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Sample records for surgery caos accuracy

  1. Computer Assisted Orthopaedic SurgeryCAOS

    Directory of Open Access Journals (Sweden)

    Enes M. Kanlić

    2006-02-01

    Full Text Available The use of computer navigation in orthopedic surgery allows for real time intraoperative feedback resulting in higher precision of bone cuts, better alignment of implants and extremities, easier fracture reductions, less radiation and better documentation than what is possible in classical orthopaedic procedures. There is no need for direct and repeated visualization of many anatomical landmarks (classical method in order to have good intraoperative orientation. Navigation technology depicts anatomy and position of "smart tools" on the screen allowing for high surgical precision (smaller number of outliers from desired goal and with less soft tissue dissection (minimally invasive surgery - MIS. As a result, there are more happy patients with less pain, faster recovery, better functional outcome and well positioned, long lasting implants. In general, navigation cases are longer on the average 10 to 20 minutes, special training is required and equipment is relatively expensive. CAOS applications in knee and hip joint replacement are discussed.

  2. Accuracy Of Stereometry In Assessing Orthognathic Surgery

    Science.gov (United States)

    King, Geoffrey E.; Bays, R. A.

    1983-07-01

    An X-ray stereometric technique has been developed for the determination of 3-dimensional coordinates of spherical metallic markers previously implanted in monkey skulls. The accuracy of the technique is better than 0.5mm. and uses readily available demountable X-ray equipment. The technique is used to study the effects and stability of experimental orthognathic surgery.

  3. Computed tomography angiogram. Accuracy in renal surgery

    International Nuclear Information System (INIS)

    Rabah, Danny M.; Al-Hathal, Naif; Al-Fuhaid, Turki; Raza, Sayed; Al-Yami, Fahad; Al-Taweel, Waleed; Alomar, Mohamed; Al-Nagshabandi, Nizar

    2009-01-01

    The objective of this study was to determine the sensitivity and specificity of computed tomography angiogram (CTA) in detecting number and location of renal arteries and veins as well as crossing vessels causing uretero-pelvic junction obstruction (UPJO), and to determine if this can be used in decision-making algorithms for treatment of UPJO. A prospective study was carried out in patients undergoing open, laparoscopic and robotic renal surgery from April 2005 until October 2006. All patients were imaged using CTA with 1.25 collimation of arterial and venous phases. Each multi-detector CTA was then read by one radiologist and his results were compared prospectively with the actual intra-operative findings. Overall, 118 patients were included. CTA had 93% sensitivity, 77% specificity and 90% overall accuracy for detecting a single renal artery, and 76% sensitivity, 92% specificity and 90% overall accuracy for detecting two or more renal arteries (Pearson χ 2 =0.001). There was 95% sensitivity, 84% specificity and 85% overall accuracy for detecting the number of renal veins. CTA had 100% overall accuracy in detecting early dividing renal artery (defined as less than 1.5 cm branching from origin), and 83.3% sensitivity, specificity and overall accuracy in detecting crossing vessels at UPJ. The percentage of surgeons stating CTA to be helpful as pre-operative diagnostic tool was 85%. Computed tomography angiogram is simple, quick and can provide an accurate pre-operative renal vascular anatomy in terms of number and location of renal vessels, early dividing renal arteries and crossing vessels at UPJ. (author)

  4. Accuracy of computer-assisted orthognathic surgery.

    Science.gov (United States)

    De Riu, Giacomo; Virdis, Paola Ilaria; Meloni, Silvio Mario; Lumbau, Aurea; Vaira, Luigi Angelo

    2018-02-01

    The purpose of this study was to retrospectively evaluate the difference between the planned and the actual movements of the jaws, using three-dimensional (3D) software for PC-assisted orthognathic surgery, to establish the accuracy of the procedure. A retrospective study was performed with 49 patients who had undergone PC-guided bimaxillary surgery. The accuracy of the protocol was determined by comparing planned movements of the jaws with the actual surgical movements, analysing frontal and lateral cephalometries. The overall results were deemed accurate, and differences among 12 of the 15 parameters were considered nonsignificant. Significant differences were reported for SNA (p = 0.008), SNB (p = 0.006), and anterior facial height (p = 0.033). The latter was significantly different in patients who had undergone genioplasty when compared with patients who had not. Virtual surgical planning presented a good degree of accuracy for most of the parameters assessed, with an average error of 1.98 mm for linear measures and 1.19° for angular measures. In general, a tendency towards under-projection in jaws was detected, probably due to imperfect condylar seating. A slight overcorrection of SNA and SNB during virtual planning (approximately 2°) could be beneficial. Further progress is required in the development of 3D simulation of the soft tissue, which currently does not allow an accurate management of the facial height and the chin position. Virtual planning cannot replace the need for constant intraoperative monitoring of the jaws' movements and real-time comparisons between planned and actual outcomes. It is therefore appropriate to leave some margin for correction of inaccuracies in the virtual planning. In this sense, it may be appropriate to use only the intermediate splint, and then use the planned occlusion and clinical measurements to guide repositioning of the second jaw and chin, respectively. Copyright © 2017 European Association for Cranio

  5. Le leggi del caos

    CERN Document Server

    Prigogine, Ilya

    1993-01-01

    Contro la concezione deterministica delle leggi di natura, teocratica e indifferente alla dimensione temporale, Prigogine riconosce nuova dignita al 'caos', la cui instabilità è fonte di disordine ma anche di ordine.

  6. Audit of accuracy of clinical coding in oral surgery.

    Science.gov (United States)

    Naran, S; Hudovsky, A; Antscherl, J; Howells, S; Nouraei, S A R

    2014-10-01

    We aimed to study the accuracy of clinical coding within oral surgery and to identify ways in which it can be improved. We undertook did a multidisciplinary audit of a sample of 646 day case patients who had had oral surgery procedures between 2011 and 2012. We compared the codes given with their case notes and amended any discrepancies. The accuracy of coding was assessed for primary and secondary diagnoses and procedures, and for health resource groupings (HRGs). The financial impact of coding Subjectivity, Variability and Error (SVE) was assessed by reference to national tariffs. The audit resulted in 122 (19%) changes to primary diagnoses. The codes for primary procedures changed in 224 (35%) cases; 310 (48%) morbidities and complications had been missed, and 266 (41%) secondary procedures had been missed or were incorrect. This led to at least one change of coding in 496 (77%) patients, and to the HRG changes in 348 (54%) patients. The financial impact of this was £114 in lost revenue per patient. There is a high incidence of coding errors in oral surgery because of the large number of day cases, a lack of awareness by clinicians of coding issues, and because clinical coders are not always familiar with the large number of highly specialised abbreviations used. Accuracy of coding can be improved through the use of a well-designed proforma, and standards can be maintained by the use of an ongoing data quality assurance programme. Copyright © 2014. Published by Elsevier Ltd.

  7. Accuracy of perioperative mandibular positions in orthognathic surgery.

    Science.gov (United States)

    Borba, A M; Ribeiro-Junior, O; Brozoski, M A; Cé, P S; Espinosa, M M; Deboni, M C Z; Miloro, M; Naclério-Homem, M G

    2014-08-01

    Mandibular position is an important parameter used for the diagnosis of dentofacial deformities, as well as for orthognathic surgery planning and execution. Centric relation (anterior and superior relationship of the mandibular condyles interposed by the thinnest portion of their disks against the articular eminencies), centric occlusion (when lower teeth contact upper teeth at centric relation), and maximal intercuspation (complete interdigitation of lower and upper teeth) are not often addressed as factors that influence the results of orthognathic surgery, although these relationships are critical to ensure accuracy during the surgery. The present study assessed occlusal measurements taken before and after the induction of general anaesthesia from consecutive orthognathic surgery subjects. The variables assessed included the differences between these occlusal measurements, patient age, gender, type of deformity, and type of proposed orthognathic surgical procedure. The results demonstrated statistically significant differences for mandibular retrusion from maximal intercuspation to centric occlusion position, whereas the mandible appeared not to change significantly from centric occlusion after the induction of general anaesthesia. Patient age and the type of deformity appeared to influence the results. While in most instances centric occlusion can be adequately reproduced under general anaesthesia, for some specific orthognathic cases more accurate results might be obtained if the mandible-first sequence is used. Copyright © 2014 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  8. Accuracy of Three-Dimensional Planning in Surgery-First Orthognathic Surgery: Planning Versus Outcome

    Science.gov (United States)

    Tran, Ngoc Hieu; Tantidhnazet, Syrina; Raocharernporn, Somchart; Kiattavornchareon, Sirichai; Pairuchvej, Verasak; Wongsirichat, Natthamet

    2018-01-01

    Background The benefit of computer-assisted planning in orthognathic surgery (OGS) has been extensively documented over the last decade. This study aimed to evaluate the accuracy of three-dimensional (3D) virtual planning in surgery-first OGS. Methods Fifteen patients with skeletal class III malocclusion who underwent bimaxillary OGS with surgery-first approach were included. A composite skull model was reconstructed using data from cone-beam computed tomography and stereolithography from a scanned dental cast. Surgical procedures were simulated using Simplant O&O software, and the virtual plan was transferred to the operation room using 3D-printed splints. Differences of the 3D measurements between the virtual plan and postoperative results were evaluated, and the accuracy was reported using root mean square deviation (RMSD) and the Bland-Altman method. Results The virtual planning was successfully transferred to surgery. The overall mean linear difference was 0.88 mm (0.79 mm for the maxilla and 1 mm for the mandible), and the overall mean angular difference was 1.16°. The RMSD ranged from 0.86 to 1.46 mm and 1.27° to 1.45°, within the acceptable clinical criteria. Conclusion In this study, virtual surgical planning and 3D-printed surgical splints facilitated the diagnosis and treatment planning, and offered an accurate outcome in surgery-first OGS. PMID:29581806

  9. Accuracy of Three-Dimensional Planning in Surgery-First Orthognathic Surgery: Planning Versus Outcome.

    Science.gov (United States)

    Tran, Ngoc Hieu; Tantidhnazet, Syrina; Raocharernporn, Somchart; Kiattavornchareon, Sirichai; Pairuchvej, Verasak; Wongsirichat, Natthamet

    2018-05-01

    The benefit of computer-assisted planning in orthognathic surgery (OGS) has been extensively documented over the last decade. This study aimed to evaluate the accuracy of three-dimensional (3D) virtual planning in surgery-first OGS. Fifteen patients with skeletal class III malocclusion who underwent bimaxillary OGS with surgery-first approach were included. A composite skull model was reconstructed using data from cone-beam computed tomography and stereolithography from a scanned dental cast. Surgical procedures were simulated using Simplant O&O software, and the virtual plan was transferred to the operation room using 3D-printed splints. Differences of the 3D measurements between the virtual plan and postoperative results were evaluated, and the accuracy was reported using root mean square deviation (RMSD) and the Bland-Altman method. The virtual planning was successfully transferred to surgery. The overall mean linear difference was 0.88 mm (0.79 mm for the maxilla and 1 mm for the mandible), and the overall mean angular difference was 1.16°. The RMSD ranged from 0.86 to 1.46 mm and 1.27° to 1.45°, within the acceptable clinical criteria. In this study, virtual surgical planning and 3D-printed surgical splints facilitated the diagnosis and treatment planning, and offered an accurate outcome in surgery-first OGS.

  10. A clinical study of navigation accuracy during surgery

    International Nuclear Information System (INIS)

    Hirabayashi, Hidehiro; Uchiyama, Yoshitomo; Hoshida, Toru; Nakase, Hiroyuki; Morimoto, Tetsuya; Sakaki, Toshisuke

    2000-01-01

    It is essential to implement image-guided surgery or neuronavigation technologies that can be applied during functional surgery to localize targets accurately in the surgical field. Various navigation systems have been developed, such as the optical system and mechanical-arm-based system, to localize targets in the operative field. However, either the reference system, in optical systems, or the arm joint, in mechanical-arm-based systems, can sometimes interfere with surgical maneuvers. Therefore, we used the magnetic-force-based Computed Assisted Neurosurgery system (CANS system, Shimadzu, Co. Ltd., Kyoto, Japan) for neuronavigation. The purpose of this study was to evaluate the accuracy of the CANS navigation system. Ten patients with medically refractory epilepsy underwent implantation of subdural electrode grids to detect the epilepsy focus, and then lobectomy or multiple subpial transection was performed after informed consent was obtained. The male/female ratio was 6:4 and the mean age was 30.7 years. The CANS navigator system consists mainly of a magnetic source, a localizer probe with magnetic sensor, a three-dimensional locating measuring instrument (digitizer), an image scanner, and a personal computer. To determine the localization accuracy, the probe was moved on the subdural electrode grid which typically consists of 64 or 16 platinum-iridium electrode contacts (3 mm in the diameter) embedded in a Silastic sheet. The array of electrodes was 8 x 8 cm or 2 x 8 cm and the center-to-center inter-electrode distance was 10 mm. We evaluated the inter-electrode distances and spatial relationships among the electrodes to quantitate the precision of the probe tip localization and assumed the nasion origin reference system to assess the distribution of target coordinates. The measurement errors of each component derived from different planes for the same targets were evaluated in ten patients. The error in X-dimension ranged from 0.38 mm to 7.8 mm, the error in Y

  11. Anastomotic leakage after colorectal surgery: diagnostic accuracy of CT

    Energy Technology Data Exchange (ETDEWEB)

    Kauv, Paul; Benadjaoud, Samir; Boulay-Coletta, Isabelle; Zins, Marc [Fondation Hopital Saint-Joseph, Department of Radiology, Paris (France); Curis, Emmanuel [Universite Paris Descartes, Laboratoire de biomathematiques, Faculte de pharmacie, Paris (France); Loriau, Jerome [Fondation Hopital Saint-Joseph, Department of Digestive Surgery, Paris (France)

    2015-12-15

    To evaluate the diagnostic accuracy of CT in postoperative colorectal anastomotic leakage (AL). Two independent blinded radiologists reviewed 153 CTs performed for suspected AL within 60 days after surgery in 131 consecutive patients, with (n = 58) or without (n = 95) retrograde contrast enema (RCE). Results were compared to original interpretations. The reference standard was reoperation or consensus (a radiologist and a surgeon) regarding clinical, laboratory, radiological, and follow-up data after medical treatment. AL was confirmed in 34/131 patients. For the two reviewers and original interpretation, sensitivity of CT was 82 %, 87 %, and 71 %, respectively; specificity was 84 %, 84 %, and 92 %. RCE significantly increased the positive predictive value (from 40 % to 88 %, P = 0.0009; 41 % to 92 %, P = 0.0016; and 40 % to 100 %, P = 0.0006). Contrast extravasation was the most sensitive (reviewers, 83 % and 83 %) and specific (97 % and 97 %) sign and was significantly associated with AL by univariate analysis (P < 0.0001 and P < 0.0001). By multivariate analysis with recursive partitioning, CT with RCE was accurate to confirm or rule out AL with contrast extravasation. CT with RCE is accurate for diagnosing postoperative colorectal AL. Contrast extravasation is the most reliable sign. RCE should be performed during CT for suspected AL. (orig.)

  12. Caso e caos

    CERN Document Server

    Ruelle, David

    1992-01-01

    Caso e caos – Il caso ha la sua ragione. Ma quale? E cos’è in realtà il caso? Da dove viene e come può fare irruzione nella nostra descrizione dell’universo? A tutte queste domande, in una chiara e lucida esposizione, cerca di dare risposta David Ruelle. Curiosando tra i risultati scientifici del XX secolo e soffermandosi anche su fenomeni e problemi estranei alla scienza tradizionale – le lotterie, gli oroscopi, la teoria dei giochi, la genesi della turbolenza – Ruelle ci guida a conoscere il caso avendo la matematica, la fisica e tutte le scienze naturali come compagne. Ancora oggi il modo in cui il caso irrompe nelle nostre vite e nel mondo può essere un mistero, ma grazie ai progressi della scienza, qui raccontati, riusciamo a saperne un poco di più.

  13. The Structural Optimization System CAOS

    DEFF Research Database (Denmark)

    Rasmussen, John

    1990-01-01

    CAOS is a system for structural shape optimization. It is closely integrated in a Computer Aided Design environment and controlled entirely from the CAD-system AutoCAD. The mathematical foundation of the system is briefly presented and a description of the CAD-integration strategy is given together...

  14. Subjective evaluation of the accuracy of video imaging prediction following orthognathic surgery in Chinese patients

    NARCIS (Netherlands)

    Chew, Ming Tak; Koh, Chay Hui; Sandham, John; Wong, Hwee Bee

    Purpose: The aims of this retrospective study were to assess the subjective accuracy of predictions generated by a computer imaging software in Chinese patients who had undergone orthognathic surgery and to determine the influence of initial dysgnathia and complexity of the surgical procedure on

  15. Accuracy of navigated pedicle screw insertion by a junior spine surgeon without spinal surgery experience

    International Nuclear Information System (INIS)

    Yamazaki, Hironori; Kotani, Toshiaki; Motegi, Hiroyuki; Nemoto, Tetsuharu; Koshi, Takana; Nagahara, Ken; Minami, Syohei

    2010-01-01

    The purpose of this study was to investigate pedicle screw placement accuracy during navigated surgery by a junior spine surgeon who had no spinal surgery experience. A junior spine surgeon with no spinal surgery experience implanted a total of 137 pedicle screws by using a navigation system. Postoperative computerized tomography was performed to evaluate screw placement, and the pedicle perforation rate was 2.2%. There were no neurologic or vascular complications related to the pedicle screws. The results demonstrated that pedicle screws can be placed safely and effectively by a junior spine surgeon who has no spinal surgery experience when instructed by a senior spine surgeon. The results of this study suggest that navigation can be used as a surgical training tool for junior spine surgeons. (author)

  16. A proposal for limited criminal liability in high-accuracy endoscopic sinus surgery.

    Science.gov (United States)

    Voultsos, P; Casini, M; Ricci, G; Tambone, V; Midolo, E; Spagnolo, A G

    2017-02-01

    The aim of the present study is to propose legal reform limiting surgeons' criminal liability in high-accuracy and high-risk surgery such as endoscopic sinus surgery (ESS). The study includes a review of the medical literature, focusing on identifying and examining reasons why ESS carries a very high risk of serious complications related to inaccurate surgical manoeuvers and reviewing British and Italian legal theory and case-law on medical negligence, especially with regard to Italian Law 189/2012 (so called "Balduzzi" Law). It was found that serious complications due to inaccurate surgical manoeuvers may occur in ESS regardless of the skill, experience and prudence/diligence of the surgeon. Subjectivity should be essential to medical negligence, especially regarding high-accuracy surgery. Italian Law 189/2012 represents a good basis for the limitation of criminal liability resulting from inaccurate manoeuvres in high-accuracy surgery such as ESS. It is concluded that ESS surgeons should be relieved of criminal liability in cases of simple/ordinary negligence where guidelines have been observed. © Copyright by Società Italiana di Otorinolaringologia e Chirurgia Cervico-Facciale, Rome, Italy.

  17. Accuracy of Self-Reported Weight Among Adolescent and Young Adults Following Bariatric Surgery.

    Science.gov (United States)

    Jenkins, Todd M; Boyce, Tawny W; Ralph Buncher, C; Zeller, Meg H; Courcoulas, Anita P; Evans, Mary; Inge, Thomas H

    2017-06-01

    This study evaluates accuracy of self-reported weight in adolescent bariatric surgery patients. During follow-up visits, participants self-reported weight and had weight measured. The differences between self-reported and measured weights were analyzed from 60 participants. Participants were 70% (n = 42) female, 72% (n = 43) white, mean age of 20.8 years and a median body mass index of 36.6 kg/m 2 . At an average of 3.5 years following surgery, females underestimated weight (0.5 kg, range: -18.7 to 5.6 kg), while males overestimated (1.1 kg, range: -7.8 to 15.2 kg). Most (80%, n = 48) reported within 5 kg of measured weight. The majority of adolescents who previously underwent bariatric surgery reported reasonably accurate weights, but direction of misreporting varied by gender. Self-reported weights could be utilized when measured values are unavailable without markedly biasing the interpretation of outcomes.

  18. Verification of Data Accuracy in Japan Congenital Cardiovascular Surgery Database Including Its Postprocedural Complication Reports.

    Science.gov (United States)

    Takahashi, Arata; Kumamaru, Hiraku; Tomotaki, Ai; Matsumura, Goki; Fukuchi, Eriko; Hirata, Yasutaka; Murakami, Arata; Hashimoto, Hideki; Ono, Minoru; Miyata, Hiroaki

    2018-03-01

    Japan Congenital Cardiovascluar Surgical Database (JCCVSD) is a nationwide registry whose data are used for health quality assessment and clinical research in Japan. We evaluated the completeness of case registration and the accuracy of recorded data components including postprocedural mortality and complications in the database via on-site data adjudication. We validated the records from JCCVSD 2010 to 2012 containing congenital cardiovascular surgery data performed in 111 facilities throughout Japan. We randomly chose nine facilities for site visit by the auditor team and conducted on-site data adjudication. We assessed whether the records in JCCVSD matched the data in the source materials. We identified 1,928 cases of eligible surgeries performed at the facilities, of which 1,910 were registered (99.1% completeness), with 6 cases of duplication and 1 inappropriate case registration. Data components including gender, age, and surgery time (hours) were highly accurate with 98% to 100% concordance. Mortality at discharge and at 30 and 90 postoperative days was 100% accurate. Among the five complications studied, reoperation was the most frequently observed, with 16 and 21 cases recorded in the database and source materials, respectively, having a sensitivity of 0.67 and a specificity of 0.99. Validation of JCCVSD database showed high registration completeness and high accuracy especially in the categorical data components. Adjudicated mortality was 100% accurate. While limited in numbers, the recorded cases of postoperative complications all had high specificities but had lower sensitivity (0.67-1.00). Continued activities for data quality improvement and assessment are necessary for optimizing the utility of these registries.

  19. Manual accuracy in comparison with a miniature master slave device--preclinical evaluation for ear surgery.

    Science.gov (United States)

    Runge, A; Hofer, M; Dittrich, E; Neumuth, T; Haase, R; Strauss, M; Dietz, A; Lüth, T; Strauss, G

    2011-01-01

    Manual accuracy in microsurgery is reduced by tremor and limited access. A surgical approach through the middle ear also puts delicate structures at risk, while the surgeon is often working at an unergonomic position. At this point a micromanipulator could have a positive influence. A system was developed to measure "working accuracy", time and precision during manipulation in the middle ear. 10 ENT-surgeons simulated a perforation of the stapedial footplate on a modified 3D print of a human skull in a mock OR. Each trial was repeated more than 200 times aiming manually and using a micro-manipulator. Data of over 4000 measurements was tested and graphically processed. Work strain was evaluated with a questionnaire. Accuracy for manual and micromanipulator perforation revealed a small difference. Learning curves showed a stronger decrease both in deviation and time when the micromanipulator was used. Also a lower work strain was apparent. The micromanipulator has the potential as an aiding device in ear surgery.

  20. Error analysis for determination of accuracy of an ultrasound navigation system for head and neck surgery.

    Science.gov (United States)

    Kozak, J; Krysztoforski, K; Kroll, T; Helbig, S; Helbig, M

    2009-01-01

    The use of conventional CT- or MRI-based navigation systems for head and neck surgery is unsatisfactory due to tissue shift. Moreover, changes occurring during surgical procedures cannot be visualized. To overcome these drawbacks, we developed a novel ultrasound-guided navigation system for head and neck surgery. A comprehensive error analysis was undertaken to determine the accuracy of this new system. The evaluation of the system accuracy was essentially based on the method of error definition for well-established fiducial marker registration methods (point-pair matching) as used in, for example, CT- or MRI-based navigation. This method was modified in accordance with the specific requirements of ultrasound-guided navigation. The Fiducial Localization Error (FLE), Fiducial Registration Error (FRE) and Target Registration Error (TRE) were determined. In our navigation system, the real error (the TRE actually measured) did not exceed a volume of 1.58 mm(3) with a probability of 0.9. A mean value of 0.8 mm (standard deviation: 0.25 mm) was found for the FRE. The quality of the coordinate tracking system (Polaris localizer) could be defined with an FLE of 0.4 +/- 0.11 mm (mean +/- standard deviation). The quality of the coordinates of the crosshairs of the phantom was determined with a deviation of 0.5 mm (standard deviation: 0.07 mm). The results demonstrate that our newly developed ultrasound-guided navigation system shows only very small system deviations and therefore provides very accurate data for practical applications.

  1. Improving the accuracy of brain tumor surgery via Raman-based technology.

    Science.gov (United States)

    Hollon, Todd; Lewis, Spencer; Freudiger, Christian W; Sunney Xie, X; Orringer, Daniel A

    2016-03-01

    Despite advances in the surgical management of brain tumors, achieving optimal surgical results and identification of tumor remains a challenge. Raman spectroscopy, a laser-based technique that can be used to nondestructively differentiate molecules based on the inelastic scattering of light, is being applied toward improving the accuracy of brain tumor surgery. Here, the authors systematically review the application of Raman spectroscopy for guidance during brain tumor surgery. Raman spectroscopy can differentiate normal brain from necrotic and vital glioma tissue in human specimens based on chemical differences, and has recently been shown to differentiate tumor-infiltrated tissues from noninfiltrated tissues during surgery. Raman spectroscopy also forms the basis for coherent Raman scattering (CRS) microscopy, a technique that amplifies spontaneous Raman signals by 10,000-fold, enabling real-time histological imaging without the need for tissue processing, sectioning, or staining. The authors review the relevant basic and translational studies on CRS microscopy as a means of providing real-time intraoperative guidance. Recent studies have demonstrated how CRS can be used to differentiate tumor-infiltrated tissues from noninfiltrated tissues and that it has excellent agreement with traditional histology. Under simulated operative conditions, CRS has been shown to identify tumor margins that would be undetectable using standard bright-field microscopy. In addition, CRS microscopy has been shown to detect tumor in human surgical specimens with near-perfect agreement to standard H & E microscopy. The authors suggest that as the intraoperative application and instrumentation for Raman spectroscopy and imaging matures, it will become an essential component in the neurosurgical armamentarium for identifying residual tumor and improving the surgical management of brain tumors.

  2. Evaluating Coding Accuracy in General Surgery Residents' Accreditation Council for Graduate Medical Education Procedural Case Logs.

    Science.gov (United States)

    Balla, Fadi; Garwe, Tabitha; Motghare, Prasenjeet; Stamile, Tessa; Kim, Jennifer; Mahnken, Heidi; Lees, Jason

    .0043). The survey response rate was 100%. Survey results indicated that inability to find the precise code within the ACGME search interface and unfamiliarity with available CPT codes were by far the most common perceived barriers to accuracy. Survey results also indicated that most residents (74%) believe that they code accurately most of the time and agree that their case log would accurately represent their operative experience (66.6%). This is the first study to evaluate correctness of residents' ACGME case logs in general surgery. The degree of inaccuracy found here necessitates further investigation into the etiology of these discrepancies. Instruction on coding practices should also benefit the residents after graduation. Optimizing communication among attendings and residents, improving ACGME coding search interface, and implementing consistent coding practices could improve accuracy giving a more realistic view of residents' operative experience. Published by Elsevier Inc.

  3. Image quality and localization accuracy in C-arm tomosynthesis-guided head and neck surgery

    International Nuclear Information System (INIS)

    Bachar, G.; Siewerdsen, J. H.; Daly, M. J.; Jaffray, D. A.; Irish, J. C.

    2007-01-01

    The image quality and localization accuracy for C-arm tomosynthesis and cone-beam computed tomography (CBCT) guidance of head and neck surgery were investigated. A continuum in image acquisition was explored, ranging from a single exposure (radiograph) to multiple projections acquired over a limited arc (tomosynthesis) to a full semicircular trajectory (CBCT). Experiments were performed using a prototype mobile C-arm modified to perform 3D image acquisition (a modified Siemens PowerMobil). The tradeoffs in image quality associated with the extent of the source-detector arc (θ tot ), the number of projection views, and the total imaging dose were evaluated in phantom and cadaver studies. Surgical localization performance was evaluated using three cadaver heads imaged as a function of θ tot . Six localization tasks were considered, ranging from high-contrast feature identification (e.g., tip of a K-wire pointer) to more challenging soft-tissue delineation (e.g., junction of the hard and soft palate). Five head and neck surgeons and one radiologist participated as observers. For each localization task, the 3D coordinates of landmarks pinpointed by each observer were analyzed as a function of θ tot . For all tomosynthesis angles, image quality was highest in the coronal plane, whereas sagittal and axial planes exhibited a substantial decrease in spatial resolution associated with out-of-plane blur and distortion. Tasks involving complex, lower-contrast features demonstrated steeper degradation with smaller tomosynthetic arc. Localization accuracy in the coronal plane was correspondingly high, maintained to tot ∼30 deg. , whereas sagittal and axial localization degraded rapidly below θ tot ∼60 deg. . Similarly, localization precision was better than ∼1 mm within the coronal plane, compared to ∼2-3 mm out-of-plane for tomosynthesis angles below θ tot ∼45 deg. . An overall 3D localization accuracy of ∼2.5 mm was achieved with θ tot ∼ 90 deg. for most

  4. Accuracy of the all patient refined diagnosis related groups classification system in congenital heart surgery.

    Science.gov (United States)

    Parnell, Aimee S; Shults, Justine; Gaynor, J William; Leonard, Mary B; Dai, Dingwei; Feudtner, Chris

    2014-02-01

    Administrative data are increasingly used to evaluate clinical outcomes and quality of care in pediatric congenital heart surgery (CHS) programs. Several published analyses of large pediatric administrative data sets have relied on the All Patient Refined Diagnosis Related Groups (APR-DRG, version 24) diagnostic classification system. The accuracy of this classification system for patients undergoing CHS is unclear. We performed a retrospective cohort study of all 14,098 patients 0 to 5 years of age undergoing any of six selected congenital heart operations, ranging in complexity from isolated closure of a ventricular septal defect to single-ventricle palliation, at 40 tertiary-care pediatric centers in the Pediatric Health Information Systems database between 2007 and 2010. Assigned APR-DRGs (cardiac versus noncardiac) were compared using χ2 or Fisher's exact tests between those patients admitted during the first day of life versus later and between those receiving extracorporeal membrane oxygenation support versus those not. Recursive partitioning was used to assess the greatest determinants of APR-DRG type in the model. Every patient admitted on day 1 of life was assigned to a noncardiac APR-DRG (pDRG (pDRG experienced a significantly increased mortality (pDRG coding has systematic misclassifications, which may result in inaccurate reporting of CHS case volumes and mortality. Copyright © 2014 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  5. [Accuracy of morphological simulation for orthognatic surgery. Assessment of a 3D image fusion software.

    Science.gov (United States)

    Terzic, A; Schouman, T; Scolozzi, P

    2013-08-06

    The CT/CBCT data allows for 3D reconstruction of skeletal and untextured soft tissue volume. 3D stereophotogrammetry technology has strongly improved the quality of facial soft tissue surface texture. The combination of these two technologies allows for an accurate and complete reconstruction. The 3D virtual head may be used for orthognatic surgical planning, virtual surgery, and morphological simulation obtained with a software dedicated to the fusion of 3D photogrammetric and radiological images. The imaging material include: a multi-slice CT scan or broad field CBCT scan, a 3D photogrammetric camera. The operative image processing protocol includes the following steps: 1) pre- and postoperative CT/CBCT scan and 3D photogrammetric image acquisition; 2) 3D image segmentation and fusion of untextured CT/CBCT skin with the preoperative textured facial soft tissue surface of the 3D photogrammetric scan; 3) image fusion of the pre- and postoperative CT/CBCT data set virtual osteotomies, and 3D photogrammetric soft tissue virtual simulation; 4) fusion of virtual simulated 3D photogrammetric and real postoperative images, and assessment of accuracy using a color-coded scale to measure the differences between the two surfaces. Copyright © 2013. Published by Elsevier Masson SAS.

  6. A Systematic Review to Uncover a Universal Protocol for Accuracy Assessment of 3-Dimensional Virtually Planned Orthognathic Surgery.

    Science.gov (United States)

    Gaber, Ramy M; Shaheen, Eman; Falter, Bart; Araya, Sebastian; Politis, Constantinus; Swennen, Gwen R J; Jacobs, Reinhilde

    2017-11-01

    The aim of this study was to systematically review methods used for assessing the accuracy of 3-dimensional virtually planned orthognathic surgery in an attempt to reach an objective assessment protocol that could be universally used. A systematic review of the currently available literature, published until September 12, 2016, was conducted using PubMed as the primary search engine. We performed secondary searches using the Cochrane Database, clinical trial registries, Google Scholar, and Embase, as well as a bibliography search. Included articles were required to have stated clearly that 3-dimensional virtual planning was used and accuracy assessment performed, along with validation of the planning and/or assessment method. Descriptive statistics and quality assessment of included articles were performed. The initial search yielded 1,461 studies. Only 7 studies were included in our review. An important variability was found regarding methods used for 1) accuracy assessment of virtually planned orthognathic surgery or 2) validation of the tools used. Included studies were of moderate quality; reviewers' agreement regarding quality was calculated to be 0.5 using the Cohen κ test. On the basis of the findings of this review, it is evident that the literature lacks consensus regarding accuracy assessment. Hence, a protocol is suggested for accuracy assessment of virtually planned orthognathic surgery with the lowest margin of error. Copyright © 2017 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  7. The migration of femoral components after total hip replacement surgery: accuracy and precision of software-aided measurements

    International Nuclear Information System (INIS)

    Decking, J.; Schuetz, U.; Decking, R.; Puhl, W.

    2003-01-01

    Objective: To assess the accuracy and precision of a software-aided system to measure migration of femoral components after total hip replacement (THR) on digitised radiographs. Design and patients: Subsidence and varus-valgus tilt of THR stems within the femur were measured on digitised anteroposterior pelvic radiographs. The measuring software (UMA, GEMED, Germany) relies on bony landmarks and comparability parameters of two consecutive radiographs. Its accuracy and precision were calculated by comparing it with the gold standard in migration measurements, radiostereometric analysis (RSA). Radiographs and corresponding RSA measurements were performed in 60 patients (38-69 years) following cementless THR surgery. Results and conclusions: The UMA software measured the subsidence of the stems with an accuracy of ±2.5 mm and varus-valgus tilt with an accuracy of ±1.8 (95% confidence interval). A good interobserver and intraobserver reliability was calculated with Cronbach's alpha ranging from 0.86 to 0.97. Measuring the subsidence of THR stems within the femur is an important parameter in the diagnosis of implant loosening. Software systems such as UMA improve the accuracy of migration measurements and are easy to use on routinely performed radiographs of operated hip joints. (orig.)

  8. A New 3D Tool for Assessing the Accuracy of Bimaxillary Surgery: The OrthoGnathicAnalyser

    Science.gov (United States)

    Xi, Tong; Schreurs, Ruud; de Koning, Martien; Bergé, Stefaan; Maal, Thomas

    2016-01-01

    Aim The purpose of this study was to present and validate an innovative semi-automatic approach to quantify the accuracy of the surgical outcome in relation to 3D virtual orthognathic planning among patients who underwent bimaxillary surgery. Material and Method For the validation of this new semi-automatic approach, CBCT scans of ten patients who underwent bimaxillary surgery were acquired pre-operatively. Individualized 3D virtual operation plans were made for all patients prior to surgery. During surgery, the maxillary and mandibular segments were positioned as planned by using 3D milled interocclusal wafers. Consequently, post-operative CBCT scan were acquired. The 3D rendered pre- and postoperative virtual head models were aligned by voxel-based registration upon the anterior cranial base. To calculate the discrepancies between the 3D planning and the actual surgical outcome, the 3D planned maxillary and mandibular segments were segmented and superimposed upon the postoperative maxillary and mandibular segments. The translation matrices obtained from this registration process were translated into translational and rotational discrepancies between the 3D planning and the surgical outcome, by using the newly developed tool, the OrthoGnathicAnalyser. To evaluate the reproducibility of this method, the process was performed by two independent observers multiple times. Results Low intra-observer and inter-observer variations in measurement error (mean error 0.97) were found, supportive of the observer independent character of the OrthoGnathicAnalyser. The pitch of the maxilla and mandible showed the highest discrepancy between the 3D planning and the postoperative results, 2.72° and 2.75° respectively. Conclusion This novel method provides a reproducible tool for the evaluation of bimaxillary surgery, making it possible to compare larger patient groups in an objective and time-efficient manner in order to optimize the current workflow in orthognathic surgery

  9. A New 3D Tool for Assessing the Accuracy of Bimaxillary Surgery: The OrthoGnathicAnalyser.

    Directory of Open Access Journals (Sweden)

    Frank Baan

    Full Text Available The purpose of this study was to present and validate an innovative semi-automatic approach to quantify the accuracy of the surgical outcome in relation to 3D virtual orthognathic planning among patients who underwent bimaxillary surgery.For the validation of this new semi-automatic approach, CBCT scans of ten patients who underwent bimaxillary surgery were acquired pre-operatively. Individualized 3D virtual operation plans were made for all patients prior to surgery. During surgery, the maxillary and mandibular segments were positioned as planned by using 3D milled interocclusal wafers. Consequently, post-operative CBCT scan were acquired. The 3D rendered pre- and postoperative virtual head models were aligned by voxel-based registration upon the anterior cranial base. To calculate the discrepancies between the 3D planning and the actual surgical outcome, the 3D planned maxillary and mandibular segments were segmented and superimposed upon the postoperative maxillary and mandibular segments. The translation matrices obtained from this registration process were translated into translational and rotational discrepancies between the 3D planning and the surgical outcome, by using the newly developed tool, the OrthoGnathicAnalyser. To evaluate the reproducibility of this method, the process was performed by two independent observers multiple times.Low intra-observer and inter-observer variations in measurement error (mean error 0.97 were found, supportive of the observer independent character of the OrthoGnathicAnalyser. The pitch of the maxilla and mandible showed the highest discrepancy between the 3D planning and the postoperative results, 2.72° and 2.75° respectively.This novel method provides a reproducible tool for the evaluation of bimaxillary surgery, making it possible to compare larger patient groups in an objective and time-efficient manner in order to optimize the current workflow in orthognathic surgery.

  10. Nationwide prospective audit of pancreatic surgery: design, accuracy, and outcomes of the Dutch Pancreatic Cancer Audit

    NARCIS (Netherlands)

    van Rijssen, L. Bengt; Koerkamp, Bas G.; Zwart, Maurice J.; Bonsing, Bert A.; Bosscha, Koop; van Dam, Ronald M.; van Eijck, Casper H.; Gerhards, Michael F.; van der Harst, Erwin; de Hingh, Ignace H.; de Jong, Koert P.; Kazemier, Geert; Klaase, Joost; van Laarhoven, Cornelis J.; Molenaar, I. Quintus; Patijn, Gijs A.; Rupert, Coen G.; van Santvoort, Hjalmar C.; Scheepers, Joris J.; van der Schelling, George P.; Busch, Olivier R.; Besselink, Marc G.; Bollen, Thomas L.; Bruno, Marco J.; van Tienhoven, Geert-Jan; Norduyn, Arnold; Berry, David P.; Tingstedt, Bobby; Tseng, Jennifer F.; Wolfgang, Christopher L.

    2017-01-01

    Background: Auditing is an important tool to identify practice variation and 'best practices'. The Dutch Pancreatic Cancer Audit is mandatory in all 18 Dutch centers for pancreatic surgery. Methods: Performance indicators and case-mix factors were identified by a PubMed search for randomized

  11. Influence of renal dysfunction on the accuracy of procalcitonin for the diagnosis of postoperative infection after vascular surgery.

    Science.gov (United States)

    Amour, Julien; Birenbaum, Aurélie; Langeron, Olivier; Le Manach, Yannick; Bertrand, Michèle; Coriat, Pierre; Riou, Bruno; Bernard, Maguy; Hausfater, Pierre

    2008-04-01

    Procalcitonin has been advocated as a specific biomarker for bacterial infection. We performed this study to determine whether accuracy of procalcitonin for diagnosis of postoperative bacterial infection is affected by renal function after aortic surgery. Single-center prospective study. University hospital. Two hundred seventy-six patients scheduled for elective major aortic surgery. Blood samples were taken before surgery and each day over the 5-day postoperative period, and measurement of serum procalcitonin was performed. Diagnosis of infection was performed by a blinded expert panel. Renal function was assessed using an estimate of creatinine clearance with the Cockcroft formulas. Renal dysfunction was defined as a creatinine clearance <50 mL x min(-1). Infection was diagnosed in 67 patients. Seventy five patients (27%) had postoperative renal dysfunction. Procalcitonin was significantly higher in infected patients, with a peak reached at the fourth postoperative day, but it was significantly higher in patients with impaired renal function in both control and infected patients. The optimal threshold of procalcitonin markedly differed in patients with renal dysfunction compared with patients without renal dysfunction (2.57 vs. 0.80 ng x mL(-1), p < .05). The diagnostic accuracy of procalcitonin significantly increased (0.74 vs. 0.70, p < .05) when the threshold of procalcitonin was adapted to the renal function. The elevation of procalcitonin occurred 2 days before the medical team was able to diagnose infection. Procalcitonin is a valuable marker of bacterial infections after major aortic surgery, but renal function is a major determinant of procalcitonin levels and thus different thresholds should be applied according to renal function impairment.

  12. Prevalence of Body Dysmorphic Disorder and Surgeon Diagnostic Accuracy in Facial Plastic and Oculoplastic Surgery Clinics.

    Science.gov (United States)

    Joseph, Andrew W; Ishii, Lisa; Joseph, Shannon S; Smith, Jane I; Su, Peiyi; Bater, Kristin; Byrne, Patrick; Boahene, Kofi; Papel, Ira; Kontis, Theda; Douglas, Raymond; Nelson, Christine C; Ishii, Masaru

    2017-07-01

    Body dysmorphic disorder (BDD) is a relative contraindication for facial plastic surgery, but formal screening is not common in practice. The prevalence of BDD in patients seeking facial plastic surgery is not well documented. To establish the prevalence of BDD across facial plastic and oculoplastic surgery practice settings, and estimate the ability of surgeons to screen for BDD. This multicenter prospective study recruited a cohort of 597 patients who presented to academic and private facial plastic and oculoplastic surgery practices from March 2015 to February 2016. All patients were screened for BDD using the Body Dysmorphic Disorder Questionnaire (BDDQ). After each clinical encounter, surgeons independently evaluated the likelihood that a participating patient had BDD. Validated instruments were used to assess satisfaction with facial appearance including the FACE-Q, Blepharoplasty Outcomes Evaluation (BOE), Facelift Outcomes Evaluation (FOE), Rhinoplasty Outcomes Evaluation (ROE), and Skin Rejuvenation Outcomes Evaluation (SROE). Across participating practices (9 surgeons, 3 sites), a total of 597 patients were screened for BDD: 342 patients from site 1 (mean [SD] age, 44.2 [16.5] years); 158 patients, site 2 (mean [SD] age, 46.0 [16.2] years), site 3, 97 patients (mean [SD] age, 56.3 [15.5] years). Overall, 58 patients [9.7%] screened positive for BDD by the BDDQ instrument, while only 16 of 402 patients [4.0%] were clinically suspected of BDD by surgeons. A higher percentage of patients presenting for cosmetic surgery (37 of 283 patients [13.1%]) compared with those presenting for reconstructive surgery (21 of 314 patients [6.7%]) screened positive on the BDDQ (odds ratio, 2.10; 95% CI, 1.20-3.68; P = .01). Surgeons were only able to correctly identify 2 of 43 patients (4.7%) who screened positive for BDD on the BDDQ, and the positive likelihood ratio was only 1.19 (95% CI, 0.28-5.07). Patients screening positive for BDD by the BDDQ had lower

  13. A novel rotational matrix and translation vector algorithm: geometric accuracy for augmented reality in oral and maxillofacial surgeries.

    Science.gov (United States)

    Murugesan, Yahini Prabha; Alsadoon, Abeer; Manoranjan, Paul; Prasad, P W C

    2018-06-01

    Augmented reality-based surgeries have not been successfully implemented in oral and maxillofacial areas due to limitations in geometric accuracy and image registration. This paper aims to improve the accuracy and depth perception of the augmented video. The proposed system consists of a rotational matrix and translation vector algorithm to reduce the geometric error and improve the depth perception by including 2 stereo cameras and a translucent mirror in the operating room. The results on the mandible/maxilla area show that the new algorithm improves the video accuracy by 0.30-0.40 mm (in terms of overlay error) and the processing rate to 10-13 frames/s compared to 7-10 frames/s in existing systems. The depth perception increased by 90-100 mm. The proposed system concentrates on reducing the geometric error. Thus, this study provides an acceptable range of accuracy with a shorter operating time, which provides surgeons with a smooth surgical flow. Copyright © 2018 John Wiley & Sons, Ltd.

  14. Nationwide prospective audit of pancreatic surgery: design, accuracy, and outcomes of the Dutch Pancreatic Cancer Audit.

    Science.gov (United States)

    van Rijssen, L Bengt; Koerkamp, Bas G; Zwart, Maurice J; Bonsing, Bert A; Bosscha, Koop; van Dam, Ronald M; van Eijck, Casper H; Gerhards, Michael F; van der Harst, Erwin; de Hingh, Ignace H; de Jong, Koert P; Kazemier, Geert; Klaase, Joost; van Laarhoven, Cornelis J; Molenaar, I Quintus; Patijn, Gijs A; Rupert, Coen G; van Santvoort, Hjalmar C; Scheepers, Joris J; van der Schelling, George P; Busch, Olivier R; Besselink, Marc G

    2017-10-01

    Auditing is an important tool to identify practice variation and 'best practices'. The Dutch Pancreatic Cancer Audit is mandatory in all 18 Dutch centers for pancreatic surgery. Performance indicators and case-mix factors were identified by a PubMed search for randomized controlled trials (RCT's) and large series in pancreatic surgery. In addition, data dictionaries of two national audits, three institutional databases, and the Dutch national cancer registry were evaluated. Morbidity, mortality, and length of stay were analyzed of all pancreatic resections registered during the first two audit years. Case ascertainment was cross-checked with the Dutch healthcare inspectorate and key-variables validated in all centers. Sixteen RCT's and three large series were found. Sixteen indicators and 20 case-mix factors were included in the audit. During 2014-2015, 1785 pancreatic resections were registered including 1345 pancreatoduodenectomies. Overall in-hospital mortality was 3.6%. Following pancreatoduodenectomy, mortality was 4.1%, Clavien-Dindo grade ≥ III morbidity was 29.9%, median (IQR) length of stay 12 (9-18) days, and readmission rate 16.0%. In total 97.2% of >40,000 variables validated were consistent with the medical charts. The Dutch Pancreatic Cancer Audit, with high quality data, reports good outcomes of pancreatic surgery on a national level. Copyright © 2017 International Hepato-Pancreato-Biliary Association Inc. Published by Elsevier Ltd. All rights reserved.

  15. Accuracy of patient's turnover time prediction using RFID technology in an academic ambulatory surgery center.

    Science.gov (United States)

    Marchand-Maillet, Florence; Debes, Claire; Garnier, Fanny; Dufeu, Nicolas; Sciard, Didier; Beaussier, Marc

    2015-02-01

    Patients flow in outpatient surgical unit is a major issue with regards to resource utilization, overall case load and patient satisfaction. An electronic Radio Frequency Identification Device (RFID) was used to document the overall time spent by the patients between their admission and discharge from the unit. The objective of this study was to evaluate how a RFID-based data collection system could provide an accurate prediction of the actual time for the patient to be discharged from the ambulatory surgical unit after surgery. This is an observational prospective evaluation carried out in an academic ambulatory surgery center (ASC). Data on length of stay at each step of the patient care, from admission to discharge, were recorded by a RFID device and analyzed according to the type of surgical procedure, the surgeon and the anesthetic technique. Based on these initial data (n = 1520), patients were scheduled in a sequential manner according to the expected duration of the previous case. The primary endpoint was the difference between actual and predicted time of discharge from the unit. A total of 414 consecutive patients were prospectively evaluated. One hundred seventy four patients (42%) were discharged at the predicted time ± 30 min. Only 24% were discharged behind predicted schedule. Using an automatic record of patient's length of stay would allow an accurate prediction of the discharge time according to the type of surgery, the surgeon and the anesthetic procedure.

  16. Accuracy of treatment planning based on stereolithography in computer assisted surgery

    International Nuclear Information System (INIS)

    Schicho, Kurt; Figl, Michael; Seemann, Rudolf; Ewers, Rolf; Lambrecht, J. Thomas; Wagner, Arne; Watzinger, Franz; Baumann, Arnulf; Kainberger, Franz; Fruehwald, Julia; Klug, Clemens

    2006-01-01

    Three-dimensional stereolithographic models (SL models), made of solid acrylic resin derived from computed-tomography (CT) data, are an established tool for preoperative treatment planning in numerous fields of medicine. An innovative approach, combining stereolithography with computer-assisted point-to-point navigation, can support the precise surgical realization of a plan that has been defined on an SL model preoperatively. The essential prerequisites for the application of such an approach are: (1) The accuracy of the SL models (including accuracy of the CT scan and correspondence of the model with the patient's anatomy) and (2) the registration method used for the transfer of the plan from the SL model to the patient (i.e., whether the applied registration markers can be added to the SL model corresponding to the markers at the patient with an accuracy that keeps the ''cumulative error'' at the end of the chain of errors, in the order of the accuracy of contemporary navigation systems). In this study, we focus on these two topics: By applying image-matching techniques, we fuse the original CT data of the patient with the corresponding CT data of the scanned SL model, and measure the deviations of defined parameter (e.g., distances between anatomical points). To evaluate the registration method used for the planning transfer, we apply a point-merge algorithm, using four marker points that should be located at exactly corresponding positions at the patient and at connective bars that are added to the surface of the SL model. Again, deviations at defined anatomical structures are measured and analyzed statistically. Our results prove sufficient correspondence of the two data sets and accuracy of the registration method for routine clinical application. The evaluation of the SL model accuracy revealed an arithmetic mean of the relative deviations from 0.8% to 5.4%, with an overall mean deviation of 2.2%. Mean deviations of the investigated anatomical structures

  17. Accuracy of clinical coding for procedures in oral and maxillofacial surgery.

    Science.gov (United States)

    Khurram, S A; Warner, C; Henry, A M; Kumar, A; Mohammed-Ali, R I

    2016-10-01

    Clinical coding has important financial implications, and discrepancies in the assigned codes can directly affect the funding of a department and hospital. Over the last few years, numerous oversights have been noticed in the coding of oral and maxillofacial (OMF) procedures. To establish the accuracy and completeness of coding, we retrospectively analysed the records of patients during two time periods: March to May 2009 (324 patients), and January to March 2014 (200 patients). Two investigators independently collected and analysed the data to ensure accuracy and remove bias. A large proportion of operations were not assigned all the relevant codes, and only 32% - 33% were correct in both cycles. To our knowledge, this is the first reported audit of clinical coding in OMFS, and it highlights serious shortcomings that have substantial financial implications. Better input by the surgical team and improved communication between the surgical and coding departments will improve accuracy. Copyright © 2016 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  18. A Simple and Efficient Methodology To Improve Geometric Accuracy in Gamma Knife Radiation Surgery: Implementation in Multiple Brain Metastases

    Energy Technology Data Exchange (ETDEWEB)

    Karaiskos, Pantelis, E-mail: pkaraisk@med.uoa.gr [Medical Physics Laboratory, Medical School, University of Athens (Greece); Gamma Knife Department, Hygeia Hospital, Athens (Greece); Moutsatsos, Argyris; Pappas, Eleftherios; Georgiou, Evangelos [Medical Physics Laboratory, Medical School, University of Athens (Greece); Roussakis, Arkadios [CT and MRI Department, Hygeia Hospital, Athens (Greece); Torrens, Michael [Gamma Knife Department, Hygeia Hospital, Athens (Greece); Seimenis, Ioannis [Medical Physics Laboratory, Medical School, Democritus University of Thrace, Alexandroupolis (Greece)

    2014-12-01

    Purpose: To propose, verify, and implement a simple and efficient methodology for the improvement of total geometric accuracy in multiple brain metastases gamma knife (GK) radiation surgery. Methods and Materials: The proposed methodology exploits the directional dependence of magnetic resonance imaging (MRI)-related spatial distortions stemming from background field inhomogeneities, also known as sequence-dependent distortions, with respect to the read-gradient polarity during MRI acquisition. First, an extra MRI pulse sequence is acquired with the same imaging parameters as those used for routine patient imaging, aside from a reversal in the read-gradient polarity. Then, “average” image data are compounded from data acquired from the 2 MRI sequences and are used for treatment planning purposes. The method was applied and verified in a polymer gel phantom irradiated with multiple shots in an extended region of the GK stereotactic space. Its clinical impact in dose delivery accuracy was assessed in 15 patients with a total of 96 relatively small (<2 cm) metastases treated with GK radiation surgery. Results: Phantom study results showed that use of average MR images eliminates the effect of sequence-dependent distortions, leading to a total spatial uncertainty of less than 0.3 mm, attributed mainly to gradient nonlinearities. In brain metastases patients, non-eliminated sequence-dependent distortions lead to target localization uncertainties of up to 1.3 mm (mean: 0.51 ± 0.37 mm) with respect to the corresponding target locations in the “average” MRI series. Due to these uncertainties, a considerable underdosage (5%-32% of the prescription dose) was found in 33% of the studied targets. Conclusions: The proposed methodology is simple and straightforward in its implementation. Regarding multiple brain metastases applications, the suggested approach may substantially improve total GK dose delivery accuracy in smaller, outlying targets.

  19. Accuracy of a Computer-Aided Surgical Simulation (CASS) Protocol for Orthognathic Surgery: A Prospective Multicenter Study

    Science.gov (United States)

    Hsu, Sam Sheng-Pin; Gateno, Jaime; Bell, R. Bryan; Hirsch, David L.; Markiewicz, Michael R.; Teichgraeber, John F.; Zhou, Xiaobo; Xia, James J.

    2012-01-01

    Purpose The purpose of this prospective multicenter study was to assess the accuracy of a computer-aided surgical simulation (CASS) protocol for orthognathic surgery. Materials and Methods The accuracy of the CASS protocol was assessed by comparing planned and postoperative outcomes of 65 consecutive patients enrolled from 3 centers. Computer-generated surgical splints were used for all patients. For the genioplasty, one center utilized computer-generated chin templates to reposition the chin segment only for patients with asymmetry. Standard intraoperative measurements were utilized without the chin templates for the remaining patients. The primary outcome measurements were linear and angular differences for the maxilla, mandible and chin when the planned and postoperative models were registered at the cranium. The secondary outcome measurements were: maxillary dental midline difference between the planned and postoperative positions; and linear and angular differences of the chin segment between the groups with and without the use of the template. The latter was measured when the planned and postoperative models were registered at mandibular body. Statistical analyses were performed, and the accuracy was reported using root mean square deviation (RMSD) and Bland and Altman's method for assessing measurement agreement. Results In the primary outcome measurements, there was no statistically significant difference among the 3 centers for the maxilla and mandible. The largest RMSD was 1.0mm and 1.5° for the maxilla, and 1.1mm and 1.8° for the mandible. For the chin, there was a statistically significant difference between the groups with and without the use of the chin template. The chin template group showed excellent accuracy with largest positional RMSD of 1.0mm and the largest orientational RSMD of 2.2°. However, larger variances were observed in the group not using the chin template. This was significant in anteroposterior and superoinferior directions, as in

  20. A simple and efficient methodology to improve geometric accuracy in gamma knife radiation surgery: implementation in multiple brain metastases.

    Science.gov (United States)

    Karaiskos, Pantelis; Moutsatsos, Argyris; Pappas, Eleftherios; Georgiou, Evangelos; Roussakis, Arkadios; Torrens, Michael; Seimenis, Ioannis

    2014-12-01

    To propose, verify, and implement a simple and efficient methodology for the improvement of total geometric accuracy in multiple brain metastases gamma knife (GK) radiation surgery. The proposed methodology exploits the directional dependence of magnetic resonance imaging (MRI)-related spatial distortions stemming from background field inhomogeneities, also known as sequence-dependent distortions, with respect to the read-gradient polarity during MRI acquisition. First, an extra MRI pulse sequence is acquired with the same imaging parameters as those used for routine patient imaging, aside from a reversal in the read-gradient polarity. Then, "average" image data are compounded from data acquired from the 2 MRI sequences and are used for treatment planning purposes. The method was applied and verified in a polymer gel phantom irradiated with multiple shots in an extended region of the GK stereotactic space. Its clinical impact in dose delivery accuracy was assessed in 15 patients with a total of 96 relatively small (series. Due to these uncertainties, a considerable underdosage (5%-32% of the prescription dose) was found in 33% of the studied targets. The proposed methodology is simple and straightforward in its implementation. Regarding multiple brain metastases applications, the suggested approach may substantially improve total GK dose delivery accuracy in smaller, outlying targets. Copyright © 2014 Elsevier Inc. All rights reserved.

  1. Tracking accuracy evaluation of a PET-enabled glove for molecular image-guided surgery

    International Nuclear Information System (INIS)

    Gruionu, L.G.; Wilson, E.; Cleary, K.; Wong, K.H.; Weinberg, I.N.

    2007-01-01

    We are developing a new type of PET scanner with a flexible geometry that can provide in situ functional imaging in environments where conventional full-body PET scanning would be difficult or impossible. Because PET reconstruction depends on localizing emissions from the radiotracer inside the patient, our system must have a means of continuously monitoring the detectors' position and orientation. We therefore evaluated the accuracy of using electromagnetic tracking for this task by comparing position measurements from the electromagnetic tracking system to a reference optical tracking system. The mean error in localization was 2.1 mm. (orig.)

  2. Tracking accuracy evaluation of a PET-enabled glove for molecular image-guided surgery

    Energy Technology Data Exchange (ETDEWEB)

    Gruionu, L.G. [Computer Aided Interventions and Medical Robotics (CAIMR), Imaging Science and Information Systems (ISIS) Center, Georgetown Univ. Medical Center, Washington, DC (United States); Faculty of Engineering and Management of Technological Systems, Univ. of Craiova, Craiova (Romania); Wilson, E.; Cleary, K.; Wong, K.H. [Computer Aided Interventions and Medical Robotics (CAIMR), Imaging Science and Information Systems (ISIS) Center, Georgetown Univ. Medical Center, Washington, DC (United States); Weinberg, I.N. [Fast Imaging Co., Bethesda, MD (United States)

    2007-06-15

    We are developing a new type of PET scanner with a flexible geometry that can provide in situ functional imaging in environments where conventional full-body PET scanning would be difficult or impossible. Because PET reconstruction depends on localizing emissions from the radiotracer inside the patient, our system must have a means of continuously monitoring the detectors' position and orientation. We therefore evaluated the accuracy of using electromagnetic tracking for this task by comparing position measurements from the electromagnetic tracking system to a reference optical tracking system. The mean error in localization was 2.1 mm. (orig.)

  3. Accuracy of citation and quotation in foot and ankle surgery journals.

    Science.gov (United States)

    Luo, Ma; Li, Charles Chuan; Molina, Domingo; Andersen, Clark R; Panchbhavi, Vinod K

    2013-07-01

    A recent review of technical editing of research suggests that over one third of references cited in articles in medical journals have some inaccuracies and one fifth of quotations to references in these articles are not accurate. Two hundred and forty-nine citation references and 408 quotes from 25 articles published in 5 orthopaedic journals were randomly selected to determine referencing accuracy. The presence of citation errors was examined by 1 of the authors while the presence of quotation errors was determined by 2 of the authors. Full copies of articles as well as the references were obtained to compare the accuracies. The total citation error rate was 41% (103 out of 249 references), and the total quotation error rate was 20% (80 out of 408 quotes) for the 5 orthopaedic journals. Citation and quotation errors were still relatively common in orthopaedic journals. While we did not identify any factors associated with citation and quotation errors, the use of technical editing may reduce the amount of citation errors. Readers and authors should be aware that many citations of studies are inaccurate and one should review the original source if it is to be used in another publication or to guide clinical treatment.

  4. Accuracy of CT enterography and magnetic resonance enterography imaging to detect lesions preoperatively in patients undergoing surgery for Crohn's disease.

    Science.gov (United States)

    Seastedt, Kenneth P; Trencheva, Koiana; Michelassi, Fabrizio; Alsaleh, Doaa; Milsom, Jeffrey W; Sonoda, Toyooki; Lee, Sang W; Nandakumar, Govind

    2014-12-01

    CT enterography and magnetic resonance enterography have emerged as first-line imaging technologies for the evaluation of the gastrointestinal tract in Crohn's disease. The purpose of this work was to evaluate the accuracy of these imaging modalities to identify Crohn's disease lesions preoperatively. This was a retrospective chart review. The study was conducted at a single institution. Seventy-six patients with Crohn's disease with preoperative CT enterography and/or magnetic resonance enterography were included in the study. The number of stenoses, fistulas, and abscesses on CT enterography and/or magnetic resonance enterography before surgery were compared with operative findings. Forty patients (53%) were women, 46 (60%) underwent surgery for recurrent Crohn's disease, and 46 (57%) had previous abdominal surgery. Thirty-six (47%) had a preoperative CT enterography and 43 (57%) had a preoperative magnetic resonance enterography. CT enterography sensitivity was 75% for stenosis and 50% for fistula. MRE sensitivity was 68% for stenosis and 60% for fistula. The negative predictive values of CT enterography and magnetic resonance enterography for stenosis were very low (54% and 65%) and were 85% and 81% for fistula. CT enterography had 76% accuracy for stenosis and 79% for fistula; magnetic resonance enterography had 78% accuracy for stenosis and 85% for fistula. Both were accurate for abscess. False-negative rates for CT enterography were 50% for fistula and 25% for stenosis. False-negative rates for magnetic resonance enterography were 40% for fistula and 32% for stenosis. Unexpected intraoperative findings led to modification of the planned surgical procedure in 20 patients (26%). This study was limited by its small sample size, its retrospective nature, and that some studies were performed at outside institutions. CT enterography and magnetic resonance enterography in patients with Crohn's disease were accurate for the identification of abscesses but not for

  5. Comparison of the accuracy of cone beam computed tomography and medical computed tomography: implications for clinical diagnostics with guided surgery.

    Science.gov (United States)

    Abboud, Marcus; Calvo-Guirado, Jose Luis; Orentlicher, Gary; Wahl, Gerhard

    2013-01-01

    This study compared the accuracy of cone beam computed tomography (CBCT) and medical-grade CT in the context of evaluating the diagnostic value and accuracy of fiducial marker localization for reference marker-based guided surgery systems. Cadaver mandibles with attached radiopaque gutta-percha markers, as well as glass balls and composite cylinders of known dimensions, were measured manually with a highly accurate digital caliper. The objects were then scanned using a medical-grade CT scanner (Philips Brilliance 64) and five different CBCT scanners (Sirona Galileos, Morita 3D Accuitomo 80, Vatech PaX-Reve3D, 3M Imtech Iluma, and Planmeca ProMax 3D). The data were then imported into commercially available software, and measurements were made of the scanned markers and objects. CT and CBCT measurements were compared to each other and to the caliper measurements. The difference between the CBCT measurements and the caliper measurements was larger than the difference between the CT measurements and the caliper measurements. Measurements of the cadaver mandible and the geometric reference markers were highly accurate with CT. The average absolute errors of the human mandible measurements were 0.03 mm for CT and 0.23 mm for CBCT. The measurement errors of the geometric objects based on CT ranged between 0.00 and 0.12 mm, compared to an error range between 0.00 and 2.17 mm with the CBCT scanners. CT provided the most accurate images in this study, closely followed by one CBCT of the five tested. Although there were differences in the distance measurements of the hard tissue of the human mandible between CT and CBCT, these differences may not be of clinical significance for most diagnostic purposes. The fiducial marker localization error caused by some CBCT scanners may be a problem for guided surgery systems.

  6. Accuracy of Cardiac Output by Nine Different Pulse Contour Algorithms in Cardiac Surgery Patients: A Comparison with Transpulmonary Thermodilution

    Directory of Open Access Journals (Sweden)

    Ole Broch

    2016-01-01

    Full Text Available Objective. Today, there exist several different pulse contour algorithms for calculation of cardiac output (CO. The aim of the present study was to compare the accuracy of nine different pulse contour algorithms with transpulmonary thermodilution before and after cardiopulmonary bypass (CPB. Methods. Thirty patients scheduled for elective coronary surgery were studied before and after CPB. A passive leg raising maneuver was also performed. Measurements included CO obtained by transpulmonary thermodilution (COTPTD and by nine pulse contour algorithms (COX1–9. Calibration of pulse contour algorithms was performed by esophageal Doppler ultrasound after induction of anesthesia and 15 min after CPB. Correlations, Bland-Altman analysis, four-quadrant, and polar analysis were also calculated. Results. There was only a poor correlation between COTPTD and COX1–9 during passive leg raising and in the period before and after CPB. Percentage error exceeded the required 30% limit. Four-quadrant and polar analysis revealed poor trending ability for most algorithms before and after CPB. The Liljestrand-Zander algorithm revealed the best reliability. Conclusions. Estimation of CO by nine different pulse contour algorithms revealed poor accuracy compared with transpulmonary thermodilution. Furthermore, the less-invasive algorithms showed an insufficient capability for trending hemodynamic changes before and after CPB. The Liljestrand-Zander algorithm demonstrated the highest reliability. This trial is registered with NCT02438228 (ClinicalTrials.gov.

  7. A Study of Clinical Coding Accuracy in Surgery: Implications for the Use of Administrative Big Data for Outcomes Management.

    Science.gov (United States)

    Nouraei, S A R; Hudovsky, A; Frampton, A E; Mufti, U; White, N B; Wathen, C G; Sandhu, G S; Darzi, A

    2015-06-01

    Clinical coding is the translation of clinical activity into a coded language. Coded data drive hospital reimbursement and are used for audit and research, and benchmarking and outcomes management purposes. We undertook a 2-center audit of coding accuracy across surgery. Clinician-auditor multidisciplinary teams reviewed the coding of 30,127 patients and assessed accuracy at primary and secondary diagnosis and procedure levels, morbidity level, complications assignment, and financial variance. Postaudit data of a randomly selected sample of 400 cases were reaudited by an independent team. At least 1 coding change occurred in 15,402 patients (51%). There were 3911 (13%) and 3620 (12%) changes to primary diagnoses and procedures, respectively. In 5183 (17%) patients, the Health Resource Grouping changed, resulting in income variance of £3,974,544 (+6.2%). The morbidity level changed in 2116 (7%) patients (P data are a key engine for knowledge-driven health care provision. They are used, increasingly at individual surgeon level, to benchmark performance. Surgical clinical coding is prone to subjectivity, variability, and error (SVE). Having a specialty-by-specialty understanding of the nature and clinical significance of informatics variability and adopting strategies to reduce it, are necessary to allow accurate assumptions and informed decisions to be made concerning the scope and clinical applicability of administrative data in surgical outcomes improvement.

  8. In memory of Professor Tianqin Cao(Tien-chin Tsao)

    Institute of Scientific and Technical Information of China (English)

    Youshang Zhang

    2010-01-01

    @@ In December this year,the 4th Tianqin Cao Memorial Symposium on Protein Research will be held in Xiamen(Amoy).On this occasion,it is my pleasure to write a recollection in memory of Professor Tianqin Cao.It was rather late when Ⅰ was able to study in Prof.Cao's laboratory as a graduate student in the Institute of Biochemistry.After graduating from the Department of Chemical Engineering of Zhejiang University in 1948,Ⅰ could not find a job in a chemical engineering factory; therefore,Ⅰ changed my profession to biochemistry and worked as an assistant in the Department of Biochemistry of Hunan Yale Medical College.

  9. Tracker-on-C for cone-beam CT-guided surgery: evaluation of geometric accuracy and clinical applications

    Science.gov (United States)

    Reaungamornrat, S.; Otake, Y.; Uneri, A.; Schafer, S.; Mirota, D. J.; Nithiananthan, S.; Stayman, J. W.; Khanna, A. J.; Reh, D. D.; Gallia, G. L.; Taylor, R. H.; Siewerdsen, J. H.

    2012-02-01

    -arm CBCT with realtime tracking and demonstrated utility in a spectrum of image-guided interventions (e.g., spine surgery) benefiting from improved accuracy, enhanced visualization, and reduced radiation exposure.

  10. Image calibration and registration in cone-beam computed tomogram for measuring the accuracy of computer-aided implant surgery

    Science.gov (United States)

    Lam, Walter Y. H.; Ngan, Henry Y. T.; Wat, Peter Y. P.; Luk, Henry W. K.; Goto, Tazuko K.; Pow, Edmond H. N.

    2015-02-01

    Medical radiography is the use of radiation to "see through" a human body without breaching its integrity (surface). With computed tomography (CT)/cone beam computed tomography (CBCT), three-dimensional (3D) imaging can be produced. These imagings not only facilitate disease diagnosis but also enable computer-aided surgical planning/navigation. In dentistry, the common method for transfer of the virtual surgical planning to the patient (reality) is the use of surgical stent either with a preloaded planning (static) like a channel or a real time surgical navigation (dynamic) after registration with fiducial markers (RF). This paper describes using the corner of a cube as a radiopaque fiducial marker on an acrylic (plastic) stent, this RF allows robust calibration and registration of Cartesian (x, y, z)- coordinates for linking up the patient (reality) and the imaging (virtuality) and hence the surgical planning can be transferred in either static or dynamic way. The accuracy of computer-aided implant surgery was measured with reference to coordinates. In our preliminary model surgery, a dental implant was planned virtually and placed with preloaded surgical guide. The deviation of the placed implant apex from the planning was x=+0.56mm [more right], y=- 0.05mm [deeper], z=-0.26mm [more lingual]) which was within clinically 2mm safety range. For comparison with the virtual planning, the physically placed implant was CT/CBCT scanned and errors may be introduced. The difference of the actual implant apex to the virtual apex was x=0.00mm, y=+0.21mm [shallower], z=-1.35mm [more lingual] and this should be brought in mind when interpret the results.

  11. Diagnostic Accuracy of Perioperative Measurement of Basal Anterior Pituitary and Target Gland Hormones in Predicting Adrenal Insufficiency After Pituitary Surgery.

    Science.gov (United States)

    Cerina, Vatroslav; Kruljac, Ivan; Radosevic, Jelena Marinkovic; Kirigin, Lora Stanka; Stipic, Darko; Pecina, Hrvoje Ivan; Vrkljan, Milan

    2016-03-01

    The insulin tolerance test (ITT) is the gold standard for diagnosing adrenal insufficiency (AI) after pituitary surgery. The ITT is unpleasant for patients, requires close medical supervision and is contraindicated in several comorbidities. The aim of this study was to analyze whether tumor size, remission rate, preoperative, and early postoperative baseline hormone concentrations could serve as predictors of AI in order to increase the diagnostic accuracy of morning serum cortisol. This prospective study enrolled 70 consecutive patients with newly diagnosed pituitary adenomas. Thirty-seven patients had nonfunctioning pituitary adenomas (NPA), 28 had prolactinomas and 5 had somatotropinomas. Thyroxin (T4), thyrotropin (TSH), prolactin, follicle-stimulating hormone (FSH), luteinizing hormone (LH), testosterone, and insulin-like growth factor 1 (IGF-I) were measured preoperatively and on the sixth postoperative day. Serum morning cortisol was measured on the third postoperative day (CORT3) as well as the sixth postoperative day (CORT6). Tumor mass was measured preoperatively and remission was assessed 3 months after surgery. An ITT was performed 3 to 6 months postoperatively. Remission was achieved in 48% of patients and AI occurred in 51%. Remission rates and tumor type were not associated with AI. CORT3 had the best predictive value for AI (area under the curve (AUC) 0.868, sensitivity 82.4%, specificity 83.3%). Tumor size, preoperative T4, postoperative T4, and TSH were also associated with AI in a multivariate regression model. A combination of all preoperative and postoperative variables (excluding serum cortisol) had a sensitivity of 75.0% and specificity of 77.8%. The predictive power of CORT3 substantially improved by adding those variables into the model (AUC 0.921, sensitivity 94.1%, specificity 78.3%, PPV 81.9%, NPV of 92.7%). In a subgroup analysis that included only female patients with NPA, LH had exactly the same predictive value as CORT3. The addition

  12. Computer-assisted orthognathic surgery: waferless maxillary positioning, versatility, and accuracy of an image-guided visualisation display.

    Science.gov (United States)

    Zinser, Max J; Mischkowski, Robert A; Dreiseidler, Timo; Thamm, Oliver C; Rothamel, Daniel; Zöller, Joachim E

    2013-12-01

    There may well be a shift towards 3-dimensional orthognathic surgery when virtual surgical planning can be applied clinically. We present a computer-assisted protocol that uses surgical navigation supplemented by an interactive image-guided visualisation display (IGVD) to transfer virtual maxillary planning precisely. The aim of this study was to analyse its accuracy and versatility in vivo. The protocol consists of maxillofacial imaging, diagnosis, planning of virtual treatment, and intraoperative surgical transfer using an IGV display. The advantage of the interactive IGV display is that the virtually planned maxilla and its real position can be completely superimposed during operation through a video graphics array (VGA) camera, thereby augmenting the surgeon's 3-dimensional perception. Sixteen adult class III patients were treated with by bimaxillary osteotomy. Seven hard tissue variables were chosen to compare (ΔT1-T0) the virtual maxillary planning (T0) with the postoperative result (T1) using 3-dimensional cephalometry. Clinically acceptable precision for the surgical planning transfer of the maxilla (orthognathic planning. Copyright © 2013 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  13. A Psychobiographical Study of Cao Cao's Personality%曹操人格的心理传记学分析

    Institute of Scientific and Technical Information of China (English)

    谢章明; 解登峰; 刘征宇

    2014-01-01

    通过心理传记学研究探讨曹操的主要人格特点。采用人格形容词评定法和心理传记分析法,结果表明曹操具有“机智勇敢”、“乐观开朗”、“赏罚分明”、“目光远大”、“奸诈狡猾”、“残忍狠毒”六大人格特征。通过对该评定结果与收集到的历史资料进行相互印证,分析曹操人格特征形成的影响因素。%The research explores Cao Cao's personality character-istics and its formation process through psychobiographical study. The result shows that Cao Cao's personality structures consisted of the following factors: "tactful and brave", "optimistic and cheerful","harsh reward and punishment","foresight","treacher-ous and cunning" and "cruel and vicious" six major personality traits. Cao Cao's personality characteristics resulted from the in-teraction of inherited trait and social environment.

  14. Demonstration of the CDMA-mode CAOS smart camera.

    Science.gov (United States)

    Riza, Nabeel A; Mazhar, Mohsin A

    2017-12-11

    Demonstrated is the code division multiple access (CDMA)-mode coded access optical sensor (CAOS) smart camera suited for bright target scenarios. Deploying a silicon CMOS sensor and a silicon point detector within a digital micro-mirror device (DMD)-based spatially isolating hybrid camera design, this smart imager first engages the DMD starring mode with a controlled factor of 200 high optical attenuation of the scene irradiance to provide a classic unsaturated CMOS sensor-based image for target intelligence gathering. Next, this CMOS sensor provided image data is used to acquire a focused zone more robust un-attenuated true target image using the time-modulated CDMA-mode of the CAOS camera. Using four different bright light test target scenes, successfully demonstrated is a proof-of-concept visible band CAOS smart camera operating in the CDMA-mode using up-to 4096 bits length Walsh design CAOS pixel codes with a maximum 10 KHz code bit rate giving a 0.4096 seconds CAOS frame acquisition time. A 16-bit analog-to-digital converter (ADC) with time domain correlation digital signal processing (DSP) generates the CDMA-mode images with a 3600 CAOS pixel count and a best spatial resolution of one micro-mirror square pixel size of 13.68 μm side. The CDMA-mode of the CAOS smart camera is suited for applications where robust high dynamic range (DR) imaging is needed for un-attenuated un-spoiled bright light spectrally diverse targets.

  15. Graffiti mochicas en la huaca Cao Viejo, Complejo El Brujo

    Directory of Open Access Journals (Sweden)

    2001-01-01

    Full Text Available GRAFFITI MOCHICA DE LA HUACA CAO VIEJO, COMPLEXE ARCHÉOLOGIQUE DU BRUJO. Sur des murs et colonnes de quatre des sept édifices superposés (E, D, B, A qui forment la huaca Cao Viejo, nous avons identifié des graffitis qui représentent une grande variété de dessins. Nous analysons actuellement leur élaboration, les techniques employées, leur mise en relation, leur chronologie relative, et leur présence dans d’autres sites monumentaux de la côte péruvienne. En las superficies de muros y columnas de cuatro de los siete edificios superpuestos (E, D, B, A que forman la Huaca Cao Viejo, se han identificado graffiti en una amplia variedad de diseños. Se discute el propósito de su elaboración, la técnica, asociaciones, cronología relativa, y su recurrencia en otros sitios monumentales de la costa peruana. MOCHICA GRAFFITI IN HUACA CAO VIEJO, EL BRUJO COMPLEX. On the surfaces and columns of four among seven superimposed phases (E,D,B,A that form the Huaca Cao Viejo, graffiti representing a great variety of designs were discovered. We discuss their relevance, their significance, the techniques used in creating them, their relative chronology, and their use in other monumental buildings on the northern Peruvian coast.

  16. The CaO orange system in meteor spectra

    Science.gov (United States)

    Berezhnoy, A. A.; Borovička, J.; Santos, J.; Rivas-Silva, J. F.; Sandoval, L.; Stolyarov, A. V.; Palma, A.

    2018-02-01

    The CaO orange band system was simulated in the region 5900-6300 Å and compared with the experimentally observed spectra of Benešov bolide wake. The required vibronic Einstein emission coefficients were estimated by means of the experimental radiative lifetimes under the simplest Franck-Condon approximation. A moderate agreement was achieved, and the largest uncertainties come from modeling shape of FeO orange bands. Using a simple model the CaO column density in the wake of the Benešov bolide at the height of 29 km was estimated as (5 ± 2) × 1014 cm-2 by a comparison of the present CaO spectra with the AlO bands nicely observed at 4600-5200 Å in the same spectrum. The obtained CaO content is in a good agreement with the quenching model developed for the impact-produced cloud, although future theoretical and experimental studies of both CaO and FeO orange systems contribution would be needed to confirm these results.

  17. Accuracy of pulse oximetry in detection of oxygen saturation in patients admitted to the intensive care unit of heart surgery: comparison of finger, toe, forehead and earlobe probes.

    Science.gov (United States)

    Seifi, Sohila; Khatony, Alireza; Moradi, Gholamreza; Abdi, Alireza; Najafi, Farid

    2018-01-01

    Heart surgery patients are more at risk of poor peripheral perfusion, and peripheral capillary oxygen saturation (SpO2) measurement is regular care for continuous analysis of blood oxygen saturation in these patients. With regard to controversial studies on accuracy of the current pulse oximetry probes and lack of data related to patients undergoing heart surgery, the present study was conducted to determine accuracy of pulse oximetry probes of finger, toe, forehead and earlobe in detection of oxygen saturation in patients admitted to intensive care units for coronary artery bypass surgery. In this clinical trial, 67 patients were recruited based on convenience sampling method among those admitted to intensive care units for coronary artery bypass surgery. The SpO2 value was measured using finger, toe, forehead and earlobe probes and then compared with the standard value of arterial oxygen saturation (SaO2). Data were entered into STATA-11 software and analyzed using descriptive, inferential and Bland-Altman statistical analyses. Highest and lowest correlational mean values of SpO2 and SaO2 were related to finger and earlobe probes, respectively. The highest and lowest agreement of SpO2 and SaO2 were related to forehead and earlobe probes. The SpO2 of earlobe probes due to lesser mean difference, more limited confidence level and higher agreement ration with SaO2 resulted by arterial blood gas (ABG) analysis had higher accuracy. Thus, it is suggested to use earlobe probes in patients admitted to the intensive care unit for coronary artery bypass surgery. Registration of this trial protocol has been approved in Iranian Registry of Clinical Trials at 2018-03-19 with reference IRCT20100913004736N22. "Retrospectively registered."

  18. Diagnostic accuracy of risk of malignancy index in predicting complete tumor removal at primary debulking surgery for ovarian cancer patients

    DEFF Research Database (Denmark)

    Fagö-Olsen, Carsten L; Håkansson, Fanny; Antonsen, Sofie L

    2013-01-01

    Ovarian cancer patients in whom complete tumor removal is impossible with primary debulking surgery (PDS) may benefit from neoadjuvant chemotherapy and interval debulking surgery. However, the task of performing a pre-operative evaluation of the feasibility of PDS is difficult. We aimed to invest...

  19. Direct navigation on 3D rotational x-ray data acquired with a mobile propeller C-arm: accuracy and application in functional endoscopic sinus surgery

    International Nuclear Information System (INIS)

    Kraats, Everine B van de; Carelsen, Bart; Fokkens, Wytske J; Boon, Sjirk N; Noordhoek, Niels; Niessen, Wiro J; Walsum, Theo van

    2005-01-01

    Recently, three-dimensional (3D) rotational x-ray imaging has been combined with navigation technology, enabling direct 3D navigation for minimally invasive image guided interventions. In this study, phantom experiments are used to determine the accuracy of such a navigation set-up for a mobile C-arm with propeller motion. After calibration of the C-arm system, the accuracy is evaluated by pinpointing divots on a special-purpose phantom with known geometry. This evaluation is performed both with and without C-arm motion in between calibration and registration for navigation. The variation caused by each of the individual transformations in the calibration and registration process is also studied. The feasibility of direct navigation on 3D rotational x-ray images for functional endoscopic sinus surgery has been evaluated in a cadaver navigation experiment. Navigation accuracy was approximately 1.0 mm, which is sufficient for functional endoscopic sinus surgery. C-arm motion in between calibration and registration slightly degraded the registration accuracy by approximately 0.3 mm. Standard deviations of each of the transformations were in the range 0.15-0.31 mm. In the cadaver experiment, the navigation images were considered in good correspondence with the endoscopic images by an experienced ENT surgeon. Availability of 3D localization information provided by the navigation system was considered valuable by the ENT surgeon

  20. A study on the theoretical and practical accuracy of conoscopic holography-based surface measurements: toward image registration in minimally invasive surgery.

    Science.gov (United States)

    Burgner, J; Simpson, A L; Fitzpatrick, J M; Lathrop, R A; Herrell, S D; Miga, M I; Webster, R J

    2013-06-01

    Registered medical images can assist with surgical navigation and enable image-guided therapy delivery. In soft tissues, surface-based registration is often used and can be facilitated by laser surface scanning. Tracked conoscopic holography (which provides distance measurements) has been recently proposed as a minimally invasive way to obtain surface scans. Moving this technique from concept to clinical use requires a rigorous accuracy evaluation, which is the purpose of our paper. We adapt recent non-homogeneous and anisotropic point-based registration results to provide a theoretical framework for predicting the accuracy of tracked distance measurement systems. Experiments are conducted a complex objects of defined geometry, an anthropomorphic kidney phantom and a human cadaver kidney. Experiments agree with model predictions, producing point RMS errors consistently Tracked conoscopic holography is clinically viable; it enables minimally invasive surface scan accuracy comparable to current clinical methods that require open surgery. Copyright © 2012 John Wiley & Sons, Ltd.

  1. HIGHLY ACTIVE CaO FOR THE TRANSESTERIFICATION TO ...

    African Journals Online (AJOL)

    Preferred Customer

    1College of Chemistry and Chemical Engineering, Xi'an Shiyou University, Xi'an Shannxi, ... acid methyl esters (FAME) yield of the modified CaO was greatly enhanced ... same properties as diesel, to supply or replace such fossil fuel[1, 2].

  2. Microcirculation and its relation to continuous subcutaneous glucose sensor accuracy in cardiac surgery patients in the intensive care unit

    NARCIS (Netherlands)

    Siegelaar, Sarah E.; Barwari, Temo; Hermanides, Jeroen; van der Voort, Peter H. J.; Hoekstra, Joost B. L.; DeVries, J. Hans

    2013-01-01

    Continuous glucose monitoring could be helpful for glucose regulation in critically ill patients; however, its accuracy is uncertain and might be influenced by microcirculation. We investigated the microcirculation and its relation to the accuracy of 2 continuous glucose monitoring devices in

  3. Introduction à la CAO CADENCE - French version only

    CERN Multimedia

    Davide Vitè

    2002-01-01

    CERN Technical Training Programme: Learning for the LHC ! Dans le cadre du suivi du programme ELEC-2002 : Electronics in HEP, une nouvelle session du cours Introduction à la CAO CADENCE : de la saisie de schéma Concept-HDL au PCB est programmée pour les 10 et 11 décembre prochains. Le cours, en français, est gratuit et sera animé par Serge Brobecker de la division IT/PS/EAS. L'objectif de cette formation est de donner une vue générale du système CAO CADENCE utilisé au CERN, et d'en connaître l'environnement et les possibilités, en acquérant des notions suffisantes pour utiliser la saisie de schéma. Le cours est ciblé pour une audience d'ingénieurs et techniciens désirant utiliser les outils CAO disponibles au CERN, afin de concevoir des circuits logiques et des circuits programmables digitaux. Si vous désirez partic...

  4. Accuracy and completeness of patient information in organic World-Wide Web search for Mohs surgery: a prospective cross-sectional multirater study using consensus criteria.

    Science.gov (United States)

    Miller, Christopher J; Neuhaus, Isaac M; Sobanko, Joseph F; Veledar, Emir; Alam, Murad

    2013-11-01

    Many patients obtain medical information from the Internet. Inaccurate information affects patient care and perceptions. To assess the accuracy and completeness of information regarding Mohs micrographic surgery (MMS) on the Internet. Prospective cross-sectional Internet-based study reviewing 30 consecutive organic results from three U.S. urban areas on "Mohs surgery" using Google. Text was assessed using a consensus-derived rating scale that quantified necessary and additional or supplementary information about MMS, as well as wrong information. Websites were classified according to type of sponsor. Ninety-one percent of sites conveyed basic information about MMS. There was variation in the mean amount of additional information items (range 0-9) according to website type: 8.4, medical societies; 6.7, academic practices; 5.9, web-based medical information resources; 4.7, private practices; and 4.4, other (p web-based sources (mean 5.11, p web-based medical information sources also provide additional information. © 2013 by the American Society for Dermatologic Surgery, Inc. Published by Wiley Periodicals, Inc.

  5. Image-based in vivo assessment of targeting accuracy of stereotactic brain surgery in experimental rodent models

    Science.gov (United States)

    Rangarajan, Janaki Raman; Vande Velde, Greetje; van Gent, Friso; de Vloo, Philippe; Dresselaers, Tom; Depypere, Maarten; van Kuyck, Kris; Nuttin, Bart; Himmelreich, Uwe; Maes, Frederik

    2016-11-01

    Stereotactic neurosurgery is used in pre-clinical research of neurological and psychiatric disorders in experimental rat and mouse models to engraft a needle or electrode at a pre-defined location in the brain. However, inaccurate targeting may confound the results of such experiments. In contrast to the clinical practice, inaccurate targeting in rodents remains usually unnoticed until assessed by ex vivo end-point histology. We here propose a workflow for in vivo assessment of stereotactic targeting accuracy in small animal studies based on multi-modal post-operative imaging. The surgical trajectory in each individual animal is reconstructed in 3D from the physical implant imaged in post-operative CT and/or its trace as visible in post-operative MRI. By co-registering post-operative images of individual animals to a common stereotaxic template, targeting accuracy is quantified. Two commonly used neuromodulation regions were used as targets. Target localization errors showed not only variability, but also inaccuracy in targeting. Only about 30% of electrodes were within the subnucleus structure that was targeted and a-specific adverse effects were also noted. Shifting from invasive/subjective 2D histology towards objective in vivo 3D imaging-based assessment of targeting accuracy may benefit a more effective use of the experimental data by excluding off-target cases early in the study.

  6. The Oxygenase CAO-1 of Neurospora crassa Is a Resveratrol Cleavage Enzyme

    KAUST Repository

    Diaz-Sanchez, V.; F. Estrada, A.; Limon, M. C.; Al-Babili, Salim; Avalos, J.

    2013-01-01

    The genome of the ascomycete Neurospora crassa encodes CAO-1 and CAO-2, two members of the carotenoid cleavage oxygenase family that target double bonds in different substrates. Previous studies demonstrated the role of CAO-2 in cleaving the C40 carotene torulene, a key step in the synthesis of the C35 apocarotenoid pigment neurosporaxanthin. In this work, we investigated the activity of CAO-1, assuming that it may provide retinal, the chromophore of the NOP-1 rhodopsin, by cleaving β-carotene. For this purpose, we tested CAO-1 activity with carotenoid substrates that were, however, not converted. In contrast and consistent with its sequence similarity to family members that act on stilbenes, CAO-1 cleaved the interphenyl Cα-Cβ double bond of resveratrol and its derivative piceatannol. CAO-1 did not convert five other similar stilbenes, indicating a requirement for a minimal number of unmodified hydroxyl groups in the stilbene background. Confirming its biological function in converting stilbenes, adding resveratrol led to a pronounced increase in cao-1 mRNA levels, while light, a key regulator of carotenoid metabolism, did not alter them. Targeted Δcao-1 mutants were not impaired by the presence of resveratrol, a phytoalexin active against different fungi, which did not significantly affect the growth and development of wild-type Neurospora. However, under partial sorbose toxicity, the Δcao-1 colonies exhibited faster radial growth than control strains in the presence of resveratrol, suggesting a moderate toxic effect of resveratrol cleavage products.

  7. The Oxygenase CAO-1 of Neurospora crassa Is a Resveratrol Cleavage Enzyme

    KAUST Repository

    Diaz-Sanchez, V.

    2013-07-26

    The genome of the ascomycete Neurospora crassa encodes CAO-1 and CAO-2, two members of the carotenoid cleavage oxygenase family that target double bonds in different substrates. Previous studies demonstrated the role of CAO-2 in cleaving the C40 carotene torulene, a key step in the synthesis of the C35 apocarotenoid pigment neurosporaxanthin. In this work, we investigated the activity of CAO-1, assuming that it may provide retinal, the chromophore of the NOP-1 rhodopsin, by cleaving β-carotene. For this purpose, we tested CAO-1 activity with carotenoid substrates that were, however, not converted. In contrast and consistent with its sequence similarity to family members that act on stilbenes, CAO-1 cleaved the interphenyl Cα-Cβ double bond of resveratrol and its derivative piceatannol. CAO-1 did not convert five other similar stilbenes, indicating a requirement for a minimal number of unmodified hydroxyl groups in the stilbene background. Confirming its biological function in converting stilbenes, adding resveratrol led to a pronounced increase in cao-1 mRNA levels, while light, a key regulator of carotenoid metabolism, did not alter them. Targeted Δcao-1 mutants were not impaired by the presence of resveratrol, a phytoalexin active against different fungi, which did not significantly affect the growth and development of wild-type Neurospora. However, under partial sorbose toxicity, the Δcao-1 colonies exhibited faster radial growth than control strains in the presence of resveratrol, suggesting a moderate toxic effect of resveratrol cleavage products.

  8. Conference “Computational Analysis and Optimization” (CAO 2011)

    CERN Document Server

    Tiihonen, Timo; Tuovinen, Tero; Numerical Methods for Differential Equations, Optimization, and Technological Problems : Dedicated to Professor P. Neittaanmäki on His 60th Birthday

    2013-01-01

    This book contains the results in numerical analysis and optimization presented at the ECCOMAS thematic conference “Computational Analysis and Optimization” (CAO 2011) held in Jyväskylä, Finland, June 9–11, 2011. Both the conference and this volume are dedicated to Professor Pekka Neittaanmäki on the occasion of his sixtieth birthday. It consists of five parts that are closely related to his scientific activities and interests: Numerical Methods for Nonlinear Problems; Reliable Methods for Computer Simulation; Analysis of Noised and Uncertain Data; Optimization Methods; Mathematical Models Generated by Modern Technological Problems. The book also includes a short biography of Professor Neittaanmäki.

  9. Caos en sistemas clásico-cuánticos

    Science.gov (United States)

    Dirani, L. D.; Núñez, J. A.

    Una de las formas de estudiar la existencia de caos en el comportamiento de un sistema clásico-cuántico, es truncando el espacio de Hilbert del sistema cuántico. El objetivo de este trabajo es analizar como afecta dicho truncamiento en la dinámica del sistema. Para tal fin se propone un Hamiltoniano integrable, cuyos valores de expectación asociados a coordenadas y momentos cuánticos responden, por el teorema de Ehrenfest, a un sistema de dos osciladores clásicos con acoplamiento lineal.

  10. Esthetics of Flapless Single-Tooth Implants in the Anterior Maxilla Using Guided Surgery: Association of Three-Dimensional Accuracy and Pink Esthetic Score.

    Science.gov (United States)

    Fürhauser, Rudolf; Mailath-Pokorny, Georg; Haas, Robert; Busenlechner, Dieter; Watzek, Georg; Pommer, Bernhard

    2015-10-01

    Flapless implant placement using surgical templates may guarantee predictable and esthetic results provided that preplanned implant positions are transfered precisely into surgical reality. The study aims to investigate the effect of three-dimensional accuracy in guided implant surgery on the esthetic outcome of single-tooth implants in the anterior maxilla. Single-tooth implants for delayed replacement of upper incisors were inserted in 27 patients using stereolithographic templates. Superimposition of postoperative cone beam computed tomography (CBCT) scans allowed assessment of positional inaccuracy at the implant shoulder and apex, as well as angular deviation. Objective evaluation of implant esthetics was performed after a mean follow-up of 2.3 years using the Pink Esthetic Score (PES). Mean deviation between planned and actual implant position was 0.84 mm at the implant shoulder and significantly correlated to average PES of 12 (p = .031). Inaccuracy toward the buccal side was most frequent (70%). Deviations  ≥  0.8  mm resulted in significantly worse implant esthetics (median PES: 9.5, interquartile range [IQR]: 8-11) compared with more accurate implant positions (median PES: 13, IQR: 12-13, p = .039). Positional inaccuracy is low in guided implant surgery, but may however significantly compromise implant esthetics in the anterior maxilla. © 2014 Wiley Periodicals, Inc.

  11. Bartleby o la política del caos

    Directory of Open Access Journals (Sweden)

    Andrés Camilo Torres Estrada

    2013-01-01

    Full Text Available El artículo presenta un análisis del cuento de Herman Melville: “Bartleby, el escribiente”. Este análisis parte de un acercamiento a la literatura desde una noción de política inspirada en autores como Jacques Derrida y Jacques Rancière, pero que se aparta de esta filosofía cuando, por encima del propio texto y sus posibilidades, se pretende encontrar en él heterotopías, esperanzas y comunidades por venir. Esta noción de política acerca a la literatura al mundo efectivo, transfigurando los modos de ser y no ser. Así, el personaje de Bartleby se presenta en medio del mundo de la representación como un agente del caos. En esto consiste la política del escribiente: su incursión devela las farsas del mundo construido y soñado por los hombres; pero esta destrucción que causa es inútil: el mundo de la representación ha sentido su absurdo, no sabe qué hacer con dicho agente del caos, pero no es suficiente para arruinarlo. Bartleby, quien se ha indeterminado y ha abandonado las dualidades de ser y no ser, tampoco puede seguir viviendo: ya no hay espacio para la vida sin referencias en un mundo humano y ficticio.

  12. Accuracy of Neutrophil Gelatinase-Associated Lipocalin in Detecting Acute Kidney Injury after Urogenital Robotic Assisted Laparoscopic Surgery under General Anesthesia

    Directory of Open Access Journals (Sweden)

    Orsolya MIHÁLY

    2012-06-01

    Full Text Available The aim of this study was to demonstrate the accuracy of NGAL in detecting acute kidney injury (AKI after urogenital robotic surgery in general anesthesia. Methods: A prospective longitudinal observational study, which included patients scheduled for elective robotic surgery under general anesthesia. The serum and urine NGAL at induction, 6 hours and 12 hours were determined. Serum creatinine was measured preoperatively and daily 4 days postoperatively. AKI was defined as the absolute growth of serum creatinine by 0.3 mg/dl over baseline within 48 hours postoperatively. Results: 24 patients were enrolled in the study. AKI occurred in 38% of patients. Serum NGAL increased significantly at 6 hours and 12h, compared to baseline, with a higher increase in the group of patents without AKI. There were no significant results for urine NGAL. A link was observed between the values of serum NGAL, with associated significance p<0.0001. The correlations between urine NGAL were not significant. The predictive value of NGAL, analyzed by cross-tabulation, OR was 3 for baseline value and 5.33 for the values measured at 6 hours and 12 hours, but with no statistical significance. Conclusions: The modifications of the NGAL levels, measured at 6 hours and 12 hours from the induction of anesthesia, were significant with more importance at 6 hours and in patients without AKI. Serum NGAL had no predictive value for AKI, but the risk to develop AKI was 3 times higher for baseline determination and 5 times at 6 and 12 hours.

  13. Accuracy of quick and easy undernutrition screening tools--Short Nutritional Assessment Questionnaire, Malnutrition Universal Screening Tool, and modified Malnutrition Universal Screening Tool--in patients undergoing cardiac surgery

    NARCIS (Netherlands)

    van Venrooij, Lenny M. W.; van Leeuwen, Paul A. M.; Hopmans, Wendy; Borgmeijer-Hoelen, Mieke M. M. J.; de Vos, Rien; de Mol, Bas A. J. M.

    2011-01-01

    The objective of this study was to compare the quick-and-easy undernutrition screening tools, ie, Short Nutritional Assessment Questionnaire and Malnutrition Universal Screening Tool, in patients undergoing cardiac surgery with respect to their accuracy in detecting undernutrition measured by a

  14. The accuracy of postoperative, non-invasive Air-Test to diagnose atelectasis in healthy patients after surgery: a prospective, diagnostic pilot study.

    Science.gov (United States)

    Ferrando, Carlos; Romero, Carolina; Tusman, Gerardo; Suarez-Sipmann, Fernando; Canet, Jaume; Dosdá, Rosa; Valls, Paola; Villena, Abigail; Serralta, Ferran; Jurado, Ana; Carrizo, Juan; Navarro, Jose; Parrilla, Cristina; Romero, Jose E; Pozo, Natividad; Soro, Marina; Villar, Jesús; Belda, Francisco Javier

    2017-05-29

    To assess the diagnostic accuracy of peripheral capillary oxygen saturation (SpO 2 ) while breathing room air for 5 min (the 'Air-Test') in detecting postoperative atelectasis. Prospective cohort study. Diagnostic accuracy was assessed by measuring the agreement between the index test and the reference standard CT scan images. Postanaesthetic care unit in a tertiary hospital in Spain. Three hundred and fifty patients from 12 January to 7 February 2015; 170 patients scheduled for surgery under general anaesthesia who were admitted into the postsurgical unit were included. The Air-Test was performed in conscious extubated patients after a 30 min stabilisation period during which they received supplemental oxygen therapy via a venturi mask. The Air-Test was defined as positive when SpO 2 was ≤96% and negative when SpO 2 was ≥97%. Arterial blood gases were measured in all patients at the end of the Air-Test. In the subsequent 25 min, the presence of atelectasis was evaluated by performing a CT scan in 59 randomly selected patients. The primary study outcome was assessment of the accuracy of the Air-Test for detecting postoperative atelectasis compared with the reference standard. The secondary outcome was the incidence of positive Air-Test results. The Air-Test diagnosed postoperative atelectasis with an area under the receiver operating characteristic curve of 0.90 (95% CI 0.82 to 0.98) with a sensitivity of 82.6% and a specificity of 87.8%. The presence of atelectasis was confirmed by CT scans in all patients (30/30) with positive and in 5 patients (17%) with negative Air-Test results. Based on the Air-Test, postoperative atelectasis was present in 36% of the patients (62 out of 170). The Air-Test may represent an accurate, simple, inexpensive and non-invasive method for diagnosing postoperative atelectasis. NCT02650037. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is

  15. Aplicaciones del Caos y la Complejidad en la Cadena de Suministros del Sector Agroindustrial

    OpenAIRE

    Lara Atencia, Manuel Santiago

    2016-01-01

    La presente investigación consiste en determinar las aplicaciones existentes de las teorías del caos y las teorías de la complejidad en la cadena de suministro del sector agroindustrial colombiano. Además, tiene como propósito describir el sector de la agroindustria y la cadena de suministro, identificar los modelos de caos y complejidad y posteriormente determinar cuáles de éstos son aplicables al sector. Se define el caos como una sub-disciplina de las matemáticas que estudia sistemas compl...

  16. Rearrangement of porous CaO aggregates during calcite decomposition in vacuum

    International Nuclear Information System (INIS)

    Beruto, D.; Barco, L.; Searcy, A.W.

    1983-01-01

    High-resolution SEM photographs, N 2 adsorption isotherms, Hg porosimetry, and micrometer measurements were used to characterize CaO particle shapes and pore-size distributions that result when calcite crystals are decomposed in vacuum at 686 0 C. The surface area of the CaO produced from large calcite crystals is constant at 116 + or - 4 m 2 /g independent of the extent of reaction. The volume occupied by a CaO aggregate is approx. = 98 + or - 2% that of the original calcite crystal. The approx. = 54% total porosity is comprised of 42% pores of approx. = 5 nm cross section and 12% pores of approx. = 10 μm cross section. The duplex pore structure is formed by a diffusionless repacking of CaO particles that initially form with a more uniform distribution of particles and pores

  17. Nonisothermal Thermogravimetric Analysis of Thai Lignite with High CaO Content

    Science.gov (United States)

    Pintana, Pakamon

    2013-01-01

    Thermal behaviors and combustion kinetics of Thai lignite with different SO3-free CaO contents were investigated. Nonisothermal thermogravimetric method was carried out under oxygen environment at heating rates of 10, 30, and 50°C min−1 from ambient up to 1300°C. Flynn-Wall-Ozawa (FWO) and Kissinger-Akahira-Sunose (KAS) methods were adopted to estimate the apparent activation energy (E) for the thermal decomposition of these coals. Different thermal degradation behaviors were observed in lignites with low (14%) and high (42%) CaO content. Activation energy of the lignite combustion was found to vary with the conversion fraction. In comparison with the KAS method, higher E values were obtained by the FWO method for all conversions considered. High CaO lignite was observed to have higher activation energy than the low CaO coal. PMID:24250259

  18. [Academic heritage of Jiu huang ben cao (Materia Medica for Relief of Famines) in Japan].

    Science.gov (United States)

    He, Huiling; Xiao, Yongzhi

    2014-11-01

    Jiu huang ben cao (Materia Medica for Relief of Famines) was the first monograph on famines herbal in the history of China, which creates a new research field of edible plants. Around the middle and late 17th century, Jiu huang ben cao was spread to Japan and aroused great attention of famous Japanese herbalists. Thus, all versions of different edition systems were circulated in Japan. Later, some famous Japanese scholar ssuccessively quoted texts of Jiu huang ben cao from the Nong zheng quan shu (Whole book on Agricultural Administration) spread in Japan, and block-printed it as an independent work. As a result, Jiu huang ben cao virtually circulated widely in Japan.

  19. Ex Isto, de Cao Guimarães, e o ultrapassamento de si

    Directory of Open Access Journals (Sweden)

    Rafael de Almeida

    2014-12-01

    Full Text Available Ex It, by Cao Guimarães, and the transcendence of self – This essay focuses on the film Ex It (2010, by Cao Guimarães, with emphasis on an analysis of how the actor transcends himself to give shape to the existence of the image of the real character he interprets, and the way in which the film develops, passing from literature to cinema, documentary to fiction, and life to image.

  20. Combined Use of Shrinkage Reducing Admixture and CaO in Cement Based Materials

    Science.gov (United States)

    Tittarelli, Francesca; Giosuè, Chiara; Monosi, Saveria

    2017-10-01

    The combined addition of a Shrinkage-Reducing Admixture (SRA) with a CaO-based expansive agent (CaO) has been found to have a synergistic effect to improve the dimensional stability of cement based materials. In this work, aimed to further investigate the effect, mortar and self-compacting concrete specimens were prepared either without admixtures, as reference, or with SRA alone and/or CaO. Their performance was compared in terms of compressive strength and free shrinkage measurements. Results showed that the synergistic effect in reducing shrinkage is confirmed in the specimens manufactured with SRA and CaO. In order to clarify this phenomenon, the effect of SRA on the hydration of CaO as well as cement was evaluated through different techniques. The obtained results show that SRA induces a finer microstructure of the CaO hydration products and a retarding effect on the microstructure development of cement based materials. A more deformable mortar or concrete, due to the delay in microstructure development by SRA, coupled with a finer microstructure of CaO hydration products could allow higher early expansion, which might contribute in contrasting better the successive drying shrinkage.

  1. Diagnostic Accuracy of Detecting Hashimoto's Thyroiditis in Thyroid Cancer Patients Who Underwent Thyroid Surgery: Comparison of Ultrasonography, Positron Emission Tomography/CT, Contrast Enhanced CT, and Anti-Thyroid Antibody

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Young Gyun; Lee, Tae Hyun; Park, Dong Hee; Nam, Sang Been [Dept. of Radiology, Korea Cancer Center Hospital, Seoul (Korea, Republic of)

    2012-11-15

    To compare the diagnostic accuracy of ultrasonography (US), F18-fluorodeoxyglucose positron emission tomography/CT (PET/CT), contrast enhanced CT (CECT), serum anti-thyroid antibody for detecting Hashimoto's thyroiditis in thyroid cancer patients who underwent neck surgery. A total of 150 patients with suspicious for thyroid cancer, who had previously undergone US guided needle aspiration of thyroid, were evaluated with the use of US, PET/CT, CECT and serum anti-thyroid antibody. The four studies were performed within two months before neck surgery. Hashimoto's thyroiditis was confirmed by histopathological results. The diagnostic accuracy of US, PET/CT, CECT and serum anti-thyroid antibody were calculated statistically. Hashimoto's thyroiditis was diagnosed in 51 out of the 150 patients, following neck surgery. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of US were 76.5%, 92.9%, 84.8%, 88.5%, and 87.3%, respectively. The corresponding values of PET/CT were 37.3%, 96.0%, 82.6%, 74.8%, and 76.0%, and CECT were 62.7%, 89.9%, 76.2%, 82.4%, and 80.7%, and serum anti-thyroid antibody level were 90.2%, 93.9%, 88.5%, 94.9%, and 92.7%, respectively. McNemar test revealed significant difference among PET/CT and others, but no significant differences among US, CECT and serum anti-thyroid antibody. Overall, serum anti-thyroid antibody showed most accurate diagnostic performance. In detecting Hashimoto's thyroiditis, serum anti-thyroid antibody showed higher diagnostic accuracy than others. US also showed relatively high diagnostic accuracy.

  2. Diagnostic Accuracy of Detecting Hashimoto's Thyroiditis in Thyroid Cancer Patients Who Underwent Thyroid Surgery: Comparison of Ultrasonography, Positron Emission Tomography/CT, Contrast Enhanced CT, and Anti-Thyroid Antibody

    International Nuclear Information System (INIS)

    Kim, Young Gyun; Lee, Tae Hyun; Park, Dong Hee; Nam, Sang Been

    2012-01-01

    To compare the diagnostic accuracy of ultrasonography (US), F18-fluorodeoxyglucose positron emission tomography/CT (PET/CT), contrast enhanced CT (CECT), serum anti-thyroid antibody for detecting Hashimoto's thyroiditis in thyroid cancer patients who underwent neck surgery. A total of 150 patients with suspicious for thyroid cancer, who had previously undergone US guided needle aspiration of thyroid, were evaluated with the use of US, PET/CT, CECT and serum anti-thyroid antibody. The four studies were performed within two months before neck surgery. Hashimoto's thyroiditis was confirmed by histopathological results. The diagnostic accuracy of US, PET/CT, CECT and serum anti-thyroid antibody were calculated statistically. Hashimoto's thyroiditis was diagnosed in 51 out of the 150 patients, following neck surgery. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of US were 76.5%, 92.9%, 84.8%, 88.5%, and 87.3%, respectively. The corresponding values of PET/CT were 37.3%, 96.0%, 82.6%, 74.8%, and 76.0%, and CECT were 62.7%, 89.9%, 76.2%, 82.4%, and 80.7%, and serum anti-thyroid antibody level were 90.2%, 93.9%, 88.5%, 94.9%, and 92.7%, respectively. McNemar test revealed significant difference among PET/CT and others, but no significant differences among US, CECT and serum anti-thyroid antibody. Overall, serum anti-thyroid antibody showed most accurate diagnostic performance. In detecting Hashimoto's thyroiditis, serum anti-thyroid antibody showed higher diagnostic accuracy than others. US also showed relatively high diagnostic accuracy.

  3. CAOS: the nested catchment soil-vegetation-atmosphere observation platform

    Science.gov (United States)

    Weiler, Markus; Blume, Theresa

    2016-04-01

    Most catchment based observations linking hydrometeorology, ecohydrology, soil hydrology and hydrogeology are typically not integrated with each other and lack a consistent and appropriate spatial-temporal resolution. Within the research network CAOS (Catchments As Organized Systems), we have initiated and developed a novel and integrated observation platform in several catchments in Luxembourg. In 20 nested catchments covering three distinct geologies the subscale processes at the bedrock-soil-vegetation-atmosphere interface are being monitored at 46 sensor cluster locations. Each sensor cluster is designed to observe a variety of different fluxes and state variables above and below ground, in the saturated and unsaturated zone. The numbers of sensors are chosen to capture the spatial variability as well the average dynamics. At each of these sensor clusters three soil moisture profiles with sensors at different depths, four soil temperature profiles as well as matric potential, air temperature, relative humidity, global radiation, rainfall/throughfall, sapflow and shallow groundwater and stream water levels are measured continuously. In addition, most sensors also measure temperature (water, soil, atmosphere) and electrical conductivity. This setup allows us to determine the local water and energy balance at each of these sites. The discharge gauging sites in the nested catchments are also equipped with automatic water samplers to monitor water quality and water stable isotopes continuously. Furthermore, water temperature and electrical conductivity observations are extended to over 120 locations distributed across the entire stream network to capture the energy exchange between the groundwater, stream water and atmosphere. The measurements at the sensor clusters are complemented by hydrometeorological observations (rain radar, network of distrometers and dense network of precipitation gauges) and linked with high resolution meteorological models. In this

  4. Effect of sulfation on the surface activity of CaO for N2O decomposition

    International Nuclear Information System (INIS)

    Wu, Lingnan; Hu, Xiaoying; Qin, Wu; Dong, Changqing; Yang, Yongping

    2015-01-01

    Graphical abstract: - Highlights: • Sulfation of CaO (1 0 0) surface greatly deactivates its surface activity for N 2 O decomposition. • An increase of sulfation degree leads to a decrease of CaO surface activity for N 2 O decomposition. • Sulfation from CaSO 3 into CaSO 4 is the crucial step for deactivating the surface activity for N 2 O decomposition. • The electronic interaction CaO (1 0 0)/CaSO 4 (0 0 1) interface is limited to the bottom layer of CaSO 4 (0 0 1) and the top layer of CaO (1 0 0). • CaSO 4 (0 0 1) and (0 1 0) surfaces show negligible catalytic ability for N 2 O decomposition. - Abstract: Limestone addition to circulating fluidized bed boilers for sulfur removal affects nitrous oxide (N 2 O) emission at the same time, but mechanism of how sulfation process influences the surface activity of CaO for N 2 O decomposition remains unclear. In this paper, we investigated the effect of sulfation on the surface properties and catalytic activity of CaO for N 2 O decomposition using density functional theory calculations. Sulfation of CaO (1 0 0) surface by the adsorption of a single gaseous SO 2 or SO 3 molecule forms stable local CaSO 3 or CaSO 4 on the CaO (1 0 0) surface with strong hybridization between the S atom of SO x and the surface O anion. The formed local CaSO 3 increases the barrier energy of N 2 O decomposition from 0.989 eV (on the CaO (1 0 0) surface) to 1.340 eV, and further sulfation into local CaSO 4 remarkably increases the barrier energy to 2.967 eV. Sulfation from CaSO 3 into CaSO 4 is therefore the crucial step for deactivating the surface activity for N 2 O decomposition. Completely sulfated CaSO 4 (0 0 1) and (0 1 0) surfaces further validate the negligible catalytic ability of CaSO 4 for N 2 O decomposition.

  5. First-Principles Study on the Adsorption Properties of Transition-Metal Atoms on CaO(001) Surfaces

    Energy Technology Data Exchange (ETDEWEB)

    Yu, Byung Deok [University of Seoul, Seoul (Korea, Republic of); Jang, Young-Rok [Incheon National University, Incheon (Korea, Republic of)

    2017-03-15

    By using first-principles electronic-structure calculations based on the density functional theory, we systematically investigated the adsorption properties of transition-metal (TM) adatoms on CaO(001) surfaces. Optimized adsorption structures and energetics of TM adatoms on CaO(001) are reported for various adsorption structures. The results are different from those of TM adatoms on MgO(001). Concomitantly, this suggests different dynamical properties of TM adatoms on CaO(001) surfaces as compared with TM adatoms on MgO(001) surfaces. Also performed was an analysis of the electronic structures of the TM adatoms on CaO(001) by using the energy positions of the adsorbate states with respect to the valence band maximum of CaO. The results are discussed in connection with the charge states of the TM adatoms on doped CaO(001).

  6. Study on rapid bio-drying technology of cow dung with CaO2

    Science.gov (United States)

    Chen, Xiaotian; Qu, Guangfei; Liu, Shugen; Xie, Ruosong; He, Yanhua

    2017-05-01

    Effect of CaO2 on cow dung rapid bio-drying technology was researched. A static aerobic composting system was applied to this experiment which combining natural ventilation with Turing in the process of composting. The physical characteristics of cow dung was observed and the compost temperature, moisture content, organic matter, total nitrogen, total phosphorus, potassium content was determined which in order to study the effect of CaO2 on rapid drying of cattle in the compost. In the initial stage of compost, adding CaO2 groups compared with the control group, the temperature rise faster, 4-6 days in advance to the thermophilic phase; at the end of composting, the CaO2 composition and moisture content decreased significantly to below 30%. The addition of CaO2 in fertilizer was shorten the composting time, extend the thermophilic phase, to provide sufficient oxygen meeting the growth needs of aerobic microorganisms. It convinced that the rapid bio-drying of dairy manure has a good effect and provided a new idea for the effective treatment of cow dung.

  7. Biomass gasification bottom ash as a source of CaO catalyst for biodiesel production via transesterification of palm oil

    International Nuclear Information System (INIS)

    Maneerung, Thawatchai; Kawi, Sibudjing; Wang, Chi-Hwa

    2015-01-01

    Highlights: • CaO catalyst was successfully developed from wood gasification bottom ash. • CaCO 3 in bottom ash can be converted to CaO catalyst by calcination. • CaO catalysts derived from bottom ash exhibited high activity towards transesterification. • CaO catalysts derived from bottom ash can be reutilized up to four times. - Abstract: The main aim of this research is to develop environmentally and economically benign heterogeneous catalysts for biodiesel production via transesterification of palm oil. For this propose, calcium oxide (CaO) catalyst has been developed from bottom ash waste arising from woody biomass gasification. Calcium carbonate was found to be the main component in bottom ash and can be transformed into the active CaO catalyst by simple calcination at 800 °C without any chemical treatment. The obtained CaO catalysts exhibit high biodiesel production activity, over 90% yield of methyl ester can be achieved at the optimized reaction condition. Experimental kinetic data fit well the pseudo-first order kinetic model. The activation energy (E a ) of the transesterification reaction was calculated to be 83.9 kJ mol −1 . Moreover, the CaO catalysts derived from woody biomass gasification bottom ash can be reutilized up to four times, offering the efficient and low-cost CaO catalysts which could make biodiesel production process more economic and environmental friendly

  8. Simultaneous carbonation and sulfation of CaO in Oxy-Fuel CFB combustion

    Energy Technology Data Exchange (ETDEWEB)

    Wang, C. [School of Energy and Power Engineering, North China Electric Power University, Baoding City, Hebei Province (China); Jia, L.; Tan, Y. [CanmetENERGY, 1 Haanel Drive, Ottawa, Ontario, K1A 1M1 (Canada)

    2011-10-15

    For anthracites and petroleum cokes, the typical combustion temperature in a circulating fluidized bed (CFB) is > 900 C. At CO{sub 2} concentrations of 80-85 % (typical of oxy-fuel CFBC conditions), limestone still calcines. When the ash which includes unreacted CaO cools to the calcination temperature, carbonation of fly ash deposited on cool surfaces may occur. At the same time, indirect and direct sulfation of limestone also will occur, possibly leading to more deposition. In this study, CaO was carbonated and sulfated simultaneously in a thermogravimetric analyzer (TGA) under conditions expected in an oxy-fuel CFBC. It was found that temperature, and concentrations of CO{sub 2}, SO{sub 2}, and especially H{sub 2}O are important factors in determining the carbonation/sulfation reactions of CaO. (Copyright copyright 2011 WILEY-VCH Verlag GmbH and Co. KGaA, Weinheim)

  9. Application of Chinese Jun-Cao technique for the production of Brazilian Ganoderma lucidum strains

    Directory of Open Access Journals (Sweden)

    Leonardo do Nascimento Rolim

    2014-06-01

    Full Text Available Ganoderma lucidum is a medicinal mushroom traditionally used in China against a wide range of diseases such as cancer and also for its prevention. In this work, commercial Chinese strains G. lucidum were compared to wild Brazilian strains aiming to determine the cultivation potential through the use of Jun-Cao. Six formulations were tested and the strains presented good response to the applied method. In general, the mixture between the grass and wood was well suited for the basidiomycetes, contributing to the preparation of substrates that generated better results in Jun Cao.

  10. Active Heterogeneous CaO Catalyst Synthesis from Anadara granosa (Kerang Seashells for Jatropha Biodiesel Production

    Directory of Open Access Journals (Sweden)

    Reddy ANR

    2017-01-01

    Full Text Available Heterogeneous catalysts are often used at large to produce biodiesel from non-edible vegetable crude oils such as Jatropha curcas oil (JCO. In this study, an active heterogeneous CaO catalyst was synthesized from a tropical biodiversity seashells Anadara granosa (A.granosa. The catalytic efficiency of A.granosa CaO was investigated in transesterification of JCO as biodiesel. The A.granosa CaO catalyst was synthesized using ‘Calcination – hydration – dehydration’ protocol. The spectral characterization of the catalyst were investigated by employing FT-IR, SEM, BET and BJH spectrographic techniques. The experimental design was executed with four reaction parameters that include catalyst concentration (CC, methanol ratio (MR, transesterification time (TT and reaction temperature (RT. The JCO transesterification reactions as well as impact of reaction parameters on the Jatropha biodiesel yield (JBY were analyzed. The sufficiency of the experimental results conformed through sequential validation tests, as a result, an average of 96.2% JMY was noted at optimal parametric conditions, CC of 3wt. %, TT of 120 min, MR of 5 mol. and RT of 60ºC at a constant agitation speed of 300rpm. An average JMY of 87.6% was resulted from the A.granosa CaO catalyst during their recycling and reuse studies up to third reuse cycle.

  11. Combination of Palm Kernel Husk Ash (PKHA) and Free Lime (CaO ...

    African Journals Online (AJOL)

    Almost all admixtures used in concrete construction in Nigeria are imported. In this study, various proportions of free Lime (CaO), Palm Kernel Husk Ash (PKHA) and Ordinary Portland Cement (OPC) were mixed and the setting times of various mix proportions were determined and compared with that of only OPC.

  12. Highly active CaO for the transesterification to biodiesel production ...

    African Journals Online (AJOL)

    TMCS) for transesterification of rapeseed oil and methanol to biodiesel production was studied. It was found that the fatty acid methyl esters (FAME) yield of the modified CaO was greatly enhanced from 85.4% to 94.6% under 65 oC with 15:1 ...

  13. Activated carbon supported CaO for conversion of palm oil to ...

    African Journals Online (AJOL)

    In this study, activated carbon supported CaO catalyst was used for the transesterification reaction of palm oil. The catalyst was prepared according to the conventional incipient witness impregnation method. Kinetic experiment was performed in a batch reactor in the presence of heterogeneous catalyst for a wide range of ...

  14. Behaviour of CaO coating of gas atomized Mg powders using mechanical milling process

    International Nuclear Information System (INIS)

    Kim, Sun-Mi; Kim, Yong Hwan; Kim, Young Do; Kim, Taek-Soo

    2011-01-01

    Highlights: → This work is very new, since behaviour of CaO coating with milling time as desulfurizer is not frequently reported. → The manuscript reports the new manner of Mg powders desulfurizer development by the innovative process. - Abstract: In order to synthesize a thermally stable Mg powder as a desulfurizer of iron, pure Mg was gas atomized to powders and coated by CaO powders, to produce a thermally stable desulfurizer using a mechanical milling process. Since the effect of desulfurization is dependent on the degree of surface modification, coating behaviours such as the size, morphology and layer thickness were investigated as a function of milling condition. As the milling conducted from 10 min to 30 min, 1 h, 3 h, 6 h, 12 h, CaO particles began to stick on the surface of Mg powders. The layer of CaO formed from 1 h milling was about 17 μm thick and gradually thickened to be 28 μm, 32 μm and 37 μm with increasing the milling time to 3 h, 6 h and 12 h, respectively. The shape of coated powder became more spherical after 1 h milling, being mostly spherical after 6 h. Desulfurization rate and uniformity were evaluated for the various thickness of the coating layer.

  15. CaO as Drop-In Colloidal Catalysts for the Synthesis of Higher Polyglycerols

    NARCIS (Netherlands)

    Kirby, Fiona; Nieuwelink, Anne Eva; Kuipers, Bonny W M; Kaiser, Anton; Bruijnincx, Pieter C A; Weckhuysen, Bert M.

    2015-01-01

    Glycerol is an attractive renewable building block for the synthesis of polyglycerols, which find application in the cosmetic and pharmaceutical industries. The selective etherification of glycerol to higher oligomers was studied in the presence of CaO colloids and the data are compared with those

  16. Codeboek DUCADAM dataset: een statistisch bestand van de FNV cao-databank

    NARCIS (Netherlands)

    Schreuder, K.; Tijdens, K.

    2004-01-01

    The ‘FNV cao-databank’ is a digital database that stores all collective labour agreements negotiated by FNV trade unions in the Netherlands since 1995. Every agreement has been coded with respect to 650 different characteristics. The DUCADAM dataset is both a scientific translation of this database

  17. The AtCAO gene, encoding chlorophyll a oxygenase, is required for chlorophyll b synthesis in Arabidopsis thaliana

    Science.gov (United States)

    Espineda, Cromwell E.; Linford, Alicia S.; Devine, Domenica; Brusslan, Judy A.

    1999-01-01

    Chlorophyll b is synthesized from chlorophyll a and is found in the light-harvesting complexes of prochlorophytes, green algae, and both nonvascular and vascular plants. We have used conserved motifs from the chlorophyll a oxygenase (CAO) gene from Chlamydomonas reinhardtii to isolate a homologue from Arabidopsis thaliana. This gene, AtCAO, is mutated in both leaky and null chlorina1 alleles, and DNA sequence changes cosegregate with the mutant phenotype. AtCAO mRNA levels are higher in three different mutants that have reduced levels of chlorophyll b, suggesting that plants that do not have sufficient chlorophyll b up-regulate AtCAO gene expression. Additionally, AtCAO mRNA levels decrease in plants that are grown under dim-light conditions. We have also found that the six major Lhcb proteins do not accumulate in the null ch1-3 allele. PMID:10468639

  18. Kinetics of Roasting Decomposition of the Rare Earth Elements by CaO and Coal

    Directory of Open Access Journals (Sweden)

    Shuai Yuan

    2017-06-01

    Full Text Available The roasting method of magnetic tailing mixed with CaO and coal was used to recycle the rare earth elements (REE in magnetic tailing. The phase transformation and decomposition process were researched during the roasting processes. The results showed that the decomposition processes of REE in magnetic tailing were divided into two steps. The first step from 380 to 431 °C mainly entailed the decomposition of bastnaesite (REFCO3. The second step from 605 to 716 °C mainly included the decomposition of monazite (REPO4. The decomposition products were primarily RE2O3, Ce0.75Nd0.25O1.875, CeO2, Ca5F(PO43, and CaF2. Adding CaO could reduce the decomposition temperature of REFCO3 and REPO4. Meanwhile, the decomposition effect of CaO on bastnaesite and monazite was significant. Besides, the effects of the roasting time, roasting temperature, and CaO addition level on the decomposition rate were studied. The optimum technological conditions were a roasting time of 60 min; roasting temperature of 750 °C; and CaO addition level of 20% (w/w. The maximum decomposition rate of REFCO3 and REPO4 was 99.87%. The roasting time and temperature were the major factors influencing the decomposition rate. The kinetics process of the decomposition of REFCO3 and REPO4 accorded with the interfacial reaction kinetics model. The reaction rate controlling steps were divided into two steps. The first step (at low temperature was controlled by a chemical reaction with an activation energy of 52.67 kJ/mol. The second step (at high temperature was controlled by diffusion with an activation energy of 8.5 kJ/mol.

  19. Simultaneous retrieval of aerosols and ocean properties: A classic inverse modeling approach. I. Analytic Jacobians from the linearized CAO-DISORT model

    International Nuclear Information System (INIS)

    Spurr, Robert; Stamnes, Knut; Eide, Hans; Li Wei; Zhang Kexin; Stamnes, Jakob

    2007-01-01

    In this paper and the sequel, we investigate the application of classic inverse methods based on iterative least-squares cost-function minimization to the simultaneous retrieval of aerosol and ocean properties from visible and near infrared spectral radiance measurements such as those from the SeaWiFS and MODIS instruments. Radiance measurements at the satellite are simulated directly using an accurate coupled atmosphere-ocean-discrete-ordinate radiative transfer (CAO-DISORT) code as the main component of the forward model. For this kind of cost-function inverse problem, we require the forward model to generate weighting functions (radiance partial derivatives) with respect to the aerosol and marine properties to be retrieved, and to other model parameters which are sources of error in the retrievals. In this paper, we report on the linearization of the CAO-DISORT model. This linearization provides a complete analytic differentiation of the coupled-media radiative transfer theory, and it allows the model to generate analytic weighting functions for any atmospheric or marine parameter. For high solar zenith angles, we give an implementation of the pseudo-spherical (P-S) approach to solar beam attenuation in the atmosphere in the linearized model. We summarize a number of performance enhancements such as the use of an exact single-scattering calculation to improve accuracy. We derive inherent optical property inputs for the linearized CAO-DISORT code for a simple 2-parameter bio-optical model for the marine environment coupled to a 2-parameter bimodal atmospheric aerosol medium

  20. A Prospective Study of the Timing and Accuracy of Neutrophil Gelatinase-Associated Lipocalin Levels in Predicting Acute Kidney Injury in High-Risk Cardiac Surgery Patients.

    Science.gov (United States)

    Fanning, Niall; Galvin, Sinead; Parke, Rachael; Gilroy, James; Bellomo, Rinaldo; McGuinness, Shay

    2016-01-01

    Neutrophil gelatinase-associated lipocalin (NGAL) appears to be a promising biomarker in the effort to predict acute kidney injury (AKI) after cardiac surgery. The authors aimed to identify the specific time point in the perioperative period at which measurement of either urinary or serum concentrations of NGAL would have the highest predictive power for AKI. The authors also investigated whether change in NGAL from baseline was a better predictor of AKI than absolute NGAL values. A prospective, investigator-blinded observational study. The cardiac surgical unit of a university teaching hospital. The study consisted of 50 patients undergoing cardiac surgery who were classified preoperatively as high risk for developing postoperative AKI. No changes to standard practice were required. The authors performed serial measurements of urinary and serum NGAL concentrations at 18 time points throughout the first 48 postoperative hours and assessed the variables required to diagnose AKI with standard criteria. Statistical analysis of predictive ability was performed using the area under receiver operator curves (AUROC) calculated for each time point. It was demonstrated that urinary NGAL performed marginally better than serum NGAL in predicting AKI. Urinary sampling at 4 and 24 hours after initiation of cardiopulmonary bypass provided the greatest diagnostic ability (AUROC, 0.702 and 0.712, respectively). Absolute NGAL values performed better than changes in NGAL values in predicting AKI. Urinary NGAL performed better than serum NGAL in predicting AKI and was most accurate when measured at 24 hours after initiation of cardiopulmonary bypass; however, NGAL appeared to be at best only a fair predictor of cardiac surgery-associated AKI. Copyright © 2016 Elsevier Inc. All rights reserved.

  1. Accuracy of repeated measurements of late-night salivary cortisol to screen for early-stage recurrence of Cushing's disease following pituitary surgery.

    Science.gov (United States)

    Danet-Lamasou, Marie; Asselineau, Julien; Perez, Paul; Vivot, Alexandre; Nunes, Marie-Laure; Loiseau, Hugues; San-Galli, François; Cherifi-Gatta, Blandine; Corcuff, Jean-Benoît; Tabarin, Antoine

    2015-02-01

    The performance of late-night salivary cortisol (LNSC) to accurately screen for postoperative recurrence of Cushing's disease (CD) at an early stage is unknown. The aim of this study was to compare the accuracy of multiple sampling strategies to suggest the optimal number of LNSC samples needed for diagnosing post-surgical recurrences of CD at an early stage. Retrospective analysis in a single centre. Thirty-six patients in surgical remission of CD had successive measurements of LNSC, defined as 'sequences', using a locally modified RIA assay as part of long-term follow-up (69·2 ± 10·6 months). Patients underwent an extensive biochemical evaluation within 3 months before or after a sequence of saliva sampling and were classified as being in remission or in early-stage recurrence. The accuracy of three diagnostic strategies combining two, three or four LNSC results from a sequence was estimated using areas under the ROC curves (AUC), sensitivity, specificity and predictive values. Forty-four sequences of LNSC measurements were available. Fifty-two percent of sequences were performed during early-stage recurrence. The intrasequence variability of LNSC was higher during recurrence than during remission (medians of SDs: 2·1 vs 0·5 nm; P recurrence of CD. However, due to a major within-patient variability of LNSC from 1 day to another, a screening strategy using three or four samples collected on successive days may be recommended to detect early-stage recurrence of CD with a high accuracy. © 2014 John Wiley & Sons Ltd.

  2. Image-Guided Localization Accuracy of Stereoscopic Planar and Volumetric Imaging Methods for Stereotactic Radiation Surgery and Stereotactic Body Radiation Therapy: A Phantom Study

    International Nuclear Information System (INIS)

    Kim, Jinkoo; Jin, Jian-Yue; Walls, Nicole; Nurushev, Teamour; Movsas, Benjamin; Chetty, Indrin J.; Ryu, Samuel

    2011-01-01

    Purpose: To evaluate the positioning accuracies of two image-guided localization systems, ExacTrac and On-Board Imager (OBI), in a stereotactic treatment unit. Methods and Materials: An anthropomorphic pelvis phantom with eight internal metal markers (BBs) was used. The center of one BB was set as plan isocenter. The phantom was set up on a treatment table with various initial setup errors. Then, the errors were corrected using each of the investigated systems. The residual errors were measured with respect to the radiation isocenter using orthogonal portal images with field size 3 x 3 cm 2 . The angular localization discrepancies of the two systems and the correction accuracy of the robotic couch were also studied. A pair of pre- and post-cone beam computed tomography (CBCT) images was acquired for each angular correction. Then, the correction errors were estimated by using the internal BBs through fiducial marker-based registrations. Results: The isocenter localization errors (μ ±σ) in the left/right, posterior/anterior, and superior/inferior directions were, respectively, -0.2 ± 0.2 mm, -0.8 ± 0.2 mm, and -0.8 ± 0.4 mm for ExacTrac, and 0.5 ± 0.7 mm, 0.6 ± 0.5 mm, and 0.0 ± 0.5 mm for OBI CBCT. The registration angular discrepancy was 0.1 ± 0.2 o between the two systems, and the maximum angle correction error of the robotic couch was 0.2 o about all axes. Conclusion: Both the ExacTrac and the OBI CBCT systems showed approximately 1 mm isocenter localization accuracies. The angular discrepancy of two systems was minimal, and the robotic couch angle correction was accurate. These positioning uncertainties should be taken as a lower bound because the results were based on a rigid dosimetry phantom.

  3. Sulfation of CaO particles in a carbonation/calcination loop to capture CO{sub 2}

    Energy Technology Data Exchange (ETDEWEB)

    Grasa, G.S.; Alonso, M.; Abanades, J.C. [CSIC, Zaragoza (Spain)

    2008-03-15

    CaO is being proposed as a regenerable sorbent of CO{sub 2} via a carbonation/calcination loop. It is well known that natural sorbents lose their capacity to capture CO{sub 2} with the number of cycles due to textural degradation. In coal combustion systems, reaction with the SO{sub 2} present in flue gases also causes sorbent deactivation. This work investigates the effect of partial sorbent sulfation on the amount of CaO used in systems where both carbonation and sulfation reactions are competing. We have found that SO{sub 2} reacts with the deactivated CaO resulting from repetitive calcination/carbonation reactions. Therefore, the deactivation of CaO as a result of the presence of SO{sub 2} is lower than one would expect if one assumes that SO{sub 2} reacts only with active CaO. This work shows that changes in the texture of the sorbent due to repetitive carbonation/calcination cycles tend to increase the sulfation capacity of the sorbents tested. This suggests that the purge of deactivated CaO obtained from a CO{sub 2} capture loop could be a more effective sorbent of SO{sub 2} than fresh CaO.

  4. Nanosilica supported CaO: A regenerable and mechanically hard CO2 sorbent at Ca-looping conditions

    International Nuclear Information System (INIS)

    Sanchez-Jimenez, P.E.; Perez-Maqueda, L.A.; Valverde, J.M.

    2014-01-01

    Highlights: • A synthetic CO 2 sorbent is prepared by impregnation of calcium nitrate on a nanosilica matrix. • Sintering of the nascent CaO in the calcination stage of carbonation/calcination cycles is hindered. • CaO conversion reaches a stable value well above the residual conversion of natural limestone. • Particle fragmentation as caused by ultrasonic irradiation in a liquid dispersion is hindered. - Abstract: This work presents a CO 2 sorbent that may be synthesized from low-cost and widely available materials following a simple method basically consisting of impregnation of a nanostructured silica support with a saturated solution of calcium nitrate. In a first impregnation stage, the use of a stoichiometric CaO/SiO 2 ratio serves to produce a calcium silicate matrix after calcination. This calcium silicate matrix acts as a thermally stable and mechanically hard support for CaO deposited on it by further impregnation. The CaO-impregnated sorbent exhibits a stable CaO conversion at Ca-looping conditions whose value depends on the CaO wt% deposited on the calcium silicate matrix, which can be increased by successive reimpregnations. A 10 wt% CaO impregnated sorbent reaches a stable conversion above 0.6 whereas the stable conversion of a 30 wt% CaO impregnated sorbent is around 0.3, which is much larger than the residual conversion of CaO derived from natural limestone (between 0.07 and 0.08). Moreover, particle size distribution measurements of samples predispersed in a liquid and subjected to high energy ultrasonic waves indicate that the CaO-impregnated sorbent has a relatively high mechanical strength as compared to limestone derived CaO

  5. Mg-Ca Alloys Produced by Reduction of CaO: Understanding of ECO-Mg Alloy Production

    Science.gov (United States)

    Jung, In-Ho; Lee, Jin Kyu; Kim, Shae K.

    2017-04-01

    There have been long debates about the environment conscious (ECO) Mg technology which utilizes CaO to produce Ca-containing Mg alloys. Two key process technologies of the ECO-Mg process are the chemical reduction of CaO by liquid Mg and the maintenance of melt cleanliness during the alloying of Ca. Thermodynamic calculations using FactSage software were performed to explain these two key issues. In addition, an experimental study was performed to compare the melt cleanliness of the Ca-containing Mg alloys produced by the conventional route with metallic Ca and the ECO-Mg route with CaO.

  6. La2O3/CaO CATALYSTS AND ITS APPLICATION IN THE OXIDATIVE COUPLING OF METHANE

    OpenAIRE

    Garrido-Schaeffer, A.; Dedios Yenque, G.; Ponce Alvaréz, S.

    2014-01-01

    La2O3/CaO catalysts were prepared at different weight percentages of La2O3.Por the coprecipitation method described porRaO, CaCO3 is prepared and then it was impregnated in a solution of La (NO) 3.6H2O thus obtaining the catalyst precursor . precursors dried at 393K and calcined at 973K, obtaining 0-15% La2O3/CaO catalysts. XRF elemental qualitative analysis was performed. By FTIR carbonates adsorbed species was observed. The presence of La2O3 and CaO phases was confirmed by XRD and BET surfa...

  7. Chaos and fractals. Applications to nuclear engineering; Caos y fractales. Aplicaciones en ingenieria nuclear

    Energy Technology Data Exchange (ETDEWEB)

    Clausse, A; Delmastro, D F

    1991-12-31

    This work presents a description of the research lines carried out by the authors on chaos and fractal theories, oriented to the nuclear field. The possibilities that appear in the nuclear security branch where the information deriving from chaos and fractal techniques may help to the development of better criteria and more reliable designs, are of special importance. (Author). [Espanol] En este trabajo se presenta una descripcion de las lineas de investigacion que los autores estan llevando a cabo en teoria de caos y fractales orientadas al campo nuclear. Es de especial importancia las posibilidades que se abren en el area de la seguridad nuclear, en donde la informacion proveniente de las tecnicas de caos y fractales pueden ayudar al desarrollo de mejores criterios y disenos mas confiables. (Autor).

  8. LA TEORÍA DEL CAOS... ESA NUBE TURBULENTA QUE DA QUÉ PENSAR

    Directory of Open Access Journals (Sweden)

    Rubén Antonio Sánchez Godoy

    1999-01-01

    Full Text Available Este texto plantea algunos de los problemas suscitados por la teoria del caos. Es decir, pretende mostrar algunas de las cuestiones que han surgido apartir de la formulación de un modo de obtención de conocimiento que parece tener ventajas sobre otros y según algunos de sus difusores, constituye una revolución en la práctica y el saber cientificos. En consecuencia, presentaremos a continuación un panorama de estos ploblemas 01 tanto que, por una parte, nos muesmi las posibilidades y los límites de dicha teona y , por otra, nos indican en qué sentido la teoría del caos puede dar qué pensar.

  9. El caos en los barrios de la frontera en la obra narrativa de L. H. Crosthwaite

    Directory of Open Access Journals (Sweden)

    Mara Donat

    2013-07-01

    Full Text Available If apocalypse is a metaphor of the end and the beginning of an age, collapse of cultural, political and social concepcions, construction of new identities and social realities, literature of “frontera norte de México” is good to realize an investigation of the biblical and mythical theme in postmodern sence. Colapsing any idea of legal and civil life in a national State, urban culture of “la Frontera” presents the social caos of ilegal and criminal conducts, as much es gendre violence and the political idea of national identity in crisis. México protagonize a contradiction between nacionalist pride, frontier defence and emigration to the Unites States, with apocalyptical implication these days. The narrative of Luis Humberto Crosthwaite permit to analyze the different representations of broken identity in the social caos of the frontier. The apocalypsis as inminent catastrophe, social insicurity and uncertain identity leads the individual to new urban and social representations.

  10. Quicklime (CaO) Stabilization of fine-grained marine sediments in low temperature areas

    DEFF Research Database (Denmark)

    Skels, Peteris; Ingeman-Nielsen, Thomas; Jørgensen, Anders Stuhr

    2011-01-01

    This study presents laboratory testing on quicklime (CaO) stabilization of fine-grained marine sediments in low temperature areas. The soil was sampled on the Fossil Plain in Kangerlussuaq, Greenland, and analyzed in the laboratory at Technical University of Denmark (DTU). The optimum CaO content...... curing temperatures, comparing stabilization effectiveness between low and normal soil temperature conditions....... in a soil-CaO mixture was determined using a number of laboratory methods, such as pH test, consistency limit analysis, degree of compaction, and short term California Bearing Ratio (CBR) values. The study also numerically demonstrates a long term strength development of the soil-CaO mixture at 1°C and 10°C...

  11. Caos, Gea y Eros. Desde el desorden a la armonía de la Paz

    Directory of Open Access Journals (Sweden)

    Francisco A. Muñoz

    2009-01-01

    Full Text Available La cosmogonía griega antigua, al igual que muchas otras, sitúa a Caos como el origen primigenio del Universo. Desde el inicio de los tiempos es acompañada (es femenino por Gea (la Tierra y Eros (el Amor. Con esta explicación se consigue incardinar el Universo, la Tierra, la naturaleza, la vida y los seres humanos con los dioses y las fuerzas sobrenaturales. Eros representaba el deseo que trae la vida, preocupado por conseguir las mejores condiciones para satisfacer las necesidades y procurar el desarrollo de las potencialidades humanas. Desde el comienzo de la historia, para que existiera armonía y paz era necesario gestionar el caos, la complejidad y la conflictividad, y buscar los equilibrios más justos y duraderos posibles.

  12. Tricalcium phosphate based resorbable ceramics: Influence of NaF and CaO addition

    Energy Technology Data Exchange (ETDEWEB)

    Seeley, Zachary; Bandyopadhyay, Amit [W. M. Keck Biomedical Materials Research Lab, School of Mechanical and Materials Engineering, Washington State University, Pullman, WA 99164 (United States); Bose, Susmita [W. M. Keck Biomedical Materials Research Lab, School of Mechanical and Materials Engineering, Washington State University, Pullman, WA 99164 (United States)], E-mail: sbose@wsu.edu

    2008-01-10

    Resorbable bioceramics have gained much attention due to their time-varying mechanical properties in-vivo. Implanted ceramics degrade allowing bone in-growth and eventual replacement of the artificial material with natural tissue. Calcium phosphate based materials have caught the most significant attention because of their excellent biocompatibility and compositional similarities to natural bone. Doping these ceramics with various metal ions has significantly influenced their properties. In this study, tricalcium phosphate (TCP) compacts were fabricated via uniaxial compression with five compositions: (i) pure TCP, (ii) TCP with 2.0 wt.% NaF, (iii) TCP with 3.0 wt.% CaO, (iv) TCP with a binary of 2.0 wt.% NaF and 0.5 wt.% Ag{sub 2}O, and (v) TCP with a quaternary of 1.0 wt.% TiO{sub 2}, 0.5 wt.% Ag{sub 2}O, 2.0 wt.% NaF, and 3.0 wt.% CaO. These compacts were sintered at 1250 deg. C for 4 h to obtain dense ceramic structures. Phase analyses were carried out using X-ray diffraction. The presence of NaF in TCP improved densification and increased compression strength from 70 ({+-} 25) to 130 ({+-} 40) MPa. Addition of CaO had no influence on density or strength. Human osteoblast cell growth behavior was studied using an osteoprecursor cell line (OPC 1) to assure that the biocompatibility of these ceramics was not altered due to the dopants. For long-term biodegradation studies, density, weight change, surface microstructure, and uniaxial compression strength were measured as a function of time in a simulated body fluid (SBF). Weight gain in SBF correlated strongly with precipitation viewed in the inter-connected pores of the samples. After 3 months in SBF, all samples displayed a reduction in strength. NaF, CaO and the quaternary compositions maintained the most steady strength loss under SBF.

  13. Porosity of Lead Agglomerate as Function of CaO and SiO2 Proportion

    OpenAIRE

    , A. Haxhiaj; , A. Terziqi; , E. Haxhiaj

    2016-01-01

    Agglomerate porosity is correlated with strength of its pieces and it is main parameter for reductive melting process in Water-jacket furnace. Treatment is oriented toward achieving porosity and optimal strength. The paper deals with the process in te-mperature about 9000C and with less than 10% composition CaO in rapport with lead. In order to achieve optimal results of agglomerate porosity and quality, it is necessary during the roasting process of lead concentration to correlate the conten...

  14. CERN Technical Training 2002: Learning for the LHC! Introduction à la CAO CADENCE - French version only

    CERN Multimedia

    Davide Vitè

    2002-01-01

    Dans le cadre du suivi du programme ELEC-2002 : Electronics in HEP, une nouvelle session du cours Introduction à la CAO CADENCE. De la saisie de schéma Concept-HDL au PCB est programmée pour le 4 et 5 juin prochains. Le cours, en français, est gratuit et sera animé par Serge Brobecker de la division IT/PS/EAS. Objectif de cette formation est de donner une vue générale du système CAO CADENCE utilisé au CERN, et d'en connaître l'environnement et les possibilités, en acquérant des notions suffisantes pour utiliser la saisie de schéma. Le cours est ciblé pour une audience d'ingénieurs et techniciens désirant utiliser les outils CAO disponibles au CERN, afin de concevoir des circuits logiques et des circuits programmables digitaux. Plus d'information, et possibilité d'inscription par EDH sont accessibles depuis les pages «...

  15. Intense ${^31-35}$Ar beams produced with a nanostructured CaO target at ISOLDE

    CERN Document Server

    Ramos, J P; Mendonça, T M; Seiffert, C; Senos, A M R; Fynbo, H O U; Tengblad, O; Briz, J A; Lund, M V; Koldste, G T; Carmona-Gallardo, M; Pesudo, V; Stora, T

    2014-01-01

    At the ISOLDE facility at CERN, thick targets are bombarded with highly energetic pulsed protons to produce radioactive ion beams (RIBs). The isotopes produced in the bulk of the material have to diffuse out of the grain and effuse throughout the porosity of the material to a transfer line which is connected to an ionizer, from which the charged isotopes are extracted and delivered for physics experiments. Calcium oxide (CaO) powder targets have been used to produce mainly neutron deficient argon and carbon RIBs over the past decades. Such targets presented unstable yields, either decaying over time or low from the beginning of operation. These problems were suspected to come from the degradation of the target microstructure (sintering due to high temperature and/or high proton intensity). In this work, a CaO microstructural study in terms of sintering was conducted on a nanostructured CaO powder synthesized from the respective carbonate. Taking the results of this study, several changes were made at ISOLDE i...

  16. Improved CO_2 adsorption capacity and cyclic stability of CaO sorbents incorporated with MgO

    International Nuclear Information System (INIS)

    Farah Diana Mohd Daud; Kumaravel Vignesh; Srimala Sreekantan; Abdul Rahman Mohamed

    2016-01-01

    Calcium oxide (CaO) sorbents incorporated with magnesium oxide (MgO) were synthesized using a co-precipitation route. The sorbents were prepared with different MgO concentrations (from 5 wt% to 30 wt%). The as-prepared sorbents were characterized using X-ray diffraction (XRD), field emission scanning electron microscopy (FE-SEM), energy dispersive X-ray spectroscopy (EDX) and BET surface area analysis techniques. The sintering effect of CaO sorbents was decreased after the incorporation of MgO. The sorbents with 5 wt% and 10 wt% of MgO retained their CO_2 adsorption capacity over multiple cycles. Most importantly, CaO with 10 wt% MgO showed constant CO_2 adsorption capacity over 30 carbonation cycles. The results revealed that CaO with 10 wt% MgO is sufficient to produce sorbents with high surface area, good structural stability and enhanced CO_2 adsorption capacity. (authors)

  17. [Textual research on Costus root (Aucklandia lappa Decne) in the Sheng nong ben cao jing (Shennong's Classic of Materia Medica)].

    Science.gov (United States)

    Li, Guangyan; Wang, Dequn; Fang, Shiying; Xu, Maohong

    2014-05-01

    Aucklandia lappa Decne was first recorded in the Sheng nong ben cao jing (Shennong's Classic of Materia Medica). Through the textual research of herbal literature, it was found that the costus root in the Sheng nong ben cao jing perhaps was not the plant of Aucklandia lappa Decne of Compositae, but the eaglewood or Lignum Aquilasria Resinatum based on the comprehensive judgment of shape, taste, nature, and function etc. In the Sheng nong ben cao jing, it only includes costus root without the title of eaglewood, and Tao Hongjing recorded both herbs together in his Ming yi bie lu (Supplementary Records of Celebrated Physicians), which became a foreshadow of misunderstanding of the later generations. Beginning from the Tang ben cao (Materia Medica of the Tang Dynasty), the costus root was considered as the plant of Auckiandia lappa Decne from the Compostae with its profound influence until now.

  18. Computer-assisted Orthopaedic Surgery: Current State and Future Perspective

    Directory of Open Access Journals (Sweden)

    Guoyan eZheng

    2015-12-01

    Full Text Available Introduced about two decades ago, computer-assisted orthopaedic surgery (CAOS has emerged as a new and independent area, due to the importance of treatment of musculoskeletal diseases in orthopaedics and traumatology, increasing availability of different imaging modalities, and advances in analytics and navigation tools. The aim of this paper is to present the basic elements of CAOS devices and to review state-of-the-art examples of different imaging modalities used to create the virtual representations, of different position tracking devices for navigation systems, of different surgical robots, of different methods for registration and referencing, and of CAOS modules that have been realized for different surgical procedures. Future perspectives will also be outlined.

  19. Current use of navigation system in ACL surgery: a historical review.

    Science.gov (United States)

    Zaffagnini, S; Urrizola, F; Signorelli, C; Grassi, A; Di Sarsina, T Roberti; Lucidi, G A; Marcheggiani Muccioli, G M; Bonanzinga, T; Marcacci, M

    2016-11-01

    The present review aims to analyse the available literature regarding the use of navigation systems in ACL reconstructive surgery underling the evolution during the years. A research of indexed scientific papers was performed on PubMed and Cochrane Library database. The research was performed in December 2015 with no publication year restriction. Only English-written papers and related to the terms ACL, NAVIGATION, CAOS and CAS were considered. Two reviewers independently selected only those manuscripts that presented at least the application of navigation system for ACL reconstructive surgery. One hundred and forty-six of 394 articles were finally selected. In this analysis, it was possible to review the main uses of navigation system in ACL surgery including tunnel positioning for primary and revision surgery and kinematic assessment of knee laxity before and after different surgical procedures. In the early years, until 2006, navigation system was mainly used to improve tunnel positioning, but since the last decade, this tool has been principally used for kinematics evaluation. Increased accuracy of tunnel placement was observed using navigation surgery, especially, regarding femoral, 42 of 146 articles used navigation to guide tunnel positioning. During the following years, 82 of 146 articles have used navigation system to evaluate intraoperative knee kinematic. In particular, the importance of controlling rotatory laxity to achieve better surgical outcomes has been underlined. Several applications have been described and despite the contribution of navigation systems, its potential uses and theoretical advantages, there are still controversies about its clinical benefit. The present papers summarize the most relevant studies that have used navigation system in ACL reconstruction. In particular, the analysis identified four main applications of the navigation systems during ACL reconstructive surgery have been identified: (1) technical assistance for tunnel

  20. Viability of Clostridium sporogenes spores after CaO hygienization of meat waste

    Directory of Open Access Journals (Sweden)

    Justyna Bauza-Kaszewska

    2014-09-01

    Full Text Available The occurrence of the pathogenic species [i]C. perfringens[/i] and [i]C. botulinum spores[/i] in animal by-products poses a potential epidemiological hazard. Strong entero- and neurotoxins produced by these bacteria adversely affect human health. To inactivate pathogens present in animal by-products, waste must be subjected to various methods of sanitization. The aim of the presented study was to estimate the effect of different doses of CaO on the viability of spores [i] Clostridium sporogenes[/i] in meat wastes category 3. During the research, two doses of burnt lime were added to the poultry mince meat and meat mixed with swine blood contaminated with [i]Clostridium sporogenes[/i] spore suspension. Half of the samples collected for microbiological analyses were buffered to achieve the pH level ~7, the other were examined without pH neutralization. To estimate the spore number, 10-fold dilution series in peptone water was prepared and heat-treated at 80 °C for 10 min. After cooling-down, one milliliter of each dilution was pour-plated onto DRCM medium solidified with agar. Statistical analysis were performed using the Statistica software. Application of 70% CaO caused complete inactivation of [i]Clostridium spores[/i] in meat wastes after 48 hours. The highest temperature achieved during the experiment was 67 °C. Rapid alkalization of the biomass resulted in increasing pH to values exceeding 12. The effect of liming was not dependent on the meat wastes composition nor CaO dose. The experiment proved the efficiency of liming as a method of animal by-products sanitization. Application of the obtained results may help reduce the epidemiological risk and ensure safety to people handling meat wastes at each stage of their processing and utilization.

  1. Pengaruh Kandungan Ca Pada Cao-zeolit Terhadap Kemampuan Adsorpsi Nitrogen

    OpenAIRE

    M Nasikin; Tania Surya Utami; Agustina TP Siahaan

    2002-01-01

    In industry, Ca zeolite is used as nitrogen selective adsorbent with the use of PSA (Pressure Swing Adsorption)/VSA (Vacuum Swing Adsorption) methods. Natural zeolite modified to be Cao-zeolite by ion exchange process using Ca(OH)2. Adsorption test was done on CaO-zeolite with different Ca concentration to understand how it's adsorption phenomena on oxygen and nitrogen. Adsorption test has been done for CaO-zeolite with Ca concentration = 0,682%, 0,849% and 1,244% to oxygen and nitrogen with ...

  2. Iteración de funciones e introducción al caos con Mathematica

    OpenAIRE

    Rojas, Ángela

    2000-01-01

    En este trabajo se estudio la iteración de punto fijo muy habitual en todos los programas de calculo numérico y su aplicación en un caso particularmente interesante: la función logística. De esta forma se pueden introducir elementos característicos de la teoría del caos: efecto mariposa o exponente de Lyaponuv, bifurcaciones por duplicación de periodo. Esta experiencia se ha realizado en la escuela de ingeniería técnica de Córdoba, usando Mathematica por la potencia y verticalidad que posee e...

  3. La enfermería ante el enfoque del caos y la complejidad

    OpenAIRE

    Peña Marcano, Karem Eydelys; Rodríguez Lastra, Jesús

    2003-01-01

    La nueva visión de las ciencias médicas y de la relación salud-enfermedad vista a la luz de las ciencias avanzadas que perciben al mundo como un fenómeno complejo y caótico, demanda al trabajador de salud y en particular a la enfermera, un cambio en la forma de pensar y actuar. En este trabajo, se definen algunos de los conceptos de caos, complejidad, fractalidad y se involucra el papel de la enfermera ante esta forma de ver la ciencia, separándose de la geometría e...

  4. Pulsed injection metal organic chemical vapour deposition and characterisation of thin CaO films

    International Nuclear Information System (INIS)

    Borges, R.P.; Ferreira, P.; Saraiva, A.; Goncalves, R.; Rosa, M.A.; Goncalves, A.P.; Silva, R.C. da; Magalhaes, S.; Lourenco, M.J.V.; Santos, F.J.V.; Godinho, M.

    2009-01-01

    Thin films of CaO were grown on silicon (Si) and lanthanum aluminate (LaAlO 3 ) substrates by pulsed injection metal-organic chemical vapour deposition in a vertical injection MOCVD system. Growth parameters were systematically varied to study their effect on film growth and quality and to determine the optimal growth conditions for this material. Film quality and growth rate were evaluated by atomic force microscopy, X-ray diffraction and Rutherford Backscattering Spectroscopy measurements. Optimised conditions allowed growing transparent, single phase films textured along the (0 0 l) direction.

  5. Incorporating IGCC and CaO sorption-enhanced process for power generation with CO2 capture

    International Nuclear Information System (INIS)

    Chen, Shiyi; Xiang, Wenguo; Wang, Dong; Xue, Zhipeng

    2012-01-01

    Highlights: ► CaO sorption-enhanced process is incorporated with IGCC for CO 2 capture. ► IGCC–CCS is simplified using CaO sorption-enhanced process. ► The electricity efficiency is around 31–33% and CO 2 capture efficiency exceeds 95%. ► Parameters such as sorption pressure influence the system performance. -- Abstract: Integrated gasification combined cycle (IGCC) is a power generation technology to convert solid fuels into electricity. IGCC with CCS is regarded as a promising option to mitigate CO 2 emission. In this paper, the CaO sorption-enhanced process is incorporated downstream with coal gasification to produce a hydrogen-rich stream for electricity production and CO 2 separation. A WGS-absorber substitutes the high- and low-temperature water–gas shift reactors and desulfurization units in conventional IGCC–CCS to produce a hydrogen-rich stream, which is sent onto a gas turbine. CaO is used as the sorbent to enhance hydrogen production and for CO 2 capture. Regeneration of CaO is completed via calcination in a regenerator vessel. The IGCC with CaO sorption-enhanced process is modeled and simulated using Aspen Plus software. Two commercial available gasification technologies, Shell and Texaco, are integrated with the sorption-enhanced process. The results showed IGCC with CaO sorption-enhanced process has a satisfactory system performance. Even though the net electricity efficiency is not as high as expected, just around 30–33%, the system has a high CO 2 capture efficiency ∼97% and low pollutant emissions. Moreover, compared with conventional IGCC–CCS, the schematic diagram of the IGCC–CCS process is simplified. Parameters that affect the plant performance are analyzed in the sensitive analysis, including WGS-absorber temperature, H 2 O/CO ratio, pressure, etc. Some challenges to the system are also discussed.

  6. Effect of sulfation on the surface activity of CaO for N{sub 2}O decomposition

    Energy Technology Data Exchange (ETDEWEB)

    Wu, Lingnan, E-mail: wulingnan@126.com [School of Energy, Power and Mechanical Engineering, North China Electric Power University, 102206 Beijing (China); National Engineering Laboratory for Biomass Power Generation Equipment, North China Electric Power University, 102206 Beijing (China); Hu, Xiaoying, E-mail: huxy@ncepu.edu.cn [National Engineering Laboratory for Biomass Power Generation Equipment, North China Electric Power University, 102206 Beijing (China); Qin, Wu, E-mail: qinwugx@126.com [National Engineering Laboratory for Biomass Power Generation Equipment, North China Electric Power University, 102206 Beijing (China); Dong, Changqing, E-mail: cqdong1@163.com [National Engineering Laboratory for Biomass Power Generation Equipment, North China Electric Power University, 102206 Beijing (China); Yang, Yongping, E-mail: yypncepu@163.com [School of Energy, Power and Mechanical Engineering, North China Electric Power University, 102206 Beijing (China)

    2015-12-01

    Graphical abstract: - Highlights: • Sulfation of CaO (1 0 0) surface greatly deactivates its surface activity for N{sub 2}O decomposition. • An increase of sulfation degree leads to a decrease of CaO surface activity for N{sub 2}O decomposition. • Sulfation from CaSO{sub 3} into CaSO{sub 4} is the crucial step for deactivating the surface activity for N{sub 2}O decomposition. • The electronic interaction CaO (1 0 0)/CaSO{sub 4} (0 0 1) interface is limited to the bottom layer of CaSO{sub 4} (0 0 1) and the top layer of CaO (1 0 0). • CaSO{sub 4} (0 0 1) and (0 1 0) surfaces show negligible catalytic ability for N{sub 2}O decomposition. - Abstract: Limestone addition to circulating fluidized bed boilers for sulfur removal affects nitrous oxide (N{sub 2}O) emission at the same time, but mechanism of how sulfation process influences the surface activity of CaO for N{sub 2}O decomposition remains unclear. In this paper, we investigated the effect of sulfation on the surface properties and catalytic activity of CaO for N{sub 2}O decomposition using density functional theory calculations. Sulfation of CaO (1 0 0) surface by the adsorption of a single gaseous SO{sub 2} or SO{sub 3} molecule forms stable local CaSO{sub 3} or CaSO{sub 4} on the CaO (1 0 0) surface with strong hybridization between the S atom of SO{sub x} and the surface O anion. The formed local CaSO{sub 3} increases the barrier energy of N{sub 2}O decomposition from 0.989 eV (on the CaO (1 0 0) surface) to 1.340 eV, and further sulfation into local CaSO{sub 4} remarkably increases the barrier energy to 2.967 eV. Sulfation from CaSO{sub 3} into CaSO{sub 4} is therefore the crucial step for deactivating the surface activity for N{sub 2}O decomposition. Completely sulfated CaSO{sub 4} (0 0 1) and (0 1 0) surfaces further validate the negligible catalytic ability of CaSO{sub 4} for N{sub 2}O decomposition.

  7. Hydrolysis of molten CaCl2-CaF2 with additions of CaO

    Directory of Open Access Journals (Sweden)

    Espen Olsen

    2017-10-01

    Full Text Available Calcium halide based molten salts have recently attracted interest for a number of applications such as direct reduction of oxides for metal production and as liquefying agent in cyclic sorption processes for CO2 by CaO from dilute flue gases (Ca-looping. A fundamental aspect of these melts is the possible hydrolysis reaction upon exposure to gaseous H2O forming corrosive and poisonous hydrogen halides. In this work experiments have been performed investigating the formation of HCl and HF from a molten salt consisting of a 13.8 wt% CaF2 in CaCl2 eutectic exposed to a flowing gas consisting of 10 vol% H2O in N2. Hydrolysis has been investigated as function of content of CaO and temperature. HCl and HF are shown to be formed at elevated temperatures; HCl forms to a substantially larger extent than HF. Addition of CaO has a marked, limiting effect on the hydrolysis. Thermodynamic modeling of the reaction indicates activity coefficients for CaO above unity in the system. For cyclic CO2-capture based on thermal swing, it is advisable to keep the temperature in the carbonation (absorption reactor well below 850 ℃ while maintaining a high CaO content if molten CaCl2 is employed. Similar conclusions can be drawn with regards to CaF2.

  8. Initial reaction between CaO and SO2 under carbonating and non-carbonating conditions

    DEFF Research Database (Denmark)

    Rasmussen, Martin Hagsted; Wedel, Stig; Pedersen, Kim H.

    2015-01-01

    The initial kinetics of the CaO/SO2 reaction have been investigated for reaction times shorter than 1s and in the temperature interval between 450 and 600°C under both carbonating and non-carbonating conditions (0-20 vol% CO2) to clarify how recirculating CaO influences the emission of SO2 from...... showed that the CaO conversion with respect to SO2 declined when the CO2 concentration was increased. Under all conditions, larger specific surface areas of CaO gave higher reaction rates with SO2. Higher temperatures had a positive effect on the reaction between SO2 and CaO under non......-carbonating conditions, but no or even a negative effect under carbonating conditions. The results led to the conclusion that SO2 released from raw meal in the upper stages of the preheater does not to any significant extent react with CaO recirculating in the preheater tower....

  9. Preparation of novel ceramics with high CaO content from steel slag

    International Nuclear Information System (INIS)

    Zhao, Lihua; Li, Yu; Zhou, Yuanyuan; Cang, Daqiang

    2014-01-01

    Highlights: • Efficiently utilize such solid waste with high CaO content. • A novel ceramics was put forward by traditional ceramic process. • The novel ceramics attained high strength. • Sintering mechanisms of the novel ceramics were discussed. - Abstract: Steel slag, an industrial waste discharged from steelmaking process, cannot be extensively used in traditional aluminosilicate based ceramics manufacturing for its high content of calcium oxide. In order to efficiently utilize such solid waste, a method of preparing ceramics with high CaO content was put forward. In this paper, steel slag in combination with quartz, talcum, clay and feldspar was converted to a novel ceramic by traditional ceramic process. The sintering mechanism, microstructure and performances were studied by scanning electron microscope (SEM), X-ray diffraction (XRD) techniques, combined experimenting of linear shrinkage, water absorption and flexural strength. The results revealed that all crystal phases in the novel ceramic were pyroxene group minerals, including diopsite ferrian, augite and diopsite. Almost all raw materials including quartz joined the reaction and transformed into pyroxene or glass phase in the sintering process, and different kinds of clays and feldspars had no impact on the final crystal phases. Flexural strength of the ceramic containing 40 wt.% steel slag in raw materials can reach 143 MPa at sintering temperature of 1210 °C and its corresponding water absorption, weight loss, linear shrinkage were 0.02%, 8.8%, 6.0% respectively. Pyroxene group minerals in ceramics would contribute to the excellent physical and mechanical properties

  10. Thermoluminescence properties of CaO powder obtained from chicken eggshells

    International Nuclear Information System (INIS)

    Nagabhushana, K.R.; Lokesha, H.S.; Satyanarayana Reddy, S.; Prakash, D.; Veerabhadraswamy, M.; Bhagyalakshmi, H.; Jayaramaiah, J.R.

    2017-01-01

    Eggshell wastage has created serious problem in disposal of the food processing industry which has been triggered the thoughts of researchers to use wasted eggshells as good source of calcium. In the present work, calcium oxide (CaO) has been synthesized by combustion process in furnace (F–CaO) and microwave oven (M–CaO) using the source of chicken eggshells. The obtained F–CaO and M–CaO are characterized by XRD, SEM with EDX and thermoluminescence (TL) technique. XRD pattern of both the samples show cubic phase with crystallite size 45–52 nm. TL glow curves are recorded for various gamma radiation dose (300–4000 Gy). Two TL glows, a small peak at 424 K and stronger peak at 597 K are observed. TL response of M–CaO is 2.67 times higher than F–CaO sample. TL kinetic parameters are calculated by computerized curve deconvolution analysis (CCDA) and discussed. - Highlights: • Calcium oxide powders have been synthesized using chicken egg shells as raw material. • Crystallite size was found to be 45–52 nm. • CaO derived from eggshells shows good thermoluminescence TL response. • TL response of the M–CaO is 2.67 times higher than the F–CaO sample.

  11. Synergistic pretreatment of waste activated sludge using CaO_2 in combination with microwave irradiation to enhance methane production during anaerobic digestion

    International Nuclear Information System (INIS)

    Wang, Jie; Li, Yongmei

    2016-01-01

    Highlights: • CaO_2/MW pretreatment synergistically enhanced WAS solubilization and CH_4 production. • MW irradiation facilitated more "·OH generation from CaO_2. • The optimal pretreatment condition for methane production was determined. • The growths of both hydrogenotrophic and acetate-utilizing methanogens were promoted. • The dewaterability of WAS was improved considerably by CaO_2/MW treatment. - Abstract: To investigate the effects of combined calcium peroxide (CaO_2) and microwave pretreatment on anaerobic digestion of waste activated sludge, lab-scale experiments were conducted to measure the solubilization, biodegradation, and dewaterability of the waste activated sludge. Additionally, the synergistic effects between CaO_2 and microwave were studied, and the microbial activity and methanogenic archaea community structure were analyzed. Combined pretreatment considerably facilitated the solubilization and subsequent anaerobic digestion of the waste activated sludge. The optimal pretreatment condition was CaO_2 (0.1 g/gVSS)/microwave (480 W, 2 min) for methane production during the subsequent anaerobic digestion process. Under this condition, 80.2% higher CH_4 accumulation yield was achieved after 16 d of anaerobic digestion when compared with the control. The synergistic effects of CaO_2/microwave pretreatment resulted from the different mechanisms of CaO_2 and microwave treatments. Further, microwave irradiation increased "·OH generation from CaO_2 and significantly alleviated the inhibitory effect of CaO_2 on methanogens. The activities of hydrolytic enzymes and acid-forming enzymes in the waste activated sludge were improved after CaO_2 (0.1 g/gVSS)/microwave (480 W, 2 min) pretreatment. Methanogenesis enzyme activity was also higher after CaO_2 treatment (0.1 g/gVSS)/microwave (480 W, 2 min) following a lag period. Illumina MiSeq sequencing analysis indicated that acetate-utilizing methanogen (Methanosaeta sp.) and H_2/CO_2-utilizing

  12. Caos, complexidade e Lingüística Aplicada: diálogos transdisciplinares

    Directory of Open Access Journals (Sweden)

    Antônio Carlos Soares Martins

    2007-01-01

    Full Text Available Neste texto, apresentamos um panorama de estudos na área da Lingüística Aplicada que discutem questões relativas ao processo de desenvolvimento de segunda língua, bem como aspectos relacionados aos ambientes interacionais de aprendizagem na perspectiva das teorias do Caos e Complexidade. Para isso, discutimos as principais noções da perspectiva da complexidade, retomando alguns aspectos da física clássica e contemporânea.In this paper, we present a panorama of studies in the area of Applied Linguistics that discuss questions regarding second language development as well as aspects related to interactional learning environments in the light of Chaos and Complexity theories. To accomplish this, we discuss the main notions of complexity through the rethinking of some aspects of classic and contemporary physics.

  13. Teoría del caos, cognitivismo y semántica

    Directory of Open Access Journals (Sweden)

    Lic. Raymond Colle

    1998-01-01

    Full Text Available El origen del pensamiento no tiene nada de secuencial: el cerebro es un "mecanismo" que opera con una altísima tasa de paralelismo. Es también un sistema altamente complejo y comparte algunas características de funcionamiento de todos los sistemas altamente complejos. En este artículo se citan a diversos investigadores que han puesto en evidencia los fenómenos de aparición del orden en medio del "caos" en sistemas complejos; se explica cómo el pensamiento se ordena en torno a "atractores", formando "mapas" de relaciones y se ilustra con un caso practico cómo este mapa aparece en nuestros discursos.

  14. DUSTER: collection of meteoric CaO and carbon smoke particles in the upper stratosphere .

    Science.gov (United States)

    Della Corte, V.; Rietmeijer, F. J. M.; Rotundi, A.; Ferrari, M.; Palumbo, P.

    Nanometer- to micrometer-size particles present in the upper stratosphere are a mixture of terrestrial and extra-terrestrial origins. They can be extraterrestrial particles condensed after meteor ablation. Meteoric dust in bolides is occasionally deposited into the lower stratosphere around 20 km altitude. Nanometer CaO and pure carbon smoke particles were collected at 38 km altitude in the upper stratosphere in the Arctic during June 2008 using DUSTER (Dust in the Upper Stratosphere Tracking Experiment and Retrieval), a balloon-borne instrument for the non-destructive collection of solid particles between 200 nm to 40 microns. We report the collection of micron sized CaCO_3 (calcite) grains. Their morphologies show evidence of melting and condensation after vaporization suggest at temperatures of approximately 3500 K. The formation environment of the collected grains was probably a dense dust cloud formed by the disintegration of a carbonaceous meteoroid during deceleration in the Earth� atmosphere. For the first time, DUSTER collected meteor ablation products that were presumably associated with the disintegration of a bolide crossing the Earth's atmosphere. The collected mostly CaO and pure carbon nanoparticles from the debris cloud of a fireball, included: 1) intact fragments; 2) quenched melted grains; and 3) vapor phase condensation products. The DUSTER project was funded by the Italian Space Agency (ASI), PRIN2008/MIUR (Ministero dell'Istruzione dell'Universitá e della Ricerca), PNRA 2013(Piano Nazionale Ricerca Antartide). CNES graciously provided this flight opportunity. We thank E. Zona and S. Inarta at the Laboratorio di Fisica Cosmica INAF, Osservatorio Astronomico di Capodimonte-Universitá di Napoli Parthenope. F.J.M.R. was supported by grant NNX07AI39G from the NASA Cosmochemistry Program. We thank three anonymous reviewers who assisted us in introducing our new instrument.

  15. CaO insulator coatings on a vanadium-base alloy in liquid 2 at.% calcium-lithium

    International Nuclear Information System (INIS)

    Park, J.H.; Kassner, T.F.

    1996-01-01

    The electrical resistance of CaO coatings produced on V-4%Cr-4%Ti and V-15%Cr-5%Ti by exposure of the alloy (round bottom samples 6-in. long by 0.25-in. dia.) to liquid lithium that contained 2 at.% dissolved calcium was measured as a function of time at temperatures between 300-464 degrees C. The solute element, calcium in liquid lithium, reacted with the alloy substrate at these temperatures for 17 h to produce a calcium coating ∼7-8 μm thick. The calcium-coated vanadium alloy was oxidized to form a CaO coating. Resistance of the coating layer on V-15Cr-5Ti, measured in-situ in liquid lithium that contained 2 at.% calcium, was 1.0 x 10 10 Ω-cm 2 at 300 degrees C and 400 h, and 0.9 x 10 10 Ω-cm 2 at 464 degrees C and 300 h. Thermal cycling between 300 and 464 degrees C changed the resistance of the coating layer, which followed insulator behavior. Examination of the specimen after cooling to room temperature revealed no cracks in the CaO coating. The coatings were evaluated by optical microscopy, scanning electron microscopy (SEM), electron dispersive spectroscopy (EDS), and X-ray analysis. Adhesion between CaO and vanadium alloys was enhanced as exposure time increased

  16. Characterization and evaluation of antibacterial activity of plant mediated calcium oxide (CaO) nanoparticles by employing Mentha pipertia extract

    Science.gov (United States)

    Ijaz, Umber; Bhatti, Ijaz Ahmed; Mirza, Saima; Ashar, Ambreen

    2017-10-01

    The antibacterial activity of green synthesized calcium oxide nanoparticles was investigated using leaf extract of Mentha piperita in this study. The synthesized nanomaterial was subjected to characterization using scanning electron microscopy (SEM), Fourier transform infrared spectroscopy (FTIR), and energy dispersive x-ray spectroscopy (EDX). The SEM images showed agglomeration of disc shaped nanoparticles, and FTIR and EDX spectroscopy indicated intensive peaks for calcium ions and oxygen. Subsequently, the potential of nanoscale CaO was also evaluated for antimicrobial index against E. coli using the well diffusion method. A maximum zone of inhibition up to 42 mm was observed when 100 µg ml-1 material was loaded with inoculum size 50 µl of E. coli in sunlight exposure of 5 h. The experimental conditions were optimized using a central composite design using a response surface methodology. The maximum antimicrobial index of the CaO nanoparticle was 6 mm as a result of the optimized response. Furthermore, the minimum inhibitory concentration of the CaO nanoparticle showed 25 µg ml-1, an effective initial concentration for E.coli removal. The results revealed that the CaO nanocomposite synthesized via a green route was a promising candidate for the removal of E. coli present in drinking water, which is an important fecal indicator.

  17. La anticipación de las crisis (una aplicación del enfoque del caos

    Directory of Open Access Journals (Sweden)

    Manuel Guzmán Hennessey

    2007-01-01

    Full Text Available Este ensayo explora la posibilidad de aplicar la teoría del caos en el contexto de las dinámicas de crisis. Se examinan las bases filosóficas del pensamiento cognitivo borroso y se explora un modelo de aproximación a la realidad, a partir del reconocimiento de sus ciclos evolutivos caos orden. El problema de ver es la línea de investigación del Centro de Aplicaciones de la Teoría del Caos (Bogotá, Buenos Aires. Este trabajo es un avance de la investigación “Mil Matices: materiales para una teoría de las crisis”, cuyo propósito, entre otros, plantea: ¿Cuál es, en realidad, la esencia y el origen del Caos, y cómo pueden aplicarse sus enfoques en una sociedad que necesita superar sus crisis y aprender a moverse en contextos turbulentos?

  18. Effect of CaO on Hot Workability and Microstructure of Mg-9.5Zn-2Y Alloy

    Science.gov (United States)

    Kwak, Tae-yang; Kim, Daeguen; Yang, Jaehack; Yoon, Young-ok; Kim, Shae K.; Lim, Hyunkyu; Kim, Woo Jin

    Mg-Zn-Y system alloys have been a great interest because Mg-Zn-Y alloys with I-phase exhibited high ductility at room and elevated temperatures. According to our preliminary experiments, the addition of CaO improved strength, but the process window became narrow. Therefore, the aim of current work was to find optimum extrusion conditions for CaO added Mg-Zn-Y alloys by processing maps. The 0.3 wt.% of CaO added Mg-9.5Zn-2Y (Mg95.6Zn3.8Y0.6) alloy was prepared by casting into steel mold and homogenizing. Hot compression test were performed in the Gleeble machine at temperature range of 250-400 °C with various strain rates. The alloys were extruded with a reduction ratio of 20:1. To analyze the microstructure and texture, optical micrograph, scanning electron microscope and electron backscattered diffraction were used. Moreover, we investigated the effects of metallic Ca addition in this alloy to compare with the addition of CaO.

  19. Synthesis of Al₂Ca Dispersoids by Powder Metallurgy Using a Mg-Al Alloy and CaO Particles.

    Science.gov (United States)

    Fujita, Junji; Umeda, Junko; Kondoh, Katsuyoshi

    2017-06-28

    The elemental mixture of Mg-6 wt %Al-1 wt %Zn-0.3 wt %Mn (AZ61B) alloy powder and CaO particles was consolidated by an equal-channel angular bulk mechanical alloying (ECABMA) process to form a composite precursor. Subsequently, the precursor was subjected to a heat treatment to synthesize fine Al₂Ca particles via a solid-state reaction between the Mg-Al matrix and CaO additives. Scanning electron microscopy-energy-dispersive spectroscopy (SEM-EDS) and electron probe micro-analysis on the precursor indicated that 4.7-at % Al atoms formed a supersaturated solid solution in the α-Mg matrix. Transmission electron microscopy-EDS and X-ray diffraction analyses on the AZ61B composite precursor with 10-vol % CaO particles obtained by heat treatment confirmed that CaO additives were thermally decomposed in the Mg-Al alloy, and the solid-soluted Ca atoms diffused along the α-Mg grain boundaries. Al atoms also diffused to the grain boundaries because of attraction to the Ca atoms resulting from a strong reactivity between Al and Ca. As a result, needle-like (Mg,Al)₂Ca intermetallics were formed as intermediate precipitates in the initial reaction stage during the heat treatment. Finally, the precipitates were transformed into spherical Al₂Ca particles by the substitution of Al atoms for Mg atoms in (Mg,Al)₂Ca after a long heat treatment.

  20. Effect of sulfated CaO on NO reduction by NH{sub 3} in the presence of excess oxygen

    Energy Technology Data Exchange (ETDEWEB)

    Tianjin Li; Yuqun Zhuo; Yufeng Zhao; Changhe Chen; Xuchang Xu [Tsinghua University, Beijing (China). Key Laboratory for Thermal Science and Power Engineering of Ministry of Education

    2009-04-15

    The effect of sulfated CaO on NO reduction by NH{sub 3} in the presence of excess oxygen was investigated to evaluate the potential of simultaneous SO{sub 2} and NO removal at the temperature range of 700-850{sup o}C. The physical and chemical properties of the CaO sulfation products were analyzed to investigate the NO reduction mechanism. Experimental results showed that sulfated CaO had a catalytic effect on NO reduction by NH{sub 3} in the presence of excess O{sub 2} after the sulfation reaction entered the transition control stage. With the increase of CaO sulfation extent in this stage, the activity for NO reduction first increased and then decreased, and the selectivity of NH{sub 3} for NO reduction to N{sub 2} increased. The byproduct (NO{sub 2} and N{sub 2}O) formation during NO reduction experiments was negligible. X-ray photoelectron spectroscopy (XPS) analysis showed that neither CaSO{sub 3} nor CaS was detected, indicating that the catalytic activity of NO reduction by NH{sub 3} in the presence of excess O{sub 2} over sulfated CaO was originated from the CaSO{sub 4} product. These results revealed that simultaneous SO{sub 2} and NOx control by injecting NH{sub 3} into the dry flue gas desulfurization process for NO reduction might be achieved. 38 refs., 6 figs., 1 tab.

  1. Sensibilidad paramétrica de un automóvil con polinomios de caos

    Directory of Open Access Journals (Sweden)

    Eduardo Haro

    2015-07-01

    Full Text Available Resumen: Es de gran interés analizar la sensibilidad de los parámetros de modelos matemáticos que describen sistemas físicos, y merece una atención particular estudiar esta sensibilidad en modelos con incertidumbre en el valor de sus parámetros. La llamada sensibilidad global considera todo el intervalo de incertidumbre de los parámetros al considerarlos variables aleatorias. Este trabajo presenta el análisis de sensibilidad global en frecuencia del modelo matemático paramétrico de la dinámica lateral de un modelo de automóvil, con un enfoque basado en la expansión de la respuesta del modelo con polinomios de caos. Esta técnica permite representar fácilmente el sistema como un modelo estocástico, donde los parámetros pasan a ser variables aleatorias que varían de acuerdo a su incertidumbre. El modelo estocástico debe ser una aproximación muy cercana del modelo original. Abstract: It is interesting to analyze the parameter sensitivity of mathematical models that describe physical systems, and it deserves particular attention the sensitivity study of models with uncertainty in the parameter values. Global sensitivity takes into account the entire range of parameter uncertainty because it considers the parameters as random variables. This paper presents the global sensitivity analysis in frequency of a parametric mathematical model of lateral dynamics of a vehicle model, with an approach based on the polynomial chaos expansion of the model response. This technique allows to easily represent the system as a stochastic model, where the parameters become random variables that vary according to their uncertainty. The stochastic model should be a very close approximation of the original model. Palabras clave: sensibilidad, sistemas dinámicos inciertos, polinomios de caos, dinámica de vehículo, Keywords: sensitivity uncertain dynamic systems polynomial chaos vehicle dynamics

  2. Study of solid state interactions in the systems ZnFe2O4 - CaO, ZnFe2O4 - MgO and zinc cake with CaO and MgO

    Directory of Open Access Journals (Sweden)

    Peltekov A.B.

    2013-01-01

    Full Text Available The solid state interactions of CaO and MgO with synthetic and industrial ZnFe2O4 (in zinc cake have been studied using chemical, XRD analysis and Mössbauer spectroscopy. The exchange reactions in the systems ZnFe2O4 - CaO and ZnFe2O4 - MgO have been investigated in the range of 850-1200ºC and duration up to 180 min. It has been established that Ca2+ and Mg2+ ions exchange Zn2+ in ferrite partially and the solubility of zinc in a 7% sulfuric acid solution increases. The possibilities for utilization of the obtained results in zinc hydrometallurgy have been discussed.

  3. Inhibitory Effects of Daiokanzoto (Da-Huang-Gan-Cao-Tang on P-Glycoprotein

    Directory of Open Access Journals (Sweden)

    Yuka Watanabe

    2012-01-01

    Full Text Available We have studied the effects of various Kampo medicines on P-glycoprotein (P-gp, a drug transporter, in vitro. The present study focused on Daiokanzoto (Da-Huang-Gan-Cao-Tang, which shows the most potent inhibitory effects on P-gp among the 50 Kampo medicines studied, and investigated the P-gp inhibitory effects of Daiokanzoto herbal ingredients (rhubarb and licorice root and their components by an ATPase assay using human P-gp membrane. Both rhubarb and licorice root significantly inhibited ATPase activity, and the effects of rhubarb were more potent than those of licorice root. The content of rhubarb in Daiokanzoto is double that in licorice root, and the inhibition patterns of Daiokanzoto and rhubarb involve both competitive and noncompetitive inhibition, suggesting that the inhibitory effects of Daiokanzoto are mainly due to rhubarb. Concerning the components of rhubarb, concentration-dependent inhibitory effects were observed for (−-catechin gallate, (−-epicatechin gallate, and (−-epigallocatechin gallate. In conclusion, rhubarb may cause changes in the drug dispositions of P-gp substrates through the inhibition of P-gp. It appears that attention should be given to the interactions between these drugs and Kampo medicines containing rhubarb as an herbal ingredient.

  4. Reduction of CaO and MgO Slag Components by Al in Liquid Fe

    Science.gov (United States)

    Mu, Haoyuan; Zhang, Tongsheng; Fruehan, Richard J.; Webler, Bryan A.

    2018-05-01

    This study documents laboratory-scale observations of reactions between Fe-Al alloys (0.1 to 2 wt pct Al) with slags and refractories. Al in steels is known to reduce oxide components in slag and refractory. With continued development of Al-containing Advanced High-Strength Steel (AHSS) grade, the effects of higher Al must be examined because reduction of components such as CaO and MgO could lead to uncontrolled modification of non-metallic inclusions. This may lead to castability or in-service performance problems. In this work, Fe-Al alloys and CaO-MgO-Al2O3 slags were melted in an MgO crucible and samples were taken at various times up to 60 minutes. Inclusions from these samples were characterized using an automated scanning electron microscope equipped with energy dispersive x-ray analysis (SEM/EDS). Initially Al2O3 inclusions were modified to MgAl2O4, then MgO, then MgO + CaO-Al2O3-MgO liquid inclusions. Modification of the inclusions was faster at higher Al levels. Very little Ca modification was observed except at 2 wt pct Al level. The thermodynamic feasibility of inclusion modification and some of the mass transfer considerations that may have led to the differences in the Mg and Ca modification behavior were discussed.

  5. Biodiesel production from waste cooking oil using KBr impregnated CaO as catalyst

    International Nuclear Information System (INIS)

    Mahesh, Sneha E.; Ramanathan, Anand; Begum, K.M. Meera S.; Narayanan, Anantharaman

    2015-01-01

    Highlights: • KBr impregnated CaO has been used as heterogeneous catalyst. • Efficient use of waste cooking oil as feedstock. • Response Surface Methodology was used to optimize process parameters. - Abstract: This research paper deals with the synthesis of a heterogeneous catalyst (KBr/CaO) from commercial calcium oxide and potassium bromide by wet impregnation method. This solid catalyst was tested for transesterification of waste cooking oil (WCO). The synthesized catalyst was characterized by Fourier Transform Infrared spectrometry (FTIR), X-ray Diffraction (XRD) and Scanning Electron Microscopy (SEM) techniques. Transesterification reaction parameters were varied to obtain the maximum yield of biodiesel. Response Surface Methodology (RSM) using Central Composite Design (CCD) was employed to study the effect of the process variables like methanol to oil ratio, catalyst loading and reaction time. The optimum conditions obtained using regression models were found to be 12:1 methanol: oil ratio, 3 wt% catalyst loading and 1.8 h reaction time. The composition of FAME was determined using Gas Chromatography–Mass Spectrometry (GC–MS). The performance and emission characteristics for various blends of biodiesel (B10, B20, B50 and B100) were investigated in a four stroke direct injection diesel engine. The results indicated that the brake thermal efficiency, particulate matter, unburned hydrocarbons, carbon monoxide emissions reduced with increased concentration of biodiesel in the fuel blends, whereas the specific fuel consumption, NO x emissions and exhaust gas temperature increased

  6. Thermoluminescence properties of CaO powder obtained from chicken eggshells

    Science.gov (United States)

    Nagabhushana, K. R.; Lokesha, H. S.; Satyanarayana Reddy, S.; Prakash, D.; Veerabhadraswamy, M.; Bhagyalakshmi, H.; Jayaramaiah, J. R.

    2017-09-01

    Eggshell wastage has created serious problem in disposal of the food processing industry which has been triggered the thoughts of researchers to use wasted eggshells as good source of calcium. In the present work, calcium oxide (CaO) has been synthesized by combustion process in furnace (F-CaO) and microwave oven (M-CaO) using the source of chicken eggshells. The obtained F-CaO and M-CaO are characterized by XRD, SEM with EDX and thermoluminescence (TL) technique. XRD pattern of both the samples show cubic phase with crystallite size 45-52 nm. TL glow curves are recorded for various gamma radiation dose (300-4000 Gy). Two TL glows, a small peak at 424 K and stronger peak at 597 K are observed. TL response of M-CaO is 2.67 times higher than F-CaO sample. TL kinetic parameters are calculated by computerized curve deconvolution analysis (CCDA) and discussed.

  7. Preparation and characterizaton of CaO nanoparticle for biodiesel production

    Energy Technology Data Exchange (ETDEWEB)

    Gupta, Jharna, E-mail: onlinejharna@gmail.com; Agarwal, Madhu, E-mail: madhunaresh@gmail.com [Department of Chemical Engineering, MNIT, Jaipur, 302017 (India)

    2016-04-13

    Nanoparticle of CaO from calcium Nitrate (CaO/CaN) and Snail shell (CaO/SS) are successfully synthesized by method as described in the literature and used as an active and stable catalyst for the biodiesel production. These catalysts are characterized by Fourier-transform infrared spectra (FT-IR), X-ray diffraction (XRD), and thermal gravimetric analysis (TGA). The average crystalline size in nanometer was also calculated by Debye–Scherrer equation. The performance of the CaO/CaN and CaO/SS were tested for their catalytic activity via transesterification process and it was found that biodiesel yield has been increased from 93 to 96%. The optimum conditions for the highest yield were 8wt% catalyst loading, 65°C temperature, 12:1 methanol/oil molar ratio, and 6 h for reaction time. The nano catalyst from snail shell exhibits excellent catalytic activity and stability for the transesterification reaction, which suggested that this catalyst would be potentially used as a solid base nano catalyst for biodiesel production. In order to examine the reusability of catalyst developed from snail shell, five transesterification reaction cycles were also performed.

  8. The study of biodiesel production using CaO as a heterogeneous catalytic reaction

    Directory of Open Access Journals (Sweden)

    Kamila Colombo

    2017-06-01

    Full Text Available With the aim of developing a process of biodiesel production that is environmentally benign much interest has been focused on the use of solid base catalysts, such as calcium oxide, for the transesterification of vegetable oils with methanol. In the study reported herein a recycling reactor was used in bench scale, with the capacity to produce 3 L of biodiesel. The reactor was designed especially for this research study. A full 23 factorial plan was used to evaluate the process parameters related to this study, in particular, the catalyst concentration, the alcohol to oil molar ratio and the reaction time. Using this equipment for the transesterification reaction resulted in the recovery of the excess alcohol. The reaction products were characterized using gas chromatography and liquid analysis to determine the ester and calcium concentrations, respectively. The main conclusions drawn were that the best conversion percentage (100% of biodiesel was reached when the methanol:oil molar ratio was 6:1, the reaction time was 75 min and the catalyst mass was 3% in relation to the oil mass used in this process. The CaO concentration determined exceeded the limit of concentration defined by legislation and thus a secondary operation was carried out to purify the reaction products obtained. The results of this study showed a high performance, and the proposed experiment could be used as a new and innovative way to produce biodiesel in the future.

  9. Effect of one step KOH activation and CaO modified carbon in transesterification reaction

    Science.gov (United States)

    Yacob, Abd Rahim; Zaki, Muhammad Azam Muhammad

    2017-11-01

    In this work, one step activation was introduced using potassium hydroxide (KOH) and calcium oxide (CaO) modified palm kernel shells. Various concentration of calcium oxide was used as catalyst while maintaining the same concentration of potassium hydroxide to activate and impregnate the palm kernel shell before calcined at 500°C for 5 hours. All the prepared samples were characterized using Fourier Transform Infrared (FTIR) and Field Emission Scanning Electron Microscope (FESEM). FTIR analysis of raw palm kernel shell showed the presence of various functional groups. However, after activation, most of the functional groups were eliminated. The basic strength of the prepared samples were determined using back titration method. The samples were then used as base heterogeneous catalyst for the transesterification reaction of rice bran oil with methanol. Analysis of the products were performed using Gas Chromatography Flame Ionization Detector (GC-FID) to calculate the percentage conversion of the biodiesel products. This study shows, as the percentage of one step activation potassium and calcium oxide doped carbon increases thus, the basic strength also increases followed by the increase in biodiesel production. Optimization study shows that the optimum biodiesel production was at 8 wt% catalyst loading, 9:1 methanol: oil molar ratio at 65°C and 6 hours which gives a conversion up to 95%.

  10. Preparation and characterizaton of CaO nanoparticle for biodiesel production

    Science.gov (United States)

    Gupta, Jharna; Agarwal, Madhu

    2016-04-01

    Nanoparticle of CaO from calcium Nitrate (CaO/CaN) and Snail shell (CaO/SS) are successfully synthesized by method as described in the literature and used as an active and stable catalyst for the biodiesel production. These catalysts are characterized by Fourier-transform infrared spectra (FT-IR), X-ray diffraction (XRD), and thermal gravimetric analysis (TGA). The average crystalline size in nanometer was also calculated by Debye-Scherrer equation. The performance of the CaO/CaN and CaO/SS were tested for their catalytic activity via transesterification process and it was found that biodiesel yield has been increased from 93 to 96%. The optimum conditions for the highest yield were 8wt% catalyst loading, 65°C temperature, 12:1 methanol/oil molar ratio, and 6 h for reaction time. The nano catalyst from snail shell exhibits excellent catalytic activity and stability for the transesterification reaction, which suggested that this catalyst would be potentially used as a solid base nano catalyst for biodiesel production. In order to examine the reusability of catalyst developed from snail shell, five transesterification reaction cycles were also performed.

  11. LA GOBERNACIÓN DE NARIÑO: DEL CAOS TOTAL A LA SOSTENIBILIDAD ADMINISTRATIVA Y FINANCIERA

    Directory of Open Access Journals (Sweden)

    Diego Mauricio Díaz Velásquez

    2010-07-01

    Full Text Available El presente artículo expone el proceso y los resultados que le permitieron a la Gobernación del Departamento de Nariño superar el caos administrativo y financiero que enfrentó a comienzos del siglo veintiuno y obtener la sostenibilidad administrativa y financiera. El caos se generó principalmente por altos niveles de burocratización y una inadecuada administración financiera. Para conseguir el correcto funcionamiento del Departamento de Nariño, el gobierno del 2001 aplicó simultáneamente decisiones administrativas y financieras apoyadas en instrumentos jurídicos con alto impacto económico que lograron contrarrestar el desbalance entre los ingresos y los gastos de la Gobernación, generar racionalización de los procesos administrativos y brindar responsabilidad fiscal a futuro.

  12. Phase selection in the containerless solidification of undercooled CaO · 6Al2O3 melts

    International Nuclear Information System (INIS)

    Li Mingjun; Kuribayashi, Kazuhiko

    2004-01-01

    The CaO · 6Al 2 O 3 melts were solidified on an aero-acoustic levitator under a containerless processing condition at various undercoolings. A high-speed video was operated to monitor the recalescence behavior, from which the growth velocity as a function of melt undercooling was determined. The microstructures were observed and the crystalline phases were identified using the X-ray diffraction technique, indicting that the Al 2 O 3 was solidified when the melt temperature was higher than the peritectic temperature, T p . When the melt was undercooled below T p , the CaO · 6Al 2 O 3 (CA 6 ) peritectic phase was crystallized directly from the undercooled melts. With respect to the direct formation of the peritectic phase, further analysis from the viewpoints of competitive nucleation indicated that the minimum free energy principle may be applied to elucidate the nucleation of CA 6 phase. In terms of the competitive growth behavior, the interface attachment kinetics for Al 2 O 3 and CA 6 phases are calculated by using the classical BCT model indicating that although the Al 2 O 3 phase doped by CaO has about four times larger interface kinetic coefficient than that of the CA 6 peritectic phase, the growth kinetics of Al 2 O 3 in the melt with the CaO · 6Al 2 O 3 chemical composition is not sufficiently high to replace the CA 6 phase as the primary phase. Therefore, once CA 6 is nucleated, it can develop into a macro crystal as the primary phase. The competitive nucleation and growth behavior in the CA 6 system is different from those in other well-studied peritectic alloys and the present investigation on the phase formation will be an essential supplement to the phase selection theory

  13. Sustainable biodiesel production via transesterification of waste cooking oil by using CaO catalysts prepared from chicken manure

    International Nuclear Information System (INIS)

    Maneerung, Thawatchai; Kawi, Sibudjing; Dai, Yanjun; Wang, Chi-Hwa

    2016-01-01

    Highlights: • Calcined chicken manure was successfully used as catalyst for biodiesel production. • Ca compound in chicken manure was converted into active CaO by calcination. • Chicken manure-derived catalysts show high activity towards transesterification. • Biodiesel fuels can be produced by using waste cooking oils. - Abstract: The low cost and efficient CaO catalysts have been successfully prepared from chicken manure by a simple calcination, in this present work. Chicken manure contains significant content of calcium compounds that can easily be converted into the active calcium oxide catalyst after calcination at 850 °C under air. The Hammett indicator test showed that the obtained CaO catalyst has the basic strength in a range of 15 < H- < 18.4, revealing that the basicity of the obtained catalyst is mainly ascribed to the strong basic properties of metal–O groups. The obtained CaO catalyst exhibited high catalytic activity for biodiesel production from transesterification of waste cooking oil and methanol. Up to 90% FAME yield was obtained at optimum reaction condition (i.e. 7.5 wt% of catalyst, 15:1 of methanol:oil molar ratio and 65 °C). The experimental kinetic data fitted well with the pseudo-first order model and the activation energy was found to be 78.8 kJ mol"−"1. Moreover, fuel properties of the produced biodiesel were determined according to the European standard and found to be within the specifications. The uses of chicken manure as a catalyst source and waste cooking oil as a raw material for biodiesel production not only offers the environmentally friendly and cost-effective way to recycle those wastes, but also help to lower the biodiesel production cost to make biodiesel competitive with petroleum-based diesel.

  14. Additional lime of CaO in rearing medium with salinity for growing of catfish Pangasius hypopthalmus

    Directory of Open Access Journals (Sweden)

    Yuni Puji Hastuti

    2013-11-01

    Full Text Available Catfish juvenile quality improvements sought through the addition of lime to the availability of minerals in the body. Media maintenance is set at 4‰ salinity aims to reduce the level of osmotic work to reduce energy used for osmoregulation and can be allocated to the growth of catfish. Juvenile-sized fish used 2.59±0.02 cm and weights 0.13±0.01 g. Aquarium measuring 20×20×20 cm3 used 15 units, filled with water salinity of 4% as 6 L per unit, and added lime CaO appropriate treatment. During the study, the fish were fed with 28% protein content three times a day with FR 5%. Addition of CaO treatment dose 0 mg/L, 20 mg/L, 40 mg/L, 60 mg/L, 80 mg/L result in the survival rate of 100%, 100%, 100%, 96.29%, and 100% (p>0.05. The growth rate of daily weight 5.196%, 5.212%, 6.596%, 5.35% and 5.101% (p>0.05. Long absolute yield significantly different values are 1.451 cm, 1.518 cm, 1.964 cm, 1.71 cm, and 1.546 cm (p<0.05. During the study, the water quality is within the range that can be tolerated by catfish juvenile. The use of lime in the salinity of 4% is suggested as many as 40 mg/L CaO with the turnover of water every day and feeding enough.Keywords: CaO, salinity, growth, Pangasius hypopthalmus

  15. Fabrication of 45 degrees template grain boundary junctions using a CaO lift-off technique

    NARCIS (Netherlands)

    IJsselsteijn, R.P.J.; Terpstra, D.; Flokstra, Jakob; Rogalla, Horst

    1994-01-01

    45 degrees grain boundary junctions have been made using (100) MgO substrates, a CeO2 template layer and an YBa2Cu3O7 top layer. To minimize the damage to the MgO surface, which will occur if the CeO2 is structured using ion milling, the CeO2 layer has been structured using the CaO lift-off

  16. Effects of CaO on the compaction and sintering by plasma of Powder-metallurgical iron

    Science.gov (United States)

    Ariza Suarez, H. G.; Sarmiento Santos, A.; Ortiz Otálora, C. A.

    2017-12-01

    This work the effect of the addition of Calcium Oxide (CaO) in the compaction and sintering of powder metallurgical iron Ancoor Steel 1000® is studied. Iron samples were made with proportions of: 0.5%, 1%, 1.5% and 2% by weight of CaO. The samples were sintered in a luminescent discharge furnace, in an atmosphere of H2+Ar at a temperature of 1150°C. XRD analysis was used to determine the formation of compounds, this analysis evidenced the formation of: hematite and magnetite, which were found both on the surface and in the volume. A characterization of the ability to protect against corrosive effects was carried out using the EIS electrochemical impedance spectroscopy method on the samples, in a solution of 1000ppm of chloride, with this procedure it was found that at a concentration of 0.5% and 1% CaO, the electrochemical impedance value is increased with values of 11.7MΩ, 2.2MΩ respectively.

  17. Promotion Effect of CaO Modification on Mesoporous Al2O3-Supported Ni Catalysts for CO2 Methanation

    Directory of Open Access Journals (Sweden)

    Wen Yang

    2016-01-01

    Full Text Available The catalysts Ni/Al2O3 and CaO modified Ni/Al2O3 were prepared by impregnation method and applied for methanation of CO2. The catalysts were characterized by N2 adsorption/desorption, temperature-programmed reduction of H2 (H2-TPR, X-ray diffraction (XRD, and temperature-programmed desorption of CO2 and H2 (CO2-TPD and H2-TPD techniques, respectively. TPR and XRD results indicated that CaO can effectively restrain the growth of NiO nanoparticles, improve the dispersion of NiO, and weaken the interaction between NiO and Al2O3. CO2-TPD and H2-TPD results suggested that CaO can change the environment surrounding of CO2 and H2 adsorption and thus the reactants on the Ni atoms can be activated more easily. The modified Ni/Al2O3 showed better catalytic activity than pure Ni/Al2O3. Ni/CaO-Al2O3 showed high CO2 conversion especially at low temperatures compared to Ni/Al2O3, and the selectivity to CH4 was very close to 1. The high CO2 conversion over Ni/CaO-Al2O3 was mainly caused by the surface coverage by CO2-derived species on CaO-Al2O3 surface.

  18. Influence of SrO substitution for CaO on the properties of bioactive glass S53P4.

    Science.gov (United States)

    Massera, Jonathan; Hupa, Leena

    2014-03-01

    Commercial melt-quenched bioactive glasses consist of the oxides of silicon, phosphorus, calcium and sodium. Doping of the glasses with oxides of some other elements is known to affect their capability to support hydroxyapatite formation and thus bone tissue healing but also to modify their high temperature processing parameters. In the present study, the influence of gradual substitution of SrO for CaO on the properties of the bioactive glass S53P4 was studied. Thermal analysis and hot stage microscopy were utilized to measure the thermal properties of the glasses. The in vitro bioactivity and solubility was measured by immersing the glasses in simulated body fluid for 6 h to 1 week. The formation of silica rich and hydroxyapatite layers was assessed from FTIR spectra analysis and SEM images of the glass surface. Increasing substitution of SrO for CaO decreased all characteristic temperatures and led to a slightly stronger glass network. The initial glass dissolution rate increased with SrO content. Hydroxyapatite layer was formed on all glasses but on the SrO containing glasses the layer was thinner and contained also strontium. The results suggest that substituting SrO for CaO in S53P4 glass retards the bioactivity. However, substitution greater than 10 mol% allow for precipitation of a strontium substituted hydroxyapatite layer.

  19. Using CaO- and MgO-rich industrial waste streams for carbon sequestration

    International Nuclear Information System (INIS)

    Stolaroff, Joshuah K.; Lowry, Gregory V.; Keith, David W.

    2005-01-01

    To prevent rapid climate change, it will be necessary to reduce net anthropogenic CO 2 emissions drastically. This likely will require imposition of a tax or tradable permit scheme that creates a subsidy for negative emissions. Here, we examine possible niche markets in the cement and steel industries where it is possible to generate a limited supply of negative emissions (carbon storage or sequestration) cost-effectively. Ca(OH) 2 and CaO from steel slag or concrete waste can be dissolved in water and reacted with CO 2 in ambient air to capture and store carbon safely and permanently in the form of stable carbonate minerals (CaCO 3 ). The kinetics of Ca dissolution for various particle size fractions of ground steel slag and concrete were measured in batch experiments. The majority of available Ca was found to dissolve on a time scale of hours, which was taken to be sufficiently fast for use in an industrial process. An overview of the management options for steel slag and concrete waste is presented, which indicates how their use for carbon sequestration might be integrated into existing industrial processes. Use of the materials in a carbon sequestration scheme does not preclude subsequent use and is likely to add value by removing the undesirable qualities of water absorption and expansion from the products. Finally, an example scheme is presented which could be built and operated with current technology to sequester CO 2 with steel slag or concrete waste. Numerical models and simple calculations are used to establish the feasibility and estimate the operating parameters of the scheme. The operating cost is estimated to be US$8/t-CO 2 sequestered. The scheme would be important as an early application of technology for capturing CO 2 directly from ambient air

  20. Treatability of PCB-contaminated soils with quicklime (CaO)

    International Nuclear Information System (INIS)

    Mauro, D.; Taylor, B.B.

    1992-12-01

    The possibility that quicklime (calcium oxide, CaO) can destroy PCBs has received much attention over the past year. Observations at an EPA remediation site, where lime-containing kiln dusts were used for interim stabilization of PCB-containing wastes prompted the EPA to sponsor a small research project to investigate quicklime-PCB interactions. That study reported decreases in PCB content in synthetic, PCB-spiked soil following the application of quicklime and heat. META Environmental, Inc., as a contractor to EPRI, recently completed research designed to evaluate the effectiveness of quicklime for treating PCBs in soil and sand matrices under several reaction conditions, and to examine the underlying dechlorination chemistry involved, if any. Experiments were run with PCB-spiked sand and with actual PCB-contaminated soil. A variety of experimental conditions were employed including tests in open and closed containers, at ambient and elevated temperatures, and over a range of one hour to four days. Granular quicklime, fly ash, and kiln dust were all tested for reaction with PCBs. Early experiments showed that a mixture of sand/quicklime/water at 1:3:1.5 by weight, placed in an insulated container reached a maximum temperature of 216 degree C. Treatability experiments were subsequently run under controlled heat at room temperature, at 80 degree C, and at 200 degree C (following the initial temperature increase which occurs when water is added to quicklime). Little or no loss of PCBs was observed in open or closed containers at ambient or at 800 degree C over any period of time studied. A significant decrease of PCBs levels was observed only in the high temperature experiments (above 200 degree C), however the fate of the PCBs in those experiments was not determined. The conditions and the results of the PCB treatment tests are presented in this report, as well as recommendations for further studies

  1. Biodiesel production from transesterification of palm oil with methanol over CaO supported on bimodal meso-macroporous silica catalyst.

    Science.gov (United States)

    Witoon, Thongthai; Bumrungsalee, Sittisut; Vathavanichkul, Peerawut; Palitsakun, Supaphorn; Saisriyoot, Maythee; Faungnawakij, Kajornsak

    2014-03-01

    Calcium oxide-loaded porous materials have shown promise as catalysts in transesterification. However, the slow diffusion of bulky triglycerides through the pores limited the activity of calcium oxide (CaO). In this work, bimodal meso-macroporous silica was used as a support to enhance the accessibility of the CaO dispersed inside the pores. Unimodal porous silica having the identical mesopore diameter was employed for the purpose of comparison. Effects of CaO content and catalyst pellet size on the yield of fatty acid methyl esters (FAME) were investigated. The basic strength was found to increase with increasing the CaO content. The CaO-loaded bimodal porous silica catalyst with the pellet size of 325μm achieved a high %FAME of 94.15 in the first cycle, and retained an excellent %FAME of 88.87 after five consecutive cycles. Copyright © 2014 Elsevier Ltd. All rights reserved.

  2. Turbinate surgery

    Science.gov (United States)

    Turbinectomy; Turbinoplasty; Turbinate reduction; Nasal airway surgery; Nasal obstruction - turbinate surgery ... There are several types of turbinate surgery: Turbinectomy: All or ... This can be done in several different ways, but sometimes a ...

  3. Bariatric Surgery

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    ... often. Each type of surgery has advantages and disadvantages. Bariatric Surgery Benefits Bariatric surgery can improve many ... Grants & Grant History Research Resources Research at NIDDK Technology Advancement & Transfer Meetings & Workshops Health Information Diabetes Digestive ...

  4. Lung surgery

    Science.gov (United States)

    ... are thoracotomy and video-assisted thoracoscopic surgery (VATS). Robotic surgery may also be used. Lung surgery using ... Center-Shreveport, Shreveport, LA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, ...

  5. Plastic Surgery

    Science.gov (United States)

    ... Staying Safe Videos for Educators Search English Español Plastic Surgery KidsHealth / For Teens / Plastic Surgery What's in ... her forehead lightened with a laser? What Is Plastic Surgery? Just because the name includes the word " ...

  6. Development of mechanical properties in a CaO added AZ31 magnesium alloy processed by equal-channel angular pressing

    International Nuclear Information System (INIS)

    Bae, Seong-Hwan; Jung, Ki Ho; Shin, Young-Chul; Yoon, Duk Jae; Kawasaki, Megumi

    2016-01-01

    Processing through the application of equal-channel angular pressing (ECAP) is recognized as one of the attractive severe plastic deformation techniques where the processed bulk metals generally achieve ultrafine-grained microstructure leading to improved physical characteristics and mechanical properties. Magnesium has received much attention to date for its lightweight, high strength and excellent elasticity. Mg alloys with addition of CaO is reported to provide the successful casting procedure without usage of greenhouse gas, SF 6 , whereas it is generally used for preventing the oxidation of Mg during casting. In the present investigation, a CaO added AZ31 (AZ31-CaO) magnesium alloy was processed by ECAP at elevated temepratures with a few steps of reduction which result in significant grain refinement to ~ 1.5 μm after 6 passes. Compression testing at room temperature demonstrated the AZ31-CaO alloy after ECAP showed enhanced yield strength more than the as-processed commercial AZ31 alloy while both alloys maintained ductility in spite of significant reduction in grain size. The improved strength in the AZ31-CaO alloy was attributed to the formation of fine Al 2 Ca precipitates which experience breaking-up through ECAP and accelerate the microstructural refinement. Moreover, the preservation of ductility was attributed to the enhancement of strain hardening capability in the AZ31 alloy at room temperature. This study discusses the feasibility of using ECAP to improve both strength and ductility on magnesium alloys by applying the diagram describing the paradox of strength and ductility. - Highlights: • AZ31 and AZ31-CaO magnesium alloys were processed by ECAP up to 6 passes. • AZ31-CaO alloy after ECAP showed improved yield strength without losing ductility. • CaO in AZ31 forms fine Al 2 Ca accelerating microstructural refinement during ECAP. • Feasibility of using ECAP was shown to improve both strength and ductility in Mg.

  7. Effect of CaO2 addition on anaerobic digestion of waste activated sludge at different temperatures and the promotion of valuable carbon source production under ambient condition.

    Science.gov (United States)

    Ping, Qian; Lu, Xiao; Zheng, Ming; Li, Yongmei

    2018-06-06

    The effect of calcium peroxide (CaO 2 ) addition on anaerobic digestion (AD) of waste activated sludge (WAS) at different temperatures (20 °C, 35 °C, and 55 °C) were investigated. The results show that CaO 2 addition had significant positive effect on short-chain fatty acids (SCFAs) production under ambient and mesophilic conditions. Polysaccharides and proteins embedded in extracellular polymeric substances (EPS) were effectively released from inner fraction to outer fraction, and non-biodegradable humic-like substances were decreased while easily biodegradable tryptophan-like proteins increased. These effects were most remarkable under ambient conditions. However, CaO 2 addition was unfavorable to thermophilic AD because of high free ammonia concentrations and the accumulation of humic-like substances. Temperature showed a stronger effect than CaO 2 on microbial community structure, but CaO 2 addition was more effective than temperature in enhancing hydrolytic and acidifying microorganisms. Predictive functional profiling indicated that microbial hydrolysis, metabolism and acidification were promoted by CaO 2 under ambient conditions. Copyright © 2018 Elsevier Ltd. All rights reserved.

  8. MODIFIKASI KATALIS CaO DENGAN SrO PADA REAKSI TRANSESTERIFIKASI MINYAK JELANTAH MENJADI BIODIESEL MENGGUNAKAN

    Directory of Open Access Journals (Sweden)

    N Widiarti

    2016-03-01

    Full Text Available Minyak jelantah merupakan salah satu jenis minyak nabati yang dapat digunakan sebagai sumber produksi biodiesel yang murah. Biodiesel dapat diperoleh melalui proses esterifikasi dengan katalis asam maupun transesterifikasi dengan menggunakan katalis homogen basa kuat. Pengolahan minyak jelantah menjadi biodiesel merupakan langkah yang tepat dan efektif untuk menurunkan harga biodiesel karena bahan baku yang murah dan memanfaatkan limbah minyak goreng yang dapat mengatasi masalah pembuangan minyak dan kesehatan masyarakat. Pada penelitian ini dilakukan reaksi transesterifikasi dari minyak jelantah menjadi biodiesel menggunakan katalis CaO dan SrO. Tujuan penelitian ini adalah untuk mengetahui karakteristik katalis dan aktivitas katalitiknya pada reaksi transesterifikasi minyak jelantah. Modifikasi katalis dilakukan dengan metode impregnasi SrNO3 pada katalis CaO. Katalis digunakan pada reaksi transesterifikasi minyak jelantah dengan variasi energi  (input daya 80 dan 100 watt, variasi waktu (30, 60, 90, 120 dan 150 detik dan variasi jumlah SrO/CaO (1%, 2%, 4%, 8% dan 16% b/b sebagai katalis. Karakterisasi katalis dilakukan dengan XRD dan FTIR. Hasil analisis XRD menunjukkan bahwa katalis SrO/CaO bersifat kristalin dan mempunyai karakteristik pola difraksi gabungan CaO dan SrO. Reaksi transesterifikasi optimal terjadi dengan aktivitas katalis terbaik pada energi  100 watt, waktu reaksi 120 detik dan jumlah katalis SrO/CaO sebesar 4% b/b dengan produk reaksi metil ester sebesar 92,86%. Wasted cooking oil is one type of vegetable oil that can be used as an inexpensive source of biodiesel production. Biodiesel can be obtained through esterification process with acid catalyst or transesterification using homogeneous catalyst of strong bases. Processing of wasted cooking oil into biodiesel is an appropriate and effective measures to reduce the high price of biodiesel because of cheap raw materials and it can overcome the problem of oil disposal and

  9. Influence of high-temperature steam on the reactivity of CaO sorbent for CO₂ capture.

    Science.gov (United States)

    Donat, Felix; Florin, Nicholas H; Anthony, Edward J; Fennell, Paul S

    2012-01-17

    Calcium looping is a high-temperature CO(2) capture technology applicable to the postcombustion capture of CO(2) from power station flue gas, or integrated with fuel conversion in precombustion CO(2) capture schemes. The capture technology uses solid CaO sorbent derived from natural limestone and takes advantage of the reversible reaction between CaO and CO(2) to form CaCO(3); that is, to achieve the separation of CO(2) from flue or fuel gas, and produce a pure stream of CO(2) suitable for geological storage. An important characteristic of the sorbent, affecting the cost-efficiency of this technology, is the decay in reactivity of the sorbent over multiple CO(2) capture-and-release cycles. This work reports on the influence of high-temperature steam, which will be present in flue (about 5-10%) and fuel (∼20%) gases, on the reactivity of CaO sorbent derived from four natural limestones. A significant increase in the reactivity of these sorbents was found for 30 cycles in the presence of steam (from 1-20%). Steam influences the sorbent reactivity in two ways. Steam present during calcination promotes sintering that produces a sorbent morphology with most of the pore volume associated with larger pores of ∼50 nm in diameter, and which appears to be relatively more stable than the pore structure that evolves when no steam is present. The presence of steam during carbonation reduces the diffusion resistance during carbonation. We observed a synergistic effect, i.e., the highest reactivity was observed when steam was present for both calcination and carbonation.

  10. Bitumen extraction from oil sands ore-water slurry using CaO (lime) and or ozone

    Energy Technology Data Exchange (ETDEWEB)

    Babadagli, T. [Society of Petroleum Engineers, Canadian Section, Calgary, AB (Canada)]|[Alberta Univ., Edmonton, AB (Canada); Burkus, Z.; Moschopedis, S.E.; Ozum, B. [Apex Engineering Inc., Calvert City, KY (United States)

    2008-10-15

    Reductions in the surface and interfacial tensions in oil sands ore-water slurry systems improve bitumen extraction processes from oil sands ore structures and promote the attachment of air bubbles to liberated bitumen droplets. This study provided details of a non-caustic bitumen extraction process where oil sands slurries were conditioned by bitumen asphaltenes modified to act as surfactants. Oil sands ore-water slurry extraction processes were optimized by adding lime (CaO) and oxidizing bitumen asphaltenes with ozone (O{sub 3}). Experiments were conducted using oil sands ore and process water samples from Alberta. Extraction tests were performed to investigate the effects of various CaO and O{sub 3} dosages and treatment retention times on bitumen extraction efficiency on operating temperatures of 20, 35 and 50 degrees C. A Dean-Stark extraction apparatus was used to determine the amount of bitumen contained in the ore, froth, and in left-over tailings. Process water and release water chemistry were also monitored. Bitumen extraction efficiency was defined as the percentage of bitumen recovered in the resulting froth. Use of the slurries allowed high extraction efficiencies at a temperature of 35 degrees C. Energy consumption and carbon dioxide (CO{sub 2}) emissions were also reduced. The study showed that both additions resulted in significant improvements in bitumen extraction efficiency. Use of the technique also eliminated the accumulation of Na{sup +} ions in produced water. It was concluded that further tests are needed in order to commercialize the CaO and O{sub 3} based techniques. 14 refs., 1 tab., 4 figs.

  11. Transesterification of palm oil to biodiesel by using waste obtuse horn shell-derived CaO catalyst

    International Nuclear Information System (INIS)

    Lee, Seik Lih; Wong, Yong Chen; Tan, Yen Ping; Yew, Sook Yan

    2015-01-01

    Highlights: • Cost effective CaO catalyst derived from waste obtuse horn shells. • The optimum biodiesel yield, 86.75% can be achieved under mild reaction conditions. • The catalyst can be reused up to 3 times with biodiesel yield more than 70%. • Deactivation of catalyst was due to leaching of CaO and pores-filling. - Abstract: The calcium oxide catalysts derived from waste obtuse horn shells were utilized in the transesterification of palm oil into biodiesel. This environment-friendly catalyst is thermally activated at 800 °C for 3 h. The resulting CaO catalyst was characterized using thermogravimetric analysis (TGA), X-ray diffraction (XRD), temperature-programmed desorption of CO 2 (TPD-CO 2 ), Brunauer–Emmett–Teller (BET) surface area analysis, and scanning electron microscopy (SEM). XRD patterns of calcined catalyst showed intense peaks of calcium oxide, consistent with XRF results that revealed calcium is the major element present in the obtuse horn shells. High calcination temperature (800 °C) tended to promote agglomeration of fine crystals, resulted in a smaller surface area (0.07 m 2 /g) as examined by BET. Catalytic activities in the transesterification process had been investigated using one-variable-at-a-time technique. The optimum palm oil conversion was 86.75% under reaction conditions of 6 h, 5 wt.% of catalyst amount and methanol to oil ratio of 12:1. Reusability of this waste shell derived catalyst was examined and results showed that the prepared catalysts are able to be reused up to 3 times with conversion of more than 70% after the third cycles. Although the reusability may not be excellent at the moment, it is still in the exploratory study. More efforts were done to improve its properties and stability

  12. O estatuto político da amizade: A Alma do Osso, de Cao Guimarães

    Directory of Open Access Journals (Sweden)

    Rafael de Almeida

    2013-06-01

    Full Text Available A partir do conceito de amizade proposto por Giorgio Agamben, este ensaio reflete, em uma interface entre estética e política, acerca das relações de poder presentes em A Alma do Osso (Cao Guimarães, 2004. O maior relevo é dado ao modo que o cineasta partilha, por meio do filme, sua existência com o ermitão Dominguinhos da Pedra, bem como as reverberações que isso garante à forma do documentário.

  13. Enhanced Ce{sup 3+} photoluminescence by Li{sup +} co-doping in CaO phosphor and its use in blue-pumped white LEDs

    Energy Technology Data Exchange (ETDEWEB)

    Hao, Zhendong, E-mail: haozd@ciomp.ac.cn; Zhang, Xia; Luo, Yongshi; Zhang, Ligong; Zhao, Haifeng; Zhang, Jiahua, E-mail: zhangjh@ciomp.ac.cn

    2013-08-15

    In this paper, we demonstrate a method to improve the photoluminescence of CaO: Ce{sup 3+} phosphor and delineate its first use in blue-pumped white LEDs. The results show that the yellow emission of Ce{sup 3+} is enhanced by a factor of 1.88 by adding Li{sup +} into CaO host at 474 nm blue light excitation. On analyzing the diffuse reflection spectra and fluorescence decay curves, we reveal that the photoluminescence enhancement is originated from the rise of absorbance to the excitation photons but not from the improvement of the luminescent efficiency. Li{sup +}-improved CaO: Ce{sup 3+} exhibits more red component when it is compared with the commercial Y{sub 3}Al{sub 5}O{sub 12}: Ce{sup 3+} (YAG: Ce{sup 3+}) phosphor, indicating its potential application for high color rendering white LEDs. Thus, a white LED is fabricated by combining blue InGaN LED chip with CaO: Ce{sup 3+}, Li{sup +} phosphor and a warm white light with high color rendering index (R{sub a}) of 80, low correlated color temperature (T{sub c}) of 4524 K, and sufficient luminous efficiency of 50 lm W{sup −1} is obtained. -- Highlights: • The photoluminescence of Ce{sup 3+} in CaO host was enhanced by Li{sup +} co-doping. • A CaO: Ce{sup 3+}, Li{sup +} based white LED was fabricated for the first time. • An efficient warm white light was obtained. • CaO: Ce{sup 3+}, Li{sup +} is expected to be used as a yellow phosphor for blue-pumped white LEDs.

  14. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... here to find out more. Dental Implant Surgery Dental Implant Surgery Dental implant surgery is, of course, surgery, ... here to find out more. Dental Implant Surgery Dental Implant Surgery Dental implant surgery is, of course, surgery, ...

  15. Solar light-facilitated oxytetracycline removal from the aqueous phase utilizing a H2O2/ZnWO4/CaO catalytic system

    Directory of Open Access Journals (Sweden)

    Pankaj Raizada

    2017-09-01

    Full Text Available A CaO-supported ZnWO4 nanocomposite (ZnWO4/CaO was successfully synthesized using a novel hydrothermal method and was characterized by scanning electron microscopy (SEM, tunnelling electron microscopy (TEM, X-ray diffraction (XRD, electron diffraction X-ray (EDX, Fourier transform infrared spectroscopy (FTIR and UV–visible (UV–vis spectral analysis. The ZnWO4/CaO composites exhibited rod-like morphologies with variable lengths from 45 nm to 147 nm and diameters from 26 nm to 36 nm. The catalytic efficiency of the synthesized ZnWO4/CaO composites was displayed for the photodegradation of oxytetracycline (OTC antibiotic from the aqueous phase. The synergistic degradation of OTC was investigated in the presence of H2O2 and ZnWO4/CaO. The rate of photodegradation followed pseudo-first-order kinetics. The antibiotic removal was strongly influenced by the catalyst loading, H2O2 concentration, pH and OTC concentration. Using a solar/H2O2/ZnWO4/CaO catalytic system, 85% COD removal was attained for OTC degradation in 210 min. The oxidative degradation occurred through hydroxyl radicals. The prepared nanocomposites possessed high recyclability and were easily separated from the aqueous solution by a simple sedimentation process.

  16. SeO{sub 2} adsorption on CaO surface: DFT study on the adsorption of a single SeO{sub 2} molecule

    Energy Technology Data Exchange (ETDEWEB)

    Fan, Yaming; Zhuo, Yuqun; Lou, Yu; Zhu, Zhenwu [Key Laboratory for Thermal Science and Power Engineering of Ministry of Education, Department of Thermal Engineering, Tsinghua University, Beijing 100084 (China); Li, Liangliang [Key Laboratory of Advanced Materials, Department of Material Science and Engineering, Tsinghua University, Beijing 100084 (China)

    2017-08-15

    Highlights: • Adsorption mechanisms of SeO{sub 2} on CaO surface under O{sub 2} were firstly studied by DFT. • The adsorption energies, bond length and electron density maps were calculated. • The electronic structure changes upon adsorption were studied. - Abstract: Selenium is a hazardous element in coal. During coal combustion, most of the selenium will convert to SeO{sub 2} in the flue gas. Ca-based adsorbents, especially CaO, have been considered as a potential sorbent to adsorb SeO{sub 2} due to its low cost. In this paper, the adsorption mechanisms of single SeO{sub 2} on CaO surface were investigated by density functional theory (DFT) calculation. Both the physisorption and chemisorption structures were determined. It has been identified that the adsorption of SeO{sub 2} on CaO surface is primarily chemisorption, while physisorption takes effects at the initial stage of the process. Under O{sub 2} atmosphere, selenate is hard to form. Most of the adsorption products are selenite. Additionally, the electron density maps were obtained to reveal the surface active sites. The partial density of states (PDOS) was calculated for analyzing the electronic structural change of SeO{sub 2} and CaO surface during adsorption. The results provide fundamental information of the adsorption process, which could be meaningful for the development of new absorbents.

  17. La teoría d el caos... Esa nube turbulenta que da qué pensar

    Directory of Open Access Journals (Sweden)

    Ruben Antonio Sánchez G.

    1999-10-01

    Full Text Available "Ver las cosas hasta el fondo...¿Y si las cosas no tuvieran fondo?iAh, que bella la superficie!Quizá la superficie sea la esenciaY lo que excede la superficie sea lo que excede a todoY lo que excede a todo no es nada./Oh rostro del mundo, sólo tu, de todos los rostros,Eres la propia alma que reflejas/”PESSOA, Fernando, Poemas inconjuntos 65.(En: Poesías completas de Alberto Caeiro. Valencia: Pre-textos, 1997, p.3 19.Este texto plantea algunos de los problemas suscitados por la teoría del caos.Es decir, pretende mostrar algunas de las cuestiones que han surgido a partir de la formulación de un modo de obtención de conocimiento que parece tener ventajas sobre otros y según algunos de sus difusores, constituye una revolución en la práctica y el saber científicos. En consecuencia, presentaremos a continuación un panorama de estos problemas 01 tanto que, por una parte, nos muestran las posibilidades y los límites de dicha teoría y , por otra, nos indican en qué sentido la teoría del caos puede dar qué pensar.

  18. Utilization of desulfurization gypsum to producing SO{sub 2} and CaO in multi-stage fluidized bed

    Energy Technology Data Exchange (ETDEWEB)

    Miao, Zhu; Wang, Tao; Yang, Hairui; Zhang, Hai; Zhang, Zuyi [Tsinghua Univ., Beijing (China). Dept. of Thermal Engineering; Ministry of Education, Beijing (China). Key Lab. for Thermal Science and Power Engineering

    2013-07-01

    With emission control becomes more and more stringent, flue gas desulphurization (FGD) is commonly employed for desulfurization. However, the product of FGD, gypsum, causes the unexpected environmental problems. How to utilize the byproduct of FGD effectively and economically is a challenging task. This paper proposed the new technical process to produce SO{sub 2} and CaO by reducing the gypsum in multi-stage fluidized bed reactor with different atmosphere. In addition, some preliminary experiments were carried out in PTGA. The results show that CO concentration has little effect on the initial decomposing temperature, but affect the decomposing rate of phosphogypsum obviously. The decomposing product composed of CaS and CaO simultaneously. The ratio of the two products was determined by CO concentration. Lower CO content benefits to produce more CO product and more SO{sub 2}. The decomposition reaction of phosphogypsum in reducing atmosphere is parallel competition reaction. Therefore, it is necessary to eliminate the effect of CaS and other byproduct efficiently by the new technology, which utilize multi-atmosphere in multistage fluidized bed reactors.

  19. Relevance of the Physicochemical Properties of Calcined Quail Eggshell (CaO as a Catalyst for Biodiesel Production

    Directory of Open Access Journals (Sweden)

    Leandro Marques Correia

    2017-01-01

    Full Text Available The CaO solid derived from natural quail eggshell was calcined and employed as catalyst to produce biodiesel via transesterification of sunflower oil. The natural quail eggshell was calcined at 900°C for 3 h, in order to modify the calcium carbonate present in its structure in CaO, the activity phase of the catalyst. Both precursor and catalyst were characterized using Hammett indicators method, X-ray fluorescence (XRF, X-ray diffraction (XRD, thermogravimetric analysis (TG/DTG, CO2 temperature-programmed desorption (CO2-TPD, X-ray photoelectronic spectroscopy (XPS, Fourier infrared spectroscopy (FTIR, scanning electron microscopy (SEM, N2 adsorption-desorption at −196°C, and distribution particle size. The maximum biodiesel production was of 99.00 ± 0.02 wt.% obtained in the following transesterification reaction conditions: XMR (sunflower oil/methanol molar ratio of 1 : 10.5 mol : mol, XCAT (catalyst loading of 2 wt.%, XTIME (reaction time of 2 h, stirring rate of 1000 rpm, and temperature of 60°C.

  20. Robotic surgery

    Science.gov (United States)

    ... with this type of surgery give it some advantages over standard endoscopic techniques. The surgeon can make ... Elsevier Saunders; 2015:chap 87. Muller CL, Fried GM. Emerging technology in surgery: Informatics, electronics, robotics. In: ...

  1. Nose Surgery

    Science.gov (United States)

    ... Patient Health Home Copyright © 2018 American Academy of Otolaryngology–Head and Neck Surgery. Reproduction or republication strictly ... Terms of Use © Copyright 2018. American Academy of Otolaryngology — Head and Neck Surgery 1650 Diagonal Rd Alexandria, ...

  2. After Surgery

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    ... side effects. There is usually some pain with surgery. There may also be swelling and soreness around ... the first few days, weeks, or months after surgery. Some other questions to ask are How long ...

  3. Thyroid Surgery

    Science.gov (United States)

    ... Hypothyroidism in Children and Adolescents Pediatric Differentiated Thyroid Cancer Thyroid Nodules in Children and Adolescents Thyroid Surgery Resources Thyroid Surgery Brochure PDF Thyroid Surgery FAQs PDF En Español Cirugia De La Tiroides El folleto de Cirugia De La Tiroides Search Thyroid ...

  4. Biodiesel production from palm oil using hydrated lime-derived CaO as a low-cost basic heterogeneous catalyst

    International Nuclear Information System (INIS)

    Roschat, Wuttichai; Siritanon, Theeranun; Yoosuk, Boonyawan; Promarak, Vinich

    2016-01-01

    Graphical abstract: Hydrated lime-derived CaO can be utilized as high efficient heterogeneous solid catalyst for transesterification of palm oil to biodiesel product. - Highlights: • CaO with high surface area and pore volume was successfully prepared from hydrated lime using a simple method. • Hydrated lime-derived CaO were used as a catalyst in transesterification of palm oil to biodiesel. • Over 97% FAME yield was achieved from transesterification of palm oil in 2 h. • This CaO has high potential for applications as green and low-cost catalyst. - Abstract: In this study, hydrated lime-derived calcium oxide (CaO) was used as a catalyst for the transesterification of palm oil. The catalysts were characterized by TG-DTA, XRD, XRF, FT-IR, SEM, Hammett indicator method, TPD-CO_2 and BET by N_2 adsorption. Under the optimal conditions at catalyst loading of 6 wt.%, methanol/oil molar ratio of 15:1, reaction temperature 65 °C, and stirring rate of 200 rpm; 97% yield of biodiesel could be achieved in 2 h. Effects of water amount were investigated and the catalyst could tolerate high water content of 5 wt.%. The kinetic of the reaction followed pseudo-first order with the activation energy (Ea) of 121.12 kJ/mol and frequency factor (A) of 1.203 × 10"1"7 min"−"1. After treatments, high quality biodiesel was obtained which indicated that the very cheap hydrated lime-derived CaO showed excellent catalytic activity and high potential for applications in biodiesel production.

  5. Study on high temperature desulphurization (Part 1). Comparison of CaO, ZnO, and Fe sub 2 O sub 3 as absorbents at high temperatures

    Energy Technology Data Exchange (ETDEWEB)

    Yumura, Motoo; Furimsky, E. (National Chemical Lab. for Industry, Tsukuba, (Japan))

    1989-06-29

    CaO, ZnO, and Fe{sub 2}O{sub 3} were used as adsorbents for H{sub 2}S removal to compare the H{sub 2}S removal and decomposition capacities at high temperature, and their desulphurization characteritics and reaction mechanisms were clarified. Evaluation of H{sub 2}S removal capacity, with the break point used as criterion, showed that increasing the temperature from 600 to 800{sup 0}C increased the H{sub 2}S removal in the presence of CaO but decreased it in the presence of Fe{sub 2}O{sub 3}. For ZnO, the temperature change had little effect on its adsorption. The bulk adsorption capacity was the largest for Fe{sub 2}O{sub 3} followed by CaO and ZnO. When the results were normalized to a unit of surface area, the adsorption capacity for ZnO was the largest followed by Fe{sub 2}O{sub 3} and CaO. In the presence of CaO, adsorption and decomposition started in the early stages while the adsorption of H{sub 2}S was accompanied by its decomposition in the presence of ZnO or Fe{sub 2}O{sub 3}. H{sub 2}S and S are oxidized in the presence of Fe{sub 2}O{sub 3} to produce SO{sub 2}, but no such reaction occurs with CaO or ZnO because it is thermodynamically disadvantageous. 2 refs., 4 figs., 2 tabs.

  6. The study of CaO and MgO heterogenic nano-catalyst coupling on transesterification reaction efficacy in the production of biodiesel from recycled cooking oil.

    Science.gov (United States)

    Tahvildari, Kambiz; Anaraki, Yasaman Naghavi; Fazaeli, Reza; Mirpanji, Sogol; Delrish, Elham

    2015-01-01

    Fossil fuels' pollution and their non-renewability have motivated the search for alternative fuels. Some common example of seed oils are sunflower oil, date seed oil, soy bean oil. For instance, soy methyl and soy-based biodiesel are the main biodiesel. Biodiesel is a clean diesel fuel that can be produced through transesterification reaction. Recycled cooking oil, on the other hand, is one of the inexpensive, easily available sources for producing biodiesel. This article is aimed at production of biodiesel via trans-esterification method, Nano CaO synthesis using sol-gel method, and Nano MgO synthesis using sol-gel self-combustion. Two catalysts' combination affecting the reaction's efficacy was also discussed. Optimum conditions for the reaction in the presence of Nano CaO are 1.5 % weight fracture, 1:7 alcohol to oil proportion and 6 h in which biodiesel and glycerin (the byproduct) are produced. Moreover, the optimum conditions for this reaction in the presence of Nano CaO and Nano MgO mixture are 3 % weight fracture (0.7 g of Nano CaO and 0.5 g of Nano MgO), 1:7 alcohols to oil proportion and 6 h. Nano MgO is not capable of catalyzing the transesterification by itself, because it has a much weaker basic affinity but when used with Nano CaO due to its surface structure, the basic properties increase and it becomes a proper base for the catalyst so that CaO contact surface increases and transesterification reaction yield significantly increases as well. This study investigates the repeatability of transesterification reaction in the presence of these Nano catalysts as well.

  7. The Effect of Mesoporous H-ZSM-5 Crystallinity as a CaO Support on the Transesterification of Used Cooking Oil

    Directory of Open Access Journals (Sweden)

    Amalia Putri Purnamasari

    2017-10-01

    Full Text Available Transesterification of used cooking oil was carried out over calcium oxide supported on mesoporous H-ZSM-5 prepared from kaolin as solid base catalysts. Solid basic catalysts investigated in this study were characterized by XRD, FTIR spectroscopy, and N2 adsorption-desorption techniques. The XRD pattern showed peaks corresponding to the CaO and mesoporous ZSM-5 in the sample. The peak intensity of the CaO increased as CaO loading in ZSM-5 was increased. The characterization based on FTIR spectroscopy revealed that CaO/H-ZSM-5 solids have functional groups characteristics of both CaO and mesoporous H-ZSM-5 which appeared in the band at around  550 cm-1 and 480 cm-1. The isotherm of N2 adsorption-desorption of CaO/H-ZSM-5 indicated the type IV isotherm with the presence of hysteresis loop. For the catalytic activity, the biodiesel yield using catalyst of 10 % CaO/HZSM-5 (100 %, 30 % CaO/HZSM-5 (100 %, 50 % CaO/HZSM-5 (100 % were 24.34, 27.37, and 29.73 %, respectively. It also related with the basic active site, when loading CaO increased, the basic active site also increased. Copyright © 2017 BCREC Group. All rights reserved Received: 21st November 2016; Revised: 8th March 2017; Accepted: 9th March 2017; Available online: 27th October 2017; Published regularly: December 2017 How to Cite: Purnamasari, A.P., Sari, M.E.F., Kusumaningtyas, D.T., Suprapto, S., Hamid, A., Prasetyoko, D. (2017. The Effect of Mesoporous H-ZSM-5 Crystallinity as a CaO Support on the Transesterification of Used Cooking Oil. Bulletin of Chemical Reaction Engineering & Catalysis, 12(3: 329-336 (doi:10.9767/bcrec.12.3.802.329-336

  8. Effect of CaO addition on preparation of ferrotitanium from ilmenite by electrochemical reduction in CaCl_2−NaCl molten salt

    International Nuclear Information System (INIS)

    Xiong, Li; Hua, Yixin; Xu, Cunying; Li, Jian; Li, Yan; Zhang, Qibo; Zhou, Zhongren; Zhang, Yadong; Ru, Juanjian

    2016-01-01

    Ferro-titanium (FeTi) alloy was prepared successfully from synthesized ilmenite through electrochemical reduction method in equal-molar CaCl_2−NaCl molten salt at 973 K and a cell voltage of 3.2 V under inert atmosphere, where molybdenum rod and graphite were used as cathode and anode respectively. It is indicated that the CaO content in the molten salt has an appreciable effect on the phase transformation of reactants occurring in the electrolytic process. The optimized CaO content in the molten salt is 1 mol% and this suitable content of CaO can significantly improve the reduction rate of ilmenite. The micromorphology of the ferrotitanium product is porous with the amount of 1 mol%CaO addition. It is observed that the particles of ferrotitanium had a uniform size in the initial period of time. Along with the electrolysis time extension, however, the particles connected with each other to generate strips and then form a honeycomb structure. These findings provide a basis for scientifically discussion on the optimization of CaO addition amount during the electrochemical reduction of ilmenite and other oxides in molten salts. - Highlights: • Ferro-titanium was prepared from synthesized ilmenite in CaCl_2−NaCl molten salt. • CaO content has appreciable effect on the phase transformation of ilmenite reactant. • The optimized CaO content is 1 mol% which can significantly improve reaction rate. • The products are connected with each other to form strips as electrolysis time.

  9. Effect of CaO addition on preparation of ferrotitanium from ilmenite by electrochemical reduction in CaCl{sub 2}−NaCl molten salt

    Energy Technology Data Exchange (ETDEWEB)

    Xiong, Li [Faculty of Metallurgical and Energy Engineering, Kunming University of Science and Technology, Kunming 650093 (China); State Key Lab of Complex Nonferrous Metal Resources Clean Utilization, Kunming 650093 (China); Hua, Yixin, E-mail: yxhua@kmust.edu.cn [Faculty of Metallurgical and Energy Engineering, Kunming University of Science and Technology, Kunming 650093 (China); State Key Lab of Complex Nonferrous Metal Resources Clean Utilization, Kunming 650093 (China); Xu, Cunying; Li, Jian; Li, Yan; Zhang, Qibo; Zhou, Zhongren; Zhang, Yadong [Faculty of Metallurgical and Energy Engineering, Kunming University of Science and Technology, Kunming 650093 (China); State Key Lab of Complex Nonferrous Metal Resources Clean Utilization, Kunming 650093 (China); Ru, Juanjian [Faculty of Material Science and Engineering, Kunming University of Science and Technology, Kunming 650093 (China)

    2016-08-15

    Ferro-titanium (FeTi) alloy was prepared successfully from synthesized ilmenite through electrochemical reduction method in equal-molar CaCl{sub 2}−NaCl molten salt at 973 K and a cell voltage of 3.2 V under inert atmosphere, where molybdenum rod and graphite were used as cathode and anode respectively. It is indicated that the CaO content in the molten salt has an appreciable effect on the phase transformation of reactants occurring in the electrolytic process. The optimized CaO content in the molten salt is 1 mol% and this suitable content of CaO can significantly improve the reduction rate of ilmenite. The micromorphology of the ferrotitanium product is porous with the amount of 1 mol%CaO addition. It is observed that the particles of ferrotitanium had a uniform size in the initial period of time. Along with the electrolysis time extension, however, the particles connected with each other to generate strips and then form a honeycomb structure. These findings provide a basis for scientifically discussion on the optimization of CaO addition amount during the electrochemical reduction of ilmenite and other oxides in molten salts. - Highlights: • Ferro-titanium was prepared from synthesized ilmenite in CaCl{sub 2}−NaCl molten salt. • CaO content has appreciable effect on the phase transformation of ilmenite reactant. • The optimized CaO content is 1 mol% which can significantly improve reaction rate. • The products are connected with each other to form strips as electrolysis time.

  10. Development of mechanical properties in a CaO added AZ31 magnesium alloy processed by equal-channel angular pressing

    Energy Technology Data Exchange (ETDEWEB)

    Bae, Seong-Hwan [Division of Materials Science and Engineering, Hanyang University, Seoul 133-791 (Korea, Republic of); Metal Forming Technology R& D Group, Korea Institute of Industrial Technology, Incheon 406-840 (Korea, Republic of); Jung, Ki Ho; Shin, Young-Chul; Yoon, Duk Jae [Metal Forming Technology R& D Group, Korea Institute of Industrial Technology, Incheon 406-840 (Korea, Republic of); Kawasaki, Megumi, E-mail: megumi@hanyang.ac.kr [Division of Materials Science and Engineering, Hanyang University, Seoul 133-791 (Korea, Republic of); Departments of Aerospace & Mechanical Engineering and Materials Science, University of Southern California, Los Angeles, CA 90089-1453 (United States)

    2016-02-15

    Processing through the application of equal-channel angular pressing (ECAP) is recognized as one of the attractive severe plastic deformation techniques where the processed bulk metals generally achieve ultrafine-grained microstructure leading to improved physical characteristics and mechanical properties. Magnesium has received much attention to date for its lightweight, high strength and excellent elasticity. Mg alloys with addition of CaO is reported to provide the successful casting procedure without usage of greenhouse gas, SF{sub 6}, whereas it is generally used for preventing the oxidation of Mg during casting. In the present investigation, a CaO added AZ31 (AZ31-CaO) magnesium alloy was processed by ECAP at elevated temepratures with a few steps of reduction which result in significant grain refinement to ~ 1.5 μm after 6 passes. Compression testing at room temperature demonstrated the AZ31-CaO alloy after ECAP showed enhanced yield strength more than the as-processed commercial AZ31 alloy while both alloys maintained ductility in spite of significant reduction in grain size. The improved strength in the AZ31-CaO alloy was attributed to the formation of fine Al{sub 2}Ca precipitates which experience breaking-up through ECAP and accelerate the microstructural refinement. Moreover, the preservation of ductility was attributed to the enhancement of strain hardening capability in the AZ31 alloy at room temperature. This study discusses the feasibility of using ECAP to improve both strength and ductility on magnesium alloys by applying the diagram describing the paradox of strength and ductility. - Highlights: • AZ31 and AZ31-CaO magnesium alloys were processed by ECAP up to 6 passes. • AZ31-CaO alloy after ECAP showed improved yield strength without losing ductility. • CaO in AZ31 forms fine Al{sub 2}Ca accelerating microstructural refinement during ECAP. • Feasibility of using ECAP was shown to improve both strength and ductility in Mg.

  11. Evaluation of the properties of the CaCO3CaO system for metallurgical use

    International Nuclear Information System (INIS)

    Tapia, O.; Grijalva, M.; Rodriguez, A.; Formoso, A.

    1999-01-01

    The principal goal of this work, is to make a preliminary and comparative study on the physical chemistry, structural and thermal properties of the metallurgical lime production using experimental, and in some cases industrial measurements. This is important, because the characterization of the CaCO 3 CaO system, predicts the dissolution grade of the lime on the slag solution in the steel making. The mineral is located on the border of Michoacan (Lazaro Cardenas)and the Guerrero states (La Union) Mexico. This study evidences limited properties of this lime, which is due to the thermal and physical chemistry behaviour of the obtained results of this material. However, it is necessary to make a study in the future about the kinetic behavior during decomposition. This is necessary because it is important to obtain an increase in the basic oxides concentration and a decrease in the loss of ignition, which is important for the competitive lime production. (Author) 25 refs

  12. Thermal and catalytic cracking of ethylene in presence of CaO, MgO, zeolite and calcined dolomite

    Energy Technology Data Exchange (ETDEWEB)

    Taralas, G; Sjoestroem, K; Jaeraas, S; Bjoernbom, E [Royal Inst. of Tech., Stockholm (Sweden). Dept. of Chemical Technology

    1994-12-31

    The subject of the present work is to study the effect of catalysts such as calcined dolomite (CaO.MgO), CaO (quicklime), MgO and Zeolite (EKZ-4) on the cracking of ethylene in the presence and absence of steam. N-heptane, toluene, naphthalene, thiophene have been some suitable model compounds for studies of the thermal and catalytic decomposition of tar. Previous results showed that the reaction scheme of the thermal decomposition of n-heptane was consistent with the high yield of ethylene observed in thermal decomposition of n-heptane. The effect of the reactor wall and the ferric impurities in the dolomite are also subjects of the research in this study. The results may also throw some additional light on the nature of the gas-phase thermal and catalytic reactions occurring in the use of dolomite as tar cracking catalysts. 28 refs

  13. Optical detection of magnetic resonance of the F-centre in CaO in its phosphorescent state

    International Nuclear Information System (INIS)

    Krap, C.J.

    1980-01-01

    The F-centre in CaO consists of two electrons trapped in an oxygen vacancy. The centre possesses bound excited states, of which the phosphorescent 3 Tsub(1u) state is a Jahn-Teller state. Jahn-Teller systems have been of interest in many investigations. However, detailed experimental studies about the relaxation paths for the Jahn-Teller states are relatively few. The author studies by means of optical detection of magnetic resonance (ODMR) and phosphorescence microwave double resonance (PMDR) techniques the relaxation between the components of the 3 Tsub(1u) state, the magnetic properties of the individual spin-vibronic Jahn-Teller states and the inhomogeneous line broadening in the ODMR and PMDR spectra. (Auth.)

  14. Transesterification of linoleic and oleic sunflower oils to biodiesel using CaO as a solid base catalyst

    Directory of Open Access Journals (Sweden)

    Predojević Zlatica

    2012-01-01

    Full Text Available The purpose of this work is to characterize biodiesel (i.e. methyl esters, MEs produced from linoleic and oleic sunflower oils (LSO and OSO, respectively by alkali transesterification with methanol and CaO as a heterogeneous catalyst under different reaction parameters. The parameters investigated were the methanol/oil molar ratio (4.5:1, 6:1, 7.5:1, 9:1 and 12:1 and the mass ratio of CaO to oil (2% and 3%. The physical and chemical properties of the feedstocks and MEs, like density at 15oC, kinematic viscosity at 40oC, acid value, iodine value, saponification value, cetane index, fatty acid (methyl ester composition, were determined in order to investigate the effects of LSO and OSO properties and reaction parameters on the product characteristics, yields and purity. The properties of feedstock had decisive effect on the physical and chemical properties of MEs as majority of them did not differ significantly under studied reaction conditions. The MEs produced generally met the criteria required for commercial biodiesel; in fact, the only exception was in the case of iodine value of ME produced from LSO. The product yields only slightly changed with the applied conditions; the highest yield (99.22% was obtained for ME-LSO produced at 6 mol% methanol to oil ratio, while the lowest one (93.20% was for ME-OSO produced under the lowest methanol/oil molar ratio (4.5:1. The applied catalyst amounts had similar influence on the oil conversion to biodiesel. The yields of ME-LSOs were in general somewhat higher than those obtained for ME-OSOs under the same conditions, which was attributed to the influence of the respective feedstocks' acid value and viscosity.

  15. Mechanisms of Vanadium Recovery from Stone Coal by Novel BaCO3/CaO Composite Additive Roasting and Acid Leaching Technology

    Directory of Open Access Journals (Sweden)

    Zhenlei Cai

    2016-03-01

    Full Text Available In this report, the vanadium recovery mechanisms by novel BaCO3/CaO composite additive roasting and acid leaching technology, including the phase transformations and the vanadium leaching kinetics, were studied. The purpose of this manuscript is to realize and improve the vanadium recovery from stone coal using BaCO3/CaO as the composite additive. The results indicated that during the composite additive BaCO3/CaO roasting process, the monoclinic crystalline structure of muscovite (K(Al,V2[Si3AlO10](OH2 was converted into the hexagonal crystalline structure of BaSi4O9 and the tetragonal crystalline structure of Gehlenite (Ca2Al2SiO7, which could, therefore, facilitate the release and extraction of vanadium. Vanadium in leaching residue was probably in the form of vanadate or pyrovanadate of barium and calcium, which were hardly extracted during the sulfuric acid leaching process. The vanadium leaching kinetic analysis indicated that the leaching process was controlled by the diffusion through a product layer. The apparent activation energy could be achieved as 46.51 kJ/mol. The reaction order with respect to the sulfuric acid concentration was 1.1059. The kinetic model of vanadium recovery from stone coal using novel composite additive BaCO3/CaO could be finally established.

  16. Structural insights into the light-driven auto-assembly process of the water-oxidizing Mn4CaO5-cluster in photosystem II.

    Science.gov (United States)

    Zhang, Miao; Bommer, Martin; Chatterjee, Ruchira; Hussein, Rana; Yano, Junko; Dau, Holger; Kern, Jan; Dobbek, Holger; Zouni, Athina

    2017-07-18

    In plants, algae and cyanobacteria, Photosystem II (PSII) catalyzes the light-driven splitting of water at a protein-bound Mn 4 CaO 5 -cluster, the water-oxidizing complex (WOC). In the photosynthetic organisms, the light-driven formation of the WOC from dissolved metal ions is a key process because it is essential in both initial activation and continuous repair of PSII. Structural information is required for understanding of this chaperone-free metal-cluster assembly. For the first time, we obtained a structure of PSII from Thermosynechococcus elongatus without the Mn 4 CaO 5 -cluster. Surprisingly, cluster-removal leaves the positions of all coordinating amino acid residues and most nearby water molecules largely unaffected, resulting in a pre-organized ligand shell for kinetically competent and error-free photo-assembly of the Mn 4 CaO 5 -cluster. First experiments initiating (i) partial disassembly and (ii) partial re-assembly after complete depletion of the Mn 4 CaO 5 -cluster agree with a specific bi-manganese cluster, likely a di-µ-oxo bridged pair of Mn(III) ions, as an assembly intermediate.

  17. SeO2 adsorption on CaO surface: DFT study on the adsorption of a single SeO2 molecule

    Science.gov (United States)

    Fan, Yaming; Zhuo, Yuqun; Lou, Yu; Zhu, Zhenwu; Li, Liangliang

    2017-08-01

    Selenium is a hazardous element in coal. During coal combustion, most of the selenium will convert to SeO2 in the flue gas. Ca-based adsorbents, especially CaO, have been considered as a potential sorbent to adsorb SeO2 due to its low cost. In this paper, the adsorption mechanisms of single SeO2 on CaO surface were investigated by density functional theory (DFT) calculation. Both the physisorption and chemisorption structures were determined. It has been identified that the adsorption of SeO2 on CaO surface is primarily chemisorption, while physisorption takes effects at the initial stage of the process. Under O2 atmosphere, selenate is hard to form. Most of the adsorption products are selenite. Additionally, the electron density maps were obtained to reveal the surface active sites. The partial density of states (PDOS) was calculated for analyzing the electronic structural change of SeO2 and CaO surface during adsorption. The results provide fundamental information of the adsorption process, which could be meaningful for the development of new absorbents.

  18. Multishelled CaO Microspheres Stabilized by Atomic Layer Deposition of Al2 O3 for Enhanced CO2 Capture Performance.

    Science.gov (United States)

    Armutlulu, Andac; Naeem, Muhammad Awais; Liu, Hsueh-Ju; Kim, Sung Min; Kierzkowska, Agnieszka; Fedorov, Alexey; Müller, Christoph R

    2017-11-01

    CO 2 capture and storage is a promising concept to reduce anthropogenic CO 2 emissions. The most established technology for capturing CO 2 relies on amine scrubbing that is, however, associated with high costs. Technoeconomic studies show that using CaO as a high-temperature CO 2 sorbent can significantly reduce the costs of CO 2 capture. A serious disadvantage of CaO derived from earth-abundant precursors, e.g., limestone, is the rapid, sintering-induced decay of its cyclic CO 2 uptake. Here, a template-assisted hydrothermal approach to develop CaO-based sorbents exhibiting a very high and cyclically stable CO 2 uptake is exploited. The morphological characteristics of these sorbents, i.e., a porous shell comprised of CaO nanoparticles coated by a thin layer of Al 2 O 3 (<3 nm) containing a central void, ensure (i) minimal diffusion limitations, (ii) space to accompany the substantial volumetric changes during CO 2 capture and release, and (iii) a minimal quantity of Al 2 O 3 for structural stabilization, thus maximizing the fraction of CO 2 -capture-active CaO. © 2017 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  19. Target Price Accuracy

    Directory of Open Access Journals (Sweden)

    Alexander G. Kerl

    2011-04-01

    Full Text Available This study analyzes the accuracy of forecasted target prices within analysts’ reports. We compute a measure for target price forecast accuracy that evaluates the ability of analysts to exactly forecast the ex-ante (unknown 12-month stock price. Furthermore, we determine factors that explain this accuracy. Target price accuracy is negatively related to analyst-specific optimism and stock-specific risk (measured by volatility and price-to-book ratio. However, target price accuracy is positively related to the level of detail of each report, company size and the reputation of the investment bank. The potential conflicts of interests between an analyst and a covered company do not bias forecast accuracy.

  20. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... out more. Corrective Jaw Surgery Corrective Jaw Surgery Orthognathic surgery is performed to correct the misalignment of jaws ... out more. Corrective Jaw Surgery Corrective Jaw Surgery Orthognathic surgery is performed to correct the misalignment of jaws ...

  1. GENERAL SURGERY

    African Journals Online (AJOL)

    in the endoscopy room. GENERAL SURGERY. T du Toit, O C Buchel, S J A Smit. Department of Surgery, University of the Free State, Bloemfontein, ... The lack of video instrumentation in developing countries: Redundant fibre-optic instruments (the old. “eye scope”) are still being used. This instrument brings endoscopists ...

  2. GENERAL SURGERY

    African Journals Online (AJOL)

    mean time to first surgery post burn was 11.5 days with a median volume of 0.73 mls/kg/% ..... Mode. Mean (SD). Upper limit. 95% CI. Lower limit. 95% CI. Mode. Elective surgery .... evaluating single-unit red blood cell transfusions in reducing.

  3. Choosing surgery

    DEFF Research Database (Denmark)

    Thorstensson, Carina; Lohmander, L; Frobell, Richard

    2009-01-01

    -depth qualitative interviews were conducted with young (aged 18-35), physically active individuals with ACL rupture who were participating in a RCT comparing training and surgical reconstruction with training only. 22/34 were randomised to training only but crossed over to surgery. Of these, 11 were interviewed......ABSTRACT: BACKGROUND: The objective was to understand patients' views of treatment after acute anterior cruciate ligament (ACL) injury, and their reasons for deciding to request surgery despite consenting to participate in a randomised controlled trial (to 'cross-over'). METHODS: Thirty-four in...... before surgery, and 11 were interviewed at least 6 months after surgery. To provide additional information, 12 patients were interviewed before randomisation. Interviews were audio-recorded, transcribed and analysed using the Framework approach. RESULTS: Strong preference for surgery was commonplace...

  4. Virtual planning in orthognathic surgery

    DEFF Research Database (Denmark)

    Stokbro, K.; Aagaard, E.; Torkov, P.

    2014-01-01

    and accuracy of three-dimensional (3D) virtual surgical planning of orthognathic procedures compared with the actual surgical outcome following orthognathic surgery reported in clinical trials. A systematic search of the current literature was conducted to identify clinical trials with a sample size of more...

  5. Desulfurization and oxidation behavior of ultra-fine CaO particles prepared from brown coal; Kattan wo mochiite choseishita CaO chobiryushi no datsuryu tokusei to sanka tokusei

    Energy Technology Data Exchange (ETDEWEB)

    Benjamin, G.; Roman, M.; Yamazaki, Y.; Abe, H.; Harano, Y.; Takarada, Y. [Gunma University, Gunma (Japan). Faculty of Engineering

    1996-10-28

    The effect of reaction temperature and oxygen concentration on the desulfurization and oxidation behavior of ion-exchanged brown coal by Ca as new desulfurizing agent was studied. In experiment, Yallourn coal was used for ion- exchange, and limestone produced in Tochigi prefecture was also used for comparative study. Ca-exchanged brown coal was prepared by agitating coal in Ca(OH)2 slurry for 24 hours. The desulfurization behavior of a desulfurizing agent was obtained by measuring H2S and sulfur compounds in outlet gas of a reactor, and the oxidation behavior by measuring SO2 emission in outlet gas after oxidation reaction. As the experimental result, CaO produced from Ca-exchanged brown coal offered the extremely high activity to desulfurization reaction in a temperature range of 850-950{degree}C as compared with limestone. Although the oxidation behavior was dependent on oxidation temperature and oxygen concentration, CaS obtained from Ca-exchanged brown coal was more rapidly converted to CaSO4 than limestone. 3 refs., 8 figs., 2 tabs.

  6. Surgery for adrenal tumors

    International Nuclear Information System (INIS)

    Salamah, S.M.

    2002-01-01

    Objective: To analyze the presentation, localization, pathology, surgical management and outcome of surgery for adrenal gland tumors. Design: Prospective clinico epidemiological study. Place and Duration of Study: The study was conducted at the Department of General Surgery, University Unit, Riyadh medical Complex Kingdom of Saudi Rabia from June, 1991 to may, 2001. Subjects and Methods: A total of 21 cases with adrenal tumors were studied for demographic data, clinical presentation, diagnostic workup, localization, surgical management, pathology and outcome. The outcome of these patients was followed prospectively. Results: The study included 12 female and 9 male patients. The mean age at surgery was 36.7 years. Hypertension (69.%) was the commonest presentation in hypersecretory functional tumors. The localization accuracy for ultrasonography, computerized tomography, MRI and MIBG scan was 95.2%, 98.3% 87.8% and 83.6% respectively. Pheochromocytoma was the most common adrenal pathology observed in 14 (66.6%) cases. The overall morbidity was 19% with no hospital mortality. Complete follow-up of available 19 patients (90.5 %) revealed no tumor recurrence and persistent hypertension in 14.3% cases. Conclusion: surgery on adrenal glands is safe in experienced hands and is recommended in institutes with all backup facilities. (author)

  7. Cataract Surgery

    Science.gov (United States)

    ... Oncology Oculoplastics/Orbit Refractive Management/Intervention Retina/Vitreous Uveitis Focus On Pediatric Ophthalmology ... Are Cataracts? Pediatric Cataracts Cataract Diagnosis and Treatment Cataract Surgery IOL Implants: Lens Replacement After Cataracts ...

  8. Brain surgery

    Science.gov (United States)

    Craniotomy; Surgery - brain; Neurosurgery; Craniectomy; Stereotactic craniotomy; Stereotactic brain biopsy; Endoscopic craniotomy ... cut depends on where the problem in the brain is located. The surgeon creates a hole in ...

  9. Foot Surgery

    Science.gov (United States)

    ... coding trends along with compliance guidelines and practice marketing materials, APMA has you covered whether you are ... crutches after the surgery or in a cast. Fusions: Fusions are usually performed to treat arthritic or ...

  10. Hemorrhoid surgery

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/002939.htm Hemorrhoid surgery To use the sharing features on this page, please enable JavaScript. Hemorrhoids are swollen veins around the anus. They may ...

  11. PLASTIC SURGERY

    African Journals Online (AJOL)

    Department of Plastic and Reconstructive Surgery Sefako Makgatho Health Science University, ... We report on a pilot study on the use of a circumareolar excision and the use of .... and 1 gynecomastia patient) requested reduction in NAC size.

  12. GENERAL SURGERY

    African Journals Online (AJOL)

    influence medical students in pursuing a career in surgery. ... training, females reported significantly higher levels of agreement that surgical training would be better overseas when ..... mentoring surgical research or educational lectures and.

  13. GENERAL SURGERY

    African Journals Online (AJOL)

    1 Department of Surgery, Nelson R Mandela School of Medicine, University of ... in 51 reports. Four reports were illegible; one was conducted by a junior consultant, two by a fourth year trainee specialist ... The study period was 12 months from.

  14. Sinus Surgery

    Science.gov (United States)

    ... sinus computed tomography (CT) scan (without contrast), nasal physiology (rhinomanometry and nasal cytology), smell testing, and selected ... altered anatomical landmarks, or where a patient’s sinus anatomy is very unusual, making typical surgery difficult. Image ...

  15. Emergency surgery

    DEFF Research Database (Denmark)

    Stoneham, M; Murray, D; Foss, N

    2014-01-01

    National reports recommended that peri-operative care should be improved for elderly patients undergoing emergency surgery. Postoperative mortality and morbidity rates remain high, and indicate that emergency ruptured aneurysm repair, laparotomy and hip fracture fixation are high-risk procedures...... undertaken on elderly patients with limited physiological reserve. National audits have reported variations in care quality, data that are increasingly being used to drive quality improvement through professional guidance. Given that the number of elderly patients presenting for emergency surgery is likely...

  16. Effect of CaO Addition on the High-Temperature Oxidation of AM30 Magnesium Alloys

    International Nuclear Information System (INIS)

    Won, Sung-Bin; Lee, Dong Bok

    2014-01-01

    AM30 + (0, 0.5, 1, 1.5) wt%CaO magnesium alloys were cast and oxidized at 625 ℃ and 650 ℃ in atmospheric air. The CaO particles that were added during casting allowed casting the AM30 alloys in air without using environmentally hazardous SF_6 or SO_2 gases. They decomposed to dissolve in the α-Mg matrix and also to precipitate along the matrix grain boundaries as Al_2Ca during casting. The ignition temperatures were 584.6 ℃ for AM30, 604.5 ℃ for AM30 + 0.5 wt%CaO, and 691.7 ℃ for AM30 + 1 wt%CaO. No ignition occurred for AM30 + 1.5 wt%CaO up to 700 ℃. During oxidation, CaO-rich oxide scales formed on the alloy surface, which prevented direct contact of the alloy with air and fast oxidation of the alloy in air

  17. Effect of CaO Addition on the High-Temperature Oxidation of AM30 Magnesium Alloys

    Energy Technology Data Exchange (ETDEWEB)

    Won, Sung-Bin; Lee, Dong Bok [Sungkyunkwan University, Suwon (Korea, Republic of)

    2014-03-15

    AM30 + (0, 0.5, 1, 1.5) wt%CaO magnesium alloys were cast and oxidized at 625 ℃ and 650 ℃ in atmospheric air. The CaO particles that were added during casting allowed casting the AM30 alloys in air without using environmentally hazardous SF{sub 6} or SO{sub 2} gases. They decomposed to dissolve in the α-Mg matrix and also to precipitate along the matrix grain boundaries as Al{sub 2}Ca during casting. The ignition temperatures were 584.6 ℃ for AM30, 604.5 ℃ for AM30 + 0.5 wt%CaO, and 691.7 ℃ for AM30 + 1 wt%CaO. No ignition occurred for AM30 + 1.5 wt%CaO up to 700 ℃. During oxidation, CaO-rich oxide scales formed on the alloy surface, which prevented direct contact of the alloy with air and fast oxidation of the alloy in air.

  18. An electroamalgamation approach to separate 47Sc from neutron activated CaO target for use in cancer theranostics

    International Nuclear Information System (INIS)

    Chakravarty, Rubel; Chakraborty, Sudipta; Dash, Ashutosh

    2016-01-01

    Over the last few years, 47 Sc has attracted significant attention for potential use in cancer theranostics due to its favorable nuclear decay characteristics (t 1/2 = 3.35 d; average β energy, 162 keV; Eγ, 159 keV). No-carrier-added (NCA) 47 Sc can be produced via the 46 Ca(n,γ)→ 47 Sc reaction in a nuclear reactor. For this purpose, 1 mg of CaO (98 % enrichment of 46 Ca) target was irradiated for 7 d at a flux of 1 × 10 14 n.cm -2 .s -1 at the Dhruva reactor of our research centre. The irradiated target was dissolved in 5 ml of 1 M HCl inside a lead shielded facility. The resultant solution was evaporated to near dryness, reconstituted in 20 ml of 0.15 M lithium citrate solution and transferred to the electrochemical cell. The electrochemical separation involved selective amalgamation of Ca from Ca/Sc mixture into mercury-pool cathode. The influence of different experimental parameters (such as applied potential, pH of the electrolyte, time of electrolysis and amount of Ca 2+ ions in the electrolyte) on the separation process was investigated and optimized for the quantitative electroamalgamation of Ca

  19. Structural analysis of jewelry from the Moche tomb of the `lady of Cao' by X-ray digital radiography

    Science.gov (United States)

    Azeredo, S. R.; Cesareo, R.; Franco, R.; Fernandez, A.; Bustamante, A.; Lopes, R. T.

    2018-04-01

    Nose ornaments from the tomb of the `Lady of Cao', a mummified woman representative of the Moche culture and dated to the third-or-fourth century AD, were analyzed by X-ray digital radiography. These spectacular gold and silver jewels are some of the most sophisticated metalworking ever produced in ancient America. The Mochecivilization flourished along the north coast of present-day Peru, between the Andes and the Pacific Ocean, approximately between 100 and 600 AD. The Moche were very sophisticated artisans and metal smiths, being considered the finest producers of jewels and artifacts of the region. A portable X-ray digital radiography (XDR) system consisting of a flat panel detector with high resolution image and a mini X-ray tube was used for the structural analysis of the Moche jewels aiming at inferring different joining methods of the silver-gold sheets. The radiographic analysis showed some differences in the joint of the silver-and-gold sheets. Presence of filler material and adhesive for joining the silver-and-gold sheets was visible as well as silver-gold junctions without filler material (or with a material invisible in radiography). Furthermore, the technique demonstrated the advantage of using a portable XDR micro system when the sample cannot be brought to the laboratory.

  20. Biodiesel Production From the Microalgae Nannochloropsis by Microwave Using CaO and MgO Catalysts

    Directory of Open Access Journals (Sweden)

    Herman Hindarso

    2015-02-01

    Full Text Available The needs of world petroleum are increased; in contrast, the fuel productions are getting decreased. Therefore, it has lead to the search for bio-fuel as an alternative energy. There are several different types of biofuel, such as biodiesel, ethanol, bioalcohol, and biogas. Biodiesel is typically made by chemically reacting lipids from a vegetable oil or animal fat with an alcohol producing fatty acid esters, such as methyl or ethyl ester. The present study aimed to study the effect of temperature (50, 60 and 65°C, reaction time (1 to 5 minutes dan types of catalyst (CaO dan MgO of 1 and 3 % in the production of biodiesel from microalgae by the transesterification process using microwave methods. It also studied the characteristics of biodiesel which had the greatest yield in the present study, i.e. flash point, cetane number, density, viscosity, and FAME. The greatest yield was 99.35% and obtained with combination of 3% MgO catalyst quantity at temperature of 60°C, in 3 minutes reaction time. At this process conditions, the biodiesel has a flash point of 122°C, cetane number of 55, density of  0.89, viscosity of 5 cP and FAME of 75.12 %.

  1. CONTROLE DE COHERENCE ET DE FAISABILITE DE PROJETS DANS UN SYSTEME DE C.A.O. BATIMENT

    Directory of Open Access Journals (Sweden)

    M BELACHIA

    2001-06-01

    Full Text Available Le contrôle de la cohérence et de la faisabilité est devenu une préoccupation essentielle pour les développeurs de systèmes de C.A.O, car les concepteurs et les utilisateurs ont besoin d’outils pour vérifier la validité de leur conception. Nous supposons qu’une large partie de ce contrôle est intégrée dans les modules techniques. Cependant, plus particulièrement lors de l’étude des phases précoces de conception, il s’avère indispensable d’identifier les causes des dysfonctionnements. Après une analyse des différents types d’anomalies que nous pouvons rencontrer durant le processus de conception pouvant conduire à des incohérences ou des «non faisabilité» d’un projet, nous avons déduit les méthodes appropriées pour informer les utilisateurs à bon escient. Elles sont généralement basées sur des vérifications automatiques et transparentes avec des possibilités de reports de déclenchement des contrôles.

  2. ¿Caos en el electrocardiograma de estudiantes con miedo a volar? Un análisis de no linealidad

    Directory of Open Access Journals (Sweden)

    Jordi Llabrés

    2005-01-01

    Full Text Available La Teoría del Caos proporciona una nueva forma de analizar las respuestas psicofisiológicas asociadas a los trastornos de ansiedad. Pero para poder aplicar los métodos de análisis no lineal de esta relativamente reciente teoría, primero es necesario comprobar la existencia de algún tipo de no linealidad que justifique su uso. En este estudio experimental se analiza, mediante el procedimiento de los datos vicarios, la no linealidad de las señales generadas por el sistema cardiovascular (ECG de estudiantes con y sin miedo a volar, en diferentes condiciones de estimulación. Los errores de predicción de las series vicarias fueron siempre mayores que los de las correspondientes series empíricas (p < 0,05, demostrándose así que las señales ECG, en todos los sujetos y en todas las condiciones, presentan propiedades no lineales y que por tanto resulta adecuado analizarlas desde planteamientos no lineales para obtener conocimiento acerca de su complejidad, entropía, regularidad, etc.

  3. Diagnosing Eyewitness Accuracy

    OpenAIRE

    Russ, Andrew

    2015-01-01

    Eyewitnesses frequently mistake innocent people for the perpetrator of an observed crime. Such misidentifications have led to the wrongful convictions of many people. Despite this, no reliable method yet exists to determine eyewitness accuracy. This thesis explored two new experimental methods for this purpose. Chapter 2 investigated whether repetition priming can measure prior exposure to a target and compared this with observers’ explicit eyewitness accuracy. Across three experiments slower...

  4. Tennis elbow surgery

    Science.gov (United States)

    Lateral epicondylitis - surgery; Lateral tendinosis - surgery; Lateral tennis elbow - surgery ... Surgery to repair tennis elbow is often an outpatient surgery. This means you will not stay in the hospital overnight. You will be given ...

  5. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... and Craniofacial Surgery Cleft Lip/Palate and Craniofacial Surgery A cleft lip may require one or more ... find out more. Corrective Jaw Surgery Corrective Jaw Surgery Orthognathic surgery is performed to correct the misalignment ...

  6. Mohs micrographic surgery

    Science.gov (United States)

    Skin cancer - Mohs surgery; Basal cell skin cancer - Mohs surgery; Squamous cell skin cancer - Mohs surgery ... Mohs surgery usually takes place in the doctor's office. The surgery is started early in the morning and is ...

  7. “El carácter total del mundo” Esbozo de una ontología del caos en Nietzsche

    Directory of Open Access Journals (Sweden)

    Luis Eduardo Gama

    2017-01-01

    Full Text Available Largamente desatendida o malinterpretada, la noción de caos en la filosofía de Nietzsche es una pieza constitutiva de la particular concepción del ser que este autor habría dejado apenas esbozada. El artículo se propone elaborar este concepto en la obra nietzscheana, siguiendo algunas de las metáforas que lo iluminan (las estrellas, el texto y el mundo. Desde allí se busca plantear los rasgos centrales de una ontologia del caos, de sesgo no metafísico, que, al afirmar el carácter acontecimental de la realidad, puede verse como precursora de la ontología hermenéutica contemporánea.

  8. OPTIMASI SUHU REAKSI TRANSESTERIFIKASI PADA MINYAK JERAMI PADI (ORYZA SATIVA L. MENJADI BIODIESEL DENGAN MENGGUNAKAN KATALIS CAO DARI KULIT TELUR AYAM

    Directory of Open Access Journals (Sweden)

    Tasik Sinta

    2016-11-01

    Full Text Available The research on optimization of transesterification temperature for production of biodiesel from rice straw oil (Oryza sativa L. using CaO catalyst derived from the chicken egg skin has been conducted. Production of biodiesel was conducted at varied temperatures, namely 30oC, 40oC, 50oC, 60oC and 70oC. The fatty acid compositions of the transesterification products were determined by using GC-MS and the physical and chemical characteristics were determined using SNI Methods 04-7182-2006. The AAS result suggested that the chicken egg skin contained 91.41% CaO. The optimum transesterification temperature was 60oC producing 90,8405% methyl ester. The results of GC-MS showed that the highest percentage of fatty acid was methyl oleic (44.56%.

  9. Characterization and Utilization of Calcium Oxide (CaO) Thermally Decomposed from Fish Bones as a Catalyst in the Production of Biodiesel from Waste Cooking Oil

    OpenAIRE

    Aldes Lesbani; Sabat Okta Ceria Sitompul; Risfidian Mohadi; Nurlisa Hidayati

    2016-01-01

    Thermal decomposition of fish bones to obtain calcium oxide (CaO) was conducted at various temperatures of 400, 500, 800, 900, 1000, and 1100 °C. The calcium oxide was then characterized using X-ray diffractometer, FTIR spectrophotometer, and SEM analysis. The calcium oxide obtained from the decomposition at 1000 °C was then used as a catalyst in the production of biodiesel from waste cooking oil. Diffraction pattern of the calcium oxide produced from decomposition at 1000...

  10. CaO Nanocatalyst for Transesterification Reaction of Palm Oil to Biodiesel: Effect of Precursor’s Concentration on the Catalyst Behavior

    Science.gov (United States)

    Hassan, N.; Ismail, K. N.; Hamid, K. H. Ku; Hadi, Abdul

    2018-05-01

    Depletion of fossil fuel sources in a few decades due to industrialization and motorization has led to a keen interest in the production of alternative fuels like biodiesel. Research on the development and improvement of more efficient transesterification process for biodiesel production has attain great attention in the last decade. The using of low cost catalyst is one of the main focuses on the biodiesel production. As a basic heterogeneous catalyst, CaO has been examined in the transesterification of vegetable oils for biodiesel production. In this research, calcium oxide (CaO-X) catalysts were prepared by sol-gel method at different Ca2+ precursor concentration (X = 1.0, 1.5, 2.0 M). The crystalline structure and morphology of the synthesized catalysts were characterized by means of x-ray diffraction (XRD) and N2 adsorption-desorption analysis. All the synthesized catalysts were then applied to transesterification reaction of palm oil to produce biodiesel. The characterization by x-ray diffraction demonstrate CaO-1.0 was partially hydrated due to the incomplete reaction during synthesis. As a matter of fact, formation of H2O on the surface of CaO causes lower basic strength of the catalysts, thus responsible in lowering the catalytic activity. It is demonstrated that CaO-2.0 exhibits mesoporous structure with least chemisorb amount of H2O on the catalysts surface has a very active catalytic activity. It was found that 2.0M of calcium precursor has high catalytic activity and 81% FAME yield was obtained within 3h reaction.

  11. Preparation, structural characterization, and in vitro cell studies of three-dimensional SiO2-CaO binary glass scaffolds built ofultra-small nanofibers.

    Science.gov (United States)

    Luo, Honglin; Li, Wei; Ao, Haiyong; Li, Gen; Tu, Junpin; Xiong, Guangyao; Zhu, Yong; Wan, Yizao

    2017-07-01

    Three-dimensional (3D) nanofibrous scaffolds hold great promises in tissue engineering and regenerative medicine. In this work, for the first time, 3D SiO 2 -CaO binary glass nanofibrous scaffolds have been fabricated via a combined method of template-assisted sol-gel and calcination by using bacterial cellulose as the template. SEM with EDS, TEM, and AFM confirm that the molar ratio of Ca to Si and fiber diameter of the resultant SiO 2 -CaO nanofibers can be controlled by immersion time in the solution of tetraethyl orthosilicate and ethanol. The optimal immersion time was 6h which produced the SiO 2 -CaO binary glass containing 60at.% Si and 40at.% Ca (named 60S40C). The fiber diameter of 60S40C scaffold is as small as 29nm. In addition, the scaffold has highly porous 3D nanostructure with dominant mesopores at 10.6nm and macropores at 20μm as well as a large BET surface area (240.9m 2 g -1 ), which endow the 60S40C scaffold excellent biocompatibility and high ALP activity as revealed by cell studies using osteoblast cells. These results suggest that the 60S40C scaffold has great potential in bone tissue regeneration. Copyright © 2017 Elsevier B.V. All rights reserved.

  12. Response surface methodology investigation into optimization of the removal condition and mechanism of Cr(Ⅵ) by Na2SO3/CaO.

    Science.gov (United States)

    Zhao, Shengxin; Chen, Zhonglin; Shen, Jimin; Kang, Jing; Qu, Yanfeng; Wang, Binyuan; Wang, Xin; Yuan, Lie

    2017-11-01

    The removal of Cr(Ⅵ) by chemical reduction-precipitation is widely applied in wastewater treatment plants. Nevertheless, the formation of Cr(OH) 3 with gel properties has weak settlement performance, making it necessary to add a coagulant aid to reduce the settling time and improve the settling effect. In this investigation, a high concentration of Cr(Ⅵ) was removed using Na 2 SO 3 as a reducing agent and CaO as a coagulant. An improved reduction and precipitation experiment was modeled by applying a three-factor central composite experimental design (CCD). To reveal as many mechanisms as possible for Cr T removal, other verification experiments were performed. The Cr T removal efficiency decreased, which can be explained by the following three reasons: dissolution of Cr(Ⅲ), competition for adsorption between Ca 2+ and Cr(Ⅲ) at different coagulation times, and formation of a solubility complex with Cr(Ⅲ) due to the surplus SO 3 2- in solution. The increasing Cr T removal efficiency can be explained by the following two reasons: dissolved Ca 2+ from CaO can neutralize CrO 2 - that is produced by the dissolution of Cr(OH) 3 in alkaline solution and can broaden the optimal final pH range of coagulation. Ca 2+ could also strengthen the Cr T removal through adsorption bridging and co-precipitation with CaO as the core of flocs. Copyright © 2017 Elsevier Ltd. All rights reserved.

  13. SeO2 adsorption on CaO surface: DFT and experimental study on the adsorption of multiple SeO2 molecules

    Science.gov (United States)

    Fan, Yaming; Zhuo, Yuqun; Li, Liangliang

    2017-10-01

    SeO2 adsorption mechanisms on CaO surface were firstly investigated by both density functional theory (DFT) calculations and adsorption experiments. Adsorption of multiple SeO2 on the CaO (001) surface was investigated using slab model. Based on the results of adsorption energy and surface property, a double-layer adsorption mechanisms were proposed. In experiments, the SeO2 adsorption products were prepared in a U-shaped quartz reactor at 200 °C. The surface morphology was investigated by field emission scanning electron microscopy (FE-SEM). The superficial and total SeO2 mass fractions were measured by X-ray photoelectron spectroscopy (XPS) and inductively coupled plasma atomic emission spectroscopy (ICP-AES), respectively. The surface valence state and bulk structure are determined by XPS and X-Ray Diffraction (XRD). The experimental results are in good agreement with the DFT results. In conclusion, the fundamental SeO2 chemisorption mechanisms on CaO surface were suggested.

  14. Telescope Innovations Improve Speed, Accuracy of Eye Surgery

    Science.gov (United States)

    2013-01-01

    One of the main components of NASA's vision for the future of space exploration will actually have a keen eye for the past. The James Webb Space Telescope (JWST), scheduled to launch in 2018, will have spectacular sight, after it reaches orbit, one of its main goals is to observe the first galaxies that formed in the early universe. "JWST offers new capabilities in the infrared well beyond what we can see from current telescopes, either on the ground or in space. It will let us explore the early universe, extrasolar planets, and really, all branches of astrophysics," says Lee Feinberg, optical telescope element manager for the JWST at Goddard Space Flight Center. Building such a keen space telescope is an astronomic task. Because JWST will gaze over such incredible distances, it requires very large mirrors. In fact, the primary mirror will be more than two stories in diameter and consists of 18 separate segments. Each segment must be perfectly smooth, flat, and scratch-free in order to deliver a view 13 billion light years away. Construction of the 18 mirror segments involved measuring, grinding, polishing, and testing - and more measuring, grinding, polishing, and testing - and more measuring, grinding, polishing, and testing (you get the idea). One of the most time consuming steps of the mirror development process, the grinding phase, can take years.

  15. Orthognathic Surgery

    DEFF Research Database (Denmark)

    Kjærgaard Larsen, Marie; Thygesen, Torben Henrik

    2016-01-01

    The literature shows that the indications for orthognathic surgery (OS) are often functional problems and unsatisfactory facial esthetics. This study investigated the esthetic outcomes and overall satisfaction following OS. Somatosensory change is a relatively common complication and its influence...... on the level of satisfaction was studied. The social-networking web site Facebook was used to identify the study population. An online questionnaire was performed using the website SurveyMonkey. In all, 105 (9%) respondents from the Danish Facebook group about OS, called Kaebeoperation (jaw surgery), were...... in beauty than women (P = 0.030). Sixty-four percent replied that their attractiveness had been increased after OS. Eighty-six percent were happy with the results and 89% would recommend the surgery to others in need. No significant differences in esthetic results and satisfaction were seen with regard...

  16. Overlay accuracy fundamentals

    Science.gov (United States)

    Kandel, Daniel; Levinski, Vladimir; Sapiens, Noam; Cohen, Guy; Amit, Eran; Klein, Dana; Vakshtein, Irina

    2012-03-01

    Currently, the performance of overlay metrology is evaluated mainly based on random error contributions such as precision and TIS variability. With the expected shrinkage of the overlay metrology budget to DBO (1st order diffraction based overlay). It is demonstrated that the sensitivity of DBO to overlay mark asymmetry is larger than the sensitivity of imaging overlay. Finally, we show that a recently developed measurement quality metric serves as a valuable tool for improving overlay metrology accuracy. Simulation results demonstrate that the accuracy of imaging overlay can be improved significantly by recipe setup optimized using the quality metric. We conclude that imaging overlay metrology, complemented by appropriate use of measurement quality metric, results in optimal overlay accuracy.

  17. Intestinal Surgery.

    Science.gov (United States)

    Desrochers, André; Anderson, David E

    2016-11-01

    A wide variety of disorders affecting the intestinal tract in cattle may require surgery. Among those disorders the more common are: intestinal volvulus, jejunal hemorrhage syndrome and more recently the duodenal sigmoid flexure volvulus. Although general principles of intestinal surgery can be applied, cattle has anatomical and behavior particularities that must be known before invading the abdomen. This article focuses on surgical techniques used to optimize outcomes and discusses specific disorders of small intestine. Diagnoses and surgical techniques presented can be applied in field conditions. Copyright © 2016 Elsevier Inc. All rights reserved.

  18. Caos determinístico em um modelo simplificado de cadeia produtiva Deterministic chaos in simplified supply chain model

    Directory of Open Access Journals (Sweden)

    Júlio César Bastos de Figueiredo

    2013-06-01

    Full Text Available Este trabalho tem por objetivo apresentar um modelo teórico simplificado de cadeia produtiva onde as relações entre o número de competidores, os tempos de resposta para ajustes da produção e a intensidade da resposta das empresas levam intrinsecamente ao surgimento de oscilações caóticas na oferta e na demanda. No modelo proposto, desenvolvido com o uso da metodologia de dinâmica de sistemas, as flutuações irregulares na demanda e nos preços estão intimamente relacionadas com a própria estrutura da cadeia, ou seja, com suas regras, políticas e capacidades produtivas. São feitas considerações sobre a importância do estudo de caos aplicado à economia e são discutidas técnicas para caracterização de comportamento caótico em séries econômicas.The purpose of this study was to present a simplified supply chain model where the relations between the number of competitors, the delay in production adjustments, and the intensity response of each company lead, intrinsically, to the emergence of chaotic oscillations in supply and demand. In the considered model, developed with the use of the System Dynamics methodology, the irregular fluctuations in demand and prices are closely related to the supply chain structure, that is, its rules, policies and capabilities. Discussions about the importance of the study of chaos applied to the economy are developed and specific techniques for characterization of chaotic behavior in economic time series are presented.

  19. Um plano sobre o caos (reflexão acerca do evento A plan on chaos (a reflection on event

    Directory of Open Access Journals (Sweden)

    Ana Lúcia M. de Oliveira

    1995-02-01

    Full Text Available Inspirado no método das investigações wittgensteinianas, este ensaio parte de um breve estudo sobre a forma do fragmento para chegar a seu foco central: um questionamento da categoria de evento. Em síntese, intenta-se uma abordagem estética de um problema situado em um ponto de cruzamento entre a teoria da literatura, a história, a filosofia e até mesmo a ciência. A liga possível é sugerida por Deleuze e Guattari, em sua análise das três grandes formas de pensamento - a arte, a ciência e a filosofia - como diferentes maneiras de enfrentar o caos, traçando um plano secante que o atravessa. Como se trata de uma pesquisa ainda em curso, o que se pretende é o levantamento de questões básicas, apontando para os possíveis desdobramentos por vir.Inspired by Wittgensteinian philosophical investigation, this essay begins with an analysis of fragmentary form in order to reach the central point: a discussion on event as a category. Briefly, it seeks an aesthetic approach to a problem situated at the crossroads of literary theory, history, philosophy, and even science. A possible link is suggested by Deleuze and Guattari in their discussion of the three major trends of thought - art, science, and philosophy- as different ways of dealing with chaos, tracing a plan which traverses it. As a study still in progress, the essay is intended to raise basic questions to be developed further through future investigation.

  20. The influence of SrO and CaO in silicate and phosphate bioactive glasses on human gingival fibroblasts.

    Science.gov (United States)

    Massera, J; Kokkari, A; Närhi, T; Hupa, L

    2015-06-01

    In this paper, we investigate the effect of substituting SrO for CaO in silicate and phosphate bioactive glasses on the human gingival fibroblast activity. In both materials the presence of SrO led to the formation of a CaP layer with partial Sr substitution for Ca. The layer at the surface of the silicate glass consisted of HAP whereas at the phosphate glasses it was close to the DCPD composition. In silicate glasses, SrO gave a faster initial dissolution and a thinner reaction layer probably allowing for a continuous ion release into the solution. In phosphate glasses, SrO decreased the dissolution process and gave a more strongly bonded reaction layer. Overall, the SrO-containing silicate glass led to a slight enhancement in the activity of the gingival fibroblasts cells when compared to the SrO-free reference glass, S53P4. The cell activity decreased up to 3 days of culturing for all phosphate glasses containing SrO. Whereas culturing together with the SrO-free phosphate glass led to complete cell death at 7 days. The glasses containing SrO showed rapid cell proliferation and growth between 7 and 14 days, reaching similar activity than glass S53P4. The addition of SrO in both silicate and phosphate glasses was assumed beneficial for proliferation and growth of human gingival fibroblasts due to Sr incorporation in the reaction layer at the glass surface and released in the cell culture medium.

  1. GENERAL SURGERY

    African Journals Online (AJOL)

    surgery. Since the first laparoscopic treatment of hydatid disease was described in 1992,14 there has been a steady growth in reports of the laparoscopic treatment of hydatid cysts of liver. Although early reported laparoscopic treatment of liver hydatid disease was confined to simple drainage, more advanced laparoscopic ...

  2. GENERAL SURGERY

    African Journals Online (AJOL)

    Department of Surgery, University of Cape Town Health Sciences Faculty, Groote Schuur Hospital, Observatory, Cape Town,. South Africa ... included all district, regional and tertiary hospitals in the nine provinces. Clinics and so-called ..... large contingency of senior general surgeons from countries such as Cuba, who have ...

  3. TRAUMA SURGERY

    African Journals Online (AJOL)

    meet the criteria for damage control surgery, and ligation of the AVC is a .... There were two vertebral body fractures, one penetrating brain injury from a gunshot wound to the head, one ... two hand fractures, three haemothoraces, one pelvic fracture, .... One patient with an intimal flap injury to his left common iliac artery ...

  4. GENERAL SURGERY

    African Journals Online (AJOL)

    Schwab , using a three-phase approach.5 In 1998, Moore et al. extended the concept and described the five-stage approach.6. The aim of damage control surgery is to prevent severely injured patients from developing the “lethal triad” of hypothermia, coagulopathy and worsening acidosis, as this confers a dismal prognosis ...

  5. Rodding Surgery

    Science.gov (United States)

    ... Physical activity prior to surgery,  Length of the operation; anesthesia issues,  Reason for the choice of rod,  Time in the hospital,  Length of recovery time at home,  Pain management including control of muscle spasms,  The rehabilitation plan. ...

  6. Improving shuffler assay accuracy

    International Nuclear Information System (INIS)

    Rinard, P.M.

    1995-01-01

    Drums of uranium waste should be disposed of in an economical and environmentally sound manner. The most accurate possible assays of the uranium masses in the drums are required for proper disposal. The accuracies of assays from a shuffler are affected by the type of matrix material in the drums. Non-hydrogenous matrices have little effect on neutron transport and accuracies are very good. If self-shielding is known to be a minor problem, good accuracies are also obtained with hydrogenous matrices when a polyethylene sleeve is placed around the drums. But for those cases where self-shielding may be a problem, matrices are hydrogenous, and uranium distributions are non-uniform throughout the drums, the accuracies are degraded. They can be greatly improved by determining the distributions of the uranium and then applying correction factors based on the distributions. This paper describes a technique for determining uranium distributions by using the neutron count rates in detector banks around the waste drum and solving a set of overdetermined linear equations. Other approaches were studied to determine the distributions and are described briefly. Implementation of this correction is anticipated on an existing shuffler next year

  7. Robotic surgery in gynecology

    Directory of Open Access Journals (Sweden)

    Jean eBouquet De Jolinière

    2016-05-01

    Full Text Available Abstract Minimally invasive surgery (MIS can be considered as the greatest surgical innovation over the past thirty years. It revolutionized surgical practice with well-proven advantages over traditional open surgery: reduced surgical trauma and incision-related complications, such as surgical-site infections, postoperative pain and hernia, reduced hospital stay, and improved cosmetic outcome. Nonetheless, proficiency in MIS can be technically challenging as conventional laparoscopy is associated with several limitations as the two-dimensional (2D monitor reduction in-depth perception, camera instability, limited range of motion and steep learning curves. The surgeon has a low force feedback which allows simple gestures, respect for tissues and more effective treatment of complications.Since 1980s several computer sciences and robotics projects have been set up to overcome the difficulties encountered with conventional laparoscopy, to augment the surgeon's skills, achieve accuracy and high precision during complex surgery and facilitate widespread of MIS. Surgical instruments are guided by haptic interfaces that replicate and filter hand movements. Robotically assisted technology offers advantages that include improved three- dimensional stereoscopic vision, wristed instruments that improve dexterity, and tremor canceling software that improves surgical precision.

  8. Robotic assisted andrological surgery

    Science.gov (United States)

    Parekattil, Sijo J; Gudeloglu, Ahmet

    2013-01-01

    The introduction of the operative microscope for andrological surgery in the 1970s provided enhanced magnification and accuracy, unparalleled to any previous visual loop or magnification techniques. This technology revolutionized techniques for microsurgery in andrology. Today, we may be on the verge of a second such revolution by the incorporation of robotic assisted platforms for microsurgery in andrology. Robotic assisted microsurgery is being utilized to a greater degree in andrology and a number of other microsurgical fields, such as ophthalmology, hand surgery, plastics and reconstructive surgery. The potential advantages of robotic assisted platforms include elimination of tremor, improved stability, surgeon ergonomics, scalability of motion, multi-input visual interphases with up to three simultaneous visual views, enhanced magnification, and the ability to manipulate three surgical instruments and cameras simultaneously. This review paper begins with the historical development of robotic microsurgery. It then provides an in-depth presentation of the technique and outcomes of common robotic microsurgical andrological procedures, such as vasectomy reversal, subinguinal varicocelectomy, targeted spermatic cord denervation (for chronic orchialgia) and robotic assisted microsurgical testicular sperm extraction (microTESE). PMID:23241637

  9. Oxaliplatin added to fluorouracil-based preoperative chemoradiotherapy and postoperative chemotherapy of locally advanced rectal cancer (the German CAO/ARO/AIO-04 study): final results of the multicentre, open-label, randomised, phase 3 trial.

    Science.gov (United States)

    Rödel, Claus; Graeven, Ullrich; Fietkau, Rainer; Hohenberger, Werner; Hothorn, Torsten; Arnold, Dirk; Hofheinz, Ralf-Dieter; Ghadimi, Michael; Wolff, Hendrik A; Lang-Welzenbach, Marga; Raab, Hans-Rudolf; Wittekind, Christian; Ströbel, Philipp; Staib, Ludger; Wilhelm, Martin; Grabenbauer, Gerhard G; Hoffmanns, Hans; Lindemann, Fritz; Schlenska-Lange, Anke; Folprecht, Gunnar; Sauer, Rolf; Liersch, Torsten

    2015-08-01

    Preoperative chemoradiotherapy with infusional fluorouracil, total mesorectal excision surgery, and postoperative chemotherapy with fluorouracil was established by the German CAO/ARO/AIO-94 trial as a standard combined modality treatment for locally advanced rectal cancer. Here we compare the previously established regimen with an investigational regimen in which oxaliplatin was added to both preoperative chemoradiotherapy and postoperative chemotherapy. In this multicentre, open-label, randomised, phase 3 study we randomly assigned patients with rectal adenocarcinoma, clinically staged as cT3-4 or any node-positive disease, to two groups: a control group receiving standard fluorouracil-based combined modality treatment, consisting of preoperative radiotherapy of 50·4 Gy in 28 fractions plus infusional fluorouracil (1000 mg/m(2) on days 1-5 and 29-33), followed by surgery and four cycles of bolus fluorouracil (500 mg/m(2) on days 1-5 and 29); or to an investigational group receiving preoperative radiotherapy of 50·4 Gy in 28 fractions plus infusional fluorouracil (250 mg/m(2) on days 1-14 and 22-35) and oxaliplatin (50 mg/m(2) on days 1, 8, 22, and 29), followed by surgery and eight cycles of oxaliplatin (100 mg/m(2) on days 1 and 15), leucovorin (400 mg/m(2) on days 1 and 15), and infusional fluorouracil (2400 mg/m(2) on days 1-2 and 15-16). Randomisation was done with computer-generated block-randomisation codes stratified by centre, clinical T category (cT1-3 vs cT4), and clinical N category (cN0 vs cN1-2) without masking. The primary endpoint was disease-free survival, defined as the time between randomisation and non-radical surgery of the primary tumour (R2 resection), locoregional recurrence after R0/1 resection, metastatic disease or progression, or death from any cause, whichever occurred first. Survival and cumulative incidence of recurrence analyses followed the intention-to-treat principle; toxicity analyses included all patients treated. Enrolment of

  10. Carotid artery surgery

    Science.gov (United States)

    Carotid endarterectomy; CAS surgery; Carotid artery stenosis - surgery; Endarterectomy - carotid artery ... through the catheter around the blocked area during surgery. Your carotid artery is opened. The surgeon removes ...

  11. Dal caos... alla coscienza

    CERN Document Server

    Prattico, Franco

    1989-01-01

    Attraverso i domini della fisica, della genetica e della biologia, fino alle neuroscienze, alla ricerca dei percorsi che hanno portato alla nascita del cervello umano : frutto di una singolare serie casuale o di una necessità inscritta nelle leggi del Cosmo?

  12. Turismo y Caos

    Directory of Open Access Journals (Sweden)

    Carolina Gómez Gómez

    2008-11-01

    Full Text Available “Turismo y caos” es una producción literaria que brinda una reflexión acerca del pensamiento turístico posmoderno, enfocándose principalmente en las teorías de Alberto Sessa, Claude Kaspar, José Miguel Fernán dez Güell y finalmente, la Organización Mundial del Turismo, OMT. Es así como este texto pretende integrar, a través de una visión sistémica, los diferentes elementos que conforman y definen el turismo, dando lugar a un nuevo concepto que fusiona las teorías propuestas a través del tiempo y además la opinión personal de los autores de esta obra.

  13. Metabolic Surgery

    DEFF Research Database (Denmark)

    Pareek, Manan; Schauer, Philip R; Kaplan, Lee M

    2018-01-01

    The alarming rise in the worldwide prevalence of obesity is paralleled by an increasing burden of type 2 diabetes mellitus. Metabolic surgery is the most effective means of obtaining substantial and durable weight loss in individuals with obesity. Randomized trials have recently shown...... the superiority of surgery over medical treatment alone in achieving improved glycemic control, as well as a reduction in cardiovascular risk factors. The mechanisms seem to extend beyond the magnitude of weight loss alone and include improvements in incretin profiles, insulin secretion, and insulin sensitivity....... Moreover, observational data suggest that the reduction in cardiovascular risk factors translates to better patient outcomes. This review describes commonly used metabolic surgical procedures and their current indications and summarizes the evidence related to weight loss and glycemic outcomes. It further...

  14. Preparing for Surgery

    Science.gov (United States)

    ... Events Advocacy For Patients About ACOG Preparing for Surgery Home For Patients Search FAQs Preparing for Surgery ... Surgery FAQ080, August 2011 PDF Format Preparing for Surgery Gynecologic Problems What is the difference between outpatient ...

  15. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... Extractions and Other Oral Surgeries Extractions and Other Oral Surgeries Oral and maxillofacial surgeons surgically treat the soft ... Extractions and Other Oral Surgeries Extractions and Other Oral Surgeries Oral and maxillofacial surgeons surgically treat the soft ...

  16. Corrective Jaw Surgery

    Science.gov (United States)

    ... Extractions and Other Oral Surgeries Extractions and Other Oral Surgeries Oral and maxillofacial surgeons surgically treat the soft ... Extractions and Other Oral Surgeries Extractions and Other Oral Surgeries Oral and maxillofacial surgeons surgically treat the soft ...

  17. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... to find out more. Facial Cosmetic Surgery Facial Cosmetic Surgery Extensive education and training in surgical procedures ... to find out more. Facial Cosmetic Surgery Facial Cosmetic Surgery Extensive education and training in surgical procedures ...

  18. Facial Cosmetic Surgery

    Science.gov (United States)

    ... to find out more. Facial Cosmetic Surgery Facial Cosmetic Surgery Extensive education and training in surgical procedures ... to find out more. Facial Cosmetic Surgery Facial Cosmetic Surgery Extensive education and training in surgical procedures ...

  19. Heart bypass surgery

    Science.gov (United States)

    Off-pump coronary artery bypass; OPCAB; Beating heart surgery; Bypass surgery - heart; CABG; Coronary artery bypass graft; Coronary artery bypass surgery; Coronary bypass surgery; Coronary artery disease - CABG; CAD - CABG; Angina - ...

  20. Geoid undulation accuracy

    Science.gov (United States)

    Rapp, Richard H.

    1993-01-01

    The determination of the geoid and equipotential surface of the Earth's gravity field, has long been of interest to geodesists and oceanographers. The geoid provides a surface to which the actual ocean surface can be compared with the differences implying information on the circulation patterns of the oceans. For use in oceanographic applications the geoid is ideally needed to a high accuracy and to a high resolution. There are applications that require geoid undulation information to an accuracy of +/- 10 cm with a resolution of 50 km. We are far from this goal today but substantial improvement in geoid determination has been made. In 1979 the cumulative geoid undulation error to spherical harmonic degree 20 was +/- 1.4 m for the GEM10 potential coefficient model. Today the corresponding value has been reduced to +/- 25 cm for GEM-T3 or +/- 11 cm for the OSU91A model. Similar improvements are noted by harmonic degree (wave-length) and in resolution. Potential coefficient models now exist to degree 360 based on a combination of data types. This paper discusses the accuracy changes that have taken place in the past 12 years in the determination of geoid undulations.

  1. Biological and mechanical properties of an experimental glass-ionomer cement modified by partial replacement of CaO with MgO or ZnO

    Directory of Open Access Journals (Sweden)

    Dong-Ae KIM

    2015-08-01

    Full Text Available AbstractSome weaknesses of conventional glass ionomer cement (GIC as dental materials, for instance the lack of bioactive potential and poor mechanical properties, remain unsolved.Objective The purpose of this study was to investigate the effects of the partial replacement of CaO with MgO or ZnO on the mechanical and biological properties of the experimental glass ionomer cements.Material and Methods Calcium fluoro-alumino-silicate glass was prepared for an experimental glass ionomer cement by melt quenching technique. The glass composition was modified by partial replacement (10 mol% of CaO with MgO or ZnO. Net setting time, compressive and flexural properties, and in vitrorat dental pulp stem cells (rDPSCs viability were examined for the prepared GICs and compared to a commercial GIC.Results The experimental GICs set more slowly than the commercial product, but their extended setting times are still within the maximum limit (8 min specified in ISO 9917-1. Compressive strength of the experimental GIC was not increased by the partial substitution of CaO with either MgO or ZnO, but was comparable to the commercial control. For flexural properties, although there was no significance between the base and the modified glass, all prepared GICs marked a statistically higher flexural strength (p<0.05 and comparable modulus to control. The modified cements showed increased cell viability for rDPSCs.Conclusions The experimental GICs modified with MgO or ZnO can be considered bioactive dental materials.

  2. THE INFLUENCE OF CaO AND P2O5 OF BONE ASH UPON THE REACTIVITY AND THE BURNABILITY OF CEMENT RAW MIXTURES

    Directory of Open Access Journals (Sweden)

    TOMÁŠ IFKA

    2012-03-01

    Full Text Available The influence of CaO and P2O5 upon the reactivity of cement raw meal was investigated in this paper. Ash of bone meal containing Ca3(PO42 - 3CaO·P2O5 was used as the source of P2O5. Two series of samples with different content of the ash of bone meal were prepared. In the first series, the ash of bone was added into cement raw meal. The second series of samples were prepared by considering ash as one of CaO sources. Therefore, the total content of CaO in cement raw meal was kept constant, while the amount of P2O5 increased. These different series of samples were investigated by analyzing free lime content in the clinkers. The XRD analysis and Electron Micro Probe Analyzer analysis of the clinkers were also carried out. Two parameters were used to characterize the reactivity of cement raw meal: content of free lime and Burnability Index (BI calculated from free lime content in both series of samples burnt at 1350 ºC, 1400 ºC, 1450 ºC and 1500 ºC. According to the first parameter, P2O5 content that drastically makes worse the reactivity of cement raw meal was found at 1.11 wt.% in the first series, while this limit has reached 1.52 wt.% in the second one. According to the BI, the limit of P2O5 was found at 1.42 wt. % in the first series and 1, 61 wt.% in the second one. Furthermore, EPMA has demonstrated the presence of P2O5 in both calcium silicate phases forming thus solid solutions.

  3. Use of CaO as an activator for producing a price-competitive non-cement structural binder using ground granulated blast furnace slag

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Min Sik; Jun, Yubin; Lee, Changha, E-mail: clee@unist.ac.kr; Oh, Jae Eun, E-mail: ohjaeeun@unist.ac.kr

    2013-12-15

    The use of calcium oxide (CaO) demonstrates a superior potential for the activation of ground granulated blast furnace slag (GGBFS), and it produces a higher mechanical strength than calcium hydroxide [Ca(OH){sub 2}]. The mechanical strength differences between CaO- and Ca(OH){sub 2}-activated GGBFS binders are explored using isothermal calorimetry, powder X-ray diffraction, thermogravimetric and differential thermal analysis (TGA and DTA) as well as compressive strength testing. Calcium silicate hydrate (C–S–H), Ca(OH){sub 2} and a hydrotalcite-like phase are found as reaction products in all samples. The TGA and DTA results indicate that the use of CaO produces more C–S–H, although this is not likely to be the primary cause of higher strength development in the CaO-activated GGBFS. Rather, other factors such as porosity may govern the strength at a higher order of magnitude. Significant reduction of Ca(OH){sub 2} occurs only with the use of Ca(OH){sub 2}, followed by the formation of carbonate (CaCO{sub 3}), indicating carbonation. -- Highlights: •CaO showed a better potential for the activation of GGBFS than Ca(OH){sub 2}. •Strength test, XRD, TGA/DTA and isothermal calorimetry are used. •C-S-H, Ca(OH){sub 2}, and a hydrotalcite-like phase are found in all samples. •The use of Ca(OH){sub 2} causes some degree of carbonation.

  4. Landscape-scale tropical forest dynamics: Relating canopy traits and topographically derived hydrologic indices in a floodplain system using CAO-AToMS

    Science.gov (United States)

    Chadwick, K.; Asner, G. P.

    2012-12-01

    The geomorphology of floodplains in the humid tropics has been used to infer basic classifications of forest types. However, analysis of the landscape-scale topographic and hydrologic patterns underpinning spatial variation in forest composition and function remain elusive due to the sparse coverage of forest plots, coarse resolution remotely sensed data, and the challenges of collecting first order hydrologic data. Airborne remote measurements provide an opportunity to consider the relationship between high-resolution topographic and derived hydrologic environmental gradients, and forest canopy characteristics with important cascading effects on ecosystem function and biosphere-atmosphere interactions. In 2011, the Carnegie Airborne Observatory (CAO) Airborne Taxonomic Mapping System (AToMS) was used to map a large section of the Los Amigos Conservation Concession harboring largely intact lowland humid tropical forest in the southwestern Peruvian Amazon. The CAO Visible-Shortwave Imaging Spectrometer (VSWIR) collected 480-band high-fidelity imaging spectroscopy data of the forest canopy, while its high-resolution dual waveform LiDAR captured information on canopy structure and the underlying terrain. The data were used to quantify relationships between topographic and hydrologic gradients and forest functional traits. Results suggest strong local hydrogeomorphic control over vegetation spectral properties with known relationships to canopy functional traits, including pigment and nutrient concentrations and light capture, as well as canopy structural characteristics, including vegetation height, understory plant cover, and aboveground biomass. Data from CAO-AToMS reveals local-scale patterns in environmental conditions and ecological variation that meets or exceeds the variation previously reported across ecosystems of the Western Amazon Basin.

  5. The Effect of CaO and MgO as Expanding Additives to Improve Cement Isolation Strength under HPHT Exposure

    Directory of Open Access Journals (Sweden)

    Rudi Rubiandini

    2005-05-01

    Full Text Available Cementing is one of the most important parts in oil-well drilling. Recent development in oil-well drilling technology has led to a more problematic case in cementing. High temperature cementing is one of the problems. High temperature cementing may cover steam recovery wells, geothermal wells and ultra deep wells.The use of expanding cements as an effort to improve the sealing efficacy of annulus cementing has been considered for a long time as a promising solution to the existing problems. CaO and MgO have been proposed as two of the most effective additives to create excellent expanding cement. The purpose of this study is to find the effect of adding up burnt pure CaO and MgO to the value of compressive strength and shear bond strength of API class G cement in high pressure and high temperature condition. The method that we used within this research is an evaluation of the data taken from a simulator that simulated within temperature range of 100 – 250oC and pressure of 2000 psi.The conclusion is taken according to the results which saying that the addition of burnt pure CaO and MgO would increase the shear bond strength and the compressive strength on specific condition up to 200oC temperature. The addition won’t be effective for the condition of 250oC temperature. The behavior of cement strength was also influenced by the length of curing time.Further more, research on expanding cement needs to be developed and extended whether to vary its compositions, temperatures, or curing time conditions. The compatibility when mixed with other additives together with silica flour has not yet been figured out.

  6. Effects of Al2O3 and/or CaO on properties of yttria stabilized zirconia electrolyte doped with multi-elements

    International Nuclear Information System (INIS)

    Lv Zhengang; Guo Ruisong; Yao Pei; Dai Fengying

    2007-01-01

    Yttria stabilized zirconia (YSZ) has a high oxide ion conductivity at high temperatures. Some rare earth elements (e.g., Yb, Sc, Dy) with similar cation radii to Zr 4+ can dissolve into ZrO 2 , increasing its vacancy concentration and crystal lattice distortion, and therefore enhancing its conductivity and lowering the activation energy. It is expected this material could be used as intermediate temperature electrolyte. In the present work, YSZ electrolyte materials doped by multi-elements (Sc 2 O 3 or Dy 2 O 3 and Yb 2 O 3 ) were prepared by high temperature solid-state method. The high temperature conductivity was improved obviously, reaching 0.18 S/cm at 1000 deg. C, but the density and mechanical properties of sintered materials were not sufficiently high. It is found that sinterability and mechanical properties could be improved by inclusion of a small amount of Al 2 O 3 and/or CaO into the multi-elements doped YSZ materials and our results proved it. The results showed density and bending strength of sintered bodies were enhanced by Al 2 O 3 addition by 4.6% and 30%, respectively, while the conductivity did not degrade remarkably. But the degradation in bending strength and conductivity resulting from the CaO addition happened due to the second phase formed at the grain boundary. XRD patterns showed that all samples had cubic fluorite structure and crystalline lattice parameter was increased. SEM photographs obviously revealed the grain growth for the samples with CaO inclusion

  7. Biological and mechanical properties of an experimental glass-ionomer cement modified by partial replacement of CaO with MgO or ZnO

    Science.gov (United States)

    Dong-Ae, KIM; Hany, ABO-MOSALLAM; Hye-Young, LEE; Jung-Hwan, LEE; Hae-Won, KIM; Hae-Hyoung, LEE

    2015-01-01

    Some weaknesses of conventional glass ionomer cement (GIC) as dental materials, for instance the lack of bioactive potential and poor mechanical properties, remain unsolved. Objective The purpose of this study was to investigate the effects of the partial replacement of CaO with MgO or ZnO on the mechanical and biological properties of the experimental glass ionomer cements. Material and Methods Calcium fluoro-alumino-silicate glass was prepared for an experimental glass ionomer cement by melt quenching technique. The glass composition was modified by partial replacement (10 mol%) of CaO with MgO or ZnO. Net setting time, compressive and flexural properties, and in vitro rat dental pulp stem cells (rDPSCs) viability were examined for the prepared GICs and compared to a commercial GIC. Results The experimental GICs set more slowly than the commercial product, but their extended setting times are still within the maximum limit (8 min) specified in ISO 9917-1. Compressive strength of the experimental GIC was not increased by the partial substitution of CaO with either MgO or ZnO, but was comparable to the commercial control. For flexural properties, although there was no significance between the base and the modified glass, all prepared GICs marked a statistically higher flexural strength (p<0.05) and comparable modulus to control. The modified cements showed increased cell viability for rDPSCs. Conclusions The experimental GICs modified with MgO or ZnO can be considered bioactive dental materials. PMID:26398508

  8. Análisis de un jingle icónico: ¿por qué cuesta tanto crear otro 'negrito del cola-cao'?

    OpenAIRE

    Espinosa i Mirabet, Sílvia

    2012-01-01

    This paper analyzes the musical characteristics of the famous jingle of Cola-Cao. The aim of this communication is discover what were the key of it success. It musical composition, which was a novelty at 50 decades in Spain and the linking between this sound piece with the social characteristics of the historical period that serve to frame, throw a new light on one of the leading commercial radio jingles. The notoriety of that jingle has come even to nowadays. This communication try to revea...

  9. [Classes of crude drugs and its distribution of producing area in the attached illustrations in Ben cao tu jing (Illustrated Classic of Materia Medica)].

    Science.gov (United States)

    Xu, T; Peng, H S

    2016-03-01

    Ben cao tu jing (Illustrated Classic of Materia Medica) is the earliest extant atlas book of materia medica in China, with 933 attached drawings. Among them, the largest portion, amounting to 670, are herbaceous plants, mostly commonly used, with definite marks of the origin producing areas, distributed across 149 administrative divisions(prefectures and counties) of the Song Dynasty, most of them in Northern area which were distributed denser than those in Southern area. The densest ones were located in Southern Shanxi, Eastern Sichuan and Eastern Anhui. In the attached drawings, the frequency of highest occurrence appeared in this Classic are three prefectures, Chuzhou, Shizhou and Guangzhou.

  10. Use of heterogeneous CaO and SnO{sub 2} catalysts supported on rice husk ash to produce biodiesel; Emprego de catalisadores heterogeneos de CaO e SnO{sub 2} suportados em cinza de casca de arroz na obtencao de biodiesel

    Energy Technology Data Exchange (ETDEWEB)

    Soares, Ana Brigida [Instituto Federal do Espirito Santo, Vitoria, ES (Brazil); Silva, Paulo Roberto Nagipe da; Stumbo, Alexandre Moura, E-mail: nagipe@uenf.br [Laboratorio de Ciencias Quimicas, Universidade Estadual do Norte Fluminense Darcy Ribeiro, Campos dos Goytacazes, RJ (Brazil); Freitas, Jair C.C. [Departamento de Fisica, Centro de Ciencias Exatas, Universidade Federal do Espirito Santo, Vitoria, ES (Brazil)

    2012-07-01

    Silica obtained from rice husk after acid leaching and calcination was compared to commercial silica as a catalyst support. CaO and SnO{sub 2} catalysts were prepared by impregnation and tested in the transesterification of soybean oil and the esterification of oleic acid. CaO catalysts showed basic character and were the most active for transesterification, whereas SnO{sub 2} catalysts were acid and the most effective for esterification. In both cases the performances of the catalysts prepared with rice husk ash and commercial silica were similar. These results demonstrate that rice husk is a cost-effective and environmentally-friendly source of silica that can be used as a catalyst support. (author)

  11. Dimensional accuracy of 3D printed vertebra

    Science.gov (United States)

    Ogden, Kent; Ordway, Nathaniel; Diallo, Dalanda; Tillapaugh-Fay, Gwen; Aslan, Can

    2014-03-01

    3D printer applications in the biomedical sciences and medical imaging are expanding and will have an increasing impact on the practice of medicine. Orthopedic and reconstructive surgery has been an obvious area for development of 3D printer applications as the segmentation of bony anatomy to generate printable models is relatively straightforward. There are important issues that should be addressed when using 3D printed models for applications that may affect patient care; in particular the dimensional accuracy of the printed parts needs to be high to avoid poor decisions being made prior to surgery or therapeutic procedures. In this work, the dimensional accuracy of 3D printed vertebral bodies derived from CT data for a cadaver spine is compared with direct measurements on the ex-vivo vertebra and with measurements made on the 3D rendered vertebra using commercial 3D image processing software. The vertebra was printed on a consumer grade 3D printer using an additive print process using PLA (polylactic acid) filament. Measurements were made for 15 different anatomic features of the vertebral body, including vertebral body height, endplate width and depth, pedicle height and width, and spinal canal width and depth, among others. It is shown that for the segmentation and printing process used, the results of measurements made on the 3D printed vertebral body are substantially the same as those produced by direct measurement on the vertebra and measurements made on the 3D rendered vertebra.

  12. Diagnostic accuracy of clinical tests for the diagnosis of hip femoroacetabular impingement/labral tear

    DEFF Research Database (Denmark)

    Reiman, M P; Goode, A P; Cook, C E

    2015-01-01

    BACKGROUND: Surgery for hip femoroacetabular impingement/acetabular labral tear (FAI/ALT) is exponentially increasing despite lacking investigation of the accuracy of various diagnostic measures. Useful clinical utility of these measures is necessary to support diagnostic imaging and subsequent...

  13. Robotic systems in spine surgery.

    Science.gov (United States)

    Onen, Mehmet Resid; Naderi, Sait

    2014-01-01

    Surgical robotic systems have been available for almost twenty years. The first surgical robotic systems were designed as supportive systems for laparoscopic approaches in general surgery (the first procedure was a cholecystectomy in 1987). The da Vinci Robotic System is the most common system used for robotic surgery today. This system is widely used in urology, gynecology and other surgical disciplines, and recently there have been initial reports of its use in spine surgery, for transoral access and anterior approaches for lumbar inter-body fusion interventions. SpineAssist, which is widely used in spine surgery, and Renaissance Robotic Systems, which are considered the next generation of robotic systems, are now FDA approved. These robotic systems are designed for use as guidance systems in spine instrumentation, cement augmentations and biopsies. The aim is to increase surgical accuracy while reducing the intra-operative exposure to harmful radiation to the patient and operating team personnel during the intervention. We offer a review of the published literature related to the use of robotic systems in spine surgery and provide information on using robotic systems.

  14. Computed tomography-controlled stereotactic surgery

    International Nuclear Information System (INIS)

    Matsumoto, Keizo; Shichijo, Fumio; Gyoten, Tetsuya; Tomida, Keisuke; Miyake, Hajime

    1986-01-01

    A single use of coordinate system of computed tomography (CT) scanner is utilized for CT-controlled stereotactic surgery. Depth, direction and readjustment of target trajectory were defined by known values of cursor number in CT images and numbers of the sliding table indicator. We loaded calculation formulas into hand held computer to obtain immediate answers. Stereotactic apparatus consisted two main parts: the patient's head fixation and probe holder. Surgery was performed in cases of hypertensive intracerebral hemorrhage for evacuation of the hematomas successfully. Target accuracy was satisfactory. With further advance of this surgery, automatic stereotactic control with a special robot machine seeing possible. (author)

  15. Effect of carbonation temperature on CO_2 adsorption capacity of CaO derived from micro/nanostructured aragonite CaCO_3

    International Nuclear Information System (INIS)

    Hlaing, Nwe Ni; Sreekantan, Srimala; Hinode, Hirofumi; Kurniawan, Winarto; Thant, Aye Aye; Othman, Radzali; Mohamed, Abdul Rahman; Salime, Chris

    2016-01-01

    Recent years, CaO-based synthetic materials have been attracted attention as potential adsorbents for CO_2 capture mainly due to their high CO_2 adsorption capacity. In this study, micro/nanostructured aragonite CaCO_3 was synthesized by a simple hydrothermal method with using polyacrylamide (PAM). The structural, morphological and thermal properties of the synthesized sample were investigated by X-ray diffraction (XRD), field-emission scanning electron microscopy (FESEM) and thermogravimetry analysis (TG-DTA). The XRD and FESEM results showed that the obtained sample was aragonite CaCO_3 with aggregated nanorods and microspheres composed of nanorods. A TG-DTA apparatus with Thermoplus 2 software was used to investigate the effect of carbonation temperature on the CO_2 adsorption capacity of CaO derived from aragonite CaCO_3 sample. At 300 °C, the sample reached the CO_2 adsorption capacity of 0.098 g-CO_2/g-adsorbent, whereas the sample achieved the highest capacity of 0.682 g-CO_2/g-adsorbent at 700 °C. The results showed that the carbonation temperature significantly influenced on the CO_2 adsorption capacity of the CaO derived from aragonite CaCO_3.

  16. Effect of carbonation temperature on CO{sub 2} adsorption capacity of CaO derived from micro/nanostructured aragonite CaCO{sub 3}

    Energy Technology Data Exchange (ETDEWEB)

    Hlaing, Nwe Ni, E-mail: nwenihlaing76@gmail.com [School of Materials and Mineral Resources Engineering, Engineering Campus, Universiti Sains Malaysia, 14300 Nibong Tebal, Penang (Malaysia); Department of International Development Engineering, Tokyo Institute of Technology, 2-12-1 Ookayama, Meguro-ku, Tokyo (Japan); Department of Physics, University of Yangon, 11041 Kamayut, Yangon (Myanmar); Sreekantan, Srimala, E-mail: srimala@usm.my [School of Materials and Mineral Resources Engineering, Engineering Campus, Universiti Sains Malaysia, 14300 Nibong Tebal, Penang (Malaysia); Hinode, Hirofumi, E-mail: hinode@ide.titech.ac.jp; Kurniawan, Winarto, E-mail: Kurniawan.w.ab@m.titech.ac.jp [Department of International Development Engineering, Tokyo Institute of Technology, 2-12-1 Ookayama, Meguro-ku, Tokyo (Japan); Thant, Aye Aye, E-mail: a2thant@gmail.com [Department of Physics, University of Yangon, 11041 Kamayut, Yangon (Myanmar); Othman, Radzali, E-mail: radzali@utem.edu.my [Faculty of Manufacturing Engineering, Universiti Teknikal Malaysia Melaka, Hang Tuah Jaya, 76100 Durian Tunggal, Malacca (Malaysia); Mohamed, Abdul Rahman, E-mail: chrahman@eng.usm.my [Low Carbon Economy (LCE) Research Group, School of Chemical Engineering, Engineering Campus, Universiti Sains Malaysia, 14300 Nibong Tebal, Penang (Malaysia); Salime, Chris, E-mail: chris.salim@surya.ac.id [Environmental Engineering, Surya University, Tangerang, 15810 Banten (Indonesia)

    2016-07-06

    Recent years, CaO-based synthetic materials have been attracted attention as potential adsorbents for CO{sub 2} capture mainly due to their high CO{sub 2} adsorption capacity. In this study, micro/nanostructured aragonite CaCO{sub 3} was synthesized by a simple hydrothermal method with using polyacrylamide (PAM). The structural, morphological and thermal properties of the synthesized sample were investigated by X-ray diffraction (XRD), field-emission scanning electron microscopy (FESEM) and thermogravimetry analysis (TG-DTA). The XRD and FESEM results showed that the obtained sample was aragonite CaCO{sub 3} with aggregated nanorods and microspheres composed of nanorods. A TG-DTA apparatus with Thermoplus 2 software was used to investigate the effect of carbonation temperature on the CO{sub 2} adsorption capacity of CaO derived from aragonite CaCO{sub 3} sample. At 300 °C, the sample reached the CO{sub 2} adsorption capacity of 0.098 g-CO{sub 2}/g-adsorbent, whereas the sample achieved the highest capacity of 0.682 g-CO{sub 2}/g-adsorbent at 700 °C. The results showed that the carbonation temperature significantly influenced on the CO{sub 2} adsorption capacity of the CaO derived from aragonite CaCO{sub 3}.

  17. In situ observation of electron beam-induced phase transformation of CaCO3 to CaO via ELNES at low electron beam energies.

    Science.gov (United States)

    Golla-Schindler, Ute; Benner, Gerd; Orchowski, Alexander; Kaiser, Ute

    2014-06-01

    It is demonstrated that energy-filtered transmission electron microscope enables following of in situ changes of the Ca-L2,3 edge which can originate from variations in both local symmetry and bond lengths. Low accelerating voltages of 20 and 40 kV slow down radiation damage effects and enable study of the start and finish of phase transformations. We observed electron beam-induced phase transformation of single crystalline calcite (CaCO3) to polycrystalline calcium oxide (CaO) which occurs in different stages. The coordination of Ca in calcite is close to an octahedral one streched along the direction. Changes during phase transformation to an octahedral coordination of Ca in CaO go along with a bond length increase by 5 pm, where oxygen is preserved as a binding partner. Electron loss near-edge structure of the Ca-L2,3 edge show four separated peaks, which all shift toward lower energies during phase transformation at the same time the energy level splitting increases. We suggest that these changes can be mainly addressed to the change of the bond length on the order of picometers. An important pre-condition for such studies is stability of the energy drift in the range of meV over at least 1 h, which is achieved with the sub-Ångström low-voltage transmission electron microscope I prototype microscope.

  18. Performance and economic assessments of a solid oxide fuel cell system with a two-step ethanol-steam-reforming process using CaO sorbent

    Science.gov (United States)

    Tippawan, Phanicha; Arpornwichanop, Amornchai

    2016-02-01

    The hydrogen production process is known to be important to a fuel cell system. In this study, a carbon-free hydrogen production process is proposed by using a two-step ethanol-steam-reforming procedure, which consists of ethanol dehydrogenation and steam reforming, as a fuel processor in the solid oxide fuel cell (SOFC) system. An addition of CaO in the reformer for CO2 capture is also considered to enhance the hydrogen production. The performance of the SOFC system is analyzed under thermally self-sufficient conditions in terms of the technical and economic aspects. The simulation results show that the two-step reforming process can be run in the operating window without carbon formation. The addition of CaO in the steam reformer, which runs at a steam-to-ethanol ratio of 5, temperature of 900 K and atmospheric pressure, minimizes the presence of CO2; 93% CO2 is removed from the steam-reforming environment. This factor causes an increase in the SOFC power density of 6.62%. Although the economic analysis shows that the proposed fuel processor provides a higher capital cost, it offers a reducing active area of the SOFC stack and the most favorable process economics in term of net cost saving.

  19. Fast microwave-assisted catalytic co-pyrolysis of corn stover and scum for bio-oil production with CaO and HZSM-5 as the catalyst.

    Science.gov (United States)

    Liu, Shiyu; Xie, Qinglong; Zhang, Bo; Cheng, Yanling; Liu, Yuhuan; Chen, Paul; Ruan, Roger

    2016-03-01

    This study investigated fast microwave-assisted catalytic co-pyrolysis of corn stover and scum for bio-oil production with CaO and HZSM-5 as the catalyst. Effects of reaction temperature, CaO/HZSM-5 ratio, and corn stover/scum ratio on co-pyrolysis product fractional yields and selectivity were investigated. Results showed that co-pyrolysis temperature was selected as 550°C, which provides the maximum bio-oil and aromatic yields. Mixed CaO and HZSM-5 catalyst with the weight ratio of 1:4 increased the aromatic yield to 35.77 wt.% of feedstock, which was 17% higher than that with HZSM-5 alone. Scum as the hydrogen donor, had a significant synergistic effect with corn stover to promote the production of bio-oil and aromatic hydrocarbons when the H/C(eff) value exceeded 1. The maximum yield of aromatic hydrocarbons (29.3 wt.%) were obtained when the optimal corn stover to scum ratio was 1:2. Copyright © 2016 Elsevier Ltd. All rights reserved.

  20. [Textual research on Guang dong xin yu (New Sayings of Guangdong) quoted in Ben cao gang mu shi yi (Supplements to Compendium of Materia Medica].

    Science.gov (United States)

    Zhang, Ruixian; Zhang, Wei; Li, Jian; Liang, Fei

    2014-05-01

    Altogether 15 terms for Guang dong xin yu (New Sayings of Guangdong) were used in Ben cao gang mu shi yi (Supplements to Compendium of Materia Medica), including Yue yu (Cantonese sayings), Chong yu (Sayings from Insect Drug), Jie yu (Sayings from Crustacean Drug), Xin yu (New Sayings), Yue hai xiang yu (Fragrant Sayings from Cantonese Region), Yue zhi mu yu (Sayings from Plants in Cantonese Annals), Guang dong suo yu (Trivial Sayings from Guangdong), Yue shan lu (Records of Cantonese Mountains), Yue lu (Cantonese Records), Jiao guang lu (Joint Guangdong Records), Yue cao zhi (Records of Cantonese Grasses), Guang guo lu (Records of Guangdong Fruits), Nan yue suo ji (Trivial Records of Southern Canton), Guang zhi (Guangdong Records), Yue zhi (Cantonese Records) etc. dealing with 57 sorts of drugs (with individual overlapping ones), the author of Xin yu was Qu Dajun, a surviving fogy of the Ming Dynasty actively involved in the activities to restore the old dynasty and resist the Qing Dynasty, and was persecuted in the literary inquisition in which his works were burnt so that Zhao Xuemin, when quoting his texts, had to go in a roundabout way.

  1. The content of chromium and copper in plants and soil fertilized with sewage sludge with addition of various amounts of CaO and lignite ash

    Directory of Open Access Journals (Sweden)

    Wysokiński Andrzej

    2016-09-01

    Full Text Available The influence of fertilization with fresh sewage sludge with the addition of calcium oxide and lignite ash in the proportions dry mass 6:1, 4:1, 3:1 and 2:1 on the content of chromium and copper in plants and soil and uptake of these elements was investigated in pot experiment. Sewage sludge were taken from Siedlce (sludge after methane fermentation and Łuków (sludge stabilized in oxygenic conditions, eastern Poland. The chromium content in the biomass of the test plants (maize, sunflower and oat was higher following the application of mixtures of sewage sludge with ash than of the mixtures with CaO. The copper content in plants most often did not significantly depend on the type of additives to the sludge. Various amounts of additives to the sewage sludge did not have a significant effect on the contents of either of the studied trace elements in plants. The contents of chromium and copper in soil after 3 years of cultivation of plants were higher than before the experiment, but these amounts were not significantly differentiated depending on the type and the amount of the used additive (i.e. CaO vs. ash to sewage sludge.

  2. Waste crab shell derived CaO impregnated Na-ZSM-5 as a solid base catalyst for the transesterification of neem oil into biodiesel

    Directory of Open Access Journals (Sweden)

    Vijayalakshmi Shankar

    2017-11-01

    Full Text Available Activated calcium oxide extracted from crab shell impregnated on Na-ZSM-5 has been investigated. Crab shells were collected, powdered and calcined at 900 °C, and CaO was impregnated on Na-ZSM-5 and calcined at 550 °C for 10 h. The CaO/Na-ZSM-5 was characterized by X-ray diffraction, scanning electron microscopy and BET surface area. The prepared catalyst was tested for its catalytic activity by transesterifing neem oil into biodiesel in the presence of methanol. The influence of various parameters including reaction time, temperature, methanol to oil ratio, catalyst concentration and dosage were also investigated. Produced biodiesel have also been tested using proton NMR spectroscopy. Biodiesel yield as 95% has been achieved with 15% CaO impregnated on Na-ZSM-5 at 75 °C. The optimum transesterification reaction conditions were identified as follows: reaction temperature, 75 °C; reaction time, 6 h; methanol-to-neem oil molar ratio, 12:1; catalyst dosage, 0.2 g; and catalyst concentration, 15%. Based on the above study, it can be concluded that the calcium oxide impregnated Na-ZSM-5 can be a potential catalyst for biodiesel production.

  3. Diagnostic accuracy of sonoelastography in different diseases

    Directory of Open Access Journals (Sweden)

    Iqra Manzoor

    2018-03-01

    Full Text Available The objective of this study was to evaluate the diagnostic accuracy of sonoelastography in patients of primary and secondary health care settings. Google scholar, PubMed, Medline, Medscape, Wikipedia and NCBI were searched in October 2017 for all original studies and review articles to identify the relevant material. Two reviewers independently selected articles for evaluation of the diagnostic accuracy of sonoelastography in different diseases based on titles and abstracts retrieved by the literature search. The accuracy of sonoelastography in different diseases was used as the index text, while B-mode sonography, micro pure imaging, surgery and histological findings were used as reference texts. Superficial lymph nodes, neck nodules, malignancy in thyroid nodules, benign and malignant cervical lymph nodes, thyroid nodules, prostate carcinoma, benign and malignant breast abnormalities, liver diseases, parotid and salivary gland masses, pancreatic masses, musculoskeletal diseases and renal disorders were target conditions. The data extracted by the two reviewers concerning selected study characteristics and results were presented in tables and figures. In total, 46 studies were found for breast masses, lymph nodes, prostate carcinoma, liver diseases, salivary and parotid gland diseases, pancreatic masses, musculoskeletal diseases and renal diseases, and the overall sensitivity of sonoelastography in diagnosing all these diseases was 83.14% while specificity was 81.41%. This literature review demonstrates that sonoelastography is characterized by high sensitivity and specificity in diagnosing different disorders of the body.

  4. Accuracy of frozen section in borderline ovarian tumor

    Directory of Open Access Journals (Sweden)

    Maryam Dadzan

    2015-01-01

    Full Text Available Borderline ovarian tumor or low malignant ovarian tumor presents in 10-15% of all ovarian cancers, which usually affects younger women and have favorable prognosis even with conservative surgery, in which fertility can be preserved. Lack of reliable diagnostic tool to indicate the type of malignancy before or at the time of surgery makes the borderline ovarian tumor one of the most controversial topics in gynecology. This might lead to many overtreatment cases with radical surgery or undertreatment with conservative surgery with the higher rate of overtreatment compared to under treatment.In this review article, we extensively searched for all reported data regarding the accuracy of frozen section in borderline ovarian tumor. Reviewing the results of six studies, which specifically considered the accuracy of frozen section in borderline ovarian tumors, revealed an accuracy of 60% with an agreement between final pathology and frozen section results. Overall, 24.5% of under-diagnosed malignant cases interpreted to be benign and 4.9% overdiagnosed cases with benign tumor considered as a malignant. Frozen section is a reliable tool to exclude benign tumor from borderline and malignant but underdiagnosed percentage is higher. There are limitations in this review including the small number of enrolled cases, different time of diagnosis and different investigated countries and the discrepancies between the studied articles in this review.

  5. Tennis elbow surgery - discharge

    Science.gov (United States)

    ... epicondylitis surgery - discharge; Lateral tendinosis surgery - discharge; Lateral tennis elbow surgery - discharge ... long as you are told. This helps ensure tennis elbow will not return. You may be prescribed a ...

  6. Lung surgery - discharge

    Science.gov (United States)

    ... Lung biopsy - discharge; Thoracoscopy - discharge; Video-assisted thoracoscopic surgery - discharge; VATS - discharge ... milk) for 2 weeks after video-assisted thoracoscopic surgery and 6 to 8 weeks after open surgery. ...

  7. Gastric Sleeve Surgery

    Science.gov (United States)

    ... Videos for Educators Search English Español Gastric Sleeve Surgery KidsHealth / For Teens / Gastric Sleeve Surgery What's in ... or buying healthy food ) Preparing for Gastric Sleeve Surgery Preparing for this major operation takes months of ...

  8. Hip Replacement Surgery

    Science.gov (United States)

    ... Outreach Initiative Breadcrumb Home Health Topics English Español Hip Replacement Surgery Basics In-Depth Download Download EPUB ... PDF What is it? Points To Remember About Hip Replacement Surgery Hip replacement surgery removes damaged or ...

  9. Dental Implant Surgery

    Science.gov (United States)

    ... here to find out more. Dental Implant Surgery Dental Implant Surgery Dental implant surgery is, of course, ... to find out more. Wisdom Teeth Management Wisdom Teeth Management An impacted wisdom tooth can damage neighboring ...

  10. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... here to find out more. Dental Implant Surgery Dental Implant Surgery Dental implant surgery is, of course, ... to find out more. Wisdom Teeth Management Wisdom Teeth Management An impacted wisdom tooth can damage neighboring ...

  11. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... Oral Surgeries Facial Cosmetic Surgery Facial Injury / Trauma Surgery Obstructive Sleep Apnea (OSA) Oral, Head and Neck Pathology TMJ and Facial Pain Wisdom Teeth Management Procedures Anesthesia Anesthesia Oral and maxillofacial surgeons are ...

  12. Meditation experience predicts introspective accuracy.

    Directory of Open Access Journals (Sweden)

    Kieran C R Fox

    Full Text Available The accuracy of subjective reports, especially those involving introspection of one's own internal processes, remains unclear, and research has demonstrated large individual differences in introspective accuracy. It has been hypothesized that introspective accuracy may be heightened in persons who engage in meditation practices, due to the highly introspective nature of such practices. We undertook a preliminary exploration of this hypothesis, examining introspective accuracy in a cross-section of meditation practitioners (1-15,000 hrs experience. Introspective accuracy was assessed by comparing subjective reports of tactile sensitivity for each of 20 body regions during a 'body-scanning' meditation with averaged, objective measures of tactile sensitivity (mean size of body representation area in primary somatosensory cortex; two-point discrimination threshold as reported in prior research. Expert meditators showed significantly better introspective accuracy than novices; overall meditation experience also significantly predicted individual introspective accuracy. These results suggest that long-term meditators provide more accurate introspective reports than novices.

  13. Breast Reduction Surgery

    Science.gov (United States)

    ... considering breast reduction surgery, consult a board-certified plastic surgeon. It's important to understand what breast reduction surgery entails — including possible risks and complications — as ...

  14. Comparison of Different Computer–Aided Surgery Systems in Skull Base Surgery

    OpenAIRE

    Ecke, U.; Luebben, B.; Maurer, J.; Boor, S.; Mann, W. J.

    2003-01-01

    Computer–aided surgery (CAS) based on high–resolution imaging techniques represents an important adjunct to precise intraoperative orientation when anatomical landmarks are distorted or missing. Several commercial systems, mostly based on optical or electromagnetic navigation principles, are on the market. This study investigated the application of EasyGuide®, VectorVision®, and InstaTrak® CAS systems in ENT surgery under practical and laboratory conditions. System accuracy, time required, ha...

  15. [Research on Japanese monograph of comprehensive dietetic materia medica, the Pao chu bei yong wo ming ben cao (Japanese Materia Medica Prepared for Kitchen)].

    Science.gov (United States)

    Zhou, M; Ye, J

    2017-11-28

    Japanese physicians of Edo Period (1603-1867) wrote many dietetic books, by combining the knowledge system (content and compiling style) and thoughts of diet therapy from China with local condition in Japan. Among them, the Pao chu bei yong wo ming ben cao ( Japanese Materia Medica Prepared for Kitchen ), written by Mukai Genshou, a physician in the early Edo, is the earliest comprehensive work of dietetic materia medica. In this book, the choice and usage of Japanese dietetic materia medica reveals obvious Japanese local color, including the name, morphology, cultivation, collection, identification, nature and flavor, and indication etc., reflecting the sprouting idea of edible herbal plant at the beginning of Edo period and the characteristic of absorbing Chinese diet thoughts by Japanese physician. This is the important first-hand historical material to understand the development of Japanese dietetic herbalism in early Edo and its dietotherapy culture.

  16. Investigation of 70SiO2-15CaO-10P2O5-5Na2O Glass Composition for Bone Regeneration Applications

    Directory of Open Access Journals (Sweden)

    Vikas Anand

    2014-11-01

    Full Text Available Glass with the composition 70SiO2-15CaO -10P2O5-5Na2O has been prepared by using sol gel technique. Bioactive behavior of the glass sample has been checked by in vitro study using TRIS simulated body fluid. Bioactive properties of the sample has been analyzed by using XRD, Raman, FE-SEM, EDX and Brunauer Emmett Teller studies. pH study has been conducted to check the non- acidic nature of the glass sample. Drug delivery behavior of the sample has been estimated by using gentamicin as an antibiotic. Reported sample has been found to be potential candidate for bone regeneration applications.

  17. First Measurements of Time-Dependent Nucleation as a Function of Composition in Na2O.2CaO.3SiO2 Glasses

    Science.gov (United States)

    Kelton, K. F.; Narayan, K. Lakshmi

    1996-01-01

    The first measurements in any system of the composition dependence of the time-dependent nucleation rate are presented Nucleation rates of the stoichiometric crystalline phase, Na2O.2CaO.3SiO2, from quenched glasses made with different SiO2 concentrations were determined as a function of temperature and glass composition. A strong compositional dependence of the nucleation rates and a weak dependence for the induction times are observed. Using measured values of the liquidus temperatures and growth velocities as a function of glass composition, these data are shown to be consistent with predictions from the classical theory of nucleation, assuming a composition-dependent interfacial energy.

  18. Looking at the sky, hearing the earth: notes on body, memory and landscape in James Benning’s and Cao Guimarães’ films

    Directory of Open Access Journals (Sweden)

    Ana Costa Ribeiro

    2017-01-01

    Full Text Available Through the close analysis of  four films, the author emphasizes the importance of the poetics of the displacement in the relations between body, memory and landscape. Following the thinking of French philosophers Gilles Tiberghien and Anne Cauquelin,  landscape is understood as a physical environment that gives rise to a relation. The idea of landscape as a relation leads to a reflection on the notion of vestige. From Emmanuel Lévinas’ thoughts  on this concept, this paper discusses  two works made by American artist James Benning and two other by Brazilian artist Cao Guimarães. This research thus identifies a recurring tendency in contemporary audiovisual production from the organization of vestiges.

  19. [Preliminary textual research on Zhijintang Sanctum re-revised version of Jinling edition of Ben cao gang mu (Compendium of Materia Medica)].

    Science.gov (United States)

    Zheng, Jinsheng

    2014-03-01

    The Zhijintang Sanctum version of the re-revised edition of Jinling edition of Ben cao gang mu (Compendium of Materia Medica)collected by Zhao Huiyuan of Baihe, Henan Province in 2008 was opted as one of the third batch of the National Directory of Rare Ancient Worksin 2010. On the second cover page (patent page), it is recorded as"Original Jiangxi version". However, it is investigated to find that most of its paper sheets were reprinted after the original Jinling version, only scores of paper sheets were supplemented block-printed, including the additional block-printed second preface and Li Jianyuan's submitted report of the Jiangxi version, the re-revised time of which should be after the Jiangxi edition, or 1603. The exact time can be determined only by checking it carefully against another Jinling re-revised version (the Sheyuantang Sanctum edition).

  20. [Experience of treatment and understanding of impediment disease in Shen nong ben cao jing (Shen-ntonz's Classic of Materia Medica)].

    Science.gov (United States)

    Ding, Hongchang; Wang, Zhenrui

    2015-01-01

    As a book with significant historical materials for the research of impediment disease not to be ignored, Shen nong ben cao jing (Shennong's Classic of Materia Medica) contains, among its 365 kinds of materia medica, 75 kinds of medicines related to impediment disease. Among the latter ones, 51 are related to "damp impediment", "cold-damp impediment", "wind-cold-damp impediment", "wind impediment", "wind-damp impediment", and "cold impediment"; 16 are related to "laryngeal impediment", "general impediment", and "blood impediment"; 8 are related to "muscular impediment", "stomach impediment", "hernia-conglomeration impediment", "internal consumptive-thirst impediment", "wilting impediment", and "hemiplegic impediment". To systematically analyze the properties, tastes, and effects of these medicines and its related knowledge, and then further explore the overall recognition and their treating experience of the physicians at that period would not only enrich the historical research on impediment disease, but also offer much help and reference to the understanding and treatment of impediment for contemporary clinicians.

  1. Characterization and Utilization of Calcium Oxide (CaO Thermally Decomposed from Fish Bones as a Catalyst in the Production of Biodiesel from Waste Cooking Oil

    Directory of Open Access Journals (Sweden)

    Aldes Lesbani

    2016-12-01

    Full Text Available Thermal decomposition of fish bones to obtain calcium oxide (CaO was conducted at various temperatures of 400, 500, 800, 900, 1000, and 1100 °C. The calcium oxide was then characterized using X-ray diffractometer, FTIR spectrophotometer, and SEM analysis. The calcium oxide obtained from the decomposition at 1000 °C was then used as a catalyst in the production of biodiesel from waste cooking oil. Diffraction pattern of the calcium oxide produced from decomposition at 1000 °C showed a pattern similar to that of the calcium oxide produced by the Joint Committee on Powder Diffraction Standard (JCDPS. The diffractions of 2θvalues at 1000 °C were 32.2, 37.3, 53.8, 64.1, and67.3 deg. The FTIR spectrum of calcium oxide decomposed at 1000 °C has a specific vibration at wave-length 362 cm-1, which is similar to the specific vibration of Ca-O. SEM analysis of the calcium oxide indicated that the calcium oxide’s morphology shows a smaller size and a more homogeneous structure, compared to those of fish bones. Theuse of calcium oxide as a catalyst in the production of biodiesel from waste cooking oil resulted in iod number of 15.23 g/100 g KOH, density of 0.88 g/cm3, viscosity of 6.00 cSt, and fatty acid value of 0.56 mg/KOH. These characteristic values meet the National Standard of Indonesia (SNI for biodiesel.

  2. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... out more. Cleft Lip/Palate and Craniofacial Surgery Cleft Lip/Palate and Craniofacial Surgery A cleft lip may require ... out more. Cleft Lip/Palate and Craniofacial Surgery Cleft Lip/Palate and Craniofacial Surgery A cleft lip may require ...

  3. Estudo de acurácia em cirurgia assistida por navegação na revisão cirúrgica de deformidade vertebral Estudio de la precisión en cirugía asistida por navegación en la reoperación de deformidad espinal Study of the accuracy of navigation-assisted surgery in the surgical revision of spinal deformity

    Directory of Open Access Journals (Sweden)

    Chárbel Jacob Junior

    2011-01-01

    segunda cirugía. En los 5 pacientes sometidos al reabordaje quirúrgico se procedió a instrumentación posterior con auxilio de la navegación. Fueron 84 tornillos pediculares implantados, siendo que 33 de éstos fueron asistidos por computación. La navegación fue empleada en los niveles de la deformidad vertebral en donde la anatomía se presentaba alterada impidiendo el uso correcto de los parámetros anatómicos para inserción de tornillos pediculares. En los demás niveles en donde era posible la correcta identificación de esos parámetros anatómicos se utilizó la técnica estándar. La TC postoperatoria fue realizada para medición del posicionamiento de los tornillos pediculares. Evaluamos los resultados obtenidos en el posicionamiento con y sin el uso de la navegación. El tiempo de fluoroscopía y el tiempo de la cirugía también fueron comparados con la regla áurea de la literatura. RESULTADOS: De los 33 tornillos implantados con navegación se observó una precisión de 94%, con una tasa de violación pedicular del 6%. CONCLUSIONES: El uso de la navegación es importante en la reoperación de las deformidades vertebrales con anatomía alterada, influenciando en el buen resultado de la cirugía.OBJECTIVE: To evaluate the benefits of computer-assisted spine surgery in re-operations due to vertebral deformities, and verify method accuracy. METHOD: A total of five patients with vertebral deformities who had complications during prior surgery were re-operated. These patients underwent a specific Computer Tomography scan with 2mm cuts of the spine before the second surgery. In the five patients who underwent re-operation, posterior instrumentation with the aid of computer-assisted spine surgery was performed. 84 pedicle screws were implanted, and in 33 of these computer-assisted surgeries were used. The computer-assisted surgery was used at the levels of spinal deformity where anatomy was altered making correct use of anatomical parameters for insertion of

  4. Factors Related to Adoption and Non-Adoption of Technical and Organizational Recommendations by Farmers Involved with Societe de Developpement du Cacao (SO.DE.CAO) in Cameroon. A Research Summary.

    Science.gov (United States)

    Kamga, Andre; Cheek, Jimmy G.

    In order to promote cocoa production and assist cocoa farmers in overcoming diseases in this crop, the government of Cameroon created an experimental corporation called Societe de Developpement du Cacao (SO.DE.CAO) in 1974. This organization functioned much like an extension service to provide information about crop production and disease control.…

  5. Handheld Micromanipulator for Robot-Assisted Stapes Footplate Surgery

    Science.gov (United States)

    Grande, Gonzalo Montes; Knisely, Anna J.; Becker, Brian C.; Yang, Sungwook; Hirsch, Barry E.; Riviere, Cameron N.

    2012-01-01

    Stapes footplate surgery is complex and delicate. This surgery is carried out in the middle ear to improve hearing. High accuracy is required to avoid critical tissues and structures near the surgical worksite. By suppressing the surgeon’s tremor during the operation, accuracy can be improved. In this paper, a fully handheld active micromanipulator known as Micron is evaluated for its feasibility for this delicate operation. An ergonomic handle, a custom tip, and a brace attachment were designed for stapes footplate surgery and tested in a fenestration task through a fixed speculum. Accuracy was measured during simulated surgery in two different scenarios: Micron off (unaided) and Micron on (aided), both with image guidance. Preliminary results show that Micron significantly reduces the mean position error and the mean duration of time spent in specified dangerous zones. PMID:23366167

  6. Accuracy of endoscopic ultrasonography for diagnosing ulcerative early gastric cancers

    Science.gov (United States)

    Park, Jin-Seok; Kim, Hyungkil; Bang, Byongwook; Kwon, Kyesook; Shin, Youngwoon

    2016-01-01

    Abstract Although endoscopic ultrasonography (EUS) is the first-choice imaging modality for predicting the invasion depth of early gastric cancer (EGC), the prediction accuracy of EUS is significantly decreased when EGC is combined with ulceration. The aim of present study was to compare the accuracy of EUS and conventional endoscopy (CE) for determining the depth of EGC. In addition, the various clinic-pathologic factors affecting the diagnostic accuracy of EUS, with a particular focus on endoscopic ulcer shapes, were evaluated. We retrospectively reviewed data from 236 consecutive patients with ulcerative EGC. All patients underwent EUS for estimating tumor invasion depth, followed by either curative surgery or endoscopic treatment. The diagnostic accuracy of EUS and CE was evaluated by comparing the final histologic result of resected specimen. The correlation between accuracy of EUS and characteristics of EGC (tumor size, histology, location in stomach, tumor invasion depth, and endoscopic ulcer shapes) was analyzed. Endoscopic ulcer shapes were classified into 3 groups: definite ulcer, superficial ulcer, and ill-defined ulcer. The overall accuracy of EUS and CE for predicting the invasion depth in ulcerative EGC was 68.6% and 55.5%, respectively. Of the 236 patients, 36 patients were classified as definite ulcers, 98 were superficial ulcers, and 102 were ill-defined ulcers, In univariate analysis, EUS accuracy was associated with invasion depth (P = 0.023), tumor size (P = 0.034), and endoscopic ulcer shapes (P = 0.001). In multivariate analysis, there is a significant association between superficial ulcer in CE and EUS accuracy (odds ratio: 2.977; 95% confidence interval: 1.255–7.064; P = 0.013). The accuracy of EUS for determining tumor invasion depth in ulcerative EGC was superior to that of CE. In addition, ulcer shape was an important factor that affected EUS accuracy. PMID:27472672

  7. Test Expectancy Affects Metacomprehension Accuracy

    Science.gov (United States)

    Thiede, Keith W.; Wiley, Jennifer; Griffin, Thomas D.

    2011-01-01

    Background: Theory suggests that the accuracy of metacognitive monitoring is affected by the cues used to judge learning. Researchers have improved monitoring accuracy by directing attention to more appropriate cues; however, this is the first study to more directly point students to more appropriate cues using instructions regarding tests and…

  8. Determination of blood concentrations of main active compounds in Zi-Cao-Cheng-Qi decoction and their total plasma protein binding rates based on hollow fiber liquid phase microextraction coupled with high performance liquid chromatography.

    Science.gov (United States)

    Li, Miaomiao; Chen, Xuan; Hu, Shuang; Wang, Runqin; Peng, Xiaoli; Bai, Xiaohong

    2018-01-01

    Oil-in-salt hollow fiber liquid phase microextraction coupled with high performance liquid chromatography ultraviolet detection (HPLC-UV) was developed for determination of the blood concentrations of the main active compounds, hesperidin, honokiol, shikonin, magnolol, emodin and β,β'-dimethylacrylshikonin, after oral administration of Zi-Cao-Cheng-Qi decoction (ZCCQD) and their total plasma protein binding rates. In the procedure, a hollow fiber segment was immersed in organic solvent to fill the solvent in the fiber lumen and wall pore, and then the fiber was immersed into sodium chloride solution to cover a thin salt membrane on the fiber wall pore filling organic solvent. Various factors affecting the procedure, such as extraction solvent, sample phase pH, stirring rate, extraction time, NaCl concentration and fiber immersion time in the NaCl solution, were optimized. Under the optimum conditions, good linearities (r 2 ≥0.9905), low limits of detection (0.7-2.5ng/mL) or quantitation (1.2-12ng/mL), satisfactory precision (2.6%-12.8%) and accuracy (81.0%-114.2%) of this method, were observed. The results showed that, after oral administration of a 25g/kg dose, (1) the blood concentrations (at 0.5h) of hesperidin, honokiol, shikonin, magnolol, emodin and β,β'-dimethylacrylshikonin were 0.45, 0.40, 0.48, 0.74, 0.11 and 1.11μg/mL, respectively; (2) the total plasma protein binding rates of the six active compounds were 42.0% (hesperidin), 71.8% (honokiol), 64.6% (shikonin), 77.7% (magnolol), 75.3% (emodin) and 75.7% (β,β'-dimethylacrylshikonin), respectively. The proposed procedure coupled with HPLC shows obvious advantages, such as low solvent consumption, simple operation, high sensitivity and strong purifying and can be used for the determination of both the blood concentrations and total plasma protein binding rates of active compounds in traditional Chinese medicine. Copyright © 2017 Elsevier B.V. All rights reserved.

  9. Accuracy of colonoscopy in localizing colonic cancer.

    Science.gov (United States)

    Stanciu, C; Trifan, Anca; Khder, Saad Alla

    2007-01-01

    It is important to establish the precise localization of colonic cancer preoperatively; while colonoscopy is regarded as the diagnostic gold standard for colorectal cancer, its ability to localize the tumor is less reliable. To define the accuracy of colonoscopy in identifying the location of colonic cancer. All of the patients who had a colorectal cancer diagnosed by colonoscopy at the Institute of Gastroenterology and Hepatology, Iaşi and subsequently received a surgical intervention at three teaching hospitals in Iaşi, between January 2001 and December 2005, were included in this study. Endoscopic records and operative notes were carefully reviewed, and tumor localization was recorded. There were 161 patients (89 men, 72 women, aged 61.3 +/- 12.8 years) who underwent conventional surgery for colon cancer detected by colonoscopy during the study period. Twenty-two patients (13.66%) had erroneous colonoscopic localization of the tumors. The overall accuracy of preoperative colonoscopic localization was 87.58%. Colonoscopy is an accurate, reliable method for locating colon cancer, although additional techniques (i.e., endoscopic tattooing) should be performed at least for small lesions.

  10. New trends in minimally invasive urological surgery

    Directory of Open Access Journals (Sweden)

    Prabhakar Rajan

    2009-10-01

    Full Text Available Purpose: The perceived benefits of minimally-invasive surgery include less postoperative pain, shorter hospitalization, reduced morbidity and better cosmesis while maintaining diagnostic accuracy and therapeutic outcome. We review the new trends in minimally-invasive urological surgery. Materials and method: We reviewed the English language literature using the National Library of Medicine database to identify the latest technological advances in minimally-invasive surgery with particular reference to urology. Results: Amongst other advances, studies incorporating needlescopic surgery, laparoendoscopic single-site surgery , magnetic anchoring and guidance systems, natural orifice transluminal endoscopic surgery and flexible robots were considered of interest. The results from initial animal and human studies are also outlined. Conclusion: Minimally-invasive surgery continues to evolve to meet the demands of the operators and patients. Many novel technologies are still in the testing phase, whilst others have entered clinical practice. Further evaluation is required to confirm the safety and efficacy of these techniques and validate the published reports.

  11. Image guided surgery for petrous apex lesions

    International Nuclear Information System (INIS)

    Van Havenbergh, T.; De Ridder, D.; Verlooy, J.; Koekelkoren, E.; Van De Heyning, P.

    2003-01-01

    To evaluate whether computer-assisted frameless stereotactic navigation in the temporal bone provides sufficient clinical application accuracy and thus a useful tool in temporal bone surgery. Two patients with petrous apex cholesterol granuloma were operated on by an epidural middle fossa approach using a Stealth/MedtronicTM neuronavigation system. Based an literature data optimal skin fiducial placement and registration methods were used. Intra-operative accuracy was checked using three precise anatomical landmarks. Drilling of the petrotis apex bone was guided by neuronavigation. Postoperative Computed Tomography (CT) images were fused with the preoperative CT and planning. The application of image-guidance in temporal bone surgery causes no additional burden to the patient nor prolongs the operating time. The accuracy measured at the anatomical landmarks was under 2,0 mm. This is confirmed by evaluation of bone removal through image fusion of pre- and postoperative CT scan. The clinical application of a neuronavigation system during petrous apex surgery can be regarded as useful. Using all available data on registration methods it seems possible to obtain intra-operative application accuracies of < 2,0 mm. Additional cadaver work is being performed to support these data. (author)

  12. [3D planning in maxillofacial surgery].

    Science.gov (United States)

    Hoarau, R; Zweifel, D; Lanthemann, E; Zrounba, H; Broome, M

    2014-10-01

    The development of new technologies such as three-dimensional (3D) planning has changed the everyday practice in maxillofacial surgery. Rapid prototyping associated with the 3D planning has also enabled the creation of patient specific surgical tools, such as cutting guides. As with all new technologies, uses, practicalities, cost effectiveness and especially benefits for the patients have to be carefully evaluated. In this paper, several examples of 3D planning that have been used in our institution are presented. The advantages such as the accuracy of the reconstructive surgery and decreased operating time, as well as the difficulties have also been addressed.

  13. Test expectancy affects metacomprehension accuracy.

    Science.gov (United States)

    Thiede, Keith W; Wiley, Jennifer; Griffin, Thomas D

    2011-06-01

    Theory suggests that the accuracy of metacognitive monitoring is affected by the cues used to judge learning. Researchers have improved monitoring accuracy by directing attention to more appropriate cues; however, this is the first study to more directly point students to more appropriate cues using instructions regarding tests and practice tests. The purpose of the present study was to examine whether the accuracy metacognitive monitoring was affected by the nature of the test expected. Students (N= 59) were randomly assigned to one of two test expectancy groups (memory vs. inference). Then after reading texts, judging learning, completed both memory and inference tests. Test performance and monitoring accuracy were superior when students received the kind of test they had been led to expect rather than the unexpected test. Tests influence students' perceptions of what constitutes learning. Our findings suggest that this could affect how students prepare for tests and how they monitoring their own learning. ©2010 The British Psychological Society.

  14. Forecast Accuracy Uncertainty and Momentum

    OpenAIRE

    Bing Han; Dong Hong; Mitch Warachka

    2009-01-01

    We demonstrate that stock price momentum and earnings momentum can result from uncertainty surrounding the accuracy of cash flow forecasts. Our model has multiple information sources issuing cash flow forecasts for a stock. The investor combines these forecasts into an aggregate cash flow estimate that has minimal mean-squared forecast error. This aggregate estimate weights each cash flow forecast by the estimated accuracy of its issuer, which is obtained from their past forecast errors. Mome...

  15. Neuronavigator-guided glioma surgery.

    Science.gov (United States)

    Du, Guhong; Zhou, Liangfu; Mao, Ying

    2003-10-01

    To evaluate the effectiveness of neuronavigator-guided surgery for the resection of gliomas. A total of 80 patients with gliomas underwent surgical treatment under the StealthStation neuronavigator to estimate the extent of the tumors. In 27 cases, the measurements of brain shifts at the dura, cortical surface and lesion margin were recorded during the operations. A technique termed "micro-catheter fence post" was used in superficial gliomas to compensate for brain shift. Mean fiducial error and predicted accuracy in the 80 cases were 2.03 mm +/- 0.89 mm and 2.43 mm +/- 0.99 mm, respectively. The shifts at the dura, cortical surface and lesion margin were 3.44 mm +/- 2.39 mm, 7.58 mm +/- 3.75 mm, and 6.55 mm +/- 3.19 mm, respectively. Although neuronavigation revealed residual tumors, operations were discontinued in 5 cases of deep-seated gliomas. In the other 75 cases, total tumor removals were achieved in 62 (82.7%), and subtotal removals were achieved in 13 (17.3%). Post-operation, neurological symptoms were improved or unchanged in 68 cases (85.0%), and worsened in 12 (15.0%). No deaths occurred during the operations and post-operations. Intraoperative brain shifts mainly contribute to the fail of spatial accuracy during neuronavigator-guided glioma surgery. The "micro-catheter fence post" technique used for glioma surgery is shown to be useful for compensating for intraoperative brain shifts. This technique, thus, contributes to an increase in total tumor removal and a decrease in surgical complications.

  16. [Thymus surgery in a general surgery department].

    Science.gov (United States)

    Mega, Raquel; Coelho, Fátima; Pimentel, Teresa; Ribero, Rui; Matos, Novo de; Araújo, António

    2005-01-01

    Evaluation of thymectomy cases between 1990-2003, in a General Surgery Department. Evaluation of the therapeutic efficacy in Miastenia Gravis patients. Retrospective study based on evaluation of data from Serviço de Cirurgia, Neurologia and Consult de Neurology processes, between 1990-2003, of 15 patients submitted to total thymectomy. 15 patients, aged 17 to 72, 11 female and 4 male. Miastenia Gravis was the main indication for surgery, for uncontrollable symptoms or suspicion of thymoma. In patients with myasthenia, surgery was accomplish after compensation of symptoms. There weren't post-surgery complications. Pathology were divided in thymic hyperplasia and thymoma. Miastenia patients have there symptoms diminished or stable with reduction or cessation of medical therapy. Miastenia was the most frequent indication for thymectomy. Surgery was good results, with low morbimortality, as long as the protocols are respected.

  17. Social Power Increases Interoceptive Accuracy

    Directory of Open Access Journals (Sweden)

    Mehrad Moeini-Jazani

    2017-08-01

    Full Text Available Building on recent psychological research showing that power increases self-focused attention, we propose that having power increases accuracy in perception of bodily signals, a phenomenon known as interoceptive accuracy. Consistent with our proposition, participants in a high-power experimental condition outperformed those in the control and low-power conditions in the Schandry heartbeat-detection task. We demonstrate that the effect of power on interoceptive accuracy is not explained by participants’ physiological arousal, affective state, or general intention for accuracy. Rather, consistent with our reasoning that experiencing power shifts attentional resources inward, we show that the effect of power on interoceptive accuracy is dependent on individuals’ chronic tendency to focus on their internal sensations. Moreover, we demonstrate that individuals’ chronic sense of power also predicts interoceptive accuracy similar to, and independent of, how their situationally induced feeling of power does. We therefore provide further support on the relation between power and enhanced perception of bodily signals. Our findings offer a novel perspective–a psychophysiological account–on how power might affect judgments and behavior. We highlight and discuss some of these intriguing possibilities for future research.

  18. Nutrition Following Pancreatic Surgery

    Science.gov (United States)

    ... BACK Contact Us DONATE NOW GENERAL DONATION PURPLESTRIDE Nutrition Following Pancreatic Surgery Home Facing Pancreatic Cancer Living with Pancreatic Cancer Diet and Nutrition Nutrition Following Pancreatic Surgery Ver esta página en ...

  19. Blood donation before surgery

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000367.htm Blood donation before surgery To use the sharing features on ... team. Related MedlinePlus Health Topics Blood Transfusion and Donation Surgery Browse the Encyclopedia A.D.A.M., ...

  20. Cosmetic ear surgery

    Science.gov (United States)

    Otoplasty; Ear pinning; Ear surgery - cosmetic; Ear reshaping; Pinnaplasty ... Cosmetic ear surgery may be done in the surgeon's office, an outpatient clinic, or a hospital. It can be performed under ...

  1. Open heart surgery

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/article/002950.htm Open heart surgery To use the sharing features on this ... large arteries connected to the heart. The term "open heart surgery" means that you are connected to a ...

  2. Pediatric heart surgery - discharge

    Science.gov (United States)

    ... discharge; Heart valve surgery - children - discharge; Heart surgery - pediatric - discharge; Heart transplant - pediatric - discharge ... Geme JW, Schor NF, eds. Nelson Textbook of Pediatrics . 20th ed. Philadelphia, PA: Elsevier; 2016:chap 434. ...

  3. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... misalignment of jaws and teeth. Surgery can improve chewing, speaking and breathing. While the patient's appearance may ... indicate the need for corrective jaw surgery: Difficulty chewing, or biting food Difficulty swallowing Chronic jaw or ...

  4. Refractive corneal surgery - discharge

    Science.gov (United States)

    ... surgery. Avoid contact sports (such as boxing and football) for the first 4 weeks after surgery. DO ... herein should not be used during any medical emergency or for the diagnosis or treatment of any ...

  5. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... best performed by a trained surgeon with specialized education and training. Click here to find out more. ... more. Facial Cosmetic Surgery Facial Cosmetic Surgery Extensive education and training in surgical procedures involving skin, muscle, ...

  6. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... more surgeries depending on the extent of the repair needed. Click here to find out more. Corrective ... more surgeries depending on the extent of the repair needed. Click here to find out more. Corrective ...

  7. Surgery for pancreatic cancer

    Science.gov (United States)

    ... laparoscopically (using a tiny video camera) or using robotic surgery depends on: The extent of the surgery ... by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is ...

  8. Anti-reflux surgery

    Science.gov (United States)

    ... surgery. You may need another surgery in the future if you develop new reflux symptoms or swallowing ... Diseases of the esophagus. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine . 25th ed. Philadelphia, PA: ...

  9. Blepharoplasty (Eyelid Surgery)

    Science.gov (United States)

    ... Blepharoplasty (BLEF-uh-roe-plas-tee) is a type of surgery that repairs droopy eyelids and may involve ... tobacco and drugs. Your expectations. An honest discussion of your hopes and motivation for surgery will help set the stage for ...

  10. Smoking and surgery

    Science.gov (United States)

    Surgery - quitting smoking; Surgery - quitting tobacco; Wound healing - smoking ... Tar, nicotine, and other chemicals from smoking can increase your risk of many health problems. These include heart and blood vessel problems, such as: Blood clots and aneurysms in ...

  11. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... Jaw Surgery Download Download the ebook for further information Corrective jaw, or orthognathic surgery is performed by ... your treatment. Correction of Common Dentofacial Deformities ​ ​ The information provided here is not intended as a substitute ...

  12. Cosmetic breast surgery - discharge

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000273.htm Cosmetic breast surgery - discharge To use the sharing features on this page, please enable JavaScript. You had cosmetic breast surgery to change the size or shape ...

  13. Shoulder surgery - discharge

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000179.htm Shoulder surgery - discharge To use the sharing features on this page, please enable JavaScript. You had shoulder surgery to repair the tissues inside or around your ...

  14. Weight Loss Surgery

    Science.gov (United States)

    Weight loss surgery helps people with extreme obesity to lose weight. It may be an option if you cannot lose weight ... obesity. There are different types of weight loss surgery. They often limit the amount of food you ...

  15. Robotic liver surgery

    Science.gov (United States)

    Leung, Universe

    2014-01-01

    Robotic surgery is an evolving technology that has been successfully applied to a number of surgical specialties, but its use in liver surgery has so far been limited. In this review article we discuss the challenges of minimally invasive liver surgery, the pros and cons of robotics, the evolution of medical robots, and the potentials in applying this technology to liver surgery. The current data in the literature are also presented. PMID:25392840

  16. Breast Cancer Surgery

    Science.gov (United States)

    FACTS FOR LIFE Breast Cancer Surgery The goal of breast cancer surgery is to remove the whole tumor from the breast. Some lymph nodes ... might still be in the body. Types of breast cancer surgery There are two types of breast cancer ...

  17. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... their surgery, orthognathic surgery is performed to correct functional problems. Jaw Surgery can have a dramatic effect on many aspects of life. Following are some of the conditions that may ... front, or side Facial injury Birth defects Receding lower jaw and ...

  18. Pediatric heart surgery

    Science.gov (United States)

    Heart surgery - pediatric; Heart surgery for children; Acquired heart disease; Heart valve surgery - children ... There are many kinds of heart defects. Some are minor, and others are more serious. Defects can occur inside the heart or in the large blood vessels ...

  19. Trait Perception Accuracy and Acquaintance Within Groups: Tracking Accuracy Development.

    Science.gov (United States)

    Brown, Jill A; Bernieri, Frank

    2017-05-01

    Previous work on trait perception has evaluated accuracy at discrete stages of relationships (e.g., strangers, best friends). A relatively limited body of literature has investigated changes in accuracy as acquaintance within a dyad or group increases. Small groups of initially unacquainted individuals spent more than 30 hr participating in a wide range of activities designed to represent common interpersonal contexts (e.g., eating, traveling). We calculated how accurately each participant judged others in their group on the big five traits across three distinct points within the acquaintance process: zero acquaintance, after a getting-to-know-you conversation, and after 10 weeks of interaction and activity. Judgments of all five traits exhibited accuracy above chance levels after 10 weeks. An examination of the trait rating stability revealed that much of the revision in judgments occurred not over the course of the 10-week relationship as suspected, but between zero acquaintance and the getting-to-know-you conversation.

  20. Quantum mechanics/molecular mechanics simulation of the ligand vibrations of the water-oxidizing Mn4CaO5 cluster in photosystem II.

    Science.gov (United States)

    Nakamura, Shin; Noguchi, Takumi

    2016-10-11

    During photosynthesis, the light-driven oxidation of water performed by photosystem II (PSII) provides electrons necessary to fix CO 2 , in turn supporting life on Earth by liberating molecular oxygen. Recent high-resolution X-ray images of PSII show that the water-oxidizing center (WOC) is composed of an Mn 4 CaO 5 cluster with six carboxylate, one imidazole, and four water ligands. FTIR difference spectroscopy has shown significant structural changes of the WOC during the S-state cycle of water oxidation, especially within carboxylate groups. However, the roles that these carboxylate groups play in water oxidation as well as how they should be properly assigned in spectra are unresolved. In this study, we performed a normal mode analysis of the WOC using the quantum mechanics/molecular mechanics (QM/MM) method to simulate FTIR difference spectra on the S 1 to S 2 transition in the carboxylate stretching region. By evaluating WOC models with different oxidation and protonation states, we determined that models of high-oxidation states, Mn(III) 2 Mn(IV) 2 , satisfactorily reproduced experimental spectra from intact and Ca-depleted PSII compared with low-oxidation models. It is further suggested that the carboxylate groups bridging Ca and Mn ions within this center tune the reactivity of water ligands bound to Ca by shifting charge via their π conjugation.

  1. Ab initio study of the positronation of the CaO and SrO molecules including calculation of annihilation rates.

    Science.gov (United States)

    Buenker, Robert J; Liebermann, Heinz-Peter

    2012-07-15

    Ab initio multireference single- and double-excitation configuration interaction calculations have been performed to compute potential curves for ground and excited states of the CaO and SrO molecules and their positronic complexes, e(+)CaO, and e(+)SrO. The adiabatic dissociation limit for the (2)Σ(+) lowest states of the latter systems consists of the positive metal ion ground state (M(+)) and the OPs complex (e(+)O(-)), although the lowest energy limit is thought to be e(+)M + O. Good agreement is found between the calculated and experimental spectroscopic constants for the neutral diatomics wherever available. The positron affinity of the closed-shell X (1)Σ(+) ground states of both systems is found to lie in the 0.16-0.19 eV range, less than half the corresponding values for the lighter members of the alkaline earth monoxide series, BeO and MgO. Annihilation rates (ARs) have been calculated for all four positronated systems for the first time. The variation with bond distance is generally similar to what has been found earlier for the alkali monoxide series of positronic complexes, falling off gradually from the OPs AR value at their respective dissociation limits. The e(+)SrO system shows some exceptional behavior, however, with its AR value reaching a minimum at a relatively large bond distance and then rising to more than twice the OPs value close to its equilibrium distance. Copyright © 2012 Wiley Periodicals, Inc.

  2. EFFECT OF FERRITE PHASE ON THE FORMATION AND COEXISTENCE OF 3CaO.3Al₂O₃.CaSO₄ AND 3CaO.SiO₂ MINERALS

    Directory of Open Access Journals (Sweden)

    Xiaolei Lu

    2017-12-01

    Full Text Available The effect of ferrite on the formation and coexistence of 3CaO.3Al₂O₃.CaSO₄ (C₄A₃$ and 3CaO.SiO₂ (C3S was investigated in this paper. The results indicate that 20 % content of ferrite phase with the composition of C₂A0.5F0.5 can facilitate the coexistence of C₄A₃$ and C₃S solid solutions at 1350 ° C. There are other trace elements that incorporate into clinker minerals and form solid solutions. In addition, the dark and polygonal C₄A₃$ solid solution is not dissolved in liquid phase at 1350 ° C. It can promote the burnability of the raw mixes and provide a favorable condition for the formation of C₃S. However, it has an adverse effect on the coexistence of two clinker minerals with the changing of ferrite compositions. This will provide the important basis for the preparation of the calcium sulphoaluminate cement clinker containing C₃S.

  3. PDMS-SiO{sub 2}-TiO{sub 2}-CaO hybrid materials – Cytocompatibility and nanoscale surface features

    Energy Technology Data Exchange (ETDEWEB)

    Almeida, J. Carlos [CICECO - Aveiro Institute of Materials, Department of Materials and Ceramic Engineering, University of Aveiro, 3810-193 Aveiro (Portugal); Wacha, András [Research Centre for Natural Sciences, Hungarian Academy of Sciences, Magyar Tudósok körútja 2, Budapest 1117 (Hungary); Gomes, Pedro S.; Fernandes, M. Helena R. [Laboratory for Bone Metabolism and Regeneration, Faculdade de Medicina Dentária, Universidade do Porto (Portugal); Fernandes, M. Helena Vaz [CICECO - Aveiro Institute of Materials, Department of Materials and Ceramic Engineering, University of Aveiro, 3810-193 Aveiro (Portugal); Salvado, Isabel M. Miranda, E-mail: isabelmsalvado@ua.pt [CICECO - Aveiro Institute of Materials, Department of Materials and Ceramic Engineering, University of Aveiro, 3810-193 Aveiro (Portugal)

    2016-07-01

    Two PDMS-SiO{sub 2}-TiO{sub 2}-CaO porous hybrid materials were prepared using the same base composition, precursors, and solvents, but following two different sol-gel procedures, based on the authors' previous works where for the first time, in this hybrid system, calcium acetate was used as calcium source. The two different procedures resulted in monolithic materials with different structures, microstructures, and surface wettability. Even though both are highly hydrophobic (contact angles of 127.2° and 150.6°), and present different filling regimes due to different surface topographies, they have demonstrated to be cytocompatible when tested with human osteoblastic cells, against the accepted idea that high-hydrophobic surfaces are not suitable to cell adhesion and proliferation. At the nanoscale, the existence of hydrophilic silica domains containing calcium, where water molecules are physisorbed, is assumed to support this capability, as discussed. - Highlights: • Two hybrid materials were prepared following two different sol-gel procedures. • Both are highly hydrophobic but demonstrated to be cytocompatible. • Different filling regimes were observed.

  4. A parallel robot to assist vitreoretinal surgery

    Energy Technology Data Exchange (ETDEWEB)

    Nakano, Taiga; Sugita, Naohiko; Mitsuishi, Mamoru [University of Tokyo, School of Engineering, Tokyo (Japan); Ueta, Takashi; Tamaki, Yasuhiro [University of Tokyo, Graduate School of Medicine, Tokyo (Japan)

    2009-11-15

    This paper describes the development and evaluation of a parallel prototype robot for vitreoretinal surgery where physiological hand tremor limits performance. The manipulator was specifically designed to meet requirements such as size, precision, and sterilization; this has six-degree-of-freedom parallel architecture and provides positioning accuracy with micrometer resolution within the eye. The manipulator is controlled by an operator with a ''master manipulator'' consisting of multiple joints. Results of the in vitro experiments revealed that when compared to the manual procedure, a higher stability and accuracy of tool positioning could be achieved using the prototype robot. This microsurgical system that we have developed has superior operability as compared to traditional manual procedure and has sufficient potential to be used clinically for vitreoretinal surgery. (orig.)

  5. Using your shoulder after surgery

    Science.gov (United States)

    Shoulder surgery - using your shoulder; Shoulder surgery - after ... rotator cuff surgery or other ligament or labral surgery, you need to be careful with your shoulder. Ask the surgeon what arm movements are safe ...

  6. Diagnostic accuracy in virtual dermatopathology

    DEFF Research Database (Denmark)

    Mooney, E.; Kempf, W.; Jemec, G.B.E.

    2012-01-01

    Background Virtual microscopy is used for teaching medical students and residents and for in-training and certification examinations in the United States. However, no existing studies compare diagnostic accuracy using virtual slides and photomicrographs. The objective of this study was to compare...... diagnostic accuracy of dermatopathologists and pathologists using photomicrographs vs. digitized images, through a self-assessment examination, and to elucidate assessment of virtual dermatopathology. Methods Forty-five dermatopathologists and pathologists received a randomized combination of 15 virtual...... slides and photomicrographs with corresponding clinical photographs and information in a self-assessment examination format. Descriptive data analysis and comparison of groups were performed using a chi-square test. Results Diagnostic accuracy in dermatopathology using virtual dermatopathology...

  7. Role of a Water Network around the Mn4CaO5 Cluster in Photosynthetic Water Oxidation: A Fourier Transform Infrared Spectroscopy and Quantum Mechanics/Molecular Mechanics Calculation Study.

    Science.gov (United States)

    Nakamura, Shin; Ota, Kai; Shibuya, Yuichi; Noguchi, Takumi

    2016-01-26

    Photosynthetic water oxidation takes place at the Mn4CaO5 cluster in photosystem II. Around the Mn4CaO5 cluster, a hydrogen bond network is formed by several water molecules, including four water ligands. To clarify the role of this water network in the mechanism of water oxidation, we investigated the effects of the removal of Ca(2+) and substitution with metal ions on the vibrations of water molecules coupled to the Mn4CaO5 cluster by means of Fourier transform infrared (FTIR) difference spectroscopy and quantum mechanics/molecular mechanics (QM/MM) calculations. The OH stretching vibrations of nine water molecules forming a network between D1-D61 and YZ were calculated using the QM/MM method. On the the calculated normal modes, a broad positive feature at 3200-2500 cm(-1) in an S2-minus-S1 FTIR spectrum was attributed to the vibrations of strongly hydrogen-bonded OH bonds of water involving the vibrations of water ligands to a Mn ion and the in-phase coupled vibration of a water network connected to YZ, while bands in the 3700-3500 cm(-1) region were assigned to the coupled vibrations of weakly hydrogen-bonded OH bonds of water. All the water bands were lost upon Ca(2+) depletion and Ba(2+) substitution, which inhibit the S2 → S3 transition, indicating that a solid water network was broken by these treatments. By contrast, Sr(2+) substitution slightly altered the water bands around 3600 cm(-1), reflecting minor modification in water interactions, consistent with the retention of water oxidation activity with a decreased efficiency. These results suggest that the water network around the Mn4CaO5 cluster plays an essential role in the water oxidation mechanism particularly in a concerted process of proton transfer and water insertion during the S2 → S3 transition.

  8. A Systematic Review of the Mysterious Caterpillar Fungus Ophiocordyceps sinensis in Dong-ChongXiaCao (冬蟲夏草 Dōng Chóng Xià Cǎo) and Related Bioactive Ingredients

    Science.gov (United States)

    Lo, Hui-Chen; Hsieh, Chienyan; Lin, Fang-Yi; Hsu, Tai-Hao

    2013-01-01

    The caterpillar fungus Ophiocordyceps sinensis (syn.† Cordyceps sinensis), which was originally used in traditional Tibetan and Chinese medicine, is called either “yartsa gunbu” or “DongChongXiaCao (冬蟲夏草 Dōng Chóng Xià Cǎo)” (“winter worm-summer grass”), respectively. The extremely high price of DongChongXiaCao, approximately USD $20,000 to 40,000 per kg, has led to it being regarded as “soft gold” in China. The multi-fungi hypothesis has been proposed for DongChongXiaCao; however, Hirsutella sinensis is the anamorph of O. sinensis. In Chinese, the meaning of “DongChongXiaCao” is different for O. sinensis, Cordyceps spp.,‡ and Cordyceps spƒ. Over 30 bioactivities, such as immunomodulatory, antitumor, anti-inflammatory, and antioxidant activities, have been reported for wild DongChongXiaCao and for the mycelia and culture supernatants of O. sinensis. These bioactivities derive from over 20 bioactive ingredients, mainly extracellular polysaccharides, intracellular polysaccharides, cordycepin, adenosine, mannitol, and sterols. Other bioactive components have been found as well, including two peptides (cordymin and myriocin), melanin, lovastatin, γ-aminobutyric acid, and cordysinins. Recently, the bioactivities of O. sinensis were described, and they include antiarteriosclerosis, antidepression, and antiosteoporosis activities, photoprotection, prevention and treatment of bowel injury, promotion of endurance capacity, and learning-memory improvement. H. sinensis has the ability to accelerate leukocyte recovery, stimulate lymphocyte proliferation, antidiabetes, and improve kidney injury. Starting January 1st, 2013, regulation will dictate that one fungus can only have one name, which will end the system of using separate names for anamorphs. The anamorph name “H. sinensis” has changed by the International Code of Nomenclature for algae, fungi, and plants to O. sinensis. PMID:24716152

  9. Paleopatologías dentales más frecuentes en restos óseos de habitantes hallados en el Complejo Arqueológico El Brujo - Magdalena de Cao

    OpenAIRE

    Chanamé Marín, Ann Rosemary

    2013-01-01

    The objective of the study was to determine the frequency of dental paleopathologies inhabitants skeletal remains found in the archaeological complex El Brujo - Magdalena de Cao. The population consisted of 106 skeletal remains over 18 years, according to the inclusion criteria. We evaluated dental caries, malocclusion, dental crowding, address anomalies, anomalies site, age and gender, using a data collection instrument and which reached the following results: . This study allows us to prese...

  10. A Systematic Review of the Mysterious Caterpillar Fungus Ophiocordyceps sinensis in DongChongXiaCao (冬蟲夏草 Dōng Chóng Xià Cǎo and Related Bioactive Ingredients

    Directory of Open Access Journals (Sweden)

    Hui-Chen Lo

    2013-01-01

    Full Text Available The caterpillar fungus Ophiocordyceps sinensis (syn.† Cordyceps sinensis, which was originally used in traditional Tibetan and Chinese medicine, is called either “yartsa gunbu” or “DongChongXiaCao (冬蟲夏草 Dōng Chóng Xià Cǎo” (“winter worm-summer grass”, respectively. The extremely high price of DongChongXiaCao, approximately USD $20,000 to 40,000 per kg, has led to it being regarded as “soft gold” in China. The multi-fungi hypothesis has been proposed for DongChongXiaCao; however, Hirsutella sinensis is the anamorph of O. sinensis. In Chinese, the meaning of “DongChongXiaCao” is different for O. sinensis, Cordyceps spp.,‡ and Cordyceps spƒ. Over 30 bioactivities, such as immunomodulatory, antitumor, anti-inflammatory, and antioxidant activities, have been reported for wild DongChongXiaCao and for the mycelia and culture supernatants of O. sinensis. These bioactivities derive from over 20 bioactive ingredients, mainly extracellular polysaccharides, intracellular polysaccharides, cordycepin, adenosine, mannitol, and sterols. Other bioactive components have been found as well, including two peptides (cordymin and myriocin, melanin, lovastatin, γ-aminobutyric acid, and cordysinins. Recently, the bioactivities of O. sinensis were described, and they include antiarteriosclerosis, antidepression, and antiosteoporosis activities, photoprotection, prevention and treatment of bowel injury, promotion of endurance capacity, and learning-memory improvement. H. sinensis has the ability to accelerate leukocyte recovery, stimulate lymphocyte proliferation, antidiabetes, and improve kidney injury. Starting January 1st, 2013, regulation will dictate that one fungus can only have one name, which will end the system of using separate names for anamorphs. The anamorph name “H. sinensis” has changed by the International Code of Nomenclature for algae, fungi, and plants to O. sinensis.

  11. Cadastral Database Positional Accuracy Improvement

    Science.gov (United States)

    Hashim, N. M.; Omar, A. H.; Ramli, S. N. M.; Omar, K. M.; Din, N.

    2017-10-01

    Positional Accuracy Improvement (PAI) is the refining process of the geometry feature in a geospatial dataset to improve its actual position. This actual position relates to the absolute position in specific coordinate system and the relation to the neighborhood features. With the growth of spatial based technology especially Geographical Information System (GIS) and Global Navigation Satellite System (GNSS), the PAI campaign is inevitable especially to the legacy cadastral database. Integration of legacy dataset and higher accuracy dataset like GNSS observation is a potential solution for improving the legacy dataset. However, by merely integrating both datasets will lead to a distortion of the relative geometry. The improved dataset should be further treated to minimize inherent errors and fitting to the new accurate dataset. The main focus of this study is to describe a method of angular based Least Square Adjustment (LSA) for PAI process of legacy dataset. The existing high accuracy dataset known as National Digital Cadastral Database (NDCDB) is then used as bench mark to validate the results. It was found that the propose technique is highly possible for positional accuracy improvement of legacy spatial datasets.

  12. Classification Accuracy Is Not Enough

    DEFF Research Database (Denmark)

    Sturm, Bob L.

    2013-01-01

    A recent review of the research literature evaluating music genre recognition (MGR) systems over the past two decades shows that most works (81\\%) measure the capacity of a system to recognize genre by its classification accuracy. We show here, by implementing and testing three categorically...

  13. The hidden KPI registration accuracy.

    Science.gov (United States)

    Shorrosh, Paul

    2011-09-01

    Determining the registration accuracy rate is fundamental to improving revenue cycle key performance indicators. A registration quality assurance (QA) process allows errors to be corrected before bills are sent and helps registrars learn from their mistakes. Tools are available to help patient access staff who perform registration QA manually.

  14. DEVELOPMENT OF PLASTIC SURGERY.

    Science.gov (United States)

    Pećanac, Marija Đ

    2015-01-01

    Plastic surgery is a medical specialty dealing with corrections of defects, improvements in appearance and restoration of lost function. Ancient times. The first recorded account of reconstructive plastic surgery was found in ancient Indian Sanskrit texts, which described reconstructive surgeries of the nose and ears. In ancient Greece and Rome, many medicine men performed simple plastic cosmetic surgeries to repair damaged parts of the body caused by war mutilation, punishment or humiliation. In the Middle Ages, the development of all medical braches, including plastic surgery was hindered. New age. The interest in surgical reconstruction of mutilated body parts was renewed in the XVIII century by a great number of enthusiastic and charismatic surgeons, who mastered surgical disciplines and became true artists that created new forms. Modern era. In the XX century, plastic surgery developed as a modern branch in medicine including many types of reconstructive surgery, hand, head and neck surgery, microsurgery and replantation, treatment of burns and their sequelae, and esthetic surgery. Contemporary and future plastic surgery will continue to evolve and improve with regenerative medicine and tissue engineering resulting in a lot of benefits to be gained by patients in reconstruction after body trauma, oncology amputation, and for congenital disfigurement and dysfunction.

  15. Accuracy in Optical Information Processing

    Science.gov (United States)

    Timucin, Dogan Aslan

    Low computational accuracy is an important obstacle for optical processors which blocks their way to becoming a practical reality and a serious challenger for classical computing paradigms. This research presents a comprehensive solution approach to the problem of accuracy enhancement in discrete analog optical information processing systems. Statistical analysis of a generic three-plane optical processor is carried out first, taking into account the effects of diffraction, interchannel crosstalk, and background radiation. Noise sources included in the analysis are photon, excitation, and emission fluctuations in the source array, transmission and polarization fluctuations in the modulator, and photoelectron, gain, dark, shot, and thermal noise in the detector array. Means and mutual coherence and probability density functions are derived for both optical and electrical output signals. Next, statistical models for a number of popular optoelectronic devices are studied. Specific devices considered here are light-emitting and laser diode sources, an ideal noiseless modulator and a Gaussian random-amplitude-transmittance modulator, p-i-n and avalanche photodiode detectors followed by electronic postprocessing, and ideal free-space geometrical -optics propagation and single-lens imaging systems. Output signal statistics are determined for various interesting device combinations by inserting these models into the general formalism. Finally, based on these special-case output statistics, results on accuracy limitations and enhancement in optical processors are presented. Here, starting with the formulation of the accuracy enhancement problem as (1) an optimal detection problem and (2) as a parameter estimation problem, the potential accuracy improvements achievable via the classical multiple-hypothesis -testing and maximum likelihood and Bayesian parameter estimation methods are demonstrated. Merits of using proper normalizing transforms which can potentially stabilize

  16. Rhein 8-O-β-D-Glucopyranoside Elicited the Purgative Action of Daiokanzoto (Da-Huang-Gan-Cao-Tang), Despite Dysbiosis by Ampicillin.

    Science.gov (United States)

    Takayama, Kento; Tabuchi, Norihiko; Fukunaga, Masahito; Okamura, Nobuyuki

    2016-01-01

    Sennoside A (SA), the main purgative constituent of Daiokanzoto (da-huang-gan-cao-tang; DKT), is generally regarded as a prodrug that is transformed into an active metabolite by β-glucosidase derived from Bifidobacterium spp. It has been suggested that antibiotics would promote dysbiosis, and thereby inhibit the purgative activity of DKT. In this study, ampicillin was administered to mice for 8 d, and the changes in the SA metabolism of SA alone and of DKT were investigated. The results showed that the SA metabolism of SA singly continued to be inhibited by ampicillin, but that of DKT was activated from day 3 under the same conditions. In order to investigate the mechanism of SA metabolism activated by DKT in the mice administered ampicillin, changes in the SA metabolism were observed in the presence of rhein 8-O-β-D-glucopyranoside (RG) in rhubarb and liquiritin in glycyrrhiza, both of which accelerated the SA metabolism. In fact, RG achieved an activation of SA metabolism similar to that by DKT. The purgative action of DKT, which was continued treatment of the ampicillin, was significantly greater than that by SA alone, and it was shown that RG was involved in this effect. We also analyzed changes in the intestinal microbiota before and after administration of ampicillin. No Bifidobacteria were detected throughout the treatment, but the population of Bacteroides was significantly increased after 3 d under the same conditions. Taken together, these results strongly suggested that the RG in DKT changed the function of Bacteroides and thereby allowed DKT to metabolize SA.

  17. Ergonomics in laparoscopic surgery

    Directory of Open Access Journals (Sweden)

    Supe Avinash

    2010-01-01

    Full Text Available Laparoscopic surgery provides patients with less painful surgery but is more demanding for the surgeon. The increased technological complexity and sometimes poorly adapted equipment have led to increased complaints of surgeon fatigue and discomfort during laparoscopic surgery. Ergonomic integration and suitable laparoscopic operating room environment are essential to improve efficiency, safety, and comfort for the operating team. Understanding ergonomics can not only make life of surgeon comfortable in the operating room but also reduce physical strains on surgeon.

  18. Gastric and intestinal surgery.

    Science.gov (United States)

    Fossum, Theresa W; Hedlund, Cheryl S

    2003-09-01

    Gastric surgery is commonly performed to remove foreign bodies and correct gastric dilatation-volvulus and is less commonly performed to treat gastric ulceration or erosion, neoplasia, and benign gastric outflow obstruction. Intestinal surgery, although commonly performed by veterinarians, should never be considered routine. The most common procedures of the small intestinal tract performed in dogs and cats include enterotomy and resection/anastomosis. Surgery of the large intestine is indicated for lesions causing obstruction, perforations, colonic inertia, or chronic inflammation.

  19. Surgery: a risky business.

    Science.gov (United States)

    Vats, Amit; Nagpal, Kamal; Moorthy, Krishna

    2009-10-01

    The advancement of surgical technology has made surgery an increasingly suitable management option for an increasing number of medical conditions. Yet there is also a growing concern about the number of patients coming to harm as a result of surgery. Studies show that this harm can be prevented by better teamwork and communication in operating theatres. This article discusses the extent of adverse events in surgery and how effective teamwork and communication can improve patient safety. It also highlights the role checklists and briefing in improving teamwork and reducing human error in surgery.

  20. Heart valve surgery

    Science.gov (United States)

    ... replacement; Valve repair; Heart valve prosthesis; Mechanical valves; Prosthetic valves ... surgery. Your heart valve has been damaged by infection ( endocarditis ). You have received a new heart valve ...

  1. Application of image guidance in pituitary surgery

    Science.gov (United States)

    de Lara, Danielle; Filho, Leo F. S. Ditzel; Prevedello, Daniel M.; Otto, Bradley A.; Carrau, Ricardo L.

    2012-01-01

    Background: Surgical treatment of pituitary pathologies has evolved along the years, adding safety and decreasing morbidity related to the procedure. Advances in the field of radiology, coupled with stereotactic technology and computer modeling, have culminated in the contemporary and widespread use of image guidance systems, as we know them today. Image guidance navigation has become a frequently used technology that provides continuous three-dimensional information for the accurate performance of neurosurgical procedures. We present a discussion about the application of image guidance in pituitary surgeries. Methods: Major indications for image guidance neuronavigation application in pituitary surgery are presented and demonstrated with illustrative cases. Limitations of this technology are also presented. Results: Patients presenting a history of previous transsphenoidal surgeries, anatomical variances of the sphenoid sinus, tumors with a close relation to the internal carotid arteries, and extrasellar tumors are the most important indications for image guidance in pituitary surgeries. The high cost of the equipment, increased time of surgery due to setup time, and registration and the need of specific training for the operating room personnel could be pointed as limitations of this technology. Conclusion: Intraoperative image guidance systems provide real-time images, increasing surgical accuracy and enabling safe, minimally invasive interventions. However, the use of intraoperative navigation is not a replacement for surgical experience and a systematic knowledge of regional anatomy. It must be recognized as a tool by which the neurosurgeon can reduce the risk associated with surgical approach and treatment of pituitary pathologies. PMID:22826819

  2. Nanotechnology applications in thoracic surgery.

    Science.gov (United States)

    Hofferberth, Sophie C; Grinstaff, Mark W; Colson, Yolonda L

    2016-07-01

    Nanotechnology is an emerging, rapidly evolving field with the potential to significantly impact care across the full spectrum of cancer therapy. Of note, several recent nanotechnological advances show particular promise to improve outcomes for thoracic surgical patients. A variety of nanotechnologies are described that offer possible solutions to existing challenges encountered in the detection, diagnosis and treatment of lung cancer. Nanotechnology-based imaging platforms have the ability to improve the surgical care of patients with thoracic malignancies through technological advances in intraoperative tumour localization, lymph node mapping and accuracy of tumour resection. Moreover, nanotechnology is poised to revolutionize adjuvant lung cancer therapy. Common chemotherapeutic drugs, such as paclitaxel, docetaxel and doxorubicin, are being formulated using various nanotechnologies to improve drug delivery, whereas nanoparticle (NP)-based imaging technologies can monitor the tumour microenvironment and facilitate molecularly targeted lung cancer therapy. Although early nanotechnology-based delivery systems show promise, the next frontier in lung cancer therapy is the development of 'theranostic' multifunctional NPs capable of integrating diagnosis, drug monitoring, tumour targeting and controlled drug release into various unifying platforms. This article provides an overview of key existing and emerging nanotechnology platforms that may find clinical application in thoracic surgery in the near future. © The Author 2016. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

  3. [Suture simulator - Cleft palate surgery].

    Science.gov (United States)

    Devinck, F; Riot, S; Qassemyar, A; Belkhou, A; Wolber, A; Martinot Duquennoy, V; Guerreschi, P

    2017-04-01

    Cleft palate requires surgery in the first years of life, furthermore repairing anatomically the soft and hard palate is complex on a surgical level because of the fine tissues and the local intraoral configuration. It is valuable to train first on simulators before going to the operating room. However, there is no material dedicated to learning how to perform intraoral sutures in cleft palate surgery. We made one, in an artisanal manner, in order to practice before the real surgical gesture. The simulator was designed based on precise anatomical data. A steel pipe, fixed on a rigid base represented the oral cavity. An adapted split spoon represented the palate. All pieces could be removed in order to apply a hydrocellular dressing before training for sutures. Our simulator was tested by 3 senior surgeons in our department in close to real-life conditions in order to evaluate its anatomical accuracy. It is valuable to have a simulator to train on cleft palate sutures within teaching university hospitals that manage this pathology. Our simulator has a very low cost, it is easy to make and is anatomically accurate. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  4. Less extensive surgery compared to extensive surgery

    DEFF Research Database (Denmark)

    Lauszus, Finn F; Petersen, Astrid C; Neumann, Gudrun

    2014-01-01

    -up by hospital data files, general practitioner, death certificate, and autopsy report. Revision of histopathology by a single pathologist. Main outcome measures: Survival and relapse by clinical data, stage, and type of surgery. RESULTS: The incidence of AGCT was 1.37 per year per 100,000 women (95% CI: 1.08, 1.......68). The median follow-up time was 15 years and for the 79 surviving women 22 years. Stage I was found in 94% of cases. Relapse occurred in 24% of women in stage I and 100% of the other stages. Survival in stage I was 95%, 89% and 84% after 5, 10 and 20 years respectively. Increased survival of stage I......: The survival of women was better in AGCT than in epithelial ovarian tumor. Age and type of surgery, besides stage, influenced survival. Total abdominal hysterectomy and bilateral salpingo-oophorectomy is the recommended treatment with advancing age. At younger age less extensive surgery was associated...

  5. Accuracy of the Danish version of the 'distress thermometer'

    DEFF Research Database (Denmark)

    Bidstrup, Pernille Envold; Mertz, Birgitte Goldschmidt; Dalton, Susanne Oksbjerg

    2012-01-01

    Objective: Short screening instruments have been suggested to improve the detection of psychological symptoms. We examined the accuracy of the Danish version of the 'Distress Thermometer'. Methods: Between October 2008 and October 2009, 426 women with newly diagnosed primary breast cancer who were...... operated at the Breast Surgery Clinic of the Rigshospitalet, Copenhagen, were eligible for this study. Of these, 357 participated (84%) and 333 completed a questionnaire. The distress thermometer was evaluated against the 'hospital anxiety and depression scale' (HADS). We also examined the women's wish...

  6. Michael Jackson antes del caos

    OpenAIRE

    Juan Luciano Nieves

    2015-01-01

    Michael Jackson es un buen ejemplo de cómo utilizar las relaciones públicas para realizar o manipular la imagen de un producto a través de los medios de comunicación. Este ensayo pretende analizar los eventos que tuvieron lugar antes de que el cantante fuera acusado de abuso sexual contra un menor. Dichos eventos formaron parte de un plan muy bien delineado para disminuir los efectos de la inminente crisis que se acercaba. Este trabajo combina la crítica retórica de temas de fantasía con teor...

  7. Michael Jackson antes del caos

    Directory of Open Access Journals (Sweden)

    Juan Luciano Nieves

    2015-01-01

    Full Text Available Michael Jackson es un buen ejemplo de cómo utilizar las relaciones públicas para realizar o manipular la imagen de un producto a través de los medios de comunicación. Este ensayo pretende analizar los eventos que tuvieron lugar antes de que el cantante fuera acusado de abuso sexual contra un menor. Dichos eventos formaron parte de un plan muy bien delineado para disminuir los efectos de la inminente crisis que se acercaba. Este trabajo combina la crítica retórica de temas de fantasía con teoría de comunicación.

  8. Recent advances in femtosecond laser-assisted cataract surgery

    Directory of Open Access Journals (Sweden)

    Zhao-Jie Chu

    2013-07-01

    Full Text Available Perfect vision and fewer complications is our goal in cataract surgery, femtosecond laser-assisted cataract surgery hold the promise. Applications of femtosecond laser technology for capsulotomy, nuclear fragmentation and corneal incision in cataract surgery bring a new level of accuracy, reproducibility and predictability over the current cataract surgery. The femtosecond laser produces capsulotomies that are more precise, accurate, reproducible, and stronger than those created with the conventional manual technique, and further helps maintain proper positioning of the IOL. Femtosecond laser in nuclear fragmentation lead to a lower effective phacoemulsification time, and the corneal incision is more stable. But currently there are some complications and a clear learning curve associated with the use of femtosecond lasers for cataract surgery. The long-term safety and visual outcomes still need further investigation.

  9. Computer assisted orthopaedic and trauma surgery. State of the art and future perspectives

    NARCIS (Netherlands)

    Schep, N. W. L.; Broeders, I. A. M. J.; van der Werken, Chr

    2003-01-01

    In recent years computer technologies have become more and more integrated in surgical procedures. The potential advantages of computer assisted surgery (CAS) are: increase of accuracy of surgical interventions, less invasive operations, better planning and simulation and reduction of radiation

  10. Annals of Pediatric Surgery

    African Journals Online (AJOL)

    The Annals of Pediatric Surgery is striving to fill an important niche that provides focus to clinical care, technical innovation and clinical research. The Annals of Pediatric Surgery has the responsibility to serve not only pediatric surgeons in the Middle East and North Africa but also should be an important conduit for scientific ...

  11. Safety in cardiac surgery

    NARCIS (Netherlands)

    Siregar, S.

    2013-01-01

    The monitoring of safety in cardiac surgery is a complex process, which involves many clinical, practical, methodological and statistical issues. The objective of this thesis was to measure and to compare safety in cardiac surgery in The Netherlands using the Netherlands Association for

  12. What Is Heart Surgery?

    Science.gov (United States)

    ... kidneys, liver, and lungs. Stroke , which may cause short-term or permanent damage. Death. (Heart surgery is more likely to be life threatening in people who are very sick before the surgery.) Memory loss and other issues, such as problems concentrating or ...

  13. Annals of African Surgery

    African Journals Online (AJOL)

    The goal of the Annals of African Surgery is to provide a medium for the exchange of current information between surgeons in the African region. The journal embraces surgery in all its aspects; basic science, clinical research, experimental research, surgical education. It will assist surgeons in the region to keep abreast of ...

  14. About Hand Surgery

    Science.gov (United States)

    ... Find a hand surgeon near you. © 2009 American Society for Surgery of the Hand. Definition developed by ASSH Council. Other Links CME Mission Statement and Disclaimer Policies and Technical Requirements Exhibits and Partners ASSH 822 W. Washington Blvd. ... 2018 by American Society for Surgery of the Hand × Search Tips Tip ...

  15. Lasik eye surgery - slideshow

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/presentations/100206.htm Lasik eye surgery - series—Normal anatomy To use the ... A.M. Editorial team. Related MedlinePlus Health Topics Laser Eye Surgery A.D.A.M., Inc. is accredited by ...

  16. LASIK - Laser Eye Surgery

    Science.gov (United States)

    ... Refractive Surgery Procedures What Is Photorefractive Keratectomy (PRK)? LASIK — Laser Eye Surgery Leer en Español: LASIK—Cirugía ocular con láser ... loss of close-up focusing power. How the LASIK procedure works LASIK is performed while the patient ...

  17. [Gases in vitreoretinal surgery].

    Science.gov (United States)

    Janco, L; Vida, R; Bartos, M; Villémová, K; Izák, M

    2012-02-01

    To evaluate the importance and benefits of using gases in vitreoretinal surgery. The gases represent a wide group of substances used in eye surgery for more than 100 years. The role of intraocular gases in vitreoretinal surgery is irreplaceable. Their use is still considered to be the "gold standard". An important step in eye surgery was the introduction of expanding gases--sulfur hexafluoride and perfluorocarbons into routine clinical practice. The most common indications for the use of intraocular gases are: retinal detachment, idiopathic macular hole, complications of vitreoretinal surgery and others. The introduction of intraocular gases into routine clinical practice, along with other modern surgical techniques resulted in significant improvement of postoperative outcomes in a wide range of eye diseases. Understanding the principles of intraocular gases use brings the benefits to the patient and physician as well. Due to their physical and chemical properties they pose far the best and most appropriate variant of intraocular tamponade. Gases also bring some disadvantages, such as difficulties in detailed fundus examination, visual acuity testing, ultrasonographic examination, difficulties in application of intravitreal drugs or reduced possibility of retina laser treatment. The gases significantly change optical system properties of the eye. The use of gases in vitreoretinal surgery has significantly increased success rate of retinal detachment surgery, complicated posterior segment cases, trauma, surgery of the macula and other diseases.

  18. Robust surgery loading

    NARCIS (Netherlands)

    Hans, Elias W.; Wullink, Gerhard; van Houdenhoven, Mark; Kazemier, Geert

    2008-01-01

    We consider the robust surgery loading problem for a hospital’s operating theatre department, which concerns assigning surgeries and sufficient planned slack to operating room days. The objective is to maximize capacity utilization and minimize the risk of overtime, and thus cancelled patients. This

  19. [Cognitive deterioration after surgery

    DEFF Research Database (Denmark)

    Steinmetz, J.; Rasmussen, L.S.

    2008-01-01

    Delirium and postoperative cognitive dysfunction are important and common complications after surgery. Risk factors are first of all increasing age and type of surgery, whereas the type of anaesthesia does not seem to play an important role. Mortality is higher among patients with cognitive...

  20. Hand Surgery: Anesthesia

    Science.gov (United States)

    ... All Topics A-Z Videos Infographics Symptom Picker Anatomy Bones Joints Muscles Nerves Vessels Tendons About Hand Surgery What is a Hand Surgeon? What is a Hand Therapist? Media Find a Hand Surgeon Home Anatomy Hand Surgery Anesthesia Email to a friend * required ...

  1. Penile enlargement surgery.

    Science.gov (United States)

    Alter, G J

    1998-06-01

    Aesthetic surgery to improve the appearance of the penis, scrotum, and pubic region has successfully evolved. Penile lengthening is performed by releasing the suspensory ligament of the penis followed by use of penile weights. Girth is increased by wrapping a dermal-fat graft around the penile circumference. The choice of surgery is determined by the patient's anatomy and desires.

  2. Minimally invasive orthognathic surgery.

    Science.gov (United States)

    Resnick, Cory M; Kaban, Leonard B; Troulis, Maria J

    2009-02-01

    Minimally invasive surgery is defined as the discipline in which operative procedures are performed in novel ways to diminish the sequelae of standard surgical dissections. The goals of minimally invasive surgery are to reduce tissue trauma and to minimize bleeding, edema, and injury, thereby improving the rate and quality of healing. In orthognathic surgery, there are two minimally invasive techniques that can be used separately or in combination: (1) endoscopic exposure and (2) distraction osteogenesis. This article describes the historical developments of the fields of orthognathic surgery and minimally invasive surgery, as well as the integration of the two disciplines. Indications, techniques, and the most current outcome data for specific minimally invasive orthognathic surgical procedures are presented.

  3. Accuracy of a Wrist-Worn Heart Rate Sensing Device during Elective Pediatric Surgical Procedures

    Directory of Open Access Journals (Sweden)

    Gloria Pelizzo

    2018-03-01

    Full Text Available The reliability of wearable photoplethysmography (PPG sensors to measure heart rate (HR in hospitalized patients has only been demonstrated in adults. We evaluated the accuracy of HR monitoring with a personal fitness tracker (PFT in children undergoing surgery. HR monitoring was performed using a wrist-worn PFT (Fitbit Charge HR in 30 children (8.21 ± 3.09 years undergoing laparoscopy (n = 8 or open surgery (n = 22. HR values were analyzed preoperatively and during surgery. The accuracy of HR recordings was compared with measurements recorded during continuous electrocardiographic (cECG monitoring; HRs derived from continuous monitoring with pulse oximetry (SpO2R were used as a positive control. PFT-derived HR values were in agreement with those recorded during cECG (r = 0.99 and SpO2R (r = 0.99 monitoring. PFT performance remained high in children < 8 years (r = 0.99, with a weight < 30 kg (r = 0.99 and when the HR was < 70 beats per minute (bpm (r = 0.91 or > 140 bpm (r = 0.99. PFT accuracy was similar during laparoscopy and open surgery, as well as preoperatively and during the intervention (r > 0.9. PFT–derived HR showed excellent accuracy compared with HRs measured by cECG and SpO2R during pediatric surgical procedures. Further clinical evaluation is needed to define whether PFTs can be used in different health care settings.

  4. The Application of Oxygen Concentration Cells with the Solid Electrolyte ZrO{sub 2} * CaO to Thermodynamic Research; Emploi des Cellules a Concentration d'Oxygene avec Electrolyte Soude de ZrO{sub 2} * CaO, Dans les Recherches en Thermodynamique; Primenenie kislorodnykh kontsentratsionnykh kamer s tverdym ehlektrolitom ZrO{sub 2} * CaO dlya issledovanij po termodinamike; Aplicacion de las Celdas de Concentracion de Oxigeno con Electrolito Solido de ZrO{sub 2} * CaO a las Investigaciones Termodinamicas

    Energy Technology Data Exchange (ETDEWEB)

    Matsushita, Y.; Goto, K. [University of Tokyo (Japan)

    1966-01-15

    Six experimental studies are discussed, involving the application of oxygen concentration cells using the solid electrolyte ZrO{sub 2} * CaO (providing pure anion conduction as migration of oxygen defects) to basic research in process metallurgy: (1) The standard free energies of formation of FeO, Fe{sub 3}O{sub 4}, SnO, PbO, Cu{sub 2}O, CuO and Ta{sub 2}O{sub 5} have been measured and expressed as functions of temperature in the range 500 to 1300 Degree-Sign C. (2) The oxygen pressure in liquid PbO-SiO{sub 2} solution has been measured at 800 to 1100 Degree-Sign C: the chemical activities of PbO and SiO{sub 2} and thermodynamic properties of PbO-SiO{sub 2} solution have been calculated. (3) One of the authors has measured the chemical activity of tin in liquid Pb-Sn binary solution at 700 to 900 Degree-Sign C, and the thermodynamic properties of Pb-Sn alloys have been calculated. (4) This author has also developed an oxygen gauge to measure the partial pressure of oxygen in high temperature gases in the range of P(O{sub 2}) = 10{sup -1} to 10{sup -20} atm and 500-1300 Degree-Sign C. Self-consistent and reproducible EMF values with various gas mixtures have been obtained. (5) The rates of oxidation or reduction of pure iron and iron oxides by CO-CO{sub 2} gas mixture were calculated from the EMF results obtained with the oxygen gauge at 900-1000 Degree-Sign C. (6) The oxygen pressure in liquid iron, containing various amounts of carbon up to the saturation value, or saturated with oxygen, has been measured with the reference electrodes of graphite or (Ni + NiO) powder. It appears that this method could be used to determine the oxygen content in liquid iron at 1500-1600 Degree-Sign C. In addition, possibilities for applying oxygen concentration cells to the basic study of process metallurgy have been suggested and industrial applications have also been discussed. (author) [French] Le memoire a trait a six travaux de recherche fondamentale sur les processus

  5. Cleft Lip and Palate Surgery

    Science.gov (United States)

    ... The experts in face, mouth and jaw surgery. Cleft Lip / Palate and Craniofacial Surgery This type of surgery is ... the carefully orchestrated, multiple-stage correctional program for cleft lip and palate patients. The goal is to help restore the ...

  6. Gamma knife surgery for craniopharyngioma

    International Nuclear Information System (INIS)

    Prasad, D.; Steiner, M.; Steiner, L.

    1995-01-01

    We present our results of Gamma Knife surgery for craniopharyngioma in nine patients. The current status of surgery, radiation therapy, intracavitary instillation of radionuclides and Gamma Knife surgery in the management of craniopharyngiomas is discussed. (author)

  7. Heart failure - surgeries and devices

    Science.gov (United States)

    ... surgery; HF - surgery; Intra-aortic balloon pumps - heart failure; IABP - heart failure; Catheter based assist devices - heart failure ... problem may cause heart failure or make heart failure worse. Heart valve surgery may be needed to repair or ...

  8. Experimental Establishment of the 1300 degree centigrade Isothermal Section within the CaO - Al{sub 2}O{sub 3} - CoO Ternary System; Determinacion experimental de la seccion isotermal de 1300 degree centigrade del Sistema CaO - Al{sub 2}O{sub 3} - CoO

    Energy Technology Data Exchange (ETDEWEB)

    Torres-martinez, L. M.; Zarazua Morin, M. E.; Vasquez mendez, B. A.

    2011-07-01

    The subsolidus of the system CaO-Al{sub 2}O{sub 3}-CoO has been studied. Was established the existence of nine compatibility triangles. It had been found a phase Ca{sub 3}Al{sub 4}CoO{sub 1}0, isostructural to Ca{sub 3}MgAl{sub 4}O{sub 1}0. Solid solutions of CaO, CoO and CoAl{sub 2}O{sub 4} were determined. Color variation on different samples was observed as function of the phase diagram region. When Co was substituted for other bivalents cations (Sr, a, n, Ni, Cu, Cd, Sn and Pb), were not found new phases. This study depicts the most outstanding results concerning the alternate materials research line. The importance focused on the stability of the new compound into the matrix of other materials from some technological processes such as the cement one, into which industrial wastes can be incorporated as alternate raw materials and fuels. (Author) 46 refs.

  9. Epiretinal membrane surgery

    DEFF Research Database (Denmark)

    Hamoudi, Hassan; Correll Christensen, Ulrik; La Cour, Morten

    2017-01-01

    Purpose: To assess the impact of combined phacoemulsification-vitrectomy and sequential surgery for idiopathic epiretinal membrane (ERM) on refractive error (RE) and macular morphology. Methods: In this prospective clinical trial, we allocated phakic eyes with ERM to (1) cataract surgery and subs......Purpose: To assess the impact of combined phacoemulsification-vitrectomy and sequential surgery for idiopathic epiretinal membrane (ERM) on refractive error (RE) and macular morphology. Methods: In this prospective clinical trial, we allocated phakic eyes with ERM to (1) cataract surgery...... and achieved spherical equivalent); secondary outcomes were best-corrected visual acuity (BCVA), and incidence of cystoid macular oedema (CME) defined as >10% increment of central subfield macular thickness (CSMT). Results: Sixty-two eyes were enrolled. The mean RE showed a small myopic shift of -0.36D in all...... between the groups. Four cases (17%) in the CAT group had resolved visual complaints and improved BCVA after cataract surgery resulting in no need for PPV within the follow-up period. Conclusion: Surgery for idiopathic ERM in phakic eyes with either phaco-vitrectomy or sequential surgery are equal...

  10. Craniofacial Surgery Fellowship Websites.

    Science.gov (United States)

    Silvestre, Jason; Agarwal, Divyansh; Taylor, Jesse A

    2016-06-01

    Applicants for craniofacial surgery fellowships utilize Internet-based resources like the San Francisco (SF) Match to manage applications. The purpose of this study was to evaluate the accessibility and content of craniofacial surgery fellowship websites (CSFWs). A list of available craniofacial surgery fellowships was compiled from directories of the American Society of Craniofacial Surgery (ACSFS) and SF Match. Accessibility of CSFWs was assessed via links from these directories and a Google search. Craniofacial surgery fellowship websites were evaluated on education and recruitment content and compared via program characteristics. Twenty-four of the 28 US-based craniofacial surgery fellowship programs had a CSFW (86%). The ACSFS and SF Match databases had limited CSFW accessibility, but a Google search revealed most CSFWs had the top search result (76%). In total, CSFWs provided an average of 39% of education and recruitment variables. While most programs provided fellowship program descriptions (96%), application links (96%), and faculty listings (83%), relatively few provided rotation schedules (13%), fellow selection process information (13%), or interview dates (8%). CSFW content did not vary by program location, faculty size, accreditation status, or institutional affiliations (P > 0.05). Craniofacial surgery fellowships often lack readily accessible websites from national program lists and have limited information for interested applicants. The consistent lack of online information across programs suggests future opportunities exist to improve these educational resources.

  11. Accuracy of maxillary positioning after standard and inverted orthognathic sequencing.

    Science.gov (United States)

    Ritto, Fabio G; Ritto, Thiago G; Ribeiro, Danilo Passeado; Medeiros, Paulo José; de Moraes, Márcio

    2014-05-01

    This study aimed to compare the accuracy of maxillary positioning after bimaxillary orthognathic surgery, using 2 sequences. A total of 80 cephalograms (40 preoperative and 40 postoperative) from 40 patients were analyzed. Group 1 included radiographs of patients submitted to conventional sequence, whereas group 2 patients were submitted to inverted sequence. The final position of the maxillary central incisor was obtained after vertical and horizontal measurements of the tracings, and it was compared with what had been planned. The null hypothesis, which stated that there would be no difference between the groups, was tested. After applying the Welch t test for comparison of mean differences between maxillary desired and achieved position, considering a statistical significance of 5% and a 2-tailed test, the null hypothesis was not rejected (P > .05). Thus, there was no difference in the accuracy of maxillary positioning between groups. Conventional and inverted sequencing proved to be reliable in positioning the maxilla after LeFort I osteotomy in bimaxillary orthognathic surgeries. Copyright © 2014 Elsevier Inc. All rights reserved.

  12. Surveys on surgery theory

    CERN Document Server

    Cappell, Sylvain; Rosenberg, Jonathan

    2014-01-01

    Surgery theory, the basis for the classification theory of manifolds, is now about forty years old. The sixtieth birthday (on December 14, 1996) of C.T.C. Wall, a leading member of the subject''s founding generation, led the editors of this volume to reflect on the extraordinary accomplishments of surgery theory as well as its current enormously varied interactions with algebra, analysis, and geometry. Workers in many of these areas have often lamented the lack of a single source surveying surgery theory and its applications. Because no one person could write such a survey, the editors ask

  13. Surveys on surgery theory

    CERN Document Server

    Cappell, Sylvain; Rosenberg, Jonathan

    2014-01-01

    Surgery theory, the basis for the classification theory of manifolds, is now about forty years old. There have been some extraordinary accomplishments in that time, which have led to enormously varied interactions with algebra, analysis, and geometry. Workers in many of these areas have often lamented the lack of a single source that surveys surgery theory and its applications. Indeed, no one person could write such a survey. The sixtieth birthday of C. T. C. Wall, one of the leaders of the founding generation of surgery theory, provided an opportunity to rectify the situation and produce a

  14. DIMENSÃO PRESENÇA DO CAOS, DA COMPLEXIDADE E DA EMERGÊNCIA NOS A-CON-TECERES DO/NO CURSO DE FORMAÇÃO DE PROFESSORES EM NÍVEL SUPERIOR UFBA/FACED/IRECÊ

    Directory of Open Access Journals (Sweden)

    Iêda Marques Rocha

    2017-03-01

    Full Text Available Os conceitos, Emergência, Caos e Complexidade traduzem o que trago para este artigo, uma vez que tais conceitos, ao serem trabalhados ajudam a compreender melhor os movimentos de expansão e as atualizações dos/nos a-con-teceres do/no Curso de Formação de Professores em Nível Superior UFBA/FACED/Irecê. Dimensão presença do Caos, da Complexidade e da Emergência nos a-con-teceres do/no Curso de Formação de Professores em Nível Superior UFBA/FACED/Irecê  é o nome deste artigo que teve como aporte principal as memórias de um curso experiencial. Um estudo referendado por conceitos complementares que trazem no seu bojo o antagonismo, as incertezas, a ordem, a desordem, as imprevisibilidades e atualizações de um curso que foi se formando no seu a-con-tecer. Para analisar compreensivamente a dimensão presença dos três conceitos propostos como fundantes: Emergência, Caos e Complexidade no a-con-tecer pedagógico do/no Curso de Formação de Professores em Nível Superior UFBA/Irecê usei a pesquisa qualitativa, estruturada na etnopesquisa. Como principio metodológico foi usado o dia-gnóstico por possuir o caráter longitudinal cíclico e experiencial e considerá-lo de base hermenêutica fenomenológica.

  15. Teoría del caos y la complejidad en la representación de la relación estratégica comunitaria y marketing en los estados financieros

    OpenAIRE

    Mahecha Zambrano, Daniel Felipe; Martinez Ariza, Mauricio

    2015-01-01

    El presente trabajo tiene como finalidad caracterizar conceptos y elementos clave del caos y de la complejidad existente en la relación entre las organizaciones y la comunidad. Esta relación parte de la base de satisfacer las necesidades de los actores involucrados y, así mismo, mejorar el desempeño de cada uno, y contribuir al bienestar de la sociedad y a la perdurabilidad de las empresas. Para alcanzar el objetivo planteado, inicialmente se hace necesario contextualizar conceptos que est...

  16. Corrective Jaw Surgery

    Medline Plus

    Full Text Available AAOMS - Oral and maxillofacial surgeons. The experts in face, mouth and jaw surgery.™ What We Do Who ... surgeons surgically treat the soft tissues of the face, mouth and gums to improve function, appearance and ...

  17. COMPUTERS IN SURGERY

    African Journals Online (AJOL)

    BODE

    Key words: Computers, surgery, applications. Introduction ... With improved memory, speed and processing power in an ever more compact ... with picture and voice embedment to wit. With the ... recall the tedium of anatomy, physiology and.

  18. HEAD AND NECK SURGERY

    African Journals Online (AJOL)

    simple and well tolerated, and can be used selectively or as a ... up clinical information was obtained from a review of the patients' .... When a mass is clinically malignant, and facial nerve ... extension of surgery and closer attention to tumour.

  19. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... surgery. It is important to understand that your treatment, which will probably include orthodontics before and after ... to realistically estimate the time required for your treatment. Correction of Common Dentofacial Deformities ​ ​ The information provided ...

  20. Aortic valve surgery - open

    Science.gov (United States)

    ... gov/ency/article/007408.htm Aortic valve surgery - open To use the sharing features on this page, ... separates the heart and aorta. The aortic valve opens so blood can flow out. It then closes ...

  1. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... Oral and maxillofacial surgeons. The experts in face, mouth and jaw surgery.™ What We Do Who We ... surgically treat the soft tissues of the face, mouth and gums to improve function, appearance and oral ...

  2. Spine surgery - discharge

    Science.gov (United States)

    ... milk). This means you should not lift a laundry basket, grocery bags, or small children. You should ... Ma, MD, Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. ...

  3. Pain Medications After Surgery

    Science.gov (United States)

    ... be used for outpatient procedures or more-involved inpatient surgery. For pain relief lasting several hours, an ... surgical care, such as rest, ice packs, rehabilitative exercises and wound care. Ask to have written instructions ...

  4. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... in face, mouth and jaw surgery.™ What We Do Who We Are News Videos Contact Find a Surgeon What We Do Anesthesia Anesthesia Oral and maxillofacial surgeons are extensively ...

  5. Scoliosis surgery - child

    Science.gov (United States)

    ... from getting worse. But, when they no longer work, the child's health care provider will recommend surgery. There are several reasons to treat scoliosis: Appearance is a major concern. Scoliosis often causes back pain. If the curve is severe enough, ...

  6. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... performs the actual surgery. It is important to understand that your treatment, which will probably include orthodontics ... several years to complete. Your OMS and orthodontist understand that this is a long-term commitment for ...

  7. Ambulatory paediatric surgery

    African Journals Online (AJOL)

    reminder and instructions 24 - 48 hours before surgery. Effective communication with ... patients, no abnormal postoperative behaviour patterns were recorded by the ... nursing and administration staff - less desirable is a day- stay ward with ...

  8. Aids and Surgery

    African Journals Online (AJOL)

    user

    2004-12-02

    Dec 2, 2004 ... The correlation between HIV infection and surgery began to be highlighted only two ... expect greater clinical exposure to patients with. HIV/AIDS. .... fractures in HIV patient, although too little is known about the relationship ...

  9. HEAD AND NECK SURGERY

    African Journals Online (AJOL)

    +/-symptoms and signs), intravenous calcium gluconate and oral calcium lactate is .... facilitated by surgical stress, Vitamin D deficiency and hungry .... recurrence after thyroid surgery, excluding cancer. Chirurgie. ... Crea C, Alesina P, et al.

  10. Hip fracture surgeries

    Science.gov (United States)

    ... clearly. Sometimes, surgery can make this problem worse. Pressure sores ( pressure ulcers or bed sores) from being in bed or ... the hospital for 3 to 5 days. Full recovery will take from 3 to 4 months to ...

  11. Mitral valve surgery - open

    Science.gov (United States)

    ... Taking warfarin (Coumadin) References Otto CM, Bonow RO. Valvular heart disease. In: Mann DL, Zipes DP, Libby P, Bonow ... A.M. Editorial team. Heart Surgery Read more Heart Valve Diseases Read more Mitral Valve Prolapse Read more A. ...

  12. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... surgery: Difficulty chewing, or biting food Difficulty swallowing Chronic jaw or jaw joint (TMJ) pain and headache ... Inability to make the lips meet without straining Chronic mouth breathing Sleep apnea (breathing problems when sleeping, ...

  13. Hemorrhoid surgery - slideshow

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/presentations/100026.htm Hemorrhoid surgery - series—Normal anatomy To use the sharing ... empties stool from the body through the anus. Hemorrhoids are "cushions" of tissue filled with blood vessels ...

  14. Corrective Jaw Surgery

    Medline Plus

    Full Text Available ... We Do Who We Are News Videos Contact Find a Surgeon What We Do Anesthesia Anesthesia Oral ... of sedation and general anesthesia. Click here to find out more. Cleft Lip/Palate and Craniofacial Surgery ...

  15. Laser surgery - skin

    Science.gov (United States)

    ... Bleeding Problem not going away Infection Pain Scarring Skin color changes Some laser surgery is done when you are asleep and ... TG, Elston DM, eds. Andrews' Diseases of the Skin: Clinical ... lasers, lights, and tissue interactions. In: Hruza GJ, Avram ...

  16. Aids and Surgery

    African Journals Online (AJOL)

    user

    2004-12-02

    Dec 2, 2004 ... HIV/AIDS patients require surgery sometimes during their illness. The objective of the ... risks to surgical equipes and analysing preventive strategies to HIV ... of Atlanta, and after an assessment of the performance status and ...

  17. Art and Plastic Surgery.

    Science.gov (United States)

    Fernandes, Julio Wilson; Metka, Susanne

    2016-04-01

    The roots of science and art of plastic surgery are very antique. Anatomy, drawing, painting, and sculpting have been very important to the surgery and medicine development over the centuries. Artistic skills besides shape, volume, and lines perception can be a practical aid to the plastic surgeons' daily work. An overview about the interactions between art and plastic surgery is presented, with a few applications to rhinoplasty, cleft lip, and other reconstructive plastic surgeries. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

  18. Laparoscopic Spine Surgery

    Science.gov (United States)

    ... the frontal approach takes advantage of normal tissue planes and does not require removal of any bone. ... to the “open” procedure may include: Obesity A history of prior abdominal surgery causing dense scar tissue ...

  19. Gastric Bypass Surgery

    Science.gov (United States)

    ... surgery is typically not reversible. It works by decreasing the amount of food you can eat at ... healthy changes in your diet and get regular physical activity and exercise. If you frequently snack on high- ...

  20. Expectations of Sinus Surgery

    Science.gov (United States)

    ... ARS HOME ANATOMY Nasal Anatomy Sinus Anatomy Nasal Physiology Nasal Endoscopy Skull Base Anatomy Virtual Anatomy Disclosure ... reduce the pressure in your nose. Avoid strenuous exercise for the first 2 weeks after surgery. Also ...

  1. Cosmetic surgery: medicolegal considerations

    Directory of Open Access Journals (Sweden)

    Piras Mauro

    2016-01-01

    Full Text Available Cosmetic surgery is one of the two branches of plastic surgery. The characteristic of non-necessity of this surgical speciality implies an increased severity in the evaluation of the risk-benefit balance. Therefore, great care must be taken in providing all the information necessary in order to obtain valid consent to the intervention. We analyzed judgments concerning cosmetic surgery found in national legal databases. A document of National Bioethics Committee (CNB was also analyzed. Conclusion: The receipt of valid, informed consent is of absolute importance not only to legitimise the medical-surgical act, but it also represents the key element in the question concerning the existence of an obligation to achieve certain results/use of certain methods in the cosmetic surgery.

  2. Knee microfracture surgery

    Science.gov (United States)

    Cartilage regeneration - knee ... Three types of anesthesia may be used for knee arthroscopy surgery: Medicine to relax you, and shots of painkillers to numb the knee Spinal (regional) anesthesia General anesthesia (you will be ...

  3. Robotics in Colorectal Surgery

    Science.gov (United States)

    Weaver, Allison; Steele, Scott

    2016-01-01

    Over the past few decades, robotic surgery has developed from a futuristic dream to a real, widely used technology. Today, robotic platforms are used for a range of procedures and have added a new facet to the development and implementation of minimally invasive surgeries. The potential advantages are enormous, but the current progress is impeded by high costs and limited technology. However, recent advances in haptic feedback systems and single-port surgical techniques demonstrate a clear role for robotics and are likely to improve surgical outcomes. Although robotic surgeries have become the gold standard for a number of procedures, the research in colorectal surgery is not definitive and more work needs to be done to prove its safety and efficacy to both surgeons and patients. PMID:27746895

  4. Periscopic Spine Surgery

    National Research Council Canada - National Science Library

    Cleary, Kevin R

    2000-01-01

    .... Key research accomplishments for the first year are: ̂Demonstrated the value of intraoperative CT for visualization and verification of the anatomy in complex spine surgeries in the neurosurgery operating room...

  5. Clinical Trials in Surgery

    African Journals Online (AJOL)

    The ANNALS of AFRICAN SURGERY | www.sskenya.org/journal. The ANNALS of ... by two different experiments on small pox by Lady. Mary Wortley Montagu and ... through their 'animal magnetism' were nothing more than an expensive ...

  6. Repetitive endoscopic sinus surgery failure: a role for radical surgery?

    NARCIS (Netherlands)

    Videler, Ward J. M.; Wreesmann, Volkert B.; van der Meulen, Freerk W.; Knegt, Paul P.; Fokkens, Wytske J.

    2006-01-01

    OBJECTIVES: Endoscopic sinus surgery (ESS) is considered to be the golden standard for surgery in patients with chronic rhinosinusitis and nasal polyposis. However, there is still a small group of patients unresponsive despite repetitive surgery. Radical surgery aimed at reduction of the

  7. Is day surgery safe?

    DEFF Research Database (Denmark)

    Majholm, Birgitte; Engbæk, J; Bartholdy, Jens

    2012-01-01

    Day surgery is expanding in several countries, and it is important to collect information about quality. The aim of this study was to assess morbidity and unanticipated hospital visits 0-30 days post-operatively in a large cohort.......Day surgery is expanding in several countries, and it is important to collect information about quality. The aim of this study was to assess morbidity and unanticipated hospital visits 0-30 days post-operatively in a large cohort....

  8. Bariatric Surgery for Obesity.

    Science.gov (United States)

    le Roux, Carel W; Heneghan, Helen M

    2018-01-01

    In this review, the authors discuss the indications for and the published outcomes of commonly performed bariatric procedures, including weight loss, perioperative morbidity and mortality, late complications, as well as the impact of bariatric surgery on comorbidities, cardiovascular risk, and mortality. They also briefly discuss the mechanisms by which bariatric/metabolic surgery causes such significant weight loss and health gain. Copyright © 2017 Elsevier Inc. All rights reserved.

  9. Robotics in General Surgery

    OpenAIRE

    Wall, James; Chandra, Venita; Krummel, Thomas

    2008-01-01

    In summary, robotics has made a significant contribution to General Surgery in the past 20 years. In its infancy, surgical robotics has seen a shift from early systems that assisted the surgeon to current teleoperator systems that can enhance surgical skills. Telepresence and augmented reality surgery are being realized, while research and development into miniaturization and automation is rapidly moving forward. The future of surgical robotics is bright. Researchers are working to address th...

  10. Metabolic surgery: quo vadis?

    Science.gov (United States)

    Ramos-Leví, Ana M; Rubio Herrera, Miguel A

    2014-01-01

    The impact of bariatric surgery beyond its effect on weight loss has entailed a change in the way of regarding it. The term metabolic surgery has become more popular to designate those interventions that aim at resolving diseases that have been traditionally considered as of exclusive medical management, such as type 2 diabetes mellitus (T2D). Recommendations for metabolic surgery have been largely addressed and discussed in worldwide meetings, but no definitive consensus has been reached yet. Rates of diabetes remission after metabolic surgery have been one of the most debated hot topics, with heterogeneity being a current concern. This review aims to identify and clarify controversies regarding metabolic surgery, by focusing on a critical analysis of T2D remission rates achieved with different bariatric procedures, and using different criteria for its definition. Indications for metabolic surgery for patients with T2D who are not morbidly obese are also discussed. Copyright © 2013 SEEN. Published by Elsevier Espana. All rights reserved.

  11. Innovations in robotic surgery.

    Science.gov (United States)

    Gettman, Matthew; Rivera, Marcelino

    2016-05-01

    Developments in robotic surgery have continued to advance care throughout the field of urology. The purpose of this review is to evaluate innovations in robotic surgery over the past 18 months. The release of the da Vinci Xi system heralded an improvement on the Si system with improved docking, the ability to further manipulate robotic arms without clashing, and an autofocus universal endoscope. Robotic simulation continues to evolve with improvements in simulation training design to include augmented reality in robotic surgical education. Robotic-assisted laparoendoscopic single-site surgery continues to evolve with improvements on technique that allow for tackling previously complex pathologic surgical anatomy including urologic oncology and reconstruction. Last, innovations of new surgical platforms with robotic systems to improve surgeon ergonomics and efficiency in ureteral and renal surgery are being applied in the clinical setting. Urologic surgery continues to be at the forefront of the revolution of robotic surgery with advancements in not only existing technology but also creation of entirely novel surgical systems.

  12. Data accuracy assessment using enterprise architecture

    Science.gov (United States)

    Närman, Per; Holm, Hannes; Johnson, Pontus; König, Johan; Chenine, Moustafa; Ekstedt, Mathias

    2011-02-01

    Errors in business processes result in poor data accuracy. This article proposes an architecture analysis method which utilises ArchiMate and the Probabilistic Relational Model formalism to model and analyse data accuracy. Since the resources available for architecture analysis are usually quite scarce, the method advocates interviews as the primary data collection technique. A case study demonstrates that the method yields correct data accuracy estimates and is more resource-efficient than a competing sampling-based data accuracy estimation method.

  13. Ostomy Surgery of the Bowel

    Science.gov (United States)

    ... Digestive System & How it Works Zollinger-Ellison Syndrome Ostomy Surgery of the Bowel What is ostomy surgery of the bowel? Ostomy surgery of the ... of the body. Why does a person need ostomy surgery of the bowel? A person may need ...

  14. The Effect of CaO on Gas/Slag/Matte/Tridymite Equilibria in Fayalite-Based Copper Smelting Slags at 1473 K (1200 °C) and P(SO2) = 0.25 Atm

    Science.gov (United States)

    Fallah-Mehrjardi, Ata; Hayes, Peter C.; Jak, Evgueni

    2018-04-01

    Fundamental experimental studies have been undertaken to determine the effect of CaO on the equilibria between the gas phase (CO/CO2/SO2/Ar) and slag/matte/tridymite phases in the Cu-Fe-O-S-Si-Ca system at 1473 K (1200 °C) and P(SO2) = 0.25 atm. The experimental methodology developed in the Pyrometallurgy Innovation Centre was used. New experimental data have been obtained for the four-phase equilibria system for fixed concentrations of CaO (up to 4 wt pct) in the slag phase as a function of copper concentration in matte, including the concentrations of dissolved sulfur and copper in slag, and Fe/SiO2 ratios in slag at tridymite saturation. The new data provided in the present study are of direct relevance to the pyrometallurgical processing of copper and will be used as an input to optimize the thermodynamic database for the copper-containing multi-component multi-phase system.

  15. Technical accuracy in historical writing

    International Nuclear Information System (INIS)

    Taylor, L.S.

    1981-01-01

    A guest editorial is presented on the question of accuracy in the writing of radiation protection history. The author has written several books and articles dealing with various aspects of the development of radiation protection standards and philosophy; some of his own minor errors which have been picked up and frequently repeated are confessed. The author also outlines some of the general faults he has encountered in other articles on the subject. A common complaint is that many writers give source references without checking back to the original sources which leads to much carelessness and misunderstanding in technical writing. In addition, some writers all too frequently refer mainly to review articles which can be especially troublesome if the review is of the interpretative type. The limited outlook of some writers is also deplored in that the scope of the literature referred to is often limited to the author's country. A few glaring examples of factual errors encountered in various radiation protection articles are highlighted; these errors have since been repeated in subsequent review articles. (U.K.)

  16. Mammography: Technique and diagnostic accuracy

    International Nuclear Information System (INIS)

    Kim, Chung Ja; Bahk, Yong Whee; Lee, Don Young

    1974-01-01

    Mammography is now in world wide use, But this has received rather scanty attention in Korea. The purposes of the present communication are twofold: (1) Detailing of technical and photographic aspects of mam in ography and (2) an assessment of its diagnostic accuracy as experienced by us. The clinical materials consisted of 88 cases of mammography performed at the Department of Radiology, St. Mary's Hospital, Catholic Medical College during the 2 years-period from April 1972. We used nonscreen type mammographic or industrial fine- grain films, and a special mammographic device that can be attached to any of the ordinary radiographic machine. Technical factors are shown in Table II. Of 88 cases 19 were operated on or biopsied. There were 7 cases of carcinoma. 8 cases of inflammatory diseases, and 4 cases of benign tumor. Mammographic diagnosis was correct in 85.7% of carcinoma and 87.5% of inflammatory diseases. One misdiagnosis of 7 cases of carcinoma was turned out to be cystosarcoma phylloides. Of 4 cases of benign tumors 2 were correctly diagnosed, and the other 2 mistaken for either inflammatory disease or simple lactating breast. However, none of the benign conditions were diagnosed as malignant process. We found that nonscreen type mammographic or industrial fine-grain films, and hand-processing were necessary in obtaining the mammograms of desirable quality

  17. Accuracy of recumbent height measurement.

    Science.gov (United States)

    Gray, D S; Crider, J B; Kelley, C; Dickinson, L C

    1985-01-01

    Since many patients requiring specialized nutritional support are bedridden, measurement of height for purposes of nutritional assessment or prescription must often be done with the patient in bed. This study examined the accuracy of measuring body height in bed in the supine position. Two measurements were performed on 108 ambulatory inpatients: (1) standing height using a standard height-weight scale, and (2) bed height using a flexible tape. Patients were divided into four groups based on which of two researchers performed each of the two measurements. Each patient was also weighed and self-reported height, weight, sex, and age were recorded. Bed height was significantly longer than standing height by 3.68 cm, but the two measurements were equally precise. It was believed, however, that this 2% difference was probably not clinically significant in most circumstances. Bed height correlated highly with standing height (r = 0.95), and the regression equation was standing height = 13.82 +/- 0.09 bed height. Patients overestimated their heights. Heights recorded by nurses were more accurate when patients were measured than when asked about their heights, but the patients were more often asked than measured.

  18. IGS polar motion measurement accuracy

    Directory of Open Access Journals (Sweden)

    Jim Ray

    2017-11-01

    Full Text Available We elaborate an error budget for the long-term accuracy of IGS (International Global Navigation Satellite System Service polar motion estimates, concluding that it is probably about 25–30 μas (1-sigma overall, although it is not possible to quantify possible contributions (mainly annual that might transfer directly from aliases of subdaily rotational tide errors. The leading sources are biases arising from the need to align daily, observed terrestrial frames, within which the pole coordinates are expressed and which are continuously deforming, to the secular, linear international reference frame. Such biases are largest over spans longer than about a year. Thanks to the very large number of IGS tracking stations, the formal covariance errors are much smaller, around 5 to 10 μas. Large networks also permit the systematic frame-related errors to be more effectively minimized but not eliminated. A number of periodic errors probably also influence polar motion results, mainly at annual, GPS (Global Positioning System draconitic, and fortnightly periods, but their impact on the overall error budget is unlikely to be significant except possibly for annual tidal aliases. Nevertheless, caution should be exercised in interpreting geophysical excitations near any of the suspect periods.

  19. CT after transsphenoidal surgery

    International Nuclear Information System (INIS)

    Tazawa, Satoru

    1991-01-01

    Two hundred and ten CT studies of 95 patients after transsphenoidal surgery were reviewed. Spheno-ethmoid opacificaiton, intrasellar hematoma and gas bubbles were noted within 2 weeks after surgery. Bone defect of the sellar floor and bone stent were seen on coronal scans in most cases. The packing material frequently disappeared on follow-up studies. Hormonal assessment of the functioning tumor, according to which the effect of treatment was evaluated, was correlated with CT findings. Because differentiation between postoperative changes and residual mass was difficult, there was no definite CT criteria to indicate residual functioning tumor except upward convexity of the diaphragma sellae on CT more than 3 months after surgery. Initial follow up CT study is recommended to be performed at about 3 months after surgery, at which time the immediate postoperative inflammatory changes have been disappeared. The incidence of recurrence was 3/47 (6%), which was shown on follow-up CT from 4 to 10 years after surgery. Therefore, subsequent CT study should be done in every year or two, taking the clinical symptoms and hormonal data into consideration. (author)

  20. Pediatric endocrine surgery development

    Directory of Open Access Journals (Sweden)

    Ivan I. Dedov

    2017-12-01

    Full Text Available Department of pediatric surgery at the Endocrinology Research Centre has been around for nearly two years. During operation, surgical treatment has received more than 500 patients with various endocrine disorders. The article discusses modern diagnostic approaches and surgical options for diseases included in the new direction of pediatric surgery – endocrine surgery in children. There are discussions about options for radical treatment of Graves disease in children, positive and negative aspects of surgical and radioactive iodine treatment. Is own stats of postoperative hyperparathyroidism. Is proposed to optimize the algorithm of actions in identifying thyroid nodules in children. In primary hyperparathyroidism, the emphasis is on the complexity of the postoperative management of patients related to the feature of children’s age in determining the severity of the reactions on the water-electrolyte disorders. Separately reviewed the literature of the adrenal glands diseases in children, demonstrating their own clinical cases which required surgical intervention. The authors describe the possibilities of modern neurosurgical equipment in the Endocrinology Research Centre in operations on the pituitary gland in children. Patients of different age groups performed transnasal transsphenoidal removal of tumors of the chiasm-sellar region using endoscopic assistance. The article also cited research data of pancreas diseases and their surgical treatment. Much attention is paid to the gender section of endocrine surgery in children. Discusses the tactics in disorders of sex development, gonadal tumors in children, diseases of the breast. In conclusion outlines the prospects for the development of endocrine surgery in children.

  1. Innovations in Bariatric Surgery.

    Science.gov (United States)

    Zhu, Catherine; Pryor, Aurora D

    2015-11-01

    Surgery has consistently been demonstrated to be the most effective long-term therapy for the treatment of obesity. However, despite excellent outcomes with current procedures, most patients with obesity- and weight-related comorbidities who meet criteria for surgical treatment choose not to pursue surgery out of fear of operative risks and complications or concerns about high costs. Novel minimally invasive procedures and devices may offer alternative solutions for patients who are hesitant to pursue standard surgical approaches. These procedures may be used for primary treatment of obesity, early intervention for patients approaching morbid obesity, temporary management prior to bariatric surgery, or revision of bypass surgery associated with weight regain. Novel bariatric procedures can in general be divided into four categories: endoluminal space-occupying devices, gastric suturing and restrictive devices, absorption-limiting devices, and neural-hormonal modulating devices. Many of these are only approved as short-term interventions, but these devices may be effective for patients desiring low-risk procedures or a transient effect. We will see the expansion of indications and alternatives for metabolic surgery as these techniques gain approval.

  2. CT after transsphenoidal surgery

    Energy Technology Data Exchange (ETDEWEB)

    Tazawa, Satoru [Tohoku Univ., Sendai (Japan). School of Medicine

    1991-03-01

    Two hundred and ten CT studies of 95 patients after transsphenoidal surgery were reviewed. Spheno-ethmoid opacificaiton, intrasellar hematoma and gas bubbles were noted within 2 weeks after surgery. Bone defect of the sellar floor and bone stent were seen on coronal scans in most cases. The packing material frequently disappeared on follow-up studies. Hormonal assessment of the functioning tumor, according to which the effect of treatment was evaluated, was correlated with CT findings. Because differentiation between postoperative changes and residual mass was difficult, there was no definite CT criteria to indicate residual functioning tumor except upward convexity of the diaphragma sellae on CT more than 3 months after surgery. Initial follow up CT study is recommended to be performed at about 3 months after surgery, at which time the immediate postoperative inflammatory changes have been disappeared. The incidence of recurrence was 3/47 (6%), which was shown on follow-up CT from 4 to 10 years after surgery. Therefore, subsequent CT study should be done in every year or two, taking the clinical symptoms and hormonal data into consideration. (author).

  3. Approach to intraoperative electromagnetic navigation in orthognathic surgery: A phantom skull based trial.

    Science.gov (United States)

    Berger, Moritz; Kallus, Sebastian; Nova, Igor; Ristow, Oliver; Eisenmann, Urs; Dickhaus, Hartmut; Kuhle, Reinald; Hoffmann, Jürgen; Seeberger, Robin

    2015-11-01

    Intraoperative guidance using electromagnetic navigation is an upcoming method in maxillofacial surgery. However, due to their unwieldy structures, especially the line-of-sight problem, optical navigation devices are not used for daily orthognathic surgery. Therefore, orthognathic surgery was simulated on study phantom skulls, evaluating the accuracy and handling of a new electromagnetic tracking system. Le-Fort I osteotomies were performed on 10 plastic skulls. Orthognathic surgical planning was done in the conventional way using plaster models. Accuracy of the gold standard, splint-based model surgery versus an electromagnetic tracking system was evaluated by measuring the actual maxillary deviation using bimaxillary splints and preoperative and postoperative cone beam computer tomography imaging. The distance of five anatomical marker points were compared pre- and postoperatively. The electromagnetic tracking system was significantly more accurate in all measured parameters compared with the gold standard using bimaxillary splints (p orthognathic surgery to 0.3 mm on average. The data of this preliminary study shows a high level of accuracy in surgical orthognathic performance using electromagnetic navigation, and may offer greater precision than the conventional plaster model surgery with bimaxillary splints. This preliminary work shows great potential for the establishment of an intraoperative electromagnetic navigation system for maxillofacial surgery. Copyright © 2015 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

  4. Surgery for trigger finger.

    Science.gov (United States)

    Fiorini, Haroldo Junior; Tamaoki, Marcel Jun; Lenza, Mário; Gomes Dos Santos, Joao Baptista; Faloppa, Flávio; Belloti, Joao Carlos

    2018-02-20

    Trigger finger is a common clinical disorder, characterised by pain and catching as the patient flexes and extends digits because of disproportion between the diameter of flexor tendons and the A1 pulley. The treatment approach may include non-surgical or surgical treatments. Currently there is no consensus about the best surgical treatment approach (open, percutaneous or endoscopic approaches). To evaluate the effectiveness and safety of different methods of surgical treatment for trigger finger (open, percutaneous or endoscopic approaches) in adults at any stage of the disease. We searched CENTRAL, MEDLINE, Embase and LILACS up to August 2017. We included randomised or quasi-randomised controlled trials that assessed adults with trigger finger and compared any type of surgical treatment with each other or with any other non-surgical intervention. The major outcomes were the resolution of trigger finger, pain, hand function, participant-reported treatment success or satisfaction, recurrence of triggering, adverse events and neurovascular injury. Two review authors independently selected the trial reports, extracted the data and assessed the risk of bias. Measures of treatment effect for dichotomous outcomes calculated risk ratios (RRs), and mean differences (MDs) or standardised mean differences (SMD) for continuous outcomes, with 95% confidence intervals (CIs). When possible, the data were pooled into meta-analysis using the random-effects model. GRADE was used to assess the quality of evidence for each outcome. Fourteen trials were included, totalling 1260 participants, with 1361 trigger fingers. The age of participants included in the studies ranged from 16 to 88 years; and the majority of participants were women (approximately 70%). The average duration of symptoms ranged from three to 15 months, and the follow-up after the procedure ranged from eight weeks to 23 months.The studies reported nine types of comparisons: open surgery versus steroid injections (two

  5. SURGERY AND CARDIOVASCULAR SURGERY JOURNALS ANALYSIS.

    Science.gov (United States)

    Schanaider, Alberto

    2015-01-01

    To analyze critically the effectiveness and value of bibliometric indicators in journals of Surgery or Cardiovacular Surgery in the context of the postgraduate programs of CAPES Medicine III. A sampling with 16 academic programs and one professional master of Medicine III, encompassing the General and Digestive System Surgery, Cardiovascular Surgery and Multidisciplinary courses with such contents, was evaluated. Thomson Reuters/ISI (JCR), Elsevier/Scopus (SJR), and also Scielo databases were used. Only in seven programs, the teachers had an average of Qualis A1 articles greater than the others strata. Eleven journals in the surgical area are in stratum A1 (5%) and it reaches 25% in Cardiovascular Surgery. Among the six journals with the largest number of publications Qualis A1 in area Medicine III, five are from non-specific areas. The Acta Cirúrgica Brasileira represented 58% of the publications in the stratum A2. There are some obstacles in the Qualis classification with little uniformity among the Medicine areas I, II and III. A permanent committee should be set to update the Qualis, composed by the three medical areas. It should be considered using other index databases and the unification of the Qualis criteria for journals in medicine. Rating criteria of multi and transdisciplinary journals need to be reviewed. It is essential an institutional financial support for national journals chosen by peers aiming to provide a full computerization process and a professional reviewer of the English language, in order to increase the impact factor. Analisar criticamente a eficácia e valor de indicadores bibliométricos dos periódicos da Cirurgia e Cirurgia Cardiovascular no contexto dos Programas de Pós-Graduação da área Medicina III da CAPES. Foi avaliada uma amostragem com 16 programas acadêmicos e um mestrado profissional da área de Medicina III, compreendendo a Cirurgia Geral e do Aparelho Digestivo, a Cirurgia Cardiovascular e Cursos Multidisciplinares

  6. Viscoless microincision cataract surgery

    Directory of Open Access Journals (Sweden)

    Guy Sallet

    2008-06-01

    Full Text Available Guy SalletDepartment of Opthamology, Aalsters Stedelijk Ziekenhuis, BelgiumAbstract: A cataract surgery technique is described in which incisions, continuous circular capsulorhexis and hydrodissection are made without the use of any viscoelastics. Two small incisions are created through which the different parts of the procedure can take place, maintaining a stable anterior chamber under continuous irrigation. Subsequent bimanual phacoemulsification can be done through these microincisions. At the end of the procedure, an intraocular lens can be inserted through the self-sealing incision under continuous irrigation. 50 consecutive cataract patients were operated on without the use of viscoelastics and then compared with a group of 50 patients who had been helped with viscoelastics. No difference in outcome, endothelial cell count or pachymetry was noted between the two groups. No intraoperative complication was encountered. Viscoless cataract surgery was a safe procedure with potential advantages.Keywords: ophthalmic visco-surgical device, viscoless cataract surgery, microincision

  7. Single port laparoscopic surgery

    DEFF Research Database (Denmark)

    Springborg, Henrik; Istre, Olav

    2012-01-01

    LESS, or laparo-endoscopic single site surgery, is a promising new method in minimally invasive surgery. An increasing number of surgical procedures are being performed using this technique, however, its large-scale adoption awaits results of prospective randomized controlled studies confirming...... potential benefits. Theoretically, cosmetic outcomes, postoperative pain and complication rates could be improved with use of single site surgery. This study describes introduction of the method in a private hospital in Denmark, in which 40 patients have been treated for benign gynecologic conditions....... Although the operations described are the first of their kind reported in Denmark, favorable operating times and very low complication rates are seen. It is the authors' opinion that in addition to being feasible for hysterectomy, single port laparoscopy may become the preferred method for many simple...

  8. Robotic aortic surgery.

    Science.gov (United States)

    Duran, Cassidy; Kashef, Elika; El-Sayed, Hosam F; Bismuth, Jean

    2011-01-01

    Surgical robotics was first utilized to facilitate neurosurgical biopsies in 1985, and it has since found application in orthopedics, urology, gynecology, and cardiothoracic, general, and vascular surgery. Surgical assistance systems provide intelligent, versatile tools that augment the physician's ability to treat patients by eliminating hand tremor and enabling dexterous operation inside the patient's body. Surgical robotics systems have enabled surgeons to treat otherwise untreatable conditions while also reducing morbidity and error rates, shortening operative times, reducing radiation exposure, and improving overall workflow. These capabilities have begun to be realized in two important realms of aortic vascular surgery, namely, flexible robotics for exclusion of complex aortic aneurysms using branched endografts, and robot-assisted laparoscopic aortic surgery for occlusive and aneurysmal disease.

  9. Single-Incision Transumbilical Surgery (SITUS) versus Single-Port Laparoscopic Surgery and conventional laparoscopic surgery: a prospective randomized comparative study of performance with novices in a dry laboratory.

    Science.gov (United States)

    Schoenthaler, Martin; Avcil, Tuba; Sevcenco, Sabina; Nagele, Udo; Hermann, Thomas E W; Kuehhas, Franklin E; Shariat, Shahrokh F; Frankenschmidt, Alexander; Wetterauer, Ulrich; Miernik, Arkadiusz

    2015-01-01

    To evaluate the Single-Incision Transumbilical Surgery (SITUS) technique as compared to an established laparoendoscopic single-site surgery (LESS) technique (Single-Port Laparoscopic Surgery, SPLS) and conventional laparoscopy (CLS) in a surgical simulator model. Sixty-three medical students without previous laparoscopic experience were randomly assigned to one of the three groups (SITUS, SPLS and CLS). Subjects were asked to perform five standardized tasks of increasing difficulty adopted from the Fundamentals of Laparoscopic Surgery curriculum. Statistical evaluation included task completion times and accuracy. Overall performances of all tasks (except precision cutting) were significantly faster and of higher accuracy in the CLS and SITUS groups than in the SPLS group (p = 0.004 to p port-assisted LESS technique such as SPLS. The demonstrated advantages of SITUS may be attributed to a preservation of the basic principles of conventional laparoscopy, such as the use of straight instruments and an adequate degree of triangulation.

  10. Wide Awake Hand Surgery.

    Science.gov (United States)

    Lied, Line; Borchgrevink, Grethe E; Finsen, Vilhjalmur

    2017-09-01

    "Wide awake hand surgery", where surgery is performed in local anaesthesia with adrenaline, without sedation or a tourniquet, has become widespread in some countries. It has a number of potential advantages and we wished to evaluate it among our patients. All 122 patients treated by this method during one year were evaluated by the surgeons and the patients on a numerical scale from 0 (best/least) to 10 (worst/most). Theatre time was compared to that recorded for a year when regional or general anaesthesia had been used. The patients' mean score for the general care they had received was 0.1 (SD 0.6), for pain during lidocaine injection 2.4 (SD 2.2), for pain during surgery 0.9 (SD 1.5), and for other discomfort during surgery 0.5 (SD 1.4). Eight reported that they would want general anaesthesia if they were to be operated again. The surgeons' mean evaluation of bleeding during surgery was 1.6 (SD 1.8), oedema during surgery 0.4 (SD 1.1), general disadvantages with the method 1.0 (SD 1.6) and general advantages 6.5 (SD 4.3). The estimation of advantages was 9.9 (DS 0.5) for tendon suture. 28 patients needed intra-operative additional anaesthesia. The proportion was lower among trained hand surgeons and fell significantly during the study period. Non-surgical theatre time was 46 (SD 15) minutes during the study period and 55 (SD 22) minutes during the regional/general period (p theatre.

  11. Effects of accuracy motivation and anchoring on metacomprehension judgment and accuracy.

    Science.gov (United States)

    Zhao, Qin

    2012-01-01

    The current research investigates how accuracy motivation impacts anchoring and adjustment in metacomprehension judgment and how accuracy motivation and anchoring affect metacomprehension accuracy. Participants were randomly assigned to one of six conditions produced by the between-subjects factorial design involving accuracy motivation (incentive or no) and peer performance anchor (95%, 55%, or no). Two studies showed that accuracy motivation did not impact anchoring bias, but the adjustment-from-anchor process occurred. Accuracy incentive increased anchor-judgment gap for the 95% anchor but not for the 55% anchor, which induced less certainty about the direction of adjustment. The findings offer support to the integrative theory of anchoring. Additionally, the two studies revealed a "power struggle" between accuracy motivation and anchoring in influencing metacomprehension accuracy. Accuracy motivation could improve metacomprehension accuracy in spite of anchoring effect, but if anchoring effect is too strong, it could overpower the motivation effect. The implications of the findings were discussed.

  12. [Bariatric surgery in Denmark.

    DEFF Research Database (Denmark)

    Funch-Jensen, P.; Iversen, M.G.; Kehlet, H.

    2008-01-01

    INTRODUCTION: In 2005 the National Board of Health (NBH) published guidelines on bariatric surgery in Denmark. The aim of the present study was to shed light on the national bariatric effort in relation to these guidelines. MATERIAL AND METHODS: The analysis is based on extraction of the following......, a tendency which was attributable to the activities of one of the private clinics. CONCLUSION: The frequency with which bariatric surgery is performed follows a strongly increasing trend and the procedures are only performed at the public departments selected by the National Board of Health...

  13. Orthognathic surgery: general considerations.

    Science.gov (United States)

    Khechoyan, David Y

    2013-08-01

    a patient's appearance and occlusal function can be improved significantly, impacting the patient's sense of self and well-being. Successful outcomes in modern orthognathic surgery rely on close collaboration between the surgeon and the orthodontist across all stages of treatment, from preoperative planning to finalization of occlusion. Virtual computer planning promotes a more accurate analysis of dentofacial deformity and preoperative planning. It is also an invaluable aid in providing comprehensive patient education. In this article, the author describes the general surgical principles that underlie orthognathic surgery, highlighting the sequence of treatment, preoperative analysis of dentofacial deformity, surgical execution of the treatment plan, and possible complications.

  14. [Simulation in pediatric surgery].

    Science.gov (United States)

    Becmeur, François; Lacreuse, Isabelle; Soler, Luc

    2011-11-01

    Simulation in paediatric surgery is essential for educational, ethical, medicolegal and economic reasons, and is particularly important for rare procedures. There are three different levels of simulation:--simulation of basic techniques in order to learn or improve surgical skills (dissection, intracorporeal knots, etc.);--preparation for surgery using virtual reality, to perfect and test various procedures on a virtual patient, and to determine the best approaches for individual cases;--behavioral simulation underlines the importance of the preoperative check-list and facilitates crisis management (complications, conversion, etc.).

  15. Diplopia after Strabismus Surgery.

    Science.gov (United States)

    Sharma, Medha; Hunter, David G

    2018-01-01

    Diplopia is a disappointing and, at times, unanticipated consequence of what might otherwise be considered anatomically successful strabismus surgery. In this study, we review the existing literature regarding diplopia after strabismus surgery in the context of the senior author's experience. We divide postoperative diplopia types into cases that occur in the setting of normal binocular vision (or "normal" suppression) vs. cases that are the consequence of rare or anomalous sensorial adaptations. We then discuss how to identify patients at greatest risk based on history and preoperative testing, and we offer strategies for managing these sometimes-challenging cases.

  16. Ovarian cancer surgery

    DEFF Research Database (Denmark)

    Seibaek, Lene; Blaakaer, Jan; Petersen, Lone Kjeld

    2013-01-01

    PURPOSE: The study objective was to survey general health and coping in women undergoing ovarian cancer surgery, and subsequently to develop and test a supportive care intervention. METHODS/MATERIALS: Women who underwent surgery on the suspicion of ovarian cancer participated in a follow...... standard levels. Concerning mental health, levels were below standard during the entire period, but did improve with time, also in women in whom the potential cancer diagnosis was refuted. The preoperative differences between these groups leveled out postoperatively in terms of physical health. At the end...

  17. Tourniquets in orthopedic surgery

    Directory of Open Access Journals (Sweden)

    Jai Prakash Sharma

    2012-01-01

    Full Text Available Tourniquets are commonly used in limb surgeries, be it orthopedic or plastic surgeries. But the inflation pressures, the duration, and release guidelines are still not clear. According to a survey, majority of orthopedic surgeons inflate the tourniquet to fixed pressures for the upper and the lower limbs without considering the baseline blood pressure of the patient on whom the tourniquets are being applied. This review was designed to recall and review the safe use of tourniquets and the various techniques that can be employed to minimize the complications of tourniquet use. Google, science direct, and pubmed were searched for appropriate literature and relevant articles were identified.

  18. Frozen section pathology for decision making in parotid surgery.

    Science.gov (United States)

    Olsen, Kerry D; Moore, Eric J; Lewis, Jean E

    2013-12-01

    For parotid lesions, the high accuracy and utility of intraoperative frozen section (FS) pathology, compared with permanent section pathology, facilitates intraoperative decision making about the extent of surgery required. To demonstrate the accuracy and utility of FS pathology of parotid lesions as one factor in intraoperative decision making. Retrospective review of patients undergoing parotidectomy at a tertiary care center. Evaluation of the accuracy of FS pathology for parotid surgery by comparing FS pathology results with those of permanent section. Documented changes from FS to permanent section in 1339 parotidectomy pathology reports conducted from January 1, 2000, through December 31, 2009, included 693 benign and 268 primary and metastatic malignant tumors. Changes in diagnosis were found from benign to malignant (n = 11) and malignant to benign (n = 2). Sensitivity and specificity of a malignant diagnosis were 98.5% and 99.0%, respectively. Other changes were for lymphoma vs inflammation or lymphoma typing (n = 89) and for confirmation of or change in tumor type for benign (n = 36) or malignant (n = 69) tumors. No case changed from low- to high-grade malignant tumor. Only 4 cases that changed from FS to permanent section would have affected intraoperative decision making. Three patients underwent additional surgery 2 to 3 weeks later. Overall, only 1 patient was overtreated (lymphoma initially deemed carcinoma). Frozen section pathology for parotid lesions has high accuracy and utility in intraoperative decision making, facilitating timely complete procedures.

  19. ACCURACY DIMENSIONS IN REMOTE SENSING

    Directory of Open Access Journals (Sweden)

    Á. Barsi

    2018-04-01

    selected, practice-oriented approaches are evaluated too, finally widely-used dimension metrics like Root Mean Squared Error (RMSE or confusion matrix are discussed. The authors present data quality features of well-defined and poorly defined object. The central part of the study is the land cover mapping, describing its accuracy management model, presented relevance and uncertainty measures of its influencing quality dimensions. In the paper theory is supported by a case study, where the remote sensing technology is used for supporting the area-based agricultural subsidies of the European Union, in Hungarian administration.

  20. Accuracy Dimensions in Remote Sensing

    Science.gov (United States)

    Barsi, Á.; Kugler, Zs.; László, I.; Szabó, Gy.; Abdulmutalib, H. M.

    2018-04-01

    -oriented approaches are evaluated too, finally widely-used dimension metrics like Root Mean Squared Error (RMSE) or confusion matrix are discussed. The authors present data quality features of well-defined and poorly defined object. The central part of the study is the land cover mapping, describing its accuracy management model, presented relevance and uncertainty measures of its influencing quality dimensions. In the paper theory is supported by a case study, where the remote sensing technology is used for supporting the area-based agricultural subsidies of the European Union, in Hungarian administration.

  1. Cosmetic Surgery Training in Plastic Surgery Residency Programs

    Directory of Open Access Journals (Sweden)

    Colton H. L. McNichols, MD

    2017-09-01

    Conclusions:. There is an increase in dedicated cosmetic surgery rotations and fewer residents believe they need a fellowship to practice cosmetic surgery. However, the comfort level of performing facial aesthetic and body contouring procedures remains low particularly among independent residents.

  2. Accuracies Of Optical Processors For Adaptive Optics

    Science.gov (United States)

    Downie, John D.; Goodman, Joseph W.

    1992-01-01

    Paper presents analysis of accuracies and requirements concerning accuracies of optical linear-algebra processors (OLAP's) in adaptive-optics imaging systems. Much faster than digital electronic processor and eliminate some residual distortion. Question whether errors introduced by analog processing of OLAP overcome advantage of greater speed. Paper addresses issue by presenting estimate of accuracy required in general OLAP that yields smaller average residual aberration of wave front than digital electronic processor computing at given speed.

  3. Return to Play After Shoulder Surgery in Throwers.

    Science.gov (United States)

    Thorsness, Robert; Alland, Jeremy A; McCulloch, Colin B; Romeo, Anthony

    2016-10-01

    The throwing athlete's shoulder is a unique, complex entity with challenges in diagnosis and management. The shoulders in these athletes possess unique biomechanics and pathologic conditions. Unfortunately, return to play outcomes are often poor when specifically evaluating overhead athletes, especially with regard to SLAP repair. It is imperative for the surgeon to be cautious when indicating these athletes for surgery, because although they may demonstrate improvements in pain and general function, subtle changes in accuracy or velocity as a result of surgery can significantly affect the success of an overhead throwing athlete at the competitive level. Copyright © 2016 Elsevier Inc. All rights reserved.

  4. Nigerian Journal of Surgery

    African Journals Online (AJOL)

    The Nigerian Journal of Surgery publishes original articles, special articles (by invitation), reviews, case reports, correspondences and notes. Materials cited for publication will include scientific research papers read at the meetings of the Nigerian Surgical Research Society, and of the Association of Surgeons of Nigeria and ...

  5. Heart valve surgery - discharge

    Science.gov (United States)

    ... ACC guideline for the management of patients with valvular heart disease: executive summary: a report of the American College ... Editorial team. Related MedlinePlus Health Topics Heart Surgery Heart Valve Diseases Browse the Encyclopedia A.D.A.M., Inc. ...

  6. Plastic Surgery: Tackling Misconceptions

    African Journals Online (AJOL)

    will succeed. First impressions tend to last, and if young people's first impression of plastic surgeons is that they spend much of their time doing cosmetic surgery then this is a first impression that might be long ... Res 2014;4 Suppl S3:169‑70. Access this article online. Quick Response Code: Website: www.amhsr.org. DOI:.

  7. Abdominal wall surgery

    Science.gov (United States)

    ... as liposuction , which is another way to remove fat. But, abdominal wall surgery is sometimes combined with liposuction. ... from the middle and lower sections of your abdomen to make it firmer ... removes excess fat and skin (love handles) from the sides of ...

  8. Cognitive outcome of surgery.

    Science.gov (United States)

    Gallagher, Anne; Jambaqué, Isabelle; Lassonde, Maryse

    2013-01-01

    Epilepsy surgery is now widely accepted as an effective therapeutic option for carefully selected children with medically refractory epilepsy. The surgical procedure may cause cognitive deficits or exacerbate existing impairments, but it may also improve cognitive abilities by the restoration of functions located in adjacent or contralateral areas that had been secondarily affected by the epilepsy or the underlying pathology. Compared to adults, better cognitive outcome has been reported in children, a finding probably due to the developing state of the brain, which possesses considerable structural and functional plasticity. More extensive and effective surgery such as hemispherectomy is more commonly used in the pediatric population, and this must also influence surgical outcome. However, studies related to cognitive outcome of epilepsy surgery in children are limited, and controversial results are often reported. In this chapter, we provide a current overview of the literature on cognitive outcomes in children who undergo different types of epilepsy surgery, including focal resections as well as corpus callosotomy and hemispherectomy. Early surgical intervention appears to be a rational option for the treatment of childhood epilepsy since many cognitive deficits are linked to the epileptic process and may disappear when seizures are controlled. Copyright © 2013 Elsevier B.V. All rights reserved.

  9. Annals of Pediatric Surgery

    African Journals Online (AJOL)

    The Annals of Pediatric Surgery is striving to fill an important niche that provides focus to clinical care, technical innovation and clinical research. ... Nonconventionalmesocaval prosthetic shunt interposition in refractory case with portal hypertension in a 10-kg female infant · EMAIL FREE FULL TEXT EMAIL FREE FULL ...

  10. RADIATION AND SURGERY

    African Journals Online (AJOL)

    Dr. S.A. Adewuyi

    Radiation therapy and surgery in cancer management. 1S.A.Adewuyi,. 2 ... cancer, since axillary node status may determine whether or not a ... The principles are 'En-bloc' dissection which ... prevention of symptoms of cancer, including pain alleviation, and .... Pre-Operative And Post-Operative Radiotherapy: These terms ...

  11. Mechanisms in bariatric surgery

    DEFF Research Database (Denmark)

    Holst, Jens Juul; Madsbad, Sten; Bojsen-Møller, Kirstine N

    2018-01-01

    Gastric bypass surgery leads to profound changes in the secretion of gut hormones with effects on metabolism, appetite, and food intake. Here, we discuss their contributions to the improvement in glucose tolerance and the weight loss that results from the operations. We find that the improved glu...

  12. Tendon Transfer Surgery

    Science.gov (United States)

    ... All Topics A-Z Videos Infographics Symptom Picker Anatomy Bones Joints Muscles Nerves Vessels Tendons About Hand Surgery What is ... Hand Therapist? Media Find a Hand Surgeon Home Anatomy ... DESCRIPTION The tendon is the strong cord at either end of a muscle that is attached to bone. Tendons , combined with ...

  13. Cataract Surgery in Uveitis

    Directory of Open Access Journals (Sweden)

    Rupesh Agrawal

    2012-01-01

    Full Text Available Cataract surgery in uveitic eyes is often challenging and can result in intraoperative and postoperative complications. Most uveitic patients enjoy good vision despite potentially sight-threatening complications, including cataract development. In those patients who develop cataracts, successful surgery stems from educated patient selection, careful surgical technique, and aggressive preoperative and postoperative control of inflammation. With improved understanding of the disease processes, pre- and perioperative control of inflammation, modern surgical techniques, availability of biocompatible intraocular lens material and design, surgical experience in performing complicated cataract surgeries, and efficient management of postoperative complications have led to much better outcome. Preoperative factors include proper patient selection and counseling and preoperative control of inflammation. Meticulous and careful cataract surgery in uveitic cataract is essential in optimizing the postoperative outcome. Management of postoperative complications, especially inflammation and glaucoma, earlier rather than later, has also contributed to improved outcomes. This manuscript is review of the existing literature and highlights the management pearls in tackling complicated cataract based on medline search of literature and experience of the authors.

  14. Surgery with cooperative robots.

    Science.gov (United States)

    Lehman, Amy C; Berg, Kyle A; Dumpert, Jason; Wood, Nathan A; Visty, Abigail Q; Rentschler, Mark E; Platt, Stephen R; Farritor, Shane M; Oleynikov, Dmitry

    2008-03-01

    Advances in endoscopic techniques for abdominal procedures continue to reduce the invasiveness of surgery. Gaining access to the peritoneal cavity through small incisions prompted the first significant shift in general surgery. The complete elimination of external incisions through natural orifice access is potentially the next step in reducing patient trauma. While minimally invasive techniques offer significant patient advantages, the procedures are surgically challenging. Robotic surgical systems are being developed that address the visualization and manipulation limitations, but many of these systems remain constrained by the entry incisions. Alternatively, miniature in vivo robots are being developed that are completely inserted into the peritoneal cavity for laparoscopic and natural orifice procedures. These robots can provide vision and task assistance without the constraints of the entry incision, and can reduce the number of incisions required for laparoscopic procedures. In this study, a series of minimally invasive animal-model surgeries were performed using multiple miniature in vivo robots in cooperation with existing laparoscopy and endoscopy tools as well as the da Vinci Surgical System. These procedures demonstrate that miniature in vivo robots can address the visualization constraints of minimally invasive surgery by providing video feedback and task assistance from arbitrary orientations within the peritoneal cavity.

  15. [Basic concept in computer assisted surgery].

    Science.gov (United States)

    Merloz, Philippe; Wu, Hao

    2006-03-01

    To investigate application of medical digital imaging systems and computer technologies in orthopedics. The main computer-assisted surgery systems comprise the four following subcategories. (1) A collection and recording process for digital data on each patient, including preoperative images (CT scans, MRI, standard X-rays), intraoperative visualization (fluoroscopy, ultrasound), and intraoperative position and orientation of surgical instruments or bone sections (using 3D localises). Data merging based on the matching of preoperative imaging (CT scans, MRI, standard X-rays) and intraoperative visualization (anatomical landmarks, or bone surfaces digitized intraoperatively via 3D localiser; intraoperative ultrasound images processed for delineation of bone contours). (2) In cases where only intraoperative images are used for computer-assisted surgical navigation, the calibration of the intraoperative imaging system replaces the merged data system, which is then no longer necessary. (3) A system that provides aid in decision-making, so that the surgical approach is planned on basis of multimodal information: the interactive positioning of surgical instruments or bone sections transmitted via pre- or intraoperative images, display of elements to guide surgical navigation (direction, axis, orientation, length and diameter of a surgical instrument, impingement, etc. ). And (4) A system that monitors the surgical procedure, thereby ensuring that the optimal strategy defined at the preoperative stage is taken into account. It is possible that computer-assisted orthopedic surgery systems will enable surgeons to better assess the accuracy and reliability of the various operative techniques, an indispensable stage in the optimization of surgery.

  16. Patch in Cardiac Surgery

    Directory of Open Access Journals (Sweden)

    Alireza Alizadeh Ghavidel

    2014-06-01

    Full Text Available Introduction: Excessive bleeding presents a risk for the patient in cardiovascular surgery. Local haemostatic agents are of great value to reduce bleeding and related complications. TachoSil (Nycomed, Linz, Austria is a sterile, haemostatic agent that consists of an equine collagen patchcoated with human fibrinogen and thrombin. This study evaluated the safety and efficacy of TachoSil compared to conventional technique.Methods: Forty-two patients scheduled for open heart surgeries, were entered to this study from August 2010 to May 2011. After primary haemostatic measures, patients divided in two groups based on surgeon’s judgment. Group A: 20 patients for whom TachoSil was applied and group B: 22 patients that conventional method using Surgicel (13 patients or wait and see method (9 cases, were performed in order to control the bleeding. In group A, 10 patients were male with mean age of 56.95±15.67 years and in group B, 9 cases were male with mean age of 49.95±14.41 years. In case group 70% (14/20 of the surgeries were redo surgeries versus 100% (22/22 in control group.Results: Baseline characteristics were similar in both groups. In TachoSil group 75% of patients required transfusion versus 90.90% in group B (P=0.03.Most transfusions consisted of packed red blood cell; 2±1.13 units in group A versus 3.11±1.44 in group B (P=0.01, however there were no significant differences between two groups regarding the mean total volume of intra and post-operative bleeding. Re-exploration was required in 10% in group A versus 13.63% in group B (P=0.67.Conclusion: TachoSil may act as a superior alternative in different types of cardiac surgery in order to control the bleeding and therefore reducing transfusion requirement.

  17. ROBOTIC SURGERY: BIOETHICAL ASPECTS.

    Science.gov (United States)

    Siqueira-Batista, Rodrigo; Souza, Camila Ribeiro; Maia, Polyana Mendes; Siqueira, Sávio Lana

    2016-01-01

    The use of robots in surgery has been increasingly common today, allowing the emergence of numerous bioethical issues in this area. To present review of the ethical aspects of robot use in surgery. Search in Pubmed, SciELO and Lilacs crossing the headings "bioethics", "surgery", "ethics", "laparoscopy" and "robotic". Of the citations obtained, were selected 17 articles, which were used for the preparation of the article. It contains brief presentation on robotics, its inclusion in health and bioethical aspects, and the use of robots in surgery. Robotic surgery is a reality today in many hospitals, which makes essential bioethical reflection on the relationship between health professionals, automata and patients. A utilização de robôs em procedimentos cirúrgicos tem sido cada vez mais frequente na atualidade, o que permite a emergência de inúmeras questões bioéticas nesse âmbito. Apresentar revisão sobre os aspectos éticos dos usos de robôs em cirurgia. Realizou-se revisão nas bases de dados Pubmed, SciELO e Lilacs cruzando-se os descritores "bioética", "cirurgia", "ética", "laparoscopia" e "robótica". Do total de citações obtidas, selecionou-se 17 artigos, os quais foram utilizados para a elaboração do artigo. Ele contém breve apresentação sobre a robótica, sua inserção na saúde e os aspectos bioéticos da utilização dos robôs em procedimentos cirúrgicos. A cirurgia robótica é uma realidade, hoje, em muitas unidades hospitalares, o que torna essencial a reflexão bioética sobre as relações entre profissionais da saúde, autômatos e pacientes.

  18. Variable Operative Experience in Hand Surgery for Plastic Surgery Residents.

    Science.gov (United States)

    Silvestre, Jason; Lin, Ines C; Levin, Lawrence Scott; Chang, Benjamin

    Efforts to standardize hand surgery training during plastic surgery residency remain challenging. We analyze the variability of operative hand experience at U.S. plastic surgery residency programs. Operative case logs of chief residents in accredited U.S. plastic surgery residency programs were analyzed (2011-2015). Trends in fold differences of hand surgery case volume between the 10th and 90th percentiles of residents were assessed graphically. Percentile data were used to calculate the number of residents achieving case minimums in hand surgery for 2015. Case logs from 818 plastic surgery residents were analyzed of which a minority were from integrated (35.7%) versus independent/combined (64.3%) residents. Trend analysis of fold differences in case volume demonstrated decreasing variability among procedure categories over time. By 2015, fold differences for hand reconstruction, tendon cases, nerve cases, arthroplasty/arthrodesis, amputation, arterial repair, Dupuytren release, and neoplasm cases were below 10-fold. Congenital deformity cases among independent/combined residents was the sole category that exceeded 10-fold by 2015. Percentile data suggested that approximately 10% of independent/combined residents did not meet case minimums for arterial repair and congenital deformity in 2015. Variable operative experience during plastic surgery residency may limit adequate exposure to hand surgery for certain residents. Future studies should establish empiric case minimums for plastic surgery residents to ensure hand surgery competency upon graduation. Copyright © 2017 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  19. Limited-Access Heart Surgery

    Science.gov (United States)

    ... on the side of the chest. With traditional open heart surgery, the incision is usually 6 to 8 ... attached to a heart-lung machine. In traditional open heart surgery, patients would be connected to the heart- ...

  20. Infant open heart surgery (image)

    Science.gov (United States)

    During open-heart surgery an incision is made through the breastbone (sternum) while the child is under general anesthesia. ... During open-heart surgery an incision is made through the breastbone (sternum) while the child is under general anesthesia.

  1. Anti-reflux surgery - children

    Science.gov (United States)

    ... stomach). Problems with these muscles can lead to gastroesophageal reflux disease (GERD). This surgery can also be done during a ... Anti-reflux surgery is usually done to treat GERD in children only after medicines have not worked ...

  2. Prescription patterns of Chinese herbal products for post-surgery colon cancer patients in Taiwan.

    Science.gov (United States)

    Chao, Te-Hsin; Fu, Pin-Kuei; Chang, Chiung-Hung; Chang, Shih-Ni; Chiahung Mao, Frank; Lin, Ching-Heng

    2014-08-08

    Traditional Chinese medicine (TCM) is commonly provided to cancer patients, however, the patterns of prescriptions for this type of medicine in Taiwan are unclear. This study aimed to evaluate the use of traditional Chinese medicine products in colon cancer patients post-surgery in Taiwan and to research patterns of TCM. This was a cross-sectional study of newly diagnosed colon cancer patients who received surgery between 2004 and 2008 identified from the National Health Insurance Research Database of Taiwan. The prescription patterns and reasons for the use of TCM for colon cancer were analyzed. The results showed that "symptoms, signs and ill-defined conditions" (23.3%) and diseases of the digestive system (16.9%) were the most common reasons for using Chinese herbal medicine. Xiang-sha-liu-jun-zi-tang (7.1%), Bu-zhong-yi-qi-tang (4.3%), Jia-wei-xiao-yao-san (4.1%), Shen-Ling-Bai-Zhu-San (3.7%), Ban-Xia-Xie-Xin-Tang (3.4%), Gui-pi-tang (2.4%), Ping-Wei-San (2.4%), Gan-Lu-Yin (2.0%), Bao-He-Wan (1.9%), and Zhen-Ren-Huo-Ming-Yin (1.8%) were the most commonly prescribed single Chinese herbal formulae (CHF) for colon cancer patients post-surgery. Hedyotis diffusa Willd (Bai Hua She She Cao) (5.1%) and Scutellaria barbata (Ban Zhi Lian )(4.8%) were the most commonly prescribed single Chinese herbs. This study identified patterns of TCM use in colon cancer patients post-surgery in Taiwan. The herbal ingredients were most commonly used for stimulate ghrelin secretion to increase food intake and had potential anti-tumor effect. However, further research is required to evaluate any beneficial effects which could identify leads for the development of new treatment strategies using TCM. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  3. Characterization of 12CaO x 7Al2O3 doped indium tin oxide films for transparent cathode in top-emission organic light-emitting diodes.

    Science.gov (United States)

    Jung, Chul Ho; Hwang, In Rok; Park, Bae Ho; Yoon, Dae Ho

    2013-11-01

    12CaO x 7Al2O3, insulator (C12A7) doped indium tin oxide (ITO) (ITO:C12A7) films were fabricated using a radio frequency magnetron co-sputtering system with ITO and C12A7 targets. The qualitative and quantitative properties of ITO:C12A7 films, as a function of C12A7 concentration, were examined via X-ray photoemission spectroscopy and synchrotron X-ray scattering as well as by conducting atomic force microscopy. The work function of ITO:C12A7 (1.3%) films of approximately 2.8 eV obtained by high resolution photoemission spectroscopy measurements make them a reasonable cathode for top-emission organic light-emitting diodes.

  4. Teoria do caos e gestão da informação: uma integração na complexidade dos negócios e dos sistemas de informação

    Directory of Open Access Journals (Sweden)

    Luiz Henrique Cardoso

    Full Text Available É abordado o planejamento de sistemas de informação, em seu aspecto teórico, sob a ótica da Teoria do Caos e da Complexidade. Descreve as características dos sistemas físicos, a visão da ciência como sistema fechado e a visão da ciência como sistema aberto. Discute ainda a gestão da informação, tanto frente à complexidade dos sistemas de informação, quanto em suas correlações com o mundo dos negócios, enfatizando a necessidade do profissional da informação de estar apto para planejar o seu trabalho diante do cenário complexo dos negócios.

  5. Synthesis and characterization of 64SiO2-26CaO-5P2O5-5CuO bioactive composition for the growth of hydroxyapatite layer by XRD, Raman and pH studies

    Science.gov (United States)

    Kaur, Pardeep; Singh, K. J.

    2016-05-01

    Bioactive sample with the nominal composition of 64SiO2-26CaO-5P2O5-5CuO has been prepared in the laboratory by using the sol-gel technique. The bioactivity of the prepared sample has been analyzed by using the Tris Simulated Body Fluid which has also been prepared in the laboratory. XRD and Raman techniques have been employedto probe the formation of hydroxyapatite layer. pH studies has also been undertaken to check the acidic/non-acidic behavior of sample. Growth of hydroxyapatite layer has been observed after one day on the surface of the sample. Moreover, sample has been observed to be non-acidic in nature.

  6. Quality of reporting of diagnostic accuracy studies

    NARCIS (Netherlands)

    Smidt, N.; Rutjes, A.W.; Windt - Mens, van der D.A.W.M.; Ostelo, R.W.J.G.; Reitsma, J.B.; Bouter, L.M.; Vet, de H.C.W.

    2005-01-01

    PURPOSE: To evaluate quality of reporting in diagnostic accuracy articles published in 2000 in journals with impact factor of at least 4 by using items of Standards for Reporting of Diagnostic Accuracy (STARD) statement published later in 2003. MATERIALS AND METHODS: English-language articles on

  7. Accuracy of Parent Identification of Stuttering Occurrence

    Science.gov (United States)

    Einarsdottir, Johanna; Ingham, Roger

    2009-01-01

    Background: Clinicians rely on parents to provide information regarding the onset and development of stuttering in their own children. The accuracy and reliability of their judgments of stuttering is therefore important and is not well researched. Aim: To investigate the accuracy of parent judgements of stuttering in their own children's speech…

  8. Improving Accuracy of Processing Through Active Control

    Directory of Open Access Journals (Sweden)

    N. N. Barbashov

    2016-01-01

    Full Text Available An important task of modern mathematical statistics with its methods based on the theory of probability is a scientific estimate of measurement results. There are certain costs under control, and under ineffective control when a customer has got defective products these costs are significantly higher because of parts recall.When machining the parts, under the influence of errors a range scatter of part dimensions is offset towards the tolerance limit. To improve a processing accuracy and avoid defective products involves reducing components of error in machining, i.e. to improve the accuracy of machine and tool, tool life, rigidity of the system, accuracy of the adjustment. In a given time it is also necessary to adapt machine.To improve an accuracy and a machining rate there, currently  become extensively popular various the in-process gaging devices and controlled machining that uses adaptive control systems for the process monitoring. Improving the accuracy in this case is compensation of a majority of technological errors. The in-cycle measuring sensors (sensors of active control allow processing accuracy improvement by one or two quality and provide a capability for simultaneous operation of several machines.Efficient use of in-cycle measuring sensors requires development of methods to control the accuracy through providing the appropriate adjustments. Methods based on the moving average, appear to be the most promising for accuracy control since they include data on the change in some last measured values of the parameter under control.

  9. Timing of surgery for sciatica

    NARCIS (Netherlands)

    Peul, Wilco C.

    2008-01-01

    The frequently diagnosed lumbar disc herniation can disappear by natural course, but still leads to high low back surgery rates. The optimal period of conservative care, before surgery is executed, was unknown. It is surprising that scientific evidence was lacking which justified “early” surgery.

  10. Nigerian Journal of Plastic Surgery

    African Journals Online (AJOL)

    The Nigerian Journal of Plastic Surgery has its objectives in publishing original articles about developments in all areas related to plastic and reconstructive surgery as well as to trauma surgery. It also serves as a means of providing a forum for correspondence, information and discussion. It also accepts review articles that ...

  11. Cataract surgery among Medicare beneficiaries.

    Science.gov (United States)

    Schein, Oliver D; Cassard, Sandra D; Tielsch, James M; Gower, Emily W

    2012-10-01

    To present descriptive epidemiology of cataract surgery among Medicare recipients in the United States. Cataract surgery performed on Medicare beneficiaries in 2003 and 2004. Medicare claims data were used to identify all cataract surgery claims for procedures performed in the United States in 2003-2004. Standard assumptions were used to limit the claims to actual cataract surgery procedures performed. Summary statistics were created to determine the number of procedures performed for each outcome of interest: cataract surgery rates by age, sex, race and state; surgical volume by facility type and surgeon characteristics; time interval between first- and second-eye cataract surgery. The national cataract surgery rate for 2003-2004 was 61.8 per 1000 Medicare beneficiary person-years. The rate was significantly higher for females and for those aged 75-84 years. After adjustment for age and sex, blacks had approximately a 30% lower rate of surgery than whites. While only 5% of cataract surgeons performed more than 500 cataract surgeries annually, these surgeons performed 26% of the total cataract surgeries. Increasing surgical volume was found to be highly correlated with use of ambulatory surgical centers and reduced time interval between first- and second-eye surgery in the same patient. The epidemiology of cataract surgery in the United States Medicare population documents substantial variation in surgical rates by race, sex, age, and by certain provider characteristics.

  12. MDCT arthrography of the wrist: Diagnostic accuracy and indications

    International Nuclear Information System (INIS)

    De Filippo, Massimo; Pogliacomi, Francesco; Bertellini, Annalisa; Araoz, Philip A.; Averna, Raffaele; Sverzellati, Nicola; Ingegnoli, Anna; Corradi, Maurizio; Costantino, Cosimo; Zompatori, Maurizio

    2010-01-01

    Purpose: To evaluate the diagnostic accuracy and indications of arthrography with Multidetector Computed Tomography (arthro-MDCT) of the wrist in patients with absolute or relative contraindications to magnetic resonance imaging (MRI) studies and in patients with periarticular metal implants using diagnostic arthroscopy as the gold standard. Materials and methods: After intra-articular injection of iodixanol and volumetric acquisition, 43 wrists in patients of both genders (18 females, 25 males, age range 32-60 years) were examined with a 16-detector-row CT scanner. Fifteen patients had prior wrist surgery. The patients had arthralgia, degenerative and traumatic arthropathies as well as limited range of motion, but no radiologically detected fractures. All examinations were interpreted by two experienced musculoskeletal radiologists. The findings were compared with arthroscopic findings carried out within 28 days of the CT study. Results: In non-operated and operated wrists the comparison between arthro-MDCT and arthroscopy showed sensitivity, specificity and accuracy ranging between 92% and 94% for triangular fibrocartilage complex (TFCC), between 80% and 100% for intrinsic ligaments located within the proximal carpal compartment, and between 94% and 100% for articular cartilage. Inter-observer agreement between two radiologists, in the evaluation of all types of lesions, was almost perfect (k = 0.96) and statistically significant (p < 0.05). Conclusions: Arthro-MDCT of the wrist provides an accurate diagnosis to identify chondral, fibrocartilaginous and intra-articular ligament lesions in patients who cannot be evaluated by MRI, and in post-surgical patients.

  13. MDCT arthrography of the wrist: Diagnostic accuracy and indications

    Energy Technology Data Exchange (ETDEWEB)

    De Filippo, Massimo [Department of Clinical Sciences, Section of Radiological Sciences, University of Parma, Parma Hospital, Via Gramsci, 14, 43100 Parma (Italy)], E-mail: massimo.defilippo@unipr.it; Pogliacomi, Francesco [Orthopaedics, Traumatology and Functional Rehabilitation Unit, Department of Surgical Sciences, University of Parma, Parma Hospital, Via Gramsci 14, 43100 Parma (Italy); Bertellini, Annalisa [Department of Clinical Sciences, Section of Radiological Sciences, University of Parma, Parma Hospital, Via Gramsci, 14, 43100 Parma (Italy); Araoz, Philip A. [Department of Radiology, Division of Biostatistics, Mayo Clinic, 200 First St SW, Rochester, MN 55905 (United States); Averna, Raffaele; Sverzellati, Nicola; Ingegnoli, Anna [Department of Clinical Sciences, Section of Radiological Sciences, University of Parma, Parma Hospital, Via Gramsci, 14, 43100 Parma (Italy); Corradi, Maurizio; Costantino, Cosimo [Orthopaedics, Traumatology and Functional Rehabilitation Unit, Department of Surgical Sciences, University of Parma, Parma Hospital, Via Gramsci 14, 43100 Parma (Italy); Zompatori, Maurizio [Department of Radiological and Histopathological Sciences, Policlinic S.Orsola-Malpighi, University of Bologna, Via Massarenti 9, 40138 Bologna (Italy)

    2010-04-15

    Purpose: To evaluate the diagnostic accuracy and indications of arthrography with Multidetector Computed Tomography (arthro-MDCT) of the wrist in patients with absolute or relative contraindications to magnetic resonance imaging (MRI) studies and in patients with periarticular metal implants using diagnostic arthroscopy as the gold standard. Materials and methods: After intra-articular injection of iodixanol and volumetric acquisition, 43 wrists in patients of both genders (18 females, 25 males, age range 32-60 years) were examined with a 16-detector-row CT scanner. Fifteen patients had prior wrist surgery. The patients had arthralgia, degenerative and traumatic arthropathies as well as limited range of motion, but no radiologically detected fractures. All examinations were interpreted by two experienced musculoskeletal radiologists. The findings were compared with arthroscopic findings carried out within 28 days of the CT study. Results: In non-operated and operated wrists the comparison between arthro-MDCT and arthroscopy showed sensitivity, specificity and accuracy ranging between 92% and 94% for triangular fibrocartilage complex (TFCC), between 80% and 100% for intrinsic ligaments located within the proximal carpal compartment, and between 94% and 100% for articular cartilage. Inter-observer agreement between two radiologists, in the evaluation of all types of lesions, was almost perfect (k = 0.96) and statistically significant (p < 0.05). Conclusions: Arthro-MDCT of the wrist provides an accurate diagnosis to identify chondral, fibrocartilaginous and intra-articular ligament lesions in patients who cannot be evaluated by MRI, and in post-surgical patients.

  14. Robotic surgery update.

    Science.gov (United States)

    Jacobsen, G; Elli, F; Horgan, S

    2004-08-01

    Minimally invasive surgical techniques have revolutionized the field of surgery. Telesurgical manipulators (robots) and new information technologies strive to improve upon currently available minimally invasive techniques and create new possibilities. A retrospective review of all robotic cases at a single academic medical center from August 2000 until November 2002 was conducted. A comprehensive literature evaluation on robotic surgical technology was also performed. Robotic technology is safely and effectively being applied at our institution. Robotic and information technologies have improved upon minimally invasive surgical techniques and created new opportunities not attainable in open surgery. Robotic technology offers many benefits over traditional minimal access techniques and has been proven safe and effective. Further research is needed to better define the optimal application of this technology. Credentialing and educational requirements also need to be delineated.

  15. Abdominal aortic aneurysm surgery

    DEFF Research Database (Denmark)

    Gefke, K; Schroeder, T V; Thisted, B

    1994-01-01

    The goal of this study was to identify patients who need longer care in the ICU (more than 48 hours) following abdominal aortic aneurysm (AAA) surgery and to evaluate the influence of perioperative complications on short- and long-term survival and quality of life. AAA surgery was performed in 553...... patients, 51 (9%) of whom died within the first 48 hours. Of the 502 patients who survived for more than 48 hours, 109 required ICU therapy for more than 48 hours, whereas 393 patients were in the ICU for less than 48 hours. The incidence of preoperative risk factors was similar for the two groups...... combined failed to permit identification of patients in whom the perioperative survival rate was 0%. Even 20% of patients with multiorgan failure survived for 6 months. Of those patients who needed ICU therapy for more than 48 hours, 41 (38%) were alive at the end of 1988. In response to a questionnaire...

  16. [Stress in surgeries].

    Science.gov (United States)

    Daian, Márcia Rodrigues; Petroianu, Andy; Alberti, Luiz Ronaldo; Jeunon, Ester Eliane

    2012-01-01

    The purpose of this article was to provide the literature regarding the psychological stress in the peri-operative period of adult patients undergoing operations under general anesthesia. The articles were obtained by surveying the papers published and catalogued in the Medline Pubmed interface database, Lilacs and the Biblioteca Virtual de Saúde (BVS) since 1984, crossing the headings stress, surgery, general anesthesia, psychology. Over 800 articles related to stress and surgery were analyzed with regards to their relevance to the considered subject. Eighteen articles were related to psychological stress. Their results confirmed the presence of psychological and physical stress, during the peri-operative period as well as relation between stress and de clinical post-operative recovery. There is a gap regarding in the peri-operative period. More studies on psychological influence on stress may benefit patients and help professionals during the surgical treatment.

  17. Single-incision thoracoscopic surgery for spontaneous ...

    African Journals Online (AJOL)

    aDivision of Pediatric Surgery, bDepartment of Surgery, National Defense Medical. College ... Correspondence to Akinari Hinoki, MD, PhD, Department of Surgery, Division of. Pediatric ... (Echelon60; Ethicon Endo-Surgery, Ethicon, NJ, USA).

  18. Surgery of the Forestomach.

    Science.gov (United States)

    Lozier, Joseph W; Niehaus, Andrew J

    2016-11-01

    Indications for rumen surgery include rumen tympany (bloat), toxic plant ingestion, to provide enteral nutrition, to perform elective cannula placement, and to access other forestomach compartments (reticulum/omasum). The rumen is a highly contaminated viscus and special care should be taken to avoid peritoneal contamination from rumen contents. Diseases causing forestomach dysfunction and surgical procedures on the forestomach compartments are discussed here. Copyright © 2016 Elsevier Inc. All rights reserved.

  19. Surgery of the Trachea

    Directory of Open Access Journals (Sweden)

    Mark S. Allen

    2015-08-01

    Full Text Available Surgical procedures on the trachea have only been undertaken within the past 50 years. Knowing the unique blood supply of the trachea and how to reduce tension on any anastomosis are key to a successful outcome. Tracheal conditions requiring surgery usually present with shortness of breath on exertion, and preoperative evaluation involves computed tomography and rigid bronchoscopy. Tracheal resection and reconstruction can be safely performed with excellent outcomes by following a well-described technique.

  20. Pregnancy and bariatric surgery.

    Science.gov (United States)

    Mahawar, Kamal K

    2017-12-01

    A large number of women experience pregnancy after bariatric surgery. The purpose of this review was to understand the evidence base in this area to come up with practical, evidence-based recommendations. We examined PubMed for all published articles on pregnancy in patients who have previously undergone a bariatric surgery. There is an increasing body of evidence pointing towards a beneficial effect of weight loss induced by bariatric surgery on female and male fertility prompting calls for recognition of infertility as a qualifying co-morbidity for patients between the Body Mass Index of 35.0 kg/m2 and 40.0 kg/m2. Women in childbearing age group should be routinely offered contraceptive advice after bariatric surgery and advised to avoid pregnancy until their weight has stabilized. Until more focused studies are available, the advice to wait for 12 months or 2 months after the weight loss has stabilized, whichever is latter, seems reasonable. Patients should be advised to seek clearance from their bariatric teams prior to conception and looked after by a multi-disciplinary team of women health professionals, bariatric surgeons, and dietitians during pregnancy. The main objective of care is to ensure adequate nutritional state to allow for a satisfactory weight gain and fetal growth. There is a relative lack of studies and complete lack of Level 1 evidence to inform practice in this area. This review summarizes current literature and makes a number of practical suggestions for routine care of these women while we develop evidence to better inform future practice.