PCI. Mechanism, measures, rules for reactor operation

International Nuclear Information System (INIS)

Bender, D.; Bender, G.; Dewes, P.; Wensauer, A.

2009-01-01

Though modern and advanced fuel assembly designs for BWR as AREVA's ATRIUM trademark 10 fuel assemblies show a high reliability, fuel failures are still encountered. The ZTF (Zero Tolerance for Failures) initiative was launched by AREVA to further upgrade BWR fuel assembly reliability towards failure free fuel. The introduction of the zirconium liner cladding has greatly reduced pellet cladding interaction (PCI) failures. However the phenomenon of PCI in reactor operation was not completely eliminated. There were failures in AREVA's BWR fuel with liner cladding attributed to PCI, but when subject to hot cell examinations, all these have been attributed to ''non-classical'' PCI, where local cladding stress is amplified due to missing pellet surface (MPS). However, in order to support the efforts to eliminate all possible root causes for fuel failures, AREVA NP addresses PCI with a ''multi-track'' strategy. First, and most important, the development of chromia doped pellets and more favorable pellet geometries aim at fuel that by design is protected as much as possible against PCI. A high pellet quality is further assured by the final assessment of the pellet appearance by an automatic visual inspection system in the pellet manufacturing lines. In order to support these hardware improvements, AREVA NP provides software aimed to minimize PCI risks. Two main approaches are described in this paper: - The ''classical'' PCI operation and maneuvering guidelines restrict power maneuvering and limit the ramping rates with the goal to control the stress level of the cladding. AREVA's guidelines are based on ramp tests as well as on extensive power plant experience, and are updated to reflect the performance of liner cladding. - Additional effort is made to further understand the PCI phenomenon, e.g. by the use of detailed fuel rod thermal-mechanical codes that provide far better insight of the state variables that control the process of rupture due to stress corrosion

Predictors of subjective health status 10 years post-PCI.

Science.gov (United States)

van den Berge, Jan C; Dulfer, Karolijn; Utens, Elisabeth M W J; Hartman, Eline M J; Daemen, Joost; van Geuns, Robert J; van Domburg, Ron T

2016-06-01

Subjective health status is an increasingly important parameter to assess the effect of percutaneous coronary intervention (PCI) in clinical practice. Aim of this study was to determine medical and psychosocial predictors of poor subjective health status over a 10 years' post-PCI period. We included a series of consecutive PCI patients (n = 573) as part of the RESEARCH registry, a Dutch single-center retrospective cohort study. These patients completed the 36-item Short-Form Health Survey (SF-36) at baseline and 10 years post-PCI. We found 6 predictors of poor subjective health status 10 years post-PCI: SF-36 at baseline, age, previous PCI, obesity, acute myocardial infarction as indication for PCI, and diabetes mellitus (arranged from most to least numbers of sub domains). SF-36 scores at baseline, age, and previous PCI were significant predictors of subjective health status 10 years post-PCI. Specifically, the SF-36 score at baseline was an important predictor. Thus assessment of subjective health status at baseline is useful as an indicator to predict long-term subjective health status. Subjective health status becomes better by optimal medical treatment, cardiac rehabilitation and psychosocial support. This is the first study determining predictors of subjective health status 10 years post-PCI.

PCI-OGRAMS: application of CANDU fuelogram methodology to PCI data from light water reactors

International Nuclear Information System (INIS)

Wood, J.C.

1979-01-01

The FUELOGRAM model was derived to predict PCI defect probablilities for CANDU fuel bundles that had experienced power increases after being irradiated to burnups mostly in the range 100 +- 60 MW.h/kg U. It is inappropriate to extrapolate the FUELOGRAM model to predict the performance of differently designed fuels at burnups up to 600 MW.h/kg U Therefore data obtained from the operaton of a Boiling Water Reactor were analyzed using the FUELOGRAM methodology to assess fuel performance criteria at high burnups. The resultant PCI-OGRAMS evaluate defect probabilities in terms of power increase (ΔP), ramped power (P), and the burnup (ω) of the most highly rated rod in a fuel assembly. Defect probability also depends on the dwell time (t), of fuel at the ramped power. The predictions of the PCI-OGRAM, FUELOGRAM and other models are compared in three-dimensional sketches of P, ΔP, and ω with the dwell time t held constant. (author)

An overview of PCI in the very elderly

Science.gov (United States)

Shanmugam, Vimalraj Bogana; Harper, Richard; Meredith, Ian; Malaiapan, Yuvaraj; Psaltis, Peter J

2015-01-01

Cardiovascular disease, and in particular ischemic heart disease (IHD), is a major cause of morbidity and mortality in the very elderly (> 80 years) worldwide. These patients represent a rapidly growing cohort presenting for percutaneous coronary intervention (PCI), now constituting more than one in five patients treated with PCI in real-world practice. Furthermore, they often have greater ischemic burden than their younger counterparts, suggesting that they have greater scope of benefit from coronary revascularization therapy. Despite this, the very elderly are frequently under-represented in clinical revascularization trials and historically there has been a degree of physician reluctance in referring them for PCI procedures, with perceptions of disappointing outcomes, low success and high complication rates. Several issues have contributed to this, including the tendency for older patients with IHD to present late, with atypical symptoms or non-diagnostic ECGs, and reservations regarding their procedural risk-to-benefit ratio, due to shorter life expectancy, presence of comorbidities and increased bleeding risk from antiplatelet and anticoagulation medications. However, advances in PCI technology and techniques over the past decade have led to better outcomes and lower risk of complications and the existing body of evidence now indicates that the very elderly actually derive more relative benefit from PCI than younger populations. Importantly, this applies to all PCI settings: elective, urgent and emergency. This review discusses the role of PCI in the very elderly presenting with chronic stable IHD, non ST-elevation acute coronary syndrome, and ST-elevation myocardial infarction. It also addresses the clinical challenges met when considering PCI in this cohort and the ongoing need for research and development to further improve outcomes in these challenging patients. PMID:25870621

Submarine Medicine Team

Data.gov (United States)

Federal Laboratory Consortium — The Submarine Medicine Team conducts basic and applied research on biomedical aspects of submarine and diving environments. It focuses on ways to optimize the health...

The inherent catastrophic traps in retrograde CTO PCI.

Science.gov (United States)

Wu, Eugene B; Tsuchikane, Etsuo

2018-05-01

When we learn to drive, our driving instructor tells us how to check the side mirror and turn your head to check the blind spot before changing lanes. He tells us how to stop at stop signs, how to drive in slippery conditions, the safe stopping distances, and these all make our driving safe. Similarly, when we learn PCI, our mentors teach us to seat the guiding catheter co-axially, to wire the vessel safely, to deliver balloon and stents over the wire, to watch the pressure of the guiding, in order that we perform PCI safely and evade complications. In retrograde CTO PCI, there is no such published teaching. Also many individual mentors have not had the wide experience to see all the possible complications of retrograde CTO PCI and, therefore, may not be able to warn their apprentice. As the number of retrograde procedures increase worldwide, there is a corresponding increase in catastrophic complications, many of which, we as experts, can see are easily avoidable. To breach this gap in knowledge, this article describes 12 commonly met inherent traps in retrograde CTO PCI. They are inherent because by arranging our equipment in the manner to perform retrograde CTO PCI, these complications are either induced directly or happen easily. We hope this work will enhance safety of retrograde CTO PCI and avoid many catastrophic complications for our readers and operators. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

PCI-SS: MISO dynamic nonlinear protein secondary structure prediction

Directory of Open Access Journals (Sweden)

Aboul-Magd Mohammed O

2009-07-01

Full Text Available Abstract Background Since the function of a protein is largely dictated by its three dimensional configuration, determining a protein's structure is of fundamental importance to biology. Here we report on a novel approach to determining the one dimensional secondary structure of proteins (distinguishing α-helices, β-strands, and non-regular structures from primary sequence data which makes use of Parallel Cascade Identification (PCI, a powerful technique from the field of nonlinear system identification. Results Using PSI-BLAST divergent evolutionary profiles as input data, dynamic nonlinear systems are built through a black-box approach to model the process of protein folding. Genetic algorithms (GAs are applied in order to optimize the architectural parameters of the PCI models. The three-state prediction problem is broken down into a combination of three binary sub-problems and protein structure classifiers are built using 2 layers of PCI classifiers. Careful construction of the optimization, training, and test datasets ensures that no homology exists between any training and testing data. A detailed comparison between PCI and 9 contemporary methods is provided over a set of 125 new protein chains guaranteed to be dissimilar to all training data. Unlike other secondary structure prediction methods, here a web service is developed to provide both human- and machine-readable interfaces to PCI-based protein secondary structure prediction. This server, called PCI-SS, is available at http://bioinf.sce.carleton.ca/PCISS. In addition to a dynamic PHP-generated web interface for humans, a Simple Object Access Protocol (SOAP interface is added to permit invocation of the PCI-SS service remotely. This machine-readable interface facilitates incorporation of PCI-SS into multi-faceted systems biology analysis pipelines requiring protein secondary structure information, and greatly simplifies high-throughput analyses. XML is used to represent the input

Addressing submarine geohazards through scientific drilling

Science.gov (United States)

Camerlenghi, A.

2009-04-01

eruptions, earthquakes and the associated tsunamis can lead to destruction of seafloor structures potentially capable of releasing hydrocarbon pollutants into Mediterranean waters, and damage to a dense telecommunication cables net that would cause severe economic loss. However, the most devastating effect would be that of earthquake or landslide-induced tsunamis. When compared to other basins, the Mediterranean has larger vulnerability due to its small dimensions, resulting in close proximity to tsunami sources and impact areas. Recent examples include the 1979 Nice airport submarine landslide and tsunami and the 2002 Stromboli volcano landslide and tsunami. Future international scientific drilling must include submarine geohazards among priority scientific objectives. The science advisory structure must be prepared to receive and evaluate proposal specifically addressing submarine geohazards. The implementing organizations need to be prepared for the technological needs of drilling proposals addressing geohazards. Among the most relevant: geotechnical sampling, down-hole logging at shallow depths below the seafloor, in situ geotechnical and physical measurements, capability of deployment of long-term in situ observatories. Pre-site surveys will often aim at the highest possible resolution, three dimensional imaging of the seafloor ant its sub-surface. Drilling for submarine geohazards is seen as an opportunity of multiplatform drilling, and for Mission Specific drilling in particular. Rather than turning the scientific investigation in a purely engineering exercise, proposals addressing submarine geohazards should offer an opportunity to scientists and engineers to work together to unravel the details of basic geological processes that may turn into catastrophic events.

Timing of intervention in high-risk non-ST-elevation acute coronary syndromes in PCI versus non-PCI centres : Sub-group analysis of the ELISA-3 trial.

Science.gov (United States)

Badings, E A; Remkes, W S; Dambrink, J-H E; The, S H K; Van Wijngaarden, J; Tjeerdsma, G; Rasoul, S; Timmer, J R; van der Wielen, M L J; Lok, D J A; van 't Hof, A W J

2016-03-01

To compare the effect of timing of intervention in patients with non-ST-elevation acute coronary syndrome (NSTE-ACS) in percutaneous coronary intervention (PCI) versus non-PCI centres. A post-hoc sub-analysis was performed of the ELISA III trial, a randomised multicentre trial investigating outcome of early ( 48 h) angiography and revascularisation in 542 patients with high-risk NSTE-ACS. 90 patients were randomised in non-PCI centres and tended to benefit more from an early invasive strategy than patients included in the PCI centre (relative risk 0.23 vs. 0.85 [p for interaction = 0.089] for incidence of the combined primary endpoint of death, reinfarction and recurrent ischaemia after 30 days of follow-up). This was largely driven by reduction in recurrent ischaemia. In non-PCI centres, patients randomised to the late group had a 4 and 7 day longer period until PCI or coronary artery bypass grafting, respectively. This difference was less pronounced in the PCI centre. This post-hoc analysis from the ELISA-3 trial suggests that NSTE-ACS patients initially hospitalised in non-PCI centres show the largest benefit from early angiography and revascularisation, associated with a shorter waiting time to revascularisation. Improved patient logistics and transfer between non-PCI and PCI centres might therefore result in better clinical outcome.

A millennium approach to data acquisition: SCI and PCI

International Nuclear Information System (INIS)

Mueller, Hans; Bogaerts, A.; Lindenstruth, V.

1996-01-01

The international SCI standard IEEE/ANSI 1596 a is on its way to become the computer interconnect of the year 2000 since for a first time, low latency desktop multiprocessing and cluster computing can be implemented at low cost. The PCI bus is todays's dominating local bus extension for all major computer platforms as well as buses like VMEbus. PCI is a self configuring memory and I/O system for peripheral components with a hierarchical architecture. SCI is a scalable, bus-like interconnect for distributed processors and memories. It allows for optionally coherent data caching and assures error free data delivery. First measurement with commercial SCI products (SBUS-SCI) confirm simulations that SCI can handle even the highest data rates of LHC experiments. The event builder layer for a millennium very high rate DAQ system can therefore be viewed as a SCI network (bridges, cables and switches) interfaced between PCI buses on the front end (VME b ) side and on the processor farm Multi-CPU) side. Such a combination of SCI and PCI enables PCI-PCI memory access, transparently across SCI. It also allows for a novel, low level trigger technique: the trigger algorithm can access VME data buffers with bus-like latencies like local memory, full data transfers become redundant. The first prototype of a PCI-SCI bridge for DAQ is presented as starting point for a test system with built-in scalability. (author)

Acute Exposure to Low-to-Moderate Carbon Dioxide Levels and Submariner Decision Making.

Science.gov (United States)

Rodeheffer, Christopher D; Chabal, Sarah; Clarke, John M; Fothergill, David M

2018-06-01

Submarines routinely operate with higher levels of ambient carbon dioxide (CO2) (i.e., 2000 - 5000 ppm) than what is typically considered normal (i.e., 400 - 600 ppm). Although significant cognitive impairments are rarely reported at these elevated CO2 levels, recent studies using the Strategic Management Simulation (SMS) test have found impairments in decision-making performance during acute CO2 exposure at levels as low as 1000 ppm. This is a potential concern for submarine operations, as personnel regularly make mission-critical decisions that affect the safety and efficiency of the vessel and its crew while exposed to similar levels of CO2. The objective of this study was to determine if submariner decision-making performance is impacted by acute exposure to levels of CO2 routinely present in the submarine atmosphere during sea patrols. Using a subject-blinded balanced design, 36 submarine-qualified sailors were randomly assigned to receive 1 of 3 CO2 exposure conditions (600, 2500, or 15,000 ppm). After a 45-min atmospheric acclimation period, participants completed an 80-min computer-administered SMS test as a measure of decision making. There were no significant differences for any of the nine SMS measures of decision making between the CO2 exposure conditions. In contrast to recent research demonstrating cognitive deficits on the SMS test in students and professional-grade office workers, we were unable to replicate this effect in a submariner population-even with acute CO2 exposures more than an order of magnitude greater than those used in previous studies that demonstrated such effects.Rodeheffer CD, Chabal S, Clarke JM, Fothergill DM. Acute exposure to low-to-moderate carbon dioxide levels and submariner decision making. Aerosp Med Hum Perform. 2018; 89(6):520-525.

Submarine hydrodynamics

CERN Document Server

Renilson, Martin

2015-01-01

This book adopts a practical approach and presents recent research together with applications in real submarine design and operation. Topics covered include hydrostatics, manoeuvring, resistance and propulsion of submarines. The author briefly reviews basic concepts in ship hydrodynamics and goes on to show how they are applied to submarines, including a look at the use of physical model experiments. The issues associated with manoeuvring in both the horizontal and vertical planes are explained, and readers will discover suggested criteria for stability, along with rudder and hydroplane effectiveness. The book includes a section on appendage design which includes information on sail design, different arrangements of bow planes and alternative stern configurations. Other themes explored in this book include hydro-acoustic performance, the components of resistance and the effect of hull shape. Readers will value the author’s applied experience as well as the empirical expressions that are presented for use a...

To the problem of utilization of nuclear submarines

International Nuclear Information System (INIS)

Tarakanov, E.; Larin, V.

1999-01-01

Paper discusses a concept of step-by-step utilization of nuclear submarines in Russia. By the late 2000 minimum 160 nuclear submarines with over 300 nuclear reactors should be removed. Unloading of spent nuclear fuel from reactors, dismounting of nuclear submarines, efforts to arrange storage facilities for liquid and solid radioactive waste are the main steps of nuclear submarine utilization. Under the rates of nuclear submarine utilization being as they are, the utilization of 160 nuclear submarines will take about 30 years. Paper analyzes the alternative variants of nuclear submarine utilization and discusses the social and ecological aspects of utilization of nuclear submarines [ru

Changes in body composition of submarine crew during prolonged submarine deployment

Directory of Open Access Journals (Sweden)

Sourabh Bhutani

2015-01-01

Discussion: Increased body fat along with lack of physical activity can lead to development of lifestyle disorders in submarine crew. These crew members need to be actively encouraged to participate in physical activity when in harbour. In addition dieting program specifically to encourage reduced fat consumption needs to be instituted in submarines during sorties at sea.

Vocational Education Program/Course Inventory Form PCI. Explanation and Instructional Manual.

Science.gov (United States)

California Occupational Information Coordinating Committee, Sacramento.

This manual for teachers, administrators, and counselors both explains the Program/Course Inventory (PCI), a data collection instrument, and provides instructions for completing the PCI form. The first section describes the PCI developed by the Ventura County Superintendent of Schools staff to collect data that define vocational education…

7,528 patients treated with PCI - a Scandinavian real-life scenario

DEFF Research Database (Denmark)

Pedersen, S.; Galatius, S.; Bech, J.

2008-01-01

AIM: Analyze clinical, temporal and procedural characteristics from 7,528 consecutive percutaneous coronary intervention (PCI) patients in one of the largest published contemporary European PCI-database during a 6-year period. METHOD: Retrospective study design. Period: 1998-2004. Temporal...... and referral changes in a Danish PCI-registry were analyzed. Demographic and angiographic variables were compared with data from randomized clinical trials, US-registries and current guidelines. RESULTS: 22,214 patients were examined with coronary angiography and 7,528 patients were treated with PCI....... The annual number of PCI's increased by 15%. Over time, the fraction of patients with risk factors increased, median age increased from 61 to 64 years and the coronary pathology was significantly worsened. ST-elevation myocardial infarction patients primarily admitted to hospitals without facilities...

Submarine Salt Karst Terrains

Directory of Open Access Journals (Sweden)

Nico Augustin

2016-06-01

Full Text Available Karst terrains that develop in bodies of rock salt (taken as mainly of halite, NaCl are special not only for developing in one of the most soluble of all rocks, but also for developing in one of the weakest rocks. Salt is so weak that many surface-piercing salt diapirs extrude slow fountains of salt that that gravity spread downslope over deserts on land and over sea floors. Salt fountains in the deserts of Iran are usually so dry that they flow at only a few cm/yr but the few rain storms a decade so soak and weaken them that they surge at dm/day for a few days. We illustrate the only case where the rates at which different parts of one of the many tens of subaerial salt karst terrains in Iran flows downslope constrains the rates at which its subaerial salt karst terrains form. Normal seawater is only 10% saturated in NaCl. It should therefore be sufficiently aggressive to erode karst terrains into exposures of salt on the thousands of known submarine salt extrusions that have flowed or are still flowing over the floors of hundreds of submarine basins worldwide. However, we know of no attempt to constrain the processes that form submarine salt karst terrains on any of these of submarine salt extrusions. As on land, many potential submarine karst terrains are cloaked by clastic and pelagic sediments that are often hundreds of m thick. Nevertheless, detailed geophysical and bathymetric surveys have already mapped likely submarine salt karst terrains in at least the Gulf of Mexico, and the Red Sea. New images of these two areas are offered as clear evidence of submarine salt dissolution due to sinking or rising aggressive fluids. We suggest that repeated 3D surveys of distinctive features (± fixed seismic reflectors of such terrains could measure any downslope salt flow and thus offer an exceptional opportunity to constrain the rates at which submarine salt karst terrains develop. Such rates are of interest to all salt tectonicians and the many

PCISIM - A Simulation Tool for PCI Bus Based Systems

DEFF Research Database (Denmark)

Sharp, Robin

1999-01-01

This document describes a PCI bus simulator for use in evaluating the feasibility of system designs based on this bus.......This document describes a PCI bus simulator for use in evaluating the feasibility of system designs based on this bus....

Russian nuclear-powered submarine decommissioning

International Nuclear Information System (INIS)

Bukharin, O.; Handler, J.

1995-01-01

Russia is facing technical, economic and organizational difficulties in dismantling its oversized and unsafe fleet of nuclear powered submarines. The inability of Russia to deal effectively with the submarine decommissioning crisis increases the risk of environmental disaster and may hamper the implementation of the START I and START II treaties. This paper discusses the nuclear fleet support infrastructure, the problems of submarine decommissioning, and recommends international cooperation in addressing these problems

PCI in Patients Supported With CF-LVADs: Indications, Safety, and Outcomes.

Science.gov (United States)

Anyanwu, Emeka C; Ota, Takeyoshi; Sayer, Gabriel; Nathan, Sandeep; Jeevanandam, Valluvan; Shah, Atman; Uriel, Nir

2016-06-01

Patients with heart failure supported with left ventricular assist devices (LVADs) may require coronary intervention during their support. This case series seeks to explore the indications, safety, and outcomes of percutaneous coronary intervention (PCI) in this population. Electronic medical records of patients with LVADs undergoing PCI at a large academic medical center were reviewed. Demographics, reason for PCI, procedural success, complications, and outcomes were collected. From 2010-2014, a total of 6 patients underwent PCI post LVAD implantation. Three patients had PCI in the early postimplantation period (1-3 days post LVAD implantation) while the other three received it later in the LVAD support period. Three indications for PCI were found in the reviewed cases: right ventricular failure (right coronary artery stenting), bridge to left ventricular recovery, and ventricular tachycardia (VT) storm. All patients were maintained on triple blood thinning therapy (aspirin, clopidogrel, and warfarin). There were no acute complications during the interventions; however, 2 patients died in the early intervention period and 2 died much later. The 2 deaths in the early intervention period were related to fatal gastrointestinal bleeding while on dual-antiplatelet therapy and warfarin, and intractable VT that PCI did not correct. The 2 deaths in the late postintervention period occurred due to unknown causes nearly 1 and 2 years post intervention, respectively. PCI was performed in patients with continuous-flow LVAD with several possible indications and without acute complications. The utility of PCI in this patient population, however, is likely limited by the risk of bleeding related to combined antiplatelet and anticoagulation therapies as well as lack of immediate apparent benefit. Further studies are necessary to better characterize this risk as well as quantify any potential long-term benefits.

What the submarine is

Energy Technology Data Exchange (ETDEWEB)

Liuzzi, A

1972-03-01

A short review of submarine problems and design is presented. Included are trim and stability concepts; propulsion and steering gears (surface and submerged); batteries on a conventional (diesel) submarine; optical and electronic sensing equipments; and an outline of new hull designs and shipbuilding methods.

Use and outcome of radial versus femoral approach for primary PCI in patients with acute ST elevation myocardial infarction without cardiogenic shock: results from the ALKK PCI registry.

Science.gov (United States)

Bauer, Timm; Hochadel, Matthias; Brachmann, Johannes; Schächinger, Volker; Boekstegers, Peter; Zrenner, Bernhard; Zahn, Ralf; Zeymer, Uwe

2015-10-01

This study sought to compare the use and outcome of radial versus femoral access in patients treated with primary percutaneous coronary intervention (PCI) for acute ST elevation myocardial infarction (STEMI) in clinical practice. The radial approach for PCI in patients with STEMI has been suggested to have a lower rate of complications and bleeding and to improve prognosis compared with the femoral approach. However, there still is a large regional and national variation in its use. Between 2008 and 2012 a total of 17,865 patients with STEMI without cardiogenic shock undergoing primary PCI were prospectively enrolled in the observational German PCI registry of the Arbeitsgemeinschaft leitende kardiologische Krankenhausärzte (ALKK). Transfemoral (TF) access was used in 15,270 (85.5%), transradial (TR) access in 2,530 (14.2%), and other access in 65 (0.3%) patients. In this analysis, 10,264 patients from 20 centers that had performed at least 5 TR-PCI for STEMI were included. This study compared TR-PCI (n = 2,454 23.9%) with TF-PCI (n = 7,810, 76.1%). Procedural success was high in both cohorts. Hospital mortality (1.8 vs. 5.1%, P PCI can be performed with excellent procedural success in selected STEMI patients and is associated with a lower rate of vascular access complications and hospital mortality. © 2015 Wiley Periodicals, Inc.

Low cost submarine robot

Directory of Open Access Journals (Sweden)

Ponlachart Chotikarn

2010-10-01

Full Text Available A submarine robot is a semi-autonomous submarine robot used mainly for marine environmental research. We aim todevelop a low cost, semi-autonomous submarine robot which is able to travel underwater. The robot’s structure was designedand patented using a novel idea of the diving system employing a volume adjustment mechanism to vary the robot’s density.A light weight, flexibility and small structure provided by PVC can be used to construct the torpedo-liked shape robot.Hydraulic seal and O-ring rubbers are used to prevent water leaking. This robot is controlled by a wired communicationsystem.

Submarines, spacecraft and exhaled breath.

Science.gov (United States)

Pleil, Joachim D; Hansel, Armin

2012-03-01

important concern is a suite of products from chemical reactions among oxidizing compounds with biological chemicals such as amines, thiols and carbonyls. SAMAP Meeting We (Armin and Joachim) attended the 2011 SAMAP conference in Taranto, Italy (10-14 October), which occurred just a few weeks after the IABR meeting in Parma, Italy (11-15 September 2011). It was held at the Officers' Club of the Taranto Naval Base under the patronage of the Italian navy; the local host was Lucio Ricciardi of the University of Insubria, Varese, Italy. At the 2011 SAMAP meeting, the theme was air-independent propulsion (AIP), meaning the capability of recharging the main batteries of the submarine without the need to surface. Only a few navies (e.g. US, UK, France, Russia, China) have historically had this capability using nuclear-powered submarines that can function underwater for extended periods of time (months). Most navies operate submarines with conventional diesel-electric propulsion, wherein diesel-powered generators charge battery banks which then drive an electric motor connected to the propeller. The batteries are charged while the boat is on the surface or during snorkelling, when the boat is submerged a few meters below the surface and a snorkel tube is extended to the surface. The period between battery charges can vary from several hours to one or two days depending on the power requirements and the nature of the mission. The process is necessary for breathing air revitalization (flushing out accumulated contaminants) and for the operation of the diesel engines. However, during this period the submarine is vulnerable to detection. Since the 1940s there have been various attempts to develop a power generation system that is independent of external air (AIP). To this end hydrogen peroxide was initially used and later liquid oxygen (LOX). Currently, most AIP submarines use fuel cell technology (LOX and hydrogen) to supplement the conventional diesel-electric system in order to

PCI Express Over Optical Links for Data Acquisition and Control

CERN Document Server

Bellato, M; Meng, G; Passaseo, M; Rampazzo, G; Triossi, A; Ventura, Sandro

2007-01-01

PCI Express is a new I/O technology for desktop, mobile, server and communications platforms designed to allow increasing levels of computer system performance. The serial nature of its links and the packet based protocols allows an easy geographical decoupling of a peripheral device. We have investigated the possibility of using an optical physical layer for the PCI Express, and we have built a bus adapter which can bridge remote busses (> 100m) to a single host computer without even the need of a specialized driver, given the legacy PCI compatibility of the PCI Express hardware. This adapter has been made tolerant to harsh environmental conditions, like strong magnetic fields or radiation fluxes, as the data acquisition needs of high energy physics experiments often require.

Predictors of subjective health status 10 years post-PCI

NARCIS (Netherlands)

van den Berge, Jan C.; Dulfer, Karolijn; Utens, Elisabeth M. W. J.; Hartman, Eline M. J.; Daemen, Joost; van Geuns, Robert J.; van Domburg, Ron T.

2016-01-01

Subjective health status is an increasingly important parameter to assess the effect of percutaneous coronary intervention (PCI) in clinical practice. Aim of this study was to determine medical and psychosocial predictors of poor subjective health status over a 10 years' post-PCI period. We included

Bivalirudin Started during Emergency Transport for Primary PCI

DEFF Research Database (Denmark)

Steg, Philippe Gabriel; van 't Hof, Arnoud; Hamm, Christian W

2013-01-01

Bivalirudin, as compared with heparin and glycoprotein IIb/IIIa inhibitors, has been shown to reduce rates of bleeding and death in patients undergoing primary percutaneous coronary intervention (PCI). Whether these benefits persist in contemporary practice characterized by prehospital initiation...... of treatment, optional use of glycoprotein IIb/IIIa inhibitors and novel P2Y12 inhibitors, and radial-artery PCI access use is unknown....

Analysis of SSN 688 Class Submarine Maintenance Delays

Science.gov (United States)

2017-06-01

Simplified Notional Submarine FRP (Independent Deployer) ..................11  Figure 8.  Evolution of Los Angeles Class Submarine Notional...Number TFP Technical Foundation Paper URO Unrestricted Operations xv ACKNOWLEDGMENTS I would like to thank my lead advisor, Professor Nick Dew...only on Los Angeles (SSN 688)-class submarines. Being the higher quantity and older generation submarine hull type, the Los Angeles class submarine

Research on Fairing design and CFD Analysis of Submarine Pipeline Inspection ARV

Directory of Open Access Journals (Sweden)

Jin Xiaojian

2017-01-01

Full Text Available Along with the fast development of the ocean exploitation, the cost-effective requirement of autonomous & remotely operated vehicle (ARV, which can perform more complicated missions such as the oil exploitation and the inspection of the submarine pipeline is more urgent. The submarine pipeline inspection ARV can help us better understand, protect and efficiently utilize them for human welfare. Fairing design of a new detection ARV are introduced in this paper. In order to select an appropriate thruster that will achieve the required speed of the ARV, the ANSYS-CFX tools are used to predicted the drag force. The CFD results reveal the distribution of velocity and pressure values of the ARV. In order to verify the CFD modeling process, a towed body was developed and analyzed, compared against the corresponding physical test data.

Efficacy and Safety of Dual Antiplatelet Therapy After Complex PCI.

Science.gov (United States)

Giustino, Gennaro; Chieffo, Alaide; Palmerini, Tullio; Valgimigli, Marco; Feres, Fausto; Abizaid, Alexandre; Costa, Ricardo A; Hong, Myeong-Ki; Kim, Byeong-Keuk; Jang, Yangsoo; Kim, Hyo-Soo; Park, Kyung Woo; Gilard, Martine; Morice, Marie-Claude; Sawaya, Fadi; Sardella, Gennaro; Genereux, Philippe; Redfors, Bjorn; Leon, Martin B; Bhatt, Deepak L; Stone, Gregg W; Colombo, Antonio

2016-10-25

Optimal upfront dual antiplatelet therapy (DAPT) duration after complex percutaneous coronary intervention (PCI) with drug-eluting stents (DES) remains unclear. This study investigated the efficacy and safety of long-term (≥12 months) versus short-term (3 or 6 months) DAPT with aspirin and clopidogrel according to PCI complexity. The authors pooled patient-level data from 6 randomized controlled trials investigating DAPT durations after PCI. Complex PCI was defined as having at least 1 of the following features: 3 vessels treated, ≥3 stents implanted, ≥3 lesions treated, bifurcation with 2 stents implanted, total stent length >60 mm, or chronic total occlusion. The primary efficacy endpoint was major adverse cardiac events (MACE), defined as the composite of cardiac death, myocardial infarction, or stent thrombosis. The primary safety endpoint was major bleeding. Intention-to-treat was the primary analytic approach. Of 9,577 patients included in the pooled dataset for whom procedural variables were available, 1,680 (17.5%) underwent complex PCI. Overall, 85% of patients received new-generation DES. At a median follow-up time of 392 days (interquartile range: 366 to 710 days), patients who underwent complex PCI had a higher risk of MACE (adjusted hazard ratio [HR]: 1.98; 95% confidence interval [CI]: 1.50 to 2.60; p PCI group (adjusted HR: 0.56; 95% CI: 0.35 to 0.89) versus the noncomplex PCI group (adjusted HR: 1.01; 95% CI: 0.75 to 1.35; p interaction  = 0.01). The magnitude of the benefit with long-term DAPT was progressively greater per increase in procedural complexity. Long-term DAPT was associated with increased risk for major bleeding, which was similar between groups (p interaction  = 0.96). Results were consistent by per-treatment landmark analysis. Alongside other established clinical risk factors, procedural complexity is an important parameter to take into account in tailoring upfront duration of DAPT. Copyright © 2016 American College

PCI Strategies in Patients with Acute Myocardial Infarction and Cardiogenic Shock.

Science.gov (United States)

Thiele, Holger; Akin, Ibrahim; Sandri, Marcus; Fuernau, Georg; de Waha, Suzanne; Meyer-Saraei, Roza; Nordbeck, Peter; Geisler, Tobias; Landmesser, Ulf; Skurk, Carsten; Fach, Andreas; Lapp, Harald; Piek, Jan J; Noc, Marko; Goslar, Tomaž; Felix, Stephan B; Maier, Lars S; Stepinska, Janina; Oldroyd, Keith; Serpytis, Pranas; Montalescot, Gilles; Barthelemy, Olivier; Huber, Kurt; Windecker, Stephan; Savonitto, Stefano; Torremante, Patrizia; Vrints, Christiaan; Schneider, Steffen; Desch, Steffen; Zeymer, Uwe

2017-12-21

In patients who have acute myocardial infarction with cardiogenic shock, early revascularization of the culprit artery by means of percutaneous coronary intervention (PCI) improves outcomes. However, the majority of patients with cardiogenic shock have multivessel disease, and whether PCI should be performed immediately for stenoses in nonculprit arteries is controversial. In this multicenter trial, we randomly assigned 706 patients who had multivessel disease, acute myocardial infarction, and cardiogenic shock to one of two initial revascularization strategies: either PCI of the culprit lesion only, with the option of staged revascularization of nonculprit lesions, or immediate multivessel PCI. The primary end point was a composite of death or severe renal failure leading to renal-replacement therapy within 30 days after randomization. Safety end points included bleeding and stroke. At 30 days, the composite primary end point of death or renal-replacement therapy had occurred in 158 of the 344 patients (45.9%) in the culprit-lesion-only PCI group and in 189 of the 341 patients (55.4%) in the multivessel PCI group (relative risk, 0.83; 95% confidence interval [CI], 0.71 to 0.96; P=0.01). The relative risk of death in the culprit-lesion-only PCI group as compared with the multivessel PCI group was 0.84 (95% CI, 0.72 to 0.98; P=0.03), and the relative risk of renal-replacement therapy was 0.71 (95% CI, 0.49 to 1.03; P=0.07). The time to hemodynamic stabilization, the risk of catecholamine therapy and the duration of such therapy, the levels of troponin T and creatine kinase, and the rates of bleeding and stroke did not differ significantly between the two groups. Among patients who had multivessel coronary artery disease and acute myocardial infarction with cardiogenic shock, the 30-day risk of a composite of death or severe renal failure leading to renal-replacement therapy was lower among those who initially underwent PCI of the culprit lesion only than among those

Comparison Between PCI and Box Girder in BridgesPrestressed Concrete Design

Science.gov (United States)

Rahmawati, Cut; Zainuddin, Z.; Is, Syafridal; Rahim, Robbi

2018-04-01

This research is done by comparing PCI and Box Girder types of prestressed concrete design. The method used is load balance. Previous studies have just discussed the differences in terms of effectiveness and economics. In this study, the researchers want to know the design process by comparing the working forces, the resulting moment, and the losses of the prestressed. As the case in this study, the researchers used the bridge with the span of 31 meters. The tendon pulling system was conducted with post-tensioning system The analysis result showed that prestressed of the Girder box type sustained the greatest moment due to the combination of its own weight, additional dead load, lane load, and wind load of 44,029 kNm, while the biggest moment of PCI Girder was 7,556.75 KNm The Girder beam box experiences greater moment and shear force than PCI Girder. This is the effect of the weight of its own Girderboxwaslarger than PCI Girder. The losses ofprestressed style of Girderboxand PCI Girder type were 24.85% and 26.32%, respectively.Moreover, it showed that the type of Girder box is cheaper, easier, and more efficient than PCI Girder.

The use of nuclear powered submarines for oceanographic research in ICE covered regions

International Nuclear Information System (INIS)

Sambrotto, Raymond; Chayes, Dale

2000-01-01

unsurpassed platform for sea ice and geological and geophysics measurements because remote sensing of important properties in these disciplines is possible. Thus, the submarine was able to collect sea ice thickness and the topography and other characteristics of the bottom almost continuously along track, expanding available data for some of these parameters several fold. The mobility and extended duty period of nuclear submarines complement observations from surface ships and satellite sensors. Although the submarines were used without significant engineering modifications, improved sampling devices could overcome many of the limitations imposed by their restricted depth ranges. The continuing availability of dedicated science missions on military submarines is uncertain due to the reduced fleet size. However, even science measurements made on an ancillary basis during non-science cruises to ice covered seas would be highly informative. The Scicex program demonstrated that nuclear submarines are able to provide a unique observational platform for scientific measurements in ice covered seas that can be used for both basic and applied research. (author)

PCI DSS a practical guide to implementing and maintaining compliance

CERN Document Server

Wright, Steve

2011-01-01

This newly revised, practical guide, gives you a step by step guide to achieving Payment Card Industry Data Security Standard (PCI DSS) compliance - showing you how to create, design and build a PCI compliance framework.

Optimal catchment area and primary PCI centre volume revisited

DEFF Research Database (Denmark)

Schoos, Mikkel Malby; Pedersen, Frants; Holmvang, Lene

2015-01-01

AIMS: The currently stated optimal catchment population for a pPCI centre is 300,000-1,100,000, resulting in 200-800 procedures/year. pPCI centres are increasing in number even within small geographic areas. We describe the organisation and quality of care after merging two high-volume centres...

Nonverbal behavior observation : collaborative gaming method for prediction of conflicts during long-term missions

NARCIS (Netherlands)

Voynarovskaya, N.; Gorbunov, R.D.; Barakova, E.I.; Ahn, R.M.C.; Rauterberg, G.W.M.; Yang, H.S.; et al., xx

2010-01-01

This paper presents a method for monitoring mental state of small isolated crews during long-term missions (such as space mission, polar expeditions, submarine crews, meteorological stations, and etc). It combines the records of negotiation game with monitoring of the nonverbal behavior of the

47 CFR 61.45 - Adjustments to the PCI for Local Exchange Carriers.

Science.gov (United States)

2010-10-01

... 47 Telecommunication 3 2010-10-01 2010-10-01 false Adjustments to the PCI for Local Exchange... CARRIER SERVICES (CONTINUED) TARIFFS General Rules for Dominant Carriers § 61.45 Adjustments to the PCI... adjustments to the PCI for each basket as part of the annual price cap tariff filing, and shall maintain...

Comparative Effectiveness of PCI Education's "PCI Reading Program": Phase 2--A Report of a Comparison Group Study in Brevard Public Schools and Miami-Dade County Public Schools. Research Summary

Science.gov (United States)

Empirical Education Inc., 2010

2010-01-01

PCI Education sought scientifically based evidence on the comparative effectiveness of the "PCI Reading Program" through a five-year longitudinal study. Phase 1 of the study consisted of a randomized control trial studying the efficacy of the "PCI Reading Program-Level One" that was conducted in the 2007-2008 in Miami-Dade…

Independent predictors of retrograde failure in CTO-PCI after successful collateral channel crossing.

Science.gov (United States)

Suzuki, Yoriyasu; Muto, Makoto; Yamane, Masahisa; Muramatsu, Toshiya; Okamura, Atsunori; Igarashi, Yasumi; Fujita, Tsutomu; Nakamura, Shigeru; Oida, Akitsugu; Tsuchikane, Etsuo

2017-07-01

To evaluate factors for predicting retrograde CTO-PCI failure after successful collateral channel crossing. Successful guidewire/catheter collateral channel crossing is important for the retrograde approach in percutaneous coronary intervention (PCI) for chronic total occlusion (CTO). A total of 5984 CTO-PCI procedures performed in 45 centers in Japan from 2009 to 2012 were studied. The retrograde approach was used in 1656 CTO-PCIs (27.7%). We investigated these retrograde procedures to evaluate factors for predicting retrograde CTO-PCI failure even after successful collateral channel crossing. Successful guidewire/catheter collateral crossing was achieved in 77.1% (n = 1,276) of 1656 retrograde CTO-PCI procedures. Retrograde procedural success after successful collateral crossing was achieved in 89.4% (n = 1,141). Univariate analysis showed that the predictors for retrograde CTO-PCI failure were in-stent occlusion (OR = 1.9829, 95%CI = 1.1783 - 3.3370 P = 0.0088), calcified lesions (OR = 1.9233, 95%CI = 1.2463 - 2.9679, P = 0.0027), and lesion tortuosity (OR = 1.5244, 95%CI = 1.0618 - 2.1883, P = 0.0216). On multivariate analysis, lesion calcification was an independent predictor of retrograde CTO-PCI failure after successful collateral channel crossing (OR = 1.3472, 95%CI = 1.0614 - 1.7169, P = 0.0141). The success rate of retrograde CTO-PCI following successful guidewire/catheter collateral channel crossing was high in this registry. Lesion calcification was an independent predictor of retrograde CTO-PCI failure after successful collateral channel crossing. Devices and techniques to overcome complex CTO lesion morphology, such as lesion calcification, are required to further improve the retrograde CTO-PCI success rate. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

Lack of consensus in biomarker measurement to diagnose PCI-related myocardial infarction

DEFF Research Database (Denmark)

Al-Dakhiel, Zaid; Rune Larsen, Søren; Svenstrup Poulsen, Tina

2008-01-01

Objective. To evaluate if biomarker sampling in PCI has adhered to the 2 000 consensus document for the diagnosis of procedure-related myocardial infarction (MI). Design. Firstly, a review of relevant papers from 2000 to September 2007 was done. Secondly, in October 2007, a questionnaire addressing...... biomarker sampling in routine PCI was sent to Danish PCI centres. Results. Fourteen papers fulfilled the selection criteria. In six studies serial sampling according to the consensus document had been done. Biomarker measuring before PCI was not performed in four studies. All centres answered...... the questionnaire. In none of six centres the proposed 3-sample testing of biomarkers had been followed. A pre-PCI sample was taken in one centre. In approximately half of the centres biomarkers were only measured on clinical indication. Conclusion. Biomarker sampling for procedure-related MI according to the 2 000...

Biomonitoring of physiological status and cognitive performance of underway submariners undergoing a novel watch-standing schedule

Science.gov (United States)

Duplessis, C. A.; Cullum, M. E.; Crepeau, L. J.

2005-05-01

Submarine watch-standers adhere to a 6 hour-on, 12 hour-off (6/12) watch-standing schedule, yoking them to an 18-hr day, engendering circadian desynchronization and chronic sleep deprivation. Moreover, the chronic social crowding, shift work, and confinement of submarine life provide additional stressors known to correlate with elevated secretory immunoglobulin A (sIgA) and cortisol levels, reduced performance, immunologic dysfunction, malignancies, infections, gastrointestinal illness, coronary disease, anxiety, and depression. We evaluated an alternative, compressed, fixed work schedule designed to enhance circadian rhythm entrainment, sleep hygiene, performance, and health on 10 underway submariners, who followed the alternative and 6/12 schedules for approximately 2 weeks each. We measured subjects" sleep, cognitive performance, and salivary biomarker levels. Pilot analysis of the salivary data on one subject utilizing ELISA suggests elevated biomarker levels of stress. Average PM cortisol levels were 0.2 μg/L (normal range: nondetectable - 0.15 μg/L), and mean sIgA levels were 562 μg/ml (normal range: 100-500 μg/ml). Future research exploiting real-time salivary bioassays, via fluorescent polarimetry technology, identified by the Office of Naval Research (ONR) as a future Naval requirement, allows researchers to address correlations between stress-induced elaboration of salivary biomarkers with physiological and performance decrements, thereby fostering insight into the underway submariner"s psychoimmunological status. This may help identify strategies that enhance resilience to stressors. Specifically, empirically-based modeling can identify optimal watch-standing schedules and stress-mitigating procedures -- within the operational constraints of the submarine milieu and the mission --that foster improved circadian entrainment and reduced stress reactivity, enhancing physiological health, operational performance, safety, and job satisfaction.

[EARLY RATHER THAN IMMEDIATE PCI IN NSTEMI; IS TIME EQUAL TO MUSCLE ONCE AGAIN?

Science.gov (United States)

Carasso, Shemy; Nassar, Ali; Kuzniec, Fabio; Hazanov, Yevgeni; Salman, Nabeeh; Halhla, Yussra; Amir, Offer; Ghanem, Diab

2017-10-01

Current guidelines advocate immediate vs. non-immediate percutaneous coronary intervention (PCI) strategy in ST elevation vs. non ST elevation myocardial infarction (STEMI, NSTEMI). There is however increasing concern that "next-day PCI" in NSTEMI may adversely affect LV systolic and/or diastolic function and a more urgent aggressive approach should be taken in NSTEMI, similar to that in STEMI. In the current study we compared echocardiographic data between patients with STEMI and NSTEMI who had either primary or early PCI respectively. Prospective data of 165 consecutive patients with an acute MI were analyzed. Patients had primary PCI if they had STEMI and non-emergent PCI if they had NSTEMI. Demographic information, laboratory test results, procedure time and post-PCI echocardiographic assessment were compared between the two groups. Patients with STEMI were younger compared to patients with NSTEMI. Time to intervention was significantly longer in NSTEMI, reflecting guideline derived intervention strategy (1.9±1.7days, (median 1day) vs. 30±15min, for NSTEMI and STEMI, respectively, pPCI up to 72 hours in patients with NSTEMI did not adversely affect left ventricular systolic and/or diastolic function compared to immediate PCI in patients with STEMI. Based on current data, we conclude that early PCI intervention rather than an immediate one is appropriate in NSTEMI patients.

Higher plasma level of STIM1, OPG are correlated with stent restenosis after PCI.

Science.gov (United States)

Li, Haibin; Jiang, Zhian; Liu, Xiangdong; Yang, Zhihui

2015-01-01

Percutaneous Coronary Intervention (PCI) is one of the most effective treatments for Coronary Heart Disease (CHD), but the high rate of In Stent Restenosis (ISR) has plagued clinicians after PCI. We aim to investigate the correlation of plasma Stromal Interaction Molecular 1 (STIM1) and Osteoprotegerin (OPG) level with stent restenosis after PCI. A total of 100 consecutive patients with Coronary Heart Disease (CHD) received PCI procedure were recruited. Coronary angiography was performed 8 months after their PCI. Then patients were divided into 2 groups: observation group was composed by patients who existing postoperative stenosis after intervention; Control group was composed by patients with no postoperative stenosis. The plasma levels of STIM, OPG in all patients were tested before and after intervention. Pearson correlation and multiple linear regression analysis were performed to analysis the correlation between STIM, OPG level and postoperative stenosis. 35 cases were divided into observation group and other 65 were divided into control group. The plasma levels of STIM, OPG have no statistical difference before their PCI procedure, but we observed higher level of High-sensitivity C-reactive protein (Hs-CRP) existed in observation group. We observed higher level of plasma STIM, OPG in observation group when compared with control group after PCI procedure (P PCI, which could provide useful information for the restenosis control after PCI.

Influence of operator experience and PCI volume on transfemoral access techniques: A collaboration of international cardiovascular societies.

Science.gov (United States)

Nelson, Daniel W; Damluji, Abdulla A; Patel, Nish; Valgimigli, Marco; Windecker, Stephan; Byrne, Robert; Nolan, James; Patel, Tejas; Brilakis, Emmanouil; Banerjee, Subhash; Mayol, Jorge; Cantor, Warren J; Alfonso, Carlos E; Rao, Sunil V; Moscucci, Mauro; Cohen, Mauricio G

2018-03-01

Transfemoral access (TFA) is widely used for coronary angiography and percutaneous coronary intervention (PCI). The influence of operator age, gender, experience, and procedural volume on performance of femoral arterial access has not been studied. A survey instrument was developed and distributed via e-mail from professional societies to interventional cardiologists worldwide from March to December 2016. A total of 988 physicians from 88 countries responded to the survey. TFA is the preferred approach for patients with cardiogenic shock, left main or bifurcation PCI, and procedures with mechanical circulatory support. Older (PCI volume operators (PCI: 57.3%; 100-299 PCI: 58.7%; ≥300 PCI: 64.3%, pPCI volume operators (≥300 PCI: 64.1%; 100-299 PCI: 72.6%; PCI: 67.9%, pPCI volume interventional cardiologists prefer not to use imaging for femoral access or perform femoral angiography during TF procedures. These data highlight opportunities to further reduce TFA complications. Copyright © 2017 Elsevier Inc. All rights reserved.

Single-Staged Compared With Multi-Staged PCI in Multivessel NSTEMI Patients: The SMILE Trial.

Science.gov (United States)

Sardella, Gennaro; Lucisano, Luigi; Garbo, Roberto; Pennacchi, Mauro; Cavallo, Erika; Stio, Rocco Edoardo; Calcagno, Simone; Ugo, Fabrizio; Boccuzzi, Giacomo; Fedele, Francesco; Mancone, Massimo

2016-01-26

A lack of clarity exists about the role of complete coronary revascularization in patients presenting with non-ST-segment elevation myocardial infarction. The aim of our study was to compare long-term outcomes in terms of major adverse cardiovascular and cerebrovascular events of 2 different complete coronary revascularization strategies in patients with non-ST-segment elevation myocardial infarction and multivessel coronary artery disease: 1-stage percutaneous coronary intervention (1S-PCI) during the index procedure versus multistage percutaneous coronary intervention (MS-PCI) complete coronary revascularization during the index hospitalization. In the SMILE (Impact of Different Treatment in Multivessel Non ST Elevation Myocardial Infarction Patients: One Stage Versus Multistaged Percutaneous Coronary Intervention) trial, 584 patients were randomly assigned in a 1:1 manner to 1S-PCI or MS-PCI. The primary study endpoint was the incidence of major adverse cardiovascular and cerebrovascular events, which were defined as cardiac death, death, reinfarction, rehospitalization for unstable angina, repeat coronary revascularization (target vessel revascularization), and stroke at 1 year. The occurrence of the primary endpoint was significantly lower in the 1-stage group (1S-PCI: n = 36 [13.63%] vs. MS-PCI: n = 61 [23.19%]; hazard ratio [HR]: 0.549 [95% confidence interval (CI): 0.363 to 0.828]; p = 0.004). The 1-year rate of target vessel revascularization was significantly higher in the MS-PCI group (1S-PCI: n = 22 [8.33%] vs. MS-PCI: n = 40 [15.20%]; HR: 0.522 [95% CI: 0.310 to 0.878]; p = 0.01; p log-rank = 0.013). When the analyses were limited to cardiac death (1S-PCI: n = 9 [3.41%] vs. MS-PCI: n = 14 [5.32%]; HR: 0.624 [95% CI: 0.270 to 1.441]; p = 0.27) and myocardial infarction (1S-PCI: n = 7 [2.65%] vs. MS-PCI: n = 10 [3.80%]; HR: 0.678 [95% CI: 0.156 to 2.657]; p = 0.46), no significant differences were observed between groups. In multivessel

Factors Associated With Ineligibility for PCI Differ Between Inpatient and Outpatient ST-Elevation Myocardial Infarction.

Science.gov (United States)

Jaski, Brian E; Grigoriadis, Christopher E; Dai, Xuming; Meredith, Richard D; Ortiz, Bryan C; Stouffer, George A; Thomas, Lorie; Smith, Sidney C

2016-08-01

Without early revascularization, both inpatient and outpatient STEMIs have poor outcomes. Reasons for denying PCI for STEMI, however, remain uncertain. This single-center retrospective cohort study compares factors and outcomes associated with ineligibility for PCI between inpatients and outpatients following ST-elevation myocardial infarction (STEMI). A total of 1,759 STEMI patients between June 2009 and January 2015 were assessed. Individual medical records were reviewed to obtain reasons for PCI ineligibility for STEMI patients who did not receive reperfusion therapy. Compared to outpatients with STEMI (n = 1,688), inpatients (n = 71) were less likely to receive coronary angiography (60.6% vs 95.9%; P PCI (50.7% vs 80.9%; P PCI and procedural success were seen in both groups. Principal contraindication for PCI was risk of bleeding within the inpatient population and complex coronary artery disease within the outpatient population. Total in-hospital mortality was higher in inpatient STEMIs compared to outpatients (42.2% vs 10.0%; P PCI in both groups. Reasons for PCI ineligibility differ between inpatient and outpatient STEMIs. Inpatients have increased risks of bleeding, lower coronary angiography and PCI use, and higher in-hospital mortality. Especially for inpatients, specific PCI STEMI protocols that anticipate and overcome types of ineligibility and delay for cardiac catheterization may improve outcomes. © 2016, Wiley Periodicals, Inc.

A registry-based randomized trial comparing radial and femoral approaches in women undergoing percutaneous coronary intervention: the SAFE-PCI for Women (Study of Access Site for Enhancement of PCI for Women) trial.

Science.gov (United States)

Rao, Sunil V; Hess, Connie N; Barham, Britt; Aberle, Laura H; Anstrom, Kevin J; Patel, Tejan B; Jorgensen, Jesse P; Mazzaferri, Ernest L; Jolly, Sanjit S; Jacobs, Alice; Newby, L Kristin; Gibson, C Michael; Kong, David F; Mehran, Roxana; Waksman, Ron; Gilchrist, Ian C; McCourt, Brian J; Messenger, John C; Peterson, Eric D; Harrington, Robert A; Krucoff, Mitchell W

2014-08-01

This study sought to determine the effect of radial access on outcomes in women undergoing percutaneous coronary intervention (PCI) using a registry-based randomized trial. Women are at increased risk of bleeding and vascular complications after PCI. The role of radial access in women is unclear. Women undergoing cardiac catheterization or PCI were randomized to radial or femoral arterial access. Data from the CathPCI Registry and trial-specific data were merged into a final study database. The primary efficacy endpoint was Bleeding Academic Research Consortium type 2, 3, or 5 bleeding or vascular complications requiring intervention. The primary feasibility endpoint was access site crossover. The primary analysis cohort was the subgroup undergoing PCI; sensitivity analyses were conducted in the total randomized population. The trial was stopped early for a lower than expected event rate. A total of 1,787 women (691 undergoing PCI) were randomized at 60 sites. There was no significant difference in the primary efficacy endpoint between radial or femoral access among women undergoing PCI (radial 1.2% vs. 2.9% femoral, odds ratio [OR]: 0.39; 95% confidence interval [CI]: 0.12 to 1.27); among women undergoing cardiac catheterization or PCI, radial access significantly reduced bleeding and vascular complications (0.6% vs. 1.7%; OR: 0.32; 95% CI: 0.12 to 0.90). Access site crossover was significantly higher among women assigned to radial access (PCI cohort: 6.1% vs. 1.7%; OR: 3.65; 95% CI: 1.45 to 9.17); total randomized cohort: (6.7% vs. 1.9%; OR: 3.70; 95% CI: 2.14 to 6.40). More women preferred radial access. In this pragmatic trial, which was terminated early, the radial approach did not significantly reduce bleeding or vascular complications in women undergoing PCI. Access site crossover occurred more often in women assigned to radial access. (SAFE-PCI for Women; NCT01406236). Copyright © 2014 American College of Cardiology Foundation. Published by Elsevier Inc

Effect of platelet inhibition with cangrelor during PCI on ischemic events

NARCIS (Netherlands)

Bhatt, D.L.; Stone, G.W.; Mahaffey, K.W.; Gibson, C.M.; Steg, P.G.; Hamm, C.W.; Price, M.J.; Leonardi, S.; Gallup, D.; Bramucci, E.; Radke, P.W.; Widimsky, P.; Tousek, F.; Tauth, J.; Spriggs, D.; McLaurin, B.T.; Angiolillo, D.J.; Genereux, P.; Liu, T.; Prats, J.; Todd, M.; Skerjanec, S.; White, H.D.; Harrington, R.A.; Verheugt, F.W.; et al.,

2013-01-01

BACKGROUND: The intensity of antiplatelet therapy during percutaneous coronary intervention (PCI) is an important determinant of PCI-related ischemic complications. Cangrelor is a potent intravenous adenosine diphosphate (ADP)-receptor antagonist that acts rapidly and has quickly reversible effects.

Thrombolysis in the age of Primary Percutaneous Coronary Intervention: Mini-Review and Meta-analysis of Early PCI.

Science.gov (United States)

Al Shammeri, O; Garcia, LA

2013-01-01

Primary Percutaneous Coronary Intervention (PCI) is the treatment of choice for ST-segment Elevation Myocardial Infarction (STEMI) if performed within 90 minutes from first medical contact. However, primary PCI is only available for less than 25% of patients with STEMI. Early PCI or Pharmaco-invasive strategy has evolved from facilitated PCI but with more delayed timing from thrombolysis to PCI. Assess the safety and effectiveness of Early PCI. We reviewed the data of the available therapy options for patients with STEMI. Then we performed a meta-analysis for all randomized controlled trials of early PCI versus standard therapy. Five studies fulfilled our inclusion criteria. Our meta-analysis showed improved cardiovascular events with early PCI compared to standard therapy (odd ratio of 0.54; 95% Confidence interval 0.47-0.7, pearly PCI 4 to 24 hours after successful thrombolysis. Early PCI should be done to all STEMI patients within 24 hours after successful thrombolysis.

Thrombolysis in the age of Primary Percutaneous Coronary Intervention: Mini-Review and Meta-analysis of Early PCI

Science.gov (United States)

Al Shammeri, O; Garcia, LA

2013-01-01

Objective Primary Percutaneous Coronary Intervention (PCI) is the treatment of choice for ST-segment Elevation Myocardial Infarction (STEMI) if performed within 90 minutes from first medical contact. However, primary PCI is only available for less than 25% of patients with STEMI. Early PCI or Pharmaco-invasive strategy has evolved from facilitated PCI but with more delayed timing from thrombolysis to PCI. Aim Assess the safety and effectiveness of Early PCI. Patients and Method We reviewed the data of the available therapy options for patients with STEMI. Then we performed a meta-analysis for all randomized controlled trials of early PCI versus standard therapy Results Five studies fulfilled our inclusion criteria. Our meta-analysis showed improved cardiovascular events with early PCI compared to standard therapy (odd ratio of 0.54; 95% Confidence interval 0.47-0.7, pPCI 4 to 24 hours after successful thrombolysis Conclusion Early PCI should be done to all STEMI patients within 24 hours after successful thrombolysis. PMID:23559909

A new PCI card for readout in high energy physics experiments

CERN Document Server

Floris, M; Marras, D; Usai, G L; David, A

2004-01-01

Recently some high energy physics experiments started to adopt readout systems based on the PCI architecture. In this context a new PCI card that can be adapted to several readout schemes has been designed. The card contains a large 64 MB local buffer, programmable FPGA logic and a PLX PCI bridge. The solution to use a PCI bridge external to the programmable logic allows to greatly simplify projects at the level of the on-board local bus. The card is presently used as the basic readout unit of the NA60 experiment. In this context, coupling it to different mezzanine cards it is possible to create interfaces to VME/CAMAC modules or to custom front-end electronics as for the case of the silicon vertex detector. Moreover, it is used as a readout test system for the ALICE muon chambers. (10 refs).

Absence of mutations in the PCI gene in subfertile men

NARCIS (Netherlands)

Gianotten, Judith; Schimmel, Alinda W. M.; van der Veen, Fulco; Lombardi, M. Paola; Meijers, Joost C. M.

2004-01-01

The molecular aetiology of male subfertility is still unknown in the majority of cases and it is thought that multiple genes are involved. One of the genes that might play a role in male reproductive function is the protein C inhibitor (PCI) gene. In mice the presence of PCI is an absolute

CABG Versus PCI: Greater Benefit in Long-Term Outcomes With Multiple Arterial Bypass Grafting.

Science.gov (United States)

Habib, Robert H; Dimitrova, Kamellia R; Badour, Sanaa A; Yammine, Maroun B; El-Hage-Sleiman, Abdul-Karim M; Hoffman, Darryl M; Geller, Charles M; Schwann, Thomas A; Tranbaugh, Robert F

2015-09-29

Treatment of multivessel coronary artery disease with traditional single-arterial coronary artery bypass graft (SA-CABG) has been associated with superior intermediate-term survival and reintervention compared with percutaneous coronary intervention (PCI) using either bare-metal stents (BMS) or drug-eluting stents (DES). This study sought to investigate longer-term outcomes including the potential added advantage of multiarterial coronary artery bypass graft (MA-CABG). We studied 8,402 single-institution, primary revascularization, multivessel coronary artery disease patients: 2,207 BMS-PCI (age 66.6 ± 11.9 years); 2,381 DES-PCI (age 65.9 ± 11.7 years); 2,289 SA-CABG (age 69.3 ± 9.0 years); and 1,525 MA-CABG (age 58.3 ± 8.7 years). Patients with myocardial infarction within 24 h, shock, or left main stents were excluded. Kaplan-Meier analysis and Cox regression were used to separately compare 9-year all-cause mortality and unplanned reintervention for BMS-PCI and DES-PCI to respective propensity-matched SA-CABG and MA-CABG cohorts. BMS-PCI was associated with worse survival than SA-CABG, especially from 0 to 7 years (p = 0.015) and to a greater extent than MA-CABG was (9-year follow-up: 76.3% vs. 86.9%; p PCI hazard ratios (HR) were as follows: versus SA-CABG, HR: 0.87; and versus MA-CABG, HR: 0.38. DES-PCI showed similar survival to SA-CABG except for a modest 0 to 3 years surgery advantage (HR: 1.06; p = 0.615). Compared with MA-CABG, DES-PCI exhibited worse survival at 5 (86.3% vs. 95.6%) and 9 (82.8% vs. 89.8%) years (HR: 0.45; p PCI for all comparisons (all p PCI or DES-PCI, resulted in substantially enhanced death and reintervention-free survival. Accordingly, MA-CABG represents the optimal therapy for multivessel coronary artery disease and should be enthusiastically adopted by multidisciplinary heart teams as the best evidence-based therapy. Copyright © 2015 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

Security Assessment of Payment Systems under PCI DSS Incompatibilities

OpenAIRE

Bahtiyar , Şerif; Gür , Gürkan; Altay , Levent

2014-01-01

Part 9: Malicious Behavior and Fraud; International audience; With the ubiquitous proliferation of electronic payment systems, data and application security has become more critical for financial operations. The Payment Card Industry Data Security Standard (PCI DSS) has been developed by the payment industry to provide a widely-applicable and definitive security compliance among all components in electronic payment infrastructure. However, the security impact of PCI DSS incompatibilities and ...

Design of gamma camera data acquisition system based on PCI9810

International Nuclear Information System (INIS)

Zhao Yuanyuan; Zhao Shujun; Liu Yang

2004-01-01

This paper describe the design of gamma camera's data acquisition system, which is based on PCI9810 data acquisition card of ADLink Technology Inc. The main function of PCI9810 and the program of data acquisition system are described. (authors)

PCI Strategies in Patients with Acute Myocardial Infarction and Cardiogenic Shock

NARCIS (Netherlands)

Thiele, Holger; Akin, Ibrahim; Sandri, Marcus; Fuernau, Georg; de Waha, Suzanne; Meyer-Saraei, Roza; Nordbeck, Peter; Geisler, Tobias; Landmesser, Ulf; Skurk, Carsten; Fach, Andreas; Lapp, Harald; Piek, Jan J.; Noc, Marko; Goslar, Tomaž; Felix, Stephan B.; Maier, Lars S.; Stepinska, Janina; Oldroyd, Keith; Serpytis, Pranas; Montalescot, Gilles; Barthelemy, Olivier; Huber, Kurt; Windecker, Stephan; Savonitto, Stefano; Torremante, Patrizia; Vrints, Christiaan; Schneider, Steffen; Desch, Steffen; Zeymer, Uwe; Tebbe, Ulrich; Wöhrle, Jochen; Pachinger, Otmar; Busch, Clemens; Pfeiffer, Nathalie; Neumer, Alexander; Ouarrak, Taoufik; Reimer, Thomas; Lober, Christiane; Clemmensen, Peter; Follath, Ferenc; Wegscheider, Karl; Zeitouni, M.; Overtchouk, P.; Guedeney, P.; Hage, G.; Hauguel-Moreau, N. N.; Eitel, Ingo; Weinschenk, Sabrina; Borggrefe, Martin; Neumann, Franz-Josef; Ferenc, Miroslaw; Olbrich, Hans-Gerd; Hopf, Hans-Bernd; Kastrati, Adnan; de Waha, Antoinette; Schunkert, Heribert; Richardt, Gert; Schwarz, Bettina; Abdel-Wahab, Mohamed; Toelg, Ralph; Geist, Volker; Bahnsen-Maaß, Monika; Hennersdorf, Marcus; Graf, Jochen; Riemann, Urs; Scharpf, Dominik; Empen, Klaus; Busch, Mathias C.; Werdan, Karl; Nuding, Sebastian; Hambrecht, Rainer; Fiehn, Eduard; Gitt, Anselm K.; Mark, Bernd; Winkler, Ralph; Lauer, Bernward; Möbius-Winkler, Sven; Schulze, Christian; Minden, Hans-Heinrich; Braun-Dullaeus, Rüdiger C.; Schmeißer, Alexander; Strasser, Ruth H.; Ebner, Bernd; Ertl, Georg; Mudra, Harald; Hug, Martin; Endemann, Dierk; Hamm, Christian; Walther, Claudia; Liebetrau, Christoph; Menck, Niels; Mehilli, Julinda; Orban, Martin; Hausleiter, Jörg; Massberg, Steffen; Prondzinsky, Roland; Gielen, Stephan; Gawaz, Meinrad; Pauschinger, Matthias; Ademaj, Fadil; Bode, Christoph; Nickenig, Georg; Fichtlscherer, Stephan; Zeiher, Andreas; Viertel, Achim; Kelm, Malte; Jung, Christian; Sydow, Carsten; Karakas, Mahir; Rudolph, Volker; Baldus, Stephan; Jacobshagen, Claudius; Hasenfuß, Gerd; Pfeiffer, Dietrich; Buchter, Björn; Hügl, Burkhard; Nef, Holger; Dörr, Oliver; Reinig, Karsten; Kuck, Karl Heinz; Ghanem, Alexander; Katus, Hugo; Gori, Tommaso; Münzel, Thomas; Schnupp, Steffen; Brachmann, Johannes; Ferrari, Markus; Achenbach, Stephan; Carrié, Didier; Henry, Patrick; Manzo-Silberman, Stephane; Ledermann, Bertrand; Cayla, Guillaume; Bonnet, Jean-Louis; Windecker, Stefan; Frenk, André; Jeger, Raban; Eeckhout, Eric; Henriques, Jose P.; van Geuns, Robert-Jan; Voskuil, Michiel; Bax, M.; van der Harst, Pim; Serpytis, Rokas; Jarasuniene, Dalia; Lang, Irene Marthe; Pichler, Philipp; Weidinger, Franz; Zaruba, Marc-Michael; Dudek, Darius; Depukat, Rafal; Witkowski, Adam; Milewski, Krzysztof; Prokopczuk, Janusz; Gąsior, Mariusz; Gorycki, Bogdan; Ochała, Andrzej; Piatti, Luigi; Galvani, Marcello; Bossi, Irene; Emilia, Reggio; Pignatelli, Gianluca; Greenwood, John; Lockie, Tim; Mamas, Mamas

2017-01-01

In patients who have acute myocardial infarction with cardiogenic shock, early revascularization of the culprit artery by means of percutaneous coronary intervention (PCI) improves outcomes. However, the majority of patients with cardiogenic shock have multivessel disease, and whether PCI should be

Automatic mental heath assistant : monitoring and measuring nonverbal behavior of the crew during long-term missions

NARCIS (Netherlands)

Voynarovskaya, N.; Gorbunov, R.D.; Barakova, E.I.; Rauterberg, G.W.M.; Barakova, E.I.; Ruyter, B.; Spink, A.

2010-01-01

This paper presents a method for monitoring the mental state of small isolated crews during long-term missions (such as space mission, polar expeditions, submarine crews, meteorological stations, and etc.) The research is done as a part of Automatic Mental Health Assistant (AMHA) project which aims

Risk of no-reflow in culprit lesion versus culprit vessel PCI in acute STEMI.

Science.gov (United States)

Arslan, Uğur; Yaman, Mehmet; Kocaoğlu, İbrahim; Turan, Oğuzhan Ekrem; Yücel, Huriye; Aksakal, Aytekin; Günaydin, İlksen Atasoy; Hakan Ateş, Ahmet

2015-09-01

The present report describes patients with acute ST-elevation myocardial infarction who had at least two lesions in the culprit vessel (CV) during primary percutaneous coronary intervention (PCI). Here, we aimed to examine two different strategies, namely, PCI of only culprit lesion (CL) versus PCI of all lesions in the CV in the setting of acute ST-elevation myocardial infarction. Patients who underwent primary PCI were examined for the presence of an additional lesion in the infarct-related artery and divided into two groups according to the PCI strategy: CV versus CL groups. Coronary angiograms were examined for coronary thrombolysis in myocardial infarction (TIMI) flow and major clinical outcomes were determined. Of 637 patients, 472 (74.1%) underwent primary PCI for the CV (CV group) and 165 (25.9%) underwent primary PCI only for CL (CL group). TIMI flow before primary PCI and after stenting of the CL was similar; however, TIMI flow after completion of the procedure was significantly better in the CL group (P=0.022). The composite of death, nonfatal myocardial infarction and repeat revascularization was significantly better in the CL group (P=0.041) and early stent thrombosis was observed more commonly in the CV group [14 (3.0%) patients vs. 1 (0.6%) patient, P=0.09]. In the presence of an additional lesion in the CV during primary PCI, deferring stenting for the non-CL in the culprit artery after stenting the CL may be considered to prevent the development of no-reflow or slow-reflow, and thus major clinical adverse events may be reduced.

Arctic Submarine Slope Stability

Science.gov (United States)

Winkelmann, D.; Geissler, W.

2010-12-01

Submarine landsliding represents aside submarine earthquakes major natural hazard to coastal and sea-floor infrastructure as well as to coastal communities due to their ability to generate large-scale tsunamis with their socio-economic consequences. The investigation of submarine landslides, their conditions and trigger mechanisms, recurrence rates and potential impact remains an important task for the evaluation of risks in coastal management and offshore industrial activities. In the light of a changing globe with warming oceans and rising sea-level accompanied by increasing human population along coasts and enhanced near- and offshore activities, slope stability issues gain more importance than ever before. The Arctic exhibits the most rapid and drastic changes and is predicted to change even faster. Aside rising air temperatures, enhanced inflow of less cooled Atlantic water into the Arctic Ocean reduces sea-ice cover and warms the surroundings. Slope stability is challenged considering large areas of permafrost and hydrates. The Hinlopen/Yermak Megaslide (HYM) north of Svalbard is the first and so far only reported large-scale submarine landslide in the Arctic Ocean. The HYM exhibits the highest headwalls that have been found on siliciclastic margins. With more than 10.000 square kilometer areal extent and app. 2.400 cubic kilometer of involved sedimentary material, it is one of the largest exposed submarine slides worldwide. Geometry and age put this slide in a special position in discussing submarine slope stability on glaciated continental margins. The HYM occurred 30 ka ago, when the global sea-level dropped by app. 50 m within less than one millennium due to rapid onset of global glaciation. It probably caused a tsunami with circum-Arctic impact and wave heights exceeding 130 meters. The HYM affected the slope stability field in its neighbourhood by removal of support. Post-megaslide slope instability as expressed in creeping and smaller-scaled slides are

Real-time fusion of coronary CT angiography with x-ray fluoroscopy during chronic total occlusion PCI.

Science.gov (United States)

Ghoshhajra, Brian B; Takx, Richard A P; Stone, Luke L; Girard, Erin E; Brilakis, Emmanouil S; Lombardi, William L; Yeh, Robert W; Jaffer, Farouc A

2017-06-01

The purpose of this study was to demonstrate the feasibility of real-time fusion of coronary computed tomography angiography (CTA) centreline and arterial wall calcification with x-ray fluoroscopy during chronic total occlusion (CTO) percutaneous coronary intervention (PCI). Patients undergoing CTO PCI were prospectively enrolled. Pre-procedural CT scans were integrated with conventional coronary fluoroscopy using prototype software. We enrolled 24 patients who underwent CTO PCI using the prototype CT fusion software, and 24 consecutive CTO PCI patients without CT guidance served as a control group. Mean age was 66 ± 11 years, and 43/48 patients were men. Real-time CTA fusion during CTO PCI provided additional information regarding coronary arterial calcification and tortuosity that generated new insights into antegrade wiring, antegrade dissection/reentry, and retrograde wiring during CTO PCI. Overall CTO success rates and procedural outcomes remained similar between the two groups, despite a trend toward higher complexity in the fusion CTA group. This study demonstrates that real-time automated co-registration of coronary CTA centreline and calcification onto live fluoroscopic images is feasible and provides new insights into CTO PCI, and in particular, antegrade dissection reentry-based CTO PCI. • Real-time semi-automated fusion of CTA/fluoroscopy is feasible during CTO PCI. • CTA fusion data can be toggled on/off as desired during CTO PCI • Real-time CT calcium and centreline overlay could benefit antegrade dissection/reentry-based CTO PCI.

Pellet cladding interaction (PCI) fuel duty during normal operation of ASEA-ATOM BWRs

International Nuclear Information System (INIS)

Vaernild, O.; Olsson, S.

1983-01-01

Local power changes may under special conditions cause PCI fuel failures in a power reactor. By restricting the local power increase rate in certain situations it is possible to prevent PCI failures. Fine motion control rod drives, large operating range of the main recirculation pumps and an advanced burnable absorber design have minimized the impact of the PCI restrictions. With current ICFM schemes the power of an assembly is due to the burnup of the gadolinia gradually increasing during the first cycle of operation. After this the power is essentially decreasing monotonously during the remaining life of the assembly. Some assemblies are for short burnup intervals operated at very low power in control cells. The control rods in these cells may however be withdrawn without restrictions leading to energy production losses. Base load operation would in the normal case lead to very minor PCI loads on the fuel regardless of any PCI related operating restrictions. At the return to full power after a short shutdown or in connection with load follow operation, the xenon transient may cause PCI loads on the fuel. To avoid this a few hoursholdtime before going back to full power is recommended. (author)

Pellet-cladding interaction (PCI) fuel duty during normal operation of ASEA-ATOM BWRs

International Nuclear Information System (INIS)

Vaernild, O.; Olsson, S.

1985-01-01

Local power changes may, under special conditions, cause PCI fuel failures in a power reactor. By restricting the local power increase rate in certain situations it is possible to prevent PCI failures. Fine motion control rod drives, large operating range of the main recirculation pumps and an advanced burnable absorber design have minimized the impact of the PCI restrictions. With current ICFM schemes the power of an assembly is due to the burnup of the gadolinia gradually increasing during the first cycle of operation. After this the power is essentially decreasing monotonously during the remaining life of the assembly. Some assemblies are for short burnup intervals operated at very low power in control cells. The control rods in these cells may, however, be withdrawn without restrictions leading to energy production losses. Base load operation would in the normal case lead to very minor PCI loads on the fuel regardless of any PCI-related operating restrictions. At the return to full power after a short shutdown or in connection with load follow operation, the xenon transient may cause PCI loads on the fuel. To avoid this a few hours hold-time before going back to full power is recommended. (author)

Fractional flow reserve versus angiography for guidance of PCI in patients with multivessel coronary artery disease (FAME)

DEFF Research Database (Denmark)

van Nunen, Lokien X; Zimmermann, Frederik M; Tonino, Pim A L

2015-01-01

BACKGROUND: In the Fractional Flow Reserve Versus Angiography for Multivessel Evaluation (FAME) study, fractional flow reserve (FFR)-guided percutaneous coronary intervention (PCI) improved outcome compared with angiography-guided PCI for up to 2 years of follow-up. The aim in this study...... was to investigate whether the favourable clinical outcome with the FFR-guided PCI in the FAME study persisted over a 5-year follow-up. METHODS: The FAME study was a multicentre trial done in Belgium, Denmark, Germany, the Netherlands, Sweden, the UK, and the USA. Patients (aged ≥ 18 years) with multivessel coronary...... artery disease were randomly assigned to undergo angiography-guided PCI or FFR-guided PCI. Before randomisation, stenoses requiring PCI were identified on the angiogram. Patients allocated to angiography-guided PCI had revascularisation of all identified stenoses. Patients allocated to FFR-guided PCI had...

Coordinated CSN-UNESA research plan (PCI)

International Nuclear Information System (INIS)

Incinillas, J.

2001-01-01

This article contains a description of the essence and current status of the Coordinated Research Plan (PCI), beginning with details on the general specifications of the Framework Agreement signed by CSN and UNESA in September 1997, with an initial duration of four years and extendable on a yearly basis. The section on PCI Management describes the governing bodies, the mechanisms for including a project, tracking of projects underway, and the mechanisms for concluding projects. The Plan's generic goals are to acquire and increase technological skills and tools to guarantee operation of the nuclear park, take advantage of the synergies of the plants as a whole, and optimize the regulatory framework from the standpoint of safety and efficiency. In addition, strategic targets concerning efficiency, technological development and environment are defined. The current project status, overall budget and project completed to data are described. (Author)

Geomorphic process fingerprints in submarine canyons

Science.gov (United States)

Brothers, Daniel S.; ten Brink, Uri S.; Andrews, Brian D.; Chaytor, Jason D.; Twichell, David C.

2013-01-01

Submarine canyons are common features of continental margins worldwide. They are conduits that funnel vast quantities of sediment from the continents to the deep sea. Though it is known that submarine canyons form primarily from erosion induced by submarine sediment flows, we currently lack quantitative, empirically based expressions that describe the morphology of submarine canyon networks. Multibeam bathymetry data along the entire passive US Atlantic margin (USAM) and along the active central California margin near Monterey Bay provide an opportunity to examine the fine-scale morphology of 171 slope-sourced canyons. Log–log regression analyses of canyon thalweg gradient (S) versus up-canyon catchment area (A) are used to examine linkages between morphological domains and the generation and evolution of submarine sediment flows. For example, canyon reaches of the upper continental slope are characterized by steep, linear and/or convex longitudinal profiles, whereas reaches farther down canyon have distinctly concave longitudinal profiles. The transition between these geomorphic domains is inferred to represent the downslope transformation of debris flows into erosive, canyon-flushing turbidity flows. Over geologic timescales this process appears to leave behind a predictable geomorphic fingerprint that is dependent on the catchment area of the canyon head. Catchment area, in turn, may be a proxy for the volume of sediment released during geomorphically significant failures along the upper continental slope. Focused studies of slope-sourced submarine canyons may provide new insights into the relationships between fine-scale canyon morphology and down-canyon changes in sediment flow dynamics.

Anaerobic methanotrophic communities thrive in deep submarine permafrost.

Science.gov (United States)

Winkel, Matthias; Mitzscherling, Julia; Overduin, Pier P; Horn, Fabian; Winterfeld, Maria; Rijkers, Ruud; Grigoriev, Mikhail N; Knoblauch, Christian; Mangelsdorf, Kai; Wagner, Dirk; Liebner, Susanne

2018-01-22

Thawing submarine permafrost is a source of methane to the subsurface biosphere. Methane oxidation in submarine permafrost sediments has been proposed, but the responsible microorganisms remain uncharacterized. We analyzed archaeal communities and identified distinct anaerobic methanotrophic assemblages of marine and terrestrial origin (ANME-2a/b, ANME-2d) both in frozen and completely thawed submarine permafrost sediments. Besides archaea potentially involved in anaerobic oxidation of methane (AOM) we found a large diversity of archaea mainly belonging to Bathyarchaeota, Thaumarchaeota, and Euryarchaeota. Methane concentrations and δ 13 C-methane signatures distinguish horizons of potential AOM coupled either to sulfate reduction in a sulfate-methane transition zone (SMTZ) or to the reduction of other electron acceptors, such as iron, manganese or nitrate. Analysis of functional marker genes (mcrA) and fluorescence in situ hybridization (FISH) corroborate potential activity of AOM communities in submarine permafrost sediments at low temperatures. Modeled potential AOM consumes 72-100% of submarine permafrost methane and up to 1.2 Tg of carbon per year for the total expected area of submarine permafrost. This is comparable with AOM habitats such as cold seeps. We thus propose that AOM is active where submarine permafrost thaws, which should be included in global methane budgets.

Potential of Pseudomonas putida PCI2 for the Protection of Tomato Plants Against Fungal Pathogens.

Science.gov (United States)

Pastor, Nicolás; Masciarelli, Oscar; Fischer, Sonia; Luna, Virginia; Rovera, Marisa

2016-09-01

Tomato is one of the most economically attractive vegetable crops due to its high yields. Diseases cause significant losses in tomato production worldwide. We carried out Polymerase Chain Reaction studies to detect the presence of genes encoding antifungal compounds in the DNA of Pseudomonas putida strain PCI2. We also used liquid chromatography-electrospray tandem mass spectrometry to detect and quantify the production of compounds that increase the resistance of plants to diseases from culture supernatants of PCI2. In addition, we investigated the presence of 1-aminocyclopropane-1-carboxylic acid (ACC) deaminase in PCI2. Finally, PCI2 was used for inoculation of tomato seeds to study its potential biocontrol activity against Fusarium oxysporum MR193. The obtained results showed that no fragments for the encoding genes of hydrogen cyanide, pyoluteorin, 2,4-diacetylphloroglucinol, pyrrolnitrin, or phenazine-1-carboxylic acid were amplified from the DNA of PCI2. On the other hand, PCI2 produced salicylic acid and jasmonic acid in Luria-Bertani medium and grew in a culture medium containing ACC as the sole nitrogen source. We observed a reduction in disease incidence from 53.33 % in the pathogen control to 30 % in tomato plants pre-inoculated with PCI2 as well as increases in shoot and root dry weights in inoculated plants, as compared to the pathogenicity control. This study suggests that inoculation of tomato seeds with P. putida PCI2 increases the resistance of plants to root rot caused by F. oxysporum and that PCI2 produces compounds that may be involved at different levels in increasing such resistance. Thus, PCI2 could represent a non-contaminating management strategy potentially applicable in vegetable crops such as tomato.

Monitoring of radioactivity at the Russian nuclear submarine Kursk

International Nuclear Information System (INIS)

Amundsen, I.; Lind, B.

2002-01-01

In the morning of August 12th 2000, a Russian submarine accident occurred in international waters east of Rybatschi Peninsula in the Barents Sea about 250 km from Norway. The submarine, a Russian Oscar class II attack submarine, sunk to 116 meters depth at the position 69 deg. 36,99N, 37 deg. 34,50E. The submarine 'Kursk' is 154 meters long, equipped with two pressurised water reactors and the submerged displacement is 24000 tons. Each reactor has a thermal effect or 190 megawatt, or less than 10% of a typical nuclear power plant reactor. The submarines in Oscar-II class is one of the largest and most capable in the Russian Northern Fleet. No indications of leakage from the submarine have so far been observed during the monitoring expeditions. Elevated levels of radioactivity have note been detected in any dose-rate readings or at any of the measurements of environmental samples taken close to Kursk. Furthermore, no increased levels were measured on bits and pieces from the submarine or from water sampled inside the submarine. A more comprehensive report covering experience and monitoring results from the two expeditions term and impact assessments of possible future releases from Kursk. (LN)

Real-time fusion of coronary CT angiography with X-ray fluoroscopy during chronic total occlusion PCI

Energy Technology Data Exchange (ETDEWEB)

Ghoshhajra, Brian B.; Takx, Richard A.P. [Harvard Medical School, Cardiac MR PET CT Program, Massachusetts General Hospital, Department of Radiology and Division of Cardiology, Boston, MA (United States); Stone, Luke L.; Yeh, Robert W.; Jaffer, Farouc A. [Harvard Medical School, Cardiac Cathetrization Laboratory, Cardiology Division, Massachusetts General Hospital, Boston, MA (United States); Girard, Erin E. [Siemens Healthcare, Princeton, NJ (United States); Brilakis, Emmanouil S. [Cardiology Division, Dallas VA Medical Center and UT Southwestern Medical Center, Dallas, TX (United States); Lombardi, William L. [University of Washington, Cardiology Division, Seattle, WA (United States)

2017-06-15

The purpose of this study was to demonstrate the feasibility of real-time fusion of coronary computed tomography angiography (CTA) centreline and arterial wall calcification with X-ray fluoroscopy during chronic total occlusion (CTO) percutaneous coronary intervention (PCI). Patients undergoing CTO PCI were prospectively enrolled. Pre-procedural CT scans were integrated with conventional coronary fluoroscopy using prototype software. We enrolled 24 patients who underwent CTO PCI using the prototype CT fusion software, and 24 consecutive CTO PCI patients without CT guidance served as a control group. Mean age was 66 ± 11 years, and 43/48 patients were men. Real-time CTA fusion during CTO PCI provided additional information regarding coronary arterial calcification and tortuosity that generated new insights into antegrade wiring, antegrade dissection/reentry, and retrograde wiring during CTO PCI. Overall CTO success rates and procedural outcomes remained similar between the two groups, despite a trend toward higher complexity in the fusion CTA group. This study demonstrates that real-time automated co-registration of coronary CTA centreline and calcification onto live fluoroscopic images is feasible and provides new insights into CTO PCI, and in particular, antegrade dissection reentry-based CTO PCI. (orig.)

The foundation of NCVD PCI Registry: the Malaysia's first multi-centre interventional cardiology project.

Science.gov (United States)

Liew, H B; Rosli, M A; Wan Azman, W A; Robaayah, Z; Sim, K H

2008-09-01

The National Cardiovascular Database for Percutaneous Coronary Intervention (NCVD PCI) Registry is the first multicentre interventional cardiology project, involving the main cardiac centres in the country. The ultimate goal of NCVD PCI is to provide a contemporary appraisal of PCI in Malaysia. This article introduces the foundation, the aims, methodology, database collection and preliminary results of the first six-month database.

What threat do turbidity currents and submarine landslides pose to submarine telecommunications cable infrastructure?

Science.gov (United States)

Clare, Michael; Pope, Edward; Talling, Peter; Hunt, James; Carter, Lionel

2016-04-01

The global economy relies on uninterrupted usage of a network of telecommunication cables on the seafloor. These submarine cables carry ~99% of all trans-oceanic digital data and voice communications traffic worldwide, as they have far greater bandwidth than satellites. Over 9 million SWIFT banks transfers alone were made using these cables in 2004, totalling 7.4 trillion of transactions per day between 208 countries, which grew to 15 million SWIFT bank transactions last year. We outline the challenge of why, how often, and where seafloor cables are broken by natural causes; primarily subsea landslides and sediment flows (turbidity currents and also debris flows and hyperpycnal flows). These slides and flows can be very destructive. As an example, a sediment flow in 1929 travelled up to 19 m/s and broke 11 cables in the NE Atlantic, running out for ~800 km to the abyssal ocean. The 2006 Pingtung earthquake triggered a sediment flow that broke 22 cables offshore Taiwan over a distance of 450 km. Here, we present initial results from the first statistical analysis of a global database of cable breaks and causes. We first investigate the controls on frequency of submarine cable breaks in different environmental and geological settings worldwide. We assess which types of earthquake pose a significant threat to submarine cable networks. Meteorological events, such as hurricanes and typhoons, pose a significant threat to submarine cable networks, so we also discuss the potential impacts of future climate change on the frequency of such hazards. We then go on to ask what are the physical impacts of submarine sediment flows on submerged cables? A striking observation from past cable breaks is sometimes cables remain unbroken, whilst adjacent cables are severed (and record powerful flows travelling at up to 6 m/s). Why are some cables broken, but neighbouring cables remain intact? We provide some explanations for this question, and outline the need for future in

Influence of Anchoring on Burial Depth of Submarine Pipelines.

Science.gov (United States)

Zhuang, Yuan; Li, Yang; Su, Wei

2016-01-01

Since the beginning of the twenty-first century, there has been widespread construction of submarine oil-gas transmission pipelines due to an increase in offshore oil exploration. Vessel anchoring operations are causing more damage to submarine pipelines due to shipping transportation also increasing. Therefore, it is essential that the influence of anchoring on the required burial depth of submarine pipelines is determined. In this paper, mathematical models for ordinary anchoring and emergency anchoring have been established to derive an anchor impact energy equation for each condition. The required effective burial depth for submarine pipelines has then been calculated via an energy absorption equation for the protection layer covering the submarine pipelines. Finally, the results of the model calculation have been verified by accident case analysis, and the impact of the anchoring height, anchoring water depth and the anchor weight on the required burial depth of submarine pipelines has been further analyzed.

Influence of Anchoring on Burial Depth of Submarine Pipelines.

Directory of Open Access Journals (Sweden)

Yuan Zhuang

Full Text Available Since the beginning of the twenty-first century, there has been widespread construction of submarine oil-gas transmission pipelines due to an increase in offshore oil exploration. Vessel anchoring operations are causing more damage to submarine pipelines due to shipping transportation also increasing. Therefore, it is essential that the influence of anchoring on the required burial depth of submarine pipelines is determined. In this paper, mathematical models for ordinary anchoring and emergency anchoring have been established to derive an anchor impact energy equation for each condition. The required effective burial depth for submarine pipelines has then been calculated via an energy absorption equation for the protection layer covering the submarine pipelines. Finally, the results of the model calculation have been verified by accident case analysis, and the impact of the anchoring height, anchoring water depth and the anchor weight on the required burial depth of submarine pipelines has been further analyzed.

An Experimental Research on the pCI Rule and Causal Judgment (in Chinese)

OpenAIRE

Shao, Z. F.; Wang, J.

2005-01-01

This research examined the precision of the pCI rule through three experiments. The results show that first , the tendency of the subjects’ casual judgments was basically similar to the pCI rule. But (a + d) / n predicted human’s casual judgments were even better; second, the increase of subjects’ casual judgments was milder than the pCI rule, and the subjects needed time to construct their own way of judging relationship; finally, different people had different ways of causal judgments, and ...

Effect of intracoronary injection of tirofiban combined with anisodamine on myocardial perfusion in patients with STEMI after PCI

Directory of Open Access Journals (Sweden)

Xiao-Gang Zhu

2016-10-01

Full Text Available Objective: To analyze the effect of intracoronary injection of tirofiban combined with anisodamine on myocardial perfusion in patients with STEMI after PCI. Methods: A total of 78 patients with acute ST segment elevation myocardial infarction (STEMI who received PCI therapy in our hospital were randomly divided into control group and observation group, control group accepted routine PCI treatment, observation group received intracoronary injection of tirofiban and anisodamine in PCI, and myocardial perfusion of two groups was compared. Results: QRS duration values of observation group the instant after PCI and 4h after PCI were less than those of control group (P<0.05; 99mTc-MIBI and 18F-FDG intake of observation group after PCI were more than those of control group (P<0.05; serum MCP-1, sFas, Copeptin, OPN and vWF levels of observation group 4 h after PCI were lower than those of control group (P<0.05. Conclusions: Intracoronary injection of tirofiban combined with anisodamine can optimize myocardial perfusion in patients with STEMI after PCI, and has positive clinical significance.

Parallel data grabbing card based on PCI bus RS422

International Nuclear Information System (INIS)

Zhang Zhenghui; Shen Ji; Wei Dongshan; Chen Ziyu

2005-01-01

This article briefly introduces the developments of the parallel data grabbing card based on RS422 and PCI bus. It could be applied for grabbing the 14 bits parallel data in high speed, coming from the devices with RS422 interface. The methods of data acquisition which bases on the PCI protocol, the functions and their usages of the chips employed, the ideas and principles of the hardware and software designing are presented. (authors)

Enhancing Submarine Operational Relevance: A Leadership Challenge

National Research Council Canada - National Science Library

Daigle, Jr, Michael J

2008-01-01

.... This vision of submarine operations must change. As the military continues to shift to operations focused on joint capabilities, the submarine force must break from the closed, protective, and risk averse culture of its past and push forward...

Are PCI Service Volumes Associated with 30-Day Mortality? A Population-Based Study from Taiwan.

Science.gov (United States)

Yu, Tsung-Hsien; Chou, Ying-Yi; Wei, Chung-Jen; Tung, Yu-Chi

2017-11-09

The volume-outcome relationship has been discussed for over 30 years; however, the findings are inconsistent. This might be due to the heterogeneity of service volume definitions and categorization methods. This study takes percutaneous coronary intervention (PCI) as an example to examine whether the service volume was associated with PCI 30-day mortality, given different service volume definitions and categorization methods. A population-based, cross-sectional multilevel study was conducted. Two definitions of physician and hospital volume were used: (1) the cumulative PCI volume in a previous year before each PCI; (2) the cumulative PCI volume within the study period. The volume was further treated in three ways: (1) a categorical variable based on the American Heart Association's recommendation; (2) a semi-data-driven categorical variable based on k-means clustering algorithm; and (3) a data-driven categorical variable based on the Generalized Additive Model. The results showed that, after adjusting the patient-, physician-, and hospital-level covariates, physician volume was associated inversely with PCI 30-day mortality, but hospital volume was not, no matter which definitions and categorization methods of service volume were applied. Physician volume is negatively associated with PCI 30-day mortality, but the results might vary because of definition and categorization method.

Relationship between work stress and health in submariners

Directory of Open Access Journals (Sweden)

Nan-nan JIANG

2013-09-01

Full Text Available Objective　To explore the relationship between work stress and health in submariners. Methods　In April 2008, 272 submariners trained in a navy base were selected as study subjects by random group sampling method, and tested by primary personal information questionnaire, self-rated health measurement scale (SRHMS, self-developed submariners' work stressors questionnaire, and work stress self-rated scale. Physical health, mental health and social health of submariners were analyzed, and scores were compared with the norm of reference scores. Correlations were analyzed respectively between 10 items of submariners' general information (including age, length of military service, education degree, years at the present post, times of receiving awards, on-duty hours, off-duty hours, hours of sleep, lost days of leave, positive attitude to work and their physical health score, mental health score, social health score, total health score, as well as between 15 submariners' work stressors (including workrelated risks, diet problems, high temperature, humidity and noise in workplace, shortage of clean clothes, illness, losing contact with outside, lack of information about the task, lacking supports from family members, relationship problems, lack of involvement in task decisions, boring and dull work, on duty, heavy work, high quality of work, coping with unexpected threat and their physical health score, mental health score, social health score and total health score. Results　No significant difference was found between submariners' SRHMS total score and the normal referenced score (t=0.56, P>0.05, but the physical health score and mental health score were significantly lower than normal referenced scores respectively (t=–2.172, P<0.05; t=–3.299, P<0.01, and the social health score was significantly higher than normal referenced score (t=9.331, P<0.001. The age, length of military service, years at present post of submariners were related

Submarine Landslides: What we Know and Where we are Going!

Science.gov (United States)

Moscardelli, L. G.; Mountjoy, J. J.; Micallef, A.; Strasser, M.; Vanneste, M.; Chaytor, J. D.; Mosher, D.; Krastel, S.; Lo Iacono, C.; Yamada, Y.

2015-12-01

Submarine landslides and other gravity-induced movements can disrupt very large areas of continental margins resulting in long-term seafloor morphologic change and multi-scale mass transport deposits (MTDs). Potential consequences of submarine landslides include damage to seabed infrastructure, offshore facilities, as well as generation or enhancement of tsunamis. MTDs are common on the modern seafloor and within the stratigraphic record. Slides, slumps and debris flows can be constituents of MTDs and can co-occur in the same event or depositional unit. Recent research indicates that relationships exist between MTD geological setting, causal mechanisms, and geometries. Quantitative data analysis suggests that MTD morphometric parameters can be used to link these three parameters. Despite many advances in this field, it still remains unclear how to definitively identify pre-conditioning factors and triggers of submarine landslides in modern slopes, and how submarine landslides evolve after initiation. In addition, new questions regarding the interaction between submarine landslides and active marine processes, such as bottom currents and fluid flow, have emerged.One of the mandates of the S4SLIDE (IGCP-640) project, a joint endeavor of UNESCO and IGCP that represents the broad field of submarine landslide research, is to facilitate interactions at an international level among scientists, industry and government representatives to advance our knowledge on a number of outstanding science questions: (i) What is the nature of the interaction between current-controlled sedimentation and submarine landslides? (ii) What role do transient turbulent-laminar flows play in the formation of submarine landslides? (iii) Do climatic variations control the occurrence of submarine landslides? (iv) What is the economic significance of submarine landslides? (v) Do we understand the hazards that submarine landslides pose to the environment and to humans? This presentation will cover

The Bruton tyrosine kinase inhibitor PCI-32765 ameliorates autoimmune arthritis by inhibition of multiple effector cells

Science.gov (United States)

2011-01-01

Introduction The aim was to determine the effect of the Bruton tyrosine kinase (Btk)-selective inhibitor PCI-32765, currently in Phase I/II studies in lymphoma trials, in arthritis and immune-complex (IC) based animal models and describe the underlying cellular mechanisms. Methods PCI-32765 was administered in a series of murine IC disease models including collagen-induced arthritis (CIA), collagen antibody-induced arthritis (CAIA), reversed passive anaphylactic reaction (RPA), and passive cutaneous anaphylaxis (PCA). Clinical and pathologic features characteristic of each model were examined following treatment. PCI-32765 was then examined in assays using immune cells relevant to the pathogenesis of arthritis, and where Btk is thought to play a functional role. These included proliferation and calcium mobilization in B cells, cytokine and chemokine production in monocytes/macrophages, degranulation of mast cells and its subsequent cytokine/chemokine production. Results PCI-32765 dose-dependently and potently reversed arthritic inflammation in a therapeutic CIA model with an ED50 of 2.6 mg/kg/day. PCI-32765 also prevented clinical arthritis in CAIA models. In both models, infiltration of monocytes and macrophages into the synovium was completely inhibited and importantly, the bone and cartilage integrity of the joints were preserved. PCI-32765 reduced inflammation in the Arthus and PCA assays. In vitro, PCI-32765 inhibited BCR-activated primary B cell proliferation (IC50 = 8 nM). Following FcγR stimulation, PCI-32765 inhibited TNFα, IL-1β and IL-6 production in primary monocytes (IC50 = 2.6, 0.5, 3.9 nM, respectively). Following FcεRI stimulation of cultured human mast cells, PCI-32765 inhibited release of histamine, PGD2, TNF-α, IL-8 and MCP-1. Conclusions PCI-32765 is efficacious in CIA, and in IC models that do not depend upon autoantibody production from B cells. Thus PCI-32765 targets not only B lymphocytes but also monocytes, macrophages and mast cells

PAPP-A and IGFBP-4 fragment levels in patients with ST-elevation myocardial infarction treated with heparin and PCI

DEFF Research Database (Denmark)

Hjortebjerg, Rikke; Lindberg, Søren; Hoffmann, Søren

2015-01-01

-segment elevation myocardial infarction (STEMI) treated with percutaneous coronary intervention (PCI). Prior to PCI, patients were injected with 10,000IU of unfractionated heparin (UFH). Blood samples were collected immediately before PCI, but after UFH-injection, immediately after PCI and on day 1 and day 2....... Plasma IGFBP-4, CT-IGFBP-4 and NT-IGFBP-4 levels were determined by specific, novel immunoassays, and PAPP-A and IGF-I by commercial immunoassays. RESULTS: Plasma PAPP-A was strongly elevated upon STEMI, UFH-administration and PCI with mean concentrations (95%-confidence interval) pre-PCI, post-PCI, day...... 1, and day 2 of 13.0 (11.2;15.2), 14.8 (13.1;16.8), 1.03 (0.90;1.18), and 1.08 (0.92;1.28) μg/L, respectively (pPCI concentrations of IGFBP-4, CT-IGFBP-4 and NT-IGFBP-4 were 154 (142;166), 53 (47;60) and 136 (122;150) μg/L, and levels were unaltered post-PCI. Concentrations increased...

APC-PCI complex levels for screening of AAA in patients with peripheral atherosclerosis.

Science.gov (United States)

Zarrouk, Moncef; Keshavarz, Kave; Lindblad, Bengt; Gottsäter, Anders

2013-11-01

To evaluate the use of activated protein C-protein C inhibitor (APC-PCI) complex levels for detection of abdominal aortic aneurysm (AAA) in patients with peripheral atherosclerotic disease (PAD). APC-PCI levels and aortic diameter evaluated in 511 PAD patients without previously known AAA followed-up concerning survival for 4.8(0.5) years. AAA was found in 13% of patients. Aortic diameter correlated (r = 0.138; p = 0.002) with APC-PCI levels which were higher (0.40[0.45] vs. 0.30[0.49] μg/l; p = 0.004) in patients with AAA. This difference persisted in multivariate analysis (p = 0.029). A threshold value of APC-PCI ≥0.15 μg/L showed a specificity of 11%, a sensitivity of 97% and a negative predictive value of 96% for an AAA diagnosis. APC-PCI levels were higher in patients with AAA, and showed high sensitivity but low specificity for the diagnosis and can therefore not be considered as a screening tool in PAD patients. An AAA prevalence of 13% in patients with PAD indicates a need for AAA screening within this population.

Primary pci in st elevation myocardial infarction : an experience at afic/nihd rawalpindi

International Nuclear Information System (INIS)

Saif, M.; Khan, H.S.; Kha, M.N.; Maken, G.R.

2013-01-01

Objective: To evaluate the practicability, safety, and efficacy of primary percutaneous coronary intervention as a therapeutic option in acute ST elevation Myocardial Infarction (STEMI). Study Design: Descriptive study. Place and Duration of Study: The study was carried out in Armed Forces Institute of Cardiology- National Institute of Heart Diseases (AFIC-NIHD) from 18th October 2011 to 30th November 2011. Patients and Methods: All patients presenting with acute STEMI were offered primary PCI. Patients who chose primary PCI as a mode of reperfusion were included in the study. Informed consent was taken and detailed questionnaire was filled for those patients who fulfilled the study criteria. Results: Our initial experience of primary PCI in 33 patients with ST elevation MI has revealed some favourable statistics. Only 01 (3.0%) patient died during hospital stay following the procedure. Thirty two (97%) patients had an uneventful recovery and were successfully discharged 48-72 hours following PCI. Conclusion: We have shown that primary PCI is a viable therapeutic option and can be performed in public sector tertiary care hospitals with excellent immediate, short and long term outcomes despite relatively long symptom onset to emergency room and door-to-balloon times. (author)

PCI Based Read-out Receiver Card in the ALICE DAQ System

CERN Document Server

Carena, W; Dénes, E; Divià, R; Schossmaier, K; Soós, C; Sulyán, J; Vascotto, Alessandro; Van de Vyvre, P

2001-01-01

The Detector Data Link (DDL) is the high-speed optical link for the ALICE experiment. This link shall transfer the data coming from the detectors at 100 MB/s rate. The main components of the link have been developed: the destination Interface Unit (DIU), the Source Interface Unit (SIU) and the Read-out Receiver Card (RORC). The first RORC version is based on the VME bus. The performance tests show that the maximum VME bandwidth could be reached. Meanwhile the PCI bus became very popular and is used in many platforms. The development of a PCI-based version has been started. The document describes the prototype version in three sections. An overview explains the main purpose of the card: to provide an interface between the DDL and the PCI bus. Acting as a 32bit/33MHz PCI master the card is able to write or read directly to or from the system memory from or to the DDL, respectively. Beside these functions the card can also be used as an autonomous data generator. The card has been designed to be well adapted to ...

Experimental investigation of mouse kidney aging with SR PCI technology

Science.gov (United States)

Yifeng, P.; Zehua, Z.; Guohao, D.; Tiqiao, X.; Hongjie, X.; Peiping, Z.

2013-08-01

Objective. Basing on the coherence character of the Synchrotron radiation (SR), the mouse kidney study is performed using the propagation-based phase-contrast imaging (PCI) technology which as one approach of the phase contrasts imaging (PCI). The aim of this paper was to visualize the kidney at different ages and evaluate the latent value of aging mechanism with SR phase contrast imaging technology. Methods. The experiments were performed at the BL13W1 line of the SSRF (the Shanghai synchrotron radiation facility), the samples were soaked in 10% formalin solution, the mouse kidneys at different ages were imaged on the shelf in the propagation-based phase-contrast imaging setup and captured with CCD. The captured images were analyzed and compared. Results. When the distance is 50 cm between the samples and imaging plate, good contrast and high resolution were obtained in the propagation-based phase-contrast imaging (PCI), as such renal capsule revealed well, and the resolution reach to 30 micron; there is significant difference in the shape and vessels structures among the mouse kidneys at different age. Conclusion. The PCI is good for the applying of main light element organization imaging, the difference in shape and vessels structure between the young and old mouse kidney maybe indicated at some extent with the propagation-based phase-contrast imaging technology.

100 Gbps PCI-Express readout for the LHCb upgrade

International Nuclear Information System (INIS)

Durante, P.; Neufeld, N.; Schwemmer, R.; Balbi, G.; Marconi, U.

2015-01-01

We present a new data acquisition system under development for the next upgrade of the LHCb experiment at CERN. We focus in particular on the design of a new generation of readout boards, the PCIe40, and on the viability of PCI-Express as an interconnect technology for high speed readout. We show throughput measurements across the PCI-Express bus, on Altera Stratix 5 devices, using a DMA mechanism and different synchronization schemes between the FPGA and the readout unit. Finally we discuss hardware and software design considerations necessary to achieve a data throughput of 100 Gbps in the final readout board

Photochemical internalization (PCI) of bleomycin is equally effective in two dissimilar leiomyosarcoma xenografts in athymic mice.

Science.gov (United States)

Sellevold, Simen; Peng, Qian; Fremstedal, Ane Sofie Viset; Berg, Kristian

2017-12-01

Photochemical internalization (PCI) is a novel technique for delivery of active macromolecules into cancerous cells, via light activation of a specific photosensitizer and a low dose systemic drug. Numerous pre-clinical studies and one clinical trial have confirmed the treatment potential in carcinomas. Soft tissue sarcomas are rare and generally resistant to radio- and chemotherapy. Due to treatment resistance and surgical morbidity in sarcoma care, we seek to increase knowledge on PCI effects in sarcomas by studying two different, but closely related leiomyosarcomas. MES-SA and SK-LMS-1 tumours were established in the leg muscles of athymic mice. Treatment effects after AlPcS 2a -PCI of bleomycin, PCI with no drug (photodynamic therapy, PDT) and control groups were evaluated by: 1) assessment of tumour growth, 2) uptake of contrast agent during MRI and 3) histopathology. PCI of bleomycin induced a similar and significant increase in time to reach the end point in both tumour models, while neither responded to AlPcS 2a -PDT. In the MES-SA tumours PCI reduced the growth rate, while in the SK-LMS-1 tumours the growth was blocked for 12days followed by exponential growth close to that of untreated tumours. SK-LMS-1 tumours were more homogenously and better vascularized than MES-SA. After PCI the vascular shutdown was more complete in the SK-LMS-1 tumours than in the MES-SA tumours. AlPcS2a-based PCI, but not PDT, induced significant tumour growth delay in the evaluated sarcomas. Cellular responsiveness to bleomycin and tumour vascularity are identified as predictive markers for PCI treatment effects. Copyright © 2017 Elsevier B.V. All rights reserved.

PCI is Not Predictive of Survival After Complete CRS/HIPEC in Peritoneal Dissemination from High-Grade Appendiceal Primaries.

Science.gov (United States)

Votanopoulos, Konstantinos Ioannis; Bartlett, David; Moran, Brendan; Haroon, Choudry M; Russell, Greg; Pingpank, James F; Ramalingam, Lekshmi; Kandiah, Chandrakumaran; Chouliaras, Konstantinos; Shen, Perry; Levine, Edward A

2018-03-01

Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy (CRS/HIPEC) is a treatment option in patients with carcinomatosis from high-grade appendiceal (HGA) primaries. It is unknown if there is a Peritoneal Carcinomatosis Index (PCI) upper limit above which a complete CRS/HIPEC does not assure long-term survival. Retrospective analysis from three centers was performed. The PCI was used to grade volume of of disease. Survival in relation to PCI was studied on patients with complete cytoreduction. Overall, 521 HGA patients underwent CRS/HIPEC from 1993 to 2015, with complete CRS being achieved in 50% (260/622). Mean PCI was 14.8 (standard deviation 8.7, range 0-36). Median survival for the complete CRS cohort was 6.1 years, while 5- and 10-year survival was 51.7% (standard error [SE] 4.6) and 36.1% (SE 6.3), respectively. Arbitrary cut-off PCI limits with 5-point splits (p = 0.63) were not predictive of a detrimental effect on survival as long as a complete CRS was achieved. A linear effect of the PCI on survival (p = 0.62) was not observed, and single-point PCI cohort splits within a PCI range of  10 were not predictive of survival for complete CRS patients. The PCI correlated with the ability to achieve a complete CRS, with a mean PCI of 14.7 (8.7) for completeness of cytoreduction (CC)0, 22.3 (7.8) for CC1 and 26.1 (9.5) for CC2/3 resections (p = 0.0001, hazard ratio 1.12, 95% confidence interval 1.09), with an HR of 1.15 for each 1-unit increase in the PCI score. Only 21% of the cohort achieved a complete CRS with a PCI ≥ 21. The PCI correlates with the ability to achieve a complete CRS in carcinomatosis from HGA. PCI is not associated with survival as long as a complete CRS can be achieved.

Controversies in the treatment of patients with STEMI and multivessel disease: is it time for PCI of all lesions?

Science.gov (United States)

Ong, Peter; Sechtem, Udo

2016-06-01

Several randomized trials have suggested a benefit for multivessel PCI in patients with STEMI and multivessel disease. However, none of the studies compared multivessel PCI with a staged PCI-approach which is the current guideline recommended approach. The results of the trials may overestimate the beneficial effect of the multivessel PCI approach because the control group did not receive any ischaemia testing for evaluation of the significance of remaining lesions. Thus, unfavourable aspects of the multivessel PCI approach such as overestimation of non-culprit lesions at the time of acute coronary angiography, complications associated with PCI of the non-culprit lesion (i.e. dissection, no-reflow, acute stent thrombosis) or increased risk for contrast induced nephropathy may have gone unnoticed as the comparative management pathway was unusual and likely inferior to the guideline recommended approach. We believe that culprit lesion only PCI and staged evaluation of remaining areas of myocardial ischaemia with subsequent PCI is still preferable in patients with STEMI and multivessel disease but a randomized study comparing this approach with multivessel PCI is needed.

Operation with monosequences in ASEA-ATOM BWR. A way of reducing the impact of PCI

International Nuclear Information System (INIS)

Olsson, S.

1981-01-01

The energy loss due to PCI restrictions for a start-up after refuelling (or after sequence exchange) is about 18 EFPH (Effective Full Power Hours). All ASEA-ATOM BWRs are equipped with fine motion control rod drives (FMCRD), which makes it possible to withdraw control rods at full power in acceptably small steps (1.8 cm) from the PCI point of view. Thus burnup compensation can always be done without any energy loss due to PCI-restrictions. The ASEA-ATOM PCI-related operating restrictions are described and their implication on the operations of an ASEA-ATOM BWR is discussed. It was shown how the energy generation losses due to PCI-restrictions could be reduced to a minimum, by proper use of continuous motion screw-type control rod drives and high-capacity recirculation pumps, together with advanced use of burnable absorber, and refined refuelling schemes. Monosequence Operation (MSO) has reduced energy generation losses due to PCI-restrictions from about 1% to about 0.4%. MSO has been in routine use in Swedish BWRs since 1977 and during 1980 the fourteenth successful MSO-cycle has been completed

The effects of tirofiban infusion on clinical and angiographic outcomes of patients with STEMI undergoing primary PCI.

Science.gov (United States)

Kaymaz, Cihangir; Keleş, Nurşen; Özdemir, Nihal; Tanboğa, İbrahim Halil; Demircan, Hacer C; Can, Mehmet M; Koca, Fatih; İzgi, İbrahim Akın; Özkan, Alper; Türkmen, Muhsin; Kırma, Cevat; Esen, Ali M

2015-11-01

The present study was designed to determine the effects of tirofiban (Tiro) infusion on angiographic measures, ST-segment resolution, and clinical outcomes in patients with STEMI undergoing PCI. Glycoprotein (GP) IIb/IIIa inhibitors are beneficial in ST-segment elevation myocardial infarction (STEMI) patients undergoing percutaneous coronary intervention (PCI), while the most effective timing of administration is still under investigation. A total of 1242 patients (83.0% males, mean (standard deviation; SD) age: 54.7 (10.9) years) with STEMI who underwent primary PCI were included in this retrospective non-randomized study in four groups, composed of no tirofiban infusion [Tiro (-); n=248], tirofiban infusion before PCI (pre-Tiro; n=720), tirofiban infusion during PCI (peri-Tiro; n=50), and tirofiban infusion after PCI (post-Tiro; n=224). In all Tiro (+) patients, bolus administration of Tiro (10 µg/kg) was followed by infusion (0.15 µg/kg/min) for a mean (SD) duration of 22.4±6.8 hours. The pre-PCI Tiro group was associated with the highest percentage of patients with TIMI 3 flow (99.4%; p75% ST-segment resolution (78.1%; pPCI significantly improves myocardial reperfusion, ST-segment resolution, in-hospital mortality rate, and in-hospital sudden cardiac death in patients with STEMI with no increased risk of major bleeding.

Improvement in Care and Outcomes for Emergency Medical Service-Transported Patients With ST-Elevation Myocardial Infarction (STEMI) With and Without Prehospital Cardiac Arrest: A Mission: Lifeline STEMI Accelerator Study.

Science.gov (United States)

Kragholm, Kristian; Lu, Di; Chiswell, Karen; Al-Khalidi, Hussein R; Roettig, Mayme L; Roe, Matthew; Jollis, James; Granger, Christopher B

2017-10-11

Patients with ST-elevation myocardial infarction (STEMI) with out-of-hospital cardiac arrest (OHCA) may benefit from direct transport to a percutaneous cardiac intervention (PCI) hospital but have previously been less likely to bypass local non-PCI hospitals to go to a PCI center. We reported time trends in emergency medical service transport and care of patients with STEMI with and without OHCA included from 171 PCI-capable hospitals in 16 US regions with participation in the Mission: Lifeline STEMI Accelerator program between July 1, 2012, and March 31, 2014. Time trends by quarter were assessed using logistic regression with generalized estimating equations to account for hospital clustering. Of 13 189 emergency medical service-transported patients, 88.7% (N=11 703; 10.5% OHCA) were taken directly to PCI hospitals. Among 1486 transfer-in patients, 21.7% had OHCA. Direct transport to a PCI center for OHCA increased from 74.7% (July 1, 2012) to 83.6% (March 31, 2014) (odds ratio per quarter, 1.07; 95% confidence interval, 1.02-1.14), versus 89.0% to 91.0% for patients without OHCA (odds ratio, 1.03; 95% confidence interval, 0.99-1.07; interaction P =0.23). The proportion with prehospital ECGs increased for patients taken directly to PCI centers (53.9%-61.9% for those with OHCA versus 73.9%-81.9% for those without OHCA; interaction P =0.12). Of 997 patients with OHCA taken directly to PCI hospitals and treated with primary PCI, first medical contact-to-device times within the guideline-recommended goal of ≤90 minutes were met for 34.5% on July 1, 2012, versus 41.8% on March 31, 2014 (51.6% and 56.1%, respectively, for 9352 counterparts without OHCA; interaction P =0.72). Direct transport to PCI hospitals increased for patients with STEMI with and without OHCA during the 2012 to 2014 Mission: Lifeline STEMI Accelerator program. Proportions with prehospital ECGs and timely reperfusion increased for patients taken directly to PCI hospitals. © 2017 The Authors

The Factor Structure and Psychometric Properties of the Persian Version of the Revised Prenatal Coping Inventory (Nu-PCI).

Science.gov (United States)

Faramarzi, Mahbobeh; Pasha, Hajar; Khafri, Sorayya; Heidary, Shima

2017-03-01

Familiarity with coping strategies is essential for stress management during pregnancy. The Revised Prenatal Coping Inventory (Nu-PCI) was developed to assess coping strategies during pregnancy. This study aimed to assess the factor structure and psychometric properties of the Persian version of the Nu-PCI. After forward-backward translation, the Nu-PCI was administered to 210 pregnant women who were enrolled in two teaching referral clinics in the North of the Islamic Republic of Iran (Babol). The participants completed the Persian Nu-PCI and Ways of Coping Questionnaire (WCQ), which was used to determine the validity of the Persian Nu-PCI. To test construct validity of the Persian Nu-PCI, a principal components factor analysis was performed. Principal components analysis with varimax rotation showed a best fitting 3-factor structure similar to the original with three coping subscales: planning-preparation, avoidance, and spiritual-positive coping. The Persian Nu-PCI was internally consistent and within the acceptable range (α=0.89-0.97). The alpha coefficients for the Nu-PCI and the subscales of planning-preparation, avoidance, and spiritual-positive coping were high. Test-retest coefficients for the Nu-PCI and subscales were 0.98-0.99. The Nu-PCI and its subscales correlated with the WCQ in the entire sample and within each trimester. The Persian version of the Nu-PCI and the subscales of planning-preparation, avoidance, and spiritual-positive coping represent the first reliable standardized tool for measuring coping strategies during pregnancy in the Islamic Republic of Iran. Therefore, it can be applied as a quick and accurate preliminary screening tool for evaluating coping strategies throughout pregnancy in clinics and other medical and research settings.

Chemical environments of submarine hydrothermal systems

Science.gov (United States)

Shock, Everett L.

1992-01-01

Perhaps because black-smoker chimneys make tremendous subjects for magazine covers, the proposal that submarine hydrothermal systems were involved in the origin of life has caused many investigators to focus on the eye-catching hydrothermal vents. In much the same way that tourists rush to watch the spectacular eruptions of Old Faithful geyser with little regard for the hydrology of the Yellowstone basin, attention is focused on the spectacular, high-temperature hydrothermal vents to the near exclusion of the enormous underlying hydrothermal systems. Nevertheless, the magnitude and complexity of geologic structures, heat flow, and hydrologic parameters which characterize the geyser basins at Yellowstone also characterize submarine hydrothermal systems. However, in the submarine systems the scale can be considerably more vast. Like Old Faithful, submarine hydrothermal vents have a spectacular quality, but they are only one fascinating aspect of enormous geologic systems operating at seafloor spreading centers throughout all of the ocean basins. A critical study of the possible role of hydrothermal processes in the origin of life should include the full spectrum of probable environments. The goals of this chapter are to synthesize diverse information about the inorganic geochemistry of submarine hydrothermal systems, assemble a description of the fundamental physical and chemical attributes of these systems, and consider the implications of high-temperature, fluid-driven processes for organic synthesis. Information about submarine hydrothermal systems comes from many directions. Measurements made directly on venting fluids provide useful, but remarkably limited, clues about processes operating at depth. The oceanic crust has been drilled to approximately 2.0 km depth providing many other pieces of information, but drilling technology has not allowed the bore holes and core samples to reach the maximum depths to which aqueous fluids circulate in oceanic crust. Such

Monitoring of the nuclear submarine Komsomolets

Energy Technology Data Exchange (ETDEWEB)

Heldal, Hilde E.; Flo, Janita K.; Liebig, Penny L. [Institute of Marine Research, P. O. Box 1870 Nordnes, N-5817 Bergen (Norway); Gaefvert, Torbjoern; Rudjord, Anne Liv [Norwegian Radiation Protection Authority, P.O. Box 55, N-1332 Oesteraas (Norway); Gwynn, Justin P. [Norwegian Radiation Protection Authority, The Fram Centre, N-9296 Tromsoe (Norway)

2014-07-01

The Soviet nuclear submarine Komsomolets sank on the 7 April 1989, 180 km southwest of Bear Island in the Norwegian Sea to a depth of about 1655 m. The submarine contains one nuclear reactor containing long-lived radionuclides such as cesium-137 ({sup 137}Cs) along with other fission and activation products, in addition to 2 mixed uranium/plutonium nuclear warheads containing weapons grade plutonium. Although several model studies have shown that a radioactive leakage from Komsomolets will have insignificant impact on fish and other marine organisms, there are still public concerns about the condition of the submarine and the potential for radioactive leakage. In order to document the contamination levels and to meet public concerns, monitoring of radioactive contamination in the area adjacent to the submarine has been ongoing since 1993. Samples of bottom seawater and sediments have been collected annually by the Institute of Marine Research (IMR) and have been analysed for {sup 137}Cs and plutonium-239,240 ({sup 239,240}Pu). So far, activity concentrations in the samples have been comparable to levels found in other samples from the Norwegian and Barents Seas. During sampling from R/V 'G. O. Sars' in April 2013, an area of about 1 km{sup 2} of the seabed around Komsomolets was mapped to precisely locate the submarine using a Kongsberg EM302 multibeam echo sounder, a Simrad EK60 single beam echo sounder and an Olex 3D bottom-mapping system. For sediment sampling, a Simrad MST342 mini-transponder was attached to a Smoegen box corer to allow for precise positioning of the corer. With the aid of the Kongsberg HiPAP (High Precision Acoustic Positioning) system, 4 box cores were collected around the submarine at a distance of 10 to 20 m. In addition, one box core was collected from a reference station about 100 m upstream of the submarine. Surface sediments and sediment cores were collected from the box cores taken at each sampling location. Sediment cores

Femoral Access PCI in a Default Radial Center Identifies High-Risk Patients With Poor Outcomes.

Science.gov (United States)

Uddin, Muezz; Bundhoo, Shantu; Mitra, Rito; Ossei-Gerning, Nicholas; Morris, Keith; Anderson, Richard; Kinnaird, Tim

2015-10-01

Increasingly the trans-radial route (TRR) is preferred over the trans-femoral route (TFR) for PCI. However, even in high volume default TRR centers a cohort of patients undergo TFR PCI. We examined the demographics, procedural characteristics, and outcomes of patients undergoing PCI via the TF. The patient demographics, procedural data, and outcomes of 5,379 consecutive patients undergoing PCI at a default radial center between 2009 and 2012 were examined. Major bleeding (MB) was classified by ACUITY and BARC definitions. A total of 559 (10.4%) patients underwent PCI via the TFR and 4,820 patients via the TRR (89.6%). Baseline variables associated with TFR were shock, previous CABG, chronic total occlusion intervention, rotablation/laser use, female sex, and renal failure. Sixty-five patients of the TFR cohort (11.6%) experienced MB with 27 (41.5%) being access site related. MB was significantly more frequent than in the radial cohort. The variables independently associated with MB in the TFR cohort were renal failure, acute presentation, shock, and age. In the TFR, patients with MB mortality was high at 30 days (17.2% vs 2.6% for no MB, P default radial PCI center 10% of patients undergo PCI via the femoral artery. These patients have high baseline bleeding risk and undergo complex interventions. As a result the incidence of major bleeding, transfusion and death are high. Alternative strategies are required to optimize outcomes in this select group. © 2015, Wiley Periodicals, Inc.

Submarine fans: A critical retrospective (1950–2015

Directory of Open Access Journals (Sweden)

G. Shanmugam

2016-04-01

Full Text Available When we look back the contributions on submarine fans during the past 65 years (1950–2015, the empirical data on 21 modern submarine fans and 10 ancient deep-water systems, published by the results of the First COMFAN (Committee on FANs Meeting (Bouma et al., 1985a, have remained the single most significant compilation of data on submarine fans. The 1970s were the “heyday” of submarine fan models. In the 21st century, the general focus has shifted from submarine fans to submarine mass movements, internal waves and tides, and contourites. The purpose of this review is to illustrate the complexity of issues surrounding the origin and classification of submarine fans. The principal elements of submarine fans, composed of canyons, channels, and lobes, are discussed using nine modern case studies from the Mediterranean Sea, the Equatorial Atlantic, the Gulf of Mexico, the North Pacific, the NE Indian Ocean (Bay of Bengal, and the East Sea (Korea. The Annot Sandstone (Eocene–Oligocene, exposed at Peira-Cava area, SE France, which served as the type locality for the “Bouma Sequence”, was reexamined. The field details are documented in questioning the validity of the model, which was the basis for the turbidite-fan link. The 29 fan-related models that are of conceptual significance, developed during the period 1970–2015, are discussed using modern and ancient systems. They are: (1 the classic submarine fan model with attached lobes, (2 the detached-lobe model, (3 the channel-levee complex without lobes, (4 the delta-fed ramp model, (5 the gully-lobe model, (6 the suprafan lobe model, (7 the depositional lobe model, (8 the fan lobe model, (9 the ponded lobe model, (10 the nine models based on grain size and sediment source, (11 the four fan models based on tectonic settings, (12 the Jackfork debrite model, (13 the basin-floor fan model, (14 supercritical and subcritical fans, and (15 the three types of fan reservoirs. Each model is unique

Improved Submariner Eyewear for Routine Wear and Emergency Equipment Use Underway

Science.gov (United States)

2010-01-15

information. 2.0 DESCRIPTION Naval Submarine Medical Research Laboratory (NSMRL) is seeking information from the eyewear industry that will provide...Improved Submariner Eyewear for Routine Wear and Emergency Equipment Use Underway by Alison America, MA Wayne G. Horn, MD...Submariner Eyewear for Routine Wear and Emergency Equipment Use Underway 50818 Alison America, MA Wayne G. Horn, MD Naval Submarine Medical Research

Prognostic relevance of PCI-related myocardial infarction

NARCIS (Netherlands)

Woudstra, Pier; Grundeken, Maik J.; van de Hoef, Tim P.; Wallentin, Lars; Fox, Keith A.; de Winter, Robbert J.; Damman, Peter

2013-01-01

Procedure-related myocardial infarction (pMI) is directly associated with a coronary revascularization procedure, such as percutaneous coronary intervention (PCI) or CABG surgery. In contrast to spontaneous myocardial infarction (MI), the prognostic relevance of pMI is the subject of ongoing debate.

VICTORIA Class Submarine Human-in-the-Loop Experimentation Plan

Science.gov (United States)

2014-06-01

1472G. VICTORIA Class Submarine Human-in-the-Loop Experimentation Plan and Preliminary Results © Her Majesty the Queen in Right of...19 th International Command and Control Research and Technology Symposium Title: VICTORIA Class Submarine Human-in-the-Loop...TYPE 3. DATES COVERED 00-00-2014 to 00-00-2014 4. TITLE AND SUBTITLE VICTORIA Class Submarine Human-in-the-Loop Experimentation Plan 5a. CONTRACT

[Effects of PCI-32765 and Dasatinib on the Acute Lymphoblastic Leukemic Cells and Their Mechanisms].

Science.gov (United States)

Deng, Yuan; Tao, Shan-Dong; Zhang, Xin; Ma, Jing-Jing; He, Zheng-Mei; Chen, Yue; Deng, Zhi-Kui; Yu, Liang

2017-02-01

To investigate the effects of Btk inhibitor (PCI-32765) and BCR-ABL tyrosine kinase inhibitor (Dasatinib) on proliferation and apoptosis of acute lymphoblastic leukemia (ALL) cell lines (Sup-B15, RS4;11) and the possible mechanism. RS4;11 and Sup-B15 cells were treated with PCI-32765 and Dasatinib, the cell proliferation and apoptosis were detected by CCK-8, the Btk and other apoptotic proteins were detected by Western blot. PCI-32765 could inhibit the proliferation of RS4;11 and Sup-B15 cells in a dose-dependent manner, Sup-B15 cells were more sensitive to PCI-32765 than RS4;11 cells, their IC 50 were 3 µmol/L and 8 µmol/L respectively, the difference between them was statistically significant (PPCI-32765(PPCI-32765 or Dasatinib alone group and the combination group at the different time-point (8, 12, 24, 36, 48 and 72 h), the 2 drugs showed a synergistic effect on cells in a time-dependent manner. After being treated with PCI-32765 and Dasatinib, the RS4;11 and Sup-B15 cells showed that cell shrinkage, increase of cytoplasmic density, nuclear pyknosis, deviation and karyorrhexis, and increase of the apoptotic cells in the combination group, while the promotive effect of low dosage dasatinib on apoptosis of RS4;11 cells was not strong. PCI-32765 and Dasatinib could decrease the expression and activity of BCR-ABL, Btk, Lyn, Src in Sup-B15 and RS4;11 cells. PCI-32765 or Dasatinib can inhibit the proliferation and induce the apoptosis of Sup-B15 and RS4;11 cells, PCI-32765 and Dasatinib displayed the synergistic effects. The possible mechanism may be related with the blocking of B cell receptor(BCR) signal pathway, thereby inhibiting the cell proliferation and promoting the cell apoptosis.

Age is not a bar to PCI: Insights from the long-term outcomes from off-site PCI in a real-world setting.

Science.gov (United States)

Gerber, Robert T; Arri, Satpal S; Mohamed, Mohamed O; Dhillon, Gurpreet; Bandali, Alykhan; Harding, Idris; Gifford, Jeremy; Sandler, Belinda; Corbo, Ben; McWilliams, Eric

2017-08-01

We sought to analyze the percutaneous coronary intervention (PCI) outcomes of very elderly patients (V. Eld. group, age >80 years) and compare their outcomes to a less elderly cohort (Eld. group, age 75-80 years) traditionally reported in the literature. Limited data exist on peri-procedural and long-term outcomes following PCI in the V. Eld. (age >80 years), with under-representation of this cohort in randomized controlled trials. These patients present with advanced complex coronary disease and multiple comorbidities. All 580 consecutive patients aged ≥75 years (age 80 ± 4.9 years, 57.4% males) undergoing PCI between April 2006 and November 2011 were included. A total of 624 consecutive lesions were identified and analyzed. All V. Eld. patients (n = 253) were subsequently selected, and their outcomes compared to Eld. patients (n = 327). Mean follow-up was 30.8 ± 2.7 months with 98% clinical follow-up achieved. All comparative data are expressed as (V. Eld. vs Eld.) unless otherwise specified. All-cause mortality was significantly higher in the V. Eld. group (11.9% vs 6.1%), although this did not translate into a significant difference in cardiac mortality (6.3% vs 3.7%) or major adverse cardiac and cerebrovascular events (16.2% vs 12.5%). The composite incidence of myocardial infarction (MI), stroke, definite/probable stent thrombosis, and TIMI major bleed was 4.7%, 1.4% 1.9%, and 6.4%, respectively with no significant difference between both cohorts. This study demonstrates an acceptable occurrence of MI, death, repeat intervention, and stent thrombosis in a high-risk group of V. Eld. patients with de novo lesions. Age alone in the absence of other non-cardiac factors should not prohibit a patient from access to PCI. © 2017, Wiley Periodicals, Inc.

PCI DSS: Security Standard and Security in Fact

OpenAIRE

M. V. Kuzin

2011-01-01

The article focuses on Payment Card Industry Data Security Standard (PCI DSS) requirements and practices, especially it’s issues and disadvantages to achieve the main goal — security of payment cards infrastructure.

Index of Submarine Medical Officer’s Qualification Theses 1944-1974

Science.gov (United States)

1976-04-01

USING HYPOTHERMIA AND HYPERBARIC CXYGENATI 1972-3011 0 A CASE REPO+ HYPOBARIC HYPOXIA ABOARD A SUBMERGED SUBMARINE 1972-0014 THE EFFECTS OF ACUTE HYPOXIA...G009 LEVEL. VENTILATORY DYNAMICS UNDER HYPERBARIC STATES.= SUBMARINE MEDICAL QUALIFICATION THESES U. So NAVAL SJBMARINE MEDICAL CENTER SUBMARINE BASE...CONNECTICUT. 23 OCT 62 StJRL ____________ 1962-0019 WOO3D W.- - ____ VENTILATORY DYNAMICS UNDER HYPERBARIC STATES.= SUBMARINE MEDICAL QUALIFICATION THESES

Outcomes of PCI in Relation to Procedural Characteristics and Operator Volumes in the United States.

Science.gov (United States)

Fanaroff, Alexander C; Zakroysky, Pearl; Dai, David; Wojdyla, Daniel; Sherwood, Matthew W; Roe, Matthew T; Wang, Tracy Y; Peterson, Eric D; Gurm, Hitinder S; Cohen, Mauricio G; Messenger, John C; Rao, Sunil V

2017-06-20

Professional guidelines have reduced the recommended minimum number to an average of 50 percutaneous coronary intervention (PCI) procedures performed annually by each operator. Operator volume patterns and associated outcomes since this change are unknown. The authors describe herein PCI operator procedure volumes; characteristics of low-, intermediate-, and high-volume operators; and the relationship between operator volume and clinical outcomes in a large, contemporary, nationwide sample. Using data from the National Cardiovascular Data Registry collected between July 1, 2009, and March 31, 2015, we examined operator annual PCI volume. We divided operators into low- (100 PCIs per year) volume groups, and determined the adjusted association between annual PCI volume and in-hospital outcomes, including mortality. The median annual number of procedures performed per operator was 59; 44% of operators performed PCI procedures per year. Low-volume operators more frequently performed emergency and primary PCI procedures and practiced at hospitals with lower annual PCI volumes. Unadjusted in-hospital mortality was 1.86% for low-volume operators, 1.73% for intermediate-volume operators, and 1.48% for high-volume operators. The adjusted risk of in-hospital mortality was higher for PCI procedures performed by low- and intermediate-volume operators compared with those performed by high-volume operators (adjusted odds ratio: 1.16 for low versus high; adjusted odds ratio: 1.05 for intermediate vs. high volume) as was the risk for new dialysis post PCI. No volume relationship was observed for post-PCI bleeding. Many PCI operators in the United States are performing fewer than the recommended number of PCI procedures annually. Although absolute risk differences are small and may be partially explained by unmeasured differences in case mix between operators, there remains an inverse relationship between PCI operator volume and in-hospital mortality that persisted in risk

Antiplatelet drug selection in PCI to vein grafts in patients with acute coronary syndrome and adverse clinical outcomes

DEFF Research Database (Denmark)

Sirker, Alex; Kwok, Chun Shing; Kontopantelis, Evangelos

2018-01-01

OBJECTIVE: This study aims to evaluate outcomes associated with different P2Y12 agents in Saphenous Vein graft (SVG) percutaneous coronary intervention (PCI). BACKGROUND: SVG PCI is associated with greater risks of ischemic complications, compared with native coronary PCI. Outcomes associated...... with the use of potent P2Y12 blocking drugs, Prasugrel and Ticagrelor, in SVG PCI are unknown. METHODS: Patients included in the study underwent SVG PCI in the United Kingdom between 2007 and 2014 for acute coronary syndrome and were grouped by P2Y12 antiplatelet use. In-hospital major adverse cardiac events....... CONCLUSIONS: Our real world national study provides no clear evidence to indicate that use of potent P2Y12 blockers in SVG PCI is associated with improved clinical outcomes....

33 CFR 165.1302 - Bangor Naval Submarine Base, Bangor, WA.

Science.gov (United States)

2010-07-01

... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Bangor Naval Submarine Base... Bangor Naval Submarine Base, Bangor, WA. (a) Location. The following is a security zone: The waters of... States Naval vessels. (ii) Vessels that are performing work at Naval Submarine Base Bangor pursuant to a...

The impact of a 600-mg loading dose of clopidogrel in diabetic and non-diabetic patients undergoing elective PCI.

Science.gov (United States)

Mohareb, Mina W; Abd Elghany, Mohamed; Sabry, Nirmeen A; Farid, Samar F

2016-08-01

High platelet reactivity (HPR) and suboptimal response to dual antiplatelet therapy (DAPT) may explain high recurrent rates of ischemic events in type 1 and 2 diabetes mellitus (DM) patients undergoing percutaneous coronary intervention (PCI). The aim of this study was to determine the effect of diabetes mellitus on clopidogrel activity in cardiac patients undergoing PCI. This is an observational study. Patients were categorized according to DM status into diabetic group (N.=30) and non-diabetic group (N.=33). All patients received clopidogrel in a loading dose of 600 mg before PCI. Platelet function was assessed using light transmittance aggregometry (LTA) technique at baseline (before clopidogrel administration), 24 hour after clopidogrel loading dose administration and 7-10 days after PCI. All patients were followed up for at least one year after PCI for recurrence of acute cardiac events. There was no statistically significant difference between the two groups with respect to 10 µm adenosine diphosphate (ADP)-induced platelet aggregation measured at baseline (P=0.64), 24 hours after PCI (P=0.874), and 7-10 days after PCI (0.643). Diabetics were not significantly different from non-diabetics in terms of post-PCI acute stent thrombosis (P=0.945), sub-acute stent thrombosis (P=0.945), unstable angina (P=0.29) and cardiac death (P=0.64). There was a statistically significant difference between patients with and without post-PCI acute events regarding ADP aggregation measured 24 hours and 7-10 days after PCI. The use of a high loading dose of clopidogrel (600 mg) in patients undergoing elective PCI can overcome the significant increase in post-PCI platelet aggregation and rate of acute cardiac events induced by diabetes mellitus as co-morbidity in those patients.

PCI DSS: Security Standard and Security in Fact

Directory of Open Access Journals (Sweden)

M. V. Kuzin

2011-12-01

Full Text Available The article focuses on Payment Card Industry Data Security Standard (PCI DSS requirements and practices, especially it’s issues and disadvantages to achieve the main goal — security of payment cards infrastructure.

Submarine films as narratives of masculinity

OpenAIRE

MacDonald, Alex

2002-01-01

The research for this thesis is on representations of masculinity in Anglo-American submarine films since 1943. The discussion will draw on relevant work on the representation of masculinity and popular cinema in film and cultural studies. In particular, the thesis will account for the notion of hegemony in relation to masculinity in the submarine film. Further, the notion of hegemonic masculinity will be addressed in terms of four key claims. These are as follows: that relations between grou...

Condition Assessment of PCI Bridge Girder a Result of The Reduction Prestressing Force

Directory of Open Access Journals (Sweden)

Suangga Made

2014-03-01

Full Text Available PCI bridge girders is known and widely used for many construction e.g.: bridge, wharf, flyover, and other application. PC Bridge girders have two types: Pre - tensioned girders and post - tensioned girders. In pre tensioned girders, prestressing in carried out first then after that the fresh concrete poured. The prestressing process in only carried off after the concrete has sufficient strength. In this study, analysis was conducted for PCI bridge girder with span is 40 meters. Based on the data geometry bridge dimension girder, material girder, and material strands cable, it will be analyzed to calculate the natural frequencies and moment capacity using finite element program (Midas/Civil program. So it can be estimated how much the percentage reduction prestress force on the bridge until PCI bridge structure collapses. From the calculation, it found that the pattern comparison between reduction prestressing force and natural frequency are linear. These results are also similar for natural frequency versus moment capacity.PCI bridge will collapse when the reduction prestreesing force of 45 % to 50 % from the total loss of prestressing.

PCI-24781 can improve in vitro and in vivo developmental capacity of pig somatic cell nuclear transfer embryos.

Science.gov (United States)

Jin, Long; Zhu, Hai-Ying; Guo, Qing; Li, Xiao-Chen; Zhang, Yu-Chen; Zhang, Guang-Lei; Xing, Xiao-Xu; Xuan, Mei-Fu; Luo, Qi-Rong; Yin, Xi-Jun; Kang, Jin-Dan

2016-09-01

To examine the effect of PCI-24781 (abexinostat) on the blastocyst formation rate in pig somatic cell nuclear transferred (SCNT) embryos and acetylation levels of the histone H3 lysine 9 and histone H4 lysine 12. Treatment with 0.5 nM PCI-24781 for 6 h significantly improved the development of cloned embryos, in comparison to the control group (25.3 vs. 10.5 %, P PCI-24781 treatment led to elevated acetylation of H3K9 and H4K12. TUNEL assay and Hoechst 33342 staining revealed that the percentage of apoptotic cells in blastocysts was significantly lower in PCI-24781-treated SCNT embryos than in untreated embryos. Also, PCI-24781-treated embryos were transferred into three surrogate sows, one of whom became pregnant and two fetuses developed. PCI-24781 improves nuclear reprogramming and the developmental potential of pig SCNT embryos.

The Ministry of Dilemmas [decommissioning nuclear submarines

International Nuclear Information System (INIS)

Peden, W.

1995-01-01

A consultant for Greenpeace, the anti-nuclear campaigners, looks at the United Kingdom Government's problems with decommissioning of its nuclear submarine fleet as the vessels become obsolete, and at the transport and storage of spent fuels from the submarine's propulsion reactors. It is argued that no proper plans exist to decommission the vessels safely. The Ministry of Defence sites such as Rosyth and Devonport are immune from inspection by regulatory bodies, so there is no public knowledge of any potential radioactive hazards from the stored out-of-service carcasses, floating in dock, awaiting more active strategies. The author questions the wisdom of building new nuclear submarines, when no proper program exists to decommission existing vessels and their operational waste. (U.K.)

Protein C Inhibitor (PCI) Binds to Phosphatidylserine Exposing Cells with Implications in the Phagocytosis of Apoptotic Cells and Activated Platelets

Science.gov (United States)

Rieger, Daniela; Assinger, Alice; Einfinger, Katrin; Sokolikova, Barbora; Geiger, Margarethe

2014-01-01

Protein C Inhibitor (PCI) is a secreted serine protease inhibitor, belonging to the family of serpins. In addition to activated protein C PCI inactivates several other proteases of the coagulation and fibrinolytic systems, suggesting a regulatory role in hemostasis. Glycosaminoglycans and certain negatively charged phospholipids, like phosphatidylserine, bind to PCI and modulate its activity. Phosphatidylerine (PS) is exposed on the surface of apoptotic cells and known as a phagocytosis marker. We hypothesized that PCI might bind to PS exposed on apoptotic cells and thereby influence their removal by phagocytosis. Using Jurkat T-lymphocytes and U937 myeloid cells, we show here that PCI binds to apoptotic cells to a similar extent at the same sites as Annexin V, but in a different manner as compared to live cells (defined spots on ∼10–30% of cells). PCI dose dependently decreased phagocytosis of apoptotic Jurkat cells by U937 macrophages. Moreover, the phagocytosis of PS exposing, activated platelets by human blood derived monocytes declined in the presence of PCI. In U937 cells the expression of PCI as well as the surface binding of PCI increased with time of phorbol ester treatment/macrophage differentiation. The results of this study suggest a role of PCI not only for the function and/or maturation of macrophages, but also as a negative regulator of apoptotic cell and activated platelets removal. PMID:25000564

Effect of kudiezi injection on stent thrombosis and matrix metalloproteinase in patients with PCI

International Nuclear Information System (INIS)

Wang Zhihui; Zhang Jing; Xing Yue

2010-01-01

Objective: To investigate the effects of Kudiezi injection on stent thrombosis and the levels of matrix metalloproteinase (MMPs) and thromboxane B 2 (TXB2) in elderly patients with percutaneous coronary intervention (PCI), and investigate the mechanism of Kudiezi on the decrease of stent thrombosis. Methods: Forty elderly patients were divided into two groups (Kudiezi group and control group) after PCI. Kudiezi were administered into patients in Kudiezi group and the patients in control group were treated with regular medication. The angioraphic and clinic follow-up outcomes of 40 elderly patients with PCI there retrospectively analyze. Stent thrombosis (ST) was confirmed by angiography. The levels MMPs and TXB2 in Kudiezi group (n=20) and control group (n=20) were determined before stent implantation and after 6 months. Major cardiac events (restenosis, cardiac death, myocardiac infarction, revasculation) were observed during follow-up. Results: The levels of MMPs and TXB2 in Kudiezi and control group decreased significantly after PCI. The levels of MMPs and TXB2 in Kudiezi group were less than that in control group after PCI. The levels of MMPs and TXB 2 in all patients group were significantly different between pre-procedure and post-procedure (P 2 . (authors)

Modeling Submarine Lava Flow with ASPECT

Science.gov (United States)

Storvick, E. R.; Lu, H.; Choi, E.

2017-12-01

Submarine lava flow is not easily observed and experimented on due to limited accessibility and challenges posed by the fast solidification of lava and the associated drastic changes in rheology. However, recent advances in numerical modeling techniques might address some of these challenges and provide unprecedented insight into the mechanics of submarine lava flow and conditions determining its wide-ranging morphologies. In this study, we explore the applicability ASPECT, Advanced Solver for Problems in Earth's ConvecTion, to submarine lava flow. ASPECT is a parallel finite element code that solves problems of thermal convection in the Earth's mantle. We will assess ASPECT's capability to model submarine lava flow by observing models of lava flow morphology simulated with GALE, a long-term tectonics finite element analysis code, with models created using comparable settings and parameters in ASPECT. From these observations we will contrast the differing models in order to identify the benefits of each code. While doing so, we anticipate we will learn about the conditions required for end-members of lava flow morphology, for example, pillows and sheet flows. With ASPECT specifically we focus on 1) whether the lava rheology can be implemented; 2) how effective the AMR is in resolving morphologies of the solidified crust; 3) whether and under what conditions the end-members of the lava flow morphologies, pillows and sheets, can be reproduced.

B-type Natriuretic Peptide and RISK-PCI Score in the Risk Assessment in Patients with STEMI Treated by Primary Percutaneous Coronary Intervention.

Science.gov (United States)

Asanin, Milika; Mrdovic, Igor; Savic, Lidija; Matic, Dragan; Krljanac, Gordana; Vukcevic, Vladan; Orlic, Dejan; Stankovic, Goran; Marinkovic, Jelena; Stankovic, Sanja

2016-01-01

RISK-PCI score is a novel score for risk stratification of patients with ST elevation myocardial infarction (STEMI) treated by primary percutaneous coronary intervention (pPCI). The aim of this study was to evaluate the role of B-type natriuretic peptide (BNP) and the RISK-PCI score for early risk assessment in patients with STEMI treated by pPCI. In 120 patients with STEMI treated by pPCI, BNP was measured on admission before pPCI. The primary end point was 30-day mortality. The ROC curve analysis revealed that the most powerful predictive factors of 30-day mortality were the plasma level of BNP ≥ 206.6 pg/mL with the sensitivity of 75% and specificity of 87.5% and the RISK-PCI score ≥ 5.25 with the sensitivity of 75% and specificity of 85.7%. Thirty-day mortality was 6.7%. After multivariate adjustment, admission BNP (≥ 206.6 pg/mL) (OR 2.952, 95% CI 1.072 - 8.133, p = 0.036) and the RISK-PCI score (≥ 5.25) (OR 2.284, 95% CI 1.140-4.578, p = 0.020) were independent predictors of 30-day mortality. The area under the ROC curve using the RISK-PCI score and BNP to detect mortality was 0.828 (p = 0.002) and 0.903 (p PCI score increased the area under the ROC to 0.949 (p PCI score for 30-day mortality. BNP on admission and the RISK-PCI score were the independent predictors of 30-day mortality in patients with the STEMI treated by pPCI. BNP in combination with the RISK-PCI score showed the way to more accurate risk assessment in patients with STEMI treated by pPCI.

BIO-PCI, Charcoal injection in Blast Furnaces: State of the art and economic perspectives

Directory of Open Access Journals (Sweden)

Feliciano-Bruzual, C.

2013-12-01

Full Text Available The injection of grinded particles of charcoal through the tuyeres in Blast Furnaces, here coined Bio-PCI, presents as an attractive and plausible alternative to significantly reduce the CO2 emissions generated during hot metal production. In this contribution a summary of the technological fundaments, benefits and limitations of the incorporation of Bio-PCI is presented. Additionally the principal economic challenges of renewables fuel in ironmaking are exposed, with especial interest in the main productions costs of charcoal making. In this sense, a strategic question arises: can the residual biomass drive the emergence of Bio-PCI?, our analysis leads to conclude that the use of residual biomass (e.g. agricultural and forestry residues may significantly reduce the production cost in 120-180 USD/t in comparison to primary woods sources, this naturally increment the economical attractiveness of Bio-PCI substitution.La inyección de carbón vegetal por toberas en Altos Hornos, aqui denominada Bio-PCI, se presenta como una forma atractiva y realista de reducir significativamente las emisiones de CO2 generadas durante la producción de arrabio. En esta contribución se presenta un resumen de los fundamentos tecnológicos, los beneficios y las limitaciones de la incorporación de la tecnología del Bio-PCI. Adicionalmente se exponen los retos económicos que enfrentan los combustibles renovables a los fósiles, con especial interés en los principales costos de producción del carbón vegetal. En este sentido se plantea una pregunta estratégica: ¿puede la biomasa residual impulsar el desarrollo de la Bio-PCI?. Nuestro análisis conlleva a concluir que la utilización de biomasa residual (residuos forestales y agrícolas puede reducir sensiblemente el costo del carbón vegetal entre 120-180 USD/t en comparación con biomasa primaria, incrementando su competitividad frente al carbón mineral.

Prophylactic Cranial Irradiation (PCI) versus Active MRI Surveillance for Small Cell Lung Cancer: The Case for Equipoise.

Science.gov (United States)

Rusthoven, Chad G; Kavanagh, Brian D

2017-12-01

Prophylactic cranial irradiation (PCI) for SCLC offers a consistent reduction in the incidence of brain metastases at the cost of measurable toxicity to neurocognitive function and quality of life, in the setting of characteristic pathologic changes to the brain. The sequelae of PCI have historically been justified by the perception of an overall survival advantage specific to SCLC. This rationale has now been challenged by a randomized trial in extensive-stage SCLC demonstrating equivalent progression-free survival and a trend toward improved overall survival with PCI omission in the context of modern magnetic resonance imaging (MRI) staging and surveillance. In this article, we critically examine the randomized trials of PCI in extensive-stage SCLC and discuss their implications on the historical data supporting PCI for limited-stage SCLC from the pre-MRI era. Further, we review the toxicity of moderate doses of radiation to the entire brain that underlie the growing interest in active MRI surveillance and PCI omission. Finally, the evidence supporting prospective investigation of radiosurgery for limited brain metastases in SCLC is reviewed. Overall, our aim is to provide an evidence-based assessment of the debate over PCI versus active MRI surveillance and to highlight the need for contemporary trials evaluating optimal central nervous system management in SCLC. Copyright © 2017 International Association for the Study of Lung Cancer. Published by Elsevier Inc. All rights reserved.

Pre-hospital ticagrelor in patients with ST-segment elevation myocardial infarction with long transport time to primary PCI facility.

Science.gov (United States)

Lupi, Alessandro; Schaffer, Alon; Lazzero, Maurizio; Tessitori, Massimo; De Martino, Leonardo; Rognoni, Andrea; Bongo, Angelo S; Porto, Italo

2016-12-01

Pre-hospital ticagrelor, given less than 1h before coronary intervention (PCI), failed to improve coronary reperfusion in ST-segment elevation myocardial infarction (STEMI) patients undergoing primary PCI. It is unknown whether a longer interval from ticagrelor administration to primary PCI might reveal any improvement of coronary reperfusion. We retrospectively compared 143 patients, pre-treated in spoke centers or ambulance with ticagrelor at least 1.5h before PCI (Pre-treatment Group), with 143 propensity score-matched controls treated with ticagrelor in the hub before primary PCI (Control Group) extracted from RENOVAMI, a large observational Italian registry of more than 1400 STEMI patients enrolled from Jan. 2012 to Oct. 2015 (ClinicalTrials.gov id: NCT01347580). The median time from ticagrelor administration and PCI was 2.08h (95% CI 1.66-2.84) in the Pre-treatment Group and 0.56h (95% CI 0.33-0.76) in the Control Group. TIMI flow grade before primary PCI in the infarct related artery was the primary endpoint. The primary endpoint, baseline TIMI flow grade, was significantly higher in Pre-treatment Group (0.88±1.14 vs 0.53±0.86, P=0.02). However in-hospital mortality, in-hospital stent thrombosis, bleeding rates and other clinical and angiographic outcomes were similar in the two groups. In a real world STEMI network, pre-treatment with ticagrelor in spoke hospitals or in ambulance loading at least 1.5h before primary PCI is safe and might improve pre-PCI coronary reperfusion, in comparison with ticagrelor administration immediately before PCI. Copyright © 2016 Elsevier Inc. All rights reserved.

Charcoal injection in blast furnaces (Bio-PCI: CO2 reduction potential and economic prospects

Directory of Open Access Journals (Sweden)

Cristobal Feliciano-Bruzual

2014-07-01

Full Text Available The steel industry is under pressure to reduce its CO2 emissions, which arise from the use of coal. In the long-term, the injection of pulverized particles of charcoal from biomass through blast furnace tuyeres, in this case called Bio-PCI, is an attractive method from both an environmental and metallurgical viewpoint. The potential of Bio-PCI has been assessed in terms of its CO2 abatement potential and economic viewpoint. A cost objective function has been used to measure the impact of biochar substitution in highly fuel-efficient BF among the top nine hot metal producers; estimations are based on the relevant cost determinants of ironmaking. This contribution aims to shed light on two strategic questions: Under what conditions is the implementation of Bio-PCI economically attractive? Additionally, where is such a techno-economic innovation likely to be taken up the earliest? The results indicate the potential for an 18–40% mitigation of CO2. Findings from the economic assessment show that biochar cannot compete with fossil coal on price alone; therefore, a lower cost of biochar or the introduction of carbon taxes will be necessary to increase the competitiveness of Bio-PCI. Based on the current prices of raw materials, electricity and carbon taxes, biochar should be between 130.1 and 236.4 USD/t and carbon taxes should be between 47.1 and 198.7 USD/t CO2 to facilitate the substitution of Bio-PCI in the examined countries. In regard to implementation, Brazil, followed by India, China and the USA appeared to be in a better position to deploy Bio-PCI.

'Good Hunting': German submarine offensives and South African ...

African Journals Online (AJOL)

By the latter half of 1942, the High Command of the German U-boats (BdU) realised that the 'sinking results' of the North Atlantic had decreased immensely. The successes of the Allied anti-submarine operations in the North Atlantic precluded the successful employment of the German submarines in said waters.

Implementing the Payment Card Industry (PCI Data Security Standard (DSS

Directory of Open Access Journals (Sweden)

John O' Raw

2011-08-01

Full Text Available Underpinned by the rise in online criminality, the payment card industry (PCI data security standards (DSS were introduced which outlines a subset of the core principals and requirements that must be followed, including precautions relating to the software that processes credit card data. The necessity to implement these requirements in existing software applications can present software owners and developers with a range of issues. We present here a generic solution to the sensitive issue of PCI compliance where aspect orientated programming (AOP can be applied to meet the requirement of masking the primary account number (PAN. Our architecture allows a definite amount of code to be added which intercepts all the methods specified in the aspect, regardless of future additions to the system thus reducing the amount of work required to the maintain aspect. We believe that the concepts here will provide an insight into how to approach the PCI requirements to undertake the task. The software artefact should also serve as a guide to developers attempting to implement new applications, where security and design are fundamental elements that should be considered through each phase of the software development lifecycle and not as an afterthought.

Submarine tectonic relief off Enshunada. Enshunadaoki no hendo chikei

Energy Technology Data Exchange (ETDEWEB)

Iwabuchi, Y; Sasahara, N; Hamamoto, F [Maritime Safety Agency, Tokyo (Japan); Yoshioka, S [10th Resional Maritime Safety Headquarters, Kagoshima (Japan); Kondo, T [Maritime Safety School, Kyoto (Japan)

1991-08-15

This paper reports on the results of investigations on the submarine relief structure off the Enshunada (a sea area which is on the south of the Tenryu River mouth and has about 50km east and west and about 100km north and south) using a bathymetric surveying ship equipped with a narrow multibeam echo sounder. The submarine relief structure of this sea area is clarified into the following topographical districts arranged north to south (each extends roughly in the northeast-southwest direction): the Enshu trough and Tenryu submarine canyon upper valley located in the center thereof, ridges represented by No.l and No.2 Tenryu knolls, the ridge and trough zone where minor ridges and troughes appear complicatedly and repeatedly, and the Nankai trough. The paper contains causes of formation of the Tenryu submarine canyon, the Ryuyo submarine canyon which is located in the northwestern slope of No.2 Tenryu knoll and has a distinct shape, oval-shaped domes scattered in the bottom of Nankai trough, etc. and also opinions on landslide topography seen in the ridge and trough zone. 13 refs., 5 figs., 1 tab.

Delay From First Medical Contact to Primary PCI and All‐Cause Mortality: A Nationwide Study of Patients With ST‐Elevation Myocardial Infarction

Science.gov (United States)

Koul, Sasha; Andell, Pontus; Martinsson, Andreas; Gustav Smith, J.; van der Pals, Jesper; Scherstén, Fredrik; Jernberg, Tomas; Lagerqvist, Bo; Erlinge, David

2014-01-01

Background Early reperfusion in the setting of an ST‐elevation myocardial infarction (STEMI) is of utmost importance. However, the effects of early versus late reperfusion in this patient group undergoing primary percutaneous coronary intervention (PCI) have so far been inconsistent in previous studies. The purpose of this study was to evaluate in a nationwide cohort the effects of delay from first medical contact to PCI (first medical contact [FMC]‐to‐PCI) and secondarily delay from symptom‐to‐PCI on clinical outcomes. Methods and Results Using the national Swedish Coronary Angiography and Angioplasty Register (SCAAR) registry, STEMI patients undergoing primary PCI between the years 2003 and 2008 were screened for. A total of 13 790 patients were included in the FMC‐to‐PCI analysis and 11 489 patients were included in the symptom‐to‐PCI analyses. Unadjusted as well as multivariable analyses showed an overall significant association between increasing FMC‐to‐PCI delay and 1‐year mortality. A statistically significant increase in mortality was noted at FMC‐to‐PCI delays exceeding 1 hour in an incremental fashion. FMC‐to‐PCI delays in excess of 1 hour were also significantly associated with an increase in severe left ventricular dysfunction at discharge. An overall significant association between increasing symptom‐to‐PCI delays and 1‐year mortality was noted. However, when stratified into time delay cohorts, no symptom‐to‐PCI delay except for the highest time delay showed a statistically significant association with increased mortality. Conclusions Delays in FMC‐to‐PCI were strongly associated with increased mortality already at delays of more than 1 hour, possibly through an increase in severe heart failure. A goal of FMC‐to‐PCI of less than 1 hour might save patient lives. PMID:24595190

Coronary artery ectasia, an independent predictor of no-reflow after primary PCI for ST-elevation myocardial infarction.

Science.gov (United States)

Schram, H C F; Hemradj, V V; Hermanides, R S; Kedhi, E; Ottervanger, J P

2018-04-25

The no-reflow phenomenon is a serious complication after primary percutaneous coronary intervention (PCI) for ST-elevation Myocardial Infarction (STEMI). Coronary artery ectasia (CAE) may increase the risk of no-reflow, however, only limited data is available on the potential impact of CAE. The aim of this study was to determine the potential association between CAE and no-reflow after primary PCI. A case control study was performed based on a prospective cohort of STEMI patients from January 2000 to December 2011. All patients with TIMI 0-1 flow post primary PCI, in the absence of dissection, thrombus, spasm or high-grade residual stenosis, were considered as no-reflow case. Control subjects were two consecutive STEMI patients after each case, with TIMI flow ≥2 after primary PCI. CAE was defined as dilatation of an arterial segment to a diameter at least 1.5 times that of the adjacent normal coronary artery. In the no-reflow group, frequency of CAE was significantly higher (33.8% vs 3.9%, p PCI (91% vs 71% p = 0.03), less often anterior STEMI (3% vs 37%, p PCI with stenting (47% vs 74%, p = 0.003). After multivariate analysis, CAE remained a strong and independent predictor of no-reflow (OR 13.9, CI 4.7-41.2, p PCI for STEMI. Future studies should assess optimal treatment. Copyright © 2017 Elsevier B.V. All rights reserved.

RAD51 potentiates synergistic effects of chemotherapy with PCI-24781 and cis-diamminedichloroplatinum on gastric cancer

Science.gov (United States)

He, Wei-Ling; Li, Yu-Huang; Hou, Wei-Jian; Ke, Zun-Fu; Chen, Xin-Lin; Lu, Li-Ya; Cai, Shi-Rong; Song, Wu; Zhang, Chang-Hua; He, Yu-Long

2014-01-01

AIM: To explore the efficacy of PCI-24781, a broad-spectrum, hydroxamic acid-derived histone deacetylase inhibitor, in the treatment of gastric cancer (GC). METHODS: With or without treatment of PCI-24781 and/or cis-diamminedichloroplatinum (CDDP), GC cell lines were subjected to functional analysis, including cell growth, apoptosis and clonogenic assays. Chromatin immunoprecipitation and luciferase reporter assays were used to determine the interacting molecules and the activity of the enzyme. An in vivo study was carried out in GC xenograft mice. Cell culture-based assays were represented as mean ± SD. ANOVA tests were used to assess differences across groups. All pairwise comparisons between tumor weights among treatment groups were made using the Tukey-Kramer method for multiple comparison adjustment to control experimental-wise type I error rates. Significance was set at P PCI-24781 significantly reduced the growth of the GC cells, enhanced cell apoptosis and suppressed clonogenicity, and these effects synergized with the effects of CDDP. PCI-24781 modulated the cell cycle and significantly reduced the expression of RAD51, which is related to homologous recombination. Depletion of RAD51 augmented the biological functions of PCI-24781, CDDP and the combination treatment, whereas overexpressing RAD51 had the opposite effects. Increased binding of the transcription suppressor E2F4 on the RAD51 promoter appeared to play a major role in these processes. Furthermore, significant suppression of tumor growth and weight in vivo was obtained following PCI-24781 treatment, which synergized with the anticancer effect of CDDP. CONCLUSION: These data suggest that RAD51 potentiates the synergistic effects of chemotherapy with PCI-24781 and CDDP on GC. PMID:25110436

Description of a Heart Team approach to coronary revascularization and its beneficial long-term effect on clinical events after PCI.

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Bonzel, Tassilo; Schächinger, Volker; Dörge, Hilmar

2016-05-01

We present a first description of a Heart Team (HT)-guided approach to coronary revascularization and its long-term effect on clinical events after percutaneous coronary intervention (PCI). The HT approach is a structured process to decide for coronary bypass grafting (CABG), PCI or conservative therapy in ad hoc situations as well as in HT conferences. As a hypothesis, during the long-term course after a PCI performed according to HT rules, a low number of late revascularizations, especially CABGs, are expected (F-PCI study). In this monocentric study, the HT approach to an all-comer population was first analyzed and described in general with the help of a database. Next the use of a HT approach was described for a more homogeneous subgroup with newly detected CAD (1.CAD). Those patients in whom the HT decision was PCI (which was a 1.PCI) were then studied with the help of questionnaires for clinical events during a very long-term follow-up. Events were CABG, PCI, diagnostic catheterization (DCath) and death. A significant number of patients were presented to HT conferences: 22 % out of all 11,174 catheterizations, 24 % out of all 7867 CAD cases and 35 % out of 3408 1.CAD cases. Most of these patients had multi-vessel disease (MVD). Conference decisions were isolated CABG in 46-66 %, PCI in 10-14 %, valvular surgery in 9-16 %, HTx in 10-21 % (Endstage heart failure candidates for surgery) and conservative therapy (Medical or no therapy, additional diagnostic procedures or no adherence to recommended therapy) in 2-3 %. However, most PCIs, ad hoc and elective, were performed under Heart Team rules, but without conference. During follow-up of 1.PCI patients (Kaplan-Meier analysis), CABG occurred in only 15 % of patients, PCI in 37 % and DCath in 65 %; mortality of any course was 51 %. Mortalities were similar in one-vessel disease and in a population of the same year, matched for age and sex (p PCI patients with MVD (p PCI) rates after a 1.PCI, without

A PWR PCI failure criterion to burnups of 60 GW·d/t using the ENIGMA code

International Nuclear Information System (INIS)

Clarke, A.P.; Tempest, P.A.; Shea, J.H.

2000-01-01

A fuel performance modelling code (ENIGMA) has been used to analyse the empirical PCI failure criterion in terms of a clad failure stress as a function of burnup and fast neutron dose. The Studsvik database has been analysed. Results indicate a rising and then saturating failure stress with burnup and fast neutron dose. Using the PCI failure limits, equivalent to 95/95 confidence limits, an ENIGMA stress-based methodology is used to derive PWR PCI failure limits up to 60 GW·d/t U using a conservative assumption that the failure stress does not increase at high burnup and neutron dose. In addition experimental ramp data on gadolinia-doped fuel rods do not indicate any increased susceptibility to PCI failure implying that the UO 2 criterion can be used for gadolinia doped fuel. (author)

Time-recovering PCI-AER interface for bio-inspired spiking systems

Science.gov (United States)

Paz-Vicente, R.; Linares-Barranco, A.; Cascado, D.; Vicente, S.; Jimenez, G.; Civit, A.

2005-06-01

Address Event Representation (AER) is an emergent neuromorphic interchip communication protocol that allows for real-time virtual massive connectivity between huge number neurons located on different chips. By exploiting high speed digital communication circuits (with nano-seconds timings), synaptic neural connections can be time multiplexed, while neural activity signals (with mili-seconds timings) are sampled at low frequencies. Also, neurons generate 'events' according to their activity levels. More active neurons generate more events per unit time, and access the interchip communication channel more frequently, while neurons with low activity consume less communication bandwidth. When building multi-chip muti-layered AER systems it is absolutely necessary to have a computer interface that allows (a) to read AER interchip traffic into the computer and visualize it on screen, and (b) inject a sequence of events at some point of the AER structure. This is necessary for testing and debugging complex AER systems. This paper presents a PCI to AER interface, that dispatches a sequence of events received from the PCI bus with embedded timing information to establish when each event will be delivered. A set of specialized states machines has been introduced to recovery the possible time delays introduced by the asynchronous AER bus. On the input channel, the interface capture events assigning a timestamp and delivers them through the PCI bus to MATLAB applications. It has been implemented in real time hardware using VHDL and it has been tested in a PCI-AER board, developed by authors, that includes a Spartan II 200 FPGA. The demonstration hardware is currently capable to send and receive events at a peak rate of 8,3 Mev/sec, and a typical rate of 1 Mev/sec.

Effect of rosuvastatin intensification therapy on blood lipid metabolism, adipocytokines and plaque stability after PCI in ACS patients

Directory of Open Access Journals (Sweden)

Xiu-Quan Sun

2017-10-01

Full Text Available Objective: To explore the effect of rosuvastatin intensification therapy on blood lipid metabolism, adipocytokines and plaque stability after PCI in ACS patients. Methods: ACS patients who received PCI in the hospital between July 2015 and January 2017were reviewed and divided into the routine dose group (n=60 who received rosuvastatin routine dose therapy after PCI and the intensification therapy group (n=46 who received rosuvastatin intensification therapy after PCI. The differences in blood lipid metabolism, adipocytokines and plaque stability were compared between the two groups before and after treatment. Results: Before PCI, the differences in blood lipid metabolism, adipocytokines and plaque stability were not statistically significant between the two groups. 1 month after PCI, lipid metabolism indexes HDL-C and ApoA1 levels in peripheral blood of intensification therapy group were higher than those of routine dose group while LDL-C and ApoB levels were lower than those of routine dose group; adipocytokines APN and Leptin levels in serum were higher than those of routine dose group while Resistin level was lower than that of routine dose group; plaque stability- related indexes ICAM-1, MMP-1 and TIMP-1 levels were lower than those of routine dose group. Conclusion: Rosuvastatin intensification therapy after PCI could effectively regulate the lipid metabolism and increase the plaque stability in ACS patients.

The clinical effect of nicorandil on perioperative myocardial protection in patients undergoing elective PCI: A Systematic Review and Meta-Analysis.

Science.gov (United States)

Ye, Ziliang; Su, Qiang; Li, Lang

2017-03-21

Many scholars have studied the effect of nicorandil on perioperative myocardial protection in patients undergoing elective percutaneous coronary intervention (PCI), but results are inconsistent. Therefore, we performed this meta-analysis. Finally, 16 articles, including 1616 patients, were included into this meta-analysis. Meta-analysis results showed that: (1) Nicorandil can reduce the level of CK-MB after PCI, including at 6 hours, 12 hours, 18 hours and 24 hours. (2) Nicorandil can reduce the level of TnT after PCI, including at 6 hours, 12 hours, 18 hours and 24 hours. (3) Nicorandil can reduce the incidence of adverse reactions after PCI. (4) Nicorandil cannot reduce the level of MVP after PCI, including at 12 hours and 24 hours. (5) Subgroup analysis showed that nicorandil can reduce CK-MB and TnT level at 24 hours after PCI for Chinese's population (P PCI for non Chinese's population (P > 0.05). Our meta-analysis indicate that nicorandil can reduce myocardial injury and reduce the incidence of adverse reaction caused by PCI for Chinese's population, but is not obvious for non Chinese's population. However, this conclusion still needs to be confirmed in the future.

Excess mortality in women compared to men after PCI in STEMI: an analysis of 11,931 patients during 2000-2009.

Science.gov (United States)

de Boer, Sanneke P M; Roos-Hesselink, Jolien W; van Leeuwen, Maarten A H; Lenzen, Mattie J; van Geuns, Robert-Jan; Regar, Evelyn; van Mieghem, Nicolas M; van Domburg, Ron; Zijlstra, Felix; Serruys, Patrick W; Boersma, Eric

2014-09-20

Ambiguity exists whether gender affects outcome in patients undergoing percutaneous coronary intervention (PCI). To evaluate the relationship between gender and outcome in a large cohort of PCI patients, 11,931 consecutive patients who underwent PCI for various indications during 2000-2009 were studied using survival analyses and Cox regression models. Most patients (n=8588; 72%) were men. Women were older and more often had a history of hypertension and diabetes mellitus. Men smoked more frequently, had a more extensive cardiovascular history (previous MI, PCI and CABG), a higher prevalence of renal impairment and multi-vessel disease. In STEMI patients, women had higher 31-day mortality rates than men (11.6% vs. 6.5%, respectively, pPCI for STEMI had higher mortality than men. The excess mortality in women appeared in the first month after PCI and could only partially be explained by a difference in baseline characteristics. No gender differences in outcome in patients undergoing PCI for NSTE-ACS and stable angina were observed. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Computational Fluid Dynamics (CFD) Modeling for High Rate Pulverized Coal Injection (PCI) to Blast Furnaces

International Nuclear Information System (INIS)

Zhou, Chenn

2008-01-01

Pulverized coal injection (PCI) into the blast furnace (BF) has been recognized as an effective way to decrease the coke and total energy consumption along with minimization of environmental impacts. However, increasing the amount of coal injected into the BF is currently limited by the lack of knowledge of some issues related to the process. It is therefore important to understand the complex physical and chemical phenomena in the PCI process. Due to the difficulty in attaining trus BF measurements, Computational fluid dynamics (CFD) modeling has been identified as a useful technology to provide such knowledge. CFD simulation is powerful for providing detailed information on flow properties and performing parametric studies for process design and optimization. In this project, comprehensive 3-D CFD models have been developed to simulate the PCI process under actual furnace conditions. These models provide raceway size and flow property distributions. The results have provided guidance for optimizing the PCI process

Causes of Death Following PCI Versus CABG in Complex CAD: 5-Year Follow-Up of SYNTAX.

Science.gov (United States)

Milojevic, Milan; Head, Stuart J; Parasca, Catalina A; Serruys, Patrick W; Mohr, Friedrich W; Morice, Marie-Claude; Mack, Michael J; Ståhle, Elisabeth; Feldman, Ted E; Dawkins, Keith D; Colombo, Antonio; Kappetein, A Pieter; Holmes, David R

2016-01-05

There are no data available on specific causes of death from randomized trials that have compared coronary artery bypass grafting (CABG) with percutaneous coronary intervention (PCI). The purpose of this study was to investigate specific causes of death, and its predictors, after revascularization for complex coronary disease in patients. An independent Clinical Events Committee consisting of expert physicians who were blinded to the study treatment subclassified causes of death as cardiovascular (cardiac and vascular), noncardiovascular, or undetermined according to the trial protocol. Cardiac deaths were classified as sudden cardiac, related to myocardial infarction (MI), and other cardiac deaths. In the randomized cohort, there were 97 deaths after CABG and 123 deaths after PCI during a 5-year follow-up. After CABG, 49.4% of deaths were cardiovascular, with the greatest cause being heart failure, arrhythmia, or other causes (24.6%), whereas after PCI, the majority of deaths were cardiovascular (67.5%) and as a result of MI (29.3%). The cumulative incidence rates of all-cause death were not significantly different between CABG and PCI (11.4% vs. 13.9%, respectively; p = 0.10), whereas there were significant differences in terms of cardiovascular (5.8% vs. 9.6%, respectively; p = 0.008) and cardiac death (5.3% vs. 9.0%, respectively; p = 0.003), which were caused primarily by a reduction in MI-related death with CABG compared with PCI (0.4% vs. 4.1%, respectively; p PCI versus CABG was an independent predictor of cardiac death (hazard ratio: 1.55; 95% confidence interval: 1.09 to 2.33; p = 0.045). The difference in MI-related death was seen largely in patients with diabetes, 3-vessel disease, or high SYNTAX (TAXUS Drug-Eluting Stent Versus Coronary Artery Bypass Surgery for the Treatment of Narrowed Arteries) trial scores. During a 5-year follow-up, CABG in comparison with PCI was associated with a significantly reduced rate of MI-related death, which was the

Introduction to the special issue on submarine geohazard records and potential seafloor instability

Directory of Open Access Journals (Sweden)

Song-Chuen Chen Jia-Jyun Dong

2018-01-01

Full Text Available Submarine landslides frequently occur in passive continental margins or active margins (Hampton et al. 1996; Wynn et al. 2000; Mienert et al. 2002; Korup et al. 2007; Twichell et al. 2009; Cukur et al. 2016. Submarine landslides have been studied extensively not only for scientific research but also for submarine geohazards. Submarine landslides could jeopardize marine infrastructures, such as offshore drilling platforms or submarine telecommunication cables, and could even trigger disastrous tsunamis (Bondevik et al. 2005; Harbitz et al. 2006; Hornbach et al. 2007, 2008; Hsu et al. 2008; Su et al. 2012; Tappin et al. 2014; Li et al. 2015. For instance, one disastrous tsunami hitting the coastal area of southwestern Taiwan in 1781 or 1782 was reported (Chen 1830; Hsu 1983; the tsunami event was probably generated by submarine landslides in the offshore area of southwestern Taiwan (Li et al. 2015. Moreover, several submarine landslides triggered by the 2006 Pingtung earthquake have induced turbidity currents off southwest Taiwan and destroyed about 14 submarine telecommunication cables off SW Taiwan (Hsu et al. 2008. The area of southwest Taiwan currently has a dense population (more than 3 million people in total, one deep-water Kaohsiung Port, several tanks of liquefied natural gas and a nuclear power plant on the coast (Fig. 1. Numerous submarine telecommunication cables exist off SW Taiwan. If a considerable tsunami event would hit again the costal area of SW Taiwan, the damage could very serious. Likewise, there are two nuclear power plants on the coast of northern Taiwan (Fig. 2, and the population in northern Taiwan has more than 10 million people. Submarine telecommunication cables also exist off northern Taiwan. In any case, it is important to understand the status of seafloor stability in the offshore areas of SW and NE Taiwan. For that, this special issue of submarine geohazard records and potential seafloor instability is aimed to

Mortality in patients with TIMI 3 flow after PCI in relation to time delay to reperfusion.

Science.gov (United States)

Vichova, Teodora; Maly, Marek; Ulman, Jaroslav; Motovska, Zuzana

2016-03-01

Percutaneous coronary intervention (PCI) performed within 12 h from symptom onset enables complete blood flow restoration in infarct-related artery in 90% of patients. Nevertheless, even with complete restoration of epicardial blood flow in culprit vessel (postprocedural Thrombolysis in Myocardial Infarction (TIMI) flow grade 3), myocardial perfusion at tissue level may be insufficient. We hypothesized that the outcome of patients with STEMI/bundle branch block (BBB)-myocardial infarction and post-PCI TIMI 3 flow is related to the time to reperfusion. Observational study based on a retrospective analysis of population of 635 consecutive patients with STEMI/BBB-MI and post-PCI TIMI 3 flow from January 2009 to December 2011 (mean age 63 years, 69.6% males). Mortality of patients was evaluated in relation to the time from symptom onset to reperfusion. A total of 83 patients (13.07%) with postprocedural TIMI 3 flow after PCI had died at 1-year follow-up. Median TD in patients who survived was 3.92 h (iqr 5.43), in patients who died 6.0 h (iqr 11.42), P = 0.004. Multiple logistic regression analysis identified time delay ≥ 9 h as significantly related to 1-year mortality of patients with STEMI/BBB-MI and post-PCI TIMI 3 flow (OR 1.958, P = 0.026). Other significant variables associated with mortality in multivariate regression analysis were: left ventricle ejection fraction 65 years (P 2 (P PCI.

Optimal Mission Abort Policy for Systems Operating in a Random Environment.

Science.gov (United States)

Levitin, Gregory; Finkelstein, Maxim

2018-04-01

Many real-world critical systems, e.g., aircrafts, manned space flight systems, and submarines, utilize mission aborts to enhance their survivability. Specifically, a mission can be aborted when a certain malfunction condition is met and a rescue or recovery procedure is then initiated. For systems exposed to external impacts, the malfunctions are often caused by the consequences of these impacts. Traditional system reliability models typically cannot address a possibility of mission aborts. Therefore, in this article, we first develop the corresponding methodology for modeling and evaluation of the mission success probability and survivability of systems experiencing both internal failures and external shocks. We consider a policy when a mission is aborted and a rescue procedure is activated upon occurrence of the mth shock. We demonstrate the tradeoff between the system survivability and the mission success probability that should be balanced by the proper choice of the decision variable m. A detailed illustrative example of a mission performed by an unmanned aerial vehicle is presented. © 2017 Society for Risk Analysis.

Contemporary sediment-transport processes in submarine canyons.

Science.gov (United States)

Puig, Pere; Palanques, Albert; Martín, Jacobo

2014-01-01

Submarine canyons are morphological incisions into continental margins that act as major conduits of sediment from shallow- to deep-sea regions. However, the exact mechanisms involved in sediment transfer within submarine canyons are still a subject of investigation. Several studies have provided direct information about contemporary sedimentary processes in submarine canyons that suggests different modes of transport and various triggering mechanisms. Storm-induced turbidity currents and enhanced off-shelf advection, hyperpycnal flows and failures of recently deposited fluvial sediments, dense shelf-water cascading, canyon-flank failures, and trawling-induced resuspension largely dominate present-day sediment transfer through canyons. Additionally, internal waves periodically resuspend ephemeral deposits within canyons and contribute to dispersing particles or retaining and accumulating them in specific regions. These transport processes commonly deposit sediments in the upper- and middle-canyon reaches for decades or centuries before being completely or partially flushed farther down-canyon by large sediment failures.

Durable terrestrial bedrock predicts submarine canyon formation

Science.gov (United States)

Smith, Elliot; Finnegan, Noah J.; Mueller, Erich R.; Best, Rebecca J.

2017-01-01

Though submarine canyons are first-order topographic features of Earth, the processes responsible for their occurrence remain poorly understood. Potentially analogous studies of terrestrial rivers show that the flux and caliber of transported bedload are significant controls on bedrock incision. Here we hypothesize that coarse sediment load could exert a similar role in the formation of submarine canyons. We conducted a comprehensive empirical analysis of canyon occurrence along the West Coast of the contiguous United States which indicates that submarine canyon occurrence is best predicted by the occurrence of durable crystalline bedrock in adjacent terrestrial catchments. Canyon occurrence is also predicted by the flux of bed sediment to shore from terrestrial streams. Surprisingly, no significant correlation was observed between canyon occurrence and the slope or width of the continental shelf. These findings suggest that canyon incision is promoted by greater yields of durable terrestrial clasts to the shore.

The driving and controlling techniques of compactPCI bus in VxWorks real-time operating system

International Nuclear Information System (INIS)

Li Anzong; Ju Xiaodong; Qiao Wenxiao

2005-01-01

CompactPCI bus and interface featuring, the content and function of PCI configuration register are introduced herein. The driving and controlling techniques of CompactPCI bus in VxWorks real-time operating system are detailed. Hardware interrupt handling is one of key significance in real-time systems, because it is usually through interrupts that the system is informed of external events. VxWorks allows C functions to be connected to any interrupt. A routine connected to an interrupt in this way is called an interrupt service routine (ISR). For response of interrupt, interrupt control/status register of PCI 9054 interface chip needs to be set. The general-purpose binary semaphore used in ISR is capable of addressing the requirements of both forms of task coordination: mutual exclusion and synchronization. Therefore, the system runs stably and reliably. (authors)

Fracture propagation in gas pipelines - relevance to submarine lines

Energy Technology Data Exchange (ETDEWEB)

Fearnehough, G D [British Gas Corp., Newcastle upon Tyne. Engineering Research Station

1976-09-01

This paper reviews the factors which control fracture propagation in pipes and suggests how they are influenced by submarine environments. If fracture arrest capability is required then these factors should be considered in terms of the design philosophy and the maximum tolerable length of fracture which can be repaired. The paper shows that brittle fracture characteristics of submarine pipelines are probably similar to land based lines and fracture arrest can only be guaranteed by appropriate material toughness specification. Resistance to ductile fracture propagation in submarine lines is enhanced by lower design stresses, thicker pipe, concrete coating and the effect of hydrostatic head on gas dynamics. However, additional factors due to submarine design can be deleterious viz: uncertainty about backfill integrity and a tendency of thicker steels to low fracture resistance arising from 'separation' formation. Attention is drawn to problems which may arise with transportation of gases rich in hydrocarbons and the use of mechanical methods of fracture arrest.

Antithrombotic therapy in patients with non-valvular atrial fibrillation undergoing percutaneous coronary intervention: should we change our practice after the PIONEER AF-PCI and RE-DUAL PCI trials?

Science.gov (United States)

Duerschmied, D; Brachmann, J; Darius, H; Frey, N; Katus, H A; Rottbauer, W; Schäfer, A; Thiele, H; Bode, C; Zeymer, Uwe

2018-04-20

The number of patients with atrial fibrillation undergoing percutaneous coronary intervention (PCI) is increasing. Since these patients have a CHA 2 DS 2 -VASc score of 1 or higher, they should be treated with oral anticoagulation to prevent stroke. However, combination therapy with oral anticoagulation for prevention of embolic stroke and dual platelet inhibition for prevention of coronary thrombosis significantly increases bleeding complications. The optimal combination, intensity and duration of antithrombotic combination therapy is still not known. In the rather small randomized WOEST trial, the combination of a vitamin K antagonist (VKA) and clopidogrel decreased bleeding compared to the conventional triple therapy with VKA, clopidogrel and aspirin. In the PIONEER AF-PCI trial, two rivaroxaban-based treatment regimens significantly reduced bleeding complications compared to conventional triple therapy without increasing embolic or ischemic complications following PCI. Dual therapy with rivaroxaban and clopidogrel appeared to provide an optimal risk-benefit ratio. In the RE-DUAL PCI trial, dual therapy with dabigatran also reduced bleeding complications compared to conventional triple therapy. With respect to the composite efficacy end point of thromboembolic events (myocardial infarction, stroke, or systemic embolism), death, or unplanned revascularization dabigatran-based dual therapy was non-inferior to VKA-based triple therapy. The upcoming trials AUGUSTUS with apixaban and ENTRUST-PCI with edoxaban will further examine the use of NOACs in this setting. While recent guidelines recommend NOAC-based dual therapy in only a subset of patients (those who are at increased risk of bleeding), the available data now suggest that this should be the preferred choice for the majority of patients. Adding aspirin to this primary choice for up to 4 weeks in patients at especially high ischemic risk would likely prevent atherothrombotic events, but this needs further

Submarine landslides on the north continental slope of the South China Sea

Science.gov (United States)

Wang, Weiwei; Wang, Dawei; Wu, Shiguo; Völker, David; Zeng, Hongliu; Cai, Guanqiang; Li, Qingping

2018-02-01

Recent and paleo-submarine landslides are widely distributed within strata in deep-water areas along continental slopes, uplifts, and carbonate platforms on the north continental margin of the South China Sea (SCS). In this paper, high-resolution 3D seismic data and multibeam data based on seismic sedimentology and geomorphology are employed to assist in identifying submarine landslides. In addition, deposition models are proposed that are based on specific geological structures and features, and which illustrate the local stress field over entire submarine landslides in deep-water areas of the SCS. The SCS is one of the largest fluvial sediment sinks in enclosed or semi-enclosed marginal seas worldwide. It therefore provides a set of preconditions for the formation of submarine landslides, including rapid sediment accumulation, formation of gas hydrates, and fluid overpressure. A new concept involving temporal and spatial analyses is tested to construct a relationship between submarine landslides and different time scale trigger mechanisms, and three mechanisms are discussed in the context of spatial scale and temporal frequency: evolution of slope gradient and overpressure, global environmental changes, and tectonic events. Submarine landslides that are triggered by tectonic events are the largest but occur less frequently, while submarine landslides triggered by the combination of slope gradient and over-pressure evolution are the smallest but most frequently occurring events. In summary, analysis shows that the formation of submarine landslides is a complex process involving the operation of different factors on various time scales.

A risk prediction score model for predicting occurrence of post-PCI vasovagal reflex syndrome: a single center study in Chinese population.

Science.gov (United States)

Li, Hai-Yan; Guo, Yu-Tao; Tian, Cui; Song, Chao-Qun; Mu, Yang; Li, Yang; Chen, Yun-Dai

2017-08-01

The vasovagal reflex syndrome (VVRS) is common in the patients undergoing percutaneous coronary intervention (PCI). However, prediction and prevention of the risk for the VVRS have not been completely fulfilled. This study was conducted to develop a Risk Prediction Score Model to identify the determinants of VVRS in a large Chinese population cohort receiving PCI. From the hospital electronic medical database, we identified 3550 patients who received PCI (78.0% males, mean age 60 years) in Chinese PLA General Hospital from January 1, 2000 to August 30, 2016. The multivariate analysis and receiver operating characteristic (ROC) analysis were performed. The adverse events of VVRS in the patients were significantly increased after PCI procedure than before the operation (all P PCI was 4.5% (4.1%-5.6%). Compared to the patients suffering no VVRS, incidence of VVRS involved the following factors, namely female gender, primary PCI, hypertension, over two stents implantation in the left anterior descending (LAD), and the femoral puncture site. The multivariate analysis suggested that they were independent risk factors for predicting the incidence of VVRS (all P PCI (c-statistic 0.76, 95% CI: 0.72-0.79, P PCI whose diastolic blood pressure dropped by more than 30 mmHg and heart rate reduced by 10 times per minute (AUC: 0.84, 95% CI: 0.81-0.87, P PCI. In which, the following factors may be involved, the femoral puncture site, female gender, hypertension, primary PCI, and over 2 stents implanted in LAD.

Immediate multivessel percutaneous coronary intervention versus culprit lesion intervention in patients with acute myocardial infarction complicated by cardiogenic shock: results of the ALKK-PCI registry.

Science.gov (United States)

Zeymer, Uwe; Hochadel, Mathias; Thiele, Holger; Andresen, Dietrich; Schühlen, Helmut; Brachmann, Johannes; Elsässer, Albrecht; Gitt, Anselm; Zahn, Ralf

2015-07-01

Current guidelines recommend immediate multivessel percutaneous coronary intervention (PCI) in patients with cardiogenic shock, despite the lack of randomised trials. We sought to investigate the use and impact on outcome of multivessel PCI in current practice in cardiogenic shock in Germany. Between January 2008 and December 2011 a total of 735 consecutive patients with acute myocardial infarction, cardiogenic shock and multivessel coronary artery disease underwent immediate PCI in 41 hospitals in Germany. Of these, 173 (23.5%) patients were treated with immediate multivessel PCI. The acute success of PCI with respect to TIMI 3 flow did not differ between the groups (82.5% versus 79.6%). In-hospital mortality with multivessel PCI and culprit lesion PCI was 46.8% and 35.8%, respectively. In multivariate analysis multivessel PCI was associated with an increased mortality (odds ratio 1.5; 95% confidence interval 1.15-1.84). In current clinical practice in Germany multivessel PCI is used only in one quarter of patients with cardiogenic shock treated with primary PCI. We observed an adverse effect of immediate multivessel PCI. Therefore, a randomised trial is needed to determine the definitive role of multivessel PCI in cardiogenic shock.

A mission executor for an autonomous underwater vehicle

Science.gov (United States)

Lee, Yuh-Jeng; Wilkinson, Paul

1991-01-01

The Naval Postgraduate School has been conducting research into the design and testing of an Autonomous Underwater Vehicle (AUV). One facet of this research is to incrementally design a software architecture and implement it in an advanced testbed, the AUV II. As part of the high level architecture, a Mission Executor is being constructed using CLIPS (C Language Integrated Production System) version 5.0. The Mission Executor is an expert system designed to oversee progress from the AUV launch point to a goal area and back to the origin. It is expected that the executor will make informed decisions about the mission, taking into account the navigational path, the vehicle subsystem health, and the sea environment, as well as the specific mission profile which is downloaded from an offboard mission planner. Heuristics for maneuvering, avoidance of uncharted obstacles, waypoint navigation, and reaction to emergencies (essentially the expert knowledge of a submarine captain) are required. Many of the vehicle subsystems are modeled as objects using the CLIPS Object Oriented Language (COOL) embedded in CLIPS 5.0. Also, truth maintenance is applied to the knowledge base to keep configurations updated.

SCICEX: Submarine Arctic Science Program

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The Submarine Arctic Science Program, SCICEX, is a federal interagency collaboration among the operational Navy, research agencies, and the marine research community...

Antiplatelet and anticoagulation regimen in patients with mechanical valve undergoing PCI - State-of-the-art review.

Science.gov (United States)

Gajanana, Deepakraj; Rogers, Toby; Iantorno, Micaela; Buchanan, Kyle D; Ben-Dor, Itsik; Pichard, Augusto D; Satler, Lowell F; Torguson, Rebecca; Okubagzi, Petros G; Waksman, Ron

2018-04-02

A common clinical dilemma regarding treatment of patients with a mechanical valve is the need for concomitant antiplatelet therapy for a variety of reasons, referred to as triple therapy. Triple therapy is when a patient is prescribed aspirin, a P2Y12 antagonist, and an oral anticoagulant. Based on the totality of the available evidence, best practice in 2017 for patients with mechanical valves undergoing percutaneous coronary intervention (PCI) is unclear. Furthermore, the optimal duration of dual antiplatelet therapy after PCI is evolving. With better valve designs that are less thrombogenic, the thromboembolic risks can be reduced at a lower international normalized ratio target, thus decreasing the bleeding risk. This review will offer an in-depth survey of current guidelines, current evidence, suggested approach for PCI in this cohort, and future studies regarding mechanical valve patients undergoing PCI. Copyright © 2017 Elsevier B.V. All rights reserved.

Patterns of in-hospital mortality and bleeding complications following PCI for very elderly patients: insights from the Dartmouth Dynamic Registry.

Science.gov (United States)

Li, Shawn X; Chaudry, Hannah I; Lee, Jiyong; Curran, Theodore B; Kumar, Vishesh; Wong, Kendrew K; Andrus, Bruce W; DeVries, James T

2018-02-01

Very elderly patients (age ≥ 85 years) are a rapidly increasing segment of the population. As a group, they experience high rates of in-hospital mortality and bleeding complications following percutaneous coronary intervention (PCI). However, the relationship between bleeding and mortality in the very elderly is unknown. Retrospective review was performed on 17,378 consecutive PCI procedures from 2000 to 2015 at Dartmouth-Hitchcock Medical Center. Incidence of bleeding during the index PCI admission (bleeding requiring transfusion, access site hematoma > 5 cm, pseudoaneurysm, and retroperitoneal bleed) and in-hospital mortality were reported for four age groups (PCI. Incidence of bleeding and in-hospital mortality increased monotonically with increasing age (mortality: 0.94%, 2.27%, 4.24% and 4.58%; bleeding: 3.96%, 6.62%, 10.68% and 13.99% for ages PCI increase with increasing age. For the very elderly, despite high rates of bleeding, bleeding is no longer predictive of in-hospital mortality following PCI.

Meta-Analysis of Data from the Submarine Ventilation Doctrine Test Program

National Research Council Canada - National Science Library

Hoover, J

1998-01-01

.... The Submarine Ventilation Doctrine Test Program was developed to address submarine-specific issues regarding the use of ventilation systems to control smoke and heat movement, maintain habitability...

Displaying Uncertainty: A Comparison Between Submarine Subject Matter Experts

Science.gov (United States)

2007-03-01

known as the “submarine capital of the world” and is the home for many of the schools relating to the submarine service. The administering officer for...and Woods, D. D. (1988). Aiding Human Performance: I. Cognitive Analysis, Le Travail Humain 51(1), 39-64. Roth, E. M., Patterson, E. S., and Mumaw

The Bruton tyrosine kinase inhibitor PCI-32765 thwarts chronic lymphocytic leukemia cell survival and tissue homing in vitro and in vivo

Science.gov (United States)

Ponader, Sabine; Chen, Shih-Shih; Buggy, Joseph J.; Balakrishnan, Kumudha; Gandhi, Varsha; Wierda, William G.; Keating, Michael J.; O'Brien, Susan; Chiorazzi, Nicholas

2012-01-01

B-cell receptor (BCR) signaling is a critical pathway in the pathogenesis of several B-cell malignancies, including chronic lymphocytic leukemia (CLL), and can be targeted by inhibitors of BCR-associated kinases, such as Bruton tyrosine kinase (Btk). PCI-32765, a selective, irreversible Btk inhibitor, is a novel, molecularly targeted agent for patients with B-cell malignancies, and is particularly active in patients with CLL. In this study, we analyzed the mechanism of action of PCI-32765 in CLL, using in vitro and in vivo models, and performed correlative studies on specimens from patients receiving therapy with PCI-32765. PCI-32765 significantly inhibited CLL cell survival, DNA synthesis, and migration in response to tissue homing chemokines (CXCL12, CXCL13). PCI-32765 also down-regulated secretion of BCR-dependent chemokines (CCL3, CCL4) by the CLL cells, both in vitro and in vivo. In an adoptive transfer TCL1 mouse model of CLL, PCI-32765 affected disease progression. In this model, PCI-32765 caused a transient early lymphocytosis, and profoundly inhibited CLL progression, as assessed by weight, development, and extent of hepatospenomegaly, and survival. Our data demonstrate that PCI-32765 effectively inhibits CLL cell migration and survival, possibly explaining some of the characteristic clinical activity of this new targeted agent. PMID:22180443

History of Military Psychology at the U. S. Naval Submarine Medical Research Laboratory

Science.gov (United States)

1979-10-23

the first nuclear submarine, were gigantic increases in the environmental demands imposed upon the submarine crewmembers. Some of these changes had to...urgency for an empirical determination of the maximum duration a submarine could remain submerged before debilitative symptoms appeared in significant

RuvBL2 Is Involved in Histone Deacetylase Inhibitor PCI-24781-Induced Cell Death in SK-N-DZ Neuroblastoma Cells

Science.gov (United States)

Zhan, Qinglei; Tsai, Sauna; Lu, Yonghai; Wang, Chunmei; Kwan, Yiuwa; Ngai, Saiming

2013-01-01

Neuroblastoma is the second most common solid tumor diagnosed during infancy. The survival rate among children with high-risk neuroblastoma is less than 40%, highlighting the urgent needs for new treatment strategies. PCI-24781 is a novel hydroxamic acid-based histone deacetylase (HDAC) inhibitor that has high efficacy and safety for cancer treatment. However, the underlying mechanisms of PCI-24781 are not clearly elucidated in neuroblastoma cells. In the present study, we demonstrated that PCI-24781 treatment significantly inhibited tumor growth at very low doses in neuroblastoma cells SK-N-DZ, not in normal cell line HS-68. However, PCI-24781 caused the accumulation of acetylated histone H3 both in SK-N-DZ and HS-68 cell line. Treatment of SK-N-DZ with PCI-24781 also induced cell cycle arrest in G2/M phase and activated apoptosis signaling pathways via the up-regulation of DR4, p21, p53 and caspase 3. Further proteomic analysis revealed differential protein expression profiles between non-treated and PCI-24781 treated SK-N-DZ cells. Totally 42 differentially expressed proteins were identified by MALDI-TOF MS system. Western blotting confirmed the expression level of five candidate proteins including prohibitin, hHR23a, RuvBL2, TRAP1 and PDCD6IP. Selective knockdown of RuvBL2 rescued cells from PCI-24781-induced cell death, implying that RuvBL2 might play an important role in anti-tumor activity of PCI-24781 in SK-N-DZ cells. The present results provide a new insight into the potential mechanism of PCI-24781 in SK-N-DZ cell line. PMID:23977108

Evaluation of the safety and efficacy of an edoxaban-based antithrombotic regimen in patients with atrial fibrillation following successful percutaneous coronary intervention (PCI) with stent placement: Rationale and design of the ENTRUST-AF PCI trial.

Science.gov (United States)

Vranckx, Pascal; Lewalter, Thorsten; Valgimigli, Marco; Tijssen, Jan G; Reimitz, Paul-Egbert; Eckardt, Lars; Lanz, Hans-Joachim; Zierhut, Wolfgang; Smolnik, Rüdiger; Goette, Andreas

2018-02-01

The optimal antithrombotic treatment after percutaneous coronary intervention (PCI) with stenting in patients with atrial fibrillation (AF) is unknown. In the ENGAGE AF-TIMI 48 trial, edoxaban was noninferior to a vitamin K antagonist (VKA) with respect to the prevention of stroke or systemic embolism and was associated with significantly lower rates of bleeding and cardiovascular death in patients with nonvalvular AF. The effects of edoxaban in combination with single- or dual-antiplatelet therapy in the setting of PCI are unexplored. The ENTRUST-AF PCI trial is a multinational, multicenter, randomized, open-label phase 3b trial with blinded end point evaluation involving 1,500 patients on oral anticoagulation for AF. Patients are randomized between 4 hours and 5 days after successful PCI to either an edoxaban-based strategy (experimental arm; 60 mg [or 30 mg according to dose reduction criteria] once daily plus a P2Y 12 antagonist [default clopidogrel, 75 mg once daily] for 12 months) or a VKA-based strategy (control arm; VKA plus a P2Y 12 antagonist [as above] plus acetylsalicylic acid [100 mg once daily] for 30 days to 12 months). The primary safety end point is the incidence of International Society on Thrombosis and Haemostasis-defined major or clinically relevant nonmajor bleeding. The main efficacy end point is the composite of cardiovascular death, stroke, systemic embolic events, spontaneous myocardial infarction, and definite stent thrombosis. The ENTRUST-AF PCI trial tests the hypothesis that an edoxaban-based antithrombotic strategy reduces the risk of bleeding complications after PCI compared with VKA plus conventional dual-antiplatelet therapy in patients with AF in need of oral anticoagulation. The relative risk of ischemic events between groups will be compared. Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.

FPGA implementation of PCI to CAMAC interface for Embedded CAMAC Controller (ECC)

International Nuclear Information System (INIS)

Jha, K.; Behere, Anita; Ghodgaonkar, M.D.

2005-01-01

CAMAC controllers are used for control systems and nuclear physics experiments. Control applications need more number of physically distributed crates with regular scanning of all the parameters, the control being with a centralized computer. On the other hand, nuclear physics experiments need a high throughput with a large number of parameters in one or more crates. The nature of events is random hence buffering of data in LIST mode acquisition is needed. For a large number of parameters, this translates to high transfer rate. Hence it is essential that the CAMAC readout time is minimized and also the data transfer speed is improved to achieve maximum effective throughput. The ECC is designed to achieve these objectives using an embedded controller with PC architecture having PCI bus as interface for add on logic. The PCI Add-on to CAMAC interface protocol has been implemented in an AL TERA FPGA and all the functionality coded in VHDL. This paper discusses the design aspects of the FPGA implementation of the PCI to CAMAC interface. (author)

Design of device driver program for PCI data acquisition adapters based on WDM of windows 2000

International Nuclear Information System (INIS)

Yuan Weihua; Qiao Weimin; Jing Lan; Zhu Haijun

2003-01-01

The paper describes the design of device driver program for PCI data acquisition adapters based on WDM of Windows 2000. Give an actual example of PCI6208. Now, several data acquisition adapters based in this method are using in national big science engineer HIRFL-CSR. (authors)

Impaired health status in Type D patients following PCI in the drug-eluting stent era

DEFF Research Database (Denmark)

Pedersen, Susanne S.; Denollet, Johan; Ong, Andrew T L

2007-01-01

Drug-eluting stenting reduces restenosis post-percutaneous coronary intervention (PCI), but subgroups of patients may not benefit optimally from this procedure. We examined the impact of Type D personality on health status over time and the clinical relevance of Type D as a predictor of impaired...... health status at 12 months in unselected post-PCI patients....

PCI Versus CABG in Patients With Type 1 Diabetes and Multivessel Disease.

Science.gov (United States)

Nyström, Thomas; Sartipy, Ulrik; Franzén, Stefan; Eliasson, Björn; Gudbjörnsdottir, Soffia; Miftaraj, Mervete; Lagerqvist, Bo; Svensson, Ann-Marie; Holzmann, Martin J

2017-09-19

It is unknown if coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI) may offer a survival benefit in patients with type 1 diabetes (T1D) in need of multivessel revascularization. This study sought to determine if patients with T1D and multivessel disease may benefit from CABG compared with PCI. In an observational cohort study, the authors included all patients with T1D who underwent a first multivessel revascularization in Sweden from 1995 to 2013. The authors used the SWEDEHEART (Swedish Web-system for Enhancement and Development of Evidence-based care in Heart disease Evaluated According to Recommended Therapies) register, the Swedish National Diabetes Register, and the Swedish National Patient Register to retrieve information about patient characteristics and outcomes. They estimated hazard ratios (HRs) adjusted for confounders with 95% confidence intervals (CIs) for all-cause and coronary heart disease mortality, myocardial infarction, repeat revascularization, stroke, and heart failure using inverse probability of treatment weighting based on propensity scores. In total, 683 patients who underwent CABG and 1,863 patients who underwent PCI were included. During a mean follow-up of 10.6 years, 53% of patients in the CABG group and 45% in the PCI group died. PCI, compared with CABG, was associated with a similar risk of all-cause mortality (HR: 1.14; 95% CI: 0.99 to 1.32), but higher risks of death from coronary heart disease (HR: 1.45; 95% CI: 1.21 to 1.74), myocardial infarction (HR: 1.47; 95% CI: 1.23 to 1.78), and repeat revascularization (HR: 5.64; 95% CI: 4.67 to 6.82). No differences in risks of stroke or heart failure were found. Notwithstanding the inclusion of patients with T1D who might not have been able to undergo CABG in the PCI group we found that PCI, compared with CABG, was associated with higher rates and risks of coronary heart disease mortality, myocardial infarction, and repeat revascularizations. Our

Situation awareness measures for simulated submarine track management.

Science.gov (United States)

Loft, Shayne; Bowden, Vanessa; Braithwaite, Janelle; Morrell, Daniel B; Huf, Samuel; Durso, Francis T

2015-03-01

The aim of this study was to examine whether the Situation Present Assessment Method (SPAM) and the Situation Awareness Global Assessment Technique (SAGAT) predict incremental variance in performance on a simulated submarine track management task and to measure the potential disruptive effect of these situation awareness (SA) measures. Submarine track managers use various displays to localize and track contacts detected by own-ship sensors. The measurement of SA is crucial for designing effective submarine display interfaces and training programs. Participants monitored a tactical display and sonar bearing-history display to track the cumulative behaviors of contacts in relationship to own-ship position and landmarks. SPAM (or SAGAT) and the Air Traffic Workload Input Technique (ATWIT) were administered during each scenario, and the NASA Task Load Index (NASA-TLX) and Situation Awareness Rating Technique were administered postscenario. SPAM and SAGAT predicted variance in performance after controlling for subjective measures of SA and workload, and SA for past information was a stronger predictor than SA for current/future information. The NASA-TLX predicted performance on some tasks. Only SAGAT predicted variance in performance on all three tasks but marginally increased subjective workload. SPAM, SAGAT, and the NASA-TLX can predict unique variance in submarine track management performance. SAGAT marginally increased subjective workload, but this increase did not lead to any performance decrement. Defense researchers have identified SPAM as an alternative to SAGAT because it would not require field exercises involving submarines to be paused. SPAM was not disruptive, but it is potentially problematic that SPAM did not predict variance in all three performance tasks. © 2014, Human Factors and Ergonomics Society.

Risk factors for dermatitis in submariners during a submerged patrol: an observational cohort study.

Science.gov (United States)

Flaxman, Amy; Allen, Elizabeth; Lindemann, Claudia; Yamaguchi, Yuko; O'Shea, Matthew K; Fallowfield, Joanne L; Lindsay, Michael; Gunner, Frances; Knox, Kyle; Wyllie, David H

2016-06-02

The aim of this pilot study was to determine risk factors, including Staphylococcus aureus nasal carriage, for dermatitis in submariners during a submarine patrol. 36 submariners undertaking a submerged 6-week patrol participated in the study. Severity of dermatitis and its impact was assessed using visual analogue scales and questionnaires at baseline and weekly throughout the patrol. S. aureus carriage levels in submariners were determined by nasal swabbing at baseline and shortly before disembarking the submarine. Occurrence of any skin or soft tissue infections (SSTI) were reported to the medical officer and swabs of the area were taken for subsequent analysis. S. aureus carriers were significantly more likely than non-carriers to have previously received treatment for a cutaneous abscess (39% vs 5%, OR=13 (95% CI 1.3 to 130)) with a trend to being submariners longer (p=0.051). Skin scores at baseline and on patrol were not significantly associated with carriage status. Higher dermatitis scores were observed in those who had been submariners longer (p=0.045). Smoking and allergies were not found to be linked to carriage status or skin health score in this cohort. This small pilot study investigates S. aureus carriage status and skin health in submariners. Length of submarine service but not S. aureus carriage was identified as a risk factor for worsening skin health in this small cohort during a 6-week patrol. This does not support S. aureus decolonisation to improve skin health in this population. Further investigation into causes of dermatitis in submariners is required. This data supports a better understanding of the potential impact of exposure to environmental factors that could affect skin health in submariners. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Combined PCI and minimally invasive heart valve surgery for high-risk patients.

Science.gov (United States)

Umakanthan, Ramanan; Leacche, Marzia; Petracek, Michael R; Zhao, David X; Byrne, John G

2009-12-01

Combined coronary artery valvular heart disease is a major cause of morbidity and mortality in the adult patient population. The standard treatment for such disease has been open heart surgery in which coronary artery bypass grafting (CABG) is performed concurrently with valve surgery using a median sternotomy and cardiopulmonary bypass. With the increasing complexity of patients referred to surgery, some patients may prove to be poor surgical candidates for combined valve and CABG surgery. In certain selected patients who fall into this category, valve surgery and percutaneous coronary intervention (PCI) have been considered a feasible alternative. Conventionally, valve surgery is performed in the cardiac surgical operating room, whereas PCI is carried out in the cardiac catheterization laboratory. Separation of these two procedural suites has presented a logistic limitation because it impedes the concomitant performance of both procedures in one setting. Hence, PCI and valve surgery usually have been performed as a "two-stage" procedure in two different operative suites, with the procedures being separated by hours, days, or weeks. Technologic advancements have made possible the construction of a "hybrid" procedural suite that combines the facilities of a cardiac surgical operating room with those of a cardiac catheterization laboratory. This design has enabled the concept of "one-stage" or "one-stop" PCI and valve surgery, allowing both procedures to be performed in a hybrid suite in one setting, separated by minutes. The advantages of such a method could prove to be multifold by enabling a less invasive surgical approach and improving logistics, patient satisfaction, and outcomes in selected patients.

Long-term outcomes of coronary artery bypass grafting versus stent-PCI for unprotected left main disease: a meta-analysis.

Science.gov (United States)

De Rosa, Salvatore; Polimeni, Alberto; Sabatino, Jolanda; Indolfi, Ciro

2017-09-06

Coronary artery bypass graft (CABG) surgery has traditionally represented the standard of care for left main coronary artery (LMCA) disease. However, percutaneous coronary intervention with stent implantation (PCI) has more recently emerged as a valuable alternative. The long-time awaited results of the largest randomized trials on the long-term impact of PCI versus CABG in LMCA disease, the newly published NOBLE and EXCEL studies, revealed contrasting results. Thus, aim of the present meta-analysis was to review the most robust evidence from randomized comparisons of CABG versus PCI for revascularization of LMCA. Randomized studies comparing long-term clinical outcomes of CABG or Stent-PCI for the treatment of LMCA disease were searched for in PubMed, the Chochrane Library and Scopus electronic databases. A total of 5 randomized studies were selected, including 4499 patients. No significant difference between CABG and PCI was found in the primary analysis on the composite endpoint of death, stroke and myocardial infarction (OR = 1·06 95% CI 0·80-1·40; p = 0·70). Similarly, no differences were observed between CABG and PCI for all-cause death (OR = 1·03 95% CI 0·81-1·32; p = 0·81). Although not statistically significant, a lower rate of stroke was registered in the PCI arm (OR = 0·86; p = 0·67), while a lower rate of myocardial infarction was found in the CABG arm (OR = 1·43; p = 0·17). On the contrary, a significantly higher rate of repeat revascularization was registered in the PCI arm (OR = 1·76 95% CI 1·45-2·13; p PCI and CABG for the treatment of LMCA disease in the composite endpoint of death, stroke and myocardial infarction. Hence, a large part of patients with unprotected left main coronary artery disease can be managed equally well by means of both these revascularization strategies.

An Air Quality Assessment Onboard an Oberon Class Submarine: HMCS Okanagan

National Research Council Canada - National Science Library

Severs, Y

2000-01-01

... submarine to determine if the atmosphere complied with Air Purification Standard BR 1326. The objective of the study was to obtain information to assist in developing plans for future submarine air quality management...

An air quality assessment onboard an Oberon class submarine : HMCS Okanagan

International Nuclear Information System (INIS)

Severs, Y.D.; Sabiston, B.H.

2000-09-01

The Defence and Civil Institute of Environmental Medicine (DCIEM) re-examined the air quality on an Oberon class submarine, the HMCS Okanagan, to determine if the atmosphere complied with Air Purification Standard BR 1326. The main objective of the assessment was to help in the development of future submarine air quality management. The information obtained from the Oberon class submarine could be readily applied to the Victoria class submarines. The assessment involved a trial aboard an Oberon under patrol conditions. The functional and detection capabilities of analytical air monitoring instruments were assessed for a 24-hour period to obtain data regarding the contaminants onboard the submarine. A profile of carbon dioxide accumulation and oxygen consumption was determined. This was followed by an assessment of the effectiveness of air purification such as carbon dioxide scrubbing, oxygen generation and snorting. Carbon monoxide was also monitored and carboxyhemoglobin was measured in both smokers and non-smokers. In order to determine if the sanitary or electrical systems, or engine exhaust posed any danger, ammonia, ozone and nitrous compounds were also measured. In addition, hydrogen, arsine and stibene were monitored to determine any possible danger from charging batteries. The health risks associated with aerosolized particles from cooking, smoking and exhaust gases were also measured. Results showed that all contaminants were within allowable limits. However, the study also confirmed that air purification measures on diesel submarines are minimal and poorly placed and that there is a lack of exhaust ventilation. Poor air exchange was worsened by compartmentalization and blackout curtains. Several recommendations were proposed to improve the management of air quality in Victoria class submarines. 18 refs., 2 tabs., 5 figs

An air quality assessment onboard an Oberon class submarine : HMCS Okanagan

Energy Technology Data Exchange (ETDEWEB)

Severs, Y.D.; Sabiston, B.H.

2000-09-01

The Defence and Civil Institute of Environmental Medicine (DCIEM) re-examined the air quality on an Oberon class submarine, the HMCS Okanagan, to determine if the atmosphere complied with Air Purification Standard BR 1326. The main objective of the assessment was to help in the development of future submarine air quality management. The information obtained from the Oberon class submarine could be readily applied to the Victoria class submarines. The assessment involved a trial aboard an Oberon under patrol conditions. The functional and detection capabilities of analytical air monitoring instruments were assessed for a 24-hour period to obtain data regarding the contaminants onboard the submarine. A profile of carbon dioxide accumulation and oxygen consumption was determined. This was followed by an assessment of the effectiveness of air purification such as carbon dioxide scrubbing, oxygen generation and snorting. Carbon monoxide was also monitored and carboxyhemoglobin was measured in both smokers and non-smokers. In order to determine if the sanitary or electrical systems, or engine exhaust posed any danger, ammonia, ozone and nitrous compounds were also measured. In addition, hydrogen, arsine and stibene were monitored to determine any possible danger from charging batteries. The health risks associated with aerosolized particles from cooking, smoking and exhaust gases were also measured. Results showed that all contaminants were within allowable limits. However, the study also confirmed that air purification measures on diesel submarines are minimal and poorly placed and that there is a lack of exhaust ventilation. Poor air exchange was worsened by compartmentalization and blackout curtains. Several recommendations were proposed to improve the management of air quality in Victoria class submarines. 18 refs., 2 tabs., 5 figs.

The Influence of Comprehensive Cardiac Rehabilitation on Heart Rate Variability Indices after CABG is More Effective than after PCI.

Science.gov (United States)

Szmigielska, Katarzyna; Szmigielska-Kapłon, Anna; Jegier, Anna

2018-02-01

The aim of this study was to evaluate the influence of cardiac rehabilitation (CR) on heart rate variability (HRV) indices in men with coronary artery disease (CAD) treated with percutaneous coronary intervention (PCI) or coronary artery bypass graft surgery (CABG). The study population consisted of 131 male patients with CAD prospectively and consecutively admitted to CR after PCI n = 72, or CABG n = 59. Participants performed cycle ergometer interval training for 45 min three times a week for 8 weeks. At baseline and after 8 weeks, all patients underwent the HRV assessment. HRV indices in CAGB survivals were significantly lower in comparison to PCI patients at baseline. Significant increases were seen for SDNN, rMSSD, and HF in the CABG group and only in HF component in PCI group after 8 weeks of CR. Eight weeks of CR seems to be more effective in CABG patients than patients after PCI.

Exploration of submarine wake and powering performance using CFD method

International Nuclear Information System (INIS)

Huizhi, Y.; Hongcui, S.; Nan, Z.; Renyou, Y.; Liangmei, Y.

2005-01-01

In response to the needs of better design and less time, Computational Fluid Dynamic(CFD) methods have become an impartible part in the ship design, especially in the earlier design phases. In this paper FLUENT software was used to predict the wake character and powering performance of submarine at model scale. By an effective combination of the block topology, grid, turbulence model and validation, the simulation scheme was developed and applied to the predictions of multiple designs and optimizations of the earlier submarine design iterations. The incompressible RANS equations with different turbulence models were solved. To handle the block interface between the propeller and submarine stern, sliding girds in multiple blocks were employed, unstructural grids were used in the block around the propeller. Submarine with/without stator and/or propeller were studied. The flow feature, forces and powering performance at various conditions were calculated. The results were compared with experimental data, and a good agreement was obtained. (author)

Effects of ticagrelor versus clopidogrel on platelet function in fibrinolytic-treated STEMI patients undergoing early PCI.

Science.gov (United States)

Dehghani, Payam; Lavoie, Andrea; Lavi, Shahar; Crawford, Jennifer J; Harenberg, Sebastian; Zimmermann, Rodney H; Booker, Jeff; Kelly, Sheila; Cantor, Warren J; Mehta, Shamir R; Bagai, Akshay; Goodman, Shaun G; Cheema, Asim N

2017-10-01

Patients undergoing PCI early after fibrinolytic therapy are at high risk for both thrombotic and bleeding complications. We sought to assess the pharmacodynamic effects of ticagrelor versus clopidogrel in the fibrinolytic-treated STEMI patients undergoing early PCI. Patients undergoing PCI within 24 hours of tenecteplase (TNK), aspirin, and clopidogrel for STEMI were randomized to receive additional clopidogrel 300 mg followed by 75 mg daily or ticagrelor 180 mg followed by 90 mg twice daily. The platelet reactivity units (PRU) were measured with the VerifyNow Assay before study drug administration (baseline) at 4 and 24 hours post-PCI. The primary end point was PRU ≤208 at 4 hours. A total of 140 patients (74 in ticagrelor and 66 in clopidogrel group) were enrolled. The mean PRU values at baseline were similar for the 2 groups (257.8±52.9 vs 259.5±56.7, P=.85, respectively). Post-PCI, patients on ticagrelor, compared to those on clopidogrel, had significantly lower PRU at 4 hours (78.7±88 vs 193.6±86.5, respectively, PPCI frequently had PRU >208. In this high-risk population, ticagrelor provides more prompt and potent platelet inhibition compared with clopidogrel (Funded by Astra Zeneca; NCT01930591, https://clinicaltrials.gov/ct2/show/NCT01930591). Copyright © 2017 Elsevier Inc. All rights reserved.

Fuel-cell-propelled submarine-tanker-system study

International Nuclear Information System (INIS)

Court, K.E.; Kumm, W.H.; O'Callaghan, J.E.

1982-06-01

This report provides a systems analysis of a commercial Arctic Ocean submarine tanker system to carry fossil energy to markets. The submarine is to be propelled by a modular Phosphoric Acid Fuel Cell system. The power level is 20 Megawatts. The DOE developed electric utility type fuel cell will be fueled with methanol. Oxidant will be provided from a liquid oxygen tank carried onboard. The twin screw submarine tanker design is sized at 165,000 deadweight tons and the study includes costs and an economic analysis of the transport system of 6 ships. The route will be under the polar icecap from a loading terminal located off Prudhoe Bay, Alaska to a transshipment facility postulated to be in a Norwegian fjord. The system throughput of the gas-fed methanol cargo will be 450,000 barrels per day. The total delivered cost of the methanol including well head purchase price of natural gas, methanol production, and shipping would be $25/bbl from Alaska to the US East Coast. Of this, the shipping cost is $6.80/bbl. All costs in 1981 dollars

Formation of submarine gas hydrates

Energy Technology Data Exchange (ETDEWEB)

Soloviev, V.; Ginsburg, G.D. (Reserch Institute of Geology and Mineral Resources of the Ocean ' ' VNII Okeangeologia' ' , St. Petersburg (Russian Federation))

1994-03-01

Submarine gas hydrates have been discoverd in the course of deep-sea drilling (DSDP and ODP) and bottom sampling in many offshore regions. This paper reports on expeditions carried out in the Black, Caspian and Okhotsk Seas. Gas hydrate accumulations were discovered and investigated in all these areas. The data and an analysis of the results of the deep-sea drilling programme suggest that the infiltration of gas-bearing fluids is a necessary condition for gas hydrate accumulation. This is confirmed by geological observations at three scale levels. Firstly, hydrates in cores are usually associated with comparatively coarse-grained, permeable sediments as well as voids and fractures. Secondly, hydrate accumulations are controlled by permeable geological structures, i.e. faults, diapirs, mud volcanos as well as layered sequences. Thirdly, in the worldwide scale, hydrate accumulations are characteristic of continental slopes and rises and intra-continental seas where submarine seepages also are widespread. Both biogenic and catagenic gas may occur, and the gas sources may be located at various distances from the accumulation. Gas hydrates presumably originate from water-dissolved gas. The possibility of a transition from dissolved gas into hydrate is confirmed by experimental data. Shallow gas hydrate accumulations associated with gas-bearing fluid plumes are the most convenient features for the study of submarine hydrate formation in general. These accumulations are known from the Black, Caspian and Okhotsk Seas, the Gulf of Mexico and off northern California. (au) (24 refs.)

Short- and Long-Term Cause of Death in Patients Treated With Primary PCI for STEMI

DEFF Research Database (Denmark)

Pedersen, Frants; Butrymovich, Vitalij; Kelbæk, Henning

2014-01-01

BACKGROUND: Short-term mortality has been studied thoroughly in patients undergoing primary percutaneous coronary intervention (PCI), whereas long-term cause of death in patients with ST-segment elevation myocardial infarction (STEMI) remains unknown. OBJECTIVES: The goal of this study was to des......BACKGROUND: Short-term mortality has been studied thoroughly in patients undergoing primary percutaneous coronary intervention (PCI), whereas long-term cause of death in patients with ST-segment elevation myocardial infarction (STEMI) remains unknown. OBJECTIVES: The goal of this study...... was to describe the association between time and cause of death in patients with STEMI undergoing primary PCI. METHODS: A centralized civil registration system, patient files, and public disease and death cause registries with an accurate record linkage were used to trace time and cause of death in 2......,804 consecutive patients with STEMI (age 63 ± 13 years, 72% males) treated with primary PCI. RESULTS: Patients were followed up for a median of 4.7 years. During a total of 13,447 patient-years, 717 patients died. Main causes of death within the first 30 days were cardiogenic shock and anoxic brain injury after...

CVIT expert consensus document on primary percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI) in 2018.

Science.gov (United States)

Ozaki, Yukio; Katagiri, Yuki; Onuma, Yoshinobu; Amano, Tetsuya; Muramatsu, Takashi; Kozuma, Ken; Otsuji, Satoru; Ueno, Takafumi; Shiode, Nobuo; Kawai, Kazuya; Tanaka, Nobuhiro; Ueda, Kinzo; Akasaka, Takashi; Hanaoka, Keiichi Igarashi; Uemura, Shiro; Oda, Hirotaka; Katahira, Yoshiaki; Kadota, Kazushige; Kyo, Eisho; Sato, Katsuhiko; Sato, Tadaya; Shite, Junya; Nakao, Koichi; Nishino, Masami; Hikichi, Yutaka; Honye, Junko; Matsubara, Tetsuo; Mizuno, Sumio; Muramatsu, Toshiya; Inohara, Taku; Kohsaka, Shun; Michishita, Ichiro; Yokoi, Hiroyoshi; Serruys, Patrick W; Ikari, Yuji; Nakamura, Masato

2018-04-01

While primary percutaneous coronary intervention (PCI) has significantly contributed to improve the mortality in patients with ST segment elevation myocardial infarction even in cardiogenic shock, primary PCI is a standard of care in most of Japanese institutions. Whereas there are high numbers of available facilities providing primary PCI in Japan, there are no clear guidelines focusing on procedural aspect of the standardized care. Whilst updated guidelines for the management of acute myocardial infarction were recently published by European Society of Cardiology, the following major changes are indicated; (1) radial access and drug-eluting stent over bare metal stent were recommended as Class I indication, and (2) complete revascularization before hospital discharge (either immediate or staged) is now considered as Class IIa recommendation. Although the primary PCI is consistently recommended in recent and previous guidelines, the device lag from Europe, the frequent usage of coronary imaging modalities in Japan, and the difference in available medical therapy or mechanical support may prevent direct application of European guidelines to Japanese population. The Task Force on Primary Percutaneous Coronary Intervention of the Japanese Association of Cardiovascular Intervention and Therapeutics (CVIT) has now proposed the expert consensus document for the management of acute myocardial infarction focusing on procedural aspect of primary PCI.

Submarine canyons off Madras Coast

Digital Repository Service at National Institute of Oceanography (India)

Setty, M.G.A.P.

Submarine canyons off the coast of Madras, Tamil Nadu, India were studied during cruise of @iINS Kistna@@ as part of the IIOE programme They consist of hill-like projections and V-shaped valleys Their other features are also reported...

Fractional flow reserve-guided PCI for stable coronary artery disease

DEFF Research Database (Denmark)

De Bruyne, Bernard; Fearon, William F; Pijls, Nico H J

2014-01-01

.80 received medical therapy alone and were included in a registry. The primary end point was a composite of death from any cause, nonfatal myocardial infarction, or urgent revascularization within 2 years. RESULTS: The rate of the primary end point was significantly lower in the PCI group than in the medical......-therapy group (8.1% vs. 19.5%; hazard ratio, 0.39; 95% confidence interval [CI], 0.26 to 0.57; Pgroup (4.0% vs. 16.3%; hazard ratio, 0.23; 95% CI, 0.14 to 0.38; Pgroup differences...... in the rates of death and myocardial infarction. Urgent revascularizations that were triggered by myocardial infarction or ischemic changes on electrocardiography were less frequent in the PCI group (3.4% vs. 7.0%, P=0.01). In a landmark analysis, the rate of death or myocardial infarction from 8 days to 2...

THROMBOLYSIS OR PRIMARY PCI FOR MYOCARDIAL INFARCTION WITH ST-SEGMENT ELEVATION? THE STREAM TRIAL (STRATEGIC REPERFUSION EARLY AFTER MYOCARDIAL INFARCTION

Directory of Open Access Journals (Sweden)

V. A. Sulimov

2013-01-01

Full Text Available Ambiguous data about comparability regarding clinical outcomes for prehospital thrombolysis, coupled with timely coronary angiography, and primary percutaneous coronary intervention (PCI in the early after acute ST-segment elevation myocardial infarction (STEMI, there are now.In the STREAM trial 1892 patients with STEMI diagnosed within 3 hours after onset of symptoms, and whom it was impossible to perform primary PCI within 1 h after the first medical contact, were randomly assigned into two treatment groups: a primary PCI b prehospital thrombolytic therapy with bolus tenecteplase (dose decreased by half in patients aged ≥75 years in combination with clopidogrel and enoxaparin followed by admission to the hospital, where it was possible to perform PCI. Emergency coronary angiography performed if thrombolysis failed. Coronary angiography and PCI of the infarct-related artery were performed in the period from 6 to 24 hours after randomization and thrombolytic therapy in the case of an effective thrombolysis. Primary endpoints include a composite of death, shock, congestive heart failure, or reinfarction up to 30 days.The primary endpoint occurred in 116 of 939 patients (12.4 % of the thrombolysis group and in 135 of 943 patients (14.3% of the primary PCI group (relative risk in the group thrombolysis 0.86, 95% confidence interval 0.68-1.09, p=0.21. Emergency angiography was required in 36.3% of patients in the thrombolysis, and the remaining patients, coronary angiography and PCI were performed at a mean of 17 hours after randomization and thrombolytic therapy. Thrombolysis group had more intracranial hemorrhages than primary PCI group (1.0% vs 0.2%, p=0.04; after correction protocol and dose reduction by half of tenecteplase in patients ≥75 years: 0.5% vs. 0.3%, p=0.45. The rate of non- intracranial bleeding in two treatment groups did not differ.Prehospital thrombolysis followed by coronary angiography and timely PCI provide effective

128 Channel PCI-based data acquisition system for MDSplus

Energy Technology Data Exchange (ETDEWEB)

Llobet, Xavier E-mail: xavier.llobet@epfl.ch; Duval, Basil P. E-mail: basil.duval@epfl.ch

2002-06-01

With the increasing demand for analogue channel acquisition on the TCV tokamak, a new PCI based acquisition has been specified, designed, built and installed into our MDSplus acquisition environment. The design criteria were to not only improve the cost/channel, as compared to our conventional hub based acquisition (CAMAC), but to provide some distributed processing power to avoid the associated acquisition server saturation, both in terms of CPU and network bandwidth. These units were initially intended to satisfy the requirements of general variable rate acquisition from a variety of sources, and many channel acquisition from modern multi-channel diagnostics. Hosted by a i386-Linux PC in a crate with four available PCI slots, each single-PCI slot 32-channel digitiser features sampling frequencies up to 200 kHz, and 64 MB of memory, providing 1 Msample of 16-bit data per channel. The local hard disk is used for immediate local storage of all the acquired data from the selected channels into a local MDSplus database. The host is then accessed as a MDS/IP server that provides, on demand, down-sampled and software filtered traces. The local hard disk capacity is used for medium to long-term storage and availability of the full data set with optional mirror technology to guard against hard disk failure. We have thus obtained a general solution for high resolution, multi-channel routine acquisition using the multi-platform MDSplus environment, in which different software and hardware architectures are intelligently linked across a standard TCP/IP network. The implementation presented here uses ONLY standard components of the MDSplus environment.

128 Channel PCI-based data acquisition system for MDSplus

International Nuclear Information System (INIS)

Llobet, Xavier; Duval, Basil P.

2002-01-01

With the increasing demand for analogue channel acquisition on the TCV tokamak, a new PCI based acquisition has been specified, designed, built and installed into our MDSplus acquisition environment. The design criteria were to not only improve the cost/channel, as compared to our conventional hub based acquisition (CAMAC), but to provide some distributed processing power to avoid the associated acquisition server saturation, both in terms of CPU and network bandwidth. These units were initially intended to satisfy the requirements of general variable rate acquisition from a variety of sources, and many channel acquisition from modern multi-channel diagnostics. Hosted by a i386-Linux PC in a crate with four available PCI slots, each single-PCI slot 32-channel digitiser features sampling frequencies up to 200 kHz, and 64 MB of memory, providing 1 Msample of 16-bit data per channel. The local hard disk is used for immediate local storage of all the acquired data from the selected channels into a local MDSplus database. The host is then accessed as a MDS/IP server that provides, on demand, down-sampled and software filtered traces. The local hard disk capacity is used for medium to long-term storage and availability of the full data set with optional mirror technology to guard against hard disk failure. We have thus obtained a general solution for high resolution, multi-channel routine acquisition using the multi-platform MDSplus environment, in which different software and hardware architectures are intelligently linked across a standard TCP/IP network. The implementation presented here uses ONLY standard components of the MDSplus environment

Decreased Time from 9-1-1 Call to PCI among Patients Experiencing STEMI Results in a Decreased One Year Mortality.

Science.gov (United States)

Studnek, Jonathan R; Infinger, Allison; Wilson, Hadley; Niess, Gary; Jackson, Patrick; Swanson, Doug

2018-03-29

The impact on mortality due to prompt recognition of ST-segment Elevation Myocardial Infarction (STEMI) patients by EMS has not been well described. The objective of this study was to describe the association between the time interval, 9-1-1 call to percutaneous intervention (PCI), and mortality at one year. This retrospective analysis included patients that were transported by EMS as a "code STEMI" and underwent PCI.  Total time from 9-1-1 call to PCI was calculated for each patient and was the independent variable of interest. Each patient's mortality status at one year was the outcome variable, collected by querying medical records and the national death index. Confounding variables were abstracted from hospital records. Logistic regression was conducted to determine the likelihood of survival given differences in time to PCI. A total of 550 patients were included in the analyses of which 68% were male with an average age 59.8 (SD 12.8). Mean reperfusion time was 81.8 min (SD 20.0) and was significantly lower in patients alive at one year (80.8 min, SD 19.7) vs. deceased at one year (93.9 min, SD 19.6), respectively. Odds of survival at one year decreased by 3% (OR 0.97; 95% CI 0.96-0.99) for every one minute increase in time to PCI. This relationship practically represents a 30% increase in mortality for every 10 minute delay from 9-1-1 call to PCI. The model produced suggests that a linear relationship exists between time to PCI and mortality in the prehospital environment with the probability of survival decreasing significantly as time to PCI increases.

Effect of intracoronary nitroprusside injection on flow recovery during primary PCI in acute STEMI patients.

Science.gov (United States)

Yang, Lixia; Mu, Lihua; Sun, Linhui; Qi, Feng; Guo, Ruiwei

2017-04-01

The no/slow reflow phenomenon during primary percutaneous coronary intervention (PPCI) causes the destruction of the coronary microcirculation and further myocardial damage. Some studies have shown that intracoronary nitroprusside infusion is a safe and effective method for managing the no/slow reflow phenomenon. However, it is uncertain whether the injection of nitroprusside at a specific time point during PPCI can most effectively prevent no-reflow. In this study, we investigated the effect of the timing of an intracoronary nitroprusside injection on flow recovery during PPCI in patients with ST elevation acute myocardial infarction (STEMI). One hundred twenty consecutive patients with STEMI who underwent PPCI were enrolled in the study. Patients who fulfilled the eligibility criteria were randomly allocated to three groups: control group (N.=40) received no nitroprusside before they completed PCI; the second group (N.=40) received nitroprusside before balloon dilatation; and the third group (N.=40) received nitroprusside after each balloon dilatation and before contrast agent refilling. The baseline clinical variables and the details of the PCI procedure were collected. The thrombolysis in myocardial infarction (TIMI) flow grades and the corrected TIMI frame count (cTFC) were evaluated immediately after stent implantation was completed. There were no significant differences in the baseline characteristics, antithrombotic drugs given before PCI, and details of the PCI procedure among the three groups (P>0.05). The incidence of TIMI grade 3 after PCI was significantly higher in the nitroprusside group than in the control group (P=0.025), whereas cTFC was significantly lower in the nitroprusside group (26.6±15.2) than in the control group (38.1±21.3, P=0.001). The incidence of TIMI grade 3 after PCI was significantly higher in the third group than in the second group (P=0.045), and cTFC was significantly lower in the third group (21.5±9.5) than in the second

The Current Status of Percutaneous Coronary Intervention in Korea: Based on Year 2014 Cohort of Korean Percutaneous Coronary Intervention (K-PCI) Registry.

Science.gov (United States)

Jang, Jae-Sik; Han, Kyoo-Rok; Moon, Keon-Woong; Jeon, Dong Woon; Shin, Dong-Ho; Kim, Jung-Sun; Park, Duk-Woo; Kang, Hyun-Jae; Kim, Juhan; Bae, Jang-Whan; Hur, Seung-Ho; Kim, Byung Ok; Choi, Donghoon; Gwon, Hyeon-Cheol; Kim, Hyo-Soo

2017-05-01

Although several multicenter registries have evaluated percutaneous coronary intervention (PCI) procedures in Korea, those databases have been limited by non-standardized data collection and lack of uniform reporting methods. We aimed to collect and report data from a standardized database to analyze PCI procedures throughout the country. Both clinical and procedural data, as well as clinical outcomes data during hospital stay, were collected based on case report forms that used a standard set of 54 data elements. This report is based on 2014 Korean PCI registry cohort data. A total of 92 hospitals offered data on 44967 PCI procedures. The median age was 66.0 interquartile range 57.0-74.0 years, and 70.3% were men. Thirty-eight percent of patients presented with acute myocardial infarction and one-third of all PCI procedures were performed in an urgent or emergency setting. Non-invasive stress tests were performed in 13.9% of cases, while coronary computed tomography angiography was used in 13.7% of cases prior to PCI. Radial artery access was used in 56.1% of all PCI procedures. Devices that used PCI included drug-eluting stent, plain old balloon angioplasty, drug-eluting balloon, and bare-metal stent (around 91%, 19%, 6%, and 1% of all procedures, respectively). The incidences of in-hospital death, non-fatal myocardial infarction, and stroke were 2.3%, 1.6%, and 0.2%, respectively. These data may provide an overview of the current PCI practices and in-hospital outcomes in Korea and could be used as a foundation for developing treatment guidelines and nationwide clinical research.

Impella 2.5 initiated prior to unprotected left main PCI in acute myocardial infarction complicated by cardiogenic shock improves early survival.

Science.gov (United States)

Meraj, Perwaiz M; Doshi, Rajkumar; Schreiber, Theodore; Maini, Brijeshwar; O'Neill, William W

2017-06-01

To assess post-procedural outcomes when Impella 2.5 percutaneous left ventricular assist device (pLVAD) support is initiated either prior to or after percutaneous coronary intervention (PCI) on unprotected left main coronary artery (ULMCA) culprit lesion in the context of acute myocardial infarction cardiogenic shock (AMICS). Initiation of Impella 2.5 pLVAD prior to PCI is associated with significant survival benefit in the setting of AMICS. Outcomes of those presenting with a ULMCA culprit lesion in this setting have not been well characterized. Thirty-six consecutive patients in the cVAD Registry supported with Impella 2.5 pLVAD for AMICS who underwent PCI on ULMCA culprit lesion were included in our multicenter study. The average age was 69.8 ± 14.2 years, 77.8% were male, 72.7% were in CS at admission, 44.4% sustained one or multiple cardiac arrests, and 30.6% had anoxic brain injury. Baseline characteristics were comparable between the Pre-PCI group (n = 20) and Post-PCI group (n = 16). Non-ST segment elevation myocardial infarction and greater coronary disease burden were significantly more frequent in the Pre-PCI group but they had significantly better survival to discharge (55.0% vs 18.8%, P = 0.041). Kaplan-Meier 30-day survival analysis showed very poor survival in Post-PCI group (48.1% vs 12.5%, Log-Rank P = 0.004). Initiation of Impella 2.5 pLVAD prior to as compared with after PCI of ULMCA for AMICS culprit lesion is associated with significant early survival. As previously described, patients supported after PCI appear to have very poor survival at 30 days. © 2017, Wiley Periodicals, Inc.

Submarine landslides: advances and challenges

Science.gov (United States)

Locat, Jacques; Lee, Homa J.

2002-01-01

Due to the recent development of well-integrated surveying techniques of the sea floor, significant improvements were achieved in mapping and describing the morphology and architecture of submarine mass movements. Except for the occurrence of turbidity currents, the aquatic environment (marine and fresh water) experiences the same type of mass failure as that found on land. Submarine mass movements, however, can have run-out distances in excess of 100 km, so their impact on any offshore activity needs to be integrated over a wide area. This great mobility of submarinemass movements is still not very well understood, particularly for cases like the far-reaching debris flows mapped on the Mississippi Fan and the large submarine rock avalanches found around many volcanic islands. A major challenge ahead is the integration of mass movement mechanics in an appropriate evaluation of the hazard so that proper risk assessment methodologies can be developed and implemented for various human activities offshore, including the development of natural resources and the establishment of reliable communication corridors. Key words : submarine slides, hazards, risk assessment, morphology, mobility, tsunami. Le dveloppement rcent de techniques de levs hydrograhiques pour les fonds marins nous a permis d'atteindre une qualit ingale dans la cartographie et la description des glissements sous marins. l'exception des courants de turbidit, on retrouve dans le domaine aquatique les mmes types de mouvements de terrain que sur terre. Par contre, les glissements sous-marins peuvent atteindre des distances excdant 100 km de telle sorte que leur impact sur les activits offshore doit tre pris en compte sur degrandes tendues. La grande mobilit des glissements sous-marins n'est pas encore bien comprise, comme pour le cas des coules dedbris cartographies sur le cne du Mississippi ainsi que pour les grandes avalanches rocheuses sous-marines retrouves au pourtour des les volcaniques. Un dfi majeur

Airborne Radar Search for Diesel Submarines

National Research Council Canada - National Science Library

Pilnick, Steven E; Landa, Jose

2005-01-01

.... In this research, a detection rate model is developed to analyze the effectiveness of airborne radar search for a diesel submarine assumed to be intermittently operating with periscopes or masts...

Effect of rosuvastatin dose-loading on serum sLox-1, hs-CRP, and postoperative prognosis in diabetic patients with acute coronary syndromes undergoing selected percutaneous coronary intervention (PCI).

Science.gov (United States)

Jiao, Yungen; Hu, Feng; Zhang, Zhengang; Gong, Kaizheng; Sun, Xiaoning; Li, Aihua; Liu, Naifeng

2015-01-01

To investigate the effect of rosuvastatin dose-loading on serum levels of lectin-like oxidized low-density lipoprotein receptor-1 (Lox-1) and high-sensitivity c-reactive protein (hs-CRP) and postoperative prognosis in patients with diabetes and non-ST segment elevation acute coronary syndromes (NSTEACS) undergoing selected percutaneous coronary intervention (PCI). A total of 72 patients with diabetes and NSTEACS were randomized to either the group treated with 20 mg rosuvastatin 12 hours prior to PCI with a second dose administered just before PCI (n = 33), or a control group treated with standard method according guideline (n = 39). Serum levels of sLox-1, hs-CRP, CK-MB, and cTnI were measured prior to PCI, and at 24 hours and 30 days after PCI. The 30-day incidence of major adverse cardiac events (MACE) was recorded in both groups. Compared to pre-PCI, serum levels of sLox-1 and hs-CRP of the two groups were increased at 24 hours after PCI (P PCI (P PCI, the levels of TC and LDL-C were not changed at 24 hours after PCI (P > 0.05) until 30 days after PCI (P PCI; the 30-day incidence of MACE occurred in 6.06% of patients in the loading-dose rosuvastatin-treated group and in 23.08% of patients in the control-treated group (P PCI, and also reduce the occurrence of MACE 30 days after PCI.

Study on the locational criteria for submarine rock repositories of low and medium level radioactive wastes

Energy Technology Data Exchange (ETDEWEB)

Kim, G H; Kang, W J; Kim, T J. and others [Chungnam National Univ., Taejon (Korea, Republic of)

1992-01-15

Submarine repositories have significant advantages over their land counterparts locating close to the areas of daily human activities. Consequently, the construction of submarine repositories on the vast continental shelves around Korean seas is considered to be highly positive. In this context, the development of locational criteria primarily targeting the safety of submarine rock repositories is very important.The contents of the present study are: analyzing characteristics of marine environment: Search of potential hazards to, and environmental impact by, the submarine repositories; Investigation of the oceanographic, geochemical, ecological and sedimentological characteristics of estuaries and coastal seas. Locating potential hazards to submarine repositories by: Bibliographical search of accidents leading to the destruction of submarine structures by turbidity currents and other potentials; Review of turbidity currents. Consideration of environmental impact caused by submarine repositories: Logistics to minimize the environmental impacts in site selection; Removal and dispersion processes of radionuclides in sea water. Analyses of oceanographical characteristics of, and hazard potentials in, the Korean seas. Evaluation of the MOST 91-7 criteria for applicability to submarine repositories and the subsequent proposition of additional criteria.

Study on the locational criteria for submarine rock repositories of low and medium level radioactive wastes

International Nuclear Information System (INIS)

Kim, G. H.; Kang, W. J.; Kim, T. J. and others

1992-01-01

Submarine repositories have significant advantages over their land counterparts locating close to the areas of daily human activities. Consequently, the construction of submarine repositories on the vast continental shelves around Korean seas is considered to be highly positive. In this context, the development of locational criteria primarily targeting the safety of submarine rock repositories is very important.The contents of the present study are: analyzing characteristics of marine environment: Search of potential hazards to, and environmental impact by, the submarine repositories; Investigation of the oceanographic, geochemical, ecological and sedimentological characteristics of estuaries and coastal seas. Locating potential hazards to submarine repositories by: Bibliographical search of accidents leading to the destruction of submarine structures by turbidity currents and other potentials; Review of turbidity currents. Consideration of environmental impact caused by submarine repositories: Logistics to minimize the environmental impacts in site selection; Removal and dispersion processes of radionuclides in sea water. Analyses of oceanographical characteristics of, and hazard potentials in, the Korean seas. Evaluation of the MOST 91-7 criteria for applicability to submarine repositories and the subsequent proposition of additional criteria

Assessments of whole body scan images (PCI) obtained in patients undergoing treatment of radioiodine (pre and post-treatment); Avaliacoes das imagens de pesquisa de corpo inteiro (PCI) obtidas em pacientes submetidos ao tratamento de radioiodoterapia (pre e pos-tratamento)

Energy Technology Data Exchange (ETDEWEB)

Costa, Fernanda Karolina Mendonca da; Lopes Filho, Ferdinand de Jesus; Vieira, Jose Wilson; Souza, Milena Thays Barbosa de, E-mail: fernanda.radiologia8@gmail.com, E-mail: milena_thays@hotmail.com, E-mail: jose.wilson59@uol.com.br, E-mail: ferdinand.lopes@oi.com.br [Instituto Federal de Educacao, Ciencia e Tecnologia de Pernambuco (IFPE), Recife, PE (Brazil)

2014-07-01

Nuclear medicine is a medical specialty used for diagnosis and therapy of some diseases. For the treatment of differentiated thyroid carcinoma (papillary and follicular) Radioiodine therapy is employed, in order to eliminate the rest of thyroid tissue after removal of the thyroid (thyroidectomy). In radioiodine therapy is used radioisotope iodine-131 ({sup 131}I) as Sodium Iodide (NaI). The amount of the activity (dose) of {sup 131}I administered is generally the responsibility of nuclear medicine, which is based on an image Research Length of the patient (pre-dose therapy PCI). PCI is also used after treatment (post-PCI therapeutic dose) to evaluate possible metastasis. The purpose of this study was to investigate the distribution of biokinetic {sup 131}I at length and in some organs of the patient, in order to note any similarity. Exams PCI pre-dose and post-dose were analyzed, the anterior and posterior projections of ten patients. Contours in these images (ROI - Region Of Interest) were made in the whole body and in areas with high uptake of {sup 131}I. The total score was used in the calculation to obtain the percentage distribution of {sup 13I} in the organs of the patient. The results showed that there similarity on the biodistribution of {sup 131}I between pre-dose and post-dose PCI. Therefore, it was found that it is valuable images of PCI pre-dose therapy as a way to assist the nuclear medicine physician in choosing the best activity to be administered to the patient in order to minimize the dose to adjacent organs. (author)

Suggestibility, expectancy, trance state effects, and hypnotic depth: II. Assessment via the PCI-HAP.

Science.gov (United States)

Pekala, Ronald J; Kumar, V K; Maurer, Ronald; Elliott-Carter, Nancy; Moon, Edward; Mullen, Karen

2010-04-01

This study sought to determine if self-reported hypnotic depth (srHD) could be predicted from the variables of the Phenomenology of Consciousness Inventory - Hypnotic Assessment Procedure (PCI-HAP) (Pekala, 1995a, 1995b; Pekala & Kumar, 2007; Pekala et al., 2010), assessing several of the processes theorized by researchers to be associated with hypnotism: trance (altered state effects), suggestibility, and expectancy. One hundred and eighty participants completed the PCI-HAP. Using regression analyses, srHD scores were predicted from the PCI-HAP pre-hypnotic and post-hypnotic assessment items, and several other variables. The results suggested that the srHD scores were found to be a function of imagoic suggestibility, expectancy (both estimated hypnotic depth and expected therapeutic efficacy), and trance state and eye catalepsy effects; effects that appear to be additive and not (statistically) interactive. The results support the theorizing of many investigators concerning the involvement of the aforementioned component processes with this particular aspect of hypnotism, the self-reported hypnotic depth score.

Step-by-step manual for planning and performing bifurcation PCI: a resource-tailored approach.

Science.gov (United States)

Milasinovic, Dejan; Wijns, William; Ntsekhe, Mpiko; Hellig, Farrel; Mohamed, Awad; Stankovic, Goran

2018-02-02

As bifurcation PCI can often be resource-demanding due to the use of multiple guidewires, balloons and stents, different technical options are sometimes being explored, in different local settings, to meet the need of optimally treating a patient with a bifurcation lesion, while being confronted with limited material resources. Therefore, it seems important to keep a proper balance between what is recognised as the contemporary state of the art, and what is known to be potentially harmful and to be discouraged. Ultimately, the resource-tailored approach to bifurcation PCI may be characterised by the notion of minimum technical requirements for each step of a successful procedure. Hence, this paper describes the logical sequence of steps when performing bifurcation PCI with provisional SB stenting, starting with basic anatomy assessment and ending with the optimisation of MB stenting and the evaluation of the potential need to stent the SB, suggesting, for each step, the minimum technical requirement for a successful intervention.

Observations of nearshore groundwater discharge: Kahekili Beach Park submarine springs, Maui, Hawaii

Science.gov (United States)

Swarzenski, Peter W.; Dulai, H.; Kroeger, K.D.; Smith, C.G.; Dimova, N.; Storlazzi, C. D.; Prouty, N.G.; Gingerich, S.B.; Glenn, C. R.

2016-01-01

Study regionThe study region encompasses the nearshore, coastal waters off west Maui, Hawaii. Here abundant groundwater—that carries with it a strong land-based fingerprint—discharges into the coastal waters and over a coral reef.Study focusCoastal groundwater discharge is a ubiquitous hydrologic feature that has been shown to impact nearshore ecosystems and material budgets. A unique combined geochemical tracer and oceanographic time-series study addressed rates and oceanic forcings of submarine groundwater discharge at a submarine spring site off west Maui, Hawaii.New hydrological insights for the regionEstimates of submarine groundwater discharge were derived for a primary vent site and surrounding coastal waters off west Maui, Hawaii using an excess 222Rn (t1/2 = 3.8 d) mass balance model. Such estimates were complemented with a novel thoron (220Rn,t1/2 = 56 s) groundwater discharge tracer application, as well as oceanographic time series and thermal infrared imagery analyses. In combination, this suite of techniques provides new insight into the connectivity of the coastal aquifer with the near-shore ocean and examines the physical drivers of submarine groundwater discharge. Lastly, submarine groundwater discharge derived constituent concentrations were tabulated and compared to surrounding seawater concentrations. Such work has implications for the management of coastal aquifers and downstream nearshore ecosystems that respond to sustained constituent loadings via this submarine route.

Change in coronary blood flow after percutaneous coronary intervention in relation to baseline lesion physiology: results of the JUSTIFY-PCI study.

Science.gov (United States)

Nijjer, Sukhjinder S; Petraco, Ricardo; van de Hoef, Tim P; Sen, Sayan; van Lavieren, Martijn A; Foale, Rodney A; Meuwissen, Martijn; Broyd, Christopher; Echavarria-Pinto, Mauro; Al-Lamee, Rasha; Foin, Nicolas; Sethi, Amarjit; Malik, Iqbal S; Mikhail, Ghada W; Hughes, Alun D; Mayet, Jamil; Francis, Darrel P; Di Mario, Carlo; Escaned, Javier; Piek, Jan J; Davies, Justin E

2015-06-01

Percutaneous coronary intervention (PCI) aims to increase coronary blood flow by relieving epicardial obstruction. However, no study has objectively confirmed this and assessed changes in flow over different phases of the cardiac cycle. We quantified the change in resting and hyperemic flow velocity after PCI in stenoses defined physiologically by fractional flow reserve and other parameters. Seventy-five stenoses (67 patients) underwent paired flow velocity assessment before and after PCI. Flow velocity was measured over the whole cardiac cycle and the wave-free period. Mean fractional flow reserve was 0.68±0.02. Pre-PCI, hyperemic flow velocity is diminished in stenoses classed as physiologically significant compared with those classed nonsignificant (PPCI, resting flow velocity over the wave-free period increased little (5.6±1.6 cm/s) and significantly less than hyperemic flow velocity (21.2±3 cm/s; P0.80 had a significantly smaller gain (Δ4.6±2.3 cm/s; PPCI physiology is strongly associated with post-PCI increase in hyperemic coronary flow velocity. Hyperemic flow velocity increases 6-fold more when stenoses classed as physiologically significant undergo PCI than when nonsignificant stenoses are treated. Resting flow velocity measured over the wave-free period changes at least 4-fold less than hyperemic flow velocity after PCI. © 2015 American Heart Association, Inc.

Change in Coronary Blood Flow After Percutaneous Coronary Intervention in Relation to Baseline Lesion Physiology Results of the JUSTIFY-PCI Study

Science.gov (United States)

Nijjer, Sukhjinder S.; Petraco, Ricardo; van de Hoef, Tim P.; Sen, Sayan; van Lavieren, Martijn A.; Foale, Rodney A.; Meuwissen, Martijn; Broyd, Christopher; Echavarria-Pinto, Mauro; Al-Lamee, Rasha; Foin, Nicolas; Sethi, Amarjit; Malik, Iqbal S.; Mikhail, Ghada W.; Hughes, Alun D.; Mayet, Jamil; Francis, Darrel P.; Di Mario, Carlo; Escaned, Javier; Piek, Jan J.; Davies, Justin E.

2016-01-01

Background Percutaneous coronary intervention (PCI) aims to increase coronary blood flow by relieving epicardial obstruction. However, no study has objectively confirmed this and assessed changes in flow over different phases of the cardiac cycle. We quantified the change in resting and hyperemic flow velocity after PCI in stenoses defined physiologically by fractional flow reserve and other parameters. Methods and Results Seventy-five stenoses (67 patients) underwent paired flow velocity assessment before and after PCI. Flow velocity was measured over the whole cardiac cycle and the wave-free period. Mean fractional flow reserve was 0.68±0.02. Pre-PCI, hyperemic flow velocity is diminished in stenoses classed as physiologically significant compared with those classed nonsignificant (PPCI, resting flow velocity over the wave-free period increased little (5.6±1.6 cm/s) and significantly less than hyperemic flow velocity (21.2±3 cm/s; P0.80 had a significantly smaller gain (Δ4.6±2.3 cm/s; PPCI physiology is strongly associated with post-PCI increase in hyperemic coronary flow velocity. Hyperemic flow velocity increases 6-fold more when stenoses classed as physiologically significant undergo PCI than when nonsignificant stenoses are treated. Resting flow velocity measured over the wave-free period changes at least 4-fold less than hyperemic flow velocity after PCI. PMID:26025217

Indian, Japanese, And U.S. Responses To Chinese Submarine Modernization

Science.gov (United States)

2016-03-01

NAVAL POSTGRADUATE SCHOOL MONTEREY, CALIFORNIA THESIS Approved for public release; distribution is unlimited INDIAN, JAPANESE ...DATES COVERED Master’s thesis 4. TITLE AND SUBTITLE INDIAN, JAPANESE , AND U.S. RESPONSES TO CHINESE SUBMARINE MODERNIZATION 5. FUNDING NUMBERS 6...is unlimited INDIAN, JAPANESE , AND U.S. RESPONSES TO CHINESE SUBMARINE MODERNIZATION David E. Kiser Lieutenant Commander, United States

Exploring the submarine Graham Bank in the Sicily Channel

Directory of Open Access Journals (Sweden)

Mauro Coltelli

2016-05-01

Full Text Available In the Sicily Channel, volcanic activity has been concentrated mainly on the Pantelleria and Linosa islands, while minor submarine volcanism took place in the Adventure, Graham and Nameless banks. The volcanic activity spanned mostly during Plio-Pleistocene, however, historical submarine eruptions occurred in 1831 on the Graham Bank and in 1891 offshore Pantelleria Island. On the Graham Bank, 25 miles SW of Sciacca, the 1831 eruption formed the short-lived Ferdinandea Island that represents the only Italian volcano active in historical times currently almost completely unknown and not yet monitored. Moreover, most of the Sicily Channel seismicity is concentrated along a broad NS belt extending from the Graham Bank to Lampedusa Island. In 2012, the Istituto Nazionale di Geofisica e Vulcanologia (INGV carried out a multidisciplinary oceanographic cruise, named “Ferdinandea 2012”, the preliminary results of which represent the aim of this paper. The cruise goal was the mapping of the morpho-structural features of some submarine volcanic centres located in the northwestern side of the Sicily Channel and the temporary recording of their seismic and degassing activity. During the cruise, three OBS/Hs (ocean bottom seismometer with hydrophone were deployed near the Graham, Nerita and Terribile submarine banks. During the following 9 months they have recorded several seismo-acoustic signals produced by both tectonic and volcanic sources. A high-resolution bathymetric survey was achieved on the Graham Bank and on the surrounding submarine volcanic centres. A widespread and voluminous gas bubbles emission was observed by both multibeam sonar echoes and a ROV (remotely operated vehicle along the NW side of the Graham Bank, where gas and seafloor samples were also collected.

Effect of platelet inhibition with cangrelor during PCI on ischemic events.

Science.gov (United States)

Bhatt, Deepak L; Stone, Gregg W; Mahaffey, Kenneth W; Gibson, C Michael; Steg, P Gabriel; Hamm, Christian W; Price, Matthew J; Leonardi, Sergio; Gallup, Dianne; Bramucci, Ezio; Radke, Peter W; Widimský, Petr; Tousek, Frantisek; Tauth, Jeffrey; Spriggs, Douglas; McLaurin, Brent T; Angiolillo, Dominick J; Généreux, Philippe; Liu, Tiepu; Prats, Jayne; Todd, Meredith; Skerjanec, Simona; White, Harvey D; Harrington, Robert A

2013-04-04

The intensity of antiplatelet therapy during percutaneous coronary intervention (PCI) is an important determinant of PCI-related ischemic complications. Cangrelor is a potent intravenous adenosine diphosphate (ADP)-receptor antagonist that acts rapidly and has quickly reversible effects. In a double-blind, placebo-controlled trial, we randomly assigned 11,145 patients who were undergoing either urgent or elective PCI and were receiving guideline-recommended therapy to receive a bolus and infusion of cangrelor or to receive a loading dose of 600 mg or 300 mg of clopidogrel. The primary efficacy end point was a composite of death, myocardial infarction, ischemia-driven revascularization, or stent thrombosis at 48 hours after randomization; the key secondary end point was stent thrombosis at 48 hours. The primary safety end point was severe bleeding at 48 hours. The rate of the primary efficacy end point was 4.7% in the cangrelor group and 5.9% in the clopidogrel group (adjusted odds ratio with cangrelor, 0.78; 95% confidence interval [CI], 0.66 to 0.93; P=0.005). The rate of the primary safety end point was 0.16% in the cangrelor group and 0.11% in the clopidogrel group (odds ratio, 1.50; 95% CI, 0.53 to 4.22; P=0.44). Stent thrombosis developed in 0.8% of the patients in the cangrelor group and in 1.4% in the clopidogrel group (odds ratio, 0.62; 95% CI, 0.43 to 0.90; P=0.01). The rates of adverse events related to the study treatment were low in both groups, though transient dyspnea occurred significantly more frequently with cangrelor than with clopidogrel (1.2% vs. 0.3%). The benefit from cangrelor with respect to the primary end point was consistent across multiple prespecified subgroups. Cangrelor significantly reduced the rate of ischemic events, including stent thrombosis, during PCI, with no significant increase in severe bleeding. (Funded by the Medicines Company; CHAMPION PHOENIX ClinicalTrials.gov number, NCT01156571.).

Assessments of whole body scan images (PCI) obtained in patients undergoing treatment of radioiodine (pre and post-treatment)

International Nuclear Information System (INIS)

Costa, Fernanda Karolina Mendonca da; Lopes Filho, Ferdinand de Jesus; Vieira, Jose Wilson; Souza, Milena Thays Barbosa de

2014-01-01

Nuclear medicine is a medical specialty used for diagnosis and therapy of some diseases. For the treatment of differentiated thyroid carcinoma (papillary and follicular) Radioiodine therapy is employed, in order to eliminate the rest of thyroid tissue after removal of the thyroid (thyroidectomy). In radioiodine therapy is used radioisotope iodine-131 ( 131 I) as Sodium Iodide (NaI). The amount of the activity (dose) of 131 I administered is generally the responsibility of nuclear medicine, which is based on an image Research Length of the patient (pre-dose therapy PCI). PCI is also used after treatment (post-PCI therapeutic dose) to evaluate possible metastasis. The purpose of this study was to investigate the distribution of biokinetic 131 I at length and in some organs of the patient, in order to note any similarity. Exams PCI pre-dose and post-dose were analyzed, the anterior and posterior projections of ten patients. Contours in these images (ROI - Region Of Interest) were made in the whole body and in areas with high uptake of 131 I. The total score was used in the calculation to obtain the percentage distribution of 13I in the organs of the patient. The results showed that there similarity on the biodistribution of 131 I between pre-dose and post-dose PCI. Therefore, it was found that it is valuable images of PCI pre-dose therapy as a way to assist the nuclear medicine physician in choosing the best activity to be administered to the patient in order to minimize the dose to adjacent organs. (author)

Influence of minor deterioration of renal function after PCI on outcome in patients with ST-elevation myocardial infarction.

Science.gov (United States)

Kanic, Vojko; Suran, David; Vollrath, Maja; Tapajner, Alojz; Kompara, Gregor

2017-10-01

Our aim was to assess the possible impact of a deterioration of renal function (DRF) not fulfilling the criteria for acute kidney injury after percutaneous coronary intervention (PCI) on outcome in patients with ST-elevation myocardial infarction (STEMI) on 30-day and long-term outcomes. Data is lacking on the influence of DRF after PCI on outcome in patients with STEMI. The present study is an analysis of 2572 STEMI patients who underwent PCI. The group with DRF (1022 patients) and the group without DRF (1550 patients) were compared. Thirty-day and long-term all-cause mortality were observed. Data was analyzed using descriptive statistics. Similar mortality was observed in both groups at day 30 (4.2% patients with DRF died vs 3.2% without DRF; ns) but more patients had died in the DRF group (18.9% patients with DRF vs 14.0% without DRF; P = 0.001) by the end of the observation period. After adjustments, DRF did not independently predict long-term mortality. Age more than 70 years, bleeding, hyperlipidemia, renal dysfunction on admission, anemia on admission, diabetes, PCI of LAD, the use of more than 200 mL contrast, but not DRF after PCI, were identified as independent prognostic factors for increased long-term mortality. Renal dysfunction, bleeding, contrast >200 mL, hyperlipidemia, age >70 years, anemia, and PCI LAD predicted DRF. DRF identified patients at increased risk of higher long-term mortality but was not independently associated with mortality. © 2017, Wiley Periodicals, Inc.

A counting-card circuit based on PCI bus

International Nuclear Information System (INIS)

Shi Jing; Li Yong; Chinese Academy of Sciences, Lanzhou; Su Hong; Dong Chengfu; Li Xiaogang; Ma Xiaoli

2004-01-01

A counting-card circuit based on PCI bus that we developed recently used for advanced personal computer will be introduced in this paper briefly. The maximum count capacity of this counting-card is 10 9 -1, ranging from 0 to 999 999 999, the maximum counting time range, 1 x 10 6 s, can be set in 1 cycle, the maximum counting rate is 20 MHz for positive input. (authors)

Detecting frontal ablation processes from direct observations of submarine terminus morphology

Science.gov (United States)

Fried, M.; Carroll, D.; Catania, G. A.; Sutherland, D. A.; Stearns, L. A.; Bartholomaus, T. C.; Shroyer, E.; Nash, J. D.

2017-12-01

Tidewater glacier termini couple glacier and ocean systems. Subglacial discharge emerging from the terminus produces buoyant plumes that modulate submarine melting, calving, fjord circulation and, in turn, changes in ice dynamics from back-stress perturbations. However, the absence of critical observational data at the ice-ocean interface limits plume and, by extension, melt models from incorporating realistic submarine terminus face morphologies and assessing their impact on terminus behavior at tidewater glaciers. Here we present a comprehensive inventory and characterization of submarine terminus face shapes from a side-looking, multibeam echo sounding campaign across Kangerdlugssuaq Sermerssua glacier, central-west Greenland. We combine these observations with in-situ measurements of ocean stratification and remotely sensed subglacial discharge, terminus positions, ice velocity, and ice surface datasets to infer the spectrum of processes sculpting the submarine terminus face. Subglacial discharge outlet locations are confirmed through observations of sediment plumes, localized melt-driven undercutting of the terminus face, and bathymetry of the adjacent seafloor. From our analysis, we differentiate terminus morphologies resulting from submarine melt and calving and assess the contribution of each process to the net frontal ablation budget. Finally, we constrain a plume model using direct observations of the submarine terminus face and conduit geometry. Plume model simulations demonstrate that the majority of discharge outlets are fed by small discharge fluxes, suggestive of a distributed subglacial hydrologic system. Outlets with the largest, concentrated discharge fluxes are morphologically unique and strongly control seasonal terminus position. At these locations, we show that the spatiotemporal pattern of terminus retreat is well correlated with time periods when local melt rate exceeds ice velocity.

The Practice Pattern of Percutaneous Coronary Intervention in Korea: Based on Year 2014 Cohort of Korean Percutaneous Coronary Intervention (K-PCI) Registry.

Science.gov (United States)

Gwon, Hyeon-Cheol; Jeon, Dong Woon; Kang, Hyun-Jae; Jang, Jae-Sik; Park, Duk-Woo; Shin, Dong-Ho; Moon, Keon-Woong; Kim, Jung-Sun; Kim, Juhan; Bae, Jang-Whan; Hur, Seung-Ho; Kim, Byung Ok; Choi, Donghoon; Han, Kyoo-Rok; Kim, Hyo-Soo

2017-05-01

Appropriate use criteria (AUC) was developed to improve the quality of percutaneous coronary intervention (PCI). However, these criteria should consider the current practice pattern in the country where they are being applied. The algorithm for the Korean PCI practice pattern (KP3) was developed by modifying the United States-derived AUC in expert consensus meetings. KP3 class A was defined as any strategy with evidence from randomized trials that was more conservative for PCI than medical therapy or coronary artery bypass graft (CABG). Class C was defined as any strategy with less evidence from randomized trials and more aggressive for PCI than medical therapy or CABG. Class B was defined as a strategy that was partly class A and partly class C. We applied the KP3 classification system to the Korean PCI registry. The KP3 class A was noted in 67.7% of patients, class B in 28.8%, and class C in 3.5%. The median proportion of class C cases per center was 2.0%. The distribution of KP3 classes varied significantly depending on clinical and angiographic characteristics. The proportion of KP3 class C cases per center was not significantly dependent on PCI volume, but rather on the percentage of ACS cases in each center. We report the current PCI practice pattern by applying the new KP3 classification in a nationwide PCI registry. The results should be interpreted carefully with due regard for the complex relationships between the determining variables and the healthcare system in Korea.

Demonstration of the Safety and Feasibility of Robotically Assisted Percutaneous Coronary Intervention in Complex Coronary Lesions: Results of the CORA-PCI Study (Complex Robotically Assisted Percutaneous Coronary Intervention).

Science.gov (United States)

Mahmud, Ehtisham; Naghi, Jesse; Ang, Lawrence; Harrison, Jonathan; Behnamfar, Omid; Pourdjabbar, Ali; Reeves, Ryan; Patel, Mitul

2017-07-10

The aims of this study were to evaluate the feasibility and technical success of robotically assisted percutaneous coronary intervention (R-PCI) for the treatment of coronary artery disease (CAD) in clinical practice, especially in complex lesions, and to determine the safety and clinical success of R-PCI compared with manual percutaneous coronary intervention (M-PCI). R-PCI is safe and feasible for simple coronary lesions. The utility of R-PCI for complex coronary lesions is unknown. All consecutive PCI procedures performed robotically (study group) or manually (control group) over 18 months were included. R-PCI technical success, defined as the completion of the procedure robotically or with partial manual assistance and without a major adverse cardiovascular event, was determined. Procedures ineligible for R-PCI (i.e., atherectomy, planned 2-stent strategy for bifurcation lesion, chronic total occlusion requiring hybrid approach) were excluded for analysis from the M-PCI group. Clinical success, defined as completion of the PCI procedure without a major adverse cardiovascular event, procedure time, stent use, and fluoroscopy time were compared between groups. A total of 315 patients (mean age 67.7 ± 11.8 years; 78% men) underwent 334 PCI procedures (108 R-PCIs, 157 lesions, 78.3% type B2/C; 226 M-PCIs, 336 lesions, 68.8% type B2/C). Technical success with R-PCI was 91.7% (rate of manual assistance 11.1%, rate of manual conversion 7.4%, rate of major adverse cardiovascular events 0.93%). Clinical success (99.1% with R-PCI vs. 99.1% with M-PCI; p = 1.00), stent use (stents per procedure 1.59 ± 0.79 with R-PCI vs. 1.54 ± 0.75 with M-PCI; p = 0.73), and fluoroscopy time (18.2 ± 10.4 min with R-PCI vs. 19.2 ± 11.4 min with M-PCI; p = 0.39) were similar between the groups, although procedure time was longer in the R-PCI group (44:30 ± 26:04 min:s vs. 36:34 ± 23:03 min:s; p = 0.002). Propensity-matched analysis confirmed that procedure time was longer

Risk prediction models for major adverse cardiac event (MACE) following percutaneous coronary intervention (PCI): A review

Science.gov (United States)

Manan, Norhafizah A.; Abidin, Basir

2015-02-01

Five percent of patients who went through Percutaneous Coronary Intervention (PCI) experienced Major Adverse Cardiac Events (MACE) after PCI procedure. Risk prediction of MACE following a PCI procedure therefore is helpful. This work describes a review of such prediction models currently in use. Literature search was done on PubMed and SCOPUS database. Thirty literatures were found but only 4 studies were chosen based on the data used, design, and outcome of the study. Particular emphasis was given and commented on the study design, population, sample size, modeling method, predictors, outcomes, discrimination and calibration of the model. All the models had acceptable discrimination ability (C-statistics >0.7) and good calibration (Hosmer-Lameshow P-value >0.05). Most common model used was multivariate logistic regression and most popular predictor was age.

The association between type D personality, and depression and anxiety ten years after PCI.

Science.gov (United States)

Al-Qezweny, M N A; Utens, E M W J; Dulfer, K; Hazemeijer, B A F; van Geuns, R-J; Daemen, J; van Domburg, R

2016-09-01

There are indications that type D personality and depression are associated in patients treated with percutaneous coronary intervention (PCI). However, at present it is unclear whether this relationship holds in the long term. This study's aim was to investigate the association between type D personality at 6 months post-PCI (baseline), and depression at 10-year follow-up. A secondary aim was to test the association between type D personality at baseline and anxiety at 10-year follow-up. A cohort of surviving consecutive patients (N = 534) who underwent PCI between October 2001 and October 2002. Patients completed the type D personality scale (DS14) measuring type D personality at baseline, and the Hospital Anxiety and Depression Scale (HADS) measuring anxiety and depression at baseline and at 10 years post-PCI. At baseline, the prevalence of type D personality was 25 % (135/534). Type D personality patients were more often depressed (42 %) than non-type D personality patients (9 %). Response rate of anxiety and depression questionnaires at 10 years was 75 %. At 10-year follow-up, 31 % of type D personality patients were depressed versus 13 % of non-type D personality patients. After adjustments, baseline type D personality remained independently associated with depression at 10 years (OR = 3.69; 95 % CI [1.89-7.19]). Type D showed a similar association with anxiety at 10 years, albeit somewhat lower (OR = 2.72; 95 % CI [1.31-5.63]). PCI patients with type D personality had a 3.69-fold increased risk for depression and a 2.72-fold increased risk for anxiety at 10 years of follow-up.

A local area network and information management system for a submarine overhaul facility

OpenAIRE

Bushmire, Jeffrey D

1990-01-01

A preliminary design of a local area network for a submarine overhaul facility is developed using System Engineering concepts. SOFLAN, the Submarine Overhaul Facility Local Area Network, is necessary to provide more timely and accurate information to submarine overhaul managers in order to decrease the overhaul time period and become more competitive. The network is a microcomputer based system following the Ethernet and IEEE 802.3 standards with a server .. client architecture. SOFLAN serves...

A submarine volcanic eruption leads to a novel microbial habitat.

Science.gov (United States)

Danovaro, Roberto; Canals, Miquel; Tangherlini, Michael; Dell'Anno, Antonio; Gambi, Cristina; Lastras, Galderic; Amblas, David; Sanchez-Vidal, Anna; Frigola, Jaime; Calafat, Antoni M; Pedrosa-Pàmies, Rut; Rivera, Jesus; Rayo, Xavier; Corinaldesi, Cinzia

2017-04-24

Submarine volcanic eruptions are major catastrophic events that allow investigation of the colonization mechanisms of newly formed seabed. We explored the seafloor after the eruption of the Tagoro submarine volcano off El Hierro Island, Canary Archipelago. Near the summit of the volcanic cone, at about 130 m depth, we found massive mats of long, white filaments that we named Venus's hair. Microscopic and molecular analyses revealed that these filaments are made of bacterial trichomes enveloped within a sheath and colonized by epibiotic bacteria. Metagenomic analyses of the filaments identified a new genus and species of the order Thiotrichales, Thiolava veneris. Venus's hair shows an unprecedented array of metabolic pathways, spanning from the exploitation of organic and inorganic carbon released by volcanic degassing to the uptake of sulfur and nitrogen compounds. This unique metabolic plasticity provides key competitive advantages for the colonization of the new habitat created by the submarine eruption. A specialized and highly diverse food web thrives on the complex three-dimensional habitat formed by these microorganisms, providing evidence that Venus's hair can drive the restart of biological systems after submarine volcanic eruptions.

Morphodynamic Model of Submarine Canyon Incision by Sandblasting

Science.gov (United States)

Zhang, L.; Parker, G.; Izumi, N.; Cartigny, M.; Li, T.; Wang, G.

2017-12-01

Submarine canyons are carved by turbidity currents under the deep sea. As opposed to subaerial canyons, the relevant processes are not easy to observe directly. Turbidity currents are bottom-hugging sediment gravity flows of that can incise or deposit on the seafloor to create submarine canyons or fans. The triggers of turbidity currents can be storms, edge waves, internal waves, canyon wall sapping, delta failure, breaching and hyperpycnal flows. The formation and evolution mechanisms of submarine canyons are similar to those of subaerial canyons, but have substantial differences. For example, sandblasting, rather than wear due to colliding gravel clasts is more likely to be the mechanism of bedrock incision. Submarine canyons incise downward, and often develop meander bends and levees within the canyon, so defining "fairways". Here we propose a simple model for canyon incision. The starting point of our model is the Macro Roughness Saltation Abrasion Alluviation model of Zhang et al. [2015], designed for bedrock incision by gravel clasts in mixed bedrock-alluvial rivers. We adapt this formulation to consider sandblasting as a means of wear. We use a layer-averaged model for turbidity current dynamics. The current contains a mixture of mud, which helps drive the flow but which does not cause incision, and sand, which is the agent of incision. We show that the model can successfully model channel downcutting, and indeed illustrate the early formation of net incisional cyclic steps, i.e. upstream-migrating undulations on the bed associated with transcritical (in the Froude sense) flow. These steps can be expected to abet the process of incision.

Hybrid Intelligent Control for Submarine Stabilization

Directory of Open Access Journals (Sweden)

Minghui Wang

2013-05-01

Full Text Available Abstract While sailing near the sea surface, submarines will often undergo rolling motion caused by wave disturbance. Fierce rolling motion seriously affects their normal operation and even threatens their security. We propose a new control method for roll stabilization. This paper studies hybrid intelligent control combining a fuzzy control, a neural network and extension control technology. Every control strategy can achieve the ideal control effect within the scope of its effective control. The neuro-fuzzy control strategy is used to improve the robustness of the controller. The speed control strategy and the course control strategy are conducted to extend the control range. The paper also proposes the design of the controller and carries out the simulation experiment in different sea conditions. The simulation results show that the control method proposed can indeed effectively improve the control performance of submarine stabilization.

Assessment of VME-PCI Interfaces with Linux Drivers

CERN Document Server

Schossmater, K; CERN. Geneva

2000-01-01

Abstract This report summarises the performance measurements and experiences recorded by testing three commercial VME-PCI interfaces with their Linux drivers. These interfaces are manufactured by Wiener, National Instruments and SBS Bit 3. The developed C programs are reading/writing a VME memory in different transfer modes via these interfaces. A dual processor HP Kayak XA-s workstation was used with the CERN certified Red Hat Linux 6.1 running on it.

Observations of nearshore groundwater discharge: Kahekili Beach Park submarine springs, Maui, Hawaii

Directory of Open Access Journals (Sweden)

P.W. Swarzenski

2017-06-01

New hydrological insights for the region: Estimates of submarine groundwater discharge were derived for a primary vent site and surrounding coastal waters off west Maui, Hawaii using an excess 222Rn (t1/2 = 3.8 d mass balance model. Such estimates were complemented with a novel thoron (220Rn, t1/2 = 56 s groundwater discharge tracer application, as well as oceanographic time series and thermal infrared imagery analyses. In combination, this suite of techniques provides new insight into the connectivity of the coastal aquifer with the near-shore ocean and examines the physical drivers of submarine groundwater discharge. Lastly, submarine groundwater discharge derived constituent concentrations were tabulated and compared to surrounding seawater concentrations. Such work has implications for the management of coastal aquifers and downstream nearshore ecosystems that respond to sustained constituent loadings via this submarine route.

Effect of Topography on Subglacial Discharge and Submarine Melting During Tidewater Glacier Retreat

Science.gov (United States)

Amundson, J. M.; Carroll, D.

2018-01-01

To first order, subglacial discharge depends on climate, which determines precipitation fluxes and glacier mass balance, and the rate of glacier volume change. For tidewater glaciers, large and rapid changes in glacier volume can occur independent of climate change due to strong glacier dynamic feedbacks. Using an idealized tidewater glacier model, we show that these feedbacks produce secular variations in subglacial discharge that are influenced by subglacial topography. Retreat along retrograde bed slopes (into deep water) results in rapid surface lowering and coincident increases in subglacial discharge. Consequently, submarine melting of glacier termini, which depends on subglacial discharge and ocean thermal forcing, also increases during retreat into deep water. Both subglacial discharge and submarine melting subsequently decrease as glacier termini retreat out of deep water and approach new steady state equilibria. In our simulations, subglacial discharge reached peaks that were 6-17% higher than preretreat values, with the highest values occurring during retreat from narrow sills, and submarine melting increased by 14% for unstratified fjords and 51% for highly stratified fjords. Our results therefore indicate that submarine melting acts in concert with iceberg calving to cause tidewater glacier termini to be unstable on retrograde beds. The full impact of submarine melting on tidewater glacier stability remains uncertain, however, due to poor understanding of the coupling between submarine melting and iceberg calving.

Stability of submarine slopes in the northern South China Sea: a numerical approach

Science.gov (United States)

Zhang, Liang; Luan, Xiwu

2013-01-01

Submarine landslides occur frequently on most continental margins. They are effective mechanisms of sediment transfer but also a geological hazard to seafloor installations. In this paper, submarine slope stability is evaluated using a 2D limit equilibrium method. Considerations of slope, sediment, and triggering force on the factor of safety (FOS) were calculated in drained and undrained ( Φ=0) cases. Results show that submarine slopes are stable when the slope is 13° with earthquake peak ground acceleration (PGA) of 0.5 g; whereas with a weak layer, a PGA of 0.2 g could trigger instability at slopes >10°, and >3° for PGA of 0.5 g. The northern slope of the South China Sea is geomorphologically stable under static conditions. However, because of the possibility of high PGA at the eastern margin of the South China Sea, submarine slides are likely on the Taiwan Bank slope and eastern part of the Dongsha slope. Therefore, submarine slides recognized in seismic profiles on the Taiwan Bank slope would be triggered by an earthquake, the most important factor for triggering submarine slides on the northern slope of the South China Sea. Considering the distribution of PGA, we consider the northern slope of the South China Sea to be stable, excluding the Taiwan Bank slope, which is tectonically active.

Dual Antithrombotic Therapy with Dabigatran after PCI in Atrial Fibrillation.

Science.gov (United States)

Cannon, Christopher P; Bhatt, Deepak L; Oldgren, Jonas; Lip, Gregory Y H; Ellis, Stephen G; Kimura, Takeshi; Maeng, Michael; Merkely, Bela; Zeymer, Uwe; Gropper, Savion; Nordaby, Matias; Kleine, Eva; Harper, Ruth; Manassie, Jenny; Januzzi, James L; Ten Berg, Jurrien M; Steg, P Gabriel; Hohnloser, Stefan H

2017-10-19

Triple antithrombotic therapy with warfarin plus two antiplatelet agents is the standard of care after percutaneous coronary intervention (PCI) for patients with atrial fibrillation, but this therapy is associated with a high risk of bleeding. In this multicenter trial, we randomly assigned 2725 patients with atrial fibrillation who had undergone PCI to triple therapy with warfarin plus a P2Y 12 inhibitor (clopidogrel or ticagrelor) and aspirin (for 1 to 3 months) (triple-therapy group) or dual therapy with dabigatran (110 mg or 150 mg twice daily) plus a P2Y 12 inhibitor (clopidogrel or ticagrelor) and no aspirin (110-mg and 150-mg dual-therapy groups). Outside the United States, elderly patients (≥80 years of age; ≥70 years of age in Japan) were randomly assigned to the 110-mg dual-therapy group or the triple-therapy group. The primary end point was a major or clinically relevant nonmajor bleeding event during follow-up (mean follow-up, 14 months). The trial also tested for the noninferiority of dual therapy with dabigatran (both doses combined) to triple therapy with warfarin with respect to the incidence of a composite efficacy end point of thromboembolic events (myocardial infarction, stroke, or systemic embolism), death, or unplanned revascularization. The incidence of the primary end point was 15.4% in the 110-mg dual-therapy group as compared with 26.9% in the triple-therapy group (hazard ratio, 0.52; 95% confidence interval [CI], 0.42 to 0.63; Pdual-therapy group as compared with 25.7% in the corresponding triple-therapy group, which did not include elderly patients outside the United States (hazard ratio, 0.72; 95% CI, 0.58 to 0.88; Pdual-therapy groups combined as compared with 13.4% in the triple-therapy group (hazard ratio, 1.04; 95% CI, 0.84 to 1.29; P=0.005 for noninferiority). The rate of serious adverse events did not differ significantly among the groups. Among patients with atrial fibrillation who had undergone PCI, the risk of bleeding was

"PCI Reading Program": The Final Report of a Three Year Experimental Study in Brevard Public Schools and Miami-Dade County Public Schools. Research Report

Science.gov (United States)

Toby, Megan; Jaciw, Andrew; Ma, Boya; Lipton, Akiko

2011-01-01

PCI Education conducted a three-year longitudinal study to determine the comparative effectiveness of the "PCI Reading Program" ("PCI") for students with severe disabilities as implemented in Florida's Brevard Public Schools and Miami-Dade County Public Schools. The primary question addressed by the study is whether students…

The Road Pavement Condition Index (PCI Evaluation and Maintenance: A Case Study of Yemen

Directory of Open Access Journals (Sweden)

Karim Fareed M. A.

2016-12-01

Full Text Available The pavement condition index (PCI is a simple, convenient and inexpensive way to monitor the condition of the surface of roads, identify maintenance and rehabilitation (M-and-R needs as well as ensure that road maintenance budgets are spent wisely. In this research, the pavement condition was evaluated in terms of the surface distresses existing at the time of the field evaluation. The PCI procedure was used in this research because it deals with the subject of pavement distress identification most comprehensively and is based on a sound statistical technique of pavement sampling.

trans-[Pt(BCat')Me(PCy3)2]: an experimental case study of reductive elimination processes in Pt-Boryls through associative mechanisms.

Science.gov (United States)

Braunschweig, Holger; Bertermann, Rüdiger; Brenner, Peter; Burzler, Michael; Dewhurst, Rian D; Radacki, Krzysztof; Seeler, Fabian

2011-10-10

A stable trans-(alkyl)(boryl) platinum complex trans-[Pt(BCat')Me(PCy(3))(2)] (Cat'=Cat-4-tBu; Cy=cyclohexyl=C(6)H(11)) was synthesised by salt metathesis reaction of trans-[Pt(BCat')Br(PCy(3))(2)] with LiMe and was fully characterised. Investigation of the reactivity of the title compound showed complete reductive elimination of Cat'BMe at 80 °C within four weeks. This process may be accelerated by the addition of a variety of alkynes, thereby leading to the formation of the corresponding η(2) -alkyne platinum complexes, of which [Pt(η(2)-MeCCMe)(PCy(3))(2)] was characterised by X-ray crystallography. Conversion of the trans-configured title compound to a cis derivative remained unsuccessful due to an instantaneous reductive elimination process during the reaction with chelating phosphines. Treatment of trans-[Pt(BCat')Me(PCy(3))(2)] with Cat(2)B(2) led to the formation of CatBMe and Cat'BMe. In the course of further investigations into this reaction, indications for two indistinguishable reaction mechanisms were found: 1) associative formation of a six-coordinate platinum centre prior to reductive elimination and 2) σ-bond metathesis of B-B and C-Pt bonds. Mechanism 1 provides a straightforward explanation for the formation of both methylboranes. Scrambling of diboranes(4) Cat(2)B(2) and Cat'(2)B(2) in the presence of [Pt(PCy(3))(2)], fully reductive elimination of CatBMe or Cat'BMe from trans-[Pt(BCat')Me(PCy(3))(2)] in the presence of sub-stoichiometric amounts of Cat(2)B(2), and evidence for the reversibility of the oxidative addition of Cat(2)B(2) to [Pt(PCy(3))(2)] all support mechanism 2, which consists of sequential equilibria reactions. Furthermore, the solid-state molecular structure of cis-[Pt(BCat)(2)(PCy(3))(2)] and cis-[Pt(BCat')(2)(PCy(3))(2)] were investigated. The remarkably short B-B separations in both bis(boryl) complexes suggest that the two boryl ligands in each case are more loosely bound to the Pt(II) centre than in related bis

Lowering risk score profile during PCI in multiple vessel disease is associated with low adverse events: The ERACI risk score.

Science.gov (United States)

Rodriguez, Alfredo E; Fernandez-Pereira, Carlos; Mieres, Juan; Pavlovsky, Hernan; Del Pozo, Juan; Rodriguez-Granillo, Alfredo M; Antoniucci, David

2018-02-13

In recent years angiographic risk scores have been introduced in clinical practice to stratify different levels of risk after percutaneous coronary interventions (PCI). The SYNTAX score included all intermediate lesions in vessels ≥1.5 mm, consequently, multiple stent implantation was required. Four years ago, we built a new angiographic score in order to guide PCI strategy avoiding stent deployment both in intermediate stenosis as in small vessels, therefore these were not scored (ERACI risk score). The purpose of this mini review is to validate the strategy of PCI guided by this scoring, taking into account long term follow up outcomes of two observational and prospective registries where this policy was used. With this new risk score we have modified risk profile of our patient's candidates for PCI or coronary artery bypass surgery lowering the risk and PCI. The simple exclusion of small vessels and intermediate stenosis from the revascularization approach resulted in clinical outcome comparable with the one of fractional flow reserve guided revascularization. Low events rate at late follow up observed in both studies was also in agreement with guided PCI by functional lesion assessment observed by Syntax II registry, where investigators found lower events rate in spite of a few number of stents implanted per patient. use of ERACI risk scores may significantly reclassify patients into a lower risk category and be associated with low adverse events rate. Copyright © 2018. Published by Elsevier Inc.

Use and impact of thrombectomy in primary percutaneous coronary intervention for acute myocardial infarction with persistent ST-segment elevation: results of the prospective ALKK PCI-registry.

Science.gov (United States)

Härle, Tobias; Zeymer, Uwe; Hochadel, Matthias; Schmidt, Karin; Zahn, Ralf; Darius, Harald; Behrens, Steffen; Lauer, Bernward; Mudra, Harald; Schächinger, Volker; Elsässer, Albrecht

2015-10-01

Data about the impact of thrombectomy in primary percutaneous coronary intervention (PCI) are inconsistent. The aim of our study was an evaluation of both the real-world use of thrombectomy and the impact of thrombectomy on outcome in unselected patients treated with primary PCI for ST-elevation myocardial infarction (STEMI). We used the data of the prospective ALKK PCI-registry of 35 hospitals from January 2010 to December 2013. A total of 10,755 patients receiving single-vessel primary PCI for acute STEMI were included. In 2176 patients (20.2 %) thrombectomy was performed. There was a wide range of use of thrombectomy in the different ALKK hospitals from 1.1 to 61.7 % (median 18.6 %, quartiles 6.0 and 40.3 %) with a general increase of use over the first years of the study period. In patients with and without thrombectomy there was TIMI 0 flow present before PCI in 6010 patients, TIMI 1 in 1338, TIMI 2 in 2002, and TIMI 3 in 1405. Patients with acute heart failure or cardiogenic shock received significantly more often thrombectomy. Fluoroscopy time (8.1 vs. 7.3 min, p PCI had significantly higher rates of TIMI 3 flow after PCI when treated with thrombectomy (87.1 vs. 84.1 %, p PCI TIMI 3 flow in patients with TIMI 1, 2 or 3 flow before PCI. Rates of major adverse cardiac and cerebrovascular events were similar in both groups in general and in all subgroups of TIMI flow. The use of thrombectomy in patients with STEMI is heterogenous between hospitals. Overall, there was no impact of thrombectomy on TIMI 3 patency or mortality after PCI. In the subgroup of STEMI patients with TIMI 0 flow before PCI individualized thrombectomy had a positive impact on restoration of normal blood flow.

Airborne Radar Search for Diesel Submarines (ARSDS)

National Research Council Canada - National Science Library

Pilnick, Steven E; Landa, Jose

2005-01-01

.... In this research, a detection rate model is developed to analyze the effectiveness of an airborne radar search for a diesel submarine assumed to be intermittently operating with periscopes or masts...

Design of a small nuclear reactor for extending the operational envelope of the Victoria Class Submarine

International Nuclear Information System (INIS)

Cole, C.J.P.

2003-01-01

The purpose of this research is to conceptually design a small, inherently safe, quasi-homogeneous nuclear reactor that will provide enough power to maintain the hotel load of the Victoria Class Submarine and extend her operational envelope. This research is in its early stages. The purpose of this paper is to outline the background of the research, present results found to date, and indicate the direction of the research over the next two years. The Canadian Forces has recently acquired four U.K. built Upholder Class submarines to replace the ageing Oberon Class submarines purchased in the early 1960's. The Upholders, like the Oberons, are diesel-electric powered. The Upholders were renamed the Victoria Class upon commissioning in Canada. Submarines are strategic military weapons that have several roles including: intelligence gathering, inflicting surprise attacks, controlling shipping lanes and covert operations. For each of these roles the submarine must remain undetected. To remain undetected, it is imperative that the submarine remains submerged. To remain submerged and continue to function, a submarine requires an air-independent power generation system, such as a nuclear reactor. (author)

PAUT-based defect detection method for submarine pressure hulls

Directory of Open Access Journals (Sweden)

Min-jae Jung

2018-03-01

Full Text Available A submarine has a pressure hull that can withstand high hydraulic pressure and therefore, requires the use of highly advanced shipbuilding technology. When producing a pressure hull, periodic inspection, repair, and maintenance are conducted to maintain its soundness. Of the maintenance methods, Non-Destructive Testing (NDT is the most effective, because it does not damage the target but sustains its original form and function while inspecting internal and external defects. The NDT process to detect defects in the welded parts of the submarine is applied through Magnetic particle Testing (MT to detect surface defects and Ultrasonic Testing (UT and Radiography Testing (RT to detect internal defects. In comparison with RT, UT encounters difficulties in distinguishing the types of defects, can yield different results depending on the skills of the inspector, and stores no inspection record. At the same time, the use of RT gives rise to issues related to worker safety due to radiation exposure. RT is also difficult to apply from the perspectives of the manufacturing of the submarine and economic feasibility. Therefore, in this study, the Phased Array Ultrasonic Testing (PAUT method was applied to propose an inspection method that can address the above disadvantages by designing a probe to enhance the precision of detection of hull defects and the reliability of calculations of defect size. Keywords: Submarine pressure hull, Non-destructive testing, Phased array ultrasonic testing

Cold-water coral banks and submarine landslides: a review

Science.gov (United States)

de Mol, Ben; Huvenne, Veerle; Canals, Miquel

2009-06-01

This paper aims to review the relation between cold-water coral bank development and submarine landslides. Both are common features on continental margins, but so far it has not been reviewed which effect—if at all—they may have upon each other. Indirect and direct relations between coral banks and landslides are evaluated here, based on four case studies: the Magellan Mound Province in the Porcupine Seabight, where fossil coral banks appear partly on top of a buried slide deposit; the Sula Ridge Reef Complex and the Storegga landslide both off mid-Norway; and the Mauritania coral bank province, associated with the Mauritanian Slide Complex. For each of these locations, positive and negative relationships between both features are discussed, based on available datasets. Locally submarine landslides might directly favour coral bank development by creating substratum where corals can settle on, enhancing turbulence due to abrupt seabed morphological variations and, in some cases, causing fluid seepage. In turn, some of these processes may contribute to increased food availability and lower sedimentation rates. Landslides can also affect coral bank development by direct erosion of the coral banks, and by the instantaneous increase of turbidity, which may smother the corals. On the other hand, coral banks might have a stabilising function and delay or stop the headwall retrogradation of submarine landslides. Although local relationships can be deduced from these case studies, no general and direct relationship exists between submarine landslides and cold-water coral banks.

Submarine paleoseismology based on turbidite records.

Science.gov (United States)

Goldfinger, Chris

2011-01-01

Many of the largest earthquakes are generated at subduction zones or other plate boundary fault systems near enough to the coast that marine environments may record evidence of them. During and shortly after large earthquakes in the coastal and marine environments, a spectrum of evidence may be left behind, mirroring onshore paleoseismic evidence. Shaking or displacement of the seafloor can trigger processes such as turbidity currents, submarine landslides, tsunami (which may be recorded both onshore and offshore), and soft-sediment deformation. Marine sites may also share evidence of fault scarps, colluvial wedges, offset features, and liquefaction or fluid expulsion with their onshore counterparts. This article reviews the use of submarine turbidite deposits for paleoseismology, focuses on the dating and correlation techniques used to establish stratigraphic continuity of marine deposits, and outlines criteria for distinguishing earthquake deposits and the strategies used to acquire suitable samples and data for marine paleoseismology.

Long-term outcome of FFR-guided PCI for stable coronary artery disease in daily clinical practice

DEFF Research Database (Denmark)

De Backer, Ole; Biasco, Luigi; Lønborg, Jacob

2016-01-01

AIMS: Our aim was to investigate the strength of fractional flow reserve (FFR)-guided percutaneous coronary intervention (PCI) for stable coronary artery disease (CAD) in daily practice. METHODS AND RESULTS: For this study, 3,512 patients with stable CAD and at least one 50-89% coronary stenosis...... were identified; those patients thought to require PCI (n=1,716) were selected. Of these, 962 (56%) were treated based on angiography (XA) alone, whereas 754 patients (44%) had an FFR-guided treatment. In the latter group, 321 patients (43%) were reallocated to another treatment, predominantly medical...... treatment. After propensity score matching, the number of indicated lesions was 957 in the XA-guided group and 947 in the FFR-guided group. FFR guidance resulted in PCI deferral in 462 lesions (48.8%). In a seven-day landmark analysis, the rate of periprocedural myocardial infarction (MI) was less than half...

Effect of preoperative small dose of tirofiban on PCI treatment in patients with acute coronary syndrome

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Li Wang

2016-06-01

Full Text Available Objective: To analyze the effect of preoperative small dose of tirofiban on PCI treatment prognosis in patients with acute coronary syndrome. Methods: A total of 108 cases with acute coronary syndrome who received PCI treatment in our hospital from August 2011 to May 2014 were included for study and randomly divided into observation group and control group by half according to different treatment methods. Control group received PCI treatment alone, observation group received small dose of tirofiban combined with PCI treatment, and then differences in hemorheology indicators, platelet function, left ventricular systolic function and left ventricular diastolic function parameters, serum indicators and so on were compared between two groups after treatment. Results: Whole blood high shear viscosity, whole blood low shear viscosity, reduced high shear viscosity, reduced low shear viscosity, plasma ratio viscosity, erythrocyte aggregation index and erythrocyte deformability index of observation group after treatment were all less than those of control group (P<0.05; PAdT, PAgT, CD62p, CD40L and P-selectin values of observation group after treatment were all lower than those of control group (P<0.05; LPER and LPFR values of observation group 1 week after treatment were higher than those of control group while LTPER and LTPFR values were lower than those of control group (P<0.05; serum GA, MCP-1, PAI-1, NT-proBNP, PAC-1, VCAM-1 and ICAM-1 values of observation group after treatment were all lower than those of control group (P<0.05. Conclusions: Small dose of tirofiban combined with PCI treatment for patients with acute coronary syndrome can effectively enhance therapeutic effect, inhibit platelet activity while protect heart function and optimize long-term treatment outcome.

Evaluation of changes in left ventricular structure and function in hypertensive patients with coronary artery disease after PCI using real-time three-dimensional echocardiography.

Science.gov (United States)

Meng, Yanhong; Zong, Ling; Zhang, Ziteng; Han, Youdong; Wang, Yanhui

2018-02-01

We aimed to evaluate the changes in left ventricular structure and function in hypertensive patients with coronary artery disease before and after percutaneous coronary intervention (PCI) using real-time three-dimensional echocardiography. Two hundred and eighty hypertensive patients with coronary artery disease undergoing PCI and 120 cases who did not receive PCI in our hospital were selected as the subjects of our study. All patients were administered with routine antiplatelet, anticoagulant, lipid-lowering, antihypertensive, dilating coronary artery and other medications. The left ventricular systolic function and systolic synchrony index changes before and after subjects were treated by PCI were analyzed using three-dimensional echocardiography. At 2 days before surgery, there were no significant differences in the left ventricular end-diastolic volume, left ventricular end-systolic volume (LVESV) and ejection fraction (EF) between the two patient groups (P>0.05). At 3 months and 9 months, the two key time points after PCI, the LVESV level in the PCI group was distinctly decreased, while EF was significantly increased (P0.05); however, the parameters of time from the corresponding segment of the myocardium to the minimal systolic volume in patients in the PCI group were significantly reduced at 3 and 9 months after surgery (PPCI accurately and in real-time, which may play a significant role.

Outcomes of Middle Eastern Patients Undergoing Percutaneous Coronary Intervention: The Primary Analysis of the First Jordanian PCI Registry.

Science.gov (United States)

Alhaddad, Imad A; Tabbalat, Ramzi; Khader, Yousef; Al-Mousa, Eyas; Izraiq, Mahmoud; Nammas, Assem; Jarrah, Mohammad; Saleh, Akram; Hammoudeh, Ayman

2017-01-01

This is a prospective multicenter registry designed to evaluate the incidence of adverse cardiovascular events in Middle Eastern patients undergoing percutaneous coronary interventions (PCI). The registry was also designed to determine the predictors of poor outcomes in such patients. We enrolled 2426 consecutive patients who underwent PCI at 12 tertiary care centers in Jordan between January 2013 and February 2014. A case report form was used to record data prospectively at hospital admission, discharge, and 12 months of follow-up. Mean age was 56 ± 11 years, females comprised 21% of the study patients, 62% had hypertension, 53% were diabetics, and 57% were cigarette smokers. Most patients (77%) underwent PCI for acute coronary syndrome. In-hospital and 1-year mortality rates were 0.78% and 1.94%, respectively. Definite or probable stent thrombosis occurred in 9 patients (0.37%) during hospitalization and in 47 (1.94%) at 1 year. Rates of target vessel repeat PCI and coronary artery bypass graft surgery at 1 year were 3.4% and 0.6%, respectively. The multivariate analysis revealed that cardiogenic shock, congestive heart failure, ST-segment deviation, diabetes, and major bleeding were significantly associated with higher risk of 1-year mortality. In this first large Jordanian registry of Middle Eastern patients undergoing PCI, patients treated were relatively young age population with low in-hospital and 1-year adverse cardiovascular events. Certain clinical features were associated with worse outcomes and may warrant aggressive therapeutic strategies.

Measurement of microvascular function in patients presenting with thrombolysis for ST elevation myocardial infarction, and PCI for non-ST elevation myocardial infarction.

Science.gov (United States)

Palmer, Sonny; Layland, Jamie; Adams, Heath; Ashokkumar, Srikkumar; Williams, Paul D; Judkins, Christopher; La Gerche, Andre; Burns, Andrew T; Whitbourn, Robert J; MacIsaac, Andrew I; Wilson, Andrew M

2018-04-12

In this prospective study, we compared the invasive measures of microvascular function in two subsets: patients with pharmacoinvasive thrombolysis for STEMI, and patients undergoing percutaneous coronary intervention (PCI) for NSTEMI. The study consisted of 17 patients with STEMI referred for cardiac catheterisation post thrombolysis, and 20 patients with NSTEMI. Coronary physiological indexes were measured in each patient before and after PCI. The median pre-PCI index of microcirculatory function (IMR) at baseline was significantly higher in the STEMI group than the NSTEMI group (26 units vs. 15 units, p = 0.02). Following PCI, IMR decreased in both groups (STEMI 20 units vs. NSTEMI 14 units, p = 0.10). There was an inverse correlation between post PCI IMR and left ventricular ejection fraction (LVEF) (r = -0.52, p = 0.001). Furthermore, post PCI IMR was an independent predictor of index admission LVEF in the total population (β = -0.388, p = 0.02). Invasive measures of microvascular function are inferior in a pharmacoinvasive STEMI group compared to a clinically stable NSTEMI group. In the STEMI population, the IMR following coronary intervention appears to predict LVEF. Copyright © 2018 Elsevier Inc. All rights reserved.

Five-year outcomes of percutaneous versus surgical coronary revascularization in patients with diabetes mellitus (from the CREDO-Kyoto PCI/CABG Registry Cohort-2).

Science.gov (United States)

Marui, Akira; Kimura, Takeshi; Nishiwaki, Noboru; Mitsudo, Kazuaki; Komiya, Tatsuhiko; Hanyu, Michiya; Shiomi, Hiroki; Tanaka, Shiro; Sakata, Ryuzo

2015-04-15

We investigated the impact of diabetes mellitus on long-term outcomes of percutaneous coronary intervention (PCI) in the drug-eluting stent era versus coronary artery bypass grafting (CABG) in a real-world population with advanced coronary disease. We identified 3,982 patients with 3-vessel and/or left main disease of 15,939 patients with first coronary revascularization enrolled in the Coronary Revascularization Demonstrating Outcome Study in Kyoto PCI/CABG Registry Cohort-2 (patients without diabetes: n = 1,984 [PCI: n = 1,123 and CABG: n = 861], and patients with diabetes: n = 1,998 [PCI: n = 1,065 and CABG: n = 933]). Cumulative 5-year incidence of all-cause death after PCI was significantly higher than after CABG both in patients without and with diabetes (19.8% vs 16.2%, p = 0.01, and 22.9% vs 19.0%, p = 0.046, respectively). After adjusting confounders, the excess mortality risk of PCI relative to CABG was no longer significant (hazard ratio [HR] 1.16; 95% confidence interval [CI] 0.88 to 1.54; p = 0.29) in patients without diabetes, whereas it remained significant (HR 1.31; 95% CI 1.01 to 1.70; p = 0.04) in patients with diabetes. The excess adjusted risks of PCI relative to CABG for cardiac death, myocardial infarction (MI), and any coronary revascularization were significant in both patients without (HR 1.59, 95% CI 1.01 to 2.51, p = 0.047; HR 2.16, 95% CI 1.20 to 3.87, p = 0.01; and HR 3.30, 95% CI 2.55 to 4.25, p PCI relative to CABG for all-cause death, cardiac death, MI, and any revascularization. In conclusion, in both patients without and with diabetes with 3-vessel and/or left main disease, CABG compared with PCI was associated with better 5-year outcomes in terms of cardiac death, MI, and any coronary revascularization. There was no difference in the direction and magnitude of treatment effect of CABG relative to PCI regardless of diabetic status. Copyright © 2015 Elsevier Inc. All rights reserved.

Feelings of being disabled as a prognostic factor for mortality in men and women post-PCI up to 12 years

NARCIS (Netherlands)

Bergman, M.J.; Utens, E.M.W.J.; de Jager, T.A.J.; Radhoe, S.P.; Daemen, J.; Lenzen, M.J.; van Domburg, R.T.; Dulfer, K.

2017-01-01

Background It remains unclear whether feelings of being disabled are a relevant psychological factor that determines long term outcome after percutaneous coronary intervention (PCI). Therefore, we evaluated ‘feelings of being disabled’ as an independent risk factor for mortality 12 years post-PCI.

Feelings of being disabled as a prognostic factor for mortality in men and women post-PCI up to 12years

NARCIS (Netherlands)

Bergmann, Michael J.; Utens, Elisabeth M. W. J.; de Jager, Tom A. J.; Radhoe, Sumant P.; Daemen, Joost; Lenzen, Mattie J.; van Domburg, Ron T.; Dulfer, Karolijn

2017-01-01

It remains unclear whether feelings of being disabled are a relevant psychological factor that determines long term outcome after percutaneous coronary intervention (PCI). Therefore, we evaluated 'feelings of being disabled' as an independent risk factor for mortality 12years post-PCI. The study

Outcomes of Percutaneous Coronary Interventions for Chronic Total Occlusion Performed by Highly Experienced Japanese Specialists: The First Report From the Japanese CTO-PCI Expert Registry.

Science.gov (United States)

Suzuki, Yoriyasu; Tsuchikane, Etsuo; Katoh, Osamu; Muramatsu, Toshiya; Muto, Makoto; Kishi, Koichi; Hamazaki, Yuji; Oikawa, Yuji; Kawasaki, Tomohiro; Okamura, Atsunori

2017-11-13

This report describes the registry and presents an initial analysis of outcomes for the different PCI approaches taken by the specialists. Strategies for percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) are complex. The Japanese Board of CTO Interventional Specialists has developed a prospective, nonrandomized registry of patients undergoing CTO-PCIs performed by 41 highly experienced Japanese specialists. Over the study period of January 2014 to December 2015, the registry included 2,846 consecutive CTO-PCI cases undertaken in Japan. The authors compared clinical outcomes between the different PCI approaches, following the intention-to-treat principle. The overall technical success rate of the procedures was 89.9%. The specialists frequently chose a retrograde approach as the primary CTO-PCI strategy (in 27.8% of cases). The technical success rate of the primary antegrade approach was significantly better than that of the primary retrograde approach (91.0% vs. 87.3%; p PCI with a high technical success rate (75.0% to 88.9%). Severe lesion calcification was a strong predictor of failed CTO-PCI. CTO-PCI performed by highly experienced specialists achieved a high technical success rate. Copyright © 2017 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

Retrograde CTO-PCI of Native Coronary Arteries Via Left Internal Mammary Artery Grafts: Insights From a Multicenter U.S. Registry.

Science.gov (United States)

Tajti, Peter; Karatasakis, Aris; Karmpaliotis, Dimitri; Alaswad, Khaldoon; Jaffer, Farouc A; Yeh, Robert W; Patel, Mitul; Mahmud, Ehtisham; Choi, James W; Doing, Anthony H; Toma, Catalin; Uretsky, Barry; Garcia, Santiago; Moses, Jeffrey W; Parikh, Manish; Kirtane, Ajay; Ali, Ziad A; Hatem, Raja; Karacsonyi, Judit; Danek, Barbara A; Rangan, Bavana V; Banerjee, Subhash; Ungi, Imre; Brilakis, Emmanouil S

2018-03-01

Retrograde percutaneous coronary intervention (PCI) of native coronary artery chronic total occlusion (CTO) via left internal mammary artery (LIMA) graft has received limited study. We compared the clinical and procedural characteristics and outcomes of retrograde CTO-PCI through LIMA grafts vs other conduits in a contemporary multicenter CTO registry. The LIMA was used as the collateral channel in 20 of 990 retrograde CTO-PCIs (2.02%) performed at 18 United States centers. The mean age of the study patients was 69 ± 7 years and 95% were men. The most common CTO target vessel was the right coronary artery (55%). The mean J-CTO score in the LIMA group was high (3.45 ± 0.76). The technical success rates were 70% for retrograde PCI via LIMA graft vs 81.05% for retrograde via other conduits (P=.25), while procedural success rates were 70% for retrograde PCI via LIMA graft and 78.19% for retrograde via other conduits (P=.41). The incidence of major in-hospital complications was also similar between the LIMA and non-LIMA retrograde groups (5% vs 6%; P>.99). Use of guide-catheter extensions (40% vs 28%; P=.22), intravascular ultrasound (45% vs 31%; P=.20), and left ventricular assist devices (24% vs 10%; P=.08) was numerically higher in retrograde CTO-PCIs via LIMA grafts. Retrograde CTO-PCI is infrequently performed via LIMA grafts and is associated with similar success and major in-hospital complication rates as retrograde CTO-PCI performed via other conduits.

Topology Model of the Flow around a Submarine Hull Form

Science.gov (United States)

2015-12-01

UNCLASSIFIED Topology Model of the Flow around a Submarine Hull Form S.-K. Lee Maritime Division Defence Science and Technology Group DST-Group–TR...3177 ABSTRACT A topology model constructed from surface-streamer visualisation describes the flow around a generic conventional submarine hull form at...pure yaw angles of 0 ◦, 10 ◦ and 18 ◦. The model is used to develop equations for sway-force and yaw-moment coefficients which relate to the hull - form

Broaching the Ship: Rethinking Submarines as a Signaling Tool in Naval Diplomacy

Science.gov (United States)

2015-03-01

Bateman , “Perils of the Deep: the Dangers of Submarine Proliferation in the Seas of East Asia,” Asian Security 7, no. 1 (Spring 2011), 64. 89 Brent...Science. London: Routledge, 2012. Bateman , Sam. “Perils of the Deep: The Dangers of Submarine Proliferation in the Seas of East Asia.” Asian Security

Ibrutinib (PCI-32765) in chronic lymphocytic leukemia.

Science.gov (United States)

Jain, Nitin; O'Brien, Susan

2013-08-01

B-cell receptor (BCR) signaling is essential for chronic lymphocytic leukemia (CLL) cell survival. Many kinases in the BCR signaling pathway are being studied as potential therapeutic targets. Ibrutinib (PCI-32765) is a novel first-in-class selective inhibitor of Bruton tyrosine kinase. Preclinical evidence suggests that ibrutinib inhibits CLL cell survival and proliferation and affects CLL cell migration and homing. Early clinical data in patients with CLL and non-Hodgkin lymphoma is encouraging. It is likely that ibrutinib and other drugs targeting the BCR pathway will become an integral component of CLL therapy. Copyright © 2013 Elsevier Inc. All rights reserved.

Information Assurance as a System of Systems in the Submarine Force

Science.gov (United States)

2013-09-01

Shell SSL Secure Socket Layer SSN Submerged Ship Nuclear STDA Submarine Tactical Display Auxiliary SUBLAN Submarine Local Area Network...Internet Protocol TLS T Transport Layer Security TS-SCI Top Secret-Special Compartment Information TYCOM Type Commander USB Universal...administrators or users. Layer 4 and 5: This is the layer that deals with providing a protected connection via a Secure Socket Layer ( SSL ) and Transport Layer

A validation study of the Brazilian version of the pornography consumption inventory (PCI) in a sample of female university students.

Science.gov (United States)

Baltieri, Danilo Antonio; Luísa de Souza Gatti, Ana; Henrique de Oliveira, Vitor; Junqueira Aguiar, Ana Saito; Almeida de Souza Aranha e Silva, Renata

2016-02-01

Although men constitute the widest consumer group of pornography, the Internet has facilitated both the production of and access to pornographic material by women as well. However, few measures are available to examine pornography-use constructs, which can compromise the reliability of statements regarding the harmful use of pornography. Our study aimed to confirm the factorial validity and internal consistency of the Pornography Consumption Inventory (PCI) in a sample of female university students in Brazil. The PCI is a four-factor, 15-item, five-point Likert-type scale. After translation and back-translation of the PCI, it was administered to 105 female medical students. Exploratory and confirmatory factor analyses were conducted to examine the construct validity. The results supported the four-factor model of the PCI. The model showed adequate internal reliability and good fit indices (comparative fit index (CFI) = 0.95, Tucker-Lewis index (TLI) = 0.94, root mean square error of approximation (RMSEA) = 0.07 (95% confidence interval (CI) = 0.04-0.09), and standardized root mean square residual (SRMR) = 0.08). Overall, the findings from this study support the use of the PCI in Portuguese-speaking women. Copyright © 2015 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

Research on the hydrogeological and geochemical conditions at the coastal area and submarine formations

International Nuclear Information System (INIS)

Tokunaga, Tomochika; Taniguchi, Makoto; Goto, Junji

2003-05-01

One of the major concerns for the high-level radioactive waste disposal is the possibility of the radionuclides to reach biosphere by groundwater flow. Recent research results have shown that the fresh groundwater discharge from subsea formations are widespread phenomena, thus, it is necessary to evaluate the submarine groundwater discharge as possible pathways of contaminant discharge towards the biosphere. It is also important to unravel the groundwater flow and associated material transport at the coastal area and subsea formations. To better understand the groundwater flow processes and the submarine groundwater discharge, we have conducted the hydrological, hydrogeological, geochemical, and numerical modeling studies at the Kurobe alluvial fan and its offshore, Toyama Prefecture, Japan. In this report, the results of the following research activities are presented: 1) Development and application of a method to detect the locations of the submarine groundwater discharge. 2) Development and application of a method to collect uncontaminated groundwater samples from subsea formations. 3) Measurements of submarine groundwater discharge fluxes by automated seepage meter. 4) Hydrological and geochemical studies for groundwater flow at the coastal area. 5) Geochemical studies to understand sources of fresh submarine groundwater discharge. 6) Examination of groundwater flow and submarine groundwater discharge using methane concentration and carbon isotope ratio. 7) Numerical modeling studies for coastal groundwater flow system. (author)

Comparison of RISK-PCI, GRACE, TIMI risk scores for prediction of major adverse cardiac events in patients with acute coronary syndrome.

Science.gov (United States)

Jakimov, Tamara; Mrdović, Igor; Filipović, Branka; Zdravković, Marija; Djoković, Aleksandra; Hinić, Saša; Milić, Nataša; Filipović, Branislav

2017-12-31

To compare the prognostic performance of three major risk scoring systems including global registry for acute coronary events (GRACE), thrombolysis in myocardial infarction (TIMI), and prediction of 30-day major adverse cardiovascular events after primary percutaneous coronary intervention (RISK-PCI). This single-center retrospective study involved 200 patients with acute coronary syndrome (ACS) who underwent invasive diagnostic approach, ie, coronary angiography and myocardial revascularization if appropriate, in the period from January 2014 to July 2014. The GRACE, TIMI, and RISK-PCI risk scores were compared for their predictive ability. The primary endpoint was a composite 30-day major adverse cardiovascular event (MACE), which included death, urgent target-vessel revascularization (TVR), stroke, and non-fatal recurrent myocardial infarction (REMI). The c-statistics of the tested scores for 30-day MACE or area under the receiver operating characteristic curve (AUC) with confidence intervals (CI) were as follows: RISK-PCI (AUC=0.94; 95% CI 1.790-4.353), the GRACE score on admission (AUC=0.73; 95% CI 1.013-1.045), the GRACE score on discharge (AUC=0.65; 95% CI 0.999-1.033). The RISK-PCI score was the only score that could predict TVR (AUC=0.91; 95% CI 1.392-2.882). The RISK-PCI scoring system showed an excellent discriminative potential for 30-day death (AUC=0.96; 95% CI 1.339-3.548) in comparison with the GRACE scores on admission (AUC=0.88; 95% CI 1.018-1.072) and on discharge (AUC=0.78; 95% CI 1.000-1.058). In comparison with the GRACE and TIMI scores, RISK-PCI score showed a non-inferior ability to predict 30-day MACE and death in ACS patients. Moreover, RISK-PCI was the only scoring system that could predict recurrent ischemia requiring TVR.

A Nuclear Submarine in the South Atlantic: The Framing of Threats and Deterrence

Directory of Open Access Journals (Sweden)

Mônica Herz

Full Text Available Abstract In this article, we analyse one aspect of Brazilian nuclear policy during the tenure of the Workers Party (2003–2016: the development of a nuclear-propelled submarine. We propose that the project of building a nuclear-propelled submarine has become possible partly because of the mobilisation of a set of arguments for the construction of the South Atlantic as a strategic area, framed in terms of security and development. On the other hand, we contend that the need for a nuclear-propelled submarine is framed through the mobilisation of a specific notion of deterrence. In other words, we claim that the notions of ‘strategic area’, ‘general deterrence’, ‘conventional deterrence’, and ‘deterrence by denial’ can help us analyse the fundamental aspects involved in the framing of the South Atlantic as a security concern, justifying the nuclear-propelled submarine project.

Coastal submarine hydrothermal activity off northern Baja California

International Nuclear Information System (INIS)

Vidal, V.M.V.; Vidal, F.V.; Isaacs, J.D.; Young, D.R.

1978-01-01

In situ observations of submarine hydrothermal activity have been conducted in Punta Banda. Baja Califronia, Mexico, approximately 400 m from the coast and at a seawater depth of 30 m. The hydrothermal activity occurs within the Agua Blanca Fault, a major transverse structure of Northern Baja California. Hot springwater samples have been collected and analyzed. Marked differences exist between the submarine hot springwater, local land hot springwaters, groundwater, and local seawater. SiO 2 , HCO 3 , Ca, K, Li, B, Ba, Rb, Fe, Mn, As, and Zn are enriched in the submarine hot springwater, while Cl, Na, So 4 2 , Mg, Cu, Ni, Cd, Cr, and perhaps Pb are depleted in relation to average and local seawater values. Very high temperatures, at the hydrothermal vents, have been recorded (102 0 C at 4-atm pressure). Visible gaseous emanations rich in CH 4 and N 2 coexist with the hydrothermal solutions. Metalliferous deposits, pyrite, have been encountered with high concentrations of Fe, S, Si, Al, Mn, Ca, and the volatile elements As, Hg, Sb, and Tl, X ray dispersive spectrometry (1500-ppm detection limit). X ray diffraction, and scanning electron microscopy of the isolated metalliferous precipitates indicate that the principal products of precipitation are pyrite and gypsum accompanied by minor amounts of amorphous material containing Si and Al. Chemical analyses and XRD of the reference control rocks of the locality (volcanics) versus the hydrothermally altered rocks indicate that high-temperature and high-pressure water-rock interactions can in part explain the water chemistry characteristics of the submarine hydrothermal waters. Their long residence time, the occurrence of an extensive marine sedimentary formation, their association with CH 4 and their similarities with connate waters of oil and gas fields suggest that another component of their genesis could be in cation exchange reactions within deeply buried sediments of marine origin

Analysis of Payment Card Industry Data Security Standard [PCI DSS] Compliance by Confluence of COBIT 5 Framework

OpenAIRE

Ashish Ukidve; Ds S SMantha; Milind Tadvalkar

2017-01-01

The Payment Card Industry Data Security Standard (PCI DSS) aims to enhance the security of cardholder data and is required when cardholder data or authentication data are stored, processed or transmitted. The implementation of enabling processes from COBIT 5 can complement compliance to PCI DSS. COBIT 5 assists enterprises in governance and management of enterprise IT and, at the same time, supports the need to meet security requirements with supporting processes and management activities. Th...

In-service inspection of the vessels of nuclear submarine reactors

International Nuclear Information System (INIS)

Saglio, R.; Mercier L'Abbe, G.

1977-02-01

Description is given of a machine of automatic inspection of the reactor vessels of nuclear submarines, that was developed by the French Atomic Energy Commission (CEA). A focused ultrasound testing method is used. The equipment such described meets the safety requirements prescribed for the primary circuits of nuclear submarine boiler plants. The sensitivity and resolution power of the apparatus allow such high precision to be obtained as rupture mechanics gains a credibility that could not have been obtained with using conventional apparatus [fr

Exercise Aboard Attack Submarines: Rationale and New Options

National Research Council Canada - National Science Library

Watenpaugh, Donald

2004-01-01

.... However, most submariners do not exercise during deployment for a variety of reasons, including lack of space, time limitations, equipment limitations, lack of entertainment or recreational value...

PCI-24781 down-regulates EZH2 expression and then promotes glioma apoptosis by suppressing the PIK3K/Akt/mTOR pathway.

Science.gov (United States)

Zhang, Wei; Lv, Shengqing; Liu, Jun; Zang, Zhenle; Yin, Junyi; An, Ning; Yang, Hui; Song, Yechun

2014-10-01

PCI-24781 is a novel histone deacetylase inhibitor that inhibits tumor proliferation and promotes cell apoptosis. However, it is unclear whether PCI-24781 inhibits Enhancer of Zeste 2 (EZH2) expression in malignant gliomas. In this work, three glioma cell lines were incubated with various concentrations of PCI-24781 (0, 0.25, 0.5, 1, 2.5 and 5 μM) and analyzed for cell proliferation by the MTS [3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium] assay and colony formation, and cell cycle and apoptosis were assessed by flow cytometry. The expression of EZH2 and apoptosis-related proteins was assessed by western blotting. Malignant glioma cells were also transfected with EZH2 siRNA to examine how PCI-24781 suppresses tumor cells. EZH2 was highly expressed in the three glioma cell lines. Incubation with PCI-24781 reduced cell proliferation and increased cell apoptosis by down-regulating EZH2 in a concentration-dependent manner. These effects were simulated by EZH2 siRNA. In addition, PCI-24781 or EZH2 siRNA accelerated cell apoptosis by down-regulating the expression of AKT, mTOR, p70 ribosomal protein S6 kinase (p70s6k), glycogen synthase kinase 3A and B (GSK3a/b) and eukaryotic initiation factor 4E binding protein 1 (4E-BP1). These data suggest that PCI-24781 may be a promising therapeutic agent for treating gliomas by down-regulating EZH2 which promotes cell apoptosis by suppressing the phosphatidylinositol 3-kinase (PI3K)/Akt/mammalian target of the rapamycin (mTOR) pathway.

Operating Below Crush Depth: The Formation, Evolution, and Collapse of the Imperial Japanese Navy Submarine Force in World War II

Science.gov (United States)

2011-06-10

Subamrine, Medium) LCDR Lieutenant Commander LT Lieutenant NM Nautical Mile RADM Rear Admiral ST Sen- Taka (Submarine, High Speed) STo Sen-Toku...Special Submarine) STS Sen- Taka -Sho (Submarine, High Speed(Victory)) USS United States Ship VADM Vice Admiral 1 CHAPTER 1 INTRODUCTION On...Kirai-Sen meaning Mine-Layer, KT for Kai-Toku-Chu meaning Medium, Special Submarine, ST for Sen- Taka meaning Submarine, High speed, STo for Sen Toku

Submarine Volcanic Eruptions and Potential Analogs for Venus

Science.gov (United States)

Wilson, L.; Mouginismark, P. J.; Fryer, P.; Gaddis, L. R.

1985-01-01

As part of an analysis program to better understand the diversity of volcanic processes on the terrestrial planets, an investigation of the volcanic landforms which exist on the Earth's ocean floor was initiated. In part, this analysis is focused toward gaining a better understanding of submarine volcanic landforms in their own right, but also it is hoped that these features may show similarities to volcanic landforms on Venus, due to the high ambient water (Earth) and atmospheric (Venus) pressures. A series of numerical modelling experiments was performed to investigate the relative importance of such attributes as water pressure and temperature on the eruption process, and to determine the rate of cooling and emplacement of lava flows in the submarine environment. Investigations to date show that the confining water pressure and the buoyancy effects of the surrounding water significantly affect the styles of volcanism on the ocean floor. In the case of Venusian volcanism, confining pressures will not be as great as that found at the ocean's abyssal plains, but nevertheless the general trend toward reducing magma vesiculation will hold true for Venus as well as the ocean floor. Furthermore, other analogs may also be found between submarine volcanism and Venusian activity.

Improved recovery of regional left ventricular function after PCI of chronic total occlusion in STEMI patients: a cardiovascular magnetic resonance study of the randomized controlled EXPLORE trial.

Science.gov (United States)

Elias, Joëlle; van Dongen, Ivo M; Hoebers, Loes P; Ouweneel, Dagmar M; Claessen, Bimmer E P M; Råmunddal, Truls; Laanmets, Peep; Eriksen, Erlend; van der Schaaf, René J; Ioanes, Dan; Nijveldt, Robin; Tijssen, Jan G; Hirsch, Alexander; Henriques, José P S

2017-07-19

The Evaluating Xience and left ventricular function in PCI on occlusiOns afteR STEMI (EXPLORE) trial did not show a significant benefit of percutaneous coronary intervention (PCI) of the concurrent chronic total occlusion (CTO) in ST-segment elevation myocardial infarction (STEMI) patients on global left ventricular (LV) systolic function. However a possible treatment effect will be most pronounced in the CTO territory. Therefore, we aimed to study the effect of CTO PCI compared to no-CTO PCI on the recovery of regional LV function, particularly in the CTO territory. Using cardiovascular magnetic resonance (CMR) we studied 180 of the 302 EXPLORE patients with serial CMR (baseline and 4 months follow-up). Segmental wall thickening (SWT) was quantified on cine images by an independent core laboratory. Dysfunctional segments were defined as SWT PCI compared to no-CTO PCI (ΔSWT 17 ± 27% vs 11 ± 23%, p = 0.03). This recovery was most pronounced in the dysfunctional but viable segments(TEI PCI compared with no-CTO PCI is associated with a greater recovery of regional systolic function in the CTO territory, especially in the dysfunctional but viable segments. Further research is needed to evaluate the use of CMR in selecting post-STEMI patients for CTO PCI and the effect of regional LV function recovery on clinical outcome. Trialregister.nl NTR1108 , Date registered NTR: 30-okt-2007.

The sinking of the Soviet Mike class nuclear powered submarine

International Nuclear Information System (INIS)

1989-01-01

The purpose of this preliminary study is to assess the quantities of the longer-lived or persistent radioactive materials, or source terms, that have been lost at sea with the sinking of the Soviet MIKE class submarine off Bear Island on 7 April 1989. The report arrives at an assessment of the amount of radioactivity and compares this to the quantities of radioactive materials dumped by the UK from 1953 to 1982 at which time sea dumping of radioactive wastes was suspended by international resolve. This comparison can be used to assess the relative significance of the sinking of this submarine. The study does not extrapolate the estimated radioactive source terms to an environmental or radiological significance of the sinking, although it is concluded that unless the submarine is recovered intact from the ocean floor, the by far greater part of the radioactive materials on board will disperse to the marine environment at some future time, if they are not doing so already. (author)

Feelings of being disabled as a prognostic factor for mortality in men and women post-PCI up to 12years.

Science.gov (United States)

Bergmann, Michael J; Utens, Elisabeth M W J; de Jager, Tom A J; Radhoe, Sumant P; Daemen, Joost; Lenzen, Mattie J; van Domburg, Ron T; Dulfer, Karolijn

2017-12-15

It remains unclear whether feelings of being disabled are a relevant psychological factor that determines long term outcome after percutaneous coronary intervention (PCI). Therefore, we evaluated 'feelings of being disabled' as an independent risk factor for mortality 12years post-PCI. The study population comprised a consecutive series of CAD patients (n=845) treated with PCI as part of the Taxus-Stent Evaluated At Rotterdam Cardiology Hospital (T-SEARCH) registry. Of these patients n=646 (age 63years, 75% male) completed the subscale 'feelings of being disabled' of the Heart Patients Psychological Questionnaire (HPPQ), within the first month after PCI. At 12year follow-up, n=209 patients (32%) died. Of the 162 females n=73 (45%) experienced high feelings of being disabled (High-FOBD) and of the 484 males, n=134 (28%) reported high-FOBD. Patients with high feelings of being disabled had a two-fold increased risk of mortality at 12-year follow-up (HR=1.86, 95% CI=1.41-2.45). After adjusting, high feelings of being disabled remained a predictor of 12-year mortality (HR=2.53, 95% CI=1.30-4.90). This study confirms that psychosocial variables like feelings of being disabled influence cardiac morbidity and mortality. Furthermore, there is no difference in mortality between men and women with high feelings of being disabled 12years post-PCI. It is important that clinicians are aware that PCI-patients who feel disabled have a less favorable survival and that the difference in survival is even greater for women who feel disabled. Copyright © 2017 Elsevier Ireland Ltd. All rights reserved.

Coastal submarine springs in Lebanon and Syria: Geological, geochemical, and radio-isotopic study

International Nuclear Information System (INIS)

Al-Charideh, A.

2004-10-01

The coastal karst aquifer system (upper Cretaceous) and the submarine springs in the Syrian coast have been studies using chemical and isotopic methods in order to determine the hydraulic connections between the groundwater and the submarine springs. Results show that the groundwater and submarine springs are having the same slope on the σ 18 O/σ 2 H plot indicate the same hydrological origin for both. In addition this relation is very close to the local meteoric water line (LMWL) reflecting a rapid infiltration of rainfall to recharge coastal aquifer. The calculated percentage of freshwater in the two locations (Bassieh and Tartous) range from 20 to 96%. The estimation rate of the permanent submarine springs (BS1, BS2 and TS2, TS3) is 11m 3 /s or 350 million m 3 /y. The maximum residence time of the groundwater in the Cenomanian/Turonian aquifer was estimated at around 8 years, using the piston-flow model.(author)

PCI/SCC failure behavior of KWU/CE fuel rods

International Nuclear Information System (INIS)

Kikuchi, Akira

1983-10-01

The Over Ramp (Studsvik Over Ramp-STOR) project is an international power ramping irradiation program for studying PCI/SCC failure behavior of PWR-fuel rods. The project had its activities for about three years (Apr., 1977 - Dec., 1980) as the cooperation works of twelve participants composing nine countries. The present report introduces the irradiation data on the KWU/CE fuel rods in the project and discusses the failure behavior of PWR-fuel rods. (author)

Percutaneous coronary intervention versus coronary artery bypass grafting in patients with end-stage renal disease requiring dialysis (5-year outcomes of the CREDO-Kyoto PCI/CABG Registry Cohort-2).

Science.gov (United States)

Marui, Akira; Kimura, Takeshi; Nishiwaki, Noboru; Mitsudo, Kazuaki; Komiya, Tatsuhiko; Hanyu, Michiya; Shiomi, Hiroki; Tanaka, Shiro; Sakata, Ryuzo

2014-08-15

Ischemic heart disease is a major risk factor for morbidity and mortality in patients with end-stage renal disease. However, long-term benefits of percutaneous coronary intervention (PCI) relative to coronary artery bypass grafting (CABG) in those patients is still unclear in the drug-eluting stent era. We identified 388 patients with multivessel and/or left main disease with end-stage renal disease requiring dialysis among 15,939 patients undergoing first coronary revascularization enrolled in the Coronary REvascularization Demonstrating Outcome Study in Kyoto PCI/CABG Registry Cohort-2 (PCI: 258 patients and CABG: 130 patients). The CABG group included more patients with 3-vessel (38% vs 57%, p PCI group (23.5 ± 8.7 vs 29.4 ± 11.0, p PCI and 5.4% for CABG. Cumulative 5-year all-cause mortality was 52.3% for PCI and 49.9% for CABG. Propensity score-adjusted all-cause mortality was not different between PCI and CABG (hazard ratio [HR] 1.33, 95% confidence interval [CI] 0.85 to 2.09, p = 0.219). However, the excess risk of PCI relative to CABG for cardiac death was significant (HR 2.10, 95% CI 1.11 to 3.96, p = 0.02). The risk of sudden death was also higher after PCI (HR 4.83, 95% CI 1.01 to 23.08, p = 0.049). The risk of myocardial infarction after PCI tended to be higher than after CABG (HR 3.30, 95% CI 0.72 to 15.09, p = 0.12). The risk of any coronary revascularization after PCI was markedly higher after CABG (HR 3.78, 95% CI 1.91 to 7.50, p PCI reduced the risk of cardiac death, sudden death, myocardial infarction, and any revascularization. However, the risk of all-cause death was not different between PCI and CABG. Copyright © 2014 Elsevier Inc. All rights reserved.

Losses in armoured three-phase submarine cables

DEFF Research Database (Denmark)

Ebdrup, Thomas; Silva, Filipe Miguel Faria da; Bak, Claus Leth

2014-01-01

The number of offshore wind farms will keep increasing in the future as a part of the shift towards a CO2 free energy production. The energy harvested from the wind farm must be brought to shore, which is often done by using a three-phase armoured submarine power cable. The use of an armour...... increases the losses in armoured cables compared to unarmoured cables. In this paper a thorough state of the art analysis is conducted on armour losses in three-phase armoured submarine power cables. The analysis shows that the IEC 60287-1-1 standard overestimates the armour losses which lead...... to the installation of cables with excessive phase conductor cross section. This paper also presents an example of the potential economic benefits of having a better knowledge of the losses introduced by the armour....

Submarine Groundwater Discharge in the Coastal Zone

Science.gov (United States)

Bakti, Hendra

2018-02-01

Indonesia is one of the archipelagic countries that has the longest coastline in the world. Because it is located in the tropics, in general it has a very high rainfall. Each island has a different morphology which is composed of a variety of rocks with different hydrogeological properties. This natural condition allows for the presence of groundwater in different amount in each island. The difference in groundwater hydraulics gradients in aquifer continuous to the sea has triggered the discharge of groundwater to offshore known as submarine groundwater discharge (SGD). Its presence can be as seepage or submarine springs with components derived from land and sea and a mixture between them. The understanding of SGD phenomenon is very important because it can be useful as a source of clean water in coastal areas, affecting marine health, and improving marine environment.

The characters of emergency rescue and the measures to prevent accidents for nuclear-powered submarine

International Nuclear Information System (INIS)

Wang Yuexing

1999-01-01

The characteristics of emergency rescue and the measures for preventing and decreasing accidents in nuclear-powered submarine have been presented. The breakdown of equipment and human factors are the main reasons which lead to accidents. Four preventive measures are suggested: enhancing capabilities to take precautions against fire, seriously controlling the environmental factors which affect the health of the submariners, reinforcing the constitutions of the submariners, and working out emergency planning against serious accidents in advance

The timing of sediment transport down Monterey Submarine Canyon, offshore California

DEFF Research Database (Denmark)

Stevens, Thomas; Paull, C.K.; Ussler, W., III

2014-01-01

luminescence (OSL) ages of quartz sand deposits and accelerator mass spectrometry 14C ages measured on benthic foraminifera to examine the timing of sediment transport through the axial channel of Monterey Submarine Canyon and Fan, offshore California. The OSL ages date the timing of sediment entry...... dates with water depth provides evidence of mixing and temporary storage of sediment as it moves through the canyon system. The ages also indicate that the frequency of sediment transport events decreases with distance down the canyon channel system. The amalgamated sands near the canyon head yield OSL......While submarine canyons are the major conduits through which sediments are transported from the continents out into the deep sea, the time it takes for sediment to pass down through a submarine canyon system is poorly constrained. Here we report on the first study to couple optically stimulated...

Fractional flow reserve versus angiography for guidance of PCI in patients with multivessel coronary artery disease (FAME): 5-year follow-up of a randomised controlled trial.

Science.gov (United States)

van Nunen, Lokien X; Zimmermann, Frederik M; Tonino, Pim A L; Barbato, Emanuele; Baumbach, Andreas; Engstrøm, Thomas; Klauss, Volker; MacCarthy, Philip A; Manoharan, Ganesh; Oldroyd, Keith G; Ver Lee, Peter N; Van't Veer, Marcel; Fearon, William F; De Bruyne, Bernard; Pijls, Nico H J

2015-11-07

In the Fractional Flow Reserve Versus Angiography for Multivessel Evaluation (FAME) study, fractional flow reserve (FFR)-guided percutaneous coronary intervention (PCI) improved outcome compared with angiography-guided PCI for up to 2 years of follow-up. The aim in this study was to investigate whether the favourable clinical outcome with the FFR-guided PCI in the FAME study persisted over a 5-year follow-up. The FAME study was a multicentre trial done in Belgium, Denmark, Germany, the Netherlands, Sweden, the UK, and the USA. Patients (aged ≥ 18 years) with multivessel coronary artery disease were randomly assigned to undergo angiography-guided PCI or FFR-guided PCI. Before randomisation, stenoses requiring PCI were identified on the angiogram. Patients allocated to angiography-guided PCI had revascularisation of all identified stenoses. Patients allocated to FFR-guided PCI had FFR measurements of all stenotic arteries and PCI was done only if FFR was 0·80 or less. No one was masked to treatment assignment. The primary endpoint was major adverse cardiac events at 1 year, and the data for the 5-year follow-up are reported here. Analysis was by intention to treat. This trial is registered with ClinicalTrials.gov, number NCT00267774. After 5 years, major adverse cardiac events occurred in 31% of patients (154 of 496) in the angiography-guided group versus 28% (143 of 509 patients) in the FFR-guided group (relative risk 0·91, 95% CI 0·75-1·10; p=0·31). The number of stents placed per patient was significantly higher in the angiography-guided group than in the FFR-guided group (mean 2·7 [SD 1·2] vs 1·9 [1·3], pPCI in patients with multivessel disease. A strategy of FFR-guided PCI resulted in a significant decrease of major adverse cardiac events for up to 2 years after the index procedure. From 2 years to 5 years, the risks for both groups developed similarly. This clinical outcome in the FFR-guided group was achieved with a lower number of stented arteries

NDT in submarines construction-HY 80

International Nuclear Information System (INIS)

Russo, C.A.; Talmadge, J.

1988-01-01

In submarines construction, provided that metallurgic characteristics have been established, the NDT methods and equipments as well as the application ways should be taken into account. It is then fundamental purpose of this work to emphasize all that coming from conventional context in the field of use of already known nondestructive techniques

Direct transport to a PCI-capable hospital is associated with improved survival after adult out-of-hospital cardiac arrest of medical aetiology.

Science.gov (United States)

McKenzie, Nicole; Williams, Teresa A; Ho, Kwok M; Inoue, Madoka; Bailey, Paul; Celenza, Antonio; Fatovich, Daniel; Jenkins, Ian; Finn, Judith

2018-05-02

To compare survival outcomes of adults with out-of-hospital cardiac arrest (OHCA) of medical aetiology directly transported to a percutaneous-coronary-intervention capable (PCI-capable) hospital (direct transport) with patients transferred to a PCI-capable hospital via another hospital without PCI services available (indirect transport) by emergency medical services (EMS). This retrospective cohort study used the St John Ambulance Western Australia OHCA Database and medical chart review. We included OHCA patients (≥18 years) admitted to any one of five PCI-capable hospitals in Perth between January 2012 and December 2015. Survival to hospital discharge (STHD) and survival up to 12-months after OHCA were compared between the direct and indirect transport groups using multivariable logistic and Cox-proportional hazards regression, respectively, while adjusting for so-called "Utstein variables" and other potential confounders. Of the 509 included patients, 404 (79.4%) were directly transported to a PCI-capable hospital and 105 (20.6%) transferred via another hospital to a PCI-capable hospital; 274/509 (53.8%) patients STHD and 253/509 (49.7%) survived to 12-months after OHCA. Direct transport patients were twice as likely to STHD (adjusted odds ratio 1.97, 95% confidence interval [CI] 1.13-3.43) than those transferred via another hospital. Indirect transport was also associated with a possible increased risk of death, up to 12-months, compared to direct transport (adjusted hazard ratio 1.36, 95% CI 1.00-1.84). Direct transport to a PCI-capable hospital for post-resuscitation care is associated with a survival advantage for adults with OHCA of medical aetiology. This has implications for EMS transport protocols for patients with OHCA. Copyright © 2018 Elsevier B.V. All rights reserved.

They Have Not Yet Begun to Fight: Women in the United States Navy Submarine Fleet

Science.gov (United States)

2016-03-11

submarine duty could lead to sexual problems aboard ship and marital problems at home .”22 Some argue that wives do not trust women at sea with...enforces the argument that women are here to stay in submarines. While political and military experts continue to debate the roles of women in submarines...ACSC/Meyer, J/FY16 AIR COMMAND AND STAFF COLLEGE AIR UNIVERSITY They Have Not Yet Begun to Fight: Women in the United States

When high-volume PCI operators in high-volume hospitals move to lower volume hospitals-Do they still maintain high volume and quality of outcomes?

Science.gov (United States)

Lu, Tsung-Hsueh; Li, Sheng-Tun; Liang, Fu-Wen; Lee, Jo-Chi; Yin, Wei-Hsian

2017-10-31

The aim of this quasi-experimental study was to examine whether high-volume percutaneous coronary intervention (PCI) operators still maintain high volume and quality of outcomes when they moved to lower volume hospitals. Systematic reviews have indicated that high-volume PCI operators and hospitals have higher quality outcomes. However, little is known on whether high PCI volume and high quality outcomes are mainly due to operator characteristics (i.e., skill and experience) and is portable across organizations or whether it is due to hospital characteristics (i.e., equipment, team, and management system) and is less portable. We used Taiwan National Health Insurance claims data 2000-2012 to identify 98 high-volume PCI operators, 10 of whom moved from one hospital to another during the study period. We compared the PCI volume, risk-adjusted mortality ratio, and major adverse cardiovascular event (MACE) ratio before and after moving. Of the 10 high-volume operators who moved, 6 moved from high- to moderate- or low-volume hospitals, with median annual PCI volumes (interquartile range) of 130 (117-165) in prior hospitals and 54 (46-84) in subsequent hospitals (the hospital the operator moved to), and the remaining 4 moved from high to high-volume hospitals, with median annual PCI volumes (interquartile range) of 151 (133-162) in prior hospitals and 193 (178-239) in subsequent hospitals. No significant differences were observed in the risk-adjusted mortality ratios and MACE ratios between high-volume operators and matched controls before and after moving. High-volume operators cannot maintain high volume when they moved from high to moderate or low-volume hospitals; however, the quality of care is maintained. High PCI volume and high-quality outcomes are less portable and more hospital bound. © 2017 Wiley Periodicals, Inc.

Nuclear submarine utilization. Financial deadlock and search for its output

International Nuclear Information System (INIS)

Dovgusha, V.V.; Tikhonov, M.N.

1995-01-01

Program of nuclear submarine utilization in the Russian Federation is described. The program provides for complete solution of all problems, connected with nuclear submarine utilization, including reconstruction of ship-repair and ship-cutting plants, metal fabrication plants, construction of points of temporary radioactive waste storages, new burials, as well as required social support of personnel, working under unhealthy conditions. The program is based on guaranteed and sufficient financing from extra-budgetary sources, as well as on new technologies, enabling to utilize all written off ships during 10-15 years

Subjective Symptomology and Postural Control During Simulation of a Survival Environmemt Aboard a Disabled Submarine

National Research Council Canada - National Science Library

Cymerman, Allen

2000-01-01

Subjective symptoms and postural control were assessed in 7 submariners during 5 days exposure to a simulated disabled submarine environment (DISSUB) (4C, 2.5% carbon dioxide, 16.75% oxygen, 85% humidity...

Collection of Arctic Ocean Data from US Navy Submarines on the New SCICEX Program

Science.gov (United States)

Smethie, W. M.; Sambrotto, R.; Boyd, T.; Richter-Menge, J.; Corbett, J.

2011-12-01

The SCICEX submarine Arctic science program originated in the 1990s when six dedicated science cruises were conducted in the Arctic Ocean aboard US Navy Sturgeon class submarines. After the cold war era Sturgeon class submarines were retired, several Science Accommodation cruises, for which a few days for scientific measurements were added to planned submarine transits through the Arctic Ocean, were carried out when opportunities arose. Renewed interest in conducting further Science Accommodation cruises on a regular basis to better document and understand how the Arctic Ocean responds to climate change resulted in publication of a scientific plan in 2010 (http://www.arctic.gov/publications/scicex_plan.pdf). In the spring of 2011 testing of data collection and water sampling methods aboard newer Virginia and Seawolf class submarines on transit from a Navy ice camp in the Beaufort Sea, was conducted in order to develop protocols and evaluate techniques. Ice draft measurements were also taken in the vicinity of the ice camp and near the North Pole to evaluate new data collection systems. This evaluation will include a comparison of the ice draft data with a comprehensive set of in situ ice thickness measurements taken near the ice camp. Under-ice submarine-launched eXpendable Condutivity Temperature Depth (XCTD) probes were deployed from the USS Connecticut (SSN-22), a Seawolf class submarine, and the resulting profiles compared to CTD casts from the APLIS ice station and historical profiles. Water samples were collected through the hull for measurements of tritium, helium isotopes, oxygen isotopes, chlorofluorocarbons, sulfur hexafluoride, nutrients, dissolved organic carbon, bacterioplankton, phytoplankton and particulates levels. These samples were returned to Lamont-Doherty Earth Observatory and were in the process of being measured at the time this abstract was written. Measurements completed at this time indicate good samples can be collected for CFC-12

German Submarine Offensives and South African Countermeasures

African Journals Online (AJOL)

Evert

Scientia Militaria vol 44, no 1, 2016, pp 168-189. doi: 10.5787/44-1-1166 ..... report the presence of a body of German submarines moving south towards Cape Town. Despite ...... London: Arms and Armour Press, 1989, 100–101; Keegan op.

Temporal Trends in the Risk Profile of Patients Undergoing Outpatient Percutaneous Coronary Intervention: A Report from the National Cardiovascular Data Registry's CathPCI Registry.

Science.gov (United States)

Vora, Amit N; Dai, Dadi; Gurm, Hitinder; Amin, Amit P; Messenger, John C; Mahmud, Ehtisham; Mauri, Laura; Wang, Tracy Y; Roe, Matthew T; Curtis, Jeptha; Patel, Manesh R; Dauerman, Harold L; Peterson, Eric D; Rao, Sunil V

2016-03-01

Because of recent changes in criteria for coverage for inpatient hospital stays, most nonacute percutaneous coronary intervention (PCI) procedures are reimbursed on an outpatient basis regardless of underlying patient risk. Downstream effects of these changes on the risk profile of patients undergoing outpatient PCI have not been evaluated. Using the American College of Cardiology National Cardiovascular Data Registry's CathPCI Registry, we assessed temporal trends in risk profiles and rates of hospital admission among 999 279 patients undergoing PCI qualifying for outpatient reimbursement. We estimated mortality and bleeding risk using validated models from the registry. From 2009 to 2014, the proportion of outpatients not admitted to a hospital after PCI increased from 32.8% to 66.3% (Prisk for predicted mortality increased significantly from 17.0% to 19.8% during the study period (Prisk for mortality. Among patients undergoing PCI procedures that qualify for outpatient reimbursement, there has been a temporal decrease in postprocedure hospital admission. Concomitantly, the proportion of these outpatients at high risk for mortality has significantly increased over time. These data suggest that current reimbursement classification could be improved by incorporating patient risk to appropriately match the necessary resources to the needed level of care. © 2016 American Heart Association, Inc.

A Helicopter submarine Search Game

Science.gov (United States)

1988-09-01

Figure 3. Graphical representation of Baston and Bostock ................. 10 Figure 4. Dips and Speed Circle...dimen.ional helicopter submarine gaines studied by Meinardi [Ref. 7] and more recently by Baston and Bostock [Ref. 8]. Meinardi solves a discr,-te form of...the game while Baston and Bostock solve the continuous case. Bes.ides Danskin’s game, not much work has been done on the two dimensional case except

Health Risks Among Submarine Personnel in the U.S. Navy, 1974-1979

Science.gov (United States)

1986-12-11

observed dif- ferences in hospitalization rates ( Lilienfeld , 1980). T- tests were used to assess statistical significance of the descriptive variables...the direct method of adjustment ( Lilienfeld , 1980). The standard population was the sum of the two groups. Age-adjusted rates for submariners and...must undergo stringent psychological and medical screening prior to assignment aboard a nuclear submarine because of the relatively long periods of

Relativistic Archimedes law for fast moving bodies and the general-relativistic resolution of the 'submarine paradox'

International Nuclear Information System (INIS)

Matsas, George E. A.

2003-01-01

We investigate and solve in the context of general relativity the apparent paradox which appears when bodies floating in a background fluid are set in relativistic motion. Suppose some macroscopic body, say, a submarine designed to lie just in equilibrium when it rests (totally) immersed in a certain background fluid. The puzzle arises when different observers are asked to describe what is expected to happen when the submarine is given some high velocity parallel to the direction of the fluid surface. On the one hand, according to observers at rest with the fluid, the submarine would contract and, thus, sink as a consequence of the density increase. On the other hand, mariners at rest with the submarine using an analogous reasoning for the fluid elements would reach the opposite conclusion. The general relativistic extension of the Archimedes law for moving bodies shows that the submarine sinks. As an extra bonus, this problem suggests a new gedankenexperiment for the generalized second law of thermodynamics

Comprehensive electrocardiogram-to-device time for primary percutaneous coronary intervention in ST-segment elevation myocardial infarction: A report from the American Heart Association mission: Lifeline program.

Science.gov (United States)

Shavadia, Jay S; French, William; Hellkamp, Anne S; Thomas, Laine; Bates, Eric R; Manoukian, Steven V; Kontos, Michael C; Suter, Robert; Henry, Timothy D; Dauerman, Harold L; Roe, Matthew T

2018-03-01

Assessing hospital-related network-level primary percutaneous coronary intervention (PCI) performance for ST-segment elevation myocardial infarction (STEMI) is challenging due to differential time-to-treatment metrics based on location of diagnostic electrocardiogram (ECG) for STEMI. STEMI patients undergoing primary PCI at 588 PCI-capable hospitals in AHA Mission: Lifeline (2008-2013) were categorized by initial STEMI identification location: PCI-capable hospitals (Group 1); pre-hospital setting (Group 2); and non-PCI-capable hospitals (Group 3). Patient-specific time-to-treatment categories were converted to minutes ahead of or behind their group-specific mean; average time-to-treatment difference for all patients at a given hospital was termed comprehensive ECG-to-device time. Hospitals were then stratified into tertiles based on their comprehensive ECG-to-device times with negative values below the mean representing shorter (faster) time intervals. Of 117,857 patients, the proportion in Groups 1, 2, and 3 were 42%, 33%, and 25%, respectively. Lower rates of heart failure and cardiac arrest at presentation are noted within patients presenting to high-performing hospitals. Median comprehensive ECG-to-device time was shortest at -9 minutes (25th, 75th percentiles: -13, -6) for the high-performing hospital tertile, 1 minute (-1, 3) for middle-performing, and 11 minutes (7, 16) for low-performing. Unadjusted rates of in-hospital mortality were 2.3%, 2.6%, and 2.7%, respectively, but the adjusted risk of in-hospital mortality was similar across tertiles. Comprehensive ECG-to-device time provides an integrated hospital-related network-level assessment of reperfusion timing metrics for primary PCI, regardless of the location for STEMI identification; further validation will delineate how this metric can be used to facilitate STEMI care improvements. Copyright © 2017 Elsevier Inc. All rights reserved.

Comparative effectiveness of coronary artery bypass grafting (CABG) surgery and percutaneous coronary intervention (PCI) in elderly patients with diabetes.

Science.gov (United States)

Shah, Ruchit; Yang, Yi; Bentley, John P; Banahan, Benjamin F

2016-11-01

To compare the relative effectiveness of coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) among elderly patients with diabetes regarding acute myocardial infarction (AMI), stroke, repeat revascularization, and all-cause mortality. A retrospective cohort study was conducted using the 2006-2008 5% national sample of Medicare claims data. Elderly (≥65 years) beneficiaries with at least two claims of diabetes separated by ≥30 days and who had at least one inpatient claim for multi-vessel CABG or PCI between 1 July 2006 and 30 June 2008 were identified. The date of beneficiary's first CABG or PCI was defined as the index date. All patients were followed from the index date to 31 December 2008 for outcomes. CABG and PCI patients were 1:1 matched on propensity scores and index dates. Cox proportional hazards models were used to compare postoperative outcomes between patients undergoing CABG versus PCI. The matched sample consisted of 4430 patients (2215 in each group). The Cox proportional hazards models showed that, compared to patients undergoing PCI, CABG was associated with a lower risk of postoperative AMI (hazard ratio [HR]: 0.494; 95% CI: 0.396-0.616; p < .0001), repeat revascularization (HR: 0.194; 95% CI: 0.149-0.252; p < .0001), the composite outcome (HR: 0.523; 95% CI: 0.460-0.595; p < .0001), and all-cause mortality (HR: 0.775; 95% CI: 0.658-0.914; p = .0024); postoperative risk of stroke was not significantly different between the two groups (HR: 0.965; 95% CI: 0.812-1.148; p = .691). CABG appears to be the preferred revascularization strategy for elderly patients with diabetes and coronary heart disease. However, this result should be interpreted considering study limitations, for example, several patient clinical variables and physician-related factors which may affect procedure outcomes are not available in the data. Clinical decisions should be individualized considering all patient- and physician

Achieving timely percutaneous reperfusion for rural ST-elevation myocardial infarction patients by direct transport to an urban PCI-hospital.

Science.gov (United States)

Bennin, Charles-Lwanga K; Ibrahim, Saif; Al-Saffar, Farah; Box, Lyndon C; Strom, Joel A

2016-10-01

ST-elevation myocardial infarction (STEMI) guidelines recommend reperfusion by primary percutaneous coronary intervention (PCI) ≤ 90 min from time of first medical contact (FMC). This strategy is challenging in rural areas lacking a nearby PCI-capable hospital. Recommended reperfusion times can be achieved for STEMI patients presenting in rural areas without a nearby PCI-capable hospital by ground transportation to a central PCI-capable hospital by use of protocol-driven emergency medical service (EMS) STEMI field triage protocol. Sixty STEMI patients directly transported by EMS from three rural counties (Nassau, Camden and Charlton Counties) within a 50-mile radius of University of Florida Health-Jacksonville (UFHJ) from 01/01/2009 to 12/31/2013 were identified from its PCI registry. The STEMI field triage protocol incorporated three elements: (1) a cooperative agreement between each of the rural emergency medical service (EMS) agency and UFHJ; (2) performance of a pre-hospital ECG to facilitate STEMI identification and laboratory activation; and (3) direct transfer by ground transportation to the UFHJ cardiac catheterization laboratory. FMC-to-device (FMC2D), door-to-device (D2D), and transit times, the day of week, time of day, and EMS shift times were recorded, and odds ratio (OR) of achieving FMC2D times was calculated. FMC2D times were shorter for in-state STEMIs (81 ± 17 vs . 87 ± 19 min), but D2D times were similar (37 ± 18 vs . 39 ± 21 min). FMC2D ≤ 90 min were achieved in 82.7% in-state STEMIs compared to 52.2% for out-of-state STEMIs (OR = 4.4, 95% CI: 1.24-15.57; P = 0.018). FMC2D times were homogenous after adjusting for weekday vs . weekend, EMS shift times. Nine patients did not meet FMC2D ≤ 90 min. Six were within 10 min of target; all patient achieved FMC2D ≤ 120 min. Guideline-compliant FMC2D ≤ 90 min is achievable for rural STEMI patients within a 50 mile radius of a PCI-capable hospital by use of protocol-driven EMS ground

Decompression illness in goats following simulated submarine escape: 1993-2006.

Science.gov (United States)

Seddon, F M; Thacker, J C; Fisher, A S; Jurd, K M; White, M G; Loveman, G A M

2014-01-01

The United Kingdom Ministry of Defence commissioned work to define the relationship between the internal pressure of a distressed submarine (DISSUB), the depth from which escape is made and the risk of decompression illness (DCI). The program of work used an animal model (goat) to define these risks and this paper reports the incidence and type of DCI observed. A total of 748 pressure exposures comprising saturation only, escape only or saturation followed by escape were conducted in the submarine escape simulator between 1993 and 2006. The DCI following saturation exposures was predominantly limb pain, whereas following escape exposures the DCI predominantly involved the central nervous system and was fast in onset. There was no strong relationship between the risk of DCI and the range of escape depths investigated. The risk of DCI incurred from escape following saturation was greater than that obtained by combining the risks for the independent saturation only, and escape only, exposures. The output from this program of work has led to improved advice on the safety of submarine escape.

Bruton tyrosine kinase represents a promising therapeutic target for treatment of chronic lymphocytic leukemia and is effectively targeted by PCI-32765

Science.gov (United States)

Herman, Sarah E. M.; Gordon, Amber L.; Hertlein, Erin; Ramanunni, Asha; Zhang, Xiaoli; Jaglowski, Samantha; Flynn, Joseph; Jones, Jeffrey; Blum, Kristie A.; Buggy, Joseph J.; Hamdy, Ahmed

2011-01-01

B-cell receptor (BCR) signaling is aberrantly activated in chronic lymphocytic leukemia (CLL). Bruton tyrosine kinase (BTK) is essential to BCR signaling and in knockout mouse models its mutation has a relatively B cell–specific phenotype. Herein, we demonstrate that BTK protein and mRNA are significantly over expressed in CLL compared with normal B cells. Although BTK is not always constitutively active in CLL cells, BCR or CD40 signaling is accompanied by effective activation of this pathway. Using the irreversible BTK inhibitor PCI-32765, we demonstrate modest apoptosis in CLL cells that is greater than that observed in normal B cells. No influence of PCI-32765 on T-cell survival is observed. Treatment of CD40 or BCR activated CLL cells with PCI-32765 results in inhibition of BTK tyrosine phosphorylation and also effectively abrogates downstream survival pathways activated by this kinase including ERK1/2, PI3K, and NF-κB. In addition, PCI-32765 inhibits activation-induced proliferation of CLL cells in vitro, and effectively blocks survival signals provided externally to CLL cells from the microenvironment including soluble factors (CD40L, BAFF, IL-6, IL-4, and TNF-α), fibronectin engagement, and stromal cell contact. Based on these collective data, future efforts targeting BTK with the irreversible inhibitor PCI-32765 in clinical trials of CLL patients is warranted. PMID:21422473

Effect of nicorandil on the myocardial tissue perfusion and myocardial cell injury in patients with diabetes after PCI

Directory of Open Access Journals (Sweden)

Xue-Li Ren1

2017-04-01

Full Text Available Objective: To study the effect of nicorandil on the myocardial tissue perfusion and myocardial cell damage in patients with diabetes after percutaneous coronary intervention (PCI. Methods: 68 patients with coronary heart disease and type 2 diabetes mellitus who received PCI in our hospital between May 2011 and September 2015 were collected and then divided into observation group and control group (n=34 according to the single-blind randomized control method. Control group of patients received PCI alone, and the observation group of patients received nicorandil therapy after PCI. After treatment, real-time myocardial ultrasound contrast was used to evaluate the myocardial perfusion of two groups of patients; blood biochemical analyzer was used to detect the contents of peripheral blood myocardial enzyme spectrum indexes; the ELISA method was used to detect the contents of serum oxidative stress indicators; RIA method was used to detect the contents of serum apoptosis molecules. Results: After treatment, the myocardial tissue perfusion parameters plateau peak intensity (A, slope rate of curve (β and myocardial blood flow (A×β levels of observation group were significantly higher than those of control group (P<0.05; peripheral blood myocardial enzyme spectrum indexes creatine kinase (CK, lactate dehydrogenase (LDH, troponin I (cTnI and glutamic oxalacetic transaminase (GOT contents of observation group were significantly lower than those of control group (P<0.05; serum vitamin E (VitE and vitamin C (VitC contents of observation group were significantly higher than those of control group while malondialdehyde (MDA, advanced oxidation protein products (AOPPs, soluble apoptosis-associated factor (sFas and soluble apoptosis-associated factor ligand (sFasL contents were lower than those of control group (P<0.05. Conclusion: Adjuvant nicorandil therapy can improve the myocardial perfusion and reduce the myocardial cell injury in patients with coronary

Environmental isotopic and hydrochemical study of the coastal submarine springs in Lebanon and Syria

International Nuclear Information System (INIS)

Al-Charideh, A. R.

2007-08-01

The groundwater of major karst system and the submarine springs in the Syrian coastal limestone aquifer have been studied using chemical and isotopic techniques. Stable isotopes show that the groundwater and submarine springs originates from the direct infiltration of atmospheric water. The elevation of recharge zones feeding the Banyas area (400-600 m a.s.l). The δ 18 O e xtracted for the major submarine spring at Bassieh suggests a mean recharge area elevation of 600-700 m a.s.l. Based on the measured velocity and percentage of fresh water at the submarine springs outlet (Bassieh and Tartous), the estimated discharge rate is 350 million m 3 /y. Adopting a model with exponential time distribution, the mean turnover time of groundwater in the Al-sen spring was evaluated to be 60 years. A value of about 3.7 billion m 3 was obtained for the maximum groundwater reservoir size.(Author)

Alteration of submarine volcanic rocks in oxygenated Archean oceans

Science.gov (United States)

Ohmoto, H.; Bevacqua, D.; Watanabe, Y.

2009-12-01

Most submarine volcanic rocks, including basalts in diverging plate boundaries and andesites/dacites in converging plate boundaries, have been altered by low-temperature seawater and/or hydrothermal fluids (up to ~400°C) under deep oceans; the hydrothermal fluids evolved from shallow/deep circulations of seawater through the underlying hot igneous rocks. Volcanogenic massive sulfide deposits (VMSDs) and banded iron formations (BIFs) were formed by mixing of submarine hydrothermal fluids with local seawater. Therefore, the behaviors of various elements, especially of redox-sensitive elements, in altered submarine volcanic rocks, VMSDs and BIFs can be used to decipher the chemical evolution of the oceans and atmosphere. We have investigated the mineralogy and geochemistry of >500 samples of basalts from a 260m-long drill core section of Hole #1 of the Archean Biosphere Drilling Project (ABDP #1) in the Pilbara Craton, Western Australia. The core section is comprised of ~160 m thick Marble Bar Chert/Jasper Unit (3.46 Ga) and underlying, inter-bedded, and overlying submarine basalts. Losses/gains of 65 elements were quantitatively evaluated on the basis of their concentration ratios against the least mobile elements (Ti, Zr and Nb). We have recognized that mineralogical and geochemical characteristics of many of these samples are essentially the same as those of hydrothermally-altered modern submarine basalts and also those of altered volcanic rocks that underlie Phanerozoic VMSDs. The similarities include, but are not restricted to: (1) the alteration mineralogy (chlorite ± sericite ± pyrophyllite ± carbonates ± hematite ± pyrite ± rutile); (2) the characteristics of whole-rock δ18O and δ34S values; (3) the ranges of depletion and enrichment of Si, Al, Mg, Ca, K, Na, Fe, Mn, and P; (4) the enrichment of Ba (as sulfate); (5) the increases in Fe3+/Fe2+ ratios; (6) the enrichment of U; (7) the depletion of Cr; and (8) the negative Ce anomalies. Literature data

Influence of some fabrication parameters and operating conditions on the PCI failure occurrence in LWR fuel rods

International Nuclear Information System (INIS)

Bouffioux, P.

1980-01-01

In recent LWR designs, the fuel rod failures are induced by a chemically assisted mechanical process, i.e. stress corrosion cracking. The analytical approach towards the analysis of PCI-SCC failures is mainly based on the predictions of the COMETHE code. The failure criteria rely on the concept of a stress threshold together with fission product availability. In the present paper, the use of the COMETHE code to minimize PCI induced clad failure occurrences is illustrated by parametric studies to define acceptable fuel specifications and reactor operating conditions (steady and transient). (author)

The Italian Submarine Force in the Battle of the Atlantic: Left in the Dark

Science.gov (United States)

2014-12-12

ADM Admiral ASW Anti-submarine warfare BDA Battle damage assessment C2 Command and Control CDR Commander HF/DF High frequency direction finder...damage assessment ( BDA ) if you will, the submarine captain decided if further action might be warranted, and made a decision as to how to engage

Caracterização e Beneficiamento Primário de Placas de Circuito Impresso (PCI de Telefones Celulares

Directory of Open Access Journals (Sweden)

Theo Antonio de Jesus

2015-12-01

Full Text Available Devido ao constante avanço tecnológico, uma grande quantidade de aparelhos é descartada por obsolescência tecnológica ou defeitos. Isto acarreta a contaminação do solo e do lençol freático, além de representar perda econômica pois as PCI (placas de circuito impresso dos telefones celulares são ricas em metais pesados e alguns metais valiosos. Com o objetivo de conhecer melhor a composição e concentração destas PCI de modo a otimizar os processos de reciclagem, foi realizada a caracterização das PCI através da digestão em água régia e da utilização das técnicas de DRx (difração de raios x e FRx (espectrometria de fluorescência de raios x. Os resultados proporcionaram conhecimento suficiente a respeito da composição e concentração dos principais metais das PCI. A presença de ouro, prata e cobre chama a atenção para o potencial econômico destes resíduos. Estudos são necessários para desenvolver os processos mais adequados com vistas a concentrar estes metais e viabilizar sua reciclagem.

The risk of PCI damage to 8x8 fuel rods during limit cycle instability

Energy Technology Data Exchange (ETDEWEB)

Schrire, D.; Oguma, R.; Malen, K.

1994-12-31

A BWR reactor core may experience thermal-hydraulic instability under certain operating conditions. Generally, the instability results in neutron flux (i e generated neutronic power) and coolant flow and pressure oscillations, which reach a maximum `limit cycle` amplitude. The cladding response to power transients has been studied using noise analysis. These results have been compared to results from code calculations using the fuel code TOODEE 2. From these results the risk for fuel rod failure due to pellet-clad mechanical interaction and possible failure due to stress corrosion cracking (PCI) has been estimated. It turns out that for the oscillation frequencies of interest (0,3-0,5 Hz) the fuel response amplitude reduction makes PCI-failure improbable. 17 refs.

The effect of power change on the PCI failure threshold

Energy Technology Data Exchange (ETDEWEB)

Sipush, P J; Kaiser, R S [Westinghouse Nuclear Fuel Division, Pittsburg, PA (United States)

1983-06-01

Investigations of the PCI mechanism have led to the conclusion that the failure threshold is best defined by the power change ({delta}P) during the ramp, rather than the final power achieved at the end of the ramp. The data base studied was comprehensive and includes a wide variety of water reactor systems and fuel designs. It has also been found that operating parameters have a more significant effect on failure susceptibility than fuel rod design variables. The most significant operating variable affecting the failure threshold was found to be the base irradiation history, indicating that fission product release and migration prior to the ramp (during base irradiation) is an important consideration. It can be shown that fuel irradiated at relatively higher linear heat ratings ends to fail at lower {delta}P. This effect has also been independently verified by statistical analyses which will also be discussed. Industry out-of-pile internal gas pressurization tests with irradiated tubing in the absence of simulated fission product species and at low stress levels, also tends to indicate the importance of the prior irradiation history on PCI performance. Other parameters that affect the power ramping performance are the initial ramping power and the pellet power distribution which is a function of fuel enrichment and burnup. (author)

Origin of Abiotic Methane in Submarine Hydrothermal Systems

Science.gov (United States)

Seewald, J. S.; German, C. R.; Grozeva, N. G.; Klein, F.; McDermott, J. M.; Ono, S.; Reeves, E. P.; Wang, D. T.

2018-05-01

Results of recent investigations into the chemical and isotopic composition of actively venting submarine hydrothermal fluids and volatile species trapped in fluid inclusions will be discussed in the context of processes responsible for abiotic CH4 formation.

Environmental assessment of submarine power cables

Energy Technology Data Exchange (ETDEWEB)

Isus, Daniel; Martinez, Juan D. [Grupo General Cable Sistemas, S.A., 08560-Manlleu, Barcelona (Spain); Arteche, Amaya; Del Rio, Carmen; Madina, Virginia [Tecnalia Research and Innovation, 20009 San Sebastian (Spain)

2011-03-15

Extensive analyses conducted by the European Community revealed that offshore wind energy have relatively benign effects on the marine environment by comparison to other forms of electric power generation [1]. However, the materials employed in offshore wind power farms suffer major changes to be confined to the marine environment at extreme conditions: saline medium, hydrostatic pressure... which can produce an important corrosion effect. This phenomenon can affect on the one hand, to the material from the structural viewpoint and on the other hand, to the marine environment. In this sense, to better understand the environmental impacts of generating electricity from offshore wind energy, this study evaluated the life cycle assessment for some new designs of submarine power cables developed by General Cable. To achieve this goal, three approaches have been carried out: leaching tests, eco-toxicity tests and Life Cycle Assessment (LCA) methodologies. All of them are aimed to obtaining quantitative data for environmental assessment of selected submarine cables. LCA is a method used to assess environmental aspects and potential impacts of a product or activity. LCA does not include financial and social factors, which means that the results of an LCA cannot exclusively form the basis for assessment of a product's sustainability. Leaching tests results allowed to conclude that pH of seawater did not significantly changed by the presence of submarine three-core cables. Although, it was slightly higher in case of broken cable, pH values were nearly equals. Concerning to the heavy metals which could migrate to the aquatic medium, there were significant differences in both scenarios. The leaching of zinc is the major environmental concern during undersea operation of undamaged cables whereas the fully sectioned three-core cable produced the migration of significant quantities of copper and iron apart from the zinc migrated from the galvanized steel. Thus, the tar

Environmental assessment of submarine power cables

International Nuclear Information System (INIS)

Isus, Daniel; Martinez, Juan D.; Arteche, Amaya; Del Rio, Carmen; Madina, Virginia

2011-03-01

Extensive analyses conducted by the European Community revealed that offshore wind energy have relatively benign effects on the marine environment by comparison to other forms of electric power generation [1]. However, the materials employed in offshore wind power farms suffer major changes to be confined to the marine environment at extreme conditions: saline medium, hydrostatic pressure... which can produce an important corrosion effect. This phenomenon can affect on the one hand, to the material from the structural viewpoint and on the other hand, to the marine environment. In this sense, to better understand the environmental impacts of generating electricity from offshore wind energy, this study evaluated the life cycle assessment for some new designs of submarine power cables developed by General Cable. To achieve this goal, three approaches have been carried out: leaching tests, eco-toxicity tests and Life Cycle Assessment (LCA) methodologies. All of them are aimed to obtaining quantitative data for environmental assessment of selected submarine cables. LCA is a method used to assess environmental aspects and potential impacts of a product or activity. LCA does not include financial and social factors, which means that the results of an LCA cannot exclusively form the basis for assessment of a product's sustainability. Leaching tests results allowed to conclude that pH of seawater did not significantly changed by the presence of submarine three-core cables. Although, it was slightly higher in case of broken cable, pH values were nearly equals. Concerning to the heavy metals which could migrate to the aquatic medium, there were significant differences in both scenarios. The leaching of zinc is the major environmental concern during undersea operation of undamaged cables whereas the fully sectioned three-core cable produced the migration of significant quantities of copper and iron apart from the zinc migrated from the galvanized steel. Thus, the tar

Patients undergoing PCI from the femoral route by default radial operators are at high risk of vascular access-site complications.

Science.gov (United States)

Rafie, Ihsan M; Uddin, Muez M; Ossei-Gerning, Nicholas; Anderson, Richard A; Kinnaird, Timothy D

2014-02-01

Radial artery (RA) access for PCI has a lower incidence of vascular access-site (VAS) complications than the femoral artery (FA) approach. However, even for default radial operators certain patients are intervened upon from the FA. We examined the demographics and incidence of VAS complications when default radial operators resort to the FA for PCI. The demographics and VAS complications were compared by access site retrospectively for all PCI cases performed by default radial operators (n=1,392). A modified ACUITY trial definition of major VAS complication was used. FA puncture occurred in 25.2% (351/1,392) of cases. Patients were more likely to be female, older and weigh less than patients undergoing PCI from the RA. The FA procedure was likely to be more complex with larger sheaths, more left main stem, graft and multivessel intervention, and there was a greater proportion of emergency cases. Despite increased case complexity, glycoprotein inhibitors were used less frequently in femoral cases (26.5% vs. 36.8%, prisk factors for access-site bleeding are disproportionately high in the population requiring FA puncture by default radial operators, and as a result such patients have a high rate of vascular access-site complications.

The sedimentary record of submarine channel morphodynamics

NARCIS (Netherlands)

de Leeuw, J.

2017-01-01

Submarine channels are ubiquitous on the ocean floor and are considered to be the equivalent of rivers on land. These channels are created by turbidity currents, which originate from the continental margins and which can transport sediment for thousands of kilometres into the oceans. The aim of this

Estimating the empirical probability of submarine landslide occurrence

Science.gov (United States)

Geist, Eric L.; Parsons, Thomas E.; Mosher, David C.; Shipp, Craig; Moscardelli, Lorena; Chaytor, Jason D.; Baxter, Christopher D. P.; Lee, Homa J.; Urgeles, Roger

2010-01-01

The empirical probability for the occurrence of submarine landslides at a given location can be estimated from age dates of past landslides. In this study, tools developed to estimate earthquake probability from paleoseismic horizons are adapted to estimate submarine landslide probability. In both types of estimates, one has to account for the uncertainty associated with age-dating individual events as well as the open time intervals before and after the observed sequence of landslides. For observed sequences of submarine landslides, we typically only have the age date of the youngest event and possibly of a seismic horizon that lies below the oldest event in a landslide sequence. We use an empirical Bayes analysis based on the Poisson-Gamma conjugate prior model specifically applied to the landslide probability problem. This model assumes that landslide events as imaged in geophysical data are independent and occur in time according to a Poisson distribution characterized by a rate parameter λ. With this method, we are able to estimate the most likely value of λ and, importantly, the range of uncertainty in this estimate. Examples considered include landslide sequences observed in the Santa Barbara Channel, California, and in Port Valdez, Alaska. We confirm that given the uncertainties of age dating that landslide complexes can be treated as single events by performing statistical test of age dates representing the main failure episode of the Holocene Storegga landslide complex.

Radon as an indicator of submarine groundwater discharge in coastal regions

International Nuclear Information System (INIS)

Jacob, Noble; Shivanna, K.; Suresh Babu, D.S.

2009-01-01

This article reviews the various available methodologies to estimate submarine groundwater discharge (SGD) and demonstrates the utility of radon with a case study. An attempt has been made to identify the existence of submarine groundwater discharge (SGD) and semi-quantitatively estimate its rate in the coastal area of Vizhinjam, Thiruvananthapuram, Kerala. Natural 222 Rn (half-life = 3.8 days) was used as a tracer of SGD because of its conservative nature, short half-life, easiness in measurement and high abundance in groundwater. As in situ radon ( 222 Rn) monitoring study conducted in this region indicated comparatively higher 222 Rn activities (average 14.1±1.7 Bq/m 3 ) in the coastal waters revealing significant submarine groundwater discharge. The SGD may be a combination of fresh groundwater and recirculated seawater that is controlled by the hydraulic gradient in the adjacent aquifer and varying tidal conditions in the coastal waters. Using a transient 222 Rn mass balance model for the coastal waters, SGD rates were computed and the average value was found to be 10.9±6.1 cm/day. These estimates are comparable with those reported in the literature. In general, identification and estimation of submarine groundwater discharge is important in the Indian context because of the possibility of large amounts of groundwater loss through its long coastline, that can be judiciously exploited to cater to the present water requirements for drinking and irrigation purposes. (author)

Stresses in a submarine topography under ocean waves

Energy Technology Data Exchange (ETDEWEB)

Mei, C.C.; McTigue, D.F.

1984-09-01

The problem of submarine slope stability is of interest to both offshore engineering and geology. In an uneven topography, the weight above a horizontal plane induces two-dimensional variation in the static stress field. The action of wave pressure, which changes with depth, further introduces excess pore pressure and dynamic stresses in the sea bottom. In the present paper, we combine a simple analytical theory for the static stress by the present authors, and the recent solution by Mei and Foda for wave-induced stresses in a plane poro-elastic sea bed to account for mild bottom slope and wave shoaling, and obtain the effective stress field in a submarine topography under sea waves. Sample results are given for a ridge and a canyon. In particular, the dynamic pore pressure and the combined static and dynamic effective stresses are presented.

Remote Ischemic Postconditioning (RIPC) of the Upper Arm Results in Protection from Cardiac Ischemia-Reperfusion Injury Following Primary Percutaneous Coronary Intervention (PCI) for Acute ST-Segment Elevation Myocardial Infarction (STEMI).

Science.gov (United States)

Cao, Bangming; Wang, Haipeng; Zhang, Chi; Xia, Ming; Yang, Xiangjun

2018-02-19

BACKGROUND The aim of this study was to evaluate the role of remote ischemic postconditioning (RIPC) of the upper arm on protection from cardiac ischemia-reperfusion injury following primary percutaneous coronary intervention (PCI) in patients with acute ST-segment elevation myocardial infarction (STEMI). MATERIAL AND METHODS Eighty patients with STEMI were randomized into two groups: primary PCI (N=44) and primary PCI+RIPC (N=36). RIPC consisted of four cycles of 5 minutes of occlusion and five minutes of reperfusion by cuff inflation and deflation of the upper arm, commencing within one minute of the first PCI balloon dilatation. Peripheral venous blood samples were collected before PCI and at 0.5, 8, 24, 48, and 72 hours after PCI. Levels of creatine kinase-MB (CK-MB), serum creatinine (Cr), nitric oxide (NO), and stromal cell-derived factor-1α (SDF-1α) were measured. The rates of acute kidney injury (AKI) and the estimated glomerular filtration rate (eGFR) were calculated. RESULTS Patients in the primary PCI+RIPC group, compared with the primary PCI group, had significantly lower peak CK-MB concentrations (PPCI in patients with acute STEMI might provide cardiac and renal protection from ischemia-reperfusion injury via the actions of SDF-1α, and NO.

Lava delta deformation as a proxy for submarine slope instability

Science.gov (United States)

Di Traglia, Federico; Nolesini, Teresa; Solari, Lorenzo; Ciampalini, Andrea; Frodella, William; Steri, Damiano; Allotta, Benedetto; Rindi, Andrea; Marini, Lorenzo; Monni, Niccolò; Galardi, Emanuele; Casagli, Nicola

2018-04-01

The instability of lava deltas is a recurrent phenomenon affecting volcanic islands, which can potentially cause secondary events such as littoral explosions (due to interactions between hot lava and seawater) and tsunamis. It has been shown that Interferometric Synthetic Aperture Radar (InSAR) is a powerful technique to forecast the collapse of newly emplaced lava deltas. This work goes further, demonstrating that the monitoring of lava deltas is a successful strategy by which to observe the long-term deformation of subaerial-submarine landslide systems on unstable volcanic flanks. In this paper, displacement measurements derived from Synthetic Aperture Radar (SAR) imagery were used to detect lava delta instability at Stromboli volcano (Italy). Recent flank eruptions (2002-2003, 2007 and 2014) affected the Sciara del Fuoco (SdF) depression, created a "stacked" lava delta, which overlies a pre-existing scar produced by a submarine-subaerial tsunamigenic landslide that occurred on 30 December 2002. Space-borne X-band COSMO-SkyMED (CSK) and C-band SENTINEL-1A (SNT) SAR data collected between February 2010 and October 2016 were processed using the SqueeSAR algorithm. The obtained ground displacement maps revealed the differential ground motion of the lava delta in both CSK and SNT datasets, identifying a stable area (characterized by less than 2 mm/y in both datasets) within the northern sector of the SdF and an unstable area (characterized by velocity fields on the order of 30 mm/y and 160 mm/y in the CSK and SNT datasets, respectively) in the central sector of the SdF. The slope stability of the offshore part of the SdF, as reconstructed based on a recently performed multibeam bathymetric survey, was evaluated using a 3D Limit Equilibrium Method (LEM). In all the simulations, Factor of Safety (F) values between 0.9 and 1.1 always characterized the submarine slope between the coastline and -250 m a.s.l. The critical surfaces for all the search volumes corresponded to

Scientific Ocean Drilling to Assess Submarine Geohazards along European Margins

Science.gov (United States)

Ask, M. V.; Camerlenghi, A.; Kopf, A.; Morgan, J. K.; Ocean DrillingSeismic Hazard, P. E.

2008-12-01

Submarine geohazards are some of the most devastating natural events in terms of lives lost and economic impact. Earthquakes pose a big threat to society and infrastructure, but the understanding of their episodic generation is incomplete. Tsunamis are known for their potential of striking coastlines world-wide. Other geohazards originating below the sea surface are equally dangerous for undersea structures and the coastal population: submarine landslides and volcanic islands collapse with little warning and devastating consequences. The European scientific community has a strong focus on geohazards along European and nearby continental margins, especially given their high population densities, and long historic and prehistoric record of hazardous events. For example, the Mediterranean is surrounded by very densely-populated coastline and is the World's leading holiday destination, receiving up 30% of global tourism. In addition, its seafloor is criss-crossed by hydrocarbon pipelines and telecommunication cables. However, the governing processes and recurrence intervals of geohazards are still poorly understood. Examples include, but are not limited to, earthquakes and volcanic eruptions along the active tectonic margins of the Mediterranean and Sea of Marmara, landslides on both active and passive margins, and tsunamites and seismites in the sedimentary record that suggest a long history of similar events. The development of geophysical networks, drilling, sampling and long-term monitoring are crucial to the understanding of earthquake, landslide, and tsunami processes, and to mitigate the associated risks in densely populated and industrialized regions such as Europe. Scientific drilling, particularly in the submarine setting, offers a unique tool to obtain drill core samples, borehole measurements and long-term observations. Hence, it is a critical technology to investigate past, present, and possible future influences of hazardous processes in this area. The

Size distributions and failure initiation of submarine and subaerial landslides

Science.gov (United States)

ten Brink, Uri S.; Barkan, R.; Andrews, B.D.; Chaytor, J.D.

2009-01-01

Landslides are often viewed together with other natural hazards, such as earthquakes and fires, as phenomena whose size distribution obeys an inverse power law. Inverse power law distributions are the result of additive avalanche processes, in which the final size cannot be predicted at the onset of the disturbance. Volume and area distributions of submarine landslides along the U.S. Atlantic continental slope follow a lognormal distribution and not an inverse power law. Using Monte Carlo simulations, we generated area distributions of submarine landslides that show a characteristic size and with few smaller and larger areas, which can be described well by a lognormal distribution. To generate these distributions we assumed that the area of slope failure depends on earthquake magnitude, i.e., that failure occurs simultaneously over the area affected by horizontal ground shaking, and does not cascade from nucleating points. Furthermore, the downslope movement of displaced sediments does not entrain significant amounts of additional material. Our simulations fit well the area distribution of landslide sources along the Atlantic continental margin, if we assume that the slope has been subjected to earthquakes of magnitude ??? 6.3. Regions of submarine landslides, whose area distributions obey inverse power laws, may be controlled by different generation mechanisms, such as the gradual development of fractures in the headwalls of cliffs. The observation of a large number of small subaerial landslides being triggered by a single earthquake is also compatible with the hypothesis that failure occurs simultaneously in many locations within the area affected by ground shaking. Unlike submarine landslides, which are found on large uniformly-dipping slopes, a single large landslide scarp cannot form on land because of the heterogeneous morphology and short slope distances of tectonically-active subaerial regions. However, for a given earthquake magnitude, the total area

A kuroko-type polymetallic sulfide deposit in a submarine silicic caldera

Science.gov (United States)

Iizasa; Fiske; Ishizuka; Yuasa; Hashimoto; Ishibashi; Naka; Horii; Fujiwara; Imai; Koyama

1999-02-12

Manned submersible studies have delineated a large and actively growing Kuroko-type volcanogenic massive sulfide deposit 400 kilometers south of Tokyo in Myojin Knoll submarine caldera. The sulfide body is located on the caldera floor at a depth of 1210 to 1360 meters, has an area of 400 by 400 by 30 meters, and is notably rich in gold and silver. The discovery of a large Kuroko-type polymetallic sulfide deposit in this arc-front caldera raises the possibility that the numerous unexplored submarine silicic calderas elsewhere might have similar deposits.

Submarine geologic disposal of nuclear waste

International Nuclear Information System (INIS)

Hollister, C.D.; Corliss, B.H.; Anderson, D.R.

1980-01-01

Site suitability characteristics of submarine geological formations for the disposal of radioactive wastes include the distribution coefficient of the host medium, permeability, viscoelastic nature of the sediments, influence of organic material on remobilization, and effects of thermal stress. The submarine geological formation that appears to best satisfy these criteria is abyssal ''red'' clay. Regions in the ocean that have coarse-grained deposits, high or variable thermal conductivity, high organic carbon content, and sediment thickness of less than 50 m are not being considered at this time. The optimum geological environment should be tranquil and have environmental predictability over a minimum of 10 5 years. Site selection activities for the North Atlantic and North Pacific are reviewed and future activities which include international cooperation are discussed. A paleoenvironmental model for Cenozoic sedimentation in the central North Pacific is presented based on studies of a long core from the Mid-Plate Gyre MPG-1 area, and is an example of the type of study that will be carried out in other seabed study areas. The data show that the MPG-1 region has been an area of slow, continuous accumulation during the past 65 million years. (author)

Virtual Reality Training System for a Submarine Command Center

National Research Council Canada - National Science Library

Maxwell, Douglas B

2008-01-01

The invention as disclosed is a system that uses a combined real and virtual display interaction methodology to generate the visual appearance of submarine combat control rooms and allow interaction...

Gender integration on U.S. Navy submarines: views of the first wave

OpenAIRE

Ellis, Krysten J.; Munson, Garold I.

2015-01-01

Approved for public release; distribution is unlimited This project is an ethnographic case study documenting the experiences of the first group of women integrated into the United States Submarine Force. The study seeks to: 1) document the process through which each of the women was selected and became a submariner; 2) identify hindering and supporting issues and concerns (e.g., life-work balance, job-role expectations, and career development); 3) describe the organizational culture and c...

Submarine geology and geomorphology of active Sub-Antarctic volcanoes: Heard and McDonald Islands

Science.gov (United States)

Watson, S. J.; Coffin, M. F.; Whittaker, J. M.; Lucieer, V.; Fox, J. M.; Carey, R.; Arculus, R. J.; Bowie, A. R.; Chase, Z.; Robertson, R.; Martin, T.; Cooke, F.

2016-12-01

Heard and McDonald Islands (HIMI) are World Heritage listed sub-Antarctic active volcanic islands in the Southern Indian Ocean. Built atop the Kerguelen Plateau by Neogene-Quaternary volcanism, HIMI represent subaerial exposures of the second largest submarine Large Igneous Province globally. Onshore, processes influencing island evolution include glaciers, weathering, volcanism, vertical tectonics and mass-wasting (Duncan et al. 2016). Waters surrounding HIMI are largely uncharted, due to their remote location. Hence, the extent to which these same processes shape the submarine environment around HIMI has not been investigated. In early 2016, we conducted marine geophysical and geologic surveys around HIMI aboard RV Investigator (IN2016_V01). Results show that volcanic and sedimentary features prominently trend east-west, likely a result of erosion by the eastward flowing Antarctic Circumpolar Current and tidal currents. However, spatial patterns of submarine volcanism and sediment distribution differ substantially between the islands. >70 sea knolls surround McDonald Island suggesting substantial submarine volcanism. Geophysical data reveals hard volcanic seafloor around McDonald Island, whereas Heard Island is characterised by sedimentary sequences tens of meters or more thick and iceberg scours - indicative of glacial processes. Differences in submarine geomorphology are likely due to the active glaciation of Heard Island and differing rock types (Heard: alkali basalt, McDonald: phonolite), and dominant products (clastics vs. lava). Variations may also reflect different magmatic plumbing systems beneath the two active volcanoes (Heard produces larger volumes of more focused lava, whilst McDonald extrudes smaller volumes of more evolved lavas from multiple vents across the edifice). Using geophysical data, corroborated with new and existing geologic data, we present the first geomorphic map revealing the processes that shape the submarine environment around HIMI.

Reinfarction Following PCI or Medical Management using the Universal Definition in Patients With Total Occlusion After Myocardial Infarction: Results from Long Term Follow up of the OAT Cohort

Science.gov (United States)

White, Harvey D.; Reynolds, Harmony R.; Carvalho, Antonio C.; Pearte, Camille A.; Liu, Li; Martin, C. Edwin; Knatterud, Genell L.; Džavík, Vladimír; Kruk, Mariusz; Steg, Philippe Gabriel; Cantor, Warren J.; Menon, Venu; Lamas, Gervasio A.; Hochman, Judith S.

2014-01-01

Background The Occluded Artery Trial (OAT) randomized 2201 patients with a totally occluded infarct-related artery on days 3–28 (>24 hours) following myocardial infarction (MI) to percutaneous coronary intervention (PCI) or medical treatment (MED). There was no difference in the primary endpoint of death, reinfarction or heart failure at 2.9 year or 6-year mean follow-up. However in patients randomized to PCI there was a trend for an increase in reinfarction. Methods We analyzed the characteristics and types of reinfarction according to the universal definition. Independent predictors of reinfarction were determined using Cox proportional hazard models with follow up to 9 years. Results There were 169 reinfarctions; 9.4% PCI vs 8.0% MED, HR 1.31, 95% CI 0.97 −1.77, p=0.08. Spontaneous reinfarction (type 1) occurred with similar frequency in the groups; 4.9% PCI vs 6.7% MED, HR 0.78, 95% CI 0.53 – 1.15, p=0.21. Rates of type 2 (secondary) and 3 (sudden death) MI were similar in both groups. There was an increase in type 4a reinfarctions (related to protocol or repeat PCI), 0.8% PCI vs 0.1% MED, p=0.01 and type 4b reinfarctions (stent thrombosis); 2.7% PCI vs 0.6% MED, p<0.001. Multivariate predictors of reinfarction were history of PCI prior to study entry (p=0.001), diabetes (p=0.005), and absence of new Q waves with the index infarction (p=0.01). Conclusions There was a trend for reMI to be more frequent with PCI. Opening an occluded infarct-related artery in stable patients late post-MI exposes them to a risk of subsequent reinfarction related to reocclusion and stent thrombosis. PMID:22520521

Multicore fibers for high-capacity submarine transmission systems

DEFF Research Database (Denmark)

Nooruzzaman, Md.; Morioka, Toshio

2018-01-01

Applications of multicore fibers (MCFs) in undersea transmission systems are investigated, and various potential architectures of branching units for MCF-based undersea transmission systems are presented. Some MCF-based submarine network architectures based on the amount of data traffic are also...

Crustal volumes of the continents and of oceanic and continental submarine plateaus

Science.gov (United States)

Schubert, G.; Sandwell, D.

1989-01-01

Using global topographic data and the assumption of Airy isostasy, it is estimated that the crustal volume of the continents is 7182 X 10 to the 6th cu km. The crustal volumes of the oceanic and continental submarine plateaus are calculated at 369 X 10 to the 6th cu km and 242 X 10 to the 6th cu km, respectively. The total continental crustal volume is found to be 7581 X 10 to the 6th cu km, 3.2 percent of which is comprised of continental submarine plateaus on the seafloor. An upper bound on the contintental crust addition rate by the accretion of oceanic plateaus is set at 3.7 cu km/yr. Subduction of continental submarine plateaus with the oceanic lithosphere on a 100 Myr time scale yields an upper bound to the continental crustal subtraction rate of 2.4 cu km/yr.

A submarine landslide source for the devastating 1964 Chenega tsunami, southern Alaska

Science.gov (United States)

Brothers, Daniel; Haeussler, Peter J.; Lee Liberty,; David Finlayson,; Geist, Eric L.; Labay, Keith A.; Michael Byerly,

2016-01-01

During the 1964 Great Alaska earthquake (Mw 9.2), several fjords, straits, and bays throughout southern Alaska experienced significant tsunami runup of localized, but unexplained origin. Dangerous Passage is a glacimarine fjord in western Prince William Sound, which experienced a tsunami that devastated the village of Chenega where 23 of 75 inhabitants were lost – the highest relative loss of any community during the earthquake. Previous studies suggested the source of the devastating tsunami was either from a local submarine landslide of unknown origin or from coseismic tectonic displacement. Here we present new observations from high-resolution multibeam bathymetry and seismic reflection surveys conducted in the waters adjacent to the village of Chenega. The seabed morphology and substrate architecture reveal a large submarine landslide complex in water depths of 120–360 m. Analysis of bathymetric change between 1957 and 2014 indicates the upper 20–50 m (∼0.7 km3) of glacimarine sediment was destabilized and evacuated from the steep face of a submerged moraine and an adjacent ∼21 km2 perched sedimentary basin. Once mobilized, landslide debris poured over the steep, 130 m-high face of a deeper moraine and then blanketed the terminal basin (∼465 m water depth) in 11 ± 5 m of sediment. These results, combined with inverse tsunami travel-time modeling, suggest that earthquake- triggered submarine landslides generated the tsunami that struck the village of Chenega roughly 4 min after shaking began. Unlike other tsunamigenic landslides observed in and around Prince William Sound in 1964, the failures in Dangerous Passage are not linked to an active submarine delta. The requisite environmental conditions needed to generate large submarine landslides in glacimarine fjords around the world may be more common than previously thought. 

Evolution and Submarine Landslide Potential of Monterey Canyon Head, Offshore Central California

Science.gov (United States)

Maier, K. L.; Johnson, S. Y.; Hart, P. E.; Hartwell, S. R.

2016-12-01

Monterey Canyon, offshore central California, incises the shelf from near the shoreline to 30 km seaward where axial water depths approach 2,000 m. It is one of the world's most studied submarine canyons, yet debate continues concerning its age, formation, and associated geologic hazards. To address these issues, the USGS, with partial support from the California Seafloor Mapping Program, collected hundreds of kilometers of high-resolution, mini-sparker, single-channel (2009 and 2011 surveys) and multichannel (2015 survey) seismic-reflection profiles near the canyon head. The seismic data were combined with multibeam bathymetry to generate a geologic map of the proximal canyon, which delineates numerous faults and compound submarine landslide headwall scarps (covering up to 4 km2) along canyon walls. Seismic-reflection data reveal a massive ( 100 km2 lateral extent) paleochannel cut-and-fill complex underlying the proximal canyon. These subsurface cut-and-fill deposits span both sides of the relatively narrow modern canyon head, crop out in canyon walls, and incise into Purisima Formation (late Miocene and Pliocene) bedrock to depths of up to 0.3 s two-way travel time ( 240 m) below the modern shelf. We propose that the paleochannel complex represents previous locations of a migrating canyon head, and attribute its origin to multiple alternating cycles of fluvial and submarine canyon erosion and deposition linked to fluctuating sea levels. Thus, the canyon head imaged in modern bathymetry is a relatively young feature, perhaps forming in the last 20,000 years of sea-level rise. The paleocanyon deposits are significantly less consolidated than bedrock in deeper canyon walls, and therefore, are probably more prone to submarine landsliding. Nearby mapped faults occur within the active, distributed, San Andreas fault system, and earthquake-generated strong ground motions are likely triggers for past and future submarine landslides and potential associated tsunamis.

Clopidogrel-Proton Pump Inhibitor Drug-Drug Interaction and Risk of Adverse Clinical Outcomes Among PCI-Treated ACS Patients: A Meta-analysis.

Science.gov (United States)

Serbin, Michael A; Guzauskas, Gregory F; Veenstra, David L

2016-08-01

Uncertainty regarding clopidogrel effectiveness attenuation because of a drug-drug interaction with proton pump inhibitors (PPI) has led to conflicting guidelines on concomitant therapy. In particular, the effect of this interaction in patients who undergo a percutaneous coronary intervention (PCI), a population known to have increased risk of adverse cardiovascular events, has not been systematically evaluated. To synthesize the evidence of the effect of clopidogrel-PPI drug interaction on adverse cardiovascular outcomes in a PCI patient population. We conducted a systematic literature review for studies reporting clinical outcomes in patients who underwent a PCI and were initiated on clopidogrel with or without a PPI. Studies were included in the analysis if they reported at least 1 of the clinical outcomes of interest (major adverse cardiovascular event [MACE], cardiovascular death, all-cause death, myocardial infarction, stroke, stent thrombosis, and bleed events). We excluded studies that were not exclusive to PCI patients or had no PCI subgroup analysis and/or did not report at least a 6-month follow-up. Statistical and clinical heterogeneity were evaluated and HRs and 95% CIs for adverse clinical events were pooled using the DerSimonian and Laird random-effects meta-analysis method. We identified 12 studies comprising 50,277 PCI patients that met our inclusion and exclusion criteria. Our analysis included retrospective analyses of randomized controlled trials (2), health registries (3), claims databases (2), and institutional records (5); no prospective studies of PCI patients were identified. On average, patients were in their mid-60s, male, and had an array of comorbidities, including hyperlipidemia, diabetes, hypertension, and smoking history. Concomitant therapy following PCI resulted in statistically significant increases in composite MACE (HR = 1.28; 95% CI = 1.24-1.32), myocardial infarction (HR = 1.51; 95% CI = 1.40-1.62), and stroke (HR = 1.46; 95

Experimental Investigation of Effect of the Sail with Leading Edge Fillet on Flow around a Submarine

OpenAIRE

Mohsen Rahmany; Amir Hamzeh Farajollahi; Mojtaba Dehghan Manshadi

2016-01-01

Because of connecting the various appendages of submarine to the main body the vortices have been created that disrupt the flow uniformity and make the undesirable features such as vortex formation to flow. Vortices that have been created due to the connectivity of sail to the body of submarines have a significant impact on non-uniformity of submarine wake at location of the propeller disc. In present research the use of hot wire anemometer has created vertical flow field in back of the two s...

High-risk PCI: how to define it today?

Science.gov (United States)

DE Marzo, Vincenzo; D'Amario, Domenico; Galli, Mattia; Vergallo, Rocco; Porto, Italo

2018-04-11

Before the percutaneous spread, the mortality rate of patients with coronary heart disease not suitable for cardiac surgery was markedly high. This limit has been progressively exceeded with the advent of minimally invasive approaches, which, although was initially intended exclusively for low risk patients, was then employed in complex patients often too compromised to undergo cardiac surgery. Given to the rising of high-risk population, due to an increase of patients with multiple chronic conditions linked to the best care offered, we are witnessing an expansion of the high-risk percutaneous coronary interventions (PCI) population. Despite defining what high-risk is remains still unclear, all proposed definitions of high-risk PCI combine features related to three clinical areas: 1) patient risk factors and comorbidities (incorporating those which preclude surgical or percutaneous revascularization such as diabetes, COPD, CKD, lung disease, frailty, advanced age); 2) location of the disease and complexity of coronary anatomy (including multi-vessel disease, left main disease, CTO, bifurcations); 3) hemodynamic clinical status (ventricular dysfunction, concomitant valvular disease or unstable characteristics). Since cardiologists have ascertained the encouraging results in terms of efficacy and rewards compared to the low-risks patients, the important role of treating high-risk patients is becoming more and more relevant to the point that current guidelines have now changed the appropriateness of percutaneous interventions indications. Considering the complexity in managing higher-risk patients with coronary artery disease, the next step to ensure the best care for this type of patients is to create a team-based model of cooperation in order to properly establish the right treatment for the right patient.

100 Gbps PCI-Express Readout for the LHCb Upgrade

CERN Document Server

Durante, Paolo; Schwemmer, Rainer; Marconi, Umberto; Balbi, Gabriele; Lax, Ignazio

2015-01-01

We present a new data acquisition system under development for the next upgrade of the LHCb experiment at CERN. We focus in particular on the design of a new common readout board, the PCIe40, and on the viability of PCI-Express as an interconnect technology for high speed readout. We describe a new high-performance DMA controller for data acquisition, implemented on an FPGA, coupled with a custom software module for the Linux kernel. Lastly, we describe how these components can be leveraged to achieve a throughput of 100 Gbit/s per readout board.

German Submarine Offensives and South African Countermeasures

African Journals Online (AJOL)

Evert

World War, with a number of opportunistic attacks also made by submarines travelling to the Far ..... This time round, however, the strategic importance of the Indian Ocean ... offensive operations in the Indian Ocean between the Gulf of Aden and the ... American seaboards, which ensured that an attack around the coast off ...

Primary PCI: time to change focus from epicardial reperfusion towards protection of the microvasculature

NARCIS (Netherlands)

van Lavieren, Martijn A.; van de Hoef, Tim P.; Piek, Jan J.

2014-01-01

Myocardial tissue perfusion remains compromised in 30-40% of patients with ST-segment elevation myocardial infarction (STEMI) despite restored epicardial patency after primary percutaneous coronary intervention (pPCI). This phenomenon is attributed to microvascular dysfunction secondary to numerous

[The Effects of Smart Program for Patients Who Underwent Percutaneous Coronary Intervention (SP-PCI) on Disease-Related Knowledge, Health Behavior, and Quality of Life: A Non-Randomized Controlled Trial].

Science.gov (United States)

Lee, Jueun; Lee, Haejung

2017-12-01

To identify the effects of a smart program for the patients who underwent percutaneous coronary intervention (SP-PCI) on coronary disease-related knowledge, health behaviors, and quality of life. A nonequivalent control group with a non-synchronized design was utilized and 48 participants (experimental=22, control=26) were recruited from a university hospital in Gyeongsang area from May to December, 2016. The 12-week SP-PCI consisted of self-study of health information using smart phone applications (1/week), walking exercise (>5/week) using smart band, feedback using Kakao talk (2/week), and telephone counseling (1/week). Patients in the control group received usual care from their primary health care providers and a brief health education with basic self-management brochure after the PCI. Data were analyzed using the SPSS 21.0 program through descriptive statistics, χ² test, and t-test. After the 12-week SP-PCI, the experimental group showed higher levels of coronary disease-related knowledge (t=2.43, p=.019), heart-related health behaviors (t=5.96, pPCI provided easy access and cost-effective intervention for patients after PCI and improved their knowledge of the disease, performance of health behaviors, and quality of life. Further study with a wider population is needed to evaluate the effects of SP-PCI on disease recurrence and quality of life for patients after PCI. © 2017 Korean Society of Nursing Science

Independent Predictors of Bleeding Complications in Patients Undergoing PCI With Concomitant Treatment With Bivalirudin in Clinical Practice Results From the Improver Registry

DEFF Research Database (Denmark)

Koeth, Oliver; Gulba, Dietrich; Huber, Kurt

2013-01-01

Bleeding complications are associated with an adverse outcome after a percutaneous coronary intervention (PCI) is performed. Traditional risk factors for bleeding complications are age, gender, underweight, hypertension, and renal impairment. The aim of our study was to identify the independent...... predictors of bleeding complications in patients undergoing a PCI with concomitant treatment with bivalirudin....

The Concept of Data Collection and Processing System for Audit according to the PCI DSS

Directory of Open Access Journals (Sweden)

D. N. Makrushin

2011-12-01

Full Text Available The objects of the research are verification procedures meet the requirements of the standard of the documents supporting the information security standard in the payment card industry (PCI DSS.

MVAC Submarine cable, magnetic fields measurements and analysis

DEFF Research Database (Denmark)

Arentsen, Martin Trolle; Expethit, Adrian; Pedersen, Morten Virklund

2017-01-01

Standard 60287. Researchers believe that the wire armour of three phased submarine cables is the reason for the inaccurate calculations by the standard. Studies show that the magnetic behaviour of these cables are changed due to the wire armour. In order to investigate this hypothesis, this paper intends...... to supply the theoretical research with data from magnetic field measurements on a wire armoured 3-phase submarine cable, together with an investigation of the induced currents in the different cable components. The influence of the physical arrangement of the armour wires on the electric behaviour is also...... investigated, since several researchers believe that the twisting of the armour wires result in zero net induced voltage over one helix length. This is shown to be valid for the tested cable. Finally a replica of the armour has been built with just a single conductor in the centre. This setup was used...

Stresses in a submarine topography under ocean waves

Energy Technology Data Exchange (ETDEWEB)

Mei, C.C.; McTigue, D.F.

1984-01-01

The problem of submarine slope stability is of interest to both offshore engineering and geology. In an uneven topography, the weight above a horizontal plane induces two-dimensional variation in the static stress field. The action of wave pressure, which changes with depth, further introduces excess pore pressure and dynamic stresses in the sea bottom. In the present paper, we combine a simple analytical theory for the static stress by the present authors, and the recent solution by Mei and Foda for wave-induced stresses in a plane poro-elastic sea bed to account for mild bottom slope and wave shoaling, to obtain the effective stress field in a submarine topography under sea waves. Sample results are given for a ridge and a canyon. In particular the dynamic pore pressure and the combined static and dynamic effective stresses are presented. 10 references, 11 figures.

Understanding losses in three core armoured submarine cables

DEFF Research Database (Denmark)

Silva, Filipe Miguel Faria da; Ebdrup, Thomas; Bak, Claus Leth

2016-01-01

. For practical an economical reasons the preferred choice of cable for both the array and the transmission cables are three-core armoured submarine cables. Therefore, it has becoming increasingly important to be able to calculate the ampacity of such cables accurately. At present time, the ampacity of three......-core armoured submarine cables is calculated according to IEC 60287-1-1 [1]. Various measurements conducted both by cable manufacturers and transmission system operators (TSO) have shown that using the cable rating method stated in IEC 60287-1-1 underestimates the cable ampacity [2]-[6]. Furthermore......, measurements conducted within the cable industry have shown that an armoured three core cable has higher losses than equal unarmoured three core cables. It is also suggested that the inaccuracy in the IEC armour’s loss factor (λ2) is the main responsible for the conservatism in the IEC cable rating method...

Submarine Biofouling Control- Chlorination DATS Study at Pearl Harbor

National Research Council Canada - National Science Library

Wegand, John

2001-01-01

The intent of this document is to sumarize the chlorination studies performed at Naval Station, Pearl Harbor in support of biofouling control initiatives for the submarine community, as requested by NAVSEA 92T...

Patient awareness of stent type, risk of cardiac events, and symptoms of myocardial infarction among PCI patients: a missed educational opportunity?

Science.gov (United States)

D'Elia, Alexis A; Hafiz, Abdul Moiz; Naidu, Srihari S; Marzo, Kevin P

2011-04-01

 Timely and successful treatment of myocardial infarction (MI) requires accurate recognition by the patient of the signs and symptoms. As patients who have undergone percutaneous coronary intervention (PCI) remain at risk for cardiac events, it is important that they have a basic understanding of their cardiac status.  We surveyed 80 consecutive patients following elective PCI using a simple multiple-choice questionnaire. Type of stent (bare metal or drug-eluting), how they perceive the procedure would affect their cardiovascular health, their perceived risk of a future MI, and whether they recalled specific education on how to recognize symptoms of an MI were queried.  45% (n = 36) of patients were unaware of stent type. 10% stated PCI was performed to relieve symptoms of angina, 30% (n = 24) stated it would prevent MI, 56.3% (n = 45) stated that it would both prevent MI and reduce symptoms of angina, while 3.8% stated it would do neither. 86.3% (n = 69) stated they remained at risk for MI despite the procedure. However, 42.5% (n = 34) of patients did not perceive to have received specific education on the signs and symptoms of MI during their hospital stay.  Patient understanding of stent type, expected cardiovascular outcomes, and recognition of MI post-PCI appears low in the real-world setting. A systematic approach to post-PCI education should be incorporated into routine care, in order to capitalize on the educational opportunity afforded by this high risk population. ©2010, Wiley Periodicals, Inc.

Scale-space for empty catheter segmentation in PCI fluoroscopic images.

Science.gov (United States)

Bacchuwar, Ketan; Cousty, Jean; Vaillant, Régis; Najman, Laurent

2017-07-01

In this article, we present a method for empty guiding catheter segmentation in fluoroscopic X-ray images. The guiding catheter, being a commonly visible landmark, its segmentation is an important and a difficult brick for Percutaneous Coronary Intervention (PCI) procedure modeling. In number of clinical situations, the catheter is empty and appears as a low contrasted structure with two parallel and partially disconnected edges. To segment it, we work on the level-set scale-space of image, the min tree, to extract curve blobs. We then propose a novel structural scale-space, a hierarchy built on these curve blobs. The deep connected component, i.e. the cluster of curve blobs on this hierarchy, that maximizes the likelihood to be an empty catheter is retained as final segmentation. We evaluate the performance of the algorithm on a database of 1250 fluoroscopic images from 6 patients. As a result, we obtain very good qualitative and quantitative segmentation performance, with mean precision and recall of 80.48 and 63.04% respectively. We develop a novel structural scale-space to segment a structured object, the empty catheter, in challenging situations where the information content is very sparse in the images. Fully-automatic empty catheter segmentation in X-ray fluoroscopic images is an important and preliminary step in PCI procedure modeling, as it aids in tagging the arrival and removal location of other interventional tools.

Long-term mortality after primary PCI for STEMI in patients with insulin-dependent diabetes mellitus

Directory of Open Access Journals (Sweden)

Zlatanović Petar

2015-01-01

Full Text Available Introduction: Primary PCI (pPCI is the gold standard in the treatment of patients with acute myocardial infarction (AMI with ST elevation (STEMI. Aim: The purpose of this study is to evaluate the influence of diabetic status upon arrival at five year survival in patients with STEMI that were treated with pPCI. Material and methods: Consecutive data for 2087 patients admitted in the period from 1st of January 2009. to 31st of December 2010. with diagnosis of acute STEMI were collected from catheterisation laboratory cardiology clinic CCS electronic database. Patients were divided into 3 groups: those without diabetes mellitus (DM, IDDM (insulin dependent diabetes mellitus, NIDDM (non-insulin dependent diabetes mellitus. Results: 1664 patients (79.7% did not have DM, 98 (4.7% had IDDM and 325 (15.6% had NIDDM. There was a statistically significant difference in mortality rate among three groups after 30 days, one year and five years after intervention, and the highest rates were recorded at the IDDM patients, then at the NIDDM and the lowest in patients without DM (15.3% vs 8.3% vs 5.9 %, p < 0.001 after 30 days; 21.4% vs 15.4% vs 10.9%, p < 0.001 after one year and 32.7% vs 24.3% vs 18%, p < 0.001 after 5 years. Also, there was a highly statistically significant difference in five-year mortality rate between patients with and without DM (26.2 % vs 17.6%, p < 0.001. IDDM was a independent factor when it comes to predicting five-year mortality (HR = 1.58, 95% CI 1.07-2.32, p = 0.02 whereas NIDDM was not (HR = 1.24, 95% CI 0.95-1.63, p = 0.12. Conclusion: Diabetic patients had an increased risk of mortality in the short and long-term follow-up after pPCI. Insulin-dependent was a single predicting factor after five year follow-up.

ESR dating of submarine hydrothermal activities using barite in sulfide deposition

Science.gov (United States)

Toyoda, S.; Fujiwara, T.; Ishibashi, J.; Isono, Y.; Uchida, A.; Takamasa, A.; Nakai, S.

2012-12-01

The temporal change of submarine hydrothermal activities has been an important issue in the aspect of the evolution of hydrothermal systems which is related with ore formation (Urabe, 1995) and biological systems sustained by the chemical species arising from hydrothermal activities (Macdonald et al., 1980). Determining the ages of the hydrothermal deposit will provide essential information on such studies. Dating methods using disequilibrium between radioisotopes such as U-Th method (e.g. You and Bickle, 1998), 226}Ra-{210Pb and 228}Ra-{228Th method (e.g. Noguchi et al., 2011) have been applied to date submarine hydrothermal deposits. ESR (electron spin resonance) dating method is commonly applied to fossil teeth, shells, and quartz of Quaternay period where the natural accumulated dose is obtained from the intensities of the ESR signals which are created by natural radiation. The natural dose is divided by the dose rate to the mineral/sample to deduce the age. Okumura et al., (2010) made the first practical application of ESR (electron spin resonance) dating technique to a sample of submarine hydrothermal barite (BaSO4) to obtain preliminary ages, where Kasuya et al. (1991) first pointed out that barite can be used for ESR dating. Knowing that ESR dating of barite is promising, in this paper, we will present how we have investigated each factor that contributes ESR dating of barite in submarine hydrothermal sulfide deposition. (1) The best ESR condition for measuring the SO3- signal in barite is with the microwave power of 1mW and modulation amplitude of 0.1mT. (2) As results of heating experiments, the signal was found to be stable for the dating age range of several thousands. (3) 226Ra replacing Ba in barite is the source of the radiation. The amount of radioactive elements in sulfide mineral surrounding barite is negligible. (4) The external radiation from the sea water is negligible even in the submarine hydrothermal area where the radiation level is much

[Dynamics of functional status of submarine personnel during the pre-deployment period].

Science.gov (United States)

Khankevich, Iu R; Bloshchinskiĭ, I A; Val'skiĭ, A V; Nabokov, N L

2014-09-01

Authors came to conclusions that during the pre-deployment period submarine personnel are stressed out. During this period submarine personnel .usually resupply, conduct maintenance and other monitoring-and-checkout measures, which leads to functional stress. Authors came to conclusion that it is necessary to use simple and easy, but at the same time informative methods for early diagnosis of worsen functional health status. One of these methods is evaluation of indicators of cardiovascular system. This method is a base for functional health status prophylaxis.

Design and Rationale for the Endothelin-1 Receptor Antagonism in the Prevention of Microvascular Injury in Patients with non-ST Elevation Acute Coronary Syndrome Undergoing Percutaneous Coronary Intervention (ENDORA-PCI) Trial.

Science.gov (United States)

Liou, Kevin; Jepson, Nigel; Buckley, Nicolas; Chen, Vivien; Thomas, Shane; Russell, Elizabeth Anne; Ooi, Sze-Yuan

2016-04-01

Peri-procedural myocardial infarction (PMI) occurs in a small but significant portion of patients undergoing percutaneous intervention (PCI). The underlying mechanisms are complex and may include neurohormonal activation and release of vasoactive substances resulting in disruption of the coronary microcirculation. Endothelin in particular has been found in abundance in atherosclerotic plaques and in systemic circulation following PCI, and may be a potential culprit for PMI through its action on microvascular vasoconstriction, and platelet and neutrophil activation. In this study we aim to characterize the behavior of the coronary microcirculation during a PCI with the index of microvascular resistance (IMR) and the effect of peri-procedural endothelin antagonism. The ENDORA-PCI trial is a randomized, double-blind, placebo-controlled, single-center clinical trial designed to evaluate the efficacy of endothelin antagonism in attenuating the peri-procedural rise in IMR as a surrogate marker for PMI. The patients of interest are those with non-ST elevation acute coronary syndrome (NSTEACS) undergoing PCI, and we aim to recruit 52 patients overall to give the study a power of 80 % at an α level of 5 %. Patients will be randomized in a 1:1 fashion to either Ambrisentan, an endothelin antagonist, or placebo, prior to their PCI. IMR will be measured before and after PCI. The primary endpoint is the difference in peri-procedural changes in patients' IMR between the two groups. The ENDORA-PCI study will investigate whether endothelin antagonism with Ambrisentan attenuates the peri-procedural rise in IMR in patients with NSTEACS undergoing PCI, and thus potentially the risk of PMI.

AUV Mapping and ROV Exploration of Los Frailes Submarine Canyon, Cabo Pulmo National Marine Park, Baja California Sur, Mexico

Science.gov (United States)

Troni, G.; Caress, D. W.; Graves, D.; Thomas, H. J.; Thompson, D.; Barry, J. P.; Aburto-Oropeza, O.; Johnson, A. F.; Lundsten, L.

2015-12-01

Los Frailes submarine canyon is located at the south boundary of the Cabo Pulmo National Marine Park on the southeast tip of the Baja California Peninsula. During the Monterey Bay Aquarium Research Institute (MBARI) 2015 Gulf of California expedition we used an autonomous underwater vehicle (AUV) to map this canyon from 50 m to 450 m depths, and then explored the canyon with a small remotely operated vehicle (ROV). This three day R/V Rachel Carson cruise was a collaboration with the Center for Marine Biodiversity and Conservation at Scripps Institution of Oceanography and the Centro para la Biodiversidad Marina y la Conservación in La Paz. The MBARI AUV D. Allan B. collected high resolution bathymetry, sidescan, and subbottom profiles of Los Frailes submarine canyon and part of the north Cabo Pulmo deep reef. In order to safely generate a 1-m lateral resolution multibeam bathymetry map in the nearshore high relief terrain, the mapping operations consisted of an initial short survey following the 100-m isobath followed by a series of short, incremental AUV missions located on the deep edge of the new AUV bathymetry. The MBARI Mini-ROV was used to explore the submarine canyon within the detailed map created by the MBARI AUV. The Mini-ROV is a 1.2-m-long, 350 kg, 1,500-m-depth-rated ROV designed and constructed by MBARI. It is controlled by six 600-watt thrusters and is equipped with a high-definition video camera and navigation sensors. This small ROV carries less accurate, lower cost navigation sensors than larger vehicles. We implemented new algorithms to localize combining Doppler velocity log sensor data and low-cost MEMS-based inertial sensor data with sporadic ultra-short baseline position measurements to provide a high accuracy position estimation. The navigation performance allowed us to colocate the ROV video imagery with the 1-m resolution bathymetric map of the submarine canyon. Upper Los Frailes Canyon is rugged and, aside from small sand pockets along

Annotated bibliography: Marine geologic hazards of the Hawaiian Islands with special focus on submarine slides and turbidity currents

Energy Technology Data Exchange (ETDEWEB)

Normark, W.R.; Herring, H.H.

1993-10-01

This annotated bibliography was compiled to highlight the submarine geology of the Hawaiian Islands and identify known and potential marine geologic hazards with special emphasis on turbidity currents, submarine slides and tsunamis. Some references are included that are not specific to Hawaii but are needed to understand the geologic processes that can affect the integrity of submarine cables and other man-made structures. Entries specific to the Hawaiian Island area are shown in bold type.

The human factor in the operation of nuclear powered submarines

International Nuclear Information System (INIS)

Dambier, M.

1982-05-01

The conditions characterizing the operation of nuclear powered submarines are described and the precautionary measures suitable to reduce the incidence of human errors and their consequences are explained

Submarine slope failures due to pipe structure formation.

Science.gov (United States)

Elger, Judith; Berndt, Christian; Rüpke, Lars; Krastel, Sebastian; Gross, Felix; Geissler, Wolfram H

2018-02-19

There is a strong spatial correlation between submarine slope failures and the occurrence of gas hydrates. This has been attributed to the dynamic nature of gas hydrate systems and the potential reduction of slope stability due to bottom water warming or sea level drop. However, 30 years of research into this process found no solid supporting evidence. Here we present new reflection seismic data from the Arctic Ocean and numerical modelling results supporting a different link between hydrates and slope stability. Hydrates reduce sediment permeability and cause build-up of overpressure at the base of the gas hydrate stability zone. Resulting hydro-fracturing forms pipe structures as pathways for overpressured fluids to migrate upward. Where these pipe structures reach shallow permeable beds, this overpressure transfers laterally and destabilises the slope. This process reconciles the spatial correlation of submarine landslides and gas hydrate, and it is independent of environmental change and water depth.

PCI fuel failure analysis: a report on a cooperative program undertaken by Pacific Northwest Laboratory and Chalk River Nuclear Laboratories

International Nuclear Information System (INIS)

Mohr, C.L.; Pankaskie, P.J.; Heasler, P.G.; Wood, J.C.

1979-12-01

Reactor fuel failure data sets in the form of initial power (P/sub i/), final power (P/sub f/), transient increase in power (ΔP), and burnup (Bu) were obtained for pressurized heavy water reactors (PHWRs), boiling water reactors (BWRs), and pressurized water reactors (PWRs). These data sets were evaluated and used as the basis for developing two predictive fuel failure models, a graphical concept called the PCI-OGRAM, and a nonlinear regression based model called PROFIT. The PCI-OGRAM is an extension of the FUELOGRAM developed by AECL. It is based on a critical threshold concept for stress dependent stress corrosion cracking. The PROFIT model, developed at Pacific Northwest Laboratory, is the result of applying standard statistical regression methods to the available PCI fuel failure data and an analysis of the environmental and strain rate dependent stress-strain properties of the Zircaloy cladding

Gender, TIMI risk score and in-hospital mortality in STEMI patients undergoing primary PCI: results from the Belgian STEMI registry.

Science.gov (United States)

Gevaert, Sofie A; De Bacquer, Dirk; Evrard, Patrick; Convens, Carl; Dubois, Philippe; Boland, Jean; Renard, Marc; Beauloye, Christophe; Coussement, Patrick; De Raedt, Herbert; de Meester, Antoine; Vandecasteele, Els; Vranckx, Pascal; Sinnaeve, Peter R; Claeys, Marc J

2014-01-22

The relationship between the predictive performance of the TIMI risk score for STEMI and gender has not been evaluated in the setting of primary PCI (pPCI). Here, we compared in-hospital mortality and predictive performance of the TIMI risk score between Belgian women and men undergoing pPCI. In-hospital mortality was analysed in 8,073 (1,920 [23.8%] female and 6,153 [76.2%] male patients) consecutive pPCI-treated STEMI patients, included in the prospective, observational Belgian STEMI registry (January 2007 to February 2011). A multivariable logistic regression model, including TIMI risk score variables and gender, evaluated differences in in-hospital mortality between men and women. The predictive performance of the TIMI risk score according to gender was evaluated in terms of discrimination and calibration. Mortality rates for TIMI scores in women and men were compared. Female patients were older, had more comorbidities and longer ischaemic times. Crude in-hospital mortality was 10.1% in women vs. 4.9% in men (OR 2.2; 95% CI: 1.82-2.66, pdiscrimination and calibration in women as well as in men (c-statistic=0.84 [95% CI: 0.809-0.866], goodness-of-fit p=0.53 and c-statistic=0.89 [95% CI: 0.873-0.907], goodness-of-fit p=0.13, respectively), but mortality prediction for TIMI scores was better in men (p=0.02 for TIMI score x gender interaction). In the Belgian STEMI registry, pPCI-treated women had a higher in-hospital mortality rate even after correcting for TIMI risk score variables. The TIMI risk score was effective in predicting in-hospital mortality but performed slightly better in men. The database was registered with clinicaltrials.gov (NCT00727623).

Optical coherence tomography guided PCI – Initial experience at Apollo Health City, Jubilee Hills, Hyderabad

Directory of Open Access Journals (Sweden)

Pratap Chandra Rath

2014-01-01

Conclusion: OCT makes better visualization of plaque, thrombus, stent malapposition, dissection, plaque prolapse and helps in optimization of PCI results. More extensive, long-term studies will be needed to assess the prognostic implications of these findings.

Simple models for the simulation of submarine melt for a Greenland glacial system model

Science.gov (United States)

Beckmann, Johanna; Perrette, Mahé; Ganopolski, Andrey

2018-01-01

Two hundred marine-terminating Greenland outlet glaciers deliver more than half of the annually accumulated ice into the ocean and have played an important role in the Greenland ice sheet mass loss observed since the mid-1990s. Submarine melt may play a crucial role in the mass balance and position of the grounding line of these outlet glaciers. As the ocean warms, it is expected that submarine melt will increase, potentially driving outlet glaciers retreat and contributing to sea level rise. Projections of the future contribution of outlet glaciers to sea level rise are hampered by the necessity to use models with extremely high resolution of the order of a few hundred meters. That requirement in not only demanded when modeling outlet glaciers as a stand alone model but also when coupling them with high-resolution 3-D ocean models. In addition, fjord bathymetry data are mostly missing or inaccurate (errors of several hundreds of meters), which questions the benefit of using computationally expensive 3-D models for future predictions. Here we propose an alternative approach built on the use of a computationally efficient simple model of submarine melt based on turbulent plume theory. We show that such a simple model is in reasonable agreement with several available modeling studies. We performed a suite of experiments to analyze sensitivity of these simple models to model parameters and climate characteristics. We found that the computationally cheap plume model demonstrates qualitatively similar behavior as 3-D general circulation models. To match results of the 3-D models in a quantitative manner, a scaling factor of the order of 1 is needed for the plume models. We applied this approach to model submarine melt for six representative Greenland glaciers and found that the application of a line plume can produce submarine melt compatible with observational data. Our results show that the line plume model is more appropriate than the cone plume model for simulating

Go big or die out: Bifurcation and bimodality in submarine sediment flow behaviour

Science.gov (United States)

Talling, P.; Paull, C. K.; Lintern, G.; Gwiazda, R.; Cartigny, M.; Hughes Clarke, J. E.; Xu, J.; Clare, M. A.; Parsons, D. R.; Simmons, S.; Maier, K. L.; Gales, J. A.; Hage, S.; McGann, M.; Pope, E.; Rosenberger, K. J.; Stacey, C.; Barry, J.; Lundsten, E. M.; Anderson, K.; O'Reilly, T. C.; Chapplow, N.; Vendettuoli, D.

2017-12-01

Submarine flows of sediment (turbidity currents) flush globally significant volumes of sediment and organic carbon into deep-sea basins. These flows create the largest sediment accumulations on Earth, which hold valuable oil and gas reserves. These flows affect global carbon burial, how deep-sea ecosystems function, and pose a hazard to offshore infrastructure. Only river systems transport such large amounts of sediment across such long distances. However, there are remarkably few direct measurements from active submarine flows, which is a stark contrast to >1 million direct observations from rivers. Here we present unusually detailed information on frequency, power and runout distance of multiple submarine flows at two contrasting locations. The first data set comes from Monterey Canyon, offshore California, which is fed by littoral cells. The second site is a river-fed delta in Bute Inlet, British Columbia. In both cases, the timing and runout distance of submarine flows was documented using instruments on multiple moorings placed along the 50-km long flow pathway. A striking observation is that flow behaviour and runout is strongly bimodal in both locations. Flows tend to either dissipate rapidly, or runout through the entire mooring arrays. We thus test whether i) the character of short or long runout flows can be distinguished at the first mooring and ii) whether long and short runout flows have different triggers. It has been proposed that submarine flows have two modes of behaviour; either eroding and accelerating, or depositing and dissipating. These field data support such a view of bifurcation and bimodality in flow behaviour. However, some short runout flows resemble their longer runout cousins at the first mooring, and there is no clear relationship between flow trigger and runout. Thus, some flows reach a point where their character is no longer dependent on their initial trigger or initial structure, but on factors acting along the flow pathway.

Submarine canyons along the upper Sardinian slope (Central Western Mediterranean) as repositories for derelict fishing gears.

Science.gov (United States)

Cau, Alessandro; Alvito, Andrea; Moccia, Davide; Canese, Simonepietro; Pusceddu, Antonio; Rita, Cannas; Angiolillo, Michela; Follesa, Maria C

2017-10-15

By means of ROV surveys, we assessed the quantity, composition and bathymetric distribution of marine litter in 17 sites along the Sardinian continental margin (Central Western Mediterranean) at depths ranging from 100 to 480m. None of the investigated sites was litter free, but the mean density of litter (0.0175±0.0022itemsm -2 ) was lower than that reported from other Tyrrhenian regions. The difference in the total litter density among sites was negligible, but the density of derelict fishing gear (DFG) items (most of which ascribable to small scale fishery) in submarine canyons was higher in submarine canyons than in other habitats. Our result suggest that submarine canyons (known to be highly vulnerable ecosystems) act as major repositories of DFGs, and, therefore, we anticipate the need of specific measures aimed at minimizing the loss and abandonment of DFGs in submarine canyons. Copyright © 2017 Elsevier Ltd. All rights reserved.

Measurements of Mode Converted Ion Cyclotron Wave with Phase Contrast Imaging in Alcator C-Mod and Comparisons with Synthetic PCI Simulations in TORIC

International Nuclear Information System (INIS)

Tsujii, N.; Porkolab, M.; Edlund, E. M.; Lin, L.; Lin, Y.; Wright, J. C.; Wukitch, S. J.

2009-01-01

Mode converted ion cyclotron wave (ICW) has been observed with phase contrast imaging (PCI) in D- 3 He plasmas in Alcator C-Mod. The measurements were carried out with the optical heterodyne technique using acousto-optic modulators which modulate the CO2 laser beam intensity near the ion cyclotron frequency. With recently improved calibration of the PCI system using a calibrated sound wave source, the measurements have been compared with the full-wave code TORIC, as interpreted by a synthetic diagnostic. Because of the line-integrated nature of the PCI signal, the predictions are sensitive to the exact wave field pattern. The simulations are found to be in qualitative agreement with the measurements.

Effect of submarine canyons on tsunami heights, currents and run-up off the southeast coast of India

Digital Repository Service at National Institute of Oceanography (India)

JayaKumar, S.; ManiMurali, R.; Baldock, T.E.

Tsunami numerical model studies are mostly focused on inundation and run-up onto the coast. Fewer studies have been aimed at investigating role of submarine canyons on the tsunami heights, currents and run-up. The influence of submarine canyons...

Partly standing internal tides in a dendritic submarine canyon observed by an ocean glider

Science.gov (United States)

Hall, Rob A.; Aslam, Tahmeena; Huvenne, Veerle A. I.

2017-08-01

An autonomous ocean glider is used to make the first direct measurements of internal tides within Whittard Canyon, a large, dendritic submarine canyon system that incises the Celtic Sea continental slope and a site of high benthic biodiversity. This is the first time a glider has been used for targeted observations of internal tides in a submarine canyon. Vertical isopycnal displacement observations at different stations fit a one-dimensional model of partly standing semidiurnal internal tides - comprised of a major, incident wave propagating up the canyon limbs and a minor wave reflected back down-canyon by steep, supercritical bathymetry near the canyon heads. The up-canyon internal tide energy flux in the primary study limb decreases from 9.2 to 2.0 kW m-1 over 28 km (a dissipation rate of 1 - 2.5 ×10-7 Wkg-1), comparable to elevated energy fluxes and internal tide driven mixing measured in other canyon systems. Within Whittard Canyon, enhanced mixing is inferred from collapsed temperature-salinity curves and weakened dissolved oxygen concentration gradients near the canyon heads. It has previously been hypothesised that internal tides impact benthic fauna through elevated near-bottom current velocities and particle resuspension. In support of this, we infer order 20 cm s-1 near-bottom current velocities in the canyon and observe high concentrations of suspended particulate matter. The glider observations are also used to estimate a 1 °C temperature range and 12 μmol kg-1 dissolved oxygen concentration range, experienced twice a day by organisms on the canyon walls, due to the presence of internal tides. This study highlights how a well-designed glider mission, incorporating a series of tide-resolving stations at key locations, can be used to understand internal tide dynamics in a region of complex topography, a sampling strategy that is applicable to continental shelves and slopes worldwide.

CEA to peritoneal carcinomatosis index (PCI) ratio is prognostic in patients with colorectal cancer peritoneal carcinomatosis undergoing cytoreduction surgery and intraperitoneal chemotherapy: A retrospective cohort study.

Science.gov (United States)

Kozman, Mathew A; Fisher, Oliver M; Rebolledo, Bree-Anne J; Parikh, Roneil; Valle, Sarah J; Arrowaili, Arief; Alzahrani, Nayef; Liauw, Winston; Morris, David L

2018-03-01

Serum tumor markers are prognostic in patients with colorectal cancer peritoneal carcinomatosis (CRPC) undergoing cytoreductive surgery (CRS) and intraperitoneal chemotherapy (IPC). Assessment of the ratio of tumor marker to volume, as depicted by peritoneal carcinomatosis index (PCI), and how this may affect overall (OS) and recurrence free survival (RFS) has not been reported. Survival effect of this ratio was analyzed in patients with CRPC managed from 1996 to 2016 with CRS and IPC. Of 260 patients included, those with low CEA/PCI ratio (PCI ratio was most pronounced in patients with PCI ≤ 10 (OS of 72 vs 30 months, P PCI ratio was independently associated with poorer OS (adjusted HR 1.85, 95%CI 1.11-3.10, P = 0.02) and RFS (adjusted HR 1.58, 95%CI 1.04-2.41, P = 0.03). CEA/PCI ratio is an independent prognostic factor for OS and RFS in CRPC. This novel approach allows both tumor activity and volume to be accounted for in one index, thus potentially providing a more accurate indication of tumor biological behavior. © 2017 Wiley Periodicals, Inc.

Medical therapy v. PCI in stable coronary artery disease: a cost-effectiveness analysis.

Science.gov (United States)

Wijeysundera, Harindra C; Tomlinson, George; Ko, Dennis T; Dzavik, Vladimir; Krahn, Murray D

2013-10-01

Percutaneous coronary intervention (PCI) with either drug-eluting stents (DES) or bare metal stents (BMS) reduces angina and repeat procedures compared with optimal medical therapy alone. It remains unclear if these benefits are sufficient to offset their increased costs and small increase in adverse events. Cost utility analysis of initial medical therapy v. PCI with either BMS or DES. . Markov cohort decision model. Data Sources. Propensity-matched observational data from Ontario, Canada, for baseline event rates. Effectiveness and utility data obtained from the published literature, with costs from the Ontario Case Costing Initiative. Patients with stable coronary artery disease, confirmed after angiography, stratified by risk of restenosis based on diabetic status, lesion size, and lesion length. Time Horizon. Lifetime. Perspective. Ontario Ministry of Health and Long Term Care. Interventions. Optimal medical therapy, PCI with BMS or DES. Lifetime costs, quality-adjusted life years (QALYs), and the incremental cost-effectiveness ratio (ICER). of Base Case Analysis. In the overall population, medical therapy had the lowest lifetime costs at $22,952 v. $25,081 and $25,536 for BMS and DES, respectively. Medical therapy had a quality-adjusted life expectancy of 10.1 v. 10.26 QALYs for BMS, producing an ICER of $13,271/QALY. The DES strategy had a quality-adjusted life expectancy of only 10.20 QALYs and was dominated by the BMS strategy. This ranking was consistent in all groups stratified by restenosis risk, except diabetic patients with long lesions in small arteries, in whom DES was cost-effective compared with medical therapy (ICER of $18,826/QALY). Limitations. There is the possibility of residual unobserved confounding. In patients with stable coronary artery disease, an initial BMS strategy is cost-effective.

Navy Ohio Replacement (SSBN[X]) Ballistic Missile Submarine Program: Background and Issues for Congress

Science.gov (United States)

2016-04-05

Navy Ohio Replacement (SSBN[X]) Ballistic Missile Submarine Program: Background and Issues for Congress Ronald O’Rourke Specialist in Naval...Affairs April 5, 2016 Congressional Research Service 7-5700 www.crs.gov R41129 Navy Ohio Replacement (SSBN[X]) Ballistic Missile Submarine...1,091.1 million in research and development funding for the Ohio replacement program (ORP), a program to design and build a new class of 12 ballistic

Anaesthesia in austere environments: literature review and considerations for future space exploration missions.

Science.gov (United States)

Komorowski, Matthieu; Fleming, Sarah; Mawkin, Mala; Hinkelbein, Jochen

2018-01-01

Future space exploration missions will take humans far beyond low Earth orbit and require complete crew autonomy. The ability to provide anaesthesia will be important given the expected risk of severe medical events requiring surgery. Knowledge and experience of such procedures during space missions is currently extremely limited. Austere and isolated environments (such as polar bases or submarines) have been used extensively as test beds for spaceflight to probe hazards, train crews, develop clinical protocols and countermeasures for prospective space missions. We have conducted a literature review on anaesthesia in austere environments relevant to distant space missions. In each setting, we assessed how the problems related to the provision of anaesthesia (e.g., medical kit and skills) are dealt with or prepared for. We analysed how these factors could be applied to the unique environment of a space exploration mission. The delivery of anaesthesia will be complicated by many factors including space-induced physiological changes and limitations in skills and equipment. The basic principles of a safe anaesthesia in an austere environment (appropriate training, presence of minimal safety and monitoring equipment, etc.) can be extended to the context of a space exploration mission. Skills redundancy is an important safety factor, and basic competency in anaesthesia should be part of the skillset of several crewmembers. The literature suggests that safe and effective anaesthesia could be achieved by a physician during future space exploration missions. In a life-or-limb situation, non-physicians may be able to conduct anaesthetic procedures, including simplified general anaesthesia.

At Periscope Depth: Exploring Submarine Proliferation In Southeast Asia

Science.gov (United States)

2015-09-01

papers and op-eds; and relevant books . This thesis will not include human subjects because the scope of the research will not permit gathering...Soviet-built submarines required.36 Furthermore, the hulls were purchased secondhand and thus had a shortened

CMS Tracker Readout Prototype Front-End Driver PCI Mezzanine Card (Mk1) (connector side)

CERN Multimedia

J.Coughlan

1998-01-01

The tracking system of the CMS detector at the LHC employs Front End Driver (FED) cards to digitise, buffer and sparsify analogue data arriving via optical links from on detector pipeline chips. This paper describes a prototype version of the FED based upon the popular commercial PCI bus Mezzanine Card (PMC) form factor. The FED-PMC consists of an 8 channel, 9 bit ADC, card, providing a 1 MByte data buffer and operating at the LHC design frequency of 40 MHz. The core of the card is a re-programmable FPGA which allows the functionality of the card to be conveniently modified. The card is supplied with a comprehensive library of C routines.The PMC form factor allows the card to be plugged onto a wide variety of processor carrier boards and even directly into PCI based PCs. The flexibility of the FPGA based design permits the card to be used in a variety of ADC based applications.

Health and environmental risk assessment associated with a potential recovery of the Russian submarine K-27

Energy Technology Data Exchange (ETDEWEB)

Hosseini, A.; Amundsen, I.; Brown, J.E.; Dowdall, M.; Standring, W. [Norwegian Radiation Protection Authority/CERAD CoE (Norway); Bartnicki, J. [Norwegian Meteorological Institute/CERAD CoE (Norway); Karcher, M. [O.A.Sys - Ocean Atmosphere Systems GmbH (Germany); Lind, O.C.; Salbu, B. [Norwegian University of Life Sciences/CERAD CoE (Norway)

2014-07-01

The nuclear submarine K-27 is one of several objects with spent nuclear fuel (SNF) which has been dumped in the Arctic. It contained two liquid metal reactors (LMRs) of 70 MW maximum thermal power each and used Pb-Bi as the coolant. The reactors were loaded with 180 kg of U-235 at an enrichment of 90 %. In September 1981, the submarine was sunk in the shallow waters of Stepovoy Fjord at an estimated depth of 30 m. Concerns have been expressed by various parties regarding the issue of dumped nuclear waste in the Kara Sea and in particular the submarine K-27. To address these concerns and to provide a better basis for evaluating possible radiological impact (especially as a consequence of a potential recovery of the submarine), an environmental impact assessment has been undertaken. The study is based on construction of different hypothetical accident scenarios and evaluating possible associated consequences for human and the environment. In general, three main scenarios seem probable and thus appropriate for consideration. One is the 'zero- alternative', i.e. investigate the current and future impact assuming no interventions. The second considers an accidental scenario involving the raising of the submarine and the third an accidental scenario related to the transportation of the submarine to shore for defueling. With regards to the accidental scenarios related to raising and transportation of the submarine, two alternatives can be considered depending on where and how a hypothetical accident will take place and whether the subsequent releases occur under water or at the water surface. The issue of an uncontrolled chain reaction occurring as a result of a potential recovery of the submarine will be included in the assessment. The work includes application of state of the art 3D hydrodynamic and atmospheric dispersion models to investigate the transport, distribution and fate of relevant radionuclides following a hypothetical accident in aquatic and

Enhancement of submarine pressure hull steel ultrasonic inspection using imaging and artificial intelligence

Science.gov (United States)

Hay, D. Robert; Brassard, Michel; Matthews, James R.; Garneau, Stephane; Morchat, Richard

1995-06-01

The convergence of a number of contemporary technologies with increasing demands for improvements in inspection capabilities in maritime applications has created new opportunities for ultrasonic inspection. An automated ultrasonic inspection and data collection system APHIUS (automated pressure hull intelligent ultrasonic system), incorporates hardware and software developments to meet specific requirements for the maritime vessels, in particular, submarines in the Canadian Navy. Housed within a hardened portable computer chassis, instrumentation for digital ultrasonic data acquisition and transducer position measurement provide new capabilities that meet more demanding requirements for inspection of the aging submarine fleet. Digital data acquisition enables a number of new important capabilites including archiving of the complete inspection session, interpretation assistance through imaging, and automated interpretation using artificial intelligence methods. With this new reliable inspection system, in conjunction with a complementary study of the significance of real defect type and location, comprehensive new criteria can be generated which will eliminate unnecessary defect removal. As a consequence, cost savings will be realized through shortened submarine refit schedules.

TUKAN—An 8K Pulse Height Analyzer and Multi-Channel Scaler With a PCI or a USB Interface

Science.gov (United States)

Guzik, Z.; Borsuk, S.; Traczyk, K.; Plominski, M.

2006-02-01

In this paper we present two types of 8K-channel analyzers designed for spectroscopy and intensity versus time measurements. The first type (Tukan-8K-PCI) incorporates a PCI interface and is designed to be plugged into a PCI slot of a normal PC. The second type (Tukan-8K-USB) incorporates a USB interface. It is mounted in a separate screened box and can be powered either directly from the USB port or from an external dc source (wall adapter or battery). Each type of device may operate in either of two independent operational modes: Multi Channel Analysis (MCA) and Multi-Channel Scaling (MCS). The most crucial component for the MCA mode-the Peak Detect and Hold circuit-is featuring a novel architecture based on a diamond transistor. Its analog stage can accept analog pulses with rise times as short as 100 ns and has a differential linearity below 1% with sliding scale averaging over the full scale. The functionality includes automatic stop on a programmable count in the Region-Of-Interest (ROI) and on preset live- or real time. The MCS mode works at medium counting rates of up to 8 MHz. The dwell time, the number of channels and single or multi-sweep mode may be preset. Each of these parameters can also be controlled externally via four user configurable logical I/O lines. A single Altera FLEX 10KE30 FPGA provides all control functions and incorporates PCI interface. The USB interface is based on FTDI FIFO controller. Advanced and user-friendly software has been developed for the analyzer

Assessment of Al-Amarah street within the Al-kut city using pavement condition index (PCI and GIS technique

Directory of Open Access Journals (Sweden)

Al-Neami Mohammed

2018-01-01

Full Text Available The capabilities of geographical system and their spatial analysis is considered the most appropriate tools to enhance pavement management operations, with features such as graphical display of pavement condition. In Iraq, most of transportation agencies do not have a tool that is used as a database for road deteriorations, so there is a need for road surveying and storing the collected information in GIS to know the condition of every road with details. Furthermore, these data can be used for maintenance process and estimation of prior cost. This research has been carried out to estimate of flexible pavement condition through visual surveys using the Pavement Condition Index (PCI method; so it can provide an easy way to calculate the PCI based on GIS data with Micro PAVER software 5.2. Al-Amarah Street, which is internal road in Al-Kut city in the eastern part of Iraq, is used as a case study. The average pavement condition index of the selected case study is found to be “64” using Micro PAVER 5.2 software which mean “Fair” pavement condition. Arc Map 9.3 has been applied in this study to make an integrated maintenance system for each road in the region demonstrating the annual road deteriorations and the resulting change in the PCI values which occurs every year. The study provides an easy and simplified way of presentation the details of deteriorations on the satellite or the geographical map of the road in which each type of distress has been symbolized with specific sign and each PCI value has been represented with specific color.

A real two-phase submarine debris flow and tsunami

International Nuclear Information System (INIS)

Pudasaini, Shiva P.; Miller, Stephen A.

2012-01-01

The general two-phase debris flow model proposed by Pudasaini is employed to study subaerial and submarine debris flows, and the tsunami generated by the debris impact at lakes and oceans. The model, which includes three fundamentally new and dominant physical aspects such as enhanced viscous stress, virtual mass, and generalized drag (in addition to buoyancy), constitutes the most generalized two-phase flow model to date. The advantage of this two-phase debris flow model over classical single-phase, or quasi-two-phase models, is that the initial mass can be divided into several parts by appropriately considering the solid volume fraction. These parts include a dry (landslide or rock slide), a fluid (water or muddy water; e.g., dams, rivers), and a general debris mixture material as needed in real flow simulations. This innovative formulation provides an opportunity, within a single framework, to simultaneously simulate the sliding debris (or landslide), the water lake or ocean, the debris impact at the lake or ocean, the tsunami generation and propagation, the mixing and separation between the solid and fluid phases, and the sediment transport and deposition process in the bathymetric surface. Applications of this model include (a) sediment transport on hill slopes, river streams, hydraulic channels (e.g., hydropower dams and plants); lakes, fjords, coastal lines, and aquatic ecology; and (b) submarine debris impact and the rupture of fiber optic, submarine cables and pipelines along the ocean floor, and damage to offshore drilling platforms. Numerical simulations reveal that the dynamics of debris impact induced tsunamis in mountain lakes or oceans are fundamentally different than the tsunami generated by pure rock avalanches and landslides. The analysis includes the generation, amplification and propagation of super tsunami waves and run-ups along coastlines, debris slide and deposition at the bottom floor, and debris shock waves. It is observed that the

A real two-phase submarine debris flow and tsunami

Energy Technology Data Exchange (ETDEWEB)

Pudasaini, Shiva P.; Miller, Stephen A. [Department of Geodynamics and Geophysics, Steinmann Institute, University of Bonn Nussallee 8, D-53115, Bonn (Germany)

2012-09-26

The general two-phase debris flow model proposed by Pudasaini is employed to study subaerial and submarine debris flows, and the tsunami generated by the debris impact at lakes and oceans. The model, which includes three fundamentally new and dominant physical aspects such as enhanced viscous stress, virtual mass, and generalized drag (in addition to buoyancy), constitutes the most generalized two-phase flow model to date. The advantage of this two-phase debris flow model over classical single-phase, or quasi-two-phase models, is that the initial mass can be divided into several parts by appropriately considering the solid volume fraction. These parts include a dry (landslide or rock slide), a fluid (water or muddy water; e.g., dams, rivers), and a general debris mixture material as needed in real flow simulations. This innovative formulation provides an opportunity, within a single framework, to simultaneously simulate the sliding debris (or landslide), the water lake or ocean, the debris impact at the lake or ocean, the tsunami generation and propagation, the mixing and separation between the solid and fluid phases, and the sediment transport and deposition process in the bathymetric surface. Applications of this model include (a) sediment transport on hill slopes, river streams, hydraulic channels (e.g., hydropower dams and plants); lakes, fjords, coastal lines, and aquatic ecology; and (b) submarine debris impact and the rupture of fiber optic, submarine cables and pipelines along the ocean floor, and damage to offshore drilling platforms. Numerical simulations reveal that the dynamics of debris impact induced tsunamis in mountain lakes or oceans are fundamentally different than the tsunami generated by pure rock avalanches and landslides. The analysis includes the generation, amplification and propagation of super tsunami waves and run-ups along coastlines, debris slide and deposition at the bottom floor, and debris shock waves. It is observed that the

Non-linearity aspects in the design of submarine pipelines

NARCIS (Netherlands)

Fernández, M.L.

1981-01-01

An arbitrary attempt has been made to classify and discuss some non-linearity aspects related to design, construction and operation of submarine pipelines. Non-linearities usually interrelate and take part of a comprehensive design, making difficult to quantify their individual influence or

Sustaining U.S. Nuclear Submarine Design Capabilities

Science.gov (United States)

2007-01-01

million annually in the NSWC’s Card- erock Division submarine design workforce in excess of reimburs - able demand to sustain skills that might...large testing infrastructure. Conse- quently, the Navy retains management and operation of these facili- ties under direct reimbursement from private...the water. 4 These facilities are maintained within the naval warfare centers, which, as working capi- tal organizations, require reimbursement from

Environmental Analysis of U.S. Navy Submarine Solid Waste Discharges. Report of Findings

Science.gov (United States)

1997-05-01

generation rates between the USS Cincinnati and the USS Kamehameha (shown in table 6-1) were described in the NNS study (1994) as due to differences in crew...habits, menus, variations in at-sea time, and differences in waste reduction efforts. It was noted that some boats, including the USS Kamehameha , have...kg·person-l·d-l) PCMG(%) (kg·person-l·d-l) PCMG(%) Submarine Submarine USS Cincinnati USS Kamehameha Cardboard 0.21 0.05 Paper(FC) 0.06 0.06 Paper(NFC

Submarine Tailings Disposal (STD—A Review

Directory of Open Access Journals (Sweden)

Bernhard Dold

2014-07-01

Full Text Available The mining industry is a fundamental industry involved in the development of modern society, but is also the world’s largest waste producer. This role will be enhanced in the future, because ore grades are generally decreasing, thus leading to increases in the waste/metal production ratio. Mine wastes deposited on-land in so-called tailings dams, impoundments or waste-dumps have several associated environmental issues that need to be addressed (e.g., acid mine drainage formation due to sulphide oxidation, geotechnical stability, among others, and social concerns due to land use during mining. The mining industry recognizes these concerns and is searching for waste management alternatives for the future. One option used in the past was the marine shore or shallow submarine deposition of this waste material in some parts of the world. After the occurrence of some severe environmental pollution, today the deposition in the deep sea (under constant reducing conditions is seen as a new, more secure option, due to the general thought that sulphide minerals are geochemically stable under the reduced conditions prevailing in the deep marine environment. This review highlights the mineralogical and geochemical issues (e.g., solubility of sulphides in seawater; reductive dissolution of oxide minerals under reducing conditions, which have to be considered when evaluating whether submarine tailings disposal is a suitable alternative for mine waste.

Small cell lung cancer and prophylactic cranial irradiation (PCI): perhaps the question is not who needs PCI but who wants PCI

Energy Technology Data Exchange (ETDEWEB)

Le Chevalier, T.; Arriagada, R. [Institut Gustave-Roussy, Medicine Dept., Villejuif, 94 (France)

1997-10-01

With 175 000 new cases annually, lung cancer is the most frequent malignancy in adults in the European Community. Approximately 20% of these tumours are of the small cell subtype and roughly a third, chiefly when disease is confined to the thorax, will be in complete remission after aggressive induction therapy combining multidrug chemotherapy (CT) and thoracic radiation therapy. However, the majority of these patients will relapse and ultimately only 15-20% of complete responders will be long-term survivors (i.e. alive beyond 30 months). The central nervous system (CNS) is one of the main organs invaded by small cell lung cancer (SCLC) and a frequent site of relapse. CNS metastases are found in up to 65% of patients at autopsy with the brain traditionally being considered a sanctuary for tumour cells. Although the blood-brain barrier is supposed to bar the entry to harmful substances (in particular most cytotoxic agents) and thus protect the CNS, this shield does not function systematically since dramatic responses to CT have been achieved in brain metastases from SCLC and brain metastases also arise even when clear responses are being observed at all other sites. Alternatively, the spectacular radiosensitivity of SCLC, which has been well established for decades, prompted the strategy of delivering prophylactic cranial irradiation (PCI) during induction treatment in order to prevent the development of metastases and their cohort of clinical symptoms. (author).

Small cell lung cancer and prophylactic cranial irradiation (PCI): perhaps the question is not who needs PCI but who wants PCI

International Nuclear Information System (INIS)

Le Chevalier, T.; Arriagada, R.

1997-01-01

With 175 000 new cases annually, lung cancer is the most frequent malignancy in adults in the European Community. Approximately 20% of these tumours are of the small cell subtype and roughly a third, chiefly when disease is confined to the thorax, will be in complete remission after aggressive induction therapy combining multidrug chemotherapy (CT) and thoracic radiation therapy. However, the majority of these patients will relapse and ultimately only 15-20% of complete responders will be long-term survivors (i.e. alive beyond 30 months). The central nervous system (CNS) is one of the main organs invaded by small cell lung cancer (SCLC) and a frequent site of relapse. CNS metastases are found in up to 65% of patients at autopsy with the brain traditionally being considered a sanctuary for tumour cells. Although the blood-brain barrier is supposed to bar the entry to harmful substances (in particular most cytotoxic agents) and thus protect the CNS, this shield does not function systematically since dramatic responses to CT have been achieved in brain metastases from SCLC and brain metastases also arise even when clear responses are being observed at all other sites. Alternatively, the spectacular radiosensitivity of SCLC, which has been well established for decades, prompted the strategy of delivering prophylactic cranial irradiation (PCI) during induction treatment in order to prevent the development of metastases and their cohort of clinical symptoms. (author)

Assessment of the environmental consequences of demolishing two Russian nuclear submarines

International Nuclear Information System (INIS)

2004-01-01

Norway has financed the demolition of two Russian Viktor II nuclear submarines through the Government's plan of action for nuclear issues. The British company Enviros Consulting has made an independent assessment of the environmental consequences of the project, which has been evaluated by the Foreign Department in cooperation with The Norwegian Radiation Protection Authority (NRPA). The consequence assessment has examined the health, environment and safety aspects of the entire demolition process, from towing the submarine to delivering the rubbish at the destination site. From Russian documentation and by visiting the shipyards it has been concluded that the demolition has been carried out in agreement with Russian law and in accordance with international instructions

Boulder emplacement and remobilisation by cyclone and submarine landslide tsunami waves near Suva City, Fiji

Science.gov (United States)

Lau, A. Y. Annie; Terry, James P.; Ziegler, Alan; Pratap, Arti; Harris, Daniel

2018-02-01

The characteristics of a reef-top boulder field created by a local submarine landslide tsunami are presented for the first time. Our examination of large reef-derived boulders deposited by the 1953 tsunami near Suva City, Fiji, revealed that shorter-than-normal-period tsunami waves generated by submarine landslides can create a boulder field resembling a storm boulder field due to relatively short boulder transport distances. The boulder-inferred 1953 tsunami flow velocity is estimated at over 9 m s- 1 at the reef edge. Subsequent events, for example Cyclone Kina (1993), appear to have remobilised some large boulders. While prior research has demonstrated headward retreat of Suva Canyon in response to the repeated occurrence of earthquakes over the past few millennia, our results highlight the lingering vulnerability of the Fijian coastlines to high-energy waves generated both in the presence (tsunami) and absence (storm) of submarine failures and/or earthquakes. To explain the age discrepancies of U-Th dated coral comprising the deposited boulders, we introduce a conceptual model showing the role of repeated episodes of tsunamigenic submarine landslides in removing reef front sections through collapse. Subsequent high-energy wave events transport boulders from exposed older sections of the reef front onto the reef where they are deposited as 'new' boulders, alongside freshly detached sections of the living reef. In similar situations where anachronistic deposits complicate the deposition signal, age-dating of the coral boulders should not be used as a proxy for determining the timing of the submarine landslides or the tsunamis that generated them.

Evaluation of the radiologic potential due to the nuclear submarine visits to the Rio de Janeiro port

International Nuclear Information System (INIS)

Pereira, Jose Francisco

2004-01-01

Brazil is signatory of international protocols related to the visit of nuclear-powered vessels, aircraft carriers and submarines to Brazilian ports. The submarines, during their stay in Brazilian ports, inform that there is no release of radioactive material to the environment. However, the possibility of occurrence of accidents with environmental releases from PWR reactors is real. Between 1993 and 2003, 13 nuclear submarines visited Brazilian ports. This work aimed to evaluate the potential impact due to the visits of nuclear-powered ships and submarines to the port of the city of Rio de Janeiro, in relation to releases of radioactive materials to the environment, considering both routine releases and accidental situations. The models selected to perform the assessments took into account the scenarios to be simulated. Simple, but conservative methodologies were used for the evaluation of routine releases. For accidental releases, the dynamics of the materials dispersion into the environment were considered. The present study was mainly focalized on the initial phase of an accident. The doses for the crew of the Brazilian navy ships, for IRD teams performing environmental monitoring, and for the population around the Guanabara Bay, close to the points of anchorage, were assessed. The results indicated that, in normal operational conditions, no significant radiological impact due to the visit of nuclear submarines to the port of the city of Rio de Janeiro is expected, even considering the occurrence of small routine radionuclide releases. The analysis of accidental releases, however, indicated that the submarines should be located at a minimum distance of 2,5 km from inhabited areas in the coast of the Guanabara Bay. The need for environmental control and training of the teams involved in the attendance of the submarines, during the period of their visit, was also considered. The need for revising the procedures for the preoperational surveys to be performed at the

A Specified Procedure for Distress Identification and Assessment for Urban Road Surfaces Based on PCI

Directory of Open Access Journals (Sweden)

Giuseppe Loprencipe

2017-04-01

Full Text Available In this paper, a simplified procedure for the assessment of pavement structural integrity and the level of service for urban road surfaces is presented. A sample of 109 Asphalt Concrete (AC urban pavements of an Italian road network was considered to validate the methodology. As part of this research, the most recurrent defects, those never encountered and those not defined with respect to the list collected in the ASTM D6433 have been determined by statistical analysis. The goal of this research is the improvement of the ASTM D6433 Distress Identification Catalogue to be adapted to urban road surfaces. The presented methodology includes the implementation of a Visual Basic for Application (VBA language-based program for the computerization of Pavement Condition Index (PCI calculation with interpolation by the parametric cubic spline of all of the density/deduct value curves of ASTM D6433 distress types. Also, two new distress definitions (for manholes and for tree roots and new density/deduct curve values were proposed to achieve a new distress identification manual for urban road pavements. To validate the presented methodology, for the 109 urban pavements considered, the PCI was calculated using the new distress catalogue and using the ASTM D6433 implemented on PAVERTM. The results of the linear regression between them and their statistical parameters are presented in this paper. The comparison of the results shows that the proposed method is suitable for the identification and assessment of observed distress in urban pavement surfaces at the PCI-based scale.

Research on Big Data Attribute Selection Method in Submarine Optical Fiber Network Fault Diagnosis Database

Directory of Open Access Journals (Sweden)

Chen Ganlang

2017-11-01

Full Text Available At present, in the fault diagnosis database of submarine optical fiber network, the attribute selection of large data is completed by detecting the attributes of the data, the accuracy of large data attribute selection cannot be guaranteed. In this paper, a large data attribute selection method based on support vector machines (SVM for fault diagnosis database of submarine optical fiber network is proposed. Mining large data in the database of optical fiber network fault diagnosis, and calculate its attribute weight, attribute classification is completed according to attribute weight, so as to complete attribute selection of large data. Experimental results prove that ,the proposed method can improve the accuracy of large data attribute selection in fault diagnosis database of submarine optical fiber network, and has high use value.

Mechanistic considerations used in the development of the probability of failure in transient increases in power (PROFIT) pellet-zircaloy cladding (thermo-mechanical-chemical) interactions (pci) fuel failure model

International Nuclear Information System (INIS)

Pankaskie, P.J.

1980-05-01

A fuel Pellet-Zircaloy Cladding (thermo-mechanical-chemical) interactions (PCI) failure model for estimating the Probability of Failure in Transient Increases in Power (PROFIT) was developed. PROFIT is based on (1) standard statistical methods applied to available PCI fuel failure data and (2) a mechanistic analysis of the environmental and strain-rate-dependent stress versus strain characteristics of Zircaloy cladding. The statistical analysis of fuel failures attributable to PCI suggested that parameters in addition to power, transient increase in power, and burnup are needed to define PCI fuel failures in terms of probability estimates with known confidence limits. The PROFIT model, therefore, introduces an environmental and strain-rate dependent Strain Energy Absorption to Failure (SEAF) concept to account for the stress versus strain anomalies attributable to interstitial-dislocation interaction effects in the Zircaloy cladding

Comparison of Five-Year Outcome of Percutaneous Coronary Intervention With Coronary Artery Bypass Grafting in Triple-Vessel Coronary Artery Disease (from the Coronary Revascularization Demonstrating Outcome Study in Kyoto PCI/CABG Registry Cohort-2).

Science.gov (United States)

Shiomi, Hiroki; Morimoto, Takeshi; Furukawa, Yutaka; Nakagawa, Yoshihisa; Tazaki, Junichi; Sakata, Ryuzo; Okabayashi, Hitoshi; Hanyu, Michiya; Shimamoto, Mitsuomi; Nishiwaki, Noboru; Komiya, Tatsuhiko; Kimura, Takeshi

2015-07-01

Studies evaluating long-term (≥5 years) outcomes of percutaneous coronary intervention (PCI) using drug-eluting stents compared with coronary artery bypass grafting (CABG) in patients with triple-vessel coronary artery disease (TVD) are still limited. We identified 2,978 patients with TVD (PCI: n = 1,824, CABG: n = 1,154) of 15,939 patients with first coronary revascularization enrolled in the Coronary Revascularization Demonstrating Outcome Study in Kyoto PCI/CABG Registry Cohort-2. The primary outcome measure in the present analysis was a composite of death, myocardial infarction (MI), and stroke. Median follow-up duration for the surviving patients was 1,973 days (interquartile range 1,700 to 2,244). The cumulative 5-year incidence of death/MI/stroke was significantly higher in the PCI group than in the CABG group (28.2% vs 24.0%, log-rank p = 0.006). After adjusting for confounders, the excess risk of PCI relative to CABG for death/MI/stroke remained significant (hazard ratio [HR] 1.38, 95% confidence interval [CI] 1.13 to 1.68, p = 0.002). The excess risks of PCI relative to CABG for all-cause death, MI, and any coronary revascularization were also significant (HR 1.38, 95% CI 1.10 to 1.74, p = 0.006; HR 2.81, 95% CI 1.69 to 4.66, p PCI and CABG groups (HR 0.88, 95% CI 0.61 to 1.26, p = 0.48). There were no interactions for the primary outcome measure between the mode of revascularization (PCI or CABG) and the subgroup factors such as age, diabetes, and Synergy Between PCI With Taxus and Cardiac Surgery score. In conclusion, CABG compared with PCI was associated with better long-term outcome in patients with TVD. Copyright © 2015 Elsevier Inc. All rights reserved.

New infrastructure at Alboran island (Western Mediterranean): a submarine and on-land Geophysical Observatory

Science.gov (United States)

Pazos, Antonio; Martín Davila, José; Buforn, Elisa; Jesús García Fernández, Maria; Bullón, Mercedes; Gárate, Jorge

2010-05-01

The Eurasian-African plate boundary crosses the called "Ibero-Maghrebian" region from San Vicente Cape (SW Portugal) to Tunisia including the South of Iberia, Alboran Sea, and northern of Morocco and Algeria. The low convergence rate at this plate boundary produces a continuous moderate seismic activity of low magnitude and shallow depth, where the occurrence of large earthquakes is separated by long time intervals. In this region, there are also intermediate and very deep earthquakes. Since more than hundred years ago San Fernando Naval Observatory (ROA), in collaboration with other Institutes, has deployed different geophysical and geodetic equipment in the Southern Spain - North-western Africa area in order to study this broad deformation. Currently a Broad Band seismic net (Western Mediterranean, WM net), a permanent geodetic GPS net and a Geomagnetic Observatory have been installed by ROA in this area. To complement the available data, since past October a permanent marine-on land geophysical observatory is being installed by ROA in Alboran Island and surrounding marine zones. Till now the following facilities has been installed: • Submarine: 2 km submarine fibre optics cable (power and data transmission); Broad Band Seismometer (CMG-3T, buried); Accelerometer (Guralp 3 channels), buried); Differential Pressure Gauge (DPG); Thermometer. • On land: Permanent geodetic GPS station; Automatic meteorological station; Data acquisition system for submarine equipment; Satellite Data Transmission system. Data are already being transmitted in real time to ROA headquarters via satellite Intranet. The marine part, currently installed in a 50 m depth platform, has been designed to be enlarged by extending the cable to greater depths and/or installing additional submarine equipment, such a way in short an ADCP profiler will be installed. In this work we aim to show the present status, scientific possibilities and the next future plans of this submarine-on land

Incidence and outcome of surgical procedures after coronary artery bypass grafting compared with those after percutaneous coronary intervention: a report from the Coronary Revascularization Demonstrating Outcome Study in Kyoto PCI/CABG Registry Cohort-2.

Science.gov (United States)

Tokushige, Akihiro; Shiomi, Hiroki; Morimoto, Takeshi; Ono, Koh; Furukawa, Yutaka; Nakagawa, Yoshihisa; Kadota, Kazushige; Ando, Kenji; Shizuta, Satoshi; Tada, Tomohisa; Tazaki, Junichi; Kato, Yoshihiro; Hayano, Mamoru; Abe, Mitsuru; Hamasaki, Shuichi; Ohishi, Mitsuru; Nakashima, Hitoshi; Mitsudo, Kazuaki; Nobuyoshi, Masakiyo; Kita, Toru; Imoto, Yutaka; Sakata, Ryuzo; Okabayashi, Hitoshi; Hanyu, Michiya; Shimamoto, Mitsuomi; Nishiwaki, Noboru; Komiya, Tatsuhiko; Kimura, Takeshi

2014-08-01

Noncardiac surgery after percutaneous coronary intervention (PCI) has been reported to be carrying high risk for both ischemic and bleeding complications. However, there has been no report comparing the incidence and outcomes of surgical procedures after coronary artery bypass grafting (CABG) with those after PCI. Among 14 383 patients undergoing first coronary revascularization (PCI, n=12 207; CABG, n=2176) enrolled in the Coronary Revascularization Demonstrating Outcome Study in Kyoto (CREDO-Kyoto) PCI/CABG Registry Cohort-2, surgical procedures were performed more frequently after CABG (n=560) than after PCI (n=2398; cumulative 3-year incidence: 27% versus 22%; unadjusted PPCI groups (cumulative incidence: 3.1% versus 3.2%; unadjusted P=0.9; adjusted hazard ratio, 0.97; 95% confidence interval, 0.47-1.89; P=0.9). The risk for the primary bleeding outcome measure (moderate or severe bleeding by Global Utilization of Streptokinase and Tissue Plasminogen Activator for Occluded Coronary Arteries classification) was lower in the CABG groups than in the PCI group (cumulative incidence: 1.3% versus 2.6%; unadjusted P=0.07; adjusted hazard ratio, 0.36; 95% confidence interval, 0.12-0.87; P=0.02). There were no interactions between the timing of surgery and the types of coronary revascularization (CABG/PCI) for both ischemic and bleeding outcomes. Surgical procedures were performed significantly more frequently after CABG than after PCI, particularly PCI were associated with similar risk for ischemic events and lower risk for bleeding events, regardless of the timing after coronary revascularization. © 2014 American Heart Association, Inc.

Mechanisms for the reactions of group 10 transition metal complexes with metal-group 14 element bonds, Bbt(Br)E═M(PCy3)2 (E = C, Si, Ge, Sn, Pb; M = Pd and Pt).

Science.gov (United States)

Liao, Wei-Hung; Ho, Pei-Yun; Su, Ming-Der

2013-02-04

The electronic structures of the Bbt(Br)E═M(PCy(3))(2) (E = C, Si, Ge, Sn, Pb and M = Pt, Pd) complexes and their potential energy surfaces for the formation and water addition reactions were studied using density functional theory (B3LYP/LANL2DZ). The theoretical evidence suggests that the bonding character of the E═M double bond between the six valence-electron Bbt(Br)E: species and the 14 valence-electron (PCy(3))(2)M complexes has a predominantly high s-character. That is, on the basis of the NBO, this theoretical study indicates that the σ-donation from the E element to the M atom prevails. Also, theoretical computations suggest that the relative reactivity decreases in the order: Bbt(Br)C═M(PCy(3))(2) > Bbt(Br)Si═M(PCy(3))(2) > Bbt(Br)Ge═M(PCy(3))(2) > Bbt(Br)Sn═M(PCy(3))(2) > Bbt(Br)Pb═M(PCy(3))(2), irrespective of whether M = Pt or M = Pd is chosen. Namely, the greater the atomic weight of the group 14 atom (E), the larger is the atomic radius of E and the more stable is its Bbt(Br)E═M(PCy(3))(2) doubly bonded species toward chemical reactions. The computational results show good agreement with the available experimental observations. The theoretical results obtained in this work allow a number of predictions to be made.

Submarine Upward Looking Sonar Ice Draft Profile Data and Statistics

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — This data set consists of upward looking sonar draft data collected by submarines in the Arctic Ocean. It includes data from both U.S. Navy and Royal Navy...

Development and validation of a modified Hybrid-III six-year-old dummy model for simulating submarining in motor-vehicle crashes.

Science.gov (United States)

Hu, Jingwen; Klinich, Kathleen D; Reed, Matthew P; Kokkolaras, Michael; Rupp, Jonathan D

2012-06-01

In motor-vehicle crashes, young school-aged children restrained by vehicle seat belt systems often suffer from abdominal injuries due to submarining. However, the current anthropomorphic test device, so-called "crash dummy", is not adequate for proper simulation of submarining. In this study, a modified Hybrid-III six-year-old dummy model capable of simulating and predicting submarining was developed using MADYMO (TNO Automotive Safety Solutions). The model incorporated improved pelvis and abdomen geometry and properties previously tested in a modified physical dummy. The model was calibrated and validated against four sled tests under two test conditions with and without submarining using a multi-objective optimization method. A sensitivity analysis using this validated child dummy model showed that dummy knee excursion, torso rotation angle, and the difference between head and knee excursions were good predictors for submarining status. It was also shown that restraint system design variables, such as lap belt angle, D-ring height, and seat coefficient of friction (COF), may have opposite effects on head and abdomen injury risks; therefore child dummies and dummy models capable of simulating submarining are crucial for future restraint system design optimization for young school-aged children. Copyright © 2011 IPEM. Published by Elsevier Ltd. All rights reserved.

Poor adherence to P2Y12 antagonists increased cardiovascular risks in Chinese PCI-treated patients.

Science.gov (United States)

Sun, Yang; Li, Chenze; Zhang, Lina; Hu, Dong; Zhang, Xudong; Yu, Ting; Tao, Min; Wang, Dao Wen; Shen, Xiaoqing

2017-03-01

Low adherence to secondary prevention medications (ATM) of patients after acute coronary syndrome (ACS) is associated with poor clinical outcomes. However, literature provides limited data on assessment of ATM and risks associated with poor in Chinese patients with ACS. In the current work, ATM was assessed in consecutively recruited patients with ACS in Tongji Hospital from November 5, 2013 to December 31, 2014. A total of 2126 patients were classified under low adherence (proportion of days covered (PDC) C50%) groups based on their performance after discharge. All patients were followed up at the 1st, 6th, and 12th month of discharge while recording ATM and major adverse cardiac events (MACE). Bivariate logistic regression was used to identify the factors associated with ATM. Cox regression was used to analyze the association between ATM and MACE within one year after discharge. Results showed that coronary artery bypass grafting (CABG) alone had significantly lower proportion of high adherence to P2Y12 antagonists (83.0% vs. 90.7%, P < 0.01) than patients treated with percutaneous coronary intervention (PCI) only. Moreover, in patients undergoing PCI, high adherence to P2Y12 antagonists decreased the risk of MACE (hazard ratio = 0.172, 95% confidence interval: 0.039-0.763; P = 0.021). In conclusion, PCI-treated patients are more prone to remaining adherent to medications than CABG-treated patients. High adherence to P2Y12 antagonists was associated with lower risk of MACE.

Photophysical and photobiological properties of a sulfonated chlorin photosensitiser TPCS(2a) for photochemical internalisation (PCI).

Science.gov (United States)

Wang, Julie T-W; Berg, Kristian; Høgset, Anders; Bown, Stephen G; MacRobert, Alexander J

2013-03-01

This study investigated the photophysical and photobiological properties of a new amphiphilic chlorin photosensitiser, disulfonated tetraphenylchlorin (TPCS(2a)), for photochemical internalisation (PCI). The absorption and fluorescence spectra of TPCS(2a) were examined in a range of solvents together with fluorescence lifetime measurements. The fluorescence lifetime of TPCS(2a) was found to be 8.5 ns in methanol, whereas non-exponential decays were observed in distilled water due to sensitiser dimerisation. The singlet oxygen quantum yield of TPCS(2a) was determined as 0.62 in deuterated methanol by direct observation of singlet oxygen phosphorescence. In a human oral squamous carcinoma (HN5) cell line, intracellular co-localisation of TPCS(2a) and Alexa488-labelled saporin, a macromolecular toxin, was observed corresponding predominantly to a lysosomal distribution. Intracellular fluorescence redistribution of TPCS(2a) and Alexa488-saporin was observed after 405 nm irradiation. Using two-photon confocal microscopy at 840 nm, and fluorescence lifetime imaging (FLIM), the lifetime was measured as 6 ns in HN5 cells. PCI using TPCS(2a) was shown to be very effective, and a synergistic increase in saporin toxicity was achieved in HN5 cells where viability was significantly reduced after light exposure compared to saporin (25 nM) treatment alone. The results demonstrate the favourable photophysical and photobiological properties of TPCS(2a) for PCI, which induces the relocalisation of a macromolecular anti-cancer toxin inside cells and significantly enhances cell death.

Protocol for an economic evaluation of the randomised controlled trial of culprit lesion only PCI versus immediate multivessel PCI in acute myocardial infarction complicated by cardiogenic shock: CULPRIT-SHOCK trial.

Science.gov (United States)

Quayyum, Zahidul; Briggs, Andrew; Robles-Zurita, Jose; Oldroyd, Keith; Zeymer, Uwe; Desch, Steffen; Waha, Suzanne de; Thiele, Holger

2017-08-18

Emergency percutaneous coronary intervention (PCI) of the culprit lesion for patients with acute myocardial infarctions is an accepted practice. A majority of patients present with multivessel disease with additional relevant stenoses apart from the culprit lesion. In haemodynamically stable patients, there is increasing evidence from randomised trials to support the practice of immediate complete revascularisation. However, in the presence of cardiogenic shock, the optimal management strategy for additional non-culprit lesions is unknown. A multicentre randomised controlled trial, CULPRIT-SHOCK, is examining whether culprit vessel only PCI with potentially subsequent staged revascularisation is more effective than immediate multivessel PCI. This paper describes the intended economic evaluation of the trial. The economic evaluation will be conducted using a pre-trial decision model and within-trial analysis. The modelling-based analysis will provide expected costs and health outcomes, and incremental cost-effectiveness ratio over the lifetime for the cohort of patients included in the trial. The within-trial analysis will provide estimates of cost per life saved at 30 days and in 1 year, and estimates of health-related quality of life. Bootstrapping and cost-effectiveness acceptability curves will be used to address any uncertainty around these estimates. Different types of regression models within a generalised estimating equation framework will be used to examine how the total cost and quality-adjusted life years are explained by patients' characteristics, revascularisation strategy, country and centre. The cost-effectiveness analysis will be from the perspective of each country's national health services, where costs will be expressed in euros adjusted for purchasing power parity. Ethical approval for the study was granted by the local Ethics Committee at each recruiting centre. The economic evaluation analyses will be published in peer-reviewed journals of

The designing principle and implementation of multi-channel intelligence isotope thickness gauge based on multifunction card PCI-1710

International Nuclear Information System (INIS)

Zhang Bin; Zhao Shujun; Guo Maotian; He Jintian

2006-01-01

The designing principle, the constitution of system and the implementation of multi-channel intelligence isotope thickness gauge are introduced in the paper in detail, which are based on multifunction card PCI-1710. The paper also discusses the primaryprinciple of isotope thickness gauge, correct factor in measurement and complication of calibration. In the following, the whole frame of multi-channel intelligence isotope thickness gauge is given. The functions, the characteristics and the usage of multifunction card PCI-1710 are described. Furthermore, the developing process and the function modules of software are presented. Finally, the real prototype of multi-channel intelligence isotope thickness gauge is introduced, using 241 Am as a radioactive element. (authors)

Long-term clinical outcome in STEMI patients treated with primary PCI and drug-eluting or bare-metal stents: insights from a high-volume single-center registry

DEFF Research Database (Denmark)

Pedersen, Sune; Galatius, Soren; Mogelvang, Rasmus

2011-01-01

Use of drug-eluting stents (DES) in patients with ST-elevation myocardial infarction (STEMI) during routine primary percutaneous coronary intervention (pPCI) is controversial.......Use of drug-eluting stents (DES) in patients with ST-elevation myocardial infarction (STEMI) during routine primary percutaneous coronary intervention (pPCI) is controversial....

The Efficacy of PCI's Reading Program--Level One: A Report of a Randomized Experiment in Brevard Public Schools and Miami-Dade County Public Schools. Research Summary

Science.gov (United States)

Empirical Education Inc., 2008

2008-01-01

PCI Education sought scientifically based evidence on the effectiveness of the "PCI Reading Program--Level One" for students with severe disabilities. During the 2007-2008 academic year. Empirical Education conducted a randomized control trial (RCT) in two Florida districts, Brevard and Miami-Dade County Public Schools. For this…

The Efficacy of PCI's "Reading Program--Level One": A Report of a Randomized Experiment in Brevard Public Schools and Miami-Dade County Public Schools. Research Report

Science.gov (United States)

Toby, Megan; Ma, Boya; Jaciw, Andrew; Cabalo, Jessica

2008-01-01

PCI Education sought scientifically based evidence on the effectiveness of the "PCI Reading Program--Level One" for students with severe disabilities. During the 2007-2008 academic year. Empirical Education conducted a randomized control trial (RCT) in two Florida districts, Brevard and Miami-Dade County Public Schools. For this…

Antiplatelet drug selection in PCI to vein grafts in patients with acute coronary syndrome and adverse clinical outcomes: Insights from the British Cardiovascular Intervention Society database.

Science.gov (United States)

Sirker, Alex; Kwok, Chun Shing; Kontopantelis, Evangelos; Johnson, Tom; Freeman, Philip; de Belder, Mark A; Ludman, Peter; Zaman, Azfar; Mamas, Mamas A

2018-01-22

This study aims to evaluate outcomes associated with different P2Y12 agents in Saphenous Vein graft (SVG) percutaneous coronary intervention (PCI). SVG PCI is associated with greater risks of ischemic complications, compared with native coronary PCI. Outcomes associated with the use of potent P2Y12 blocking drugs, Prasugrel and Ticagrelor, in SVG PCI are unknown. Patients included in the study underwent SVG PCI in the United Kingdom between 2007 and 2014 for acute coronary syndrome and were grouped by P2Y12 antiplatelet use. In-hospital major adverse cardiac events, major bleeding and 30-day and 1-year mortality were examined. Multiple imputations with chained equations to impute missing data were used. Adjustment for baseline imbalances was performed using (1) multiple logistic regression (MLR) and (separately) (2) propensity score matching (PSM). Data weres analyzed from 8,119 patients and most cases were treated with Clopidogrel (n = 7,401), followed by Ticagrelor (n = 497) and Prasugrel (n = 221). In both MLR and PSM models, there was no significant evidence to suggest that either Prasugrel or Ticagrelor was associated with significantly lower 30-day mortality compared with Clopidogrel. The odds ratios reported from the multivariable analysis were 1.22 (95% CI: 0.60-2.51) for Prasugrel vs. Clopidogrel and 0.48 (95% CI: 0.20-1.16) for Ticagrelor vs. Clopidogrel. No significant differences were seen for in-hospital ischemic or bleeding events. Our real world national study provides no clear evidence to indicate that use of potent P2Y12 blockers in SVG PCI is associated with improved clinical outcomes. © 2018 Wiley Periodicals, Inc.

An IKBS approach to surveillance for naval nuclear submarine propulsion

International Nuclear Information System (INIS)

Cadas, C.N.; Bowskill, J.; Mayfield, T.; Clarke, J.C.

1993-01-01

This paper describes work being carried out to develop an IKBS for use in surveillance of naval nuclear submarine propulsion plant. In recent years, modern process plants have increased automation and installed surveillance equipment while reducing the level of manpower operating and monitoring the plant. As a result, some of the local watchkeeping tasks have been transferred to control room operators, and the data reduction and warning filtering expertise inherent in local plant operators has been lost, while an additional workload has been placed upon operators. The surveillance systems installed to date have therefore been less usable than anticipated. The solution being achieved for submarine power plant is to introduce IKBS into surveillance to replace lost expertise, i.e. to return to a situation in which operators receive small amounts of high quality information rather than large amounts of low quality information

Information Needs in Relation to Physical Activity among Angina Patients before Percutaneous Coronary Intervention (PCI at a Private Hospital in Penang, Malaysia

Directory of Open Access Journals (Sweden)

Ho Siew Eng

2016-10-01

Full Text Available Background: Episodes experienced by angina patients are potentially frightening and life threatening. Angina patients lack awareness regarding Percutaneous Coronary Intervention (PCI as a prognostic benefit. Aim and Objectives: To identify the information needs in relation to physical activity among angina patients before PCI at a private hospital in Penang, Malaysia. Material and Methods: A cross-sectional study was conducted from April to July 2016; 150 respondents who fulfilled the inclusion criteria were recruited. A 16-item questionnaire related to physical limitations was adapted and modified from Seattle Angina Questionnaire (SAQ. Results: The findings reported that majority of respondents (103; 69% possessed more than one co-morbidity, while 47respondents (31% single co-morbidity. Those with secondary level education showed (M=15.98, SD±6.14 while tertiary level education reported (M=16.61, SD±6.11, with no significant difference (t= -0.623, p= 0.534 between respondents' education level and physical activity. In terms of occupation, employed (M=15.58, SD±6.42 and unemployed (M=17.31, SD±5.52 also reported significant difference with (t= -1.70, p= 0.04. There was likewise a significant difference between respondents with single co-morbidity (M=18.09, SD±6.88 and multiple co-morbidity (M=15.46, SD± 5.58 with (t= 2.475, p= 0.01.However, there was no significant difference between respondents with previous admission and physical activity (t= 0.868, p= 0.387, as well as respondents' age group with physical activity (t=-0.675, p= 0.501.Conclusion: In conclusion, respondents' information needs regarding PCI are significantly associated with occupation and co-morbidity towards physical activity before PCI. Age, educational level and previous admission did not have any effect on respondents' physical activity before PCI.

The down canyon evolution of submarine sediment density flows

Science.gov (United States)

Parsons, D. R.; Barry, J.; Clare, M. A.; Cartigny, M.; Chaffey, M. R.; Gales, J. A.; Gwiazda, R.; Maier, K. L.; McGann, M.; Paull, C. K.; O'Reilly, T. C.; Rosenberger, K. J.; Simmons, S.; Sumner, E. J.; Talling, P.; Xu, J.

2017-12-01

Submarine density flows, known as turbidity currents, transfer globally significant volumes of terrestrial and shelf sediments, organic carbon, nutrients and fresher-water into the deep ocean. Understanding such flows has wide implications for global organic carbon cycling, the functioning of deep-sea ecosystems, seabed infrastructure hazard assessments, and interpreting geological archives of Earth history. Only river systems transport comparable volumes of sediment over such large areas of the globe. Despite their clear importance, there are remarkably few direct measurements of these oceanic turbidity currents in action. Here we present results from the multi-institution Coordinated Canyon Experiment (CCE) which deployed multiple moorings along the axis of Monterey Canyon (offshore California). An array of six moorings, with downward looking acoustic Doppler current profilers (ADCP) were positioned along the canyon axis from 290 m to 1850 m water depth. The ADCPs reveal the internal flow structure of submarine density flows at each site. We use a novel inversion method to reconstruct the suspended sediment concentration and flow stratification field during each event. Together the six moorings provide the first ever views of the internal structural evolution of turbidity current events as they evolve down system. Across the total 18-month period of deployment at least 15 submarine sediment density flows were measured with velocities up to 8.1 m/sec, with three of these flows extending 50 kms down the canyon beyond the 1850 m water depth mooring. We use these novel data to highlight the controls on ignition, interval structure and collapse of individual events and discuss the implications for the functioning and deposits produced by these enigmatic flows.

Evidence from acoustic imaging for submarine volcanic activity in 2012 off the west coast of El Hierro (Canary Islands, Spain)

Science.gov (United States)

Pérez, Nemesio M.; Somoza, Luis; Hernández, Pedro A.; de Vallejo, Luis González; León, Ricardo; Sagiya, Takeshi; Biain, Ander; González, Francisco J.; Medialdea, Teresa; Barrancos, José; Ibáñez, Jesús; Sumino, Hirochika; Nogami, Kenji; Romero, Carmen

2014-12-01

We report precursory geophysical, geodetic, and geochemical signatures of a new submarine volcanic activity observed off the western coast of El Hierro, Canary Islands. Submarine manifestation of this activity has been revealed through acoustic imaging of submarine plumes detected on the 20-kHz chirp parasound subbottom profiler (TOPAS PS18) mounted aboard the Spanish RV Hespérides on June 28, 2012. Five distinct "filament-shaped" acoustic plumes emanating from the flanks of mounds have been recognized at water depth between 64 and 88 m on a submarine platform located NW El Hierro. These plumes were well imaged on TOPAS profiles as "flares" of high acoustic contrast of impedance within the water column. Moreover, visible plumes composed of white rafts floating on the sea surface and sourcing from the location of the submarine plumes were reported by aerial photographs on July 3, 2012, 5 days after acoustic plumes were recorded. In addition, several geophysical and geochemical data support the fact that these submarine vents were preceded by several precursory signatures: (i) a sharp increase of the seismic energy release and the number of daily earthquakes of magnitude ≥2.5 on June 25, 2012, (ii) significant vertical and horizontal displacements observed at the Canary Islands GPS network (Nagoya University-ITER-GRAFCAN) with uplifts up to 3 cm from June 25 to 26, 2012, (iii) an anomalous increase of the soil gas radon activity, from the end of April until the beginning of June reaching peak values of 2.7 kBq/m3 on June 3, 2012, and (iv) observed positive peak in the air-corrected value of 3He/4He ratio monitored in ground waters (8.5 atmospheric 3He/4He ratio ( R A)) at the northwestern El Hierro on June 16, 2012. Combining these submarine and subaerial information, we suggest these plumes are the consequence of submarine vents exhaling volcanic gas mixed with fine ash as consequence of an event of rapid rise of volatile-rich magma beneath the NW submarine ridge

A New Image Processing Procedure Integrating PCI-RPC and ArcGIS-Spline Tools to Improve the Orthorectification Accuracy of High-Resolution Satellite Imagery

Directory of Open Access Journals (Sweden)

Hongying Zhang

2016-10-01

Full Text Available Given the low accuracy of the traditional remote sensing image processing software when orthorectifying satellite images that cover mountainous areas, and in order to make a full use of mutually compatible and complementary characteristics of the remote sensing image processing software PCI-RPC (Rational Polynomial Coefficients and ArcGIS-Spline, this study puts forward a new operational and effective image processing procedure to improve the accuracy of image orthorectification. The new procedure first processes raw image data into an orthorectified image using PCI with RPC model (PCI-RPC, and then the orthorectified image is further processed using ArcGIS with the Spline tool (ArcGIS-Spline. We used the high-resolution CBERS-02C satellite images (HR1 and HR2 scenes with a pixel size of 2 m acquired from Yangyuan County in Hebei Province of China to test the procedure. In this study, when separately using PCI-RPC and ArcGIS-Spline tools directly to process the HR1/HR2 raw images, the orthorectification accuracies (root mean square errors, RMSEs for HR1/HR2 images were 2.94 m/2.81 m and 4.65 m/4.41 m, respectively. However, when using our newly proposed procedure, the corresponding RMSEs could be reduced to 1.10 m/1.07 m. The experimental results demonstrated that the new image processing procedure which integrates PCI-RPC and ArcGIS-Spline tools could significantly improve image orthorectification accuracy. Therefore, in terms of practice, the new procedure has the potential to use existing software products to easily improve image orthorectification accuracy.

The impact of place of enrollment and delay to reperfusion on 90-day post-infarction mortality in the ASSENT-4 PCI trial: assessment of the safety and efficacy of a new treatment strategy with percutaneous coronary intervention.

Science.gov (United States)

Ross, Allan M; Huber, Kurt; Zeymer, Uwe; Armstrong, Paul W; Granger, Christopher B; Goldstein, Patrick; Bogaerts, Kris; Van de Werf, Frans

2009-10-01

We have performed a retrospective analysis of the data stratified by time to treatment and by enrollment site: percutaneous coronary intervention hospitals (PCIH), nonpercutaneous coronary intervention hospitals (NoPCIH), or in a pre-hospital setting (PreH). The ASSENT-4 PCI (Assessment of the Safety and Efficacy of a New Treatment Strategy with Percutaneous Coronary Intervention) trial intended to test the hypothesis that in ST-segment elevation myocardial infarction (STEMI) patients an upfront fibrinolytic bolus before PCI ("facilitated PCI") compared with primary PCI would benefit STEMI patients facing a long pre-PCI delay. Seven hundred forty-nine patients (45%) presented directly to PCIH, 578 (34%) presented to NoPCIH, and 334 (20%) were randomized and initially treated in the PreH setting. Patients in the PreH-facilitated group had the shortest delays (pain-to-fibrinolytic treatment 125 min) and the lowest 90-day mortality (3.1%). Among patients randomized to primary PCI, the shortest time from pain to first balloon was similarly in the PreH group (223 min). They had the lowest mortality of the primary PCI patient groups (4.1%). The highest mortality (8.4%) was in patients presenting to a PCIH and assigned to the facilitated strategy. Their pain-to-lysis time was 174 min and pain-to-PCI time 266 min (or 92 min after lysis). Few patients fit the target population, long delays to PCI for whom facilitated PCI was designed. Patients treated early after pain onset in the PreH setting do well after a facilitated approach. Despite limitations of post hoc subgroup analysis, these observations suggest caution in extrapolating the results of the ASSENT-4 trial to the "real world" where many patients might have potentially short pain-to-fibrinolysis time but are facing a long transport time to primary PCI.

Radiation exposure and contrast agent use related to radial versus femoral arterial access during percutaneous coronary intervention (PCI)-Results of the FERARI study.

Science.gov (United States)

Becher, Tobias; Behnes, Michael; Ünsal, Melike; Baumann, Stefan; El-Battrawy, Ibrahim; Fastner, Christian; Kuschyk, Jürgen; Papavassiliu, Theano; Hoffmann, Ursula; Mashayekhi, Kambis; Borggrefe, Martin; Akin, Ibrahim

2016-12-01

Data regarding radiation exposure related to radial versus femoral arterial access in patients undergoing percutaneous coronary intervention (PCI) remain controversial. This study aims to evaluate patients enrolled in the FERARI study regarding radiation exposure, fluoroscopy time and contrast agent use. The Femoral Closure versus Radial Compression Devices Related to Percutaneous Coronary Interventions (FERARI) study evaluated prospectively 400 patients between February 2014 and May 2015 undergoing PCI either using the radial or femoral access. In these 400 patients, baseline characteristics, procedural data such as procedural duration, fluoroscopy time, dose-area product (DAP) as well as the amount of contrast agent used were documented and analyzed. Median fluoroscopy time was not significantly different in patients undergoing radial versus femoral access (12.2 vs. 9.8min, p=0.507). Furthermore, median DAP (54.5 vs. 52.0 Gycm2, p=0.826), procedural duration (46.0 vs. 45.0min, p=0.363) and contrast agent use (185.5 vs. 199.5ml, p=0.742) were also similar in radial and femoral PCI. There was no difference regarding median fluoroscopy time, procedural duration, radiation dose or contrast agent use between radial versus femoral arterial access in PCI. Copyright © 2016 Elsevier Inc. All rights reserved.

Active normal faults and submarine landslides in the Keelung Shelf off NE Taiwan

Directory of Open Access Journals (Sweden)

Ching-Hui Tsai

2018-01-01

Full Text Available The westernmost Okinawa Trough back-arc basin is located to the north of the Ryukyu islands and is situated above the northward dipping Ryukyu subducted slab. In the northern continental margin of the Okinawa Trough, the continental slope between the Keelung Valley and the Mein-Hua Submarine Canyon shows a steep angle and future slope failures are expected. The question is how slope failures will proceed? A sudden deep-seated slump or landslide would probably cause local tsunami and hit northern coast of Taiwan. To understand the probable submarine landslides, we conducted multi-channel seismic reflection, sub-bottom profilers, and multi-beam bathymetry surveys off NE Taiwan. Two general trends of shallow crustal faults are observed. The NE-SW trending faults generally follow the main structural trend of the Taiwan mountain belt. These faults are products of inversion tectonics of reverse faults from the former collisional thrust faults to post-collisional normal faults. Another trend of roughly E-W faults is consistent with the current N-S extension of the southern Okinawa Trough. The fault offsets in the eastern portion of the study area are more pronounced. No obvious basal surface of sliding is found beneath the continental margin. We conclude that the movement of the submarine landslides in the Keelung Shelf off northeastern Taiwan could be in a spread type. The submarine landslides mainly occur in the continental slope area and it is more obvious in the east than in the west of the Keelung Shelf.

The NERA-PR instrument control software: experience of using the VME-PCI adapter

International Nuclear Information System (INIS)

Kirilov, A.S.; Astakhova, N.V.; Murashkevich, S.M.; Petukhova, T.B.; Yudin, V.E.

2003-01-01

The intermediate results for modernization of the control system for the NERA-PR instrument on the base of a VME-PCI adapter are considered. The article is mostly devoted to the software of the new system. The structure, the new user interface and the method for remote control are described. A half-year testing showed that the new system is reliable and is attractive for users. (author)

Radiation exposure and contrast agent use related to radial versus femoral arterial access during percutaneous coronary intervention (PCI)—Results of the FERARI study

Energy Technology Data Exchange (ETDEWEB)

Becher, Tobias, E-mail: Tobias.Becher@umm.de [First Department of Medicine, University Medical Centre Mannheim, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim (Germany); DZHK (German Centre for Cardiovascular Research), partner site Heidelberg/Mannheim, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim (Germany); Behnes, Michael; Ünsal, Melike; Baumann, Stefan; El-Battrawy, Ibrahim; Fastner, Christian; Kuschyk, Jürgen; Papavassiliu, Theano; Hoffmann, Ursula [First Department of Medicine, University Medical Centre Mannheim, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim (Germany); DZHK (German Centre for Cardiovascular Research), partner site Heidelberg/Mannheim, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim (Germany); Mashayekhi, Kambis [Division of Cardiology and Angiology II, University Heart Center Freiburg Bad Krozingen, Bad Krozingen (Germany); Borggrefe, Martin; Akin, Ibrahim [First Department of Medicine, University Medical Centre Mannheim, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim (Germany); DZHK (German Centre for Cardiovascular Research), partner site Heidelberg/Mannheim, Theodor-Kutzer-Ufer 1-3, 68167 Mannheim (Germany)

2016-12-15

Summary: Background: Data regarding radiation exposure related to radial versus femoral arterial access in patients undergoing percutaneous coronary intervention (PCI) remain controversial. This study aims to evaluate patients enrolled in the FERARI study regarding radiation exposure, fluoroscopy time and contrast agent use. Methods: The Femoral Closure versus Radial Compression Devices Related to Percutaneous Coronary Interventions (FERARI) study evaluated prospectively 400 patients between February 2014 and May 2015 undergoing PCI either using the radial or femoral access. In these 400 patients, baseline characteristics, procedural data such as procedural duration, fluoroscopy time, dose–area product (DAP) as well as the amount of contrast agent used were documented and analyzed. Results: Median fluoroscopy time was not significantly different in patients undergoing radial versus femoral access (12.2 vs. 9.8 min, p = 0.507). Furthermore, median DAP (54.5 vs. 52.0 Gycm2, p = 0.826), procedural duration (46.0 vs. 45.0 min, p = 0.363) and contrast agent use (185.5 vs. 199.5 ml, p = 0.742) were also similar in radial and femoral PCI. Conclusion: There was no difference regarding median fluoroscopy time, procedural duration, radiation dose or contrast agent use between radial versus femoral arterial access in PCI. - Highlights: • Data comparing radiation exposure in radial versus femoral PCI remain controversial. • 400 enrolled in the FERARI study were prospectively evaluated. • There was no difference regarding radiation exposure in radial versus femoral access. • Furthermore, there was no significant difference regarding contrast agent use.

Radiation exposure and contrast agent use related to radial versus femoral arterial access during percutaneous coronary intervention (PCI)—Results of the FERARI study

International Nuclear Information System (INIS)

Becher, Tobias; Behnes, Michael; Ünsal, Melike; Baumann, Stefan; El-Battrawy, Ibrahim; Fastner, Christian; Kuschyk, Jürgen; Papavassiliu, Theano; Hoffmann, Ursula; Mashayekhi, Kambis; Borggrefe, Martin; Akin, Ibrahim

2016-01-01

Summary: Background: Data regarding radiation exposure related to radial versus femoral arterial access in patients undergoing percutaneous coronary intervention (PCI) remain controversial. This study aims to evaluate patients enrolled in the FERARI study regarding radiation exposure, fluoroscopy time and contrast agent use. Methods: The Femoral Closure versus Radial Compression Devices Related to Percutaneous Coronary Interventions (FERARI) study evaluated prospectively 400 patients between February 2014 and May 2015 undergoing PCI either using the radial or femoral access. In these 400 patients, baseline characteristics, procedural data such as procedural duration, fluoroscopy time, dose–area product (DAP) as well as the amount of contrast agent used were documented and analyzed. Results: Median fluoroscopy time was not significantly different in patients undergoing radial versus femoral access (12.2 vs. 9.8 min, p = 0.507). Furthermore, median DAP (54.5 vs. 52.0 Gycm2, p = 0.826), procedural duration (46.0 vs. 45.0 min, p = 0.363) and contrast agent use (185.5 vs. 199.5 ml, p = 0.742) were also similar in radial and femoral PCI. Conclusion: There was no difference regarding median fluoroscopy time, procedural duration, radiation dose or contrast agent use between radial versus femoral arterial access in PCI. - Highlights: • Data comparing radiation exposure in radial versus femoral PCI remain controversial. • 400 enrolled in the FERARI study were prospectively evaluated. • There was no difference regarding radiation exposure in radial versus femoral access. • Furthermore, there was no significant difference regarding contrast agent use

Meta-Analysis of Data from the Submarine Ventilation Doctrine Test Program

National Research Council Canada - National Science Library

Hoover, J

1998-01-01

... in critical spaces or provide safe ingresslegress routes. This program sponsored six test series between January 1995 and August 1996 and made specific recommendations for the use of ventilation during submarine firefighting...

“Hello, HELLO! Anyone there? - on the need to assess the tsunami risk to global submarine telecommunications infrastructure

Science.gov (United States)

Dominey-Howes, D.; Goff, J. R.

2009-12-01

National economies are increasingly dependent on the global telecommunications system - and in particular, its submarine cable infrastructure. Submarine cable traffic represents about 30% of global GDP so the cost of losing, or even simply slowing, communications traffic is high. Many natural hazards are capable of damaging and destroying this infrastructure but tsunamis are the most significant threat, particularly in waters >1000 m deep. Submarine cables and their shore-based infrastructure (the anchor points), are at risk from direct and indirect tsunami-related effects. During the 2004 Indian Ocean Tsunami in India and Indonesia, cables were broken (direct effect) as the tsunami eroded supporting sediments, and were further damaged by floating/submerged objects and intense nearshore currents. Shore-based infrastructure was also directly damaged in India, Indonesia, and the Maldives. The 1929 Grand Banks earthquake generated a submarine landslide and tsunami off Newfoundland which broke 12 submarine telegraph cables. In 2006, an earthquake in Taiwan generated submarine landslides and a tsunami. These landslides caused one of the largest disruptions of modern telecommunications history when nine cables in the Strait of Luzon were broken disabling vital connections between SE Asia and the rest of the world. Although electronic traffic in and out of Australia was slowed, it did not cease because >70% of our traffic is routed via cables that pass through Hawaii. This is extremely significant because Hawaii is an internationally recognised bottleneck or “choke point” in the global telecommunications network. The fact that Hawaii is a choke point is important because it is regularly affected by numerous large magnitude natural hazards. Any damage to the submarine telecommunications infrastructure routed through Hawaii could result in significant impacts on the electronic flow of data and voice traffic, negatively affecting dependent economies such as Australia

Submarine landslide: A case study from the southwestern of Taiwan offshore

Science.gov (United States)

Hung, Y. H.; Dong, J. J.

2016-12-01

Based on the new multibeam bathymetric data and seismic reflection profiles of the southwestern Taiwan, more and more submarine landslides developed there have been being discovered nowadays. Palm Ridge, located between the boundary of the active and passive margins, is the place where a deformation front passes through. And previous studies suspected that there were old submarine landslides developed here. To learn whether there are old submarine landslides here, a further study is conducted with the collection and analysis of new high-resolution swath-bathymetry and seismic data. Firstly, based on the swath-bathymetry, the topography range of the landslide is mapped and interpreted with the three dimensional model. Then, according to the profile of the mapping, the extending of the sliding surface is predicted. And referred on the properties of soil in adjacent region, the engineering geologic models of the landslide before and after failure are proposed. Thirdly, through a detailed analysis of the seismic data of Taiwan in the past three decades, a magnitude of 7.7 MW is selected as the lower bound of earthquake for the analysis of the trigger of the submarine landslide. And based on the record of earthquakes with 8 MW in the world, some other earthquake magnitudes are also considered in this study. After applying them into STABL 5M, the failure process of the landslide is modeled with its possible deposited ranges being reached. Finally, the sub-bottom and seismic data are used to verify the rationality of the above results. Preliminary result shows that there were at least three landslides occurred in Palm Ridge. The first landslide is largest which covers the approximate range of the study area. The second one is developed in the margin area of the first one, which is resulted by the occurrence of the first one. The third event is caused by the further collapse of the first one due to the loose of its inner structure.

Estimation of submarine mass failure probability from a sequence of deposits with age dates

Science.gov (United States)

Geist, Eric L.; Chaytor, Jason D.; Parsons, Thomas E.; ten Brink, Uri S.

2013-01-01

The empirical probability of submarine mass failure is quantified from a sequence of dated mass-transport deposits. Several different techniques are described to estimate the parameters for a suite of candidate probability models. The techniques, previously developed for analyzing paleoseismic data, include maximum likelihood and Type II (Bayesian) maximum likelihood methods derived from renewal process theory and Monte Carlo methods. The estimated mean return time from these methods, unlike estimates from a simple arithmetic mean of the center age dates and standard likelihood methods, includes the effects of age-dating uncertainty and of open time intervals before the first and after the last event. The likelihood techniques are evaluated using Akaike’s Information Criterion (AIC) and Akaike’s Bayesian Information Criterion (ABIC) to select the optimal model. The techniques are applied to mass transport deposits recorded in two Integrated Ocean Drilling Program (IODP) drill sites located in the Ursa Basin, northern Gulf of Mexico. Dates of the deposits were constrained by regional bio- and magnetostratigraphy from a previous study. Results of the analysis indicate that submarine mass failures in this location occur primarily according to a Poisson process in which failures are independent and return times follow an exponential distribution. However, some of the model results suggest that submarine mass failures may occur quasiperiodically at one of the sites (U1324). The suite of techniques described in this study provides quantitative probability estimates of submarine mass failure occurrence, for any number of deposits and age uncertainty distributions.

Water quality, Multivariate statistical techniques, submarine out fall, spatial variation, temporal variation

International Nuclear Information System (INIS)

Garcia, Francisco; Palacio, Carlos; Garcia, Uriel

2012-01-01

Multivariate statistical techniques were used to investigate the temporal and spatial variations of water quality at the Santa Marta coastal area where a submarine out fall that discharges 1 m3/s of domestic wastewater is located. Two-way analysis of variance (ANOVA), cluster and principal component analysis and Krigging interpolation were considered for this report. Temporal variation showed two heterogeneous periods. From December to April, and July, where the concentration of the water quality parameters is higher; the rest of the year (May, June, August-November) were significantly lower. The spatial variation reported two areas where the water quality is different, this difference is related to the proximity to the submarine out fall discharge.

Temporal changes in radial access use, associates and outcomes in patients undergoing PCI using rotational atherectomy between 2007 and 2014: results from the British Cardiovascular Intervention Society national database.

Science.gov (United States)

Kinnaird, Tim; Cockburn, James; Gallagher, Sean; Choudhury, Anirban; Sirker, Alex; Ludman, Peter; de Belder, Mark; Copt, Samuel; Mamas, Mamas; de Belder, Adam

2018-04-01

Access site choice for cases requiring rotational atherectomy (PCI-ROTA) is poorly defined. Using the British Cardiovascular Intervention Society PCI database, temporal changes and contemporary associates/outcomes of access site choice for PCI-ROTA were studied. Data were analysed from 11,444 PCI-ROTA procedures performed in England and Wales between 2007 and 2014. Multivariate logistic regression was used to identify predictors of access site choice and its association with outcomes. For PCI-ROTA, radial access increased from 19.6% in 2007 to 58.6% in 2014. Adoption of radial access was slower in females, those with prior CABG, and in patients with chronic occlusive (CTO) or left main disease. In 2013/14, the strongest predictors of femoral artery use were age (OR 1.02, [1.005-1.036], P = .008), CTO intervention (OR 1.95, [1.209-3.314], P = .006), and history of previous CABG (OR 1.68, [1.124-2.515], P = .010). Radial access was associated with reductions in overall length of stay, and increased rates of same-day discharge. Procedural success rates were similar although femoral access use was associated with increased access site complications (2.4 vs. 0.1%, P PCI-ROTA results in similar procedural success when compared to femoral access but is associated with shorter length of stay, and lower rates of vascular complication, major bleeding and transfusion. Copyright © 2018 Elsevier Inc. All rights reserved.

An IKBS approach to surveillance for naval nuclear submarine propulsion

International Nuclear Information System (INIS)

Cadas, C.N.; Bowskill, J.; Mayfield, T.; Clarke, J.C.

1995-01-01

This Paper describes work being carried out to develop an intelligent knowledge-based system (IKBS) for use in the surveillance of naval nuclear submarine propulsion plant. In recent years, modern process plants have increased automation and installed surveillance equipment while reducing the level of manpower operating and monitoring the plant. As a result, some of the local watchkeeping tasks have been transferred to control room operators, and the data reduction and warning filtering expertise inherent in local plant operators has been lost, while an additional workload has been placed upon operators. The surveillance systems installed to date have therefore been less usable than anticipated. The solution being achieved for submarine power plant is to introduce IKBS into surveillance to replace lost expertise and return to a situation in which operators receive small amounts of high quality information rather than large amounts of low quality information. (author)

A Baseline Air Quality Assessment Onboard a Victoria Class Submarine: HMCS Windsor

National Research Council Canada - National Science Library

Severs, Y. D

2006-01-01

.... This trial thus represents a baseline habitability evaluation of Canada's Victoria class submarines to confirm compliance with the current maximum permissible contaminant limits stipulated in the Air...

Effect of PCI on inflammatory factors, cTnI, MMP-9 and NT-pro BNP in patients with unstable angina pectoris

Directory of Open Access Journals (Sweden)

Ke-Tong Liu

2016-05-01

Full Text Available Objective: To investigate the effect of PCI on inflammatory factors, cTnI, MMP-9and NTpro BNP in patients with unstable angina pectoris. Methods: A total of 80 unstable angina pectoris patients were divided into observation group (40 cases and control group (40 cases. The observation group was given the therapy of PCI, and the control group was given coronary angiography. To observe the of inflammatory factors, cTnI, MMP-9 and NT-pro BNP were tested and compared before and after operation. Results: At 24 h after operation, CRP and IL-18 levels were increased significantly after treatment inoperation groups, there was no difference on inflammatory factors in control group, and had significant difference on inflammatory factors in two groups; At 24 h after operation, cTnI, MMP-9 and NT-pro BNP levels were increased significantly after treatment inoperation groups, there was no difference on inflammatory factors in control group, and had significant difference on inflammatory factors in two groups. Conclusion: PCI therapy can induce inflammation and myocardial injury in patients with unstable angina pectoris.

Simultaneous quantification of lenalidomide, ibrutinib and its active metabolite PCI-45227 in rat plasma by LC-MS/MS: application to a pharmacokinetic study.

Science.gov (United States)

Veeraraghavan, Sridhar; Viswanadha, Srikant; Thappali, Satheeshmanikandan; Govindarajulu, Babu; Vakkalanka, Swaroopkumar; Rangasamy, Manivannan

2015-03-25

Efficacy assessments using a combination of ibrutinib and lenalidomide necessitate the development of an analytical method for determination of both drugs in plasma with precision. A high performance liquid chromatography-tandem mass spectrometry (LC-MS/MS) method was developed for the simultaneous determination of lenalidomide, ibrutinib, and its active metabolite PCI45227 in rat plasma. Extraction of lenalidomide, ibrutinib, PCI45227 and tolbutamide (internal standard; IS) from 50 μl rat plasma was carried out by liquid-liquid extraction with ethyl acetate:dichloromethane (90:10) ratio. Chromatographic separation of analytes was performed on YMC pack ODS AM (150 mm × 4.6 mm, 5 μm) column under gradient conditions with acetonitrile:0.1% formic acid buffer as the mobile phases at a flow rate of 1 ml/min. Precursor ion and product ion transition for analytes and IS were monitored on a triple quadrupole mass spectrometer, operated in the selective reaction monitoring with positive ionization mode. Method was validated over a concentration range of 0.72-183.20 ng/ml for ibrutinib, 0.76-194.33 ng/ml for PCI-45227 and 1.87-479.16 ng/ml for lenalidomide. Mean extraction recovery for ibrutinib, PCI-45227, lenalidomide and IS of 75.2%, 84.5%, 97.3% and 92.3% were consistent across low, medium, and high QC levels. Precision and accuracy at low, medium and high quality control levels were less than 15% across analytes. Bench top, wet, freeze-thaw and long term stability was evaluated for all the analytes. The analytical method was applied to support a pharmacokinetic study of simultaneous estimation of lenalidomide, ibrutinib, and its active metabolite PCI-45227 in Wistar rat. Assay reproducibility was demonstrated by re-analysis of 18 incurred samples. Copyright © 2014 Elsevier B.V. All rights reserved.

The brazilian nuclear submarine dossier: Navy's priority and its application

International Nuclear Information System (INIS)

Rosa, L.P.

1990-01-01

This work discusses the feasibility of the brazilian nuclear submarine. It is related to navy's remodeling and is considered as a priority. It would bring Brazil closer to developed countries. It considers the slip, itself, the weapon's system as well as the nuclear propulsion. (author)

Comparative safety assessment of surface versus submarine plutonium shipments

International Nuclear Information System (INIS)

Knepper, D.S.; Feltus, M.A.

1993-01-01

The recent shipment of plutonium from France to Japan aboard the freighter Akatsuki Maru touched off protests from environmental and antinuclear organizations. These protests arose from the fear of an accidental sinking of the vessel that would release its cargo to the sea, as well as the threat of a terrorist nation highjacking the ship for its cargo to produce atomic weapons. The sinking of a merchant ship is not uncommon, as illustrated by the famous losses of the tankers Amoco Cadiz and Exxon Valdez. The highjacking of a lightly armed freighter such as the Akatsuki Maru is possible and would not be unduly difficult for a well-equipped terrorist nation. The combined threats of weapons proliferation and environmental damage arising from the diversion or destruction of a sea vessel carrying plutonium will continue to abound as the reprocessing of spent nuclear fuel increases. An alternate method for the transportation with reduced risks of both diversion and destruction needs to be developed. The shipment aboard the Akatsuki Maru was originally proposed to be flown from France to Japan over the continental United States. This proposal was rejected by the Reagan administration in 1988. A third alternative to the current ideas of air transport and surface transport is subsurface transport. This research project investigates the transportation of plutonium by submarine and compares it to the current method of transportation by freighter. This analysis involves a study of the military threat to a submarine by a terrorist nation and comparable threat to a surface vessel. To study the nonmilitary aspects of plutonium shipping, a fault-tree evaluation is performed for transportation by submarine and compared with the current risk analysis performed for surface vessels

Constraining the sedimentology and stratigraphy of submarine intraslope lobe deposits using exhumed examples from the Karoo Basin, South Africa

NARCIS (Netherlands)

Spychala, Y. T.; Hodgson, D. M.; Flint, S. S.; Mountney, N. P.

2015-01-01

Intraslope lobe deposits provide a process record of the infill of accommodation on submarine slopes and their recognition enables the accurate reconstruction of the stratigraphic evolution of submarine slope systems. Extensive exposures of discrete sand-prone packages in Units D/E and E, Fort Brown

Sedimentary characteristics of samples collected from some submarine canyons

NARCIS (Netherlands)

Bouma, Arnold H.

Oriented rectangular cores of 20.3 × 30.5 cm and 45.7 cm high have been collected in a number of submarine canyons off southern California (U.S.A.) and off the southern tip of Baja California (Mexico) for a detailed study of their sedimentary structures. By applying several methods, mainly X-ray

Large submarine sand-rubble flow on Kilauea volcano, Hawaii

Energy Technology Data Exchange (ETDEWEB)

Fornari, D J [Columbia Univ., Palisades, NY; Moore, J G; Calk, L

1979-05-01

Papa'u seamount on the south submarine slope of Kilauea volcano is a large landslide about 19 km long, 6 km wide, and up to 1 km thick with a volume of about 39 km/sup 3/. Dredge hauls, remote camera photographs, and submersible observations indicate that it is composed primarily of unconsolidated angular glassy basalt sand with scattered basalt blocks up to 1 m in size; no lava flows were seen. Sulfur contents of basalt glass from several places on the sand-rubble flow and nearby areas are low (< 240 ppm), indicating that the clastic basaltic material was all erupted on land. The Papa'u sandrubble flow was emplaced during a single flow event fed from a large near-shore bank of clastic basaltic material which in turn was formed as lava flows from the summit area of Kilauea volcano disintegrated when they entered the sea. The current eruptive output of the volcano suggests that the material in the submarine sand-rubble flow represents about 6000 years of accumulation, and that the flow event occurred several thousand years ago.

Simulation of Wave-Plus-Current Scour beneath Submarine Pipelines

DEFF Research Database (Denmark)

Eltard-Larsen, Bjarke; Fuhrman, David R.; Sumer, B. Mutlu

2016-01-01

A fully coupled hydrodynamic and morphologic numerical model was utilized for the simulation of wave-plus-current scour beneath submarine pipelines. The model was based on incompressible Reynolds-averaged Navier–Stokes equations, coupled with k-ω turbulence closure, with additional bed and suspen......A fully coupled hydrodynamic and morphologic numerical model was utilized for the simulation of wave-plus-current scour beneath submarine pipelines. The model was based on incompressible Reynolds-averaged Navier–Stokes equations, coupled with k-ω turbulence closure, with additional bed...... and suspended load descriptions forming the basis for seabed morphology. The model was successfully validated against experimental measurements involving scour development and eventual equilibrium in pure-current flows over a range of Shields parameters characteristic of both clear-water and live-bed regimes....... This validation complements previously demonstrated accuracy for the same model in simulating pipeline scour processes in pure-wave environments. The model was subsequently utilized to simulate combined wave-plus-current scour over a wide range of combined Keulegan–Carpenter numbers and relative current strengths...

Submarine Volcanology: 1950 to 2050 and Beyond (Invited)

Science.gov (United States)

Delaney, J. R.; Kelley, D. S.

2010-12-01

The vigorous pursuit of submarine volcanism as a major field emerged in the mid 1900’s with the post WWII recognition that there is a Mid-Ocean Ridge System that is a 70,000 km long volcanic mountain chain stretching around the world like the strings on a baseball. By the mid 1960’s it emerged that rocks from volcanic feature were consistently basaltic in character and that they were the direct result of major melting processes associated with rise of much deeper mantle material beneath the spreading ridges in a global plate tectonics framework. More than 60% of the volcanism on the planet occurs in submarine environments. The next major discovery, using the deep diving submarine ALVIN, was in the late 1970’s involving hydrothermal systems near active ridges close to the Galapagos Islands and Baja California. The idea that these vent sites were the locus of major biological productivity based on volcanically-driven chemosynthesis was a fundamental new insight in the deep ocean ecology of our planet. This was a major planetological discovery and was followed within about 15 years with an even more powerful realization: our planet has a vast sub seafloor microbial biosphere thriving in the pores and the cracks of the oceanic crust driven by circulation of modified ocean fluids through large portions of the lithosphere. These organisms are largely supported by degassing and water-rock reactions associated with submarine volcanoes. Some estimates have posited that: 1) these thermally active systems and the chemosynthetic lifestyle are a natural consequence of certain types of planetary evolution, 2) that life may have originated in these systems, and, 3) that the biomass associated with the modern sub seafloor systems rivals most other living carbon on the continents. Indeed, parallel exploration of the outer solar system has lead to propositions that the second moon of Jupiter, Europa, has (or had) a high potential to harbor analogous hydrothermal life forms

Combining PCI and CABG: the role of hybrid revascularization.

Science.gov (United States)

Green, Kelly D; Lynch, Donald R; Chen, Tyffany P; Zhao, David

2013-04-01

Hybrid coronary revascularization combines the benefits of both percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) in the treatment of multivessel coronary artery disease (CAD) by combining the benefits of the LIMA-to-LAD graft and drug eluting stent (DES) to non-LAD regions. Through this approach, a patient receives the long-term benefit of the LIMA graft and avoids the morbidity of a full sternotomy and saphenous vein grafts. Available data related to outcomes following hybrid revascularization is limited to small studies. In this review we seek to provide an overview of hybrid revascularization in the era of modern drug eluting stent technology, discuss appropriate patient selection, and comment on future trial design. Additionally, we review the recent literature pertaining to the hybrid approach.

Autonomous long-term gamma-spectrometric monitoring of submarine groundwater discharge trends in Hawaii

International Nuclear Information System (INIS)

Dulai, Henrietta; Waters, Ch.A.; Kennedy, Joseph; Kamenik, Jan; Academy of Sciences of the Czech Republic, Rez; Babinec, James; Jolly, James; Williamson, Mario

2016-01-01

We developed a fully autonomous underwater gamma-spectrometer for long-term coastal submarine groundwater discharge (SGD) monitoring. The instrument represents a significant improvement over previous submarine gamma-spectrometers in that it is very robust, has high sensitivity allowing high temporal resolution, and is completely autonomous. Here we describe the technical parameters of the new instrument as well as data collected over its 9-month deployment in Kiholo Bay, HI, USA. We also present methods to convert the measured activities to SGD rates. In Kiholo Bay, the derived SGD matched previous estimates but in addition it revealed previously undocumented short- and long-term patterns in SGD. (author)

Il PCI, Autonomia Operaia e l'emergenza terrorismo: il caso 7 aprile 1979

Directory of Open Access Journals (Sweden)

Giulia Pacifici

2017-03-01

Full Text Available The article analyzes the positions of the Italian Communist Party towards the large political movement that took action on its left, especially “Autonomia Operaia”, in the late seventies, during the terrorism emergency and the crisis of national solidarity governments. The debate, internal to the PCI and between the left parliamentary forces, is analyzed through the documents, the newspaper articles and the declarations about a specific counter-terrorism trial, known as the “7th April case". This trial caused a large and heated public debate on terrorism, democracy and public order that saw two main political positions in opposition to one another. On one side the so called guarantee position represented by the “Partito Radicale”, some intellectuals, journalist and magistrates and on the other those who endorsed the firmness position, especially the PCI. At the same time, within the same communist party, the firmness front wasn't completely unanimous. On 7th April 1979 the deputy public prosecutor of Padua, Pietro Calogero, issued an arrest warrant that led to prison more than a dozen militants from the extra-parliamentary leftist area, “Potere Operaio” and “Autonomia Operaia”, including among others Oreste Scalzone, Franco Piperno, Nanni Balestrini, Emilio Vesce and Antonio Negri.

Spatial and Temporal Analysis of Rainfall Concentration Using the Gini Index and PCI

Directory of Open Access Journals (Sweden)

Claudia Sangüesa

2018-01-01

Full Text Available This study aims to determine if there is variation in precipitation concentrations in Chile. We analyzed daily and monthly records from 89 pluviometric stations in the period 1970–2016 and distributed between 29°12′ S and 39°30′ S. This area was divided into two climatic zones: arid–semiarid and humid–subhumid. For each station, the Gini coefficient or Gini Index (GI, the precipitation concentration index (PCI, and the maximum annual precipitation intensity in a 24-h duration were calculated. These series of annual values were analyzed with the Mann–Kendall test with 5% error. Overall, it was noted that positive trends in the GI are present in both areas, although most were not found to be significant. In the case of PCI, the presence of positive trends is only present in the arid–semiarid zone; in the humid–subhumid zone, negative trends were mostly observed, although none of them were significant. Although no significant changes in all indices are evident, the particular case of the GI in the humid–subhumid zone stands out, where mostly positive trends were found (91.1%, of which 35.6% were significant. This would indicate that precipitation is more likely to be concentrated on a daily scale.

Association between body mass index and outcomes after percutaneous coronary intervention in multiethnic South East Asian population: a retrospective analysis of the Malaysian National Cardiovascular Disease Database-Percutaneous Coronary Intervention (NCVD-PCI) registry.

Science.gov (United States)

Azhari, Zaid; Ismail, Muhammad Dzafir; Zuhdi, Ahmad Syadi Mahmood; Md Sari, Norashikin; Zainal Abidin, Imran; Wan Ahmad, Wan Azman

2017-11-09

To examine the relationship between body mass index (BMI) and outcomes after percutaneous coronary intervention (PCI) in a multiethnic South East Asian population. Fifteen participating cardiology centres contributed to the Malaysian National Cardiovascular Disease Database-Percutaneous Coronary Intervention (NCVD-PCI) registry. 28 742 patients from the NCVD-PCI registry who had their first PCI between January 2007 and December 2014 were included. Those without their BMI recorded or BMI 70 kg/m 2 were excluded. In-hospital death, major adverse cardiovascular events (MACEs), vascular complications between different BMI groups were examined. Multivariable-adjusted HRs for 1-year mortality after PCI among the BMI groups were also calculated. The patients were divided into four groups; underweight (BMI PCI. Multivariable Cox proportional hazard regression analysis showed that compared with normal BMI group the underweight group had a non-significant difference (HR 1.02, p=0.952), while the overweight group had significantly lower risk of 1-year mortality (HR 0.71, p=0.005). The obese group also showed lower HR but this was non-significant (HR 0.78, p=0.056). Using Asian-specific BMI cut-off points, the overweight group in our study population was independently associated with lower risk of 1-year mortality after PCI compared with the normal BMI group. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

«Il Pci è un partito finito». Video-documentario sulla scomparsa della “piazza rossa”

Directory of Open Access Journals (Sweden)

Gisella Gaspari

2013-05-01

Full Text Available Attraverso immagini di manifestazioni a sfondo politico nelle piazze di Bologna, il video-documentario illustra una trasformazione delle forme di partecipazione collettiva alla vita pubblica, che negli anni Settanta ha visto un ridimensionamento del ruolo dei partiti di massa, e in particolare del Pci.

The missing link between submarine volcano and promising geothermal potential in Jinshan, Northern Taiwan

Science.gov (United States)

Wang, S. C.; Hutchings, L.; Chang, C. C.; Lee, C. S.

2017-12-01

The Tatun volcanic group (TVG) and the Keelung submarine volcano (KSV) are active volcanoes and surrounding three nuclear plant sites in north Taiwan. The famous Jinshan-Wanli hot springs locates between TVG and KSV, moreover, the geochemical anomalies of acidic boiling springs on the seacoast infer that the origin is from magmatic fluids, sea water and meteoric water mixture, strongly implying that mantle fluids ascends into the shallow crust. The evidence for a magma chamber, submarine volcano, and boiling springs have a close spatial relationship. Based on UNECE specifications to Geothermal Energy Resources (2016), the Jinshan-Wanli geothermal area could be classified as Known Geothermal Energy Source for geothermal direct use and Potential Geothermal Energy Source for conventional geothermal system. High resolution reservoir exploration and modeling in Jinshan-Wanli geothermal area is developing for drilling risk mitigation. The geothermal team of National Taiwan Ocean University and local experts are cooperating for further exploration drilling and geothermal source evaluation. Keywords: geothermal resource evaluation, Jinshan-Wanli geothermal area, submarine volcano

Flow dynamics around downwelling submarine canyons

Directory of Open Access Journals (Sweden)

J. M. Spurgin

2014-10-01

Full Text Available Flow dynamics around a downwelling submarine canyon were analysed with the Massachusetts Institute of Technology general circulation model. Blanes Canyon (northwestern Mediterranean was used for topographic and initial forcing conditions. Fourteen scenarios were modelled with varying forcing conditions. Rossby and Burger numbers were used to determine the significance of Coriolis acceleration and stratification (respectively and their impacts on flow dynamics. A new non-dimensional parameter (χ was introduced to determine the significance of vertical variations in stratification. Some simulations do see brief periods of upwards displacement of water during the 10-day model period; however, the presence of the submarine canyon is found to enhance downwards advection of density in all model scenarios. High Burger numbers lead to negative vorticity and a trapped anticyclonic eddy within the canyon, as well as an increased density anomaly. Low Burger numbers lead to positive vorticity, cyclonic circulation, and weaker density anomalies. Vertical variations in stratification affect zonal jet placement. Under the same forcing conditions, the zonal jet is pushed offshore in more uniformly stratified domains. The offshore jet location generates upwards density advection away from the canyon, while onshore jets generate downwards density advection everywhere within the model domain. Increasing Rossby values across the canyon axis, as well as decreasing Burger values, increase negative vertical flux at shelf break depth (150 m. Increasing Rossby numbers lead to stronger downwards advection of a passive tracer (nitrate, as well as stronger vorticity within the canyon. Results from previous studies are explained within this new dynamic framework.

Evaluation of acute ischemia in pre-procedure ECG predicts myocardial salvage after primary PCI in STEMI patients with symptoms >12hours

DEFF Research Database (Denmark)

Fakhri, Yama; Busk, Martin; Schoos, Mikkel Malby

2016-01-01

-presenters). The Anderson-Wilkin's score (AW-score) estimates the acuteness of myocardial ischemia from the electrocardiogram (ECG) in STEMI patients. We hypothesized that the AW-score is superior to symptom duration in identifying substantial salvage potential in late-presenters. METHODS: The AW-score (range 1......-4) was obtained from the pre-pPCI ECG in 55 late-presenters and symptoms 12-72 hours. Myocardial perfusion imaging was performed to assess area at risk before pPCI and after 30days to assess myocardial salvage index (MSI). We correlated both the AW-score and pain-to-balloon with MSI and determined the salvage...

International year of planet earth 7. Oceans, submarine land-slides and consequent tsunamis in Canada

Science.gov (United States)

Mosher, D.C.

2009-01-01

Canada has the longest coastline and largest continental margin of any nation in the World. As a result, it is more likely than other nations to experience marine geohazards such as submarine landslides and consequent tsunamis. Coastal landslides represent a specific threat because of their possible proximity to societal infrastructure and high tsunami potential; they occur without warning and with little time lag between failure and tsunami impact. Continental margin landslides are common in the geologic record but rare on human timescales. Some ancient submarine landslides are massive but more recent events indicate that even relatively small slides on continental margins can generate devastating tsunamis. Tsunami impact can occur hundreds of km away from the source event, and with less than 2 hours warning. Identification of high-potential submarine landslide regions, combined with an understanding of landslide and tsunami processes and sophisticated tsunami propagation models, are required to identify areas at high risk of impact.

The impact of coronary chronic total occlusion percutaneous coronary intervention upon donor vessel fractional flow reserve and instantaneous wave-free ratio: Implications for physiology-guided PCI in patients with CTO.

Science.gov (United States)

Mohdnazri, Shah R; Karamasis, Grigoris V; Al-Janabi, Firas; Cook, Christopher M; Hampton-Till, James; Zhang, Jufen; Al-Lamee, Rasha; Dungu, Jason N; Gedela, Swamy; Tang, Kare H; Kelly, Paul A; Davies, Justin E; Davies, John R; Keeble, Thomas R

2018-03-22

To investigate the immediate and short term impact of right coronary artery (RCA) chronic total coronary occlusion (CTO) percutaneous coronary intervention (PCI) upon collateral donor vessel fractional flow reserve (FFR) and instantaneous wave-free ratio (iFR). CTO PCI influences collateral donor vessel physiology, making the indication and/or timing of donor vessel revascularization difficult to determine. In patients with RCA CTO, FFR, iFR, and collateral function index (FFR coll ) were measured in LAD and LCx pre-CTO PCI, immediately post and at 4 month follow-up. 34 patients underwent successful PCI. In the predominant donor vessel immediately post PCI, FFR, and FFR coll did not change (0.76 ± 0.12 to 0.75 ± 0.13, P = 0.267 and 0.31 ± 0.10 vs. 0.34 ± 0.11, P = 0.078), but iFR increased significantly (0.86 ± 0.10 to 0.88 ± 0.10, P = 0.012). At follow-up, there was a significant increase in predominant donor FFR and iFR (0.76 ± 0.12 to 0.79 ± 0.11, P = 0.047 and 0.86 ± 0.10 to 0.90 ± 0.07, P = 0.003), accompanied by a significant reduction in FFR coll (0.31 ± 0.10 to 0.18 ± 0.07 P PCI in the case of iFR and at 4-month follow-up for FFR and iFR compared to pre-PCI with a concomitant reduction in collateral function. © 2018 Wiley Periodicals, Inc.

Comparison of the PCI distortion effects on the Auger lineshape for electron and photon impact ionization

International Nuclear Information System (INIS)

Paripas, B.; Vitez, G.; Vikor, Gy.; Tokesi, K.; Sankari, R.; Calo, A.

2005-01-01

The distortion effects of the post-collision interaction (PCI) on the Ar LMM Auger electron lineshape for electron and photon impact ionization have been calculated. The calculations were based on the eikonal model of Kuchiev and Sheinerman [Sov. Phys. - Tech. Phys. 32 (1987) 879]. It is shown that the Auger peak asymmetry depends on the emission angle of the Auger electron relative to the primary beam (and the polarization vector of the photon beam). At a given excess energy, defined as the difference between the impact energy and the binding energy, the absolute value of the Auger peak asymmetry is always larger for electron impact ionization than for photoionization. At the same time, the angular dependence of the PCI distortion is stronger for photoionization. In both cases the Auger peak asymmetry has a maximum when the energy of the ejected electron and that of the Auger electron are nearly equal. The calculations are in good agreement with our previous experimental results

PCI-VME bridge device driver design of a high-performance data acquisition and control system on LINUX

International Nuclear Information System (INIS)

Sun Yan; Ye Mei; Zhang Nan; Zhao Jingwei

2000-01-01

Data Acquisition and Control is an important part of Nuclear Electronic and Nuclear Detection application in HEP. The key methods are introduced for designing LINUX Device Driver of PCI-VME Bridge Device based on the realized Data Acquisition and Control System

Hydroids from submarine cliffs near Arthur Harbour, Palmer Archipelago, Antarctica

NARCIS (Netherlands)

Vervoort, W.

1972-01-01

At the instigation of Dr. Joel W. Hedgpeth, Resident Director, Marine Science Center, Oregon State University, Newport, Oregon, U.S.A., I studied samples of hydroids, collected by Dr. John C. McCain and Dr. William E. Stout from submarine cliffs in the region around Palmer Station, Antarctica. The

PCI-VME bridge device driver design of a high-performance data acquisition and control system on LINUX

International Nuclear Information System (INIS)

Sun Yan; Ye Mei; Zhang Nan; Zhao Jingwei

2001-01-01

Data acquisition and control is an important part of nuclear electronic and nuclear detection application in HEP. The key method has been introduced for designing LINUX device driver of PCI-VME bridge device based on realized by authors' data acquisition and control system

Serreta Submarine Eruption 1998-2001, Azores: a new compositional end-member?

Science.gov (United States)

Filipa Marques, Ana; Hamelin, Cédric; Madureira, Pedro; Rosa, Carlos; Silva, Pedro; Relvas, Jorge; Lourenço, Nuno; Conceição, Patrícia; Barriga, Fernando

2014-05-01

The Azores platform, where the Eurasian, Nubian and American plates meet, comprises nine volcanic islands extending to both sides of the Mid-Atlantic Ridge (MAR). East of the MAR, the plate boundary between Eurasian and Nubian plates is defined by the Terceira Rift, interpreted as an intra-oceanic spreading system where the Islands of S. Miguel, Terceira and Graciosa emerge as well and the submarine D.João de Castro Bank, separated by deep avolcanic zones [1, 2]. Submarine and subaerial lavas from the Terceira Rift are characterized by small-scale elemental and isotopic variations, and several distinct compositional end-members have been identified [2,3] supporting the concept of significant mantle source heterogeneity. A recent submarine eruption (1998-2001) occurred ~4-5 NM WNW of Terceira Island, at the Serreta Ridge where lava balloons were observed floating at the surface [4]. In 2008, an oceanographic cruise was conducted to the Serreta ridge to investigate the site of the 1998-2001 eruption, map the seafloor, identify vent location, and characterize possible products of eruption [5]. An ROV from the EMEPC (Task Group for the Extension of the Continental Shelf) was used in this survey providing high-definition video footage and fresh lava samples. Three survey ROV dives (D15, D16, D17) were made on the Serreta ridge. D15 and D17 dives were located on the southern wall of the crater, whereas D16 explored the central and northern areas of the crater floor. Sr-Nd-Pb isotope compositions of representative samples from the Serreta submarine ridge are presented for the first time. On the 208Pb/204Pb vs. 206Pb/204Pb diagram Serreta samples plot on a linear array with the remaining Terceira rift samples. However, these results show that Serreta submarine volcanics lay on the most depleted end of the Terceira Rift array. Radiogenic isotopes also show that samples from the central and northern wall of the crater are distinct from the younger southern wall sector

The Comparison of the Outcomes between Primary PCI, Fibrinolysis, and No Reperfusion in Patients ≥ 75 Years Old with ST-Segment Elevation Myocardial Infarction: Results from the Chinese Acute Myocardial Infarction (CAMI) Registry.

Science.gov (United States)

Peiyuan, He; Jingang, Yang; Haiyan, Xu; Xiaojin, Gao; Ying, Xian; Yuan, Wu; Wei, Li; Yang, Wang; Xinran, Tang; Ruohua, Yan; Chen, Jin; Lei, Song; Xuan, Zhang; Rui, Fu; Yunqing, Ye; Qiuting, Dong; Hui, Sun; Xinxin, Yan; Runlin, Gao; Yuejin, Yang

2016-01-01

Only a few randomized trials have analyzed the clinical outcomes of elderly ST-segment elevation myocardial infarction (STEMI) patients (≥ 75 years old). Therefore, the best reperfusion strategy has not been well established. An observational study focused on clinical outcomes was performed in this population. Based on the national registry on STEMI patients, the in-hospital outcomes of elderly patients with different reperfusion strategies were compared. The primary endpoint was defined as death. Secondary endpoints included recurrent myocardial infarction, ischemia driven revascularization, myocardial infarction related complications, and major bleeding. Multivariable regression analysis was performed to adjust for the baseline disparities between the groups. Patients who had primary percutaneous coronary intervention (PCI) or fibrinolysis were relatively younger. They came to hospital earlier, and had lower risk of death compared with patients who had no reperfusion. The guideline recommended medications were more frequently used in patients with primary PCI during the hospitalization and at discharge. The rates of death were 7.7%, 15.0%, and 19.9% respectively, with primary PCI, fibrinolysis, and no reperfusion (P PCI also had lower rates of heart failure, mechanical complications, and cardiac arrest compared with fibrinolysis and no reperfusion (P PCI, fibrinolysis, and no reperfusion group (P > 0.05). In the multivariable regression analysis, primary PCI outweighs no reperfusion in predicting the in-hospital death in patients ≥ 75 years old. However, fibrinolysis does not. Early reperfusion, especially primary PCI was safe and effective with absolute reduction of mortality compared with no reperfusion. However, certain randomized trials were encouraged to support the conclusion.

Assessment of Fire Growth and Mitigation in Submarine Plastic Waste Stowage Compartments

National Research Council Canada - National Science Library

Ndubizu, Chuka

2000-01-01

This report presents the results of tests to assess the fire growth characteristics and the ease of fire control in the proposed Virginia-class and the Ohio-class submarine plastic waste stowage compartments...

Bruton tyrosine kinase inhibitor ibrutinib (PCI-32765).

Science.gov (United States)

Burger, Jan A; Buggy, Joseph J

2013-11-01

Over the past 3 years, ibrutinib (PCI-32765) has emerged as a breakthrough in targeted therapy for patients with certain types of B cell malignancies. Early stage clinical trials found ibrutinib to be particularly active in chronic lymphocytic leukemia (CLL) and mantle cell lymphoma (MCL), providing the rationale for ongoing phase 3 trials. In contrast to conventional chemo-immunotherapy, ibrutinib is not myelosuppressive, and responses are not affected by disease features that predict failure to respond to or short remission durations after chemo-immunotherapy, such as del17p. In CLL, ibrutinib characteristically causes an early redistribution of tissue-resident CLL cells into the blood, with rapid resolution of enlarged lymph nodes, along with a surge in lymphocytosis. Later, after weeks to months of continuous ibrutinib therapy, the growth- and survival-inhibitory activities of ibrutinib result in the normalization of lymphocyte counts and remissions in a majority of patients. This review discusses the discovery, preclinical and clinical development of ibrutinib, its pathophysiological basis, and outlines perspectives for future use of ibrutinib.

Hydrate-bearing Submarine Landslides in the Orca Basin, Gulf of Mexico

Science.gov (United States)

Sawyer, D.; Mason, A.; Cook, A.; Portnov, A.; Hillman, J.

2017-12-01

The co-occurrence of submarine landslides and hydrate-bearing sediment suggests that hydrates may play a role in landslide triggering and/or the mobility and dynamic characteristics of the submarine landslide. In turn, the removal of large sections of seafloor perturbs the hydrate stability field by removing overburden pressure and disturbing the temperature field. These potential hydrate-landslide feedbacks are not well understood. Here we combine three-dimensional seismic and petrophysical logs to characterize the deposits of submarine landslides that failed from hydrate-bearing sediments in the Orca Basin in the northern Gulf of Mexico. The Orca Basin contains a regionally mappable bottom simulating reflector, hydrate saturations within sands and muds, as well as numerous landslides. In addition, the Orca Basin features a well-known 123 km2 anoxic hypersaline brine pool that is actively being fed by outcropping salt. Lying at the bottom of the brine pool are deposits of submarine landslides. Slope instability in the Orca Basin is likely associated with near-seafloor salt tectonics. The most prominent landslide scar observable on the seafloor has a correlative deposit that now lies at the bottom of the brine pool 11.6 km away. The headwall is amphitheater-shaped with an average height of 80 meters and with only a minor amount of rubble remaining near the headwall. A total of 8.7 km3 of material was removed and deposited between the lower slopes of the basin and the base of the brine pool. Around the perimeter of the landslide headwall, two industry wells were drilled and well logs show elevated resistivity that are likely caused by gas hydrate. The slide deposits have a chaotic seismic facies with large entrained blocks and the headwall area does not retain much original material, which together suggests a relatively mobile style of landslide and therefore may have generated a wave upon impacting the brine pool. Such a slide-induced wave may have sloshed

Risks and consequences of a hypothetical radiological accident on nuclear powered submarine traversing Suez canal

International Nuclear Information System (INIS)

Salama, Mohamed

2008-01-01

Full text: Egypt has unique problem in Suez Canal, although there are, a number of radioactive Cargos traveling through the Canal which includes new and spent reactor fuel and about 100 metric tons of uranium hexafluoride each year, under the regulatory control of the Egyptian Atomic Energy Authority, there is, still a major problem concerning the passage of a number of nuclear powered vessels and submarines passing through the canal several times each year. The passage of these vessels and submarines has a political situation and not under the regulatory control of the Egyptian regulatory body. In spite of all precautions that are taken, in the nuclear powered vessels and submarines from the point of view of the rugged design of the reactor plant, multiple safety systems and operation with exceptional consideration for safety. Although of all of these a potential for a serious accident may does arise, even though, its probability is minimal. The Government of Egypt has established a national radiological emergency plan in order to cope with any radiological accidents, which may arise inside the country. Suez Canal lies in the north east of Egypt, and passes through a zone of considerable business, agriculture and industrial activities. The zone consists of three populated provinces, Port Said, Ismailia and Suez. According to Suez Canal authority regulations it is not allowed for these vessels and submarines to be landed in port. The motivation of the present paper was undertaken to discuss a hypothetical nuclear reactor accident aboard a nuclear powered submarine occurred during its passage in the Suez Canal. Such an accident will produce a radioactive cloud containing a number of radioactive materials. In such type of accidents contamination and causality zones, could extend to several kilometers. The different phases of the accident are going to be discussed and analyzed. The emergency actions taken during the accident phases are going to be presented. The

Noble gas systematics of submarine alkalic lavas near the Hawaiian hotspot

NARCIS (Netherlands)

Hanyu, T.; Clague, D.A.; Kaneoka, I.; Dunai, T.J.; Davies, G.R.

2005-01-01

Noble gas isotopic ratios were determined for submarine alkalic volcanic rocks distributed around the Hawaiian islands to constrain the origin of such alkalic volcanism and hence understand the details of mantle upwelling beneath Hawaii. Samples were collected by dredging or using submersibles from

Russian nuclear submarine elimination 2001 - 2011 by the international community - 59041

International Nuclear Information System (INIS)

Washer, Michael; Heyes, Alan

2012-01-01

Document available in abstract form only. Full text of publication follows: Following the 911 attack on the USA in 2001 the international community under Canada's G8 leadership established a $20 billion Global Partnership initiative to collaboratively address threats to global security posed by the proliferation and potential terrorist use of Weapons and Materials of Mass Destruction (WMMD) and related materials and knowledge. As an integral component of this initiative the international community agreed to assist Russia in advancing the elimination of its Cold War legacy of nearly 200 nuclear powered submarines left over from the collapse of the Soviet Union. This presentation presents an overview of the 10 years work that has now entirely eliminated that submarine legacy. The scale and complexity of the challenge along with each country's contribution and approach is discussed along with key success factors and unique solutions adopted. (authors)

Can sea level rise cause large submarine landslides on continental slopes?

Science.gov (United States)

Urlaub, Morelia

2014-05-01

Submarine landslides are one of the volumetrically most important sediment transport processes at continental margins. Moreover, these landslides are a major geohazard as they can cause damaging tsunamis and destroy seabed infrastructure. Due to their inaccessibility our understanding of what causes these landslides is limited and based on hypotheses that are difficult to test. Some of the largest submarine landslides, such as the Storegga Slide off Norway, occurred during times of eustatic sea level rise. It has been suggested that this global sea level rise was implicated in triggering of the landslides by causing an increase in excess pore pressure in the subseafloor. However, in a homogeneous slope a change in the thickness of the overlying water mass is not expected to affect its stability, as only the hydrostatic pressure component will change, whereas pore pressures in excess of hydrostatic will remain unaltered. Whether sufficiently rapid sea level rise, aided by rather impermeable sediment and complex layering, could cause excess pore pressures that may destabilise a continental slope is more difficult to answer and has not yet been tested. I use Finite Element Modelling to explore and quantify the direct effect of changes in the thickness of the overlying water mass on the stability of a generic sediment column with different stratigraphic conditions and hydro-mechanical properties. The results show that the direct effect of sea level rise on continental slope stability is minimal. Nevertheless, sea level rise may foster other processes, such as lithospheric stress changes resulting in increased seismicity, that could potentially cause large submarine landslides on continental slopes.

Measurement of submarine groundwater discharge using diverse methods in Coleroon Estuary, Tamil Nadu, India

Science.gov (United States)

Prakash, R.; Srinivasamoorthy, K.; Gopinath, S.; Saravanan, K.

2018-03-01

Submarine groundwater discharge (SGD) is described as submarine inflow of fresh and brackish groundwater from land into the sea. The release of sewages from point and non-point source pollutants from industries, agricultural and domestic activities gets discharged through groundwater to ocean creating natural disparity like decreasing flora fauna and phytoplankton blooms. Hence, to quantify fluxes of SGD in coastal regions is important. Quantification of SGD was attempted in Coleroon estuary, India, using three dissimilar methods like water budget, Darcy law and manual seepage meter. Three seepage meters were installed at two prominent litho units (alluvium and fluvio marine) at a distance of (0-14.7 km) away from Bay of Bengal. The water budget and Darcy law-quantified submarine seepage at a rate of 6.9 × 106 and 3.2 × 103 to 308.3 × 103 m3 year-1, respectively, and the seepage meter quantified seepage rate of 0.7024 m h-1 at an average. Larger seepage variations were isolated from three different techniques and the seepage rates were found to be influenced by hydrogeological characteristics of the litho units and distance from the coast.

Marine environmental radioactivity surveys at nuclear submarine berths 2001

International Nuclear Information System (INIS)

Cowling, E.; Ball, R.; Simpson, C.

2002-01-01

This report presents the results of the marine environmental radioactivity monitoring surveys of intertidal and underwater areas around nuclear submarine berths which were carried out by DRPS during 2001. Also included are results of smaller scale intertidal surveys carried out by local staff but co-ordinated by DRPS. Cobalt-60, the nuclide of major importance in naval discharges, was detected in a number of samples but in many cases was attributable to discharges by other operators. Concentrations in any case were found to be low, and at no survey location did the calculated annual radiation dose commitment to the most exposed members of the general public due to the presence of cobalt-60 exceed 1% of the ICRP principal dose limit for members of the public (1000μSv). These results are consistent with those obtained in the independent monitoring programmes as reported in the Radioactivity in Food and the Environment (RIFE) annual reports. It is concluded that existing discharge arrangements are providing effective control over environmental levels of radioactivity, and that there has been no radiological hazard to any member of the general public during 2001 from the operation of nuclear powered submarines. (author)

CANSAR. Analytical irradiation for PCI analysis

International Nuclear Information System (INIS)

Bruet, M.; Lemaignan, C.

1984-01-01

The aim of ''CANSAR'' analytical irradiation is to evaluate the various mechanisms expected to be active during PCI failures (local concentration of fission products, fuel expansion, stress concentration induced by fuel fragment relocation, etc.). Two identical test pins, similar to classical PWR pins, but shorter, will be power-ramped in parallel. They will be filled with fuel pellets machined in various ways in order to simulate pellet fracture, relocation and preferential fission product migration path. One pin is highly instrumented with fission gas analysis, centre-line temperature and strain gauges on the cladding. The other can be unloaded between the pile cycles to perform other measurements such as diameter change, eddy currents, hot cell γ scanning. The gauges are necessary to obtain valuable information on cladding stresses. However, they induce significant modification of the thermal and mechanical behaviour of the cladding. Extensive finite element computation has been undertaken to estimate the temperature shift and the cladding reinforcement due to the gauges. Details of this work performed to design and implement the experiment will be presented. This included, in particular, high precision machining of UO 2 sectors to obtain ''precracked'' pellets and computation of the thermo-mechanical behaviour of the cladding with the gauges. (author)

Patterns and associations between DAPT cessation and 2-year clinical outcomes in left main/proximal LAD versus other PCI: Results from the Patterns of Non-Adherence to Dual Antiplatelet Therapy in Stented Patients (PARIS) registry.

Science.gov (United States)

Chandrasekhar, Jaya; Baber, Usman; Sartori, Samantha; Aquino, Melissa; Tomey, Matthew; Kruckoff, Mitchell; Moliterno, David; Henry, Timothy D; Weisz, Giora; Gibson, C Michael; Iakovou, Ioannis; Kini, Annapoorna; Faggioni, Michela; Vogel, Birgit; Farhan, Serdar; Colombo, Antonio; Steg, P Gabriel; Witzenbichler, Bernhard; Chieffo, Alaide; Cohen, David; Stuckey, Thomas; Ariti, Cono; Pocock, Stuart; Dangas, George; Mehran, Roxana

2017-09-15

Percutaneous coronary intervention (PCI) of the left main (LM) or proximal left anterior descending artery (pLAD) is considered high-risk as these segments subtend substantial left ventricular myocardial area. We assessed the patterns and associations between dual antiplatelet therapy (DAPT) cessation and 2-year outcomes in LM/pLAD vs. other PCI from the all-comer PARIS registry. Two-year major adverse cardiovascular events (MACE) were a composite of cardiac death, myocardial infarction, definite/probable stent thrombosis or target lesion revascularization. DAPT cessation was predefined as physician-guided permanent discontinuation, temporary interruption, or non-recommended disruption due to non-compliance or bleeding. Of the study population (n=5018), 25.0% (n=1252) underwent LM/pLAD PCI and 75.0% (n=3766) PCI to other segments. Compared to others, LM/pLAD patients presented with fewer comorbidities, less frequent acute coronary syndromes but more multivessel and bifurcation disease treated with greater stent lengths. Two-year adjusted risk of MACE (11.4% vs. 11.6%; HR 1.10, 95% CI 0.90-1.34, p=0.36) was similar between LM/pLAD vs. other patients. DAPT discontinuation was significantly higher (43.3% vs. 39.4%, p=0.01) in LM/pLAD patients with borderline significance for lower disruption (10.0% vs. 14.7%, p=0.059) compared to other patients. DAPT discontinuation was not associated with higher risk of MACE in LM/pLAD (HR 0.65, 95% CI 0.34-1.25) or other PCI groups (HR 0.67, 95% CI 0.47-0.95). LM/pLAD PCI was not an independent predictor of 2-year MACE. Compared to other PCI, patients undergoing LM/pLAD PCI had higher rates of physician recommended DAPT discontinuation, however, discontinuation did not result in greater adverse events. Copyright © 2017 Elsevier B.V. All rights reserved.

Comparison of five-year outcomes of coronary artery bypass grafting versus percutaneous coronary intervention in patients with left ventricular ejection fractions≤50% versus >50% (from the CREDO-Kyoto PCI/CABG Registry Cohort-2).

Science.gov (United States)

Marui, Akira; Kimura, Takeshi; Nishiwaki, Noboru; Mitsudo, Kazuaki; Komiya, Tatsuhiko; Hanyu, Michiya; Shiomi, Hiroki; Tanaka, Shiro; Sakata, Ryuzo

2014-10-01

Coronary heart disease is a major risk factor for left ventricular (LV) systolic dysfunction. However, limited data are available regarding long-term benefits of percutaneous coronary intervention (PCI) in the era of drug-eluting stent or coronary artery bypass grafting (CABG) in patients with LV systolic dysfunction with severe coronary artery disease. We identified 3,584 patients with 3-vessel and/or left main disease of 15,939 patients undergoing first myocardial revascularization enrolled in the CREDO-Kyoto PCI/CABG Registry Cohort-2. Of them, 2,676 patients had preserved LV systolic function, defined as an LV ejection fraction (LVEF) of >50% and 908 had impaired LV systolic function (LVEF≤50%). In patients with preserved LV function, 5-year outcomes were not different between PCI and CABG regarding propensity score-adjusted risk of all-cause and cardiac deaths. In contrast, in patients with impaired LV systolic function, the risks of all-cause and cardiac deaths after PCI were significantly greater than those after CABG (hazard ratio 1.49, 95% confidence interval 1.04 to 2.14, p=0.03 and hazard ratio 2.39, 95% confidence interval 1.43 to 3.98, pPCI was significantly greater than that after CABG (hazard ratio 2.25, 95% confidence interval 1.15 to 4.40, p=0.02 and hazard ratio 4.42, 95% confidence interval 1.48 to 13.24, p=0.01). Similarly, the risk of all-cause death tended to be greater after PCI than after CABG in both patients with moderate and severe LV systolic dysfunction without significant interaction (hazard ratio 1.57, 95% confidence interval 0.96 to 2.56, p=0.07 and hazard ratio 1.42, 95% confidence interval 0.71 to 2.82, p=0.32; interaction p=0.91). CABG was associated with better 5-year survival outcomes than PCI in patients with impaired LV systolic function (LVEF≤50%) with complex coronary disease in the era of drug-eluting stents. In both patients with moderate (35%PCI. Copyright © 2014 Elsevier Inc. All rights reserved.

The pumice raft-forming 2012 Havre submarine eruption was effusive

Science.gov (United States)

Manga, Michael; Fauria, Kristen E.; Lin, Christina; Mitchell, Samuel J.; Jones, Meghan; Conway, Chris E.; Degruyter, Wim; Hosseini, Behnaz; Carey, Rebecca; Cahalan, Ryan; Houghton, Bruce F.; White, James D. L.; Jutzeler, Martin; Soule, S. Adam; Tani, Kenichiro

2018-05-01

A long-standing conceptual model for deep submarine eruptions is that high hydrostatic pressure hinders degassing and acceleration, and suppresses magma fragmentation. The 2012 submarine rhyolite eruption of Havre volcano in the Kermadec arc provided constraints on critical parameters to quantitatively test these concepts. This eruption produced a >1 km3 raft of floating pumice and a 0.1 km3 field of giant (>1 m) pumice clasts distributed down-current from the vent. We address the mechanism of creating these clasts using a model for magma ascent in a conduit. We use water ingestion experiments to address why some clasts float and others sink. We show that at the eruption depth of 900 m, the melt retained enough dissolved water, and hence had a low enough viscosity, that strain-rates were too low to cause brittle fragmentation in the conduit, despite mass discharge rates similar to Plinian eruptions on land. There was still, however, enough exsolved vapor at the vent depth to make the magma buoyant relative to seawater. Buoyant magma was thus extruded into the ocean where it rose, quenched, and fragmented to produce clasts up to several meters in diameter. We show that these large clasts would have floated to the sea surface within minutes, where air could enter pore space, and the fate of clasts is then controlled by the ability to trap gas within their pore space. We show that clasts from the raft retain enough gas to remain afloat whereas fragments from giant pumice collected from the seafloor ingest more water and sink. The pumice raft and the giant pumice seafloor deposit were thus produced during a clast-generating effusive submarine eruption, where fragmentation occurred above the vent, and the subsequent fate of clasts was controlled by their ability to ingest water.

Determination of diffusion parameters using radioactive tracers, aiming at a project of a submarine sewage outfall

International Nuclear Information System (INIS)

Santos, J.L. dos.

1979-01-01

Radioactive tracers technology is applied to pollutant dispersion studies in water bodies, for the project of submarine sewage outfall. The models proposed by Hansen/Harremoes and Okubo, respectively, for the prediction of physical dilution rates and determination of turbulent diffusion laws, are discussed. The methodology for field work as well as data processing is described. The results from field investigations carried out in Brazilian litoral waters for submarine release of sewage in Santos - Sao Vicente, Guaruja and Maceio, are presented and commented. (Author) [pt

The Thermal Regime Around Buried Submarine High-Voltage Cables

Science.gov (United States)

Emeana, C. J.; Dix, J.; Henstock, T.; Gernon, T.; Thompson, C.; Pilgrim, J.

2015-12-01

The expansion of offshore renewable energy infrastructure and the desire for "trans-continental shelf" power transmission, all require the use of submarine High Voltage (HV) cables. These cables have maximum operating surface temperatures of up to 70oC and are typically buried at depths of 1-2 m beneath the seabed, within the wide range of substrates found on the continental shelf. However, the thermal properties of near surface shelf sediments are poorly understood and this increases the uncertainty in determining the required cable current ratings, cable reliability and the potential effects on the sedimentary environments. We present temperature measurements from a 2D laboratory experiment, designed to represent a buried, submarine HV cable. We used a large (2.5 m-high) tank, filled with water-saturated ballotini and instrumented with 120 thermocouples, which measured the time-dependent 2D temperature distributions around the heat source. The experiments use a buried heat source to represent a series of realistic cable surface temperatures with the aim for identifying the thermal regimes generated within typical non-cohesive shelf sediments: coarse silt, fine sand and very coarse sand. The steady state heat flow regimes, and normalised and radial temperature distributions were assessed. Our results show that at temperatures up to 60°C above ambient, the thermal regimes are conductive for the coarse silt sediments and convective for the very coarse sand sediments even at 7°C above ambient. However, the heat flow pattern through the fine sand sediment shows a transition from conductive to convective heat flow at a temperature of approximately 20°C above ambient. These findings offer an important new understanding of the thermal regimes associated with submarine HV cables buried in different substrates and has huge impacts on cable ratings as the IEC 60287 standard only considers conductive heat flow as well as other potential near surface impacts.

Mechanical modelization of PCI with Fragema and CEA finite element codes

International Nuclear Information System (INIS)

Bernard, P.; Joseph, J.; Atabek, R.; Chantant, M.

1982-03-01

In order to modelize the PCI phenomenon during a power ramp test two finite element codes have been used by FRAGEMA and CEA, TITUS and VERDON. The results given, by the 3D equivalent method developed with TITUS, and VERDON are equivalent, in particular the strains and the equivalent Von Mises stresses at the pellet to pellet interface are quite similar. An evaluation was made to explain experimental ramp tests results. These results come from FRISCA 04bis and FRISCA 104 rods which were ramp tested in SILOE. The choice of the equivalent Von Mises stress seems to be quite a good criterion to explain the failure threshold

Use of an UROV to develop 3-D optical models of submarine environments

Science.gov (United States)

Null, W. D.; Landry, B. J.

2017-12-01

The ability to rapidly obtain high-fidelity bathymetry is crucial for a broad range of engineering, scientific, and defense applications ranging from bridge scour, bedform morphodynamics, and coral reef health to unexploded ordnance detection and monitoring. The present work introduces the use of an Underwater Remotely Operated Vehicle (UROV) to develop 3-D optical models of submarine environments. The UROV used a Raspberry Pi camera mounted to a small servo which allowed for pitch control. Prior to video data collection, in situ camera calibration was conducted with the system. Multiple image frames were extracted from the underwater video for 3D reconstruction using Structure from Motion (SFM). This system provides a simple and cost effective solution to obtaining detailed bathymetry in optically clear submarine environments.

Prevalence, correlates, and impact of coronary calcification on adverse events following PCI with newer-generation DES: Findings from a large multiethnic registry.

Science.gov (United States)

Copeland-Halperin, Robert S; Baber, Usman; Aquino, Melissa; Rajamanickam, Anitha; Roy, Swathi; Hasan, Choudhury; Barman, Nitin; Kovacic, Jason C; Moreno, Pedro; Krishnan, Prakash; Sweeny, Joseph M; Mehran, Roxana; Dangas, George; Kini, Annapoorna S; Sharma, Samin K

2018-04-01

We sought to determine the prevalence, predictors, and clinical impact of target lesion calcification in patients undergoing percutaneous coronary intervention (PCI) with newer generation drug-eluting stents (DES) and devices. Coronary calcification is independently associated with adverse outcomes following PCI. While newer DES and contemporary devices are considered safer and more efficacious, their influence on outcomes following PCI of heavily calcified lesions is unknown. We performed a retrospective analysis of a large, multiethnic cohort of patients undergoing PCI with new generation DES at an academic center between 2009 and 2013. Coronary calcification was qualitatively assessed as none/mild, moderate, or severe. Independent demographic, clinical, and anatomic predictors of moderate/severe calcification were identified using logistic regression. Associations between coronary calcification and 1-year MACE (death, myocardial infarction, or target vessel revascularization) were examined using Cox modeling. Compared to patients with none/mild (n = 10,180; 82.0%), those with moderate (n = 1,271; 10.0%) or severe (n = 994; 8.0%) calcification were older, more often Caucasian, had more complex target lesions, and worse renal function. The strongest demographic, clinical, and anatomic correlates of moderate/severe calcification were age, Caucasian race, renal dysfunction, lesion length, and left main location. Unadjusted MACE rates among those with none/mild, moderate, and severe calcification were 8.3, 14.6, and 17.8%, respectively (P < 0.001). After multivariable adjustment, the hazard ratio (95% CI) for MACE associated with moderate or severe coronary calcification was 1.63. Target lesion calcification remains independently associated with adverse outcomes in patients treated with newer generation DES and modern devices. © 2017 Wiley Periodicals, Inc.

Method and apparatus for disposing a radioactive waste container to submarine bottom

International Nuclear Information System (INIS)

Shibata, Kiyoshi; Yoshida, Shoichi.

1980-01-01

Purpose: To completely eliminate a danger occurred by the rolling of a hull in the ocean in a method and apparatus for disposing radioactive waste container to submarine bottom by independently handling the radioactive waste containers when loading the container in a compartment carried on a barge and sinking the containers together with the compartment to the submarine bottom at its disposing time. Method: Radioactive waste containers are carried into a compartment loaded on a barge floating completely, and the barge is then applied with external force thereto by a ship or the like and sailed to the marine disposal area. Then, water is filled in the ballast tank of the barge to submerge the barge, the compartment is floated and separated from the containers, and water is charged into the compartment to sink the compartment. (Aizawa, K.)

Satellite-derived submarine melt rates and mass balance (2011-2015) for Greenland's largest remaining ice tongues

Science.gov (United States)

Wilson, Nat; Straneo, Fiammetta; Heimbach, Patrick

2017-12-01

Ice-shelf-like floating extensions at the termini of Greenland glaciers are undergoing rapid changes with potential implications for the stability of upstream glaciers and the ice sheet as a whole. While submarine melting is recognized as a major contributor to mass loss, the spatial distribution of submarine melting and its contribution to the total mass balance of these floating extensions is incompletely known and understood. Here, we use high-resolution WorldView satellite imagery collected between 2011 and 2015 to infer the magnitude and spatial variability of melt rates under Greenland's largest remaining ice tongues - Nioghalvfjerdsbræ (79 North Glacier, 79N), Ryder Glacier (RG), and Petermann Glacier (PG). Submarine melt rates under the ice tongues vary considerably, exceeding 50 m a-1 near the grounding zone and decaying rapidly downstream. Channels, likely originating from upstream subglacial channels, give rise to large melt variations across the ice tongues. We compare the total melt rates to the influx of ice to the ice tongue to assess their contribution to the current mass balance. At Petermann Glacier and Ryder Glacier, we find that the combined submarine and aerial melt approximately balances the ice flux from the grounded ice sheet. At Nioghalvfjerdsbræ the total melt flux (14.2 ± 0.96 km3 a-1 w.e., water equivalent) exceeds the inflow of ice (10.2 ± 0.59 km3 a-1 w.e.), indicating present thinning of the ice tongue.

France and nuclear proliferation: the new generation of nuclear submarines

International Nuclear Information System (INIS)

Barrillot, B.

2001-01-01

Ten years after the end of the 'cold war' the French government has pursued its national defense program with the construction of a new generation of nuclear submarines with new type of missiles and nuclear heads. This book analyzes the possible solutions for a step by step elimination of nuclear weapons from the French weapons stock. (J.S.)

Using Google Earth for Submarine Operations at Pavilion Lake

Science.gov (United States)

Deans, M. C.; Lees, D. S.; Fong, T.; Lim, D. S.

2009-12-01

During the July 2009 Pavilion Lake field test, we supported submarine "flight" operations using Google Earth. The Intelligent Robotics Group at NASA Ames has experience with ground data systems for NASA missions, earth analog field tests, disaster response, and the Gigapan camera system. Leveraging this expertise and existing software, we put together a set of tools to support sub tracking and mapping, called the "Surface Data System." This system supports flight planning, real time flight operations, and post-flight analysis. For planning, we make overlays of the regional bedrock geology, sonar bathymetry, and sonar backscatter maps that show geology, depth, and structure of the bottom. Placemarks show the mooring locations for start and end points. Flight plans are shown as polylines with icons for waypoints. Flight tracks and imagery from previous field seasons are embedded in the map for planning follow-on activities. These data provide context for flight planning. During flights, sub position is updated every 5 seconds from the nav computer on the chase boat. We periodically update tracking KML files and refresh them with network links. A sub icon shows current location of the sub. A compass rose shows bearings to indicate heading to the next waypoint. A "Science Stenographer" listens on the voice loop and transcribes significant observations in real time. Observations called up to the surface immediately appear on the map as icons with date, time, position, and what was said. After each flight, the science back room immediately has the flight track and georeferenced notes from the pilots. We add additional information in post-processing. The submarines record video continuously, with "event" timestamps marked by the pilot. We cross-correlate the event timestamps with position logs to geolocate events and put a preview image and compressed video clip into the map. Animated flight tracks are also generated, showing timestamped position and providing timelapse

Public health assessment for US Naval Submarine Base, New London, Groton, New London County, Connecticut, Region 1. CERCLIS No. CTD980906515. Final report

International Nuclear Information System (INIS)

1993-01-01

The New London Submarine Base was divided by the town boundaries of Groton to the south and Ledyard to the north in New London County, Connecticut. In 1983, the Navy identified 16 potential source areas of environmental contamination during their investigations. The submarine base was listed on the US Environmental Protection Agency's National Priorities List in August 1990 because of the potential for on-base groundwater contamination to migrate to off-base residential wells that are close to the New London Submarine Base

Results of radioactivity analysis made in Corsica following the navigation incident of the USS Hartford submarine

International Nuclear Information System (INIS)

2003-11-01

No radiological impact has been revealed in relation with the navigation incident of the Uss Hartford submarine at the north of Sardinia. The analysis have been made by the Institute of radiation protection and nuclear safety (I.R.S.N.).The Uss Hartford submarine had hit the bottom of the sea, on the 25. of october 2003, between the islands of Sardinia at a thirty kilometers distance in the south of Bonifacio. The accident had been declared to the public only on the 12. of November 2003. (N.C.)

H2O Contents of Submarine and Subaerial Silicic Pyroclasts from Oomurodashi Volcano, Northern Izu-Bonin Arc

Science.gov (United States)

McIntosh, I. M.; Tani, K.; Nichols, A. R.

2014-12-01

Oomurodashi volcano is an active shallow submarine silicic volcano in the northern Izu-Bonin Arc, located ~20 km south of the inhabited active volcanic island of Izu-Oshima. Oomurodashi has a large (~20km diameter) flat-topped summit located at 100 - 150 metres below sea level (mbsl), with a small central crater, Oomuro Hole, located at ~200 mbsl. Surveys conducted during cruise NT12-19 of R/V Natsushima in 2012 using the remotely-operated vehicle (ROV) Hyper-Dolphin revealed that Oomuro Hole contains numerous active hydrothermal vents and that the summit of Oomurodashi is covered by extensive fresh rhyolitic lava and pumice clasts with little biogenetic or manganese cover, suggesting recent eruption(s) from Oomuro Hole. Given the shallow depth of the volcano summit, such eruptions are likely to have generated subaerial eruption columns. A ~10ka pumiceous subaerial tephra layer on the neighbouring island of Izu-Oshima has a similar chemical composition to the submarine Oomurodashi rocks collected during the NT12-19 cruise and is thought to have originated from Oomurodashi. Here we present FTIR measurements of the H2O contents of rhyolitic pumice from both the submarine deposits sampled during ROV dives and the subaerial tephra deposit on Izu-Oshima, in order to assess magma degassing and eruption processes occurring during shallow submarine eruptions.

Modeling ecosystem processes with variable freshwater inflow to the Caloosahatchee River Estuary, southwest Florida. II. Nutrient loading, submarine light, and seagrasses

Science.gov (United States)

Buzzelli, Christopher; Doering, Peter; Wan, Yongshan; Sun, Detong

2014-12-01

Short- and long-term changes in estuarine biogeochemical and biological attributes are consequences of variations in both the magnitude and composition of freshwater inputs. A common conceptualization of estuaries depicts nutrient loading from coastal watersheds as the stressor that promotes algal biomass, decreases submarine light penetration, and degrades seagrass habitats. Freshwater inflow depresses salinity while simultaneously introducing colored dissolved organic matter (color or CDOM) which greatly reduces estuarine light penetration. This is especially true for sub-tropical estuaries. This study applied a model of the Caloosahatchee River Estuary (CRE) in southwest Florida to explore the relationships between freshwater inflow, nutrient loading, submarine light, and seagrass survival. In two independent model series, the loading of dissolved inorganic nitrogen and phosphorus (DIN and DIP) was reduced by 10%, 20%, 30%, and 50% relative to the base model case from 2002 to 2009 (2922 days). While external nutrient loads were reduced by lowering inflow (Q0) in the first series (Q0 series), reductions were accomplished by decreasing the incoming concentrations of DIN and DIP in the second series (NP Series). The model also was used to explore the partitioning of submarine light extinction due to chlorophyll a, CDOM, and turbidity. Results suggested that attempting to control nutrient loading by decreasing freshwater inflow could have minor effects on water column concentrations but greatly influence submarine light and seagrass biomass. This is because of the relative importance of Q0 to salinity and submarine light. In general, light penetration and seagrass biomass decreased with increased inflow and CDOM. Increased chlorophyll a did account for more submarine light extinction in the lower estuary. The model output was used to help identify desirable levels of inflow, nutrient loading, water quality, salinity, and submarine light for seagrass in the lower CRE

The near boiling reactor: design of a small nuclear reactor for extending the operational envelope of the Victoria Class Submarine

International Nuclear Information System (INIS)

Cole, C.; Bonin, H.

2005-01-01

A small, inherently safe nuclear reactor that will provide enough power to maintain the hotel load of the Victoria Class Submarine and extend her operational envelope, has been conceptually designed. The final reactor concept, named the Near Boiling (NB) Reactor, employs TRISO fuel particles in Zirconium cladded fuel rods. The reactor is light water moderated and cooled. The core life is specifically designed to coincide with the refit cycle of the Victoria Class Submarine. The reactor employs a simple and reliable control and shut down system that requires little intervention on the part of the submarine's crew. Also, a kinetic model is developed that demonstrates the inherent safety features of the reactor during several accident scenarios. (author)

The near boiling reactor: design of a small nuclear reactor for extending the operational envelope of the Victoria Class Submarine

Energy Technology Data Exchange (ETDEWEB)

Cole, C.; Bonin, H. [Royal Military College of Canada, Dept. of Chemistry and Chemical Engineering, Kingston, Ontario (Canada)]. E-mail: chris.cole@rmc.ca; bonin-h@rmc.ca

2005-07-01

A small, inherently safe nuclear reactor that will provide enough power to maintain the hotel load of the Victoria Class Submarine and extend her operational envelope, has been conceptually designed. The final reactor concept, named the Near Boiling (NB) Reactor, employs TRISO fuel particles in Zirconium cladded fuel rods. The reactor is light water moderated and cooled. The core life is specifically designed to coincide with the refit cycle of the Victoria Class Submarine. The reactor employs a simple and reliable control and shut down system that requires little intervention on the part of the submarine's crew. Also, a kinetic model is developed that demonstrates the inherent safety features of the reactor during several accident scenarios. (author)

Navigation and history of science: autopsy to submarine Kursk. Survival previsions were not sufficient

Directory of Open Access Journals (Sweden)

Ignacio Jáuregui-Lobera

2018-01-01

Full Text Available On August 12, 2000, Saturday, a Russian submarine of the Oscar II class, the K-141 Kursk, sank in the Barents Sea, while sailing as part of the "Summer-X Exercise" manoeuvres. The Kursk was a giant double-hulled submarine, with nine sealed compartments, considered impossible to be sunk. During the manoeuvres, at 08:51 local time, the Kursk requested permission to prepare a torpedo and it received the response "Dobro" (good in English. At 11:29:34 (07:29:50 UTC the Norwegian seismic monitoring network (NORSAR registered an earthquake of intensity 1.5 on the Richter scale at northeast of Murmansk, approximately 250 Km from Norway, and 80 Km from the Kola Peninsula. At 11:31:48, two minutes and fourteen seconds later, a second movement, 4.2 on the Richter scale and 250 times longer than the first, was recorded by different seismographs, even being detected in Alaska. It was equivalent to an explosion of 2-3 Tm of TNT. After a great confusion and propaganda, there was no choice other than to accept the facts: the Kursk had suffered two explosions, had sunk and the whole crew had perished. But what happened in that submarine? It seems clear that survival previsions were not sufficient.

Submarine groundwater discharge within a landslide scar at the French Mediterranean coast

NARCIS (Netherlands)

Oehler, Till; Mogollón, José M.; Moosdorf, Nils; Winkler, Andreas; Kopf, Achim; Pichler, Thomas

2017-01-01

Submarine groundwater discharge (SGD), the flow of fresh and saline groundwater from the seabed into the coastal ocean, has been intensively investigated in the recent years. This research has usually been restricted to shallow water and intertidal areas, whereas knowledge about groundwater seepage

Development of an Indexing Media Filtration System for Long Duration Space Missions

Science.gov (United States)

Agui, Juan H.; Vijayakumar, R.

2013-01-01

The effective maintenance of air quality aboard spacecraft cabins will be vital to future human exploration missions. A key component will be the air cleaning filtration system which will need to remove a broad size range of particles derived from multiple biological and material sources. In addition, during surface missions any extraterrestrial planetary dust, including dust generated by near-by ISRU equipment, which is tracked into the habitat will also need to be managed by the filtration system inside the pressurized habitat compartments. An indexing media filter system is being developed to meet the demand for long-duration missions that will result in dramatic increases in filter service life and loading capacity, and will require minimal crew involvement. The filtration system consists of three stages: an inertial impactor stage, an indexing media stage, and a high-efficiency filter stage, packaged in a stacked modular cartridge configuration. Each stage will target a specific range of particle sizes that optimize the filtration and regeneration performance of the system. An 1/8th scale and full-scale prototype of the filter system have been fabricated and have been tested in the laboratory and reduced gravity environments that simulate conditions on spacecrafts, landers and habitats. Results from recent laboratory and reduce-gravity flight tests data will be presented. The features of the new filter system may also benefit other closed systems, such as submarines, and remote location terrestrial installations where servicing and replacement of filter units is not practical.

Gravitational, erosional and depositional processes on volcanic ocean islands: Insights from the submarine morphology of Madeira Archipelago

Science.gov (United States)

Quartau, Rui; Ramalho, Ricardo S.; Madeira, José; Santos, Rúben; Rodrigues, Aurora; Roque, Cristina; Carrara, Gabriela; Brum da Silveira, António

2018-01-01

The submarine flanks of volcanic ocean islands are shaped by a variety of physical processes. Whilst volcanic constructional processes are relatively well understood, the gravitational, erosional and depositional processes that lead to the establishment of large submarine tributary systems are still poorly comprehended. Until recently, few studies have offered a comprehensive source-to-sink approach, linking subaerial morphology with near-shore shelf, slope and far-field abyssal features. In particular, few studies have addressed how different aspects of the subaerial part of the system (island height, climate, volcanic activity, wave regime, etc.) may influence submarine flank morphologies. We use multibeam bathymetric and backscatter mosaics of an entire archipelago - Madeira - to investigate the development of their submarine flanks. Crucially, this dataset extends from the nearshore to the deep sea, allowing a solid correlation between submarine morphologies with the physical and geological setting of the islands. In this study we also established a comparison with other island settings, which allowed us to further explore the wider implications of the observations. The submarine flanks of the Madeira Archipelago are deeply dissected by large landslides, most of which also affected the subaerial edifices. Below the shelf break, landslide chutes extend downslope forming poorly defined depositional lobes. Around the islands, a large tributary system composed of gullies and channels has formed where no significant rocky/ridge outcrops are present. In Madeira Island these were likely generated by turbidity currents that originated as hyperpycnal flows, whilst on Porto Santo and Desertas their origin is attributed to storm-induced offshore sediment transport. At the lower part of the flanks (-3000 to -4300 m), where seafloor gradients decrease to 0.5°-3°, several scour and sediment wave fields are present, with the former normally occurring upslope of the latter

Ultrahigh-resolution ultrasound characterization of access site trauma and intimal hyperplasia following use of a 7F sheathless guide versus 6F sheath/guide combination for transradial artery PCI: Results of the PRAGMATIC trial.

Science.gov (United States)

Batchelor, Wayne; Dahya, Vishal; McGee, Dan; Katopodis, John; Dixon, William; Campbell, James; Meredith, Ashley; Knap, Patty; Parkin, Mathew; Noel, Thomas

2018-04-01

There exist limited data on the relative degree of acute injury and late healing of the radial artery after transradial artery (TRA) percutaneous coronary intervention (PCI) with a 7F sheathless guide catheter compared with a 6F sheath/guide combination. We used ultrahigh-resolution (55 MHz) vascular ultrasound to compare intimal-medial thickening (IMT) and early and late radial artery (RA) injury resulting from a sheathless 7F guide catheter versus a 6F sheath/guide combination for TRA-PCI. Forty-one consecutive consenting patients undergoing elective nonemergent TRA-PCI at a single institution from June 2016 to December 2016 were included. Patients were randomized (stratified by sex) to undergo TRA-PCI using a 7F sheathless guide catheter versus a 6F sheath/6F guide combination. Ultrahigh-resolution vascular ultrasound (55MHz) of the RA access site was performed at 24hours and 90days post-TRA-PCI. The primary outcome of the study was a noninferiority comparison of radial artery IMT thickness at 90days. PCI success rates, fluoroscopy times, number of guides used, and crossover rates to a femoral approach were also compared. Baseline characteristics were similar between groups. Radial arterial IMT (mm) was similar between the 7F sheathless and 6F sheath/guide groups at 24hours (0.27 vs 0.29, respectively; P=.43) and at 90days (0.35 vs 0.34, respectively; P=.96). The P value for the noninferiority testing of a 0.07-mm limit was .002. Limited access site intimal tears were relatively common in both groups at 24hours (4 vs 5, P=.53) but often healed by 90days. Radial artery occlusion was infrequent at 90days (2 vs 1, P=.10), and no frank dissections were noted. PCI success rates (100% vs 95%, P=.59), fluoroscopy times (16 vs 12minutes, P=.17), number of guides used (1.1 vs 1.2, P=.48), and femoral crossover rates (0% vs 0%) were similar between the 2 respective groups. A 7F sheathless approach to TRA-PCI results in no more IMT and early or late RA trauma than a

Effect of emergency PCI combined with rh-BNP therapy on neuroendocrine indicators and cardiac function in patients with acute anterior myocardial infarction

Directory of Open Access Journals (Sweden)

Yang Ji

2016-06-01

Full Text Available Objective: To analyze the effect of emergency PCI combined with rh-BNP therapy on neuroendocrine indicators and cardiac function in patients with acute anterior myocardial infarction. Methods: A total of 70 cases with acute anterior myocardial infarction who received emergency rescue in our hospital from February 2012 to September 2014 were included for study, and all included patients were divided into control group 38 cases who received emergency PCI treatment alone and observation group 32 cases who received emergency PCI combined with rh-BNP therapy. Differences in the values of neuroendocrine indicators, ventricular collagen remodeling-related indicators, cardiac function indicators, myocardial injury-related indicators and so on were compared between two groups after treatment. Results: Serum ET, PRA, ALD, AngII, NE and E values of observation group after treatment were significantly lower than those of control group (P<0.05; serum PⅠCP and PCⅢ values of observation group after treatment were lower than those of control group, and PⅠCP/ PCⅢ and TIMP-1 values were significantly higher than those of control group (P<0.05; examination of cardiac function by color Doppler ultrasound showed that LAD, LVEDD, LVESD, LVESV and LVEDV values of observation group were lower than those of control group, and LVEF and LVFS values were significantly higher than those of control group (P<0.05; serum CD14++CD2L+, hs-cTnT, HBDH and H-FABP values of observation group after treatment were significantly lower than those of control group, and CD14+CD2L- value was significantly higher than that of control group (P<0.05. Conclusions: Emergency PCI combined with rh-BNP therapy for patients with acute anterior myocardial infarction can significantly improve cardiac function and inhibit ventricular remodeling, and it has positive clinical significance.