 Estimate 2003 IPPs Biogas 1 - IPP 4 10 0 10

  12. Minidoka Dam Wildlife Impact Assessment: Final Report.

    Energy Technology Data Exchange (ETDEWEB)

    Martin, Robert C.; Meuleman, G. Allyn

    1989-03-01

    A wildlife impact assessment has been developed for the US Bureau of Reclamation's Minidoka Dam and Reservoir in south central Idaho. This assessment was conducted to fulfill requirements of the Fish and Wildlife Program. Specific objectives of this study included the following: select target wildlife species, and identify their current status and management goals; estimate the net effects on target wildlife species resulting from hydroelectric development and operation; recommend protection, mitigation, and enhancement goals for target wildlife species affected by hydroelectric development and operation; and consult and coordinate impact assessment activities with the Northwest Power Planning Council, Bonneville Power Administration, US Bureau of Reclamation, Bureau of Land Management, Shoshone-Bannock Tribes, US Fish and Wildlife Service, Pacific Northwest Utilities Conference Committee, and other entities expressing interest in the project. 62 refs., 2 figs., 11 tabs.

  13. Cultural Resource Investigation for the Materials and Fuels Complex Wastewater System Upgrade at the Idaho National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Brenda R. Pace; Julie B raun Williams; Hollie Gilbert; Dino Lowrey; Julie Brizzee

    2010-05-01

    The Materials and Fuels Complex (MFC) located in Bingham County at the Idaho National Laboratory (INL) in southeastern Idaho is considering several alternatives to upgrade wastewater systems to meet future needs at the facility. In April and May of 2010, the INL Cultural Resource Management Office conducted archival searches, archaeological field surveys, and coordination with the Shoshone-Bannock Tribes to identify cultural resources that may be adversely affected by the proposed construction and to provide recommendations to protect any resources listed or eligible for listing on the National Register of Historic Places. These investigations showed that one National Register-eligible archaeological site is located on the boundary of the area of potential effects for the wastewater upgrade. This report outlines protective measures to help ensure that this resource is not adversely affected by construction.

  14. Cultural Resource Assessment of the Test Area North Demolition Landfill at the Idaho National Engineering and Environmental Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Brenda R. Pace

    2003-07-01

    The proposed new demolition landfill at Test Area North on the Idaho National Engineering and Environmental Laboratory (INEEL) will support ongoing demolition and decontamination within the facilities on the north end of the INEEL. In June of 2003, the INEEL Cultural Resource Management Office conducted archival searches, field surveys, and coordination with the Shoshone-Bannock Tribes to identify all cultural resources that might be adversely affected by the project and to provide recommendations to protect those listed or eligible for listing on the National Register of Historic Places. These investigations showed that landfill construction and operation would affect two significant cultural resources. This report outlines protective measures to ensure that these effects are not adverse.

  15. Lessons Learned on Effective Co-production of Drought Science and Decision Support Tools with the Wind River Reservation Tribal Water Managers

    Science.gov (United States)

    McNeeley, S.; Ojima, D. S.; Beeton, T.

    2015-12-01

    The Wind River Reservation in west-central Wyoming is home of the Eastern Shoshone and Northern Arapaho Tribes. The reservation has experienced severe drought impacts on Tribal livelihoods and cultural activities in recent years. Scientists from the North Central Climate Science Center, the National Drought Mitigation Center, the High Plains Regional Climate Center, and multiple others are working in close partnership with the tribal water managers on a reservation-wide drought preparedness project that includes a technical assessment of drought risk, capacity building to train managers on drought and climate science and indicators, and drought planning. This talk will present project activities to date along with the valuable and transferrable lessons learned on effective co-production of actionable science for decision making in a tribal context.

  16. StreamNet; 1999 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Columbia River Inter-Tribal Fish Commission

    2000-01-01

    This report was funded by the Bonneville Power Administration (BPA), US Department of Energy, as part of BPA's program to protect, mitigate, and enhance fish and wildlife affected by the development and operation of hydroelectric facilities on the Columbia River and its tributaries. The views of this report are the author's and do not necessarily represent the views of BPA. This annual report covers progress made by: Columbia River Inter-Tribal Fish Commission Idaho; Department of Fish and Game; Montana Department of Fish, Wildlife and Parks; Oregon Department of Fish and Wildlife; Pacific States Marine Fisheries Commission; Shoshone-Bannock Tribes; US Fish and Wildlife Service; Washington Department of Fish and Wildlife; and FY1999 StreamNet Quickplan.

  17. Research and Recovery of Snake River Sockeye Salmon, 1995-1996 Annual Progress Report.

    Energy Technology Data Exchange (ETDEWEB)

    Kline, Paul A.

    1997-04-01

    On November 20, 1991, the National Marine Fisheries Services listed Snake River sockeye salmon Oncorhynchus nerka as endangered under the Endangered Species Act of 1973. In 1991, the Shoshone-Bannock Tribes and the Idaho Department of Fish and Game initiated the Snake River Sockeye Salmon Sawtooth Valley Project to conserve and rebuild populations in Idaho. The first planning of hatchery-produced juvenile sockeye salmon from a captive broodstock occurred in 1994 with the release of 14,119 fish to Redfish Lake. Two release strategies were used with four broodstock lineages represented. In 1995, 95,411 hatchery-produced juvenile sockeye salmon were planted to Stanley Basin waters, including the release of additional broodstock lineage groups and release strategies in Redfish Lake, a yearling smolt release to Redfish Lake Creek, and a direct release to Pettit Lake.

  18. Terminal valve of sapheno-femoral junction: a comparative assessment between pre-operative color-duplex ultrasound and intra-operative evaluation

    Directory of Open Access Journals (Sweden)

    Attilio Cavezzi

    2013-01-01

    Full Text Available According to literature data, up to 59% of incompetent great saphenous veins (GSV have no reflux at the terminal valve (TV of the saphenofemoral junction (SFJ. The aim was to compare color duplex ultrasound (CDU investigation and direct intra-operative assessment of competence of the TV at SFJ. A prospective comparative study was performed on 28 patients, who consecutively presented for surgical intervention for their primary varicose veins of the lower limbs with GSV incompetence. CDU assessment was performed pre-operatively to define GSV and SFJ terminal valve morphology and hemodynamics. Under local anesthesia these patients underwent SFJ disconnection (crossectomy and segmental inverted saphenous stripping of the incompetent GSV tract + phlebectomy of the varicose tributaries. SFJ disconnection was performed in four stages in an ascending fashion: I division of GSV below the lower SFJ tributaries, II disconnection of lower SFJ tributaries, III disconnection of upper tributaries, IV flush to CFV ligature of GSV stump. After the completion of stage I, the SFJ stump was opened and kept open when needed throughout the subsequent stages, in order to highlight any possible blood leak through the SFJ stump. To highlight intraoperative blood leak from SFJ stump visual observation was carried out both during respiration and when performing Valsalva maneuver and manual compression of homolateral iliac fossa. As to pre-operative CDU all limbs showed GSV reflux and they were divided in two groups according to TV competence (group A or incompetence (group B. Group A comprised 18 patients (6 M and 12 F, mean age 50.6 years. Group B included 10 patients (4 M and 6 F, mean age 54.8 years. Mean calibre of GSV at proximal/mid thigh was 6.4 mm in group A and 7.8 in group B. Concerning the intra-operative findings: in the group A, 5 patients had blood leak in the SFJ stump after stage I, 4 patients showed blood leak after stage II. After completion of stage III

  19. Biogeomorphic and pedogenic impact of trees in three soil regions

    Science.gov (United States)

    Pawlik, Łukasz; Šamonil, Pavel

    2017-04-01

    Vegetation is an important factor of soil formation which together with topography, geology, climate and time modulates chemical and physical soil characteristics. Tree/soils/regolith interaction was recognized in recently uprooted trees and relict treethrow mounds and pits. In our present study we focus on effects of individual standing trees in pedogenesis and biogeomorphic processes. Constant pressure of tree root systems, changing hydric and temperature regime, together with rhizospheric microbes and root mycorrhizal associations may cause multiscale alterations to regolith and soils. We hypothesize different soil chemical properties under old tree stumps compared to unaffected control pedon resulted from affected pedogenetical pathways at the analyzed microsites. The present project highlights changes in soil properties under tree stumps in three different soil regions: Haplic Cambisols (Turbacz Reserve, Gorce Mts., Poland, hereafter HC), Entic Podzols (Zofin Reserve, Novohradske Mts., the Czech Republic, hereafter EP), Albic Podzols (Upper Peninsula, Michigan, USA, hereafter AP). These three regions represent different degrees of soil weathering and leaching. Pedons under fir, beech and hemlock stumps, as well as unaffected control pedons were sampled and laboratory analyzed for several chemical properties; active and exchangeable soil reaction, oxidized carbon, total nitrogen, and various forms of Fe, Al, Mn and Si. At the same time we studied age of the sampled tree stumps, as well as age of their death using radiocarbon technique and dendrochronology. While no effects of the soil-trees interactions can be visible on hillslope surface, we found important evidence of biomechanical activities of tree roots (e.g. root channels) and biochemical changes which add to the discussion about biogeomorphic and pedogenic significance of trees and tree roots as drivers of biomechanical weathering and soil processes in the decadal and centennial time scales. Preliminary

  20. Reconstruction of the esophagojejunostomy by double stapling method using EEA™ OrVil™ in laparoscopic total gastrectomy and proximal gastrectomy

    Directory of Open Access Journals (Sweden)

    Yano Seiji

    2011-05-01

    Full Text Available Abstract Here we report the method of anastomosis based on double stapling technique (hereinafter, DST using a trans-oral anvil delivery system (EEATM OrVilTM for reconstructing the esophagus and lifted jejunum following laparoscopic total gastrectomy or proximal gastric resection. As a basic technique, laparoscopic total gastrectomy employed Roux-en-Y reconstruction, laparoscopic proximal gastrectomy employed double tract reconstruction, and end-to-side anastomosis was used for the cut-off stump of the esophagus and lifted jejunum. We used EEATM OrVilTM as a device that permitted mechanical purse-string suture similarly to conventional EEA, and endo-Surgitie. After the gastric lymph node dissection, the esophagus was cut off using an automated stapler. EEATM OrVilTM was orally and slowly inserted from the valve tip, and a small hole was created at the tip of the obliquely cut-off stump with scissors to let the valve tip pass through. Yarn was cut to disconnect the anvil from a tube and the anvil head was retained in the esophagus. The end-Surgitie was inserted at the right subcostal margin, and after the looped-shaped thread was wrapped around the esophageal stump opening, assisting Maryland forceps inserted at the left subcostal and left abdomen were used to grasp the left and right esophageal stump. The surgeon inserted anvil grasping forceps into the right abdomen, and after grasping the esophagus with the forceps, tightened the end Surgitie, thereby completing the purse-string suture on the esophageal stump. The main unit of the automated stapler was inserted from the cut-off stump of the lifted jejunum, and a trocar was made to pass through. To prevent dropout of the small intestines from the automated stapler, the automated stapler and the lifted jejunum were fastened with silk thread, the abdomen was again inflated, and the lifted jejunum was led into the abdominal cavity. When it was confirmed that the automated stapler and center rod

  1. Snake River Sockeye Salmon Captive Broodstock Program; Hatchery Element, 1997 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Kline, Paul A.; Heindel, Jeff A.; Willard, Catherine (Idaho Department of Fish and Game, Boise, ID)

    2003-08-01

    On November 20, 1991, the National Marine Fisheries Service listed Snake River sockeye salmon Oncorhynchus nerka as endangered under the Endangered Species Act of 1973. In 1991, the Idaho Department of Fish and Game, the Shoshone-Bannock Tribes, and the National Marine Fisheries Service initiated efforts to conserve and rebuild populations in Idaho. Initial steps to recover sockeye salmon included the establishment of a captive broodstock program at the Idaho Department of Fish and Game Eagle Fish Hatchery. Sockeye salmon broodstock and culture responsibilities are shared with the National Marine Fisheries Service at two locations adjacent to Puget Sound in Washington State. Activities conducted by the Shoshone-Bannock Tribes and the National Marine Fisheries Service are reported under separate cover. Idaho Department of Fish and Game monitoring and evaluation activities of captive broodstock program fish releases (annual report to the Bonneville Power Administration for the research element of the program) are also reported under separate cover. Captive broodstock program activities conducted between January 1, 1997 and December 31, 1997 are presented in this report. One hundred twenty-six female sockeye salmon from one captive broodstock group were spawned at the Eagle Fish Hatchery in 1997. Successful spawn pairings produced approximately 148,781 eyed-eggs with a cumulative mean survival to eyed-egg rate of 57.3%. Approximately 361,600 sockeye salmon were released to Sawtooth basin waters in 1997. Reintroduction strategies included eyed-eggs (brood year 1997), presmolts (brood year 1996), and prespawn adults for volitional spawning (brood year 1994). Release locations included Redfish Lake, Alturas Lake, and Pettit Lake. During this reporting period, four broodstocks and two unique production groups were in culture at the Eagle Fish Hatchery. Two of the four broodstocks were incorporated into the 1997 spawning design, and one broodstock was terminated following

  2. Rheomorphic ignimbrites of the Rogerson Formation, central Snake River plain, USA: record of mid-Miocene rhyolitic explosive eruptions and associated crustal subsidence along the Yellowstone hotspot track

    Science.gov (United States)

    Knott, Thomas R.; Reichow, Marc K.; Branney, Michael J.; Finn, David R.; Coe, Robert S.; Storey, Michael; Bonnichsen, Bill

    2016-04-01

    Rogerson Graben, USA, is critically placed at the intersection between the Yellowstone hotspot track and the southern projection of the west Snake River rift. Eleven rhyolitic members of the re-defined, ≥420-m-thick, Rogerson Formation record voluminous high-temperature explosive eruptions, emplacing extensive ashfall and rheomorphic ignimbrite sheets. Yet, each member has subtly distinct field, chemical and palaeomagnetic characteristics. New regional correlations reveal that the Brown's View ignimbrite covers ≥3300 km2, and the Wooden Shoe ignimbrite covers ≥4400 km2 and extends into Nevada. Between 11.9 and ˜8 Ma, the average frequency of large explosive eruptions in this region was 1 per 354 ky, about twice that at Yellowstone. The chemistry and mineralogy of the early rhyolites show increasing maturity with time possibly by progressive fractional crystallisation. This was followed by a trend towards less-evolved rhyolites that may record melting and hybridisation of a mid-crustal source region. Contemporaneous magmatism-induced crustal subsidence of the central Snake River Basin is recorded by successive ignimbrites offlapping and thinning up the N-facing limb of a regional basin-margin monocline, which developed between 10.59 and 8 Ma. The syn-volcanic basin topography contrasted significantly with the present-day elevated Yellowstone hotspot plateau. Concurrent basin-and-range extension produced the N-trending Rogerson Graben: early uplift of the Shoshone Hills (≥10.34 Ma) was followed by initiation of the Shoshone Fault and an E-sloping half-graben (˜10.3-10.1 Ma). The graben asymmetry then reversed with initiation of the Brown's Bench Fault (≥8 Ma), which remained intermittently active until the Pliocene.

  3. Duck Valley Resident Fish Stocking Program, 2000 Final Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Dodson, Guy; Pero, Vincent

    2002-01-01

    The Shoshone-Paiute Tribes fish-stocking program was begun in 1988 and is intended to provide a subsistence fishery for the tribal members. The program stocks catchable and fingerling size trout in Mt. View and Sheep Creek Reservoirs. Rainbow trout are purchased from only certified disease-free facilities to be stocked in our reservoirs. This project will help restore a fishery for tribal members that historically depended on wild salmon and steelhead in the Owyhee and Bruneau Rivers and their tributaries for their culture as well as for subsistence. This project is partial substitution for loss of anadromous fish production due to construction and operation of hydroelectric dams on the Columbia and Snake Rivers. Until anadromous fish can be returned to the Owyhee and Bruneau Rivers this project will continue indefinitely. As part of this project the Shoshone-Paiute Tribes will also receive income in the form of fees from non-tribal members who come to fish these reservoirs. Regular monitoring and evaluation of the fishery will include sampling for length/weight/condition and for signs of disease. A detailed Monitoring and evaluation plan has been put in place for this project. However due to budget limitations on this project only the fishery surveys and limited water quality work can be completed. A creel survey was initiated in 1998 and we are following the monitoring and evaluation schedule for this program (as budget allows) as well as managing the budget and personnel. This program has been very successful in the past decade and has provided enjoyment and sustenance for both tribal and non-tribal members. All biological data and stocking rates will be including in the Annual reports to Bonneville Power Administration (BPA).

  4. Case report: revision of failed Sauvé-Kapandji procedure with an ulnar head prosthesis.

    Science.gov (United States)

    Rotsaert, P; Cermak, K; Vancabeke, M

    2008-02-01

    The Sauvé-Kapandji procedure has been developed in order to solve distal radioulnar joint (DRUJ) disorders. Postoperative results are variable. Complications such as painful ulnar stump, ulnar instability and loss of grip strength have often been described. We report the case of a painful ulnar stump instability resulting from a Sauvé-Kapandji procedure. After several attempted salvage procedures, a custom-made Herbert distal ulnar head prosthesis was implanted. Long-term results showed complete pain relief, improvement of the range of motion and satisfactory grip strength recovery. Our findings confirm that the Herbert custom-made ulnar head prosthesis appear to be a reliable salvage solution for failed Sauvé-Kapandji procedures.

  5. Suggested guidelines for treatment of phantom limb pain.

    Science.gov (United States)

    Sherman, R A; Tippens, J K

    1982-12-01

    Eighty to ninety percent of amputees have been shown to suffer significant amounts of phantom limb pain in contrast to the widely accepted level of about 5%. Surveys of the literature, of physicians actively treating phantom pain, and of over 3,000 American veteran amputees have shown that most of the usual treatments are not efficacious when followups of a year or more are done. A diagnostic and therapeutic schemata is presented, which incorporates the above surveys, research, and clinical experience into a unified approach optimizing the few treatments showing a reasonable hope of long term success. Every effort is made to identify the source of pain being referred into the phantom. Stump, back, prosthetic, and other physical problems are corrected prior to initiation of other treatments, including EMG or temperature feedback from the stump, sympathetic system alteration, modulation of anxiety and depression, TENS, and ultrasound. Key indexing terms: phantom pain, treatment, amputees, referred pain. Copyright 2013, SLACK Incorporated.

  6. [A rare case of digestive tract hemorrhage of extraluminal origin after total gastrectomy].

    Science.gov (United States)

    Caprino, Paola; Alfieri, Sergio; Rotondi, Fabio; Di Miceli, Dario; Sofo, Luigi; Pacelli, Fabio; Battista Doglietto, Giovanni

    2003-01-01

    The authors report on a case of digestive bleeding (melaena and enterorrhagia) in a patient undergoing total gastrectomy for gastric cancer and later splenectomy for subcapsular haematoma in a different hospital. The source of bleeding was not intraluminal; the bleeding arose from double erosion of the gastroduodenal artery in the tract above the anterior surface of the pancreas, close to the dehiscent duodenal stump. The blood flowed mainly into the enteric district through the open stump thus causing the clinical signs described. The diagnosis was made during an emergency surgical operation for haemorrhagic shock. The patient underwent haemostasis with two stitches on the gastroduodenal artery, external drainage of the duodenum with a Petzer tube, laparostomy of the infected area and ileostomy. After three months he had completely recovered.

  7. Advanced rectal cancer in a long-term Hartmann's pouch: a forgotten organ revisited.

    Science.gov (United States)

    Al Maksoud, Ahmed Mahmoud Abd El Aziz; Ahmed, Iftikhar

    2016-01-28

    Hartmann's procedure is widely performed as a first-stage operation in cases of left colon emergencies when a one stage management is judged to be unsafe. Forty per cent of patients with Hartmann's procedure never get their stoma reversed, ending with a permanent stoma. The distal excluded Hartmann's pouch is usually forgotten compared to the proximal functioning colon. A 70-year-old man with Hartmann's procedure carried out previously for complicated diverticular disease presented with bleeding per rectum. Invasive adenocarcinoma was confirmed on histology. Subsequent staging revealed a locally advanced rectal cancer. The tumour progressed despite a course of neoadjuvant chemoradiation. The general condition of the patient deteriorated with development of renal failure. The patient died a few weeks later. By reporting this case, we are revisiting the long forgotten Hartmann's pouch to highlight the potential pathologies in the distal stump and to emphasise that a distal stump should not be forgotten even in asymptomatic patients. 2016 BMJ Publishing Group Ltd.

  8. Ectopic banking of amputated great toe for delayed thumb reconstruction: case report.

    Science.gov (United States)

    Valerio, Ian L; Hui-Chou, Helen G; Zelken, Jonathan; Basile, Patrick L; Ipsen, Derek; Higgins, James P

    2014-07-01

    Ectopic banking of amputated parts is a recognized technique for delayed replantation of an amputated part when the amputation stump will not permit immediate replantation. This is conventionally performed with the intent of transferring the injured part back to its anatomic position when the amputation stump is more appropriate for replantation. Current warfare conditions have led to a commonly encountered military trauma injury pattern of multiple extremity amputations with protected trunk and core structures. This pattern poses many challenges, including the limit or absence of donor sites for immediate or delayed flap reconstructive procedures. We describe a case in which we ectopically banked the great toe of an amputated lower extremity for delayed thumb reconstruction.

  9. Some resistance mechanisms to ultraviolet radiation; Algunos mecanismos de resistencia a radiacion ultravioleta

    Energy Technology Data Exchange (ETDEWEB)

    Alcantara D, D. [ININ, 52045 Ocoyoacac, Estado de Mexico (Mexico)

    2002-12-15

    The cyclical exposure of bacterial cells to the ultraviolet light (UV) it has as consequence an increment in the resistance to the lethal effects of this type of radiation, increment that happens as a result of a selection process of favorable genetic mutations induced by the same UV light. With object to study the reproducibility of the genetic changes and the associate mechanisms to the resistance to UV in the bacteria Escherichia coli, was irradiated cyclically with UV light five different derived cultures of a single clone, being obtained five stumps with different resistance grades. The genetic mapping Hfr revealed that so much the mutation events like of selection that took place during the adaptation to the UV irradiation, happened of random manner, that is to say, each one of the resistant stumps it is the result of the unspecified selection of mutations arisen at random in different genes related with the repair and duplication of the DNA. (Author)

  10. [An experience with omentopexy for the repair of postoperative bronchopleural fistula].

    Science.gov (United States)

    Takenouchi, N; Shiono, T; Sekishita, Y; Fujimori, M; Sato, Y; Munemura, T; Ootake, S; Niizeki, H; Oshikiri, T

    1997-03-01

    Postoperative bronchopleural fistula has been the most troublesome complications in the thoracic surgery. In this report, we presented a case of bronchopleural fistula successfully closed by omentopexy. A 51-year-old man had undergone left upper lobectomy and S6 segmentectomy for primary lung cancer. Bronchopleural fistula due to postoperative pneumonia was developed and completion pneumonectomy with the intercostal-musclo-pexy was performed. Post-re-operative course was unsuccessful, bronchopleural fistula remained, so we tried re-closure of the bronchial stump by omentopexy without thoracoplasty or muscle flap plombage. About a half year after 3rd operation, he relapsed into bronchopleural fistula. Then fibrin gluing was performed via a flexible fiberoptic bronchoscope without hospitalization, and the omental flap was fixed completely to the bronchial stump. We believe the omentopexy a useful procedure for treating postoperative bronchopleural fistula which can't make any chest-wall deformation.

  11. Wound healing in above-knee amputations in relation to skin perfusion pressure

    DEFF Research Database (Denmark)

    Holstein, P; Dovey, H; Lassen, N A

    1979-01-01

    In 59 above-knee amputations healing of the stumps was correlated with the local skin perfusion pressure (SPP) measured preoperatively as the external pressure required to stop isotope washout using 1318-- or 125I--antipyrine mixed with histamine. Out of the 11 cases with an SPP below 30 mm......Hg no less than nine (82 per cent) suffered severe wound complications. Out of the 48 cases with an SPP above 30 mmHg severe wound complications occurred in only four cases (8 per cent). The difference in wound complication rate is highly significant (P less than 0.01). The postoperative SPP measured...... on the stumps was on average only slightly and insignificantly higher than the preoperative values, explaining why the preoperative values related so closely to the postoperative clinical course. We conclude that the SPP can be used to predict ischaemic wound complications in above-knee amputations as has...

  12. Wound healing in above-knee amputations in relation to skin perfusion pressure

    DEFF Research Database (Denmark)

    Holstein, P; Dovey, H; Lassen, N A

    1979-01-01

    In 59 above-knee amputations healing of the stumps was correlated with the local skin perfusion pressure (SPP) measured preoperatively as the external pressure required to stop isotope washout using 1318-- or 125I--antipyrine mixed with histamine. Out of the 11 cases with an SPP below 30 mm......Hg no less than nine (82 per cent) suffered severe wound complications. Out of the 48 cases with an SPP above 30 mmHg severe wound complications occurred in only four cases (8 per cent). The difference in wound complication rate is highly significant (P less than 0.01). The postoperative SPP measured...... on the stumps was on average only slightly and insignificantly higher than the preoperative values, explaining why the preoperative values related so closely to the postoperative clinical course. We conclude that the SPP can be used to predict ischaemic wound complications in above-knee amputations as has...

  13. A reconstructed digit by transplantation of a second toe for control of an electromechanical prosthetic hand.

    Science.gov (United States)

    Chen, Zhong Wei; Hu, Tian Pei

    2002-01-01

    The treatment options for the loss of an entire human hand and part of the forearm are currently limited to the transplantation of toe(s) to the amputation stump or a Krukenberg's bifurcation hand, and using a cosmetic or functional prosthesis. The functional prosthetic hand, such as the prevailing myoelectrically controlled prosthetic hand, has an action accuracy that is affected by many factors. The acceptance rate of the three planes freedom myoelectronic hand by the patients was 46-90% because of poor function caused by the weakness of signal and strong external interference. In this report, the left second toe was transplanted to the patient's forearm amputation stump. Mandates from the brain are relayed by the action of this reconstructed digit, to control a special designed multidimension freedom electronic prosthetic hand. After rehabilitation and adaptation training, the correct recognition rate of the electronic prosthetic hand controlled by this reconstructed digit is a remarkable 100%.

  14. Evaluation of a temporary prosthetic insert in the rehabilitation of elderly ischaemic below-knee amputees: a pilot study.

    Science.gov (United States)

    Hallam, F M; Jull, G A

    1988-01-01

    The physiotherapy management of elderly, ischaemic below knee amputees is often compromised by delayed and/or complicated wound healing. Such patients are often unable to ambulate on a prosthesis for prolonged periods. Problems concommitant with immobilization such as weakness, contractures, and decreased morale tend to arise. This pilot study investigated the efficacy of incorporating a shaped Dunlopillo insert into a temporary prosthetic socket to allow the at risk group to ambulate as soon as the sutures were removed regardless of the state of wound healing. Two parameters were evaluated, namely wound healing and stump maturation. A total of eighteen subjects were observed in a control and an experimental group. Both wound healing (p < 0.05) and stump maturation (p < 0.05) were significantly enhanced by the inclusion of a Dunlopillo insert.

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

    Science.gov (United States)

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

    2016-01-01

    We report the first case of primary intraosseous smooth muscle tumor of uncertain malignant potential (STUMP) which is analogous to borderline malignant uterine smooth muscle tumors so designated. The tumor presented in the femur of an otherwise healthy 30-year-old woman. Over a 3-year period, the patient underwent 11 biopsies or resections and 2 cytologic procedures. Multiple pathologists reviewed the histologic material including musculoskeletal pathologists but could not reach a definitive diagnosis. However, metastases eventually developed and were rapidly progressive and responsive to gemcitabine and docetaxel. Molecular characterization and ultrastructural analysis was consistent with smooth muscle origin, and amplification of unmutated chromosome 12p and 12q segments appears to be the major genomic driver of this tumor. Primary intraosseous STUMP is thought to be genetically related to leiomyosarcoma of bone, but likely representing an earlier stage of carcinogenesis. Wide excision and aggressive follow-up is warranted for this potentially life-threatening neoplasm. PMID:27994831

  16. Breeding increases the efficacy of Chondrostereum purpureum in the sprout control of birch.

    Directory of Open Access Journals (Sweden)

    Leena Hamberg

    Full Text Available We tested whether the pairing of selected isolates could be used to increase the efficiency of a decay fungus Chondrostereum purpureum (Pers. Ex Fr. Pouzar to control hardwood sprouting in Finland. We paired C. purpureum strains efficient in sprout control or highly active in laccase production, and tested the efficacy of their progeny in spout control experiments. This procedure resulted in a strain with an efficacy superior to that of the parental strains. The mortality of birch (Betula pendula Roth. and B. pubescens Ehrh. 1 cm in stump diameter was 78%, 56% and 9% for the best progeny, the best parental strain and the control, respectively. Mortality was only slightly higher for B. pendula than for B. pubescens but no significant differences were found between the number or maximum height of stump sprouts. Our results showed that cross breeding of this decay fungus is a good alternative in attempts to produce efficient biocontrol agents against hardwood sprouting.

  17. India is on the way forward to maternal and neonatal tetanus elimination!

    Science.gov (United States)

    Bairwa, Mohan; S.K., Shashikantha; Rajput, Meena; Khanna, Pardeep; Malik, Jagbir Singh; Nagar, Mukesh

    2012-01-01

    Tetanus is an acute, potentially fatal disease, caused by a bacterium, Clostridium tetani. The disease usually occurs in newborns through infection of the unhealed umbilical stump, particularly when the stump is cut with a non-sterile instrument. NT contributes to 5–7% of neonatal mortality worldwide. Several thousand mothers are also estimated to die annually of maternal tetanus. MNT elimination relies on promotion of maternal tetanus immunization along with safe delivery and avoidance of unsafe abortion and umbilical cord care practices. The Government of India (1983) introduced at least two doses of tetanus toxoid vaccine (TT) to all pregnant women during each pregnancy as a part of its nationwide immunization policy. To date, a total of 15 States including union territories of the India have achieved NT elimination. The remaining Indian States need to strengthen TT coverage to save the lives of neonates as well as mothers from tetanus. PMID:22854674

  18. Impact of Forest Harvesting Operations on the Export of Total Mercury and Methylmercury to Aquatic Ecosystems

    Science.gov (United States)

    Sorensen, R.; Eklof, K.; Meili, M.; Akerblom, S.; Bishop, K.

    2009-12-01

    Forest harvesting operations have been reported to increase the levels of both total mercury (THg) and methylmercury (MeHg) in runoff water and downstream biota. In a series of full-scale experiments based on high-frequency monitoring of stream waters draining forested catchments in Sweden, we evaluated how runoff water chemistry was affected by forest harvesting as well as following site preparation for replantation and stump harvest. Stump harvesting is a forest management strategy that aims at increasing the supply of biofuels by recovering also the underground biomass when harvesting a stand. However, little is known about the local environmental impacts of stump harvest, within the catchment as well as downstream, as a result of changes in soil and surface water chemistry. Among other effects, concentrations or fluxes of THg and MeHg in soil and runoff waters may increase after such soil disturbances. The effects of forest harvesting and site preparation on runoff water chemistry were studied in three boreal catchments in northern Sweden using a paired-catchment approach (one of them an unharvested control). In the first two years after clearcutting, but before site preparation, there was no significant concentration response for either THg or MeHg relative to the control catchment, possibly due to very low soil disturbance. This raises the question of whether a major soil disturbance, such as that intentionally created by site preparation, is needed to generate the forestry effect on THg and MeHg reported in the literature, rather than just removal of trees alone. During the seven months following site preparation, MeHg and THg concentrations in the two site-prepared areas seemed to increase somewhat compared to the reference catchment. While not significant, the MeHg increase after site-preparation was 5-36% relative to the pre-harvest period and 4-8% relative to the harvest-only period. The updated assessment to be presented at the conference will include

  19. 尾叶桉萌芽性能差异及影响因素分析%Coppice Performance and analysis of the factors influencing for Eucalyptus urophylla

    Institute of Scientific and Technical Information of China (English)

    韦东艳; 杜阿朋; 谢耀坚; 贺亮亮; 张沛健

    2011-01-01

    研究了尾叶桉萌芽性能差异及伐桩直径、高度对萌芽性能的影响.结果表明:尾叶桉萌芽点数、萌芽条数和萌芽条高度均服从低峰态正态分布,但萌芽点数和萌芽条数为正偏斜,萌芽条高度为负偏斜.从变异程度而言,三者均属中等变异.随着伐桩直径增大,萌芽点数和萌芽条数均随之增加;伐桩直径对萌芽条高度影响不大,仅对单桩最短萌条高有抑制作用.伐桩高度的影响复杂,当伐桩高度低于15 cm时,随着伐桩高度增大,萌芽点数、萌芽条数和萌芽条高度总体上均略有增加;但当伐桩高度超过15 cm时,随着伐桩高度增大,萌芽点数略有下 降,萌芽条数和萌芽条高度均呈明显降低趋势.还发现,伐桩被土埋或被枯落物覆盖后其萌芽性能明显受到抑制,经过4种除草剂、“瑞莱特”催腐剂及人工劈除萌芽条的对比发现,2-2、3-2和4-1处理效果最佳,即8.01g/L95%草甘膦(可溶性粒剂十有机硅助剂)、7.5 mL/L克无踪(20%百草枯,水剂)和8.57 mL/L 2,4-甲氯钠等3种药剂处理效果最佳.%The effects of Eucalyptus urophylla coppice performance differences, stump diameter and stump height on germination performance were studied. The results show that the number of sprout spot, coppice number and height followed the Low-kurtosis normal distribution, but the number of sprout spot and coppice number were deflected from its course, the coppice height negative deflectioa From mutation extent, all belong to the medium range. With stump diameter increased, the number of sprout spot and coppice number grew in number, but the lowest coppice height decreased. When the stump's height was 15 cm below, as the stump height rised, the number of sprout spot, coppice number and height slightly increased; but when the stump was over 15 cm, rising stump height, the number of sprout spot slightly decreased, the coppice number and height obvious reduced. The study also

  20. Renal infarction in a patient with pulmonary vein thrombosis after left upper lobectomy.

    Science.gov (United States)

    Manabe, Shun; Oshima, Yasuko; Nakano, Marie; Fujii, Teruhiro; Maehara, Takamitsu; Nitta, Kosaku; Hatano, Michiyasu

    2014-05-01

    A 43-year-old male experienced renal infarction (RI) following left upper lobectomy for lung cancer. The patient complained of acute-onset severe left flank pain on the 14th postoperative day. A contrast-enhanced computed tomography (CT) of the abdomen revealed RI by a large wedge-shaped defect in the left kidney. A chest CT scan located the thrombus in the stump (a blind-ended vessel) of the left superior pulmonary vein. Therefore, thromboembolic RI caused by pulmonary vein thrombosis was suspected. Anticoagulation therapy was initiated with heparin and warfarin to treat RI and to prevent further embolic episodes. Two months later, pulmonary vein thrombosis had resolved without the appearance of additional peripheral infarction. This case emphasizes the need to consider thrombus in the stump of the pulmonary vein as a cause of RI.

  1. Estimation of forces at the interface between an artificial limb and an implant directly fixed into the femur in above-knee amputees.

    Science.gov (United States)

    Stephenson, Paul; Seedhom, Bahaa B

    2002-01-01

    This article describes the method used for estimating the forces and moments, acting during locomotion, at the interface between an artificial leg and an implant directly fixed into the femur, in above-knee amputees. Twelve transfemoral amputees completed a predefined gait assessment during which kinetic (ground reaction loads and torque) and kinematic (limb orientation) gait data were recorded. A developed mathematical model enabled the ground reaction forces to be translated to the level of amputation. It is assumed that the loads calculated at the stump-socket interface would approximate those experienced by the proposed implant. The longitudinal force and the moment in the sagittal plane were the two most significant loads at the stump. These data were essential to obtain to facilitate the analysis of stress arising at the implant-bone interface that has been subsequently undertaken.

  2. Histochemical discrimination of fibers in regenerating rat infraorbital nerve

    Science.gov (United States)

    Wilke, R. A.; Riley, D. A.; Sanger, J. R.

    1992-01-01

    In rat dorsal root ganglia, histochemical staining of carbonic anhydrase (CA) and cholinesterase (CE) yields a reciprocal pattern of activity: Sensory processes are CA positive and CE negative, whereas motor processes are CA negative and CE positive. In rat infraorbital nerve (a sensory peripheral nerve), we saw extensive CA staining of nearly 100% of the myelinated axons. Although CE reactivity in myelinated axons was extremely rare, we did observe CE staining of unmyelinated autonomic fibers. Four weeks after transection of infraorbital nerves, CA-stained longitudinal sections of the proximal stump demonstrated 3 distinct morphological zones. A fraction of the viable axons retained CA activity to within 2 mm of the distal extent of the stump, and the stain is capable of resolving growth sprouts being regenerated from these fibers. Staining of unmyelinated autonomic fibers in serial sections shows that CE activity was not retained as far distally as is the CA sensory staining.

  3. [Covering losses of cutaneous substance of the leg and foot using skin flaps. Apropos of 76 cases].

    Science.gov (United States)

    Oberlin, C; Alnot, J Y; Duparc, J

    1988-01-01

    Between 1983 and 1987, 76 flap grafts were performed in the leg and foot. In general, 3 types of flap were used: --51 ipsilateral flaps, the majority of which were musculo-cutaneous flaps from the medial head of gastrocnemius (17 cases). --17 cross-leg flaps from the opposite limb, the majority of which were medial fascio-cutaneous flaps (13 cases). --8 free flaps, making use of microsurgical techniques. The indications for cross-leg flaps and free flaps have become more limited in favour of local regional pedicle flaps. The lower part of the leg and amputation stumps in the foot are easily covered by distal leg pedicle flaps and amputation stumps of the upper third of the leg can be covered by a flap of fascia lata with a distal pedicle based on the superolateral branches of the peri-articular plexus of the knee.

  4. A randomized study of the effects of gabapentin on postamputation pain

    DEFF Research Database (Denmark)

    Nikolajsen, Lone; Finnerup, Nanna Brix; Kramp, Steffen

    2006-01-01

    BACKGROUND: Pain after amputation is common but difficult to treat. Therefore, the authors examined whether postoperative treatment with gabapentin could reduce postamputation stump and phantom pain. METHODS:: Forty-six patients scheduled to undergo lower limb amputation were randomly assigned...... to receive oral gabapentin or placebo. Treatment was started on the first postoperative day and continued for 30 days. The daily dose of gabapentin or placebo was gradually increased to 2,400 mg/day. The intensity of stump and phantom pain was recorded every day on a numeric rating scale (0-10) during the 30......-day treatment period. Five interviews were performed after 7, 14, and 30 days and after 3 and 6 months. RESULTS:: Results from 41 patients were included in the data analysis. The risk of phantom pain (gabapentin vs. placebo) was 55.0% versus 52.6% (risk difference, 2.4%; 95% confidence interval, -28...

  5. Relationship between mechanical sensitivity and postamputation pain: A prospective study

    DEFF Research Database (Denmark)

    Nikolajsen, Lone; IlKjær, Susanne; Jensen, Troels Staehelin

    2000-01-01

    Limb amputation is followed by stump and phantom pain in a large proportion of amputees and postamputation pain may be associated with signs of hyperexcitability such as hyperalgesia to mechanical stimulation. The present study examined the possible relationship between mechanical pain threshold...... of the limb and early (after 1 week) and late (after 6 months) phantom pain. Thirty-five patients scheduled for amputation of the lower limb were examined before, 1 week and 6 months after amputation. On all three examination days pressure-pain thresholds were measured and compared with the simultaneous...... amputation there was a significant and inverse relationship between mechanical thresholds and phantom pain but no relationship was found after 6 months. The findings suggest that although tenderness of the limb before and after amputation is related to early stump and phantom pain, the relationship is weak...

  6. Laparascopic-assisted nephroureterectomy for shaped urolithiasis and xanthogranulomatous pyelonephritis: Case report and review of literature

    Directory of Open Access Journals (Sweden)

    Valentina Pastore

    2013-01-01

    Full Text Available We report a case of xanthogranulomatous pyelonephritis (XGP complicated by shaped urolithiasis, severe hydroureteronephrosis and kidney exclusion treated by laparoscopic-assisted nephroureterectomy. A 9 year-old boy was referred to us for recurrent episodes of urinary tract infection, abdominal pain and severe hydronephrosis. Abdominal CT and a Tc-99m MAG3 scan showed a non-functioning obstructed kidney with shaped urolithiasis of the distal ureter. XGP was suspected, and nephroureterectomy was performed by laparoscopic distal ureterectomy and open extraperitoneal nephrectomy. This technique avoided the need for a more extended nephrectomy incision or even a second iliac incision. It also ensured complete excision of the distal ureter with minimal risk of developing the ureteral stump syndrome, which sometimes follows nephroureterectomy. We believe that laparoscopic-assisted nephroureterectomy may be a suitable technique in those cases of difficult nephrectomy where a ureteral stump syndrome is likely to develop.

  7. Effect of Platelet Rich Plasma and Platelet Rich Fibrin on sciatic nerve regeneration in a rat model.

    Science.gov (United States)

    Lichtenfels, Martina; Colomé, Lucas; Sebben, Alessandra Deise; Braga-Silva, Jefferson

    2013-07-01

    The aim of this study was to evaluate the effect of Platelet Rich Plasma (PRP) and Platelet Rich Fibrin (PRF) on peripheral nerve repair. Thirty-two Wistar rats were randomly divided into four equal treatments groups: autologous nerve grafts (ANG), silicon tube plus saline solution (SS), silicon tube plus PRP, and silicon tube plus PRF. In ANG group, 10 mm segment from sciatic nerve was excised and reimplanted between the nerve stumps. In the SS, PRP, and PRF groups, 5 mm segment from sciatic nerve was excised and bridged with a 12 mm silicone conduit to create a 10 mm nerve gap. The conduit was filled in accordance with the different treatments. Walking track analysis was performed periodically and on the 90th post-operative day histomorphometric analysis was performed. The ANG, PRF, and PRP groups presented a significant functional improvement in relation to the SS group (P = 0.001) on 90 days after surgery. Histomorphometric analysis demonstrated that the ANG group achieved a larger nerve fiber diameter in proximal stump while comparing with the SS group (P =0.037) and showed larger fiber diameter in median stump in comparison to the PRP group (P = 0.002) and PRF group (P = 0.001). Axonal diameter and myelin sheath thickness showed no statistical significant difference between the groups in the three stumps (P ≥ 0.05). This study suggests that PRP and PRF have positive effects on the functional nerve recovery; however, these groups don't achieve a significant improvement on the histomorphometric analysis.

  8. Diagnosis and Treatment of Heterotopic Ossification

    Science.gov (United States)

    2014-10-01

    frustrating problem in amputees is the growth of bone within the amputation stump, making prosthesis wear difficult or impossible. Such heterotopic...study results. The sample size in the groups was n=3. The analysis of variance (ANOVA) with Bonferroni-Holm post-hoc correction for multiple ...for multiple comparisons.The thresholds for statistically-significant differences were set at pɘ.05. rapidly exit the nerve, through vascular

  9. [Technical improvement of the Kapandji-Sauvé operation, called "Technique III"].

    Science.gov (United States)

    Kapandji, A I

    1998-01-01

    The tendon of the ECU in its sheath is the main element of stability of the ulnar stump. In the original procedure, it was necessary first to cut the ulna for downwards tilting of the ulnar head, so as to open the distal radio-ulnar joint to remove its cartilages. It is better to leave the ulnar head in place, just widening the dorsal aspect of the DRUJ and peel its cartilages. The ulnar head is then fixed with a cancellous screw in its place in the sigmoid notch. Just above this fixation, it is necessary to separate the ECU tendon included in its sheath from the ulnar shaft, only along a limited line 10-15 mm long, where the ulnar resection will be made. The ECU tendon is therefore not disconnected from the ulnar stump, which is better stabilized. In contrast with the original technique the ulnar resection is made in a second stage, with two ents: a distal and transverse ent, above the head fixation, and a proximal and oblique ent, making a tip on the medical side of the ulnar stump. Ulnar resection is consequently minimized by means of this obliquity. It is very important to check that this tip is 5 mm from the ulnar head cut in supination. The first eight cases show better stability of the stump and fast recovery of amplitudes of prono-supination. The patient feels "comfortable" after a period of two to six months. These advantages justify replacement of the previous technique by this procedure.

  10. Managing phantom pain.

    Science.gov (United States)

    Manchikanti, Laxmaiah; Singh, Vijay

    2004-07-01

    Since the first medical description of post-amputation phenomena reported by Ambrose Paré, persistent phantom pain syndromes have been well recognized. However, they continue to be difficult to manage. The three most commonly utilized terms include phantom sensation, phantom pain, and stump pain. Phantom limb sensation is an almost universal occurrence at some time during the first month following surgery. However, most phantom sensations generally resolve after two to three years without treatment, except in the cases where phantom pain develops. The incidence of phantom limb pain has been reported to vary from 0% to 88%. The incidence of phantom limb pain increases with more proximal amputations. Even though phantom pain may diminish with time and eventually fade away, it has been shown that even two years after amputation, the incidence is almost the same as at onset. Consequently, almost 60% of patients continue to have phantom limb pain after one year. In addition, phantom limb pain may also be associated with multiple pain problems in other areas of the body. The third symptom, stump pain, is located in the stump itself. The etiology and pathophysiological mechanisms of phantom pain are not clearly defined. However, both peripheral and central neural mechanisms have been described, along with superimposed psychological mechanisms. Literature describing the management of phantom limb pain or stump pain is in its infancy. While numerous treatments have been described, there is little clinical evidence supporting drug therapy, psychological therapy, interventional techniques or surgery. This review will describe epidemiology, etiology and pathophysiological mechanisms, risk factors, and treatment modalities. The review also examines the effectiveness of various described modalities for prevention, as well as management of established phantom pain syndromes.

  11. Risk Factors Associated with Diagnoses of Heterotopic Ossification in Recent Combat Amputees

    Science.gov (United States)

    2009-07-22

    infection 20/69 (29%) 82/313 (26%) Osteomyelitis 22/69 (32%) 62/313 (20%)* Cellulitis 18/69 (26%) 51/313 (16%) Amputation stump...several complications: osteomyelitis, infections , deep vessel thrombosis, and pulmonary embolism. Conclusions: The present study extended previous...complications13-23, such as infections , phantom limb syndrome, deep vessel thrombosis, and pulmonary embolism have not received systematic study as possible

  12. Report to Congress on Sustainable Ranges

    Science.gov (United States)

    2014-02-01

    Chocolate Mountains Aerial Gunnery Range (CMAGR) which is a part of the Bob Stump Training Complex and is located in southern California. CMAGR is... industry (below 3 GHz) is heavily encumbered with existing users, including many military subscribers. Relocating these users to other portions of the...institutions, and industry to build on current agreements and allow for additional negotiated agreements as appropriate on the placement of sensors and

  13. Afforestation Technique of Xanthoceras sorbifolia Bunge.

    Institute of Scientific and Technical Information of China (English)

    2012-01-01

    We conducted the study on afforestation technique of Xanthoceras sorbifolia Bunge. in combination with ecological environment features of Fuxian County in Shaanxi Province. Results show that it is proper to adopt "sunny gentle slope+fish-scale pit+planting on ridges after dipping mud+stumping in autumn" for afforestation of Xanthoceras sorbifolia Bunge. in the Loess Plateau. It is expected that our study can play a significant role in guiding popularization of Xanthoceras sorbifolia Bunge. in the northwest of China.

  14. Horseshoe Appendix: An Extremely Rare Appendiceal Anomaly.

    Science.gov (United States)

    Singh, Ch Gyan; Nyuwi, Kuotho T; Rangaswamy, Raju; Ezung, Yibenthung S; Singh, H Manihar

    2016-03-01

    Appendiceal anomalies are extremely rare malformations that are usually found incidentally. Agenesis and duplication of the appendix has been well documented however, the cases of horseshoe appendix reported is very limited, only four cases reported so far. Here, we report a four and half-year-old who underwent interval appendectomy. Intraoperatively both the ends of the appendix were found to be communicating with the cecum with two separate base or stump located at a sagital disposal- the so called "horseshoe appendix".

  15. Traumatic avulsion of extraocular muscles: case reports

    Directory of Open Access Journals (Sweden)

    Nilza Minguini

    2013-04-01

    Full Text Available We described the clinical, surgical details and results (motor and sensory of the retrieving procedure of traumatically avulsed muscles in three patients with no previous history of strabismus or diplopia seen in the Department of Ophthalmology, State University of Campinas, Brazil. The slipped muscle portion was reinserted at the original insertion and under the remaining stump, which was sutured over the reinserted muscle. For all three cases there was recovery of single binocular vision and stereopsis.

  16. [Surgical management of landmine foot injuries in the orthopedic and trauma clinic of Ziguinchor regional].

    Science.gov (United States)

    Dieme, C; Senghor, J; Sane, A; Dansokho, A; Ndiaye, A; Seye, S

    2005-01-01

    The aim of this work was to discribe the lesions caused by the use of blasting landmines among civilians in south Senegal, and to evaluate their surgical management. The prospective study, which was conducted from February 2001 to September 2002, took place in the orthopedics and trauma clinic of the Ziguinchor regionle hospital. The average age of the patients was 22, and they included 13 men and 2 women. In 12 cases, the lesions were unilateral and bilateral in 3 cases. Surgical management began with an assessment of the lesions using the classification of Coupland and De Wind. Treatment was based on a pre-established protocol in order to end up with a stump of good quality. The major lesion would consist in one or both lower limbs crushed or amputated. It would be open and of the I- type according to Coupland and De Wind. Lesions as a result of several shrapnel impact and burns were considered as associated lesions with the main lesion. Six patients presented an infection of the stump. Some stumps healed completely after about 15 days, and some took no more than 75 days before closing up. Only one stump needed grafting. All our patients had the advantage of a casting off. The young and rural people were the most vulnerable. Lesions were rather distal-based. Infection delayed healing. No matter what the form of the lesion, there was always a partial loss of a limb. Landmine feet injuries as serious lesions. The objective of the surgical treatment is to facilitate the further use of a prosthesis.

  17. North pole, South pole the quest to understand Earth's magnetism

    CERN Document Server

    Turner, Gillian

    2010-01-01

    Going all the way back to the Roman legend of a shepherd whose iron-studded boots stuck to the rocks, this book charts the history of the earth's magnetism, which intrigued and stumped scientists and ordinary people for centuries. Absorbing and accessible, it is a lively study of what exactly magnetic force is, what causes it, and what its place has been throughout scientific history, offering detailed insights into the inner workings of the planet and its magnetic shield.

  18. Case Reports: Thumb Reconstruction Using Amputated Fingers

    OpenAIRE

    Hoang, Nguyen T.; Staudenmaier, R.; Hoehnke, C.

    2008-01-01

    Reconstruction of an irreparably amputated thumb in multiple digit amputations using amputated fingers can considerably improve hand function and allows creation of a newly transplanted thumb with acceptable cosmetic and functional attributes. However, the surgery is challenging and rarely reported. We report six cases using this procedure in patients with crushed thumbs unsuitable for replantation. In four of the patients, the remnant of the index finger was replanted on the thumb stump and ...

  19. Crossover replantation after bilateral traumatic lower limb amputations: a case report

    OpenAIRE

    Fang Jun; Li Huazhuang; Dou Honglei; Chen Jingchun; Xu Aiping; Liu Wenguo; Ding Gang

    2012-01-01

    Abstract Introduction Replantation of a limb to the contralateral stump after bilateral traumatic amputations is rare. To the best of our knowledge, there are only a few reports of crossover lower limb replantation in the literature. Case presentation We treated a 37-year-old Chinese woman with bilateral lower limb crush injuries sustained in a traffic accident. Her lower limb injuries were at different anatomic levels. We performed emergency bilateral amputations followed by crossover replan...

  20. Identification of Changes in Gene expression of rats after Sensory and Motor Nerves Injury

    OpenAIRE

    Yu Wang; Zhi-Yuan Guo; Xun Sun; Shi-bi Lu; Wen-Jing Xu; Qing Zhao; Jiang Peng

    2016-01-01

    Wallerian degeneration is a sequence of events in the distal stump of axotomized nerves. Despite large numbers of researches concentrating on WD, the biological mechanism still remains unclear. Hence we constructed a rat model with both motor and sensory nerves injury and then conducted a RNA-seq analysis. Here the rats were divided into the 4 following groups: normal motor nerves (NMN), injured motor nerves (IMN), normal sensory nerves (NSN) and injured sensory nerves (ISN). The transcriptom...

  1. Livstruende haemorrhagia per rectum postoperativt efter appendektomi

    DEFF Research Database (Denmark)

    Nørgaard, M A; Lindholt, Jes Sanddal

    1994-01-01

    A case of life-threatening haemorrhage nine days after appendicectomy is described in a 51 year old previously healthy man. Coecotomy revealed a bleeding artery near the invaginated appendiceal stump. The bleeding artery was presumably an intramural branch to the appendix from the posterior coecal...... artery that had not been included in the primary appendiceal ligature. This artery was presumably electrocoagulated during the appendicectomy but bleeding ensued when the coagulated tissue sloughed....

  2. Manufacturing of lower-limb custom fit prostethics sockets using reverse engineering

    OpenAIRE

    2012-01-01

    The objective of this project is the construction of an orthopaedic prosthesis for a person who has been lower limb amputated, above the knee, taking attention to the specifications of the amputation stump. Through this method the actual process of prosthesis design in rehabilitation technology is improved by applying reverse engineering and additive manufacturing technologies. The outcome of this work is a personalized prosthesis building procedure that should allow a stu...

  3. Vestibular Balance Deficits Following Head Injury: Recommendations Concerning Evaluation and Rehabilitation in the Military Setting

    Science.gov (United States)

    2012-02-27

    to the stump of an amputee in order to help get rid of phantom limb sensation, which he granted is not an ambulatory application, per se. No...projectiles). Injuries and syndromes associated with IED exposure have been described by a complicated set of overlapping constructs, including Traumatic...Brain Injury (TBI), concussion, post-concussion syndrome , labyrinthine concussion, whiplash injury, and vestibular migraine (Lawson & Rupert, 2010

  4. Psychophysical correlates of phantom limb experience.

    OpenAIRE

    Katz, J

    1992-01-01

    Phantom limb phenomena were correlated with psychophysiological measures of peripheral sympathetic nervous system activity measured at the amputation stump and contralateral limb. Amputees were assigned to one of three groups depending on whether they reported phantom limb pain, non-painful phantom limb sensations, or no phantom limb at all. Skin conductance and skin temperature were recorded continuously during two 30 minute sessions while subjects continuously monitored and rated the intens...

  5. Journal of Special Operations Medicine. Volume 10, Edition 1, Winter 2010

    Science.gov (United States)

    2010-01-01

    amputated limbs were phantom sensations (54%), phantom pain (17%), and stump pain (42%). Lower back pain, contralateral (nonamputated limb ) knee pain, and...of second-impact syndrome (SIS).4 Second-impact syndrome , although not that common in a military-aged population, is the most dramatic consequence of...term health complications, such as post- traumatic stress syndrome /disorder (PTSS/PTSD), post-concussive syndrome , and depression, as well as

  6. Taenia saginata: an unusual cause of post-appendectomy faecal fistula

    Science.gov (United States)

    Najih, Mohammed; Laraqui, Hicham; Njoumi, Nouredine; Mouhafid, Faycel; Moujahid, Mountassir; Ehirchiou, Abdelkader; Zentar, Aziz

    2016-01-01

    Post-appendectomy faecal fistula is a rare surgical complication, associated with significant morbidity. Taenia saginata infestation is one of the most common cestode infestation in the gastrointestinal tract. It makes many complications as obstruction, perforation, anastomotic leakage or appendicular stump dehiscence. The objective of our study is to report a very rare case of post appendectomy faecal fistula caused by taenia saginata infestation and was successfully treated conservatively. PMID:28292157

  7. [A case report of successful surgical management of lower-limb critical ischaemia on the background of femoropopliteal atherosclerotic aneurysms].

    Science.gov (United States)

    Zotov, S P; Shcherbakov, A V; Zaĭtsev, S S; Khomiakova, E Iu; Abramovskaia, N V

    2009-01-01

    Presented herein is a case report of successful surgical management of a male patient presenting with lower-limb critical ischaemia on the background of thrombosis of femoropopliteal atherosclerotic aneurysms and the presence of a necrobiotic process on the stump of the foot. The reconstructive intervention performed resulted in salvation of the extremity, followed by uneventful wound healing on his left foot with complete medical and social rehabilitation of the patient.

  8. Electrical stimulation accelerates nerve regeneration and functional recovery in delayed peripheral nerve injury in rats.

    Science.gov (United States)

    Huang, Jinghui; Zhang, Yongguang; Lu, Lei; Hu, Xueyu; Luo, Zhuojing

    2013-12-01

    The present study aims to investigate the potential of brief electrical stimulation (ES; 3 V, 20 Hz, 20 min) in improving functional recovery in delayed nerve injury repair (DNIR). The sciatic nerve of Sprague Dawley rats was transected, and the repair of nerve injury was delayed for different time durations (2, 4, 12 and 24 weeks). Brief depolarizing ES was applied to the proximal nerve stump when the transected nerve stumps were bridged with a hollow nerve conduit (5 mm in length) after delayed periods. We found that the diameter and number of regenerated axons, the thickness of myelin sheath, as well as the number of Fluoro-Gold retrograde-labeled motoneurons and sensory neurons were significantly increased by ES, suggesting that brief ES to proximal nerve stumps is capable of promoting nerve regeneration in DNIR with different delayed durations, with the longest duration of 24 weeks. In addition, the amplitude of compound muscle action potential (gastrocnemius muscle) and nerve conduction velocity were also enhanced, and gastrocnemius muscle atrophy was partially reversed by brief ES, indicating that brief ES to proximal nerve stump was able to improve functional recovery in DNIR. Furthermore, brief ES was capable of increasing brain-derived neurotrophic factor (BDNF) expression in the spinal cord in DNIR, suggesting that BDNF-mediated neurotrophin signaling might be one of the contributing factors to the beneficial effect of brief ES on DNIR. In conclusion, the present findings indicate the potential of using brief ES as a useful method to improve functional recovery for delayed repair of peripheral nerve lesions. © 2013 Federation of European Neuroscience Societies and John Wiley & Sons Ltd.

  9. Temporal trends and sources of variation in carbon flux from coarse woody debris in experimental forest canopy openings.

    Science.gov (United States)

    Forrester, J A; Mladenoff, D J; D'Amato, A W; Fraver, S; Lindner, D L; Brazee, N J; Clayton, M K; Gower, S T

    2015-11-01

    Pulses of respiration from coarse woody debris (CWD) have been observed immediately following canopy disturbances, but it is unclear how long these pulses are sustained. Several factors are known to influence carbon flux rates from CWD, but few studies have evaluated more than temperature and moisture. We experimentally manipulated forest structure in a second-growth northern hardwood forest and measured CO2 flux periodically for seven growing seasons following gap creation. We present an analysis of which factors, including the composition of the wood-decay fungal community influence CO2 flux. CO2 flux from CWD was strongly and positively related to wood temperature and varied significantly between substrate types (logs vs. stumps). For five growing seasons after treatment, the CO2 flux of stumps reached rates up to seven times higher than that of logs. CO2 flux of logs did not differ significantly between canopy-gap and closed-canopy conditions in the fourth through seventh post-treatment growing seasons. By the seventh season, the seasonal carbon flux of both logs and stumps had decreased significantly from prior years. Linear mixed models indicated the variation in the wood inhabiting fungal community composition explained a significant portion of variability in the CO2 flux along with measures of substrate conditions. CO2 flux rates were inversely related to fungal diversity, with logs hosting more species but emitting less CO2 than stumps. Overall, our results suggest that the current treatment of CWD in dynamic forest carbon models may be oversimplified, thereby hampering our ability to predict realistic carbon fluxes associated with wood decomposition.

  10. A training model for laparoscopic urethrovesical anastomosis.

    Science.gov (United States)

    Jiang, Chun; Lin, Tianxin; Zhang, Caixia; Guo, Zhenghui; Xu, Kewei; Dong, Wen; Han, Jinli; Huang, Hai; Yin, Xinbao; Huang, Jian

    2008-07-01

    To create and evaluate the effectiveness of an in vitro training model for laparoscopic urethrovesical anastomosis. Chicken posterior trunks and porcine colons were used to construct the training model, which was later compared with the chicken skin model. The posterior trunk of a chicken was used to simulate a human pelvis, and a 3-mm cloacal stump was used to simulate a human urethral stump. A 15-cm segment of porcine colon with a 1-cm orifice was used to simulate a human bladder or neobladder. An imitation urethrovesical anastomosis was performed with laparoscopic instruments in a laparoscopic training box. The simulated urethral stump and bladder neck were anastomosed with six interrupted stitches. Forty urologic residents were randomized into two groups. The residents in group A (n = 20) practiced using this model for 8 hours, while those in group B (n = 20) practiced using the chicken skin model for 8 hours. The residents' skills were assessed using the porcine model before and after training. All residents accomplished the training course and both assessments. There was no significant difference between the groups in anastomosis time (122.65 +/- 19.98 minutes v 120.70 +/- 17.30 minutes, P > 0.05) and quality (3.80 +/- 1.24 v 3.75 +/- 1.16, P > 0.05) before training. After the training sessions, both groups improved in anastomosis time and quality. Compared with residents in group B, residents in group A required less time (63.55 +/- 11.08 minutes v 76.55 +/- 12.46 minutes, P model more accurately resembles the structure and characteristic of the human pelvis, urethral stump, and bladder (neobladder). In addition, all the materials needed for this model are inexpensive and easily obtained. Therefore, it is an effective, convenient training model for laparoscopic urethrovesical anastomosis.

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

    Directory of Open Access Journals (Sweden)

    Gougoulias Nikolaos

    2008-07-01

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

  12. Damage Pattern and Nesting Characteristic of Coptotermes curvignathus (Isoptera: Rhinotermitidae in Oil Palm on Peat

    Directory of Open Access Journals (Sweden)

    Wei-Hong Lau

    2011-01-01

    Full Text Available The oil palm industry of Malaysia has expanded into peat area in Sarawak. Problem statement: The subterranean termite Coptotermes curvignathus was a serious pest of oil palm on peat. Control of this termite has resorted to heavy usage of chemicals which was deemed uneconomical and hostile to the environment. Baiting system has inconsistent success due to the limited knowledge of the behavior of the pest. Approach: This study was to investigate damage and nesting characteristic of the pest. Infested palm in the peat area was dissected using a chainsaw and observation was made on the endoecie and damage. Microclimate inside the palm was recorded using a data logger and acid insoluble lignin from 3 different infested palms was determined. Results: Dissection of infested palm revealed that termite generally attacked the palm from the spear in immature palm or basal region in mature palm due to the energy requirement and level of water table. Spear region infestation was possible because of the moist environment provided by the proximity of the fronds and leaf sheaths. The high lignin content (42-45% in the thin laminae indicated the concentration of lignin or incorporation of peat in nest construction. Wood stump residues remained in the plantation was one of the main reasons of termite infestation. The stability and protection of the wood stump encouraged termite breeding. A C. curvignathus queen was discovered in the endoecie under the wood stump and was seen mobile. Conclusion: The pest was generally available in area where wood stumps and moisture were available. Manipulation of water table for certain period after spraying of chemical may help reduce infestation by the termite.

  13. Specific NuRD components are required for fin regeneration in zebrafish

    OpenAIRE

    Pfefferli, Catherine; Müller, Fritz; Jaźwińska, Anna; Wicky, Chantal

    2014-01-01

    Background: epimorphic regeneration of a missing appendage in fish and urodele amphibians involves the creation of a blastema, a heterogeneous pool of progenitor cells underneath the wound epidermis. Current evidence indicates that the blastema arises by dedifferentiation of stump tissues in the vicinity of the amputation. In response to tissue loss, silenced developmental programs are reactivated to form a near-perfect copy of the missing body part. However, the importance of chromatin regul...

  14. High Resolution Geological Site Characterization Utilizing Ground Motion Data

    Science.gov (United States)

    1992-06-26

    of the Loma Prieta earthquake. haracicri/aion demonstrate the need for the separation of stochastic and The results of our small field experiments...Array studies of ground Aki, K.. and P. Richards, Quantitative Seismology. Theory and Methods, motions using aftershocks from the Loma Prieta ...Zone with Complete Seismograms is by Bogaards and Stump. This work documents the separation of stochastic and deterministic wave propagation effects in

  15. Hemolytic anemia after operation for aortic dissection using teflon felt strips.

    Science.gov (United States)

    Nakamura, Yuki; Ogino, Hitoshi; Matsuda, Hitoshi; Minatoya, Kenji; Sasaki, Hiroaki; Kitamura, Soichiro

    2008-05-01

    We report three cases of hemolytic anemia caused by anastomotic stenosis after surgical treatment for aortic dissection in which internal and external Teflon (DuPont, Wilmington, DE) felt strips were used for reinforcement of the aortic stump. To detect this complication, laboratory findings typical of red cell fragmentation syndrome as well as appropriate imaging modalities are necessary. As a precaution, it is necessary to be meticulous when stitching the internal felt strip.

  16. THE FEATURES OF TIBIOFIBULAR INJURY IN PATENTS WITH ANKLE FRACTURES

    Directory of Open Access Journals (Sweden)

    N. F. Fomin

    2010-01-01

    Full Text Available The role of interposition of soft tissues into tibiofibular syndesmosis is analyzed as a cause of unsatisfactory outcomes in the ankle joint pronation fracture treatment. The study is based on clinical (452 patients and experimental material (36 experiments including unfixed anatomic objects. The elevator for minimal invasive operative elimination of interposition of stumps of distal tibiofibular syndesmosis anterior and posterior ligaments is developed and tested.

  17. Comparing the Impact of Topical Application of Human Milk and Chlorhexidine on Cord Separation Time in Newborns

    OpenAIRE

    Abbaszadeh, Fatemeh; Hajizadeh, Zanab; Mohammad JAHANGIRI

    2016-01-01

    Objectives: The best umbilical cord care after birth is a controversial issue. Aim of this research was to compare the effect of topical application of human milk and chlorhexidin on cord separation time in newborns. Methods: One hundred seventy four neonates attending from hospitals affiliated to Kashan University of Medical Sciences were included. Newborns from birth were randomized to two groups. In group mother’s milk, mother will rub her own milk to cord stump two times a day. chlorhexid...

  18. Managing tree-of-heaven (Ailanthus altissima) in parks and protected areas: a case study of Rondeau Provincial Park (Ontario, Canada).

    Science.gov (United States)

    Meloche, Colette; Murphy, Stephen D

    2006-06-01

    The Carolinian Life Zone in southwestern Ontario, Canada is valued because it represents an almost disjunct ecosystem (i.e., one that is typical of the mid-Atlantic United States, rather than the rest of Canada or the nearby states in the United States). The landscape of the Carolinian Life Zone has undergone dramatic transformation, especially in recent decades as agriculture, urbanization, and recreation have intensified. One of the most apparent changes is the invasion of exotic plant species that exacerbates the need for mass restoration efforts. Within the Carolinian Life Zone, Rondeau Provincial Park has experienced an influx of nonindigenous, invasive species in recent years. Tree-of-heaven (Ailanthus altissima) is one example. The infestation is still relatively localized to (mainly) the park, slowly spreading, and manageable as long as something is done immediately. We examined the effects of hand-pulling and mulching, cut stump and glyphosate application, cut stump alone, and the EZJect Capsule Injection System (using glyphosate) on the management of A. altissima within the park. Cut stump and glyphosate treatment was most effective and efficient in its control of young A. altissima shoots because it limits disturbance and has acceptable capital and operating costs. Hand-pulling and mulching was the second choice, mainly because of the risk of additional disturbance that increased shoot densities 1 year after treatment. Cut stump alone was not effective, worsened the infestation, and is not recommended for this species. The EZJect system was effective at managing mature, seed-producing shoots, although the somewhat higher capital costs mean that the system probably should be purchased for management of several invasive tree species to make it more cost-effective.

  19. Conséquences de l'augmentation des prélèvements de biomasse ligneuse pour la biodiversité forestière : chap. 7

    OpenAIRE

    Bouget, C.; Gosselin, M.; Gosselin, F.; Bergès, L.

    2009-01-01

    What is the vulnerability of forest biodiversity in the context of the increase of wood biomass harvesting? The main drivers of forestry intensification are the following: increase in cutting and in harvesting, change in harvesting practices (whole-tree and stump harvest ), decrease in forestry cycle duration, development of forest road. The consequent changes in forest habitat would be: decrease in old stands, big and veteran trees, and dead wood?, increase in the cumulative surface of cu...

  20. Prolonged target deprivation reduces the capacity of injured motoneurons to regenerate.

    Science.gov (United States)

    Furey, Matthew J; Midha, Rajiv; Xu, Qing-Gui; Belkas, Jason; Gordon, Tessa

    2007-04-01

    To investigate whether or not it is the frustrated growth state (no axon growth) that reduces regenerative capacity or the inability of axotomized motoneurons to remake muscle connections (axon growth-no muscle contact) that accounts for poor regenerative capacity of chronically axotomized motoneurons. We chronically axotomized rat femoral motoneurons for 2 months by cutting the nerve and either capping the proximal nerve to prevent axon regeneration (Group 1, no axon growth for 2 mo) or encouraging axon regeneration but not target reinnervation by suture to the distal stump of cut saphenous nerve (Group 2, axon growth with no muscle contact). In the control fresh axotomy group (axon growth with muscle contact), femoral nerve stumps were resutured immediately. Two months later, the femoral nerve was recut and sutured immediately to encourage regeneration in a freshly cut saphenous nerve stump for 6 weeks. Regenerating axons in the saphenous nerve were back-labeled with fluorogold for enumeration of the femoral motoneurons that regenerated their axons into the distal nerve stump. We found that significantly fewer chronically axotomized motoneurons regenerated their axons than freshly axotomized motoneurons that regenerated their axons to reform nerve-muscle connections in the same length of time. The number of motoneurons that regenerated their axons was reduced in both the conditions of no axon growth and axon growth with no muscle contact; thus chronic axotomy for a 2-month period reduced regenerative success irrespective of whether the motoneurons were prevented from regenerating or encouraged to regenerate their axons in that same period of time. Axonal regeneration does not protect motoneurons from the negative effects of prolonged axotomy on regenerative capacity. It is the period of chronic axotomy, in which motoneurons remain without target nerve-muscle connection, and not simply a state of frustrated growth that accounts for the reduced regenerative

  1. [Enterobius vermicularis causing symptoms of acute appendicitis].

    Science.gov (United States)

    Antal, András; Kocsis, Béla

    2008-08-01

    The authors present a case of enterobiasis of the appendix. Enterobius infection is an uncommon cause of acute appendicitis. Preoperative diagnosis of pinworm infestation is almost impossible unless there is a strong clinical suspicion. Parasites may produce symptoms which resemble acute appendicitis. Careful observation of the appendix stump may lead to intraoperative diagnosis of enterobiasis. A quick diagnosis and appropriate treatment may prevent future complications.

  2. Manufacturing of lower-limb custom fit prostethics sockets using reverse engineering

    OpenAIRE

    Curralo, Ana; Queijo, Luís; Rocha,João

    2012-01-01

    The objective of this project is the construction of an orthopaedic prosthesis for a person who has been lower limb amputated, above the knee, taking attention to the specifications of the amputation stump. Through this method the actual process of prosthesis design in rehabilitation technology is improved by applying reverse engineering and additive manufacturing technologies. The outcome of this work is a personalized prosthesis building procedure that should allow a stu...

  3. Endoloops or endostapler use in laparoscopic appendectomy for acute uncomplicated and complicated appendicitis : No difference in infectious complications.

    Science.gov (United States)

    van Rossem, Charles C; van Geloven, Anna A W; Schreinemacher, Marc H F; Bemelman, Willem A

    2017-01-01

    The most appropriate closure for the appendicular stump with either endoloops or an endostapler in laparoscopic appendectomy remains unclear and under debate because of limited and conflicting evidence. In a 2-month prospective, observational, resident-led nationwide cohort study, patients undergoing laparoscopic appendectomy for both uncomplicated and complicated appendicitis were analysed. Logistic regression analyses were performed for identifying the possible effect of stump closure type and other risk factors for infectious complications. Laparoscopic appendectomy for acute appendicitis was performed in 1369 patients in 62 hospitals; endoloops were used in 76.7 % and an endostapler in other patients. Median operating time was not different between endoloop and endostapler use (42.0 vs. 44.0 min, P = 0.243). A superficial surgical site infection was seen in 2.0 % after uncomplicated appendicitis and in 0.8 % after complicated appendicitis. The intra-abdominal abscess rate was 1.9 % after uncomplicated and 11.0 % after complicated appendicitis. No significant effect of stump closure type was observed for any infectious complication (OR 1.05; 95 % CI 0.625-1.766, P = 0.853) or an intra-abdominal abscess (OR OR 0.96; 95 % CI 0.523-1.768, P = 0.899). In multivariable analysis, complicated appendicitis was identified as the only independent risk factor for an intra-abdominal abscess (OR 6.26; 95 % CI 3.454-11.341, P < 0.001). The infectious complication rate is not influenced by the type of appendicular stump closure with either endoloops or an endostapler in this study. If technically feasible, closure with endoloops is advised for cost considerations.

  4. Prosthetic installation and training for the bilateral transfemoral amputation caused by Wenchuan earthquake%双侧大腿截肢患者的假肢装配和使用训练

    Institute of Scientific and Technical Information of China (English)

    武继祥; 周贤丽; 刘青山; 汪琴; 尹清; 林永辉; 刘宏亮; 吴宗耀

    2008-01-01

    目的 促进截肢患者早日掌握假肢使用方法 .方法 对3例截肢患者术后进行系统康复干预,同时针对假肢装配,使用方法 进行强化性训练.结果 3例截肢患者残肢创面均全部愈合,残肢端呈圆柱状,残肢肌力为5级,残肢髋关节活动范围正常,装配双侧大腿假肢后均取到满意的似肢使用疗效.结论 通过进行系统康复治疗、假肢装配及假肢使用训练后,双侧人腿截肢患者均能取得满意假肢使用效果,具有较高的独立生活能力,从而促其早日回归家庭及社会.%Obiective To help bilateral transfemoral amputee using prosthetic limb early.Methods Three bilateral transfemoral amputees were treated with physical therapy,stump moulding,kinesiotherapy,and prosthetic rehabilitation and installed with prosthetic limbs.Results The stump ulcer healed.The stump shape were cylinder.The muscle strength of stump reached the 5th grade.The range of motion of hip was normal.Three bilateral transfemoral amputees were installed with prosthetic limbs and trained with prosthetic management.Conclusion After systematic rehabilitation,prosthetic installation and training the individuals with bilateral transfemoral amputation can successfully ambulate and independently live.

  5. Effect of Delayed Peripheral Nerve Repair on Nerve Regeneration, Schwann Cell Function and Target Muscle Recovery

    Science.gov (United States)

    Jonsson, Samuel; Wiberg, Rebecca; McGrath, Aleksandra M.; Novikov, Lev N.; Wiberg, Mikael; Novikova, Liudmila N.; Kingham, Paul J.

    2013-01-01

    Despite advances in surgical techniques for peripheral nerve repair, functional restitution remains incomplete. The timing of surgery is one factor influencing the extent of recovery but it is not yet clearly defined how long a delay may be tolerated before repair becomes futile. In this study, rats underwent sciatic nerve transection before immediate (0) or 1, 3, or 6 months delayed repair with a nerve graft. Regeneration of spinal motoneurons, 13 weeks after nerve repair, was assessed using retrograde labeling. Nerve tissue was also collected from the proximal and distal stumps and from the nerve graft, together with the medial gastrocnemius (MG) muscles. A dramatic decline in the number of regenerating motoneurons and myelinated axons in the distal nerve stump was observed in the 3- and 6-months delayed groups. After 3 months delay, the axonal number in the proximal stump increased 2–3 folds, accompanied by a smaller axonal area. RT-PCR of distal nerve segments revealed a decline in Schwann cells (SC) markers, most notably in the 3 and 6 month delayed repair samples. There was also a progressive increase in fibrosis and proteoglycan scar markers in the distal nerve with increased delayed repair time. The yield of SC isolated from the distal nerve segments progressively fell with increased delay in repair time but cultured SC from all groups proliferated at similar rates. MG muscle at 3- and 6-months delay repair showed a significant decline in weight (61% and 27% compared with contra-lateral side). Muscle fiber atrophy and changes to neuromuscular junctions were observed with increased delayed repair time suggestive of progressively impaired reinnervation. This study demonstrates that one of the main limiting factors for nerve regeneration after delayed repair is the distal stump. The critical time point after which the outcome of regeneration becomes too poor appears to be 3-months. PMID:23409189

  6. [The importance of soft tissue stabilization in trans-femoral amputation].

    Science.gov (United States)

    Gottschalk, F

    2015-06-01

    Transfemoral amputations with more proximal amputation levels have the problem of secondary development into flexion and abduction contractures. This is induced by muscle imbalance, especially the loss of adductor muscle insertions when abductor muscle insertions are preserved. This causes considerable problems when fitting prosthetics. Myodesis with insertion of the distally detached adductor magnus muscle to the lateral femoral cortex, introduced here, results in a stronger stump with good muscle balance, and prosthetics fitting is significantly improved.

  7. Hip arthroplasty in a patient with transfemoral amputation: a new tip.

    Science.gov (United States)

    Boussakri, Hassan; Alassaf, Ihab; Hamoudi, Samir; Elibrahimi, Abdelhalim; Ntarataz, Philbert; ELMrini, Abdelmajid; Dumez, Jean Francois

    2015-01-01

    Femoral fractures in amputation stump are challenging injuries to manage. The authors describe a case of a 51-year-old patient with a right above knee amputation, who had a right hip femoral neck fracture. In this technical note, we describe a technical and surgical procedure with intraoperative tips and tricks, in which we use commonly available materials, for the safe management in such clinical situations.

  8. Hip Arthroplasty in a Patient with Transfemoral Amputation: A New Tip

    Directory of Open Access Journals (Sweden)

    Hassan Boussakri

    2015-01-01

    Full Text Available Femoral fractures in amputation stump are challenging injuries to manage. The authors describe a case of a 51-year-old patient with a right above knee amputation, who had a right hip femoral neck fracture. In this technical note, we describe a technical and surgical procedure with intraoperative tips and tricks, in which we use commonly available materials, for the safe management in such clinical situations.

  9. The importance of soft tissue stabilization in trans-femoral amputation : English version.

    Science.gov (United States)

    Gottschalk, F

    2016-03-01

    Transfemoral amputations with more proximal amputation levels have the problem of secondary development into flexion and abduction contractures. This is induced by muscle imbalance, especially the loss of adductor muscle insertions when abductor muscle insertions are preserved. This causes considerable problems when fitting prosthetics. Myodesis with insertion of the distally detached adductor magnus muscle to the lateral femoral cortex, introduced here, results in a stronger stump with good muscle balance, and prosthetics fitting is significantly improved.

  10. [Sculptor of The Cripple of the Geneva Museum of Art and History. An ancient Greek portrayal of hemimelia?].

    Science.gov (United States)

    Dasen, V

    1997-01-01

    An archaic Greek terracotta vase in the Art and History Museum at Geneva depicts a man deprived of his left arm and with two legs ending in a stump below the knees. Did he suffer from a traumatism (amputation), a mutilating disease or congenital malformation (hemimelia)? A survey of written and iconographic sources throws light on the methods and limits of ancient surgery, and on the chances of survival of abnormal children in archaic and classical Greece.

  11. Puzzler Solution: Just Making an Observation | Poster

    Science.gov (United States)

    Editor’s Note: It looks like we stumped you. None of the puzzler guesses were correct, but our winner was the closest to getting it right. He guessed it was a sanitary sewer clean-out pipe, and that’s what the photo looks like, according to our source at Facilities Maintenance and Engineering. Please continue reading for the correct puzzler solution. By Ashley DeVine, Staff Writer

  12. A traumatic neuroma in breast cancer patient after mastectomy: A case report

    Energy Technology Data Exchange (ETDEWEB)

    Shin, Su Young [Dept. of Radiology, Dong-A University College of Medicine, Busan , (Korea, Republic of)

    2013-11-15

    A traumatic neuroma is a tangle of neural fibers and connective tissues which develop at the end of a proximal nerve stump following the nerve injury. The incidence of traumatic neuroma after breast cancer surgery is extremely low, and so far, there are only 11 cases being reported in literature. We present sonographic and pathologic features of a traumatic neuroma that mimics the recurrent breast carcinoma identified on follow-up ultrasound examinations after breast cancer surgery.

  13. Ischaemic wound complications in above-knee amputations in relation to the skin perfusion pressure

    DEFF Research Database (Denmark)

    Holstein, P

    1980-01-01

    Healing of the stumps in 59 above-knee amputations was correlated with the local skin perfusion pressure (SPP) measured preoperatively as the external pressure required to stop isotope washout using 131I-(-) or 125I-(-) antipyrine mixed with histamine. Out of the 11 cases with an SPP below 30 mm...... ischaemic wound complications in above-knee amputations as has previously been shown to be the case in below-knee amputations....

  14. Increased TNFR1 expression and signaling in injured peripheral nerves of mice with reduced BACE1 activity.

    Science.gov (United States)

    Liu, Lijuan; Fissel, John A; Tasnim, Aniqa; Borzan, Jasenka; Gocke, Anne; Calabresi, Peter A; Farah, Mohamed H

    2016-09-01

    Hematogenous macrophages remove myelin debris from injured peripheral nerves to provide a micro-environment conducive to axonal regeneration. Previously, we observed that injured peripheral nerves from Beta-site APP Cleaving Enzyme 1 (BACE1) knockout (KO) mice displayed earlier influx of and enhanced phagocytosis by macrophages when compared to wild-type (WT) mice. These observations suggest that BACE1 might regulate macrophage influx into distal stumps of injured nerves. To determine through which pathway BACE1 influences macrophage influx, we used a mouse inflammation antibody array to assay the expression of inflammation-related proteins in injured nerves of BACE1 KO and WT mice. The most significant change was in expression of tumor necrosis factor receptor 1 (TNFR1) in the distal stump of injured BACE1 KO nerves. Western blotting of protein extracts confirmed increased expression of TNFR1 and its downstream transcriptional factor NFκB in the BACE1 KO distal stumps. Additionally, treatment of WT mice with a BACE1 inhibitor resulted in increased TNFR1 expression and signaling in the distal stump of injured nerves. Exogenous TNFα increased nuclear translocation of p65 NFκB in BACE1 KO tissue and cultured fibroblasts compared with control WT. BACE1 regulates TNFR1 expression at the level of gene expression and not through proteolytic processing. The accelerated macrophage influx in injured nerves of BACE1 KO mice correlates with increased expression and signaling via TNFR1, indicating a link between BACE1 activity and TNFR1 expression/signaling that might contribute to repair of the injured nervous system.

  15. Parentage of overlapping offspring of an arboreal-breeding frog with no nest defense: implications for nest site selection and reproductive strategy.

    Science.gov (United States)

    Tung, Wan-Ping; Chen, Yi-Huey; Cheng, Wei-Chun; Chuang, Ming-Feng; Hsu, Wan-Tso; Kam, Yeong-Choy; Lehtinen, Richard M

    2015-01-01

    Overlapping offspring occurs when eggs are laid in a nest containing offspring from earlier reproduction. Earlier studies showed that the parentage is not always obvious due to difficulties in field observation and/or alternative breeding tactics. To unveil the parentage between overlapping offspring and parents is critical in understanding oviposition site selection and the reproductive strategies of parents. Amplectant pairs of an arboreal-breeding frog, Kurixalus eiffingeri, lay eggs in tadpole-occupied nests where offspring of different life stages (embryos and tadpoles) coexist. We used five microsatellite DNA markers to assess the parentage between parents and overlapping offspring. We also tested the hypothesis that the male or female frog would breed in the same breeding site because of the scarcity of nest sites. Results showed varied parentage patterns, which may differ from the phenomenon of overlapping egg clutches reported earlier. Parentage analyses showed that only 58 and 25% of the tadpole-occupied stumps were reused by the same male and female respectively, partially confirming our prediction. Re-nesting by the same individual was more common in males than females, which is most likely related to the cost of tadpole feeding and/or feeding schemes of females. On the other hand, results of parentage analyses showed that about 42 and 75% of male and female respectively bred in tadpole-occupied stumps where tadpoles were genetically unrelated. Results of a nest-choice experiment revealed that 40% of frogs chose tadpole-occupied bamboo cups when we presented identical stumps, without or with tadpoles, suggesting that the habitat saturation hypothesis does not fully explain why frogs used the tadpole-occupied stumps. Several possible benefits of overlapping offspring with different life stages were proposed. Our study highlights the importance of integrating molecular data with field observations to better understand the reproductive biology and nest

  16. System/Design Trade Study Report for the Navigation of the Airborne, Ground Vehicular and Man-Portable Platforms in Support of the Buried Ordnance Detection, Identification, and Remediation Technology.

    Science.gov (United States)

    1995-03-01

    AND ADDRESS(ES) Naval Explosive Ordnance Disposal Technology Division Project Manager: Gerard Snyder 301/743-6855 2008 Stump Neck Road Indian Head ...NUMBER 10. SPONSORING / MONITORING AGENCY REPORT NUMBER SFIM-AEC-ET-CR-95043 Supporting Contractor: PRC, Inc. 801 North Strauss Avenue Indian Head ...available on the market today for detection, mapping and remediation of hazardous materials have not been developed to the level that could be

  17. Patterns and cellular mechanisms of arm regeneration in adult starfish Asterias rollestoni bell

    Science.gov (United States)

    Fan, Tingjun; Fan, Xianyuan; Du, Yutang; Sun, Wenjie; Zhang, Shaofeng; Li, Jiaxin

    2011-09-01

    To understand the mechanisms of starfish regeneration, the arms of adult starfish Asterias rollestoni Bell were amputated and their regeneration patterns and cellular mechanisms were studied. It was found that cells in the outer epidermis and inner parietal peritoneum near the end of the stump began to dedifferentiate 4 d after amputation. The dedifferentiated cells in the outer epidermis proliferated, migrated to the wound site and formed a thickened pre-epidermis which would then re-differentiate gradually into mature epidermis. The new parietal peritoneum formed on the coelomic side of wound might be from the curvely elongated parietal peritoneum, resulting from the dedifferentiated and proliferated cells by extension. Afterwards, the proliferated cells made the outer epidermis and inner parietal peritoneum invaginate into the interior dermis and formed blastema-like structures together with induced dedifferentiated dermal cells. Most interestingly, the arm regeneration in A. rollestoni was achieved synchronously by de novo arm-bud formation and growth, and arm-stump elongation. The crucial aspects of arm-bud formation included cell dedifferentiation, proliferation and migration, while those of arm-stump elongation included cell dedifferentiation, proliferation, invagination, and arm-wall-across blastema-like structure formation. The unique pattern and cellular mechanisms of amputated arm regeneration make it easier to understand the rapid regeneration process of adult starfish. This study may lay solid foundations for the research into molecular mechanisms of echinoderm regeneration.

  18. The role of hair follicle nestin-expressing stem cells during whisker sensory-nerve growth in long-term 3D culture.

    Science.gov (United States)

    Mii, Sumiyuki; Duong, Jennifer; Tome, Yasunori; Uchugonova, Aisada; Liu, Fang; Amoh, Yasuyuki; Saito, Norimitsu; Katsuoka, Kensei; Hoffman, Robert M

    2013-07-01

    We have previously reported that nestin-expressing hair follicle stem cells can differentiate into neurons, Schwann cells, and other cell types. In the present study, vibrissa hair follicles, including their sensory nerve stump, were excised from transgenic mice in which the nestin promoter drives green fluorescent protein (ND-GFP mice), and were placed in 3D histoculture supported by Gelfoam®. β-III tubulin-positive fibers, consisting of ND-GFP-expressing cells, extended up to 500 µm from the whisker nerve stump in histoculture. The growing fibers had growth cones on their tips expressing F-actin. These findings indicate that β-III tubulin-positive fibers elongating from the whisker follicle sensory nerve stump were growing axons. The growing whisker sensory nerve was highly enriched in ND-GFP cells which appeared to play a major role in its elongation and interaction with other nerves in 3D culture, including the sciatic nerve, the trigeminal nerve, and the trigeminal nerve ganglion. The results of the present report suggest a major function of the nestin-expressing stem cells in the hair follicle is for growth of the follicle sensory nerve. Copyright © 2013 Wiley Periodicals, Inc.

  19. Assessment of Lower Limb Prosthesis through Wearable Sensors and Thermography

    Science.gov (United States)

    Cutti, Andrea Giovanni; Perego, Paolo; Fusca, Marcello C.; Sacchetti, Rinaldo; Andreoni, Giuseppe

    2014-01-01

    This study aimed to explore the application of infrared thermography in combination with ambulatory wearable monitoring of temperature and relative humidity, to assess the residual limb-to-liner interface in lower-limb prosthesis users. Five male traumatic transtibial amputees were involved, who reported no problems or discomfort while wearing the prosthesis. A thermal imaging camera was used to measure superficial thermal distribution maps of the stump. A wearable system for recording the temperature and relative humidity in up to four anatomical points was developed, tested in vitro and integrated with the measurement set. The parallel application of an infrared camera and wearable sensors provided complementary information. Four main Regions of Interest were identified on the stump (inferior patella, lateral/medial epicondyles, tibial tuberosity), with good inter-subject repeatability. An average increase of 20% in hot areas (P < 0.05) is shown after walking compared to resting conditions. The sensors inside the cuff did not provoke any discomfort during recordings and provide an inside of the thermal exchanges while walking and recording the temperature increase (a regime value is ∼+1.1 ± 0.7 °C) and a more significant one (∼+4.1 ± 2.3%) in humidity because of the sweat produced. This study has also begun the development of a reference data set for optimal socket/liner-stump construction. PMID:24618782

  20. Radiocarbon dating of a pine tree (Pinus densiflora) from Yeongwol, Korea

    Energy Technology Data Exchange (ETDEWEB)

    Kim, C.H.; Lee, J.H.; Kang, J.; Song, S.; Yun, M.H. [AMS Lab., NCIRF, Seoul National University, Seoul 151-742 (Korea, Republic of); Kim, J.C. [Dept. of Physics and Astronomy, Seoul National University, Seoul 151-742 (Korea, Republic of)

    2015-10-15

    We report the results of the dating of a pine tree (Pinus densiflora) from Yeongwol, Korea. The age of the tree was estimated to be in the range of hundreds of years, however, the tree had been broken by a strong wind in March 2010 and now only the stump of the tree is left. At the time of sampling in 2014, there were several decayed parts in the stump, so using the usual dendrochronological method (i.e. ring counting) for dating was difficult. However, we found a small wood sample with tree rings near the center of the stump that could be used for radiocarbon wiggle-match dating. Radiocarbon dates were determined using Accelerator mass spectrometry (AMS). The IntCal13 curve was used to calibrate the radiocarbon dates, and the wiggle matching technique was used to reduce the error of the calibrated ages. Based on the dating results, we suggest that the pine tree is approximately 300 years or older.