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Sample records for techniques results suggest

  1. What Enhancement Techniques Suggest about the Good Death

    DEFF Research Database (Denmark)

    Lassen, Aske Juul; Andersen, Michael Christian

    2016-01-01

    enhancement techniques, the idea of the good old age also implicitly tells a tale about the ‘good’ death. We explore how current discourses depict old age as an active, engaged and independent life phase and construct a specific idea of the good death as one that is quick and painless. By engaging...... with literature on ageing, death and enhancement technologies as well as current Danish healthcare initiatives, we examine the paradoxical, contemporary notion of death as natural, quick, painless and controllable. Danish rehabilitation programmes are provided as an example of specific enhancement techniques...... that through motivation and physical activity orchestrate the good death in a body that has been as healthy as possible for as long as possible. However, when such techniques become a moral injunction rather than a choice, questions arise concerning the relationship between autonomy and death. We argue...

  2. Skin sparing mastectomy: Technique and suggested methods of reconstruction

    Directory of Open Access Journals (Sweden)

    Ahmed M. Farahat

    2014-09-01

    Conclusions: Skin Sparing mastectomy through a circum-areolar incision has proven to be a safe and feasible option for the management of breast cancer in Egyptian women, offering them adequate oncologic control and optimum cosmetic outcome through preservation of the skin envelope of the breast when ever indicated. Our patients can benefit from safe surgery and have good cosmetic outcomeby applying different reconstructive techniques.

  3. Mobbing Experiences of Instructors: Causes, Results, and Solution Suggestions

    Science.gov (United States)

    Celep, Cevat; Konakli, Tugba

    2013-01-01

    In this study, it was aimed to investigate possible mobbing problems in universities, their causes and results, and to attract attention to precautions that can be taken. Phenomenology as one of the qualitative research methods was used in the study. Sample group of the study was selected through the criteria sampling method and eight instructors…

  4. The technique of «Subliminal verbal suggestion for the treatment of [pseudo]obsessions»

    Directory of Open Access Journals (Sweden)

    N. V. Danilevska

    2016-03-01

    Full Text Available [Pseudo]obsessions therapy in patients with endogenous diseases of schizophrenic round accompanied with difficulties, caused by both psycho etio pathogenetic features of the disease. Disadvantages of the existing methods of therapy are associated with therapeutic conflict between two nosologies. Aim: to develop and test etiopsychopathogenetic technique "Subliminal verbal suggestion for the treatment of [pseudo]obsessions" as a subsidiary method of treatment of schizophrenia patients with [pseudo] obsessions in the structure of the disease. Methods and results. 137 patients who underwent hospital treatment 65 schizophrenia patients (F20 with the [pseudo]obsessive symptoms in the structure of the disease were examined on the basis of Public Health Institution «Regional clinical mental hospital» of the Zaporizhzhian regional council. 30 patients received standard pharmacotherapy (antipsychotic drugs according to clinical protocols that was combined with proposed technique "Subliminal verbal suggestion for the treatment of [pseudo]obsessions". The comparison group consisted of 35 patients treated with the use of standard pharmacotherapy: antipsychotic drugs. The next methods were used: medical history assessment, follow-up, clinical-psychopathological, psychodiagnostic. "Subliminal verbal suggestion for the treatment of [pseudo]obsessions" technique was developed. This technique is a combination of suggestion in the waking state and neurolinguistic programming, implemented with specially compiled auditory complex listening. The main therapeutic component s realized through the subthreshold perception of the verbal formulas that are unavailable to awareness. The technique consists of two components – primary and secondary, and three stages. The methodology was tested, its therapeutic efficacy was confirmed. Conclusion. "Subliminal verbal suggestion for the treatment of [pseudo]obsessions" technique was developed as a subsidiary method of the

  5. Focused suggestion with somatic anchoring technique: rapid self-hypnosis for pain management.

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    Donatone, Brooke

    2013-04-01

    This article details a self-hypnosis technique designed to teach patients how to manage acute or chronic pain through directed focus. The focused suggestion with somatic anchoring technique has been used with various types of pain, including somatic pain (arthritis, post-injury pain from bone breaks, or muscle tears), visceral pain (related to irritable bowel disease), and neuropathic pain (related to multiple sclerosis). This technique combines cognitive restructuring and mindfulness meditation with indirect and direct suggestions during hypnosis. The case examples demonstrate how the focused suggestion with somatic anchoring technique is used with both acute and chronic pain conditions when use of long-term medication has been relatively ineffective.

  6. Investigations of auroral dynamics: techniques and results

    International Nuclear Information System (INIS)

    Steen, Aa.

    1988-10-01

    This study is an experimental investigation of the dynamics of the aurora, describing both the systems developed for the optical measurements and the results obtained. It is found that during a auroral arc deformation, a fold travelling eastward along the arc is associated with an enhanced F-region ion temperature of 2700 K, measured by EISCAT, indicative of enhanced ionspheric electric fields. It is shown that for an auroral break-up, the large-scale westward travelling surge (WTS) is the last developed spiral in a sequence of spiral formations. It is proposed that the Kelvin-Helmholtz instability is the responsible process. In another event it is shown that large-amplitude long-lasting pulsations, observed both in ground-based magnetic field and photometer recordings, correspond to strong modulations of the particle intensity at the equatorial orbit (6.6 Re). In this event a gradual transition occurs between pulses classified as Ps6/auroral torches toward pulses with characteristics of substorms. The observations are explained by the Kelvin-Helmholtz instability in a magnetospheric boundary layer. The meridional neutral wind, at about 240 km altitude, is found to be reduced prior to or at the onset of auroral activity. These findings are suggestive of large-scale reconfigurations of the ionspheric electric fields prior to auroral onsets. A new real time triangulation technique developed to determine the altitude of auroral arcs is presented, and an alternative method to analyze incoherent scatter data is discussed. (With 46 refs.) (author)

  7. Evidence suggests rigid aortic grafts increase systolic blood pressure: results of a preliminary study.

    Science.gov (United States)

    O'Brien, T; Morris, L; McGloughlin, T

    2008-01-01

    Abdominal aortic aneurysm (AAA) is a serious complication of the aorta and is treated using vascular bypass grafts. Two main classes of graft are available to treat AAA; grafts implanted by open surgery and stent-grafts implanted using minimally invasive endovascular techniques. Both classes of graft consist of an aortic section which bifurcates into two iliac sections. It has been hypothesized that implantation of aortic grafts and stent-grafts serve to significantly increase abdominal aortic pressures. In this study, an open-loop computer-controlled pumping system was built to produce physiologically realistic pressure and flow-rates. Models of a compliant abdominal aortic aneurysm, a compliant walled graft and a tapered graft were manufactured using an injection moulding technique and fused deposition modelling was used to create a rigid walled graft. A specific transient flow-rate waveform was then applied at the inlet of each model and the resulting pressure waveforms 30 mm upstream from the bifurcation was recorded. Peak pressure measurements were recorded over the course of the pulse for each model. The compliant aneurysm model was found to have a systolic pressure of 107 mmHg while the complaint graft model was 153 mmHg. The rigid graft model had a peak systolic pressure of 199 mmHg. In the tapered graft, the peak pressure dropped to 142 mmHg. The data suggests that implanting a graft model in place of an aneurysm model in an in vitro flow circuit can increase the pressures recorded upstream from the iliac bifurcation and that tapered grafts may alleviate this problem.

  8. The ultrasonic technique for in situ investigations on stones: suggestions for uses

    Science.gov (United States)

    Bellopede, R.; Marini, P.

    2012-04-01

    The Ultrasound Pulse Velocity (UPV) is one of the main non destructive techniques to detect both in laboratory and in situ the stone decay and many international papers of the recent years deal with its application. This technique is often executed in laboratory, where the possibility to keep constant the environmental and test conditions are a guarantee of the reliability of the results. It is known in fact the UPV are mainly conditioned by the following factors: - the characteristics of the stone tested (not only petrographic properties such as texture and structure, but even specimen dimension and water content); - the transducers features such as frequency, divergence angle , near field and wavelength; - external climate factors such as environmental temperature, humidity. In spite of the many factors affecting the measurements, UPV performed in laboratory is well correlated with mechanical strength of the stone , with its porosity and, as consequence, it is a reliable technique to detect the durability of a stone. On the other side, for in situ UPV test it is important to take into account that the measurement uncertainty is affected by the unknown water content in the stone. From tests performed on different rocks (marble, limestones, travertines, granites, gneiss, schists , sandstones) , the ratios between UPV tested in dry and saturated conditions can be > 1 or slab, with a known UPV in dry conditions, to be exposed in the investigated site some days before the in situ tests, in order to appreciate the UPV variation due to climate factors.

  9. Intraoperative radiotherapy: review of techniques and results.

    Science.gov (United States)

    Pilar, Avinash; Gupta, Meetakshi; Ghosh Laskar, Sarbani; Laskar, Siddhartha

    2017-01-01

    Intraoperative radiotherapy (IORT) is a technique that involves precise delivery of a large dose of ionising radiation to the tumour or tumour bed during surgery. Direct visualisation of the tumour bed and ability to space out the normal tissues from the tumour bed allows maximisation of the dose to the tumour while minimising the dose to normal tissues. This results in an improved therapeutic ratio with IORT. Although it was introduced in the 1960s, it has seen a resurgence of popularity with the introduction of self-shielding mobile linear accelerators and low-kV IORT devices, which by eliminating the logistical issues of transport of the patient during surgery for radiotherapy or building a shielded operating room, has enabled its wider use in the community. Electrons, low-kV X-rays and HDR brachytherapy are all different methods of IORT in current clinical use. Each method has its own unique set of advantages and disadvantages, its own set of indications where one may be better suited than the other, and each requires a specific kind of expertise. IORT has demonstrated its efficacy in a wide variety of intra-abdominal tumours, recurrent colorectal cancers, recurrent gynaecological cancers, and soft-tissue tumours. Recently, it has emerged as an attractive treatment option for selected, early-stage breast cancer, owing to the ability to complete the entire course of radiotherapy during surgery. IORT has been used in a multitude of roles across these sites, for dose escalation (retroperitoneal sarcoma), EBRT dose de-escalation (paediatric tumours), as sole radiation modality (early breast cancers) and as a re-irradiation modality (recurrent rectal and gynaecological cancers). This article aims to provide a review of the rationale, techniques, and outcomes for IORT across different sites relevant to current clinical practice.

  10. The Common Technique for Analyzing the Financial Results Report

    Directory of Open Access Journals (Sweden)

    Pasternak Maria M.

    2017-04-01

    Full Text Available The article is aimed at generalizing the theoretical approaches to the structure and elements of the technique for analysis of the Financial results report (Cumulative income report and providing suggestions for its improvement. The current methods have been analyzed, relevance of the application of a common technique for such analysis has been substantiated. A common technique for analyzing the Financial results report has been proposed, which includes definition of the objectives and tasks of analysis, subjects and objects of analysis, sources of its information. Stages of such an analysis were allocated and described. The findings of the article can be used to theoretically substantiate and to practically develop a technique for analyzing the Financial results report in the branches of Ukrainian economy.

  11. Is working memory working against suggestion susceptibility? Results from extended version of DRM paradigm

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    Maciaszek Patrycja

    2016-04-01

    Full Text Available The paper investigates relationship between working memory efficiency, defined as the result of its’ processing & storage capacity (Oberauer et al., 2003 and the tendency to (1 create assosiative memory distortions (false memories, FM; (2 yield under the influence of external, suggesting factors. Both issues were examined using extended version of Deese-Roediger-McDermott procedure (1959, 1995, modified in order to meet the study demands. Suggestion was contained in an ostentatious feedback information the participants (N=88 received during the DRM procedure. Working memory (WM was measured by standardized tasks (n-back, Jaeggi et al., 2010; automatic-ospan, Unsworth et al., 2005. Study included 3 conditions, differing in the quality of suggestion (positive, negative or neutral. Participants were assigned into 3 groups, depending on results they achieved completing the WM tasks. Obtained results alongside the previously set hypothesis, revealed that (1 WM impacts individuals’ tendency to create false memories in DRM and (2 that the individuals showing higher rates in WM tasks are less willing to yield to suggestion compared to those with lesser ones. It also showed that the greater amount to shift (Gudjonsson, 2003, emerges under the negative suggestion condition (collating positive. Notwithstanding that the interaction effect did not achieve saliency, both analyzed factors (WM and suggesting content are considered as meaningful to explain memory suggestion susceptibility in presented study. Although, obtained results emphasize the crucial role of WM efficiency, that is believed to decide the magnitude of feedback that is influential in every subject. Therefore, issue demands further exploration.

  12. Techniques for sensitivity analysis of SYVAC results

    International Nuclear Information System (INIS)

    Prust, J.O.

    1985-05-01

    Sensitivity analysis techniques may be required to examine the sensitivity of SYVAC model predictions to the input parameter values, the subjective probability distributions assigned to the input parameters and to the relationship between dose and the probability of fatal cancers plus serious hereditary disease in the first two generations of offspring of a member of the critical group. This report mainly considers techniques for determining the sensitivity of dose and risk to the variable input parameters. The performance of a sensitivity analysis technique may be improved by decomposing the model and data into subsets for analysis, making use of existing information on sensitivity and concentrating sampling in regions the parameter space that generates high doses or risks. A number of sensitivity analysis techniques are reviewed for their application to the SYVAC model including four techniques tested in an earlier study by CAP Scientific for the SYVAC project. This report recommends the development now of a method for evaluating the derivative of dose and parameter value and extending the Kruskal-Wallis technique to test for interactions between parameters. It is also recommended that the sensitivity of the output of each sub-model of SYVAC to input parameter values should be examined. (author)

  13. Behavioral evidence of hunting and foraging techniques by a top predator suggests the importance of scavenging for preadults.

    Science.gov (United States)

    Margalida, Antoni; Colomer, MªÀngels; Sánchez, Roberto; Sánchez, Francisco Javier; Oria, Javier; González, Luis Mariano

    2017-06-01

    Scavenging may be a regular feeding behavior for some facultative raptor species occupying low quality habitats and/or with little experience in hunting techniques. However, its importance has been largely underestimated due to methodological limitations in identifying the real proportion in the diet. Here, through direct observations, we assessed the hunting and foraging success of the threatened Spanish imperial eagle Aquila adalberti determining the influence of age, sex, breeding status, habitat quality, prey type, and landscape characteristics. From 465 observations, Spanish imperial eagles used hunting in flight (42%), scavenging (30%), hunting from a perch (16%) and kleptoparasitism (12%). Our model suggests that Prey size and Prey type best explain hunting success, followed by Landscape and Sex . Our findings suggest that Spanish imperial eagles increase hunting success with age, with scavenging and kleptoparasitism regularly used as juveniles. The absence of relationships with any of the variables considered suggests that kleptoparasitism is an opportunistic behavior used sporadically. Scavenging is also independent of habitat quality and landscape characteristics. Accordingly, low prey density is not a driver of carrion use for preadult individuals, suggesting that a lack of hunting ability obliges this age-class to use this alternative feeding technique regularly. As a result, the threatened Spanish imperial eagle population is also prone to mortality related to the illegal use of poison baits and, potentially, veterinary drugs (i.e., diclofenac).

  14. Nucleon resonance electroproduction at high momentum transers: Results from SLAC and suggestions for CEBAF

    Energy Technology Data Exchange (ETDEWEB)

    Keppel, C. [Virginia Union Univ., Richmond, VA (United States)

    1994-04-01

    Nucleon resonance electroproduction results from SLAC Experiment E14OX are presented. A CEBAF facility with doubled energy would enable similar high momentum transfer measurements to be made with greater accuracy. Of particular interest are the Delta P{sub 33}(1232) resonance form factor and R = {sigma}{sub L}/{sigma}{sub T}, the ratio of the longitudinal and transverse components of the cross section. A suggestion is made to study these quantities in conjunction with Bloom-Gilman duality.

  15. Techniques of tumour bed boost irradiation in breast conserving therapy: Current evidence and suggested guidelines

    Energy Technology Data Exchange (ETDEWEB)

    Jalali, Rakesh; Singh, Suruchi; Budrukkar, Ashwini [Tata Memorial Hospital, Mumbai (India)

    2007-10-15

    Breast conservation surgery followed by external beam radiotherapy to breast has become the standard of care in management of early carcinoma breast. A boost to the tumour bed after whole breast radiotherapy is employed in view of the pattern of tumour bed recurrences in the index quadrant and was particularly considered in patients with some adverse histopathological characteristics such as positive margins, extensive intraductal carcinoma (EIC), lymphovascular invasion (LVI), etc. There is however, now, a conclusive evidence of improvement in local control rates after a boost radiotherapy dose in patients even without such factors and for all age groups. The maximum absolute reduction of local recurrences by the addition of boost is especially seen in young premenopausal patients. At the same time, the addition of boost is associated with increased risk of worsening of cosmesis and no clear cut survival advantage. Radiological modalities such as fluoroscopy, ultrasound and CT scan have aided in accurate delineation of tumour bed with increasing efficacy. A widespread application of these techniques might ultimately translate into improved local control with minimal cosmetic deficit. The present article discusses the role of radiotherapy boost and the means to delineate and deliver the same, identify the high risk group, optimal technique and the doses and fractionations to be used. It also discusses the extent of adverse cosmetic outcome after boost delivery, means to minimise it and relevance of tumour bed in present day scenario of advanced radiotherapy delivery techniques like (IMRT)

  16. Diagnosis of arterial gas embolism in SCUBA diving: modification suggestion of autopsy techniques and experience in eight cases.

    Science.gov (United States)

    Casadesús, Josep M; Aguirre, Fernando; Carrera, Ana; Boadas-Vaello, Pere; Serrando, Maria T; Reina, Francisco

    2018-03-01

    The purpose of this study was to suggest modifications of autopsy techniques in order to improve post-mortem diagnosis of arterial gas embolism (AGE) based on multidisciplinary investigation of SCUBA diving fatalities. Five adult human cadavers from the voluntary donation program of the Human Anatomy Laboratory, and eight judicial autopsied bodies of SCUBA divers from the Forensic Pathology Service were assessed. Before performing any autopsies, we accessed the diving plan and the divers' profiles for each case. We then introduced a new dissection procedure that included identification, isolation, and manipulation of carotid, vertebral and thoracic arterial systems. The dissected vascular structures that allowed optimall isolation of the systemic arterial circulation were identified and ligated. In three of the eight judicial cases, we had a strongly suggestive history of arterial gas embolism following pulmonary barotrauma (PBt/AGE). In these cases, the additional arterial dissection allowed us to clearly diagnose AGE in one of them. The autopsy of the rest of the cases showed other causes of death such as asphyxia by drowning and heart attack. In all cases we were able to reject decompression sickness, and in some of them we showed the presence of artefacts secondary to decomposition and resuscitation maneuvers. These results allow us to suggest a specific autopsy technique divided into four steps, aimed at confirming or excluding some evidence of dysbaric disorders according to a re-enactment of the incident. We have demonstrated the presence of large volumes of intravascular air, which is typical of PBt/AGE.

  17. Robotic presacral neurectomy - technique and results.

    Science.gov (United States)

    Kapetanakis, Vasilis; Jacob, Kristina; Klauschie, Jennifer; Kho, Rosanne; Magrina, Javier

    2012-03-01

    The feasibility, safety and outcomes of robotic presacral neurectomy were evaluated. A retrospective analysis was performed of 33 patients with midline chronic pelvic pain, who underwent robotic presacral neurectomy. Data were collected during the period March 2004-March 2010. All patients underwent robotic presacral neurectomy and additional robotic procedures. Mean operating time for robotic presacral neurectomy was 5.8 (range 4.4-6.9) min. Mean blood loss, including concomitant procedures, was 39 (range 15-150) ml. Most patients were discharged the same day (60%) and mean hospital stay was 0.39 (range 0-2) days. There were no conversions or intra-operative complications. There were two postoperative complications: one pelvic abscess and one Clostridium difficile colitis. Pain improvement was reported by 73% (22/30) of patients. Robotic presacral neurectomy is safe and feasible, resulting in improvement of pelvic pain in selected patients. Copyright © 2011 John Wiley & Sons, Ltd.

  18. Mandibular distraction in neonates: indications, technique, results

    Directory of Open Access Journals (Sweden)

    Sesenna Enrico

    2012-02-01

    Full Text Available Abstract Background The Pierre Robin Sequence features were first described by Robin in 1923 and include micrognathia, glossoptosis and respiratory distress with an incidence estimated as 1:8,500 to 1:20,000 newborns. Upper airway obstruction and feeding difficulties are the main concerns related to the pathology. Mandibular distraction should be considered a treatment option (when other treatments result inadequate. Patiants and methods Ten patients between the ages of 1 month and 2 years with severe micrognathia and airway obstruction were treated with Mandibular Distraction Osteogenesis (MDO. All patients underwent fibroscopic examination of the upper airway and a radiographic imaging and/or computed tomography scans to detect malformations and to confirm that the obstruction was caused by posterior tongue displacement. All patients were evaluated by a multidisciplinary team. Indications for surgery included frequent apneic episodes with severe desaturation (70%. Gavage therapy was employed in all patients since oral feeding was not possible. The two tracheotomy patients were 5 months and 2 years old respectively, and the distraction procedure was performed to remove the tracheotomy tube. All patients were treated with bilateral mandibular distraction: two cases with an external multivector distraction device, six cases with an internal non-resorbable device and two cases with an internal resorbable device. In one case, the patient with Goldenhar's Syndrome, the procedure was repeated. Results The resolution of symptoms was obtained in all patients, and, when present, tracheotomy was removed without complications. Of the two patients with pre-existing tracheotomies, in the younger patient (5 months old the tracheotomy was removed 7 days postoperatively. In the Goldenhar's syndrome case (2 years old a Montgomery device was necessary for 6 months due to the presence of tracheotomy-inducted tracheomalacia. Patients were discharged when the

  19. 'Cape capture': Geologic data and modeling results suggest the holocene loss of a Carolina Cape

    Science.gov (United States)

    Thieler, E.R.; Ashton, A.D.

    2011-01-01

    For more than a century, the origin and evolution of the set of cuspate forelands known as the Carolina Capes-Hatteras, Lookout, Fear, and Romain-off the eastern coast of the United States have been discussed and debated. The consensus conceptual model is not only that these capes existed through much or all of the Holocene transgression, but also that their number has not changed. Here we describe bathymetric, lithologic, seismic, and chronologic data that suggest another cape may have existed between Capes Hatteras and Lookout during the early to middle Holocene. This cape likely formed at the distal end of the Neuse-Tar-Pamlico fiuvial system during the early Holocene transgression, when this portion of the shelf was fiooded ca. 9 cal (calibrated) kyr B.P., and was probably abandoned by ca. 4 cal kyr B.P., when the shoreline attained its present general configuration. Previously proposed mechanisms for cape formation suggest that the large-scale, rhythmic pattern of the Carolina Capes arose from a hydrodynamic template or the preexisting geologic framework. Numerical modeling, however, suggests that the number and spacing of capes can be dynamic, and that a coast can self-organize in response to a high-angle-wave instability in shoreline shape. In shoreline evolution model simulations, smaller cuspate forelands are subsumed by larger neighbors over millennial time scales through a process of 'cape capture.' The suggested former cape in Raleigh Bay represents the first interpreted geological evidence of dynamic abandonment suggested by the self-organization hypothesis. Cape capture may be a widespread process in coastal environments with large-scale rhythmic shoreline features; its preservation in the sedimentary record will vary according to geologic setting, physical processes, and sea-level history. ?? 2011 Geological Society of America.

  20. Facultative methanotrophy: false leads, true results, and suggestions for future research.

    Science.gov (United States)

    Semrau, Jeremy D; DiSpirito, Alan A; Vuilleumier, Stéphane

    2011-10-01

    Methanotrophs are a group of phylogenetically diverse microorganisms characterized by their ability to utilize methane as their sole source of carbon and energy. Early studies suggested that growth on methane could be stimulated with the addition of some small organic acids, but initial efforts to find facultative methanotrophs, i.e., methanotrophs able to utilize compounds with carbon-carbon bonds as sole growth substrates were inconclusive. Recently, however, facultative methanotrophs in the genera Methylocella, Methylocapsa, and Methylocystis have been reported that can grow on acetate, as well as on larger organic acids or ethanol for some species. All identified facultative methanotrophs group within the Alphaproteobacteria and utilize the serine cycle for carbon assimilation from formaldehyde. It is possible that facultative methanotrophs are able to convert acetate into intermediates of the serine cycle (e.g. malate and glyoxylate), because a variety of acetate assimilation pathways convert acetate into these compounds (e.g. the glyoxylate shunt of the tricarboxylic acid cycle, the ethylmalonyl-CoA pathway, the citramalate cycle, and the methylaspartate cycle). In this review, we summarize the history of facultative methanotrophy, describe scenarios for the basis of facultative methanotrophy, and pose several topics for future research in this area. © 2011 Federation of European Microbiological Societies. Published by Blackwell Publishing Ltd. All rights reserved.

  1. Bias from industry trial funding? A framework, a suggested approach, and a negative result.

    Science.gov (United States)

    Barden, Jodie; Derry, Sheena; McQuay, Henry J; Moore, R Andrew

    2006-04-01

    Bias from funding sources of trials would threaten their validity. Meta-analyses of high quality acute pain and migraine trials were used to explore the hypothesis that industry funding of clinical trials produced more favourable results than non-profit sponsorship. Analyses were planned to evaluate whether industry-sponsored trials had different results from trials funded by academic or other non-profit sources, but of 176 trials, only two were supported by non-profit sources, while 31 provided no statement of support. An alternative method is proposed within industry-sponsored trials, looking at conflicting industry interests for the same drug, used either as test or comparator treatment. Fifty-three trials used an analgesic as test and 90 as comparator, allowing comparisons to be made for aspirin 600/650 mg, ibuprofen 400 mg, paracetamol (acetaminophen) 1000 mg, rofecoxib 50 mg and sumatriptan 50 and 100 mg. Only for sumatriptan 50 and 100 mg, with the outcome of headache response at 2 h, was there any significant difference between the drug used as a test or as a comparator. The direction was for higher (worse) NNTs with sumatriptan as comparator. Investigating potential industry bias through the funding source of trials is unlikely to be adequate because of a dearth of trials funded by non-profit organisations. We propose a method based on potential conflict of interest within industry-sponsored trials. Using this method, established clinical trial results in acute pain and migraine appear to be unbiased.

  2. Investigations of aircrews exposure to cosmic radiation - results, conclusions and suggestions

    CERN Document Server

    Bilski, P; Horwacik, T; Marczewska, B; Ochab, E; Olko, P

    2002-01-01

    In frame of a research project undertaken in collaboration with Polish airlines LOT, analysis of aircrews exposure to cosmic radiation has been performed. The applied methods included measurements of radiation doses with thermoluminescent detectors (MTS-N, MCP-N) and track detectors (CR-39) and also calculations of route doses with the CARI computer code. The obtained results indicate that aircrews of nearly all airplanes, with exception of these flying only on ATR aircraft, exceed regularly or may exceed in some conditions, effective doses of 1 mSv. In case of Boeing-767 aircrews such exceeding occurs always, independently of solar activity. Investigations revealed, that during these periods of the solar cycle, when intensity of cosmic radiation is high, exceeding of 6 mSv level is also possible. These results indicate, that according to Polish and European regulations it is necessary for airlines to provide regular estimations of radiation exposure of aircrews. Basing on the obtained results a system for pe...

  3. Great apes can defer exchange: a replication with different results suggesting future oriented behaviour

    Directory of Open Access Journals (Sweden)

    Mathias eOsvath

    2013-10-01

    Full Text Available The topic of cognitive foresight in non-human animals has received considerable attention in the last decade. The main questions concern whether the animals can prepare for upcoming situations which are, to various degrees, contextually or sensorially detached from the situation in which the preparations are made. Studies on great apes have focused on tool-related tasks, e.g. the ability to select a tool which is functional only in the future. Dufour and Sterck (2008, however, investigated whether chimpanzees were also able to prepare for a future exchange with a human: an object exchanged for a food item. The study included extensive training on the exchangeable item, which is traditionally not compatible with methods for studying planning abilities, as associative learning cannot be precluded. Nevertheless, despite this training, the chimpanzees could not solve the deferred exchange task. Given that great apes can plan for tool use, these results are puzzling. In addition, claims that great ape foresight is highly limited has been based on this study (Suddendorf and Corballis, 2010. Here we partly replicated Dufour and Sterck’s study to discern whether temporally deferred and spatially displaced exchange tasks are beyond the capabilities of great apes. In addition to chimpanzees we tested orangutans. One condition followed the one used by Dufour and Sterck, in which the exchange items, functional only in the future, are placed at a location that freely allows for selections by the subjects. In order to test the possibility that the choice set-up could explain the negative results in Dufour and Sterck’s study, our second condition followed a method used in the planning study by Osvath and Osvath (2008, where the subjects make a forced one-item-choice from a tray. We found that it is within the capabilities of chimpanzees and orangutans to perform deferred exchange in both conditions.

  4. Testing for variation in taxonomic extinction probabilities: a suggested methodology and some results

    Science.gov (United States)

    Conroy, M.J.; Nichols, J.D.

    1984-01-01

    Several important questions in evolutionary biology and paleobiology involve sources of variation in extinction rates. In all cases of which we are aware, extinction rates have been estimated from data in which the probability that an observation (e.g., a fossil taxon) will occur is related both to extinction rates and to what we term encounter probabilities. Any statistical method for analyzing fossil data should at a minimum permit separate inferences on these two components. We develop a method for estimating taxonomic extinction rates from stratigraphic range data and for testing hypotheses about variability in these rates. We use this method to estimate extinction rates and to test the hypothesis of constant extinction rates for several sets of stratigraphic range data. The results of our tests support the hypothesis that extinction rates varied over the geologic time periods examined. We also present a test that can be used to identify periods of high or low extinction probabilities and provide an example using Phanerozoic invertebrate data. Extinction rates should be analyzed using stochastic models, in which it is recognized that stratigraphic samples are random varlates and that sampling is imperfect

  5. PND fuel handling decontamination program: specialized techniques and results

    International Nuclear Information System (INIS)

    Pan, R.; Hobbs, K.; Minnis, M.; Graham, K.

    1995-01-01

    The use of various decontamination techniques and equipment has become a critical part of Fuel Handling maintenance work at the Pickering Nuclear Station, an eight unit CANDU station located about 30 km east of Toronto. This paper presents an overview of the set up and techniques used for cleaning in the PND Fuel Handling Maintenance Facility, and the results achieved. (author)

  6. Canalplasty: the technique and the analysis of its results

    NARCIS (Netherlands)

    van Spronsen, Erik; Ebbens, Fenna A.; Mirck, Peter G. B.; van Wettum, Cathelijne H. M.; van der Baan, Sieberen

    2013-01-01

    To describe the technique for canalplasty as performed in the Academic Medical Center, Amsterdam, the Netherlands and to present the results of this technique. Retrospective chart analysis. Charts of patients who underwent a canalplasty prodedure between 2001 and 2010 were reviewed for indication

  7. Dust tracking techniques applied to the STARDUST facility: First results

    Energy Technology Data Exchange (ETDEWEB)

    Malizia, A., E-mail: malizia@ing.uniroma2.it [Associazione EURATOM-ENEA, Department of Industrial Engineering, University of Rome “Tor Vergata”, Via del Politecnico 1, 00133 Rome (Italy); Camplani, M. [Grupo de Tratamiento de Imágenes, E.T.S.I de Telecomunicación, Universidad Politécnica de Madrid (Spain); Gelfusa, M. [Associazione EURATOM-ENEA, Department of Industrial Engineering, University of Rome “Tor Vergata”, Via del Politecnico 1, 00133 Rome (Italy); Lupelli, I. [Associazione EURATOM-ENEA, Department of Industrial Engineering, University of Rome “Tor Vergata”, Via del Politecnico 1, 00133 Rome (Italy); EURATOM/CCFE Association, Culham Science Centre, Abingdon (United Kingdom); Richetta, M.; Antonelli, L.; Conetta, F.; Scarpellini, D.; Carestia, M.; Peluso, E.; Bellecci, C. [Associazione EURATOM-ENEA, Department of Industrial Engineering, University of Rome “Tor Vergata”, Via del Politecnico 1, 00133 Rome (Italy); Salgado, L. [Grupo de Tratamiento de Imágenes, E.T.S.I de Telecomunicación, Universidad Politécnica de Madrid (Spain); Video Processing and Understanding Laboratory, Universidad Autónoma de Madrid (Spain); Gaudio, P. [Associazione EURATOM-ENEA, Department of Industrial Engineering, University of Rome “Tor Vergata”, Via del Politecnico 1, 00133 Rome (Italy)

    2014-10-15

    Highlights: •Use of an experimental facility, STARDUST, to analyze the dust resuspension problem inside the tokamak in case of loss of vacuum accident. •PIV technique implementation to track the dust during a LOVA reproduction inside STARDUST. •Data imaging techniques to analyze dust velocity field: first results and data discussion. -- Abstract: An important issue related to future nuclear fusion reactors fueled with deuterium and tritium is the creation of large amounts of dust due to several mechanisms (disruptions, ELMs and VDEs). The dust size expected in nuclear fusion experiments (such as ITER) is in the order of microns (between 0.1 and 1000 μm). Almost the total amount of this dust remains in the vacuum vessel (VV). This radiological dust can re-suspend in case of LOVA (loss of vacuum accident) and these phenomena can cause explosions and serious damages to the health of the operators and to the integrity of the device. The authors have developed a facility, STARDUST, in order to reproduce the thermo fluid-dynamic conditions comparable to those expected inside the VV of the next generation of experiments such as ITER in case of LOVA. The dust used inside the STARDUST facility presents particle sizes and physical characteristics comparable with those that created inside the VV of nuclear fusion experiments. In this facility an experimental campaign has been conducted with the purpose of tracking the dust re-suspended at low pressurization rates (comparable to those expected in case of LOVA in ITER and suggested by the General Safety and Security Report ITER-GSSR) using a fast camera with a frame rate from 1000 to 10,000 images per second. The velocity fields of the mobilized dust are derived from the imaging of a two-dimensional slice of the flow illuminated by optically adapted laser beam. The aim of this work is to demonstrate the possibility of dust tracking by means of image processing with the objective of determining the velocity field values

  8. MR imaging of the colon: 'Technique, indications, results and limitations'

    International Nuclear Information System (INIS)

    Ajaj, Waleed; Goyen, Mathias

    2007-01-01

    In the last few years virtual colonography using MR imaging has shown a proceeding development regarding detection and quantification of colorectal pathologies. Dark-lumen MR colonography (MRC) has been a leading tool for the diagnosis of the entire colon and their pathologies. This review article describes some of the underlying techniques of MRC concerning data acquisition, the need for intravenously applied paramagnetic contrast agent, as well as indications, results and limitations of MRC for the detection of colorectal pathologies. In addition, new techniques to improve patient acceptance are discussed

  9. [Mini-laparoscopic cholecystectomy: indications, technique and results].

    Science.gov (United States)

    Minni, E; Margiotta, A; Guerra, E; Marrano, N; Ricci, C; Grottola, T; Pagogna, S

    2005-01-01

    The improvement of results and patients quality life is the aim of surgical technique. Mini-laparoscopic cholecystectomy brings not only to a better cosmetic results, but also to a decrease of post operative pain, analgesic use, hospital stay and an early return to normal activities. In this study, Authors report their own experience about mini-laparoscopic cholecystectomy using 5 mm and 3 mm trocar. Patients suffering from biliary sludge, microscopic lithiasis and mild or moderate gallbladder inflammation can undergo this procedure.

  10. [Orbital decompression in graves disease: indications, techniques, results and complications].

    Science.gov (United States)

    Ettl, A

    2004-11-01

    The surgical rehabilitation of patients with Graves disease involves orbital decompression and various lid and extraocular muscle procedures. We have reviewed the literature and include a presentation of our own results. The indications for orbital decompression include not only functional reasons (optic neuropathy, keratopathy, glaucoma, pain) but also aesthetic and psychosocial reasons without visual problems. Current techniques for orbital decompression (bone versus fat removal) are described and discussed. Results demonstrating a mean reduction of proptosis (4 - 6 mm) and complications (mainly diplopia in 3 - 12 %) are presented for coronal and transconjunctival approaches and compared with other methods. Current techniques of orbital decompression are effective and safe and are therefore increasingly used not only for functional but also for aesthetic or "rehabilitative" indications.

  11. Planktonic foraminiferal oxygen isotope analysis by ion microprobe technique suggests warm tropical sea surface temperatures during the Early Paleogene

    Science.gov (United States)

    Kozdon, Reinhard; Kelly, D. Clay; Kita, Noriko T.; Fournelle, John H.; Valley, John W.

    2011-09-01

    Cool tropical sea surface temperatures (SSTs) are reported for warm Paleogene greenhouse climates based on the δ18O of planktonic foraminiferal tests. These results are difficult to reconcile with models of greenhouse gas-forced climate. It has been suggested that this "cool tropics paradox" arises from postdepositional alteration of foraminiferal calcite, yielding erroneously high δ18O values. Recrystallization of foraminiferal tests is cryptic and difficult to quantify, and the compilation of robust δ18O records from moderately altered material remains challenging. Scanning electron microscopy of planktonic foraminiferal chamber-wall cross sections reveals that the basal area of muricae, pustular outgrowths on the chamber walls of species belonging to the genus Morozovella, contain no mural pores and may be less susceptible to postdepositional alteration. We analyzed the δ18O in muricae bases of morozovellids from the central Pacific (Ocean Drilling Program Site 865) by ion microprobe using 10 μm pits with an analytical reproducibility of ±0.34‰ (2 standard deviations). In situ measurements of δ18O in these domains yield consistently lower values than those published for conventional multispecimen analyses. Assuming that the original δ18O is largely preserved in the basal areas of muricae, this new δ18O record indicates Early Paleogene (˜49-56 Ma) tropical SSTs in the central Pacific were 4°-8°C higher than inferred from the previously published δ18O record and that SSTs reached at least ˜33°C during the Paleocene-Eocene thermal maximum. This study demonstrates the utility of ion microprobe analysis for generating more reliable paleoclimate records from moderately altered foraminiferal tests preserved in deep-sea sediments.

  12. Results of testing improved traditional technique to reduce farmers ...

    African Journals Online (AJOL)

    The weather conditions and crop seasons seem not to be associated with monkeys' crop raiding behaviour in Uluguru Mountains. Therefore, the preliminary results suggest that the use of trained dogs in farms is cheap and can save up to 61.5 % of the current crop losses.al, 1998). The Mountains have outstanding various ...

  13. Presentation of search results the CL$_{s}$ technique

    CERN Document Server

    Read, A L

    2002-01-01

    I describe a framework for the presentation of search results which is motivated by frequentist statistics. The most well-known use of this framework is for the combined search for the Higgs boson at LEP. A toy neutrino oscillations experiment is used to illustrate the rich information available in the framework for exclusion and discovery. I argue that the so-called CL/sub s/ technique for setting limits is appropriate for determining exclusion intervals while the determination of confidence intervals advocated by Feldman and Cousins' method is more appropriate for treating established signals, i.e. going beyond discovery to measurement. (17 refs).

  14. Results of arthrospine assisted percutaneous technique for lumbar discectomy

    Directory of Open Access Journals (Sweden)

    Mohinder Kaushal

    2016-01-01

    Full Text Available Background: Avaialable minimal invasive arthro/endoscopic techniques are not compatible with 30 degree arthroscope which orthopedic surgeons uses in knee and shoulder arthroscopy. Minimally invasive “Arthrospine assisted percutaneous technique for lumbar discectomy” is an attempt to allow standard familiar microsurgical discectomy and decompression to be performed using 30° arthroscope used in knee and shoulder arthroscopy with conventional micro discectomy instruments. Materials and Methods: 150 patients suffering from lumbar disc herniations were operated between January 2004 and December 2012 by indiginously designed Arthrospine system and were evaluated retrospectively. In lumbar discectomy group, there were 85 males and 65 females aged between 18 and 72 years (mean, 38.4 years. The delay between onset of symptoms to surgery was between 3 months to 7 years. Levels operated upon included L1-L2 (n = 3, L2-L3 (n = 2, L3-L4 (n = 8, L4-L5 (n = 90, and L5-S1 (n = 47. Ninety patients had radiculopathy on right side and 60 on left side. There were 22 central, 88 paracentral, 12 contained, 3 extraforaminal, and 25 sequestrated herniations. Standard protocol of preoperative blood tests, x-ray LS Spine and pre operative MRI and pre anaesthetic evaluation for anaesthesia was done in all cases. Technique comprised localization of symptomatic level followed by percutaneous dilatation and insertion of a newly devised arthrospine system devise over a dilator through a 15 mm skin and fascial incision. Arthro/endoscopic discectomy was then carried out by 30° arthroscope and conventional disc surgery instruments. Results: Based on modified Macnab's criteria, of 150 patients operated for lumbar discectomy, 136 (90% patients had excellent to good, 12 (8% had fair, and 2 patients (1.3% had poor results. The complications observed were discitis in 3 patients (2%, dural tear in 4 patients (2.6%, and nerve root injury in 2 patients (1.3%. About 90% patients

  15. Two Phenotypes Are Identified by Cluster Analysis in Early Inflammatory Back Pain Suggestive of Spondyloarthritis: Results From the DESIR Cohort.

    Science.gov (United States)

    Costantino, Félicie; Aegerter, Philippe; Dougados, Maxime; Breban, Maxime; D'Agostino, Maria-Antonietta

    2016-07-01

    To determine whether disease manifestations at baseline would combine according to distinguishable ordered phenotypes in patients with early inflammatory back pain (IBP) suggestive of spondyloarthritis (SpA). Baseline clinical and demographic characteristics as well as imaging features and biologic data on patients included in the French multicenter Devenir des Spondyloarthropathies Indifferérenciées Récentes cohort were analyzed by multiple correspondence analysis and cluster analysis to identify subgroups of patients based on shared characteristics. Cluster analysis allowed us to classify the 679 patients with no missing data into 2 major groups-one with a predominance of isolated axial manifestations and the other with associated peripheral symptoms. The application of the same analysis to selected subsets of the cohort, such as HLA-B27-positive and -negative patients and patients fulfilling the Assessment of SpondyloArthritis international Society classification criteria for axial SpA, resulted again in an optimal division of the samples into 2 recurrent clusters of patients similar to those observed in the whole cohort. Cluster analysis of SpA manifestations among patients with early IBP highly suggestive of SpA allowed us to clearly identify at baseline 2 different clinical phenotypes-one with predominant axial manifestations and the other with predominant peripheral manifestations. Ongoing follow-up will allow us to determine whether these clusters correspond to different patterns of disease severity. © 2016, American College of Rheumatology.

  16. Labia Majora Augmentation with Hyaluronic Acid Filler: Technique and Results.

    Science.gov (United States)

    Fasola, Elena; Gazzola, Riccardo

    2016-11-01

    External female genitalia lose elasticity and volume with age. In the literature several techniques address the redundancy of the labia minora, but only few reports describe the augmentation of labia majora with fat grafting. At present, no studies describe the augmentation of the labia majora with hyaluronic acid. This study aims to present our technique of infiltration of hyaluronic acid filler, analyzing effectiveness, patient satisfaction, and complications. We retrospectively analyzed 54 patients affected by hypotrophy of the labia majora; they were treated with hyaluronic acid filler between November 2010 and December 2014. The Global Aesthetic Improvement Scale (GAIS) filled out by the doctor and the patients was used to evaluate the results 12 months after the infiltration. Complications were recorded. A total of 31 patients affected by mild to moderate labia majora hypotrophy were treated with 19 mg/mL HA filler; 23 patients affected by severe labia majora hypotrophy were treated with 21 mg/mL HA filler. Among the first group of patients, one underwent a second infiltration 6 months later with 19 mg/mL HA filler (maximum 1 mL). A significant improvement (P labia majora is able to provide a significant rejuvenation with a simple outpatient procedure. We achieved significant improvements with one infiltration in all cases. The treatment is repeatable, has virtually no complications and it is reversible. 4 Therapeutic. © 2016 The American Society for Aesthetic Plastic Surgery, Inc. Reprints and permission: journals.permissions@oup.com.

  17. Business jet approach noise abatement techniques - Flight test results

    Science.gov (United States)

    Putnam, T. W.; Burcham, F. W.

    1976-01-01

    Operational techniques for reducing approach noise from business jet aircraft were evaluated in flight by measuring the noise generated by five such aircraft during modified approaches. Approaches with 4-deg glide slopes were approximately 4.0 EPNdB quieter than approaches with standard 3-deg glide slopes. Noise reductions for low-drag 3-deg approaches varied widely among the airplanes tested; the fleet-weighted reduction was 8.5 EPNdB. Two-segment approaches resulted in noise reductions of 7.0 EPNdB to 8.5 EPNdB 3 nautical miles and 5 nautical miles from touchdown. Pilot workload increased progressively for the 4-deg, low-drag 3-deg, and two-segment approach.

  18. Blepharopigmentation and eyebrow enhancement techniques for maximum cosmetic results.

    Science.gov (United States)

    Angres, G G

    1985-10-01

    Cosmetic enhancement of the upper and lower eyelids by implantation of various colored pigments is one of the fastest growing procedures in ophthalmic practice. A new procedure, called Natural Brows, involves implantation of pigment in the brow line with a brush stroke technique in order to simulate brow hair. This procedure is particularly useful in patients with sparse brow hair caused by "overplucking." Burn victims and patients suffering from scarring after basal cell carcinoma removal will benefit from the camouflaging effect of the procedure. To achieve optimum cosmetic results, certain guidelines must be followed, and a complete evaluation of the patient's ocular morphology must be undertaken before surgery. A "paint-by-number" approach to the blepharopigmentation procedure is presented that is designed to reduce the risk of patient dissatisfaction.

  19. Are reviewers suggested by authors as good as those chosen by editors? Results of a rater-blinded, retrospective study

    Directory of Open Access Journals (Sweden)

    Parkin Emma C

    2006-05-01

    Full Text Available Abstract Background BioMed Central (BMC requires authors to suggest four reviewers when making a submission. Editors searching for reviewers use these suggestions as a source. The review process of the medical journals in the BMC series is open – authors and reviewers know each other's identity – although reviewers can make confidential comments to the editor. Reviews are published alongside accepted articles so readers may see the reviewers' names and recommendations. Our objective was to compare the performance of author-nominated reviewers (ANR with that of editor-chosen reviewers (ECR in terms of review quality and recommendations about submissions in an online-only medical journal. Methods Pairs of reviews from 100 consecutive submissions to medical journals in the BMC series (with one author-nominated and one editor-chosen reviewer and a final decision were assessed by two raters, blinded to reviewer type, using a validated review quality instrument (RQI which rates 7 items on 5-point Likert scales. The raters discussed their ratings after the first 20 pairs (keeping reviewer type masked and resolved major discrepancies in scoring and interpretation to improve inter-rater reliability. Reviewers' recommendations were also compared. Results Reviewer source had no impact on review quality (mean RQI score (± SD 2.24 ± 0.55 for ANR, 2.34 ± 0.54 for ECR or tone (mean scores on additional question 2.72 ANR vs 2.82 ECR (maximum score = 5 in both cases. However author-nominated reviewers were significantly more likely to recommend acceptance (47 vs 35 and less likely to recommend rejection (10 vs 23 than editor-chosen reviewers after initial review (p Conclusion Author-nominated reviewers produced reviews of similar quality to editor-chosen reviewers but were more likely to recommend acceptance during the initial stages of peer review.

  20. Cystoscopic-assisted partial cystectomy: description of technique and results

    Directory of Open Access Journals (Sweden)

    Gofrit ON

    2014-10-01

    Full Text Available Ofer N Gofrit,1 Amos Shapiro,1 Ran Katz,1 Mordechai Duvdevani,1 Vladimir Yutkin,1 Ezekiel H Landau,1 Kevin C Zorn,2 Guy Hidas,1 Dov Pode1 1Department of Urology, Hadassah Hebrew University Hospital, Jerusalem, Israel; 2Department of Surgery, Section of Urology, Montreal, Canada Background: Partial cystectomy provides oncological results comparable with those of radical cystectomy in selected patients with invasive bladder cancer without the morbidity associated with radical cystectomy and urinary diversion. We describe a novel technique of partial cystectomy that allows accurate identification of tumor margins while minimizing damage to the rest of the bladder. Methods: During the study period, 30 patients underwent partial cystectomy for invasive high-grade cancer. In 19 patients, the traditional method of tumor identification was used, ie, identifying the tumor by palpation and cystotomy. In eleven patients, after mobilization of the bladder, flexible cystoscopy was done and the light of the cystoscope was pointed toward one edge of the planned resected ellipse around the tumor, thus avoiding cystotomy. Results: Patients who underwent partial cystectomy using the novel method were similar in all characteristics to patients operated on using the traditional technique except for tumor diameter which was significantly larger in patients operated on using the novel method (4.3±1.5 cm versus 3.11±1.18 cm, P=0.032. Complications were rare in both types of surgery. The 5-year local recurrence-free survival was marginally superior using the novel method (0.8 versus 0.426, P=0.088. Overall, disease-specific and disease-free survival rates were similar. Conclusion: The use of a flexible cystoscope during partial cystectomy is a simple, low-cost maneuver that assists in planning the bladder incision and minimizes injury to the remaining bladder by avoiding the midline cystotomy. Initial oncological results show a trend toward a lower rate of local

  1. Transcorporeal cervical foraminotomy: description of technique and results

    Directory of Open Access Journals (Sweden)

    Guilherme Pereira Corrêa Meyer

    2014-09-01

    Full Text Available OBJECTIVE: Retrospective analyses of 216 patients undergoing foraminal decompression with transcorporeal approach and review of the surgical technique. METHOD: 216 patients with minimum follow-up of 2 years and an average of 41.8 months were included in the study. The clinical records of these patients were reviewed for complications, NDI (neck disability index and VAS (visual analogue scale. Pre and post-operative radiographs were used to evaluate the disc height. RESULTS: At the end of follow-up patients had significant clinical improvement with reduction of NDI of 88.3% and 86.5% and 68.3% of the VAS for neck and upper limb, respectively (p<0.05. A reduction of 8.8% of the disc height was observed without other complications associated (p<0.05. CONCLUSION: Radicular decompression through a transcorporeal approach is an alternative that provides good clinical results without the need for a fusion and with few complications.

  2. False-positive results and contamination in nucleic acid amplification assays : Suggestions for a prevent and destroy strategy

    NARCIS (Netherlands)

    Borst, A; Box, ATA; Fluit, AC

    Contamination of samples with DNA is still a major problem in microbiology laboratories, despite the wide acceptance of PCR and other amplification techniques for the detection of frequently low amounts of target DNA. This review focuses on the implications of contamination in the diagnosis and

  3. Are reviewers suggested by authors as good as those chosen by editors? Results of a rater-blinded, retrospective study

    OpenAIRE

    Wager, Elizabeth; Parkin, Emma C; Tamber, Pritpal S

    2006-01-01

    Abstract Background BioMed Central (BMC) requires authors to suggest four reviewers when making a submission. Editors searching for reviewers use these suggestions as a source. The review process of the medical journals in the BMC series is open – authors and reviewers know each other's identity – although reviewers can make confidential comments to the editor. Reviews are published alongside accepted articles so readers may see the reviewers' names and recommendations. Our objective was to c...

  4. Comparison between clinical and audiological results of tympanoplasty with modified sandwich technique and underlay technique.

    Science.gov (United States)

    Nemade, Sanjana Vijay; Shinde, Kiran Jaywant; Naik, Chetana Shivadas; Qadri, Haris

    2017-04-21

    Surgical repair of the tympanic membrane, termed a type one tympanoplasty is a tried and tested treatment modality. Overlay or underlay technique of tympanoplasty is common. Sandwich tympanoplasty is the combined overlay and underlay grafting of tympanic membrane. To describe and evaluate the modified sandwich graft (mediolateral graft) tympanoplasty using temporalis fascia and areolar fascia. To compare the clinical and audiological outcome of modified sandwich tympanoplasty with underlay tympanoplasty. A total of 88 patients of chronic otitis media were studied. 48 patients (Group A) underwent type one tympanoplasty with modified sandwich graft. Temporalis fascia was underlaid and the areolar fascia was overlaid. 48 patients (Group B) underwent type one tympanoplasty with underlay technique. We assessed the healing and hearing results. Successful graft take up was accomplished in 47 patients (97.9%) in Group A and in 40 patients (83.3%) Group B. The average Air-Bone gap closure achieved in Group A was 24.4±1.7dB while in Group B; it was 22.5±3.5dB. Statistically significant difference was found in graft healing rate. Difference in hearing improvement was not statistically significant. Double layered graft with drum-malleus as a 'meat' of sandwich maintains a perfect balance between sufficient stability and adequate acoustic sensitivity. Copyright © 2017 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.

  5. Microendoscopic lumbar discectomy: Technique and results of 188 cases

    Directory of Open Access Journals (Sweden)

    Arvind G Kulkarni

    2014-01-01

    Full Text Available Background: Discectomy performed open or with an operating microscope remains the standard surgical management. Tubular retractor system is being increasingly used. Potential benefits include less muscle and local damage, better cosmesis, decreased pain and operative time and faster recovery after surgery. We have evaluated the outcome of micro endoscopic discectomy (MED utilizing tubular retractors in terms of safety and efficacy of the technique. Materials and Methods: 188 consecutive patients who underwent surgery for herniated disc using the tubular retractors between April 2007 and April 2012 are reported. All patients had a preoperative MRI (Magnetic Resonance Imaging and were operated by a single surgeon with the METRx system (Medtronic, Sofamor-Danek, Memphis, TN using 18 and 16 mm ports. All patients were mobilized as soon as pain subsided and discharged within 24-48 hours post surgery. The results were evaluated by using VAS (Visual Analog Scale 0-5 for back and leg pain and ODI (Oswestry Disability Index. Patients were followed up at intervals of 1 week, 6 weeks, 3 months, 6 months, 12 months and 2 years. Results: The mean age of patients was 46 years (range 16-78 years and the sex ratio was 1.5 males to 1 female. The mean followup was 22 months (range 8-69 months. The mean VAS scale for leg pain improved from 4.14 to 0.76 ( P < 0.05 and the mean VAS scale for back pain improved from 4.1 to 0.9 ( P < 0.05. The mean ODI changed from 59.5 to 22.6 ( P < 0.05. The mean operative time per level was about 50 minutes (range 20-90 minutes. Dural punctures occurred in 11 (5% cases. Average blood loss was 30 ml (range 10-500 ml. A wrong level was identified and later corrected in a case of revision discectomy. Four patients with residual disc-herniation had revision MED and three patients with recurrent disc herniation later underwent fusion. One patient had wound infection which needed a debridement. Conclusion: MED for herniated discs

  6. ‘Cape capture’: Geologic data and modeling results suggest the Holocene loss of a Carolina Cape

    Science.gov (United States)

    Thieler, E. Robert; Ashton, Andrew D.

    2011-01-01

    For more than a century, the origin and evolution of the set of cuspate forelands known as the Carolina Capes—Hatteras, Lookout, Fear, and Romain—off the eastern coast of the United States have been discussed and debated. The consensus conceptual model is not only that these capes existed through much or all of the Holocene transgression, but also that their number has not changed. Here we describe bathymetric, lithologic, seismic, and chronologic data that suggest another cape may have existed between Capes Hatteras and Lookout during the early to middle Holocene. This cape likely formed at the distal end of the Neuse-Tar-Pamlico fluvial system during the early Holocene transgression, when this portion of the shelf was flooded ca. 9 cal (calibrated) kyr B.P., and was probably abandoned by ca. 4 cal kyr B.P., when the shoreline attained its present general configuration. Previously proposed mechanisms for cape formation suggest that the large-scale, rhythmic pattern of the Carolina Capes arose from a hydrodynamic template or the preexisting geologic framework. Numerical modeling, however, suggests that the number and spacing of capes can be dynamic, and that a coast can self-organize in response to a high-angle-wave instability in shoreline shape. In shoreline evolution model simulations, smaller cuspate forelands are subsumed by larger neighbors over millennial time scales through a process of ‘cape capture.’ The suggested former cape in Raleigh Bay represents the first interpreted geological evidence of dynamic abandonment suggested by the self-organization hypothesis. Cape capture may be a widespread process in coastal environments with large-scale rhythmic shoreline features; its preservation in the sedimentary record will vary according to geologic setting, physical processes, and sea-level history.

  7. Results on plasma temperature measurement using an image processing technique

    Directory of Open Access Journals (Sweden)

    B. Mahdavipour

    Full Text Available Image processing technique (IPT is a computational technique which is a simple, wide and great for many purposes. In this paper, we used IPT to obtain plasma source such as sun and sunspot temperatures. Sun image was taken by a telescope and DSLR camera and imported to MATLAB software. Using the IPT, we cropped two areas and evaluated their RGB values, using a code which was written according to Python software. We computed wavelengths and then by substituting wavelengths in Wien’s law, we obtained sun’s surface and sunspot temperature’s. The temperature errors for surface and sunspot were 0.57% and 13% respectively. Keywords: Image processing technique, Plasma temperature

  8. Results on plasma temperature measurement using an image processing technique

    Science.gov (United States)

    Mahdavipour, B.; Hatami, A.; Salar Elahi, A.

    Image processing technique (IPT) is a computational technique which is a simple, wide and great for many purposes. In this paper, we used IPT to obtain plasma source such as sun and sunspot temperatures. Sun image was taken by a telescope and DSLR camera and imported to MATLAB software. Using the IPT, we cropped two areas and evaluated their RGB values, using a code which was written according to Python software. We computed wavelengths and then by substituting wavelengths in Wien's law, we obtained sun's surface and sunspot temperature's. The temperature errors for surface and sunspot were 0.57% and 13% respectively.

  9. Modern techniques in galaxy kinematics : Results from planetary nebula spectroscopy

    NARCIS (Netherlands)

    Romanowsky, AJ; Douglas, NG; Kuijken, K; Arnaboldi, M; Gerssen, J; Merrifield, MR; Kwok, S; Dopita, M; Sutherland, R

    2003-01-01

    We have observed planetary nebulae (PNe) in several early-type galaxies using new techniques on 4- to 8-meter-class telescopes. We obtain the first large data sets (greater than or similar to 100 velocities each) of PN kinematics in galaxies at greater than or similar to 15 Mpc, and present some

  10. Translaminar screw fixation in the lumbar spine: technique, indications, results

    OpenAIRE

    Grob, D.; Humke, T.

    1998-01-01

    Translaminar screw fixation of the lumbar spine represents a simple and effective technique for short segment fusion in the degenerative spine. Clinical experience with 173 patients who underwent translaminar screw fixation revealed a fusion rate of 94%. The indications for translaminar screw fixation as a primary fixation procedure are: segmental dysfunction, lumbar spinal stenosis with painful degenerative changes, segmental revision surgery after discectomies, and painful disc-related synd...

  11. [Results and indications of imaging techniques in musculoskeletal diseases].

    Science.gov (United States)

    Ben Hamouda, Mohamed; Bergaoui, Naceur; Douik, Mongi; Ladeb, Fethi

    2002-08-01

    Imaging is necessary in the diagnosis of musculoskeletal diseases and X rays is the first step of this morphological exploration. Ultrasonography is cost effectiveness, without radiation and have to constitute the second step of the exploration of the smooth tissue (tendon, muscle, sheath, synovium and superficial ligaments). Computed tomography with its new technological progress is very effective in the study of the cortical bone. Magnetic resonance imaging, a non irradiating but costly technique, becomes inevitable in several osteo-articular affections. It often makes the examination of last intention to compensate for the inadequacy of ultrasonography and computed tomography.

  12. Structural rearrangements of chromosome 15 satellites resulting in Prader-Willi syndrome suggest a complex mechanism for uniparental disomy

    Energy Technology Data Exchange (ETDEWEB)

    Toth-Fijel, S.; Gunter, K.; Olson, S. [Oregon Health Sciences Univ., Portland, OR (United States)] [and others

    1994-09-01

    We report two cases of PWS in which there was abnormal meiosis I segregation of chromosome 15 following a rare translocation event between the heteromorphic satellite regions of chromosomes 14 and 15 and an apparent meiotic recombination in the unstable region of 15q11.2. PWS and normal appearing chromosomes in case one prompted a chromosome 15 origin analysis. PCR analysis indicated maternal isodisomy for the long arm of chromosome. However, only one chromosome 15 had short arm heteromorphisms consistent with either paternal or maternal inheritance. VNTR DNA analysis and heteromorphism data suggest that a maternal de novo translocation between chromosome 14 and 15 occurred prior to meiosis I. This was followed by recombination between D15Z1 and D15S11 and subsequent meiosis I nondisjunction. Proband and maternal karyotype display a distamycin A-DAPI positive region on the chromosome 14 homolog involved in the translocation. Fluorescent in situ hybridization (FISH) analyses of ONCOR probes D15S11, SNRPN, D15S11 and GABRB 3 were normal, consistent with the molecular data. Case two received a Robertsonian translocation t(14;15)(p13;p13) of maternal origin. Chromosome analysis revealed a meiosis I error producing UPD. FISH analysis of the proband and parents showed normal hybridization of ONCOR probes D15Z1, D15S11, SNRPN, D15S10 and GABRB3. In both cases the PWS probands received a structurally altered chromosome 15 that had rearranged with chromosome 14 prior to meiosis. If proper meiotic segregation is dependent on the resolution of chiasmata and/or the binding to chromosome-specific spindle fibers, then it may be possible that rearrangements of pericentric or unstable regions of the genome disrupt normal disjunction and lead to uniparental disomy.

  13. Childhood pregnancy as a result of incest: a case report and literature review with suggested management strategies.

    Science.gov (United States)

    Stechna, Sharon B

    2011-06-01

    Childhood pregnancy presents multiple challenges, which are compounded when the pregnancy is a result of abuse. While there is ample information regarding the psychological manifestations of childhood sexual abuse, a review of the literature provides modest information on childhood pregnancy, as distinct from teen pregnancy. A 10-year-old pregnant female reports for medical care at 28-30 weeks gestation. Sensitivity to the patient's and family's needs and having a care team who followed a well defined care plan appeared to be the key to optimizing the management of this patient. Although decisions should be based on medical standards, the psychological, social, and, at times, criminal concerns must be considered in every aspect of the patient's care and variations from established patterns of care should be allowed when needed. Copyright © 2011 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

  14. Percutaneous peritoneovenous shunt positioning: technique and preliminary results

    Energy Technology Data Exchange (ETDEWEB)

    Orsi, Franco; Grasso, Rosario Francesco; Bonomo, Guido; Marinucci, Irene [Division of Radiology, European Institute of Oncology, Milan (Italy); Monti, Cinzia [Institute of Radiology, University of Milan (Italy); Bellomi, Massimo [Division of Radiology, European Institute of Oncology, Milan (Italy); Institute of Radiology, University of Milan (Italy)

    2002-05-01

    Nine peritoneovenous shunts were positioned by percutaneous technique in seven patients with advanced malignancy causing severe refractory ascites, and in two patients with hepatic cirrhosis (one with hepatocarcinoma). In all patients the shunts were percutaneously placed through the subclavian vein in the angiographic suite under digital fluoroscopic guide. No complications directly related to the procedure occurred. The shunt was successfully positioned in all patients in 60 min average time. No patient showed symptoms related to pulmonary overload or to disseminated intravascular coagulation. All patients had a significant improvement of the objective symptoms related to ascites such as respiratory symptoms, dyspepsia, and functional impairment to evacuation describing an improvement of their quality of life. Maximum shunt patency was 273 days. Percutaneous placement of peritoneovenous shunt is a safe, fast, and inexpensive procedure, extremely useful in resolution of refractory ascites, reducing symptoms, and allowing effective palliation, with a great improvement in quality of life. (orig.)

  15. FY-87 packing fabrication techniques (commercial waste form) results

    International Nuclear Information System (INIS)

    Werry, E.V.; Gates, T.E.; Cabbage, K.S.; Eklund, J.D.

    1988-04-01

    This report covers the investigation of fabrication techniques associated with the development of suitable materials and methods to provide a prefabricated packing for waste packages for the Basalt Waste Isolation Project (BWIP). The principal functions of the packing are to minimize container corrosion during the 300 to 1000 years following repository closure and provide long-term control of the release of radionuclides from the waste package. The investigative work, discussed in this report, was specifically conceived to develop the design criteria for production of full-scale prototypical packing rings. The investigative work included the preparation of procedures, the preparation of fabrication materials, physical properties, and the determination of the engineering properties. The principal activities were the preparation of the materials and the determination of the physical properties. 21 refs., 20 figs., 14 tabs

  16. Pharmacokinetic herb-drug interactions with traditional Chinese medicine: progress, causes of conflicting results and suggestions for future research.

    Science.gov (United States)

    Ma, Bing-Liang; Ma, Yue-Ming

    2016-01-01

    Traditional Chinese medicine (TCM) has a long history of medical use in China and is still used worldwide. Unexpected herb-drug interactions (HDIs) may lead to adverse drug reactions or loss of therapeutic efficacy of the victim drug. Here, based on searches of Medline, EBSCO, Science Direct and Web of Science using various keywords, we summarize the TCM-derived pharmacokinetic HDIs that were reported from 1990 to 2015 and discuss the underlying mechanisms. In general, many pre-clinical and clinical pharmacokinetic HDIs have been reported. Our searches show that TCMs cause pharmacokinetic interactions with therapeutic drugs mainly by inhibiting or inducing drug-metabolizing enzymes and transporters. However, most of the interactions result from a small number of prescription medications and the actual potential for harm is low. Moreover, such HDIs can be avoided by discontinuing the TCMs. Despite the extensive number of reports on TCM-derived HDIs, the findings are frequently conflicting and can be confusing. The causes of the conflicts vary, but we classified them into three basic categories as follows: (1) complicated nature and poor quality control of TCMs, (2) different responses of various test systems to TCM exposure and (3) diverse study designs. Accordingly, we propose rational study designs for future HDI research. We also propose that a specific authoritative guide be established that provides recommendations for HDI studies. This review provides insights into the progress and challenges in TCM-derived pharmacokinetic HDI research.

  17. Preparing for severe contrast media reactions in children - results of a national survey, a literature review and a suggested protocol

    International Nuclear Information System (INIS)

    Lindsay, R.; Paterson, A.; Edgar, D.

    2011-01-01

    Aim: To identify current practices within paediatric radiology in the UK with regard to the use of prophylactic medication, prior to administering intravenous (IV) radiocontrast medium (RCM). In addition, the pre-injection risk management strategies of the departments questioned was to be evaluated, and using consensus opinion, a protocol for managing patients identified as being at high risk for an adverse reaction to RCM was to be outlined. Materials and methods: An online survey of paediatric radiology consultants representing all geographic regions of the UK was carried out. The questions asked included an assessment of the risk factors for adverse reactions to RCM, and how such reactions are anticipated and managed. The questionnaire asked about the perceived indications for, and the use of prophylactic medication prior to RCM administration. Results: A response rate of 51% was achieved. The majority of respondents felt that a history of previous RCM reaction was an indication to administer prophylactic drugs prior to a further dose of RCM. No other risk factor was believed to require prophylactic medication. Conclusion: Using information obtained from the survey, a literature search was performed to assess the evidence available in support of each practice. A protocol was devised to identify children at risk of an adverse reaction to RCM, and guide the use of prophylactic medication in this group of patients. The survey highlighted considerable variability in the risk-assessment and management practices within paediatric radiology in the UK. The derived protocol may guide radiologists' management of children at risk for an RCM reaction.

  18. Preparing for severe contrast media reactions in children - results of a national survey, a literature review and a suggested protocol

    Energy Technology Data Exchange (ETDEWEB)

    Lindsay, R., E-mail: rwklindsay@hotmail.co [Imaging Centre, Royal Victoria Hospital, Belfast, Northern Ireland (United Kingdom); Paterson, A. [Radiology Department, The Royal Belfast Hospital for Sick Children, Belfast, Northern Ireland (United Kingdom); Edgar, D. [Immunology Department, Royal Victoria Hospital, Belfast, Northern Ireland (United Kingdom)

    2011-04-15

    Aim: To identify current practices within paediatric radiology in the UK with regard to the use of prophylactic medication, prior to administering intravenous (IV) radiocontrast medium (RCM). In addition, the pre-injection risk management strategies of the departments questioned was to be evaluated, and using consensus opinion, a protocol for managing patients identified as being at high risk for an adverse reaction to RCM was to be outlined. Materials and methods: An online survey of paediatric radiology consultants representing all geographic regions of the UK was carried out. The questions asked included an assessment of the risk factors for adverse reactions to RCM, and how such reactions are anticipated and managed. The questionnaire asked about the perceived indications for, and the use of prophylactic medication prior to RCM administration. Results: A response rate of 51% was achieved. The majority of respondents felt that a history of previous RCM reaction was an indication to administer prophylactic drugs prior to a further dose of RCM. No other risk factor was believed to require prophylactic medication. Conclusion: Using information obtained from the survey, a literature search was performed to assess the evidence available in support of each practice. A protocol was devised to identify children at risk of an adverse reaction to RCM, and guide the use of prophylactic medication in this group of patients. The survey highlighted considerable variability in the risk-assessment and management practices within paediatric radiology in the UK. The derived protocol may guide radiologists' management of children at risk for an RCM reaction.

  19. Ultrasonic technique for imaging tissue vibrations: preliminary results.

    Science.gov (United States)

    Sikdar, Siddhartha; Beach, Kirk W; Vaezy, Shahram; Kim, Yongmin

    2005-02-01

    We propose an ultrasound (US)-based technique for imaging vibrations in the blood vessel walls and surrounding tissue caused by eddies produced during flow through narrowed or punctured arteries. Our approach is to utilize the clutter signal, normally suppressed in conventional color flow imaging, to detect and characterize local tissue vibrations. We demonstrate the feasibility of visualizing the origin and extent of vibrations relative to the underlying anatomy and blood flow in real-time and their quantitative assessment, including measurements of the amplitude, frequency and spatial distribution. We present two signal-processing algorithms, one based on phase decomposition and the other based on spectral estimation using eigen decomposition for isolating vibrations from clutter, blood flow and noise using an ensemble of US echoes. In simulation studies, the computationally efficient phase-decomposition method achieved 96% sensitivity and 98% specificity for vibration detection and was robust to broadband vibrations. Somewhat higher sensitivity (98%) and specificity (99%) could be achieved using the more computationally intensive eigen decomposition-based algorithm. Vibration amplitudes as low as 1 mum were measured accurately in phantom experiments. Real-time tissue vibration imaging at typical color-flow frame rates was implemented on a software-programmable US system. Vibrations were studied in vivo in a stenosed femoral bypass vein graft in a human subject and in a punctured femoral artery and incised spleen in an animal model.

  20. SLR and GPS spatial techniques in ITRF. Argentine results.

    Science.gov (United States)

    Actis, Eloy Vicente; Huang, Dongping; Márquez, Raúl; Adarvez, Sonia; Flores, Matías; Brizuela, Diego; Nievas, Jesica; Podestá, Ricardo; Pacheco, Ana M.; Rojas, Hernán Alvis; Yin, Zhiqiang; Li, Jinzeng; Han, Yanben; Liu, Weidong; Wang, Rui

    2012-08-01

    Along the late 30 years spatial geodetic techniques enable us to measure horizontal and vertical deformations of the Earth’s surface with a very high precision. Performing this task we made Satellite Laser Ranging (SLR), and Global Positioning System (GPS) observations in South America ILRS 7406 Station placed at Observatorio Astronómico Félix Aguilar (OAFA) in San Juan, Argentina, accomplishing a Cooperation Agreement between CAS - NAOC and OAFA - UNSJ. Trough LAGEOS II Satellite observations we obtain rectangular coordinates of San Juan ILRS Station in the Terrestrial Reference Frame (ITR 2000), standing out that Argentine Station data were included in the late arrangements ITRF given by International Earth Rotation and Reference System Service (IERS). Spatial and temporary variations of the epoch 2010 - 2011 were evaluated finding out remarkable displacements, of about a half meter, related with seismic events on the region. We confirm these deformations by means of GP S determinations referred to Permanent GPS Station placed nearby the SLR Station.

  1. Results of assisted reproductive technique in men with cystic fibrosis.

    Science.gov (United States)

    Hubert, Dominique; Patrat, Catherine; Guibert, Juliette; Thiounn, Nicolas; Bienvenu, Thierry; Viot, Géraldine; Jouannet, Pierre; Epelboin, Sylvie

    2006-05-01

    Sterility in men with cystic fibrosis (CF) raises the question of the use of assisted reproductive techniques (ART). A multidisciplinary network including adult CF centre and reproductive medicine units was set up to answer requests for ART. This retrospective study included 25 men with CF between 1994 and 2004. Clinical status, semen analysis, CF mutations analysis and artificial insemination by donor (AID) or ICSI after surgical retrieval of sperm were monitored. All CF men had azoospermia. Two chose AID first (one delivery); 23 chose ICSI. Sperm were surgically retrieved in 21 cases, and ICSI was performed in 19. Pregnancies occurred in 12 of these 19 couples (63%) (two ectopic pregnancies, two spontaneous abortions, one termination of pregnancy for polymalformed twins and 11 single deliveries in nine couples). Two couples tried AID after ICSI failed; one had twins. Another adopted a child, and two had a spontaneous pregnancy. After a follow-up of 4.1+/-2.3 years, two patients died, two underwent lung transplantation and 21 remained stable. ART can help men with CF to become a father, but their health status and short survival need careful counselling and multidisciplinary medical care.

  2. EFFECT OF FLEXIBILITY ON THE RESULTS OF DOLPHIN SWIMMING TECHNIQUE

    Directory of Open Access Journals (Sweden)

    Slađana Tošić

    2011-09-01

    Full Text Available In order to determine the impact of flexibility on the results in swimming, we conducted a study on a sample of 50 female patients aged 11-14 years of age who are in the training process in the swimming clubs „Nis 2005“ and „Sveti Nikola“ in Nis. The study is applied to 14 measuring instruments that were divided into three groups: Measuring instruments for the assessment of flexibility (11; Measuring instruments for assessing the results of swimming (1; Measuring instruments for evaluation of morphological characteristics (2. The regression analysis determined the impact of flexibility on the results in swimming. The regression analysis didn't confirmed the assumption that there is a statistically significant effect of flexibility variables on results in swimming for female swimmers

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

    OpenAIRE

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

    1997-01-01

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

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

    NARCIS (Netherlands)

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

    1997-01-01

    We have developed a new diagnostic tool for the study of Zeeman-compensated slowing of an alkali atomic beam. Our time-of-flight technique measures the longitudinal veloc- ity distribution of the slowed atoms with a resolution below the Doppler limit of 30 cm/s. Furthermore, it can map

  5. [Operative techniques and results of tibial pilon fractures].

    Science.gov (United States)

    Rotter, R; Gierer, P

    2017-08-01

    The anatomical reconstruction of tibial pilon fractures is a major challenge with respect to preoperative planning, time management and the intraoperative procedure. Presentation of the various surgical procedures available and the clinical outcome. The established open reduction and internal plate fixation procedures form the basis for new minimally invasive treatment concepts. The current results of comparative studies and basic literature are discussed. The treatment result depends on the severity of the initial fracture and accompanying soft tissue damage. Essential is an anatomical reduction with an articular displacement of less than 2 mm. Overall, only approximately half of all patients return to work within 1 year. The fixation procedure used is not relevant for this purpose. Both plate fixation and the combination of external fixator plus minimally invasive articular reconstruction with and without arthroscopy achieve equivalent results. Good clinical results can be achieved by an accurate preoperative planning with respect to the surgical procedure, time of surgery and the surgical steps. In cases of disregarding these points and inadequate surgical expertise, loss of function and reduced quality of life are impending.

  6. Saving bladders with brachytherapy: implantation technique and results.

    NARCIS (Netherlands)

    Steen-Banasik, E.M. van der; Visser, A.G.; Reinders, J.G.; Heijbroek, R.P.; Idema, J.G.; Janssen, T.G.; Leer, J.W.H.

    2002-01-01

    PURPOSE: To analyze and report the treatment results of brachytherapy for solitary bladder cancer in the Arnhem Radiotherapy Institute. METHODS AND MATERIALS: Between January 1983 and October 1998, 63 patients with a solitary bladder tumor were treated with a combination of transurethral resection,

  7. [Horizontal supraglottic laryngectomy. Technique, indications, oncologic results and early functional results. Apropos of 87 cases].

    Science.gov (United States)

    Maurice, N; Delol, J; Makeieff, M; Arnoux, A; Crampette, L; Guerrier, B

    1996-01-01

    In this article, we advocate supraglottic laryngectomy with bilateral neck dissection for the treatment of supraglottic carcinomas with preserved laryngeal mobility. Post-operative results and follow-up of 87 patients are discussed. This technique allows an excellent loco-regional control of the disease with preservation of laryngeal function. Radiation therapy is preserved for treatment of metachronous (2nd primary) in cases with satisfactory local control without neck metastases. All stage 5-year overall survival rate was 55% with a 68.5% disease survival rate. Five-year local control of the disease and regional control of neck nodes were respectively 94% and 92%. Five-year disease survival rate for N- population was 71% Vs 61% for N+ population. Five-year disease survival rate according to the tumor classification was 70% for T1, 75% for T2, 69% for T3 and 54% for T4. In the post-operative follow-up, the median of time to decanulation was 17 days, that of nasogastric tube removal was 19 days, that of hospital stay 38 days.

  8. Multidetector computed tomography of urolithiasis. Technique and results

    International Nuclear Information System (INIS)

    Karul, M.; Regier, M.; Heuer, R.

    2013-01-01

    The diagnosis of acute urolithiasis results from unenhanced multidetector computed tomography (MDCT). This test analyses the functional and anatomical possibility for passing an ureteral calculi, the localization and dimension of which are important parameters for further therapy. Alternatively chronic urolithiasis could be ruled out by magnetic resonance urography (MRU). MRU is the first choice especially in pregnant women and children because of radiation hygiene. Enhanced MDCT must be emphasized as an alternative to intravenous urography (IVU) for diagnosis of complex drainage of urine and suspected disorder of the involved kidney. This review illustrates the principles of different tests and the clinical relevance thereof. (orig.)

  9. Reduction of pollutants in painting operation and suggestion of an optimal technique for extracting titanium dioxide from paint sludge in car manufacturing industries--case study (SAIPA).

    Science.gov (United States)

    Khezri, Seyed Mostafa; Shariat, Seyed Mahmood; Tabibian, Sahar

    2012-06-01

    Paint sludge of car manufacturing industries are not disposed in landfills, since they contain hazardous materials with a high concentration of chromium, aluminum, titanium, barium, copper, Iron, magnesium, strontium, and so on. Thus, it is essential to find solutions in order to neutralize them or suggest cost-effective techniques, which are also environmentally acceptable. Because, this sludge contains considerable amounts of Ti pigments and unbaked resins, recycling these pigments--which could be used in a variety of industries such as paint factories--is an appropriate subject for further research. In this article, with the aim of identification of main pollutants in order to eliminate them and suggest a cost-effective solution to recover the sludge, a large number of tests including X-ray fluorescence spectroscopy, X ray diffraction spectroscopy, and diffusion thermal analysis are conducted to determine types and concentration of elements, and combinations of paint sludge in car manufacturing industries. As titanium dioxide (TiO₂) is widely used as the main pigment of automobile paints, an optimal technique is suggested for extracting TiO₂ with high purity percentage through adopting scientific methods such as membrane and electrolysis.

  10. Transluminal coronary angioplasty (TCA) techniques, indications and results

    International Nuclear Information System (INIS)

    Kober, G.; Lang, H.; Vallbracht, C.; Bussmann, W.D.; Hopf, R.; Kunkel, B.; Kaltenbach, M.

    1985-01-01

    Transluminal coronary angioplasty (TCA) was introduced in 1977 for dilatation of coronary stenoses. From October 1977 to December 1984 1087 procedures have been performed in Frankfurt. The mean success rate was 77% with an increase from 58% to 84% since 1977. Recurrences were seen within the first year in 15% of the patients, which could be treated successfully in a high percentage with a second TCA. Emergency bypass operations were necessary in 5.2%. Four patients (fatality rate 0.37%) died as the consequence of the intervention. Within few years TCA has become an established procedure for myocardial revascularisation, with a high success rate. Major progress has been possible in the last few years due to technical developments, which are still going on. They may lead to further improvement of the results and enlargement of the indication for TCA. (orig.) [de

  11. Comparison of neptunium sorption results using batch and column techniques

    International Nuclear Information System (INIS)

    Triay, I.R.; Furlano, A.C.; Weaver, S.C.; Chipera, S.J.; Bish, D.L.

    1996-08-01

    We used crushed-rock columns to study the sorption retardation of neptunium by zeolitic, devitrified, and vitric tuffs typical of those at the site of the potential high-level nuclear waste repository at Yucca Mountain, Nevada. We used two sodium bicarbonate waters (groundwater from Well J-13 at the site and water prepared to simulate groundwater from Well UE-25p No. 1) under oxidizing conditions. It was found that values of the sorption distribution coefficient, Kd, obtained from these column experiments under flowing conditions, regardless of the water or the water velocity used, agreed well with those obtained earlier from batch sorption experiments under static conditions. The batch sorption distribution coefficient can be used to predict the arrival time for neptunium eluted through the columns. On the other hand, the elution curves showed dispersivity, which implies that neptunium sorption in these tuffs may be nonlinear, irreversible, or noninstantaneous. As a result, use of a batch sorption distribution coefficient to calculate neptunium transport through Yucca Mountain tuffs would yield conservative values for neptunium release from the site. We also noted that neptunium (present as the anionic neptunyl carbonate complex) never eluted prior to tritiated water, which implies that charge exclusion does not appear to exclude neptunium from the tuff pores. The column experiments corroborated the trends observed in batch sorption experiments: neptunium sorption onto devitrified and vitric tuffs is minimal and sorption onto zeolitic tuffs decreases as the amount of sodium and bicarbonate/carbonate in the water increases

  12. VLBI FOR GRAVITY PROBE B. IV. A NEW ASTROMETRIC ANALYSIS TECHNIQUE AND A COMPARISON WITH RESULTS FROM OTHER TECHNIQUES

    International Nuclear Information System (INIS)

    Lebach, D. E.; Ratner, M. I.; Shapiro, I. I.; Bartel, N.; Bietenholz, M. F.; Lederman, J. I.; Ransom, R. R.; Campbell, R. M.; Gordon, D.; Lestrade, J.-F.

    2012-01-01

    When very long baseline interferometry (VLBI) observations are used to determine the position or motion of a radio source relative to reference sources nearby on the sky, the astrometric information is usually obtained via (1) phase-referenced maps or (2) parametric model fits to measured fringe phases or multiband delays. In this paper, we describe a 'merged' analysis technique which combines some of the most important advantages of these other two approaches. In particular, our merged technique combines the superior model-correction capabilities of parametric model fits with the ability of phase-referenced maps to yield astrometric measurements of sources that are too weak to be used in parametric model fits. We compare the results from this merged technique with the results from phase-referenced maps and from parametric model fits in the analysis of astrometric VLBI observations of the radio-bright star IM Pegasi (HR 8703) and the radio source B2252+172 nearby on the sky. In these studies we use central-core components of radio sources 3C 454.3 and B2250+194 as our positional references. We obtain astrometric results for IM Peg with our merged technique even when the source is too weak to be used in parametric model fits, and we find that our merged technique yields astrometric results superior to the phase-referenced mapping technique. We used our merged technique to estimate the proper motion and other astrometric parameters of IM Peg in support of the NASA/Stanford Gravity Probe B mission.

  13. Variances in the projections, resulting from CLIMEX, Boosted Regression Trees and Random Forests techniques

    Science.gov (United States)

    Shabani, Farzin; Kumar, Lalit; Solhjouy-fard, Samaneh

    2017-08-01

    The aim of this study was to have a comparative investigation and evaluation of the capabilities of correlative and mechanistic modeling processes, applied to the projection of future distributions of date palm in novel environments and to establish a method of minimizing uncertainty in the projections of differing techniques. The location of this study on a global scale is in Middle Eastern Countries. We compared the mechanistic model CLIMEX (CL) with the correlative models MaxEnt (MX), Boosted Regression Trees (BRT), and Random Forests (RF) to project current and future distributions of date palm ( Phoenix dactylifera L.). The Global Climate Model (GCM), the CSIRO-Mk3.0 (CS) using the A2 emissions scenario, was selected for making projections. Both indigenous and alien distribution data of the species were utilized in the modeling process. The common areas predicted by MX, BRT, RF, and CL from the CS GCM were extracted and compared to ascertain projection uncertainty levels of each individual technique. The common areas identified by all four modeling techniques were used to produce a map indicating suitable and unsuitable areas for date palm cultivation for Middle Eastern countries, for the present and the year 2100. The four different modeling approaches predict fairly different distributions. Projections from CL were more conservative than from MX. The BRT and RF were the most conservative methods in terms of projections for the current time. The combination of the final CL and MX projections for the present and 2100 provide higher certainty concerning those areas that will become highly suitable for future date palm cultivation. According to the four models, cold, hot, and wet stress, with differences on a regional basis, appears to be the major restrictions on future date palm distribution. The results demonstrate variances in the projections, resulting from different techniques. The assessment and interpretation of model projections requires reservations

  14. 40 CFR Figure C-1 to Subpart C of... - Suggested Format for Reporting Test Results for Methods for SO 2, CO, O 3, NO 2

    Science.gov (United States)

    2010-07-01

    ... Results for Methods for SO 2, CO, O 3, NO 2 C Figure C-1 to Subpart C of Part 53 Protection of Environment... Pt. 53, Subpt. C, Fig. C-1 Figure C-1 to Subpart C of Part 53—Suggested Format for Reporting Test... Difference Table C-1 spec. Pass or fail Low 1 ____ ppm 2 to ____ ppm 3 4 5 6 Medium 1 ____ ppm 2 to ____ ppm...

  15. Suggested Guidelines for Reporting Keratoprosthesis Results: Consensus Opinion of the Cornea Society, Asia Cornea Society, EuCornea, PanCornea, and the KPRO Study Group.

    Science.gov (United States)

    Belin, Michael W; Güell, Jose L; Grabner, Günther

    2016-02-01

    To propose a series of standardized guidelines for reporting keratoprosthesis (KPRO) results. At the most recent KPRO Study Group Meeting (Barcelona, 2015), representatives of the 4 multinational corneal societies (Cornea Society, Asia Cornea Society, EuCornea, and PanCornea) and the KPRO Study Group agreed to propose consistent terminology for reporting KPRO results, especially in describing the length of follow-up and in the description of the KPRO itself. Consensus was reached for minimal reporting guidelines. The 4 multinational corneal societies and the KPRO Study Group agreed to standardized terminology for reporting the length of follow-up, preoperative diagnosis grouping, and data stratification based on the KPRO type used. Guidelines suggesting minimal reporting standards will assist in both data collection and reporting and will allow for better comparative analysis and pooling of the available data.

  16. Transpedicular curettage and drainage of infective lumbar spondylodiscitis: technique and clinical results.

    Science.gov (United States)

    Lee, Byung Ho; Lee, Hwan-Mo; Kim, Tae-Hwan; Kim, Hak-Sun; Moon, Eun-Soo; Park, Jin-Oh; Chong, Hyun-Soo; Moon, Seong-Hwan

    2012-09-01

    Infective spondylodiscitis usually occurs in patients of older age, immunocompromisation, co-morbidity, and individuals suffering from an overall poor general condition unable to undergo reconstructive anterior and posterior surgeries. Therefore, an alternative, less aggressive surgical method is needed for these select cases of infective spondylodiscitis. This retrospective clinical case series reports our novel surgical technique for the treatment of infective spondylodiscitis. Between January 2005 and July 2011, among 48 patients who were diagnosed with pyogenic lumbar spondylodiscitis or tuberculosis lumbar spondylodiscitis, 10 patients (7 males and 3 females; 68 years and 48 to 78 years, respectively) underwent transpedicular curettage and drainage. The mean postoperative follow-up period was 29 months (range, 7 to 61 months). The pedicle screws were inserted to the adjacent healthy vertebrae in the usual manner. After insertion of pedicle screws, the drainage pedicle holes were made through pedicles of infected vertebra(e) in order to prevent possible seeding of infective emboli to the healthy vertebra, as the same instruments and utensils are used for both pedicle screws and the drainage holes. A minimum of 15,000 mL of sterilized normal saline was used for continuous irrigation through the pedicular pathways until the drained fluid looked clear. All patients' symptoms and inflammatory markers significantly improved clinically between postoperative 2 weeks and postoperative 3 months, and they were satisfied with their clinical results. Radiologically, all patients reached the spontaneous fusion between infected vertebrae and 3 patients had the screw pulled-out but they were clinically tolerable. We suggest that our method of transpedicular curettage and drainage is a useful technique in regards to the treatment of infectious spondylodiscitic patients, who could not tolerate conventional combined anterior and posterior surgery due to multiple co

  17. Nurse Practitioners' Use of Communication Techniques: Results of a Maryland Oral Health Literacy Survey.

    Science.gov (United States)

    Koo, Laura W; Horowitz, Alice M; Radice, Sarah D; Wang, Min Q; Kleinman, Dushanka V

    2016-01-01

    We examined nurse practitioners' use and opinions of recommended communication techniques for the promotion of oral health as part of a Maryland state-wide oral health literacy assessment. Use of recommended health-literate and patient-centered communication techniques have demonstrated improved health outcomes. A 27-item self-report survey, containing 17 communication technique items, across 5 domains, was mailed to 1,410 licensed nurse practitioners (NPs) in Maryland in 2010. Use of communication techniques and opinions about their effectiveness were analyzed using descriptive statistics. General linear models explored provider and practice characteristics to predict differences in the total number and the mean number of communication techniques routinely used in a week. More than 80% of NPs (N = 194) routinely used 3 of the 7 basic communication techniques: simple language, limiting teaching to 2-3 concepts, and speaking slowly. More than 75% of respondents believed that 6 of the 7 basic communication techniques are effective. Sociodemographic provider characteristics and practice characteristics were not significant predictors of the mean number or the total number of communication techniques routinely used by NPs in a week. Potential predictors for using more of the 7 basic communication techniques, demonstrating significance in one general linear model each, were: assessing the office for user-friendliness and ever taking a communication course in addition to nursing school. NPs in Maryland self-reported routinely using some recommended health-literate communication techniques, with belief in their effectiveness. Our findings suggest that NPs who had assessed the office for patient-friendliness or who had taken a communication course beyond their initial education may be predictors for using more of the 7 basic communication techniques. These self-reported findings should be validated with observational studies. Graduate and continuing education for NPs

  18. Reactivity change measurements on plutonium-uranium fuel elements in hector experimental techniques and results

    International Nuclear Information System (INIS)

    Tattersall, R.B.; Small, V.G.; MacBean, I.J.; Howe, W.D.

    1964-08-01

    The techniques used in making reactivity change measurements on HECTOR are described and discussed. Pile period measurements were used in the majority of oases, though the pile oscillator technique was used occasionally. These two methods are compared. Flux determinations were made in the vicinity of the fuel element samples using manganese foils, and the techniques used are described and an error assessment made. Results of both reactivity change and flux measurements on 1.2 in. diameter uranium and plutonium-uranium alloy fuel elements are presented, these measurements being carried out in a variety of graphite moderated lattices at temperatures up to 450 deg. C. (author)

  19. Liver metastases: interventional therapeutic techniques and results, state of the art

    Energy Technology Data Exchange (ETDEWEB)

    Vogl, T.J.; Mueller, P.K.; Mack, M.G.; Straub, R.; Engelmann, K. [Dept. of Radiology, Univ. of Frankfurt (Germany); Neuhaus, P. [Dept. of Surgery, Humboldt University of Berlin (Germany)

    1999-05-01

    The liver is the most common site of metastatic tumour deposits. Hepatic metastases are the major cause of morbidity and mortality in patients with gastrointestinal carcinomas and other malignant tumours. The rationale and results for interventional therapeutic techniques in the treatment of liver metastases are presented. For the treatment of patients with irresectable liver metastases, alternative local ablative therapeutic modalities have been developed. Technique and results of local interventional therapies are presented such as microwave-, radiofrequency (RF)- and ultrasound ablation, and laser-induced interstitial therapy (LITT), cryotherapy and local drug administration such as alcohol injection, endotumoral chemotherapy and regional chemoembolisation. In addition to cryotherapy, all ablative techniques can be performed percutaneously with low morbidity and mortality. Cryotherapy is an effective and precise technique for inducing tumour necrosis, but it is currently performed via laparotomy. Percutaneous local alcohol injection results in an inhomogeneous distribution in liver metastases with unreliable control rates. Local chemotherapeutic drug instillation and regional chemoembolisation produces relevant but non-reproducible lesions. Laser-induced interstitial thermotherapy (LITT) performed under MRI guidance results in precise and reproducible areas of induced necrosis with a local control of 94 %, and with an improved survival rate. Interventional therapeutic techniques of liver metastases do result in a remarkable local tumour control rate with improved survival results. (orig.) With 5 figs., 1 tab., 43 refs.

  20. Liver metastases: interventional therapeutic techniques and results, state of the art

    International Nuclear Information System (INIS)

    Vogl, T.J.; Mueller, P.K.; Mack, M.G.; Straub, R.; Engelmann, K.; Neuhaus, P.

    1999-01-01

    The liver is the most common site of metastatic tumour deposits. Hepatic metastases are the major cause of morbidity and mortality in patients with gastrointestinal carcinomas and other malignant tumours. The rationale and results for interventional therapeutic techniques in the treatment of liver metastases are presented. For the treatment of patients with irresectable liver metastases, alternative local ablative therapeutic modalities have been developed. Technique and results of local interventional therapies are presented such as microwave-, radiofrequency (RF)- and ultrasound ablation, and laser-induced interstitial therapy (LITT), cryotherapy and local drug administration such as alcohol injection, endotumoral chemotherapy and regional chemoembolisation. In addition to cryotherapy, all ablative techniques can be performed percutaneously with low morbidity and mortality. Cryotherapy is an effective and precise technique for inducing tumour necrosis, but it is currently performed via laparotomy. Percutaneous local alcohol injection results in an inhomogeneous distribution in liver metastases with unreliable control rates. Local chemotherapeutic drug instillation and regional chemoembolisation produces relevant but non-reproducible lesions. Laser-induced interstitial thermotherapy (LITT) performed under MRI guidance results in precise and reproducible areas of induced necrosis with a local control of 94 %, and with an improved survival rate. Interventional therapeutic techniques of liver metastases do result in a remarkable local tumour control rate with improved survival results. (orig.)

  1. Experimental data suggesting that inflammation mediated rat liver mitochondrial dysfunction results from secondary hypoxia rather than from direct effects of inflammatory mediators

    Directory of Open Access Journals (Sweden)

    Adelheid eWeidinger

    2013-06-01

    Full Text Available Systemic inflammatory response (SIR comprises direct effects of inflammatory mediators (IM and indirect effects, such as secondary circulatory failure which results in tissue hypoxia (HOX. These two key components, SIR and HOX, cause multiple organ failure (MOF. Since HOX and IM occur and interact simultaneously in vivo, it is difficult to clarify their individual pathological impact. To eliminate this interaction, precision cut liver slices (PCLS were used in this study aiming to dissect the effects of HOX and IM on mitochondrial function, integrity of cellular membrane and the expression of genes associated with inflammation. HOX was induced by incubating PCLS or rat liver mitochondria at pO2<1% followed by reoxygenation (HOX/ROX model. Inflammatory injury was stimulated by incubating PCLS with IM (IM model. We found upregulation of inducible nitric oxide synthase (iNOS expression only in the IM model, while heme oxygenase 1 (HO-1 expression was upregulated only in the HOX/ROX model. Elevated expression of interleukin 6 (IL-6 was found in both models reflecting converging pathways regulating the expression of this gene. Both models caused damage to hepatocytes resulting in the release of alanine aminotransferase (ALT. The leakage of aspartate aminotransferase (AST was observed only during the hypoxic phase in the HOX/ROX model. The reoxygenation phase of HOX, but not IM, drastically impaired mitochondrial electron supply via complex I and II. Additional experiments performed with isolated mitochondria showed that free iron, released during HOX, is likely a key prerequisite of mitochondrial dysfunction induced during the reoxygenation phase. Our data suggests that mitochondrial dysfunction, previously observed in in vivo SIR-models is the result of secondary circulatory failure inducing HOX rather than the result of a direct interaction of IM with liver cells.

  2. Results and analysis of the 2008-2009 Insulin Injection Technique Questionnaire survey.

    Science.gov (United States)

    De Coninck, Carina; Frid, Anders; Gaspar, Ruth; Hicks, Debbie; Hirsch, Larry; Kreugel, Gillian; Liersch, Jutta; Letondeur, Corinne; Sauvanet, Jean-Pierre; Tubiana, Nadia; Strauss, Kenneth

    2010-09-01

    The efficacy of injection therapy in diabetes depends on correct injection technique and, to provide patients with guidance in this area, we must understand how they currently inject. From September 2008 to June 2009, 4352 insulin-injecting Type 1 and Type 2 diabetic patients from 171 centers in 16 countries were surveyed regarding their injection practices. Overall, 3.6% of patients use the 12.7-mm needle, 1.8% use the 12-mm needle, 1.6% use the 10-mm needle, 48.6% use the 8-mm needle, 15.8% use the 6-mm needle, and 21.6% use the 5-mm needle; 7% of patients do not know what length of needle they use. Twenty-one percent of patients admitted injecting into the same site for an entire day, or even a few days, a practice associated with lipohypertrophy. Approximately 50% of patients have or have had symptoms suggestive of lipohypertrophy. Abdominal lipohypertrophy seems to be more frequent in those using the two smaller injection size areas, and less frequent in those using larger areas. Nearly 3% of patients reported always injecting into lipohypertrophic lesions and 26% inject into them sometimes. Of the 65% of patients using cloudy insulins (e.g. NPH), 35% do not remix it before use. It is clear from the latest survey that we have improved in certain areas, but that, in others, we have either not moved at all or our efforts have not yielded the results we expected. The results of the present survey are available online on a country-by-country and question-by-question basis at http://www.titan-workshop.org. © 2010 Ruijin Hospital, Shanghai Jiaotong University School of Medicine and Blackwell Publishing Asia Pty Ltd.

  3. THE HOMOGENEITY OF THE RESULTS DEPENDING ON THE DISTANCES AND SWIMMING TECHNIQUES

    Directory of Open Access Journals (Sweden)

    Milomir Trivun

    2007-05-01

    Full Text Available The sample of the tested people involves 128 swimmers, who were 11-18-year-old and who took part in the fi nal at SAD national competition in 2004-2005. The sample of the variables relates to the result realization of the swimming the techniques: freestyle-crawl, butterfl y, backstroke and breaststroke at 100 and 200 m. The aim of the study is to defi ne the comparison of the results of 11-18-yearold swimmers swimming the techniques: freestyle-crawl, butterfl y, backstroke and breaststroke at 100 and 200 m.

  4. Relationship between structural features and water chemistry in boreal headwater streams--evaluation based on results from two water management survey tools suggested for Swedish forestry.

    Science.gov (United States)

    Lestander, Ragna; Löfgren, Stefan; Henrikson, Lennart; Ågren, Anneli M

    2015-04-01

    Forestry may cause adverse impacts on water quality, and the forestry planning process is a key factor for the outcome of forest operation effects on stream water. To optimise environmental considerations and to identify actions needed to improve or maintain the stream biodiversity, two silvicultural water management tools, BIS+ (biodiversity, impact, sensitivity and added values) and Blue targeting, have been developed. In this study, we evaluate the links between survey variables, based on BIS+ and Blue targeting data, and water chemistry in 173 randomly selected headwater streams in the hemiboreal zone. While BIS+ and Blue targeting cannot replace more sophisticated monitoring methods necessary for classifying water quality in streams according to the EU Water Framework Directive (WFD, 2000/60/EC), our results lend support to the idea that the BIS+ protocol can be used to prioritise the protection of riparian forests. The relationship between BIS+ and water quality indicators (concentrations of nutrients and organic matter) together with data from fish studies suggests that this field protocol can be used to give reaches with higher biodiversity and conservation values a better protection. The tools indicate an ability to mitigate forestry impacts on water quality if the operations are adjusted to this knowledge in located areas.

  5. Laparoscopic parastomal hernia repair using a keyhole technique results in a high recurrence rate.

    NARCIS (Netherlands)

    Hansson, B.M.; Bleichrodt, R.P.; Hingh, I.H.J.T. de

    2009-01-01

    INTRODUCTION: Parastomal herniation is a common complication of stoma formation, and its operative treatment is notoriously difficult. Recently we have reported the promising short-term results of a keyhole technique in which a Gore-Tex Dual Mesh with a central keyhole is laparoscopically fashioned

  6. Laparoscopic radical 'no-touch' left pancreatosplenectomy for pancreatic ductal adenocarcinoma: technique and results

    NARCIS (Netherlands)

    Abu Hilal, M.; Richardson, J. R. C.; de Rooij, T.; Dimovska, E.; Al-Saati, H.; Besselink, M. G.

    2016-01-01

    Laparoscopic left pancreatectomy has been well described for benign pancreatic lesions, but its role in pancreatic adenocarcinoma remains open to debate. We report our results adopting a laparoscopic technique that obeys established oncologic principles of open distal pancreatosplenectomy. This is a

  7. Microsatellite marker analysis of Haemonchus contortus populations from Pakistan suggests that frequent benzimidazole drug treatment does not result in a reduction of overall genetic diversity.

    Science.gov (United States)

    Chaudhry, Umer; Redman, E M; Ashraf, Kamran; Shabbir, Muhammad Zubair; Rashid, Muhammad Imran; Ashraf, Shoaib; Gilleard, John S

    2016-06-17

    results suggest that, although the frequent drug treatment used on government farms has selected for a high frequency of benzimidazole resistance mutations, there has been little or no reduction in the overall genetic diversity of the selected parasite populations.

  8. Abnormal urinalysis results are common, regardless of specimen collection technique, in women without urinary tract infections.

    Science.gov (United States)

    Frazee, Bradley W; Enriquez, Kayla; Ng, Valerie; Alter, Harrison

    2015-06-01

    Voided urinalysis to test for urinary tract infection (UTI) is prone to false-positive results for a number of reasons. Specimens are often collected at triage from women with any abdominal complaint, creating a low UTI prevalence population. Improper collection technique by the patient may affect the result. At least four indices, if positive, can indicate UTI. We examine the impact of voided specimen collection technique on urinalysis indicators of UTI and on urine culture contamination in disease-free women. In this crossover design, 40 menstrual-age female emergency department staff without UTI symptoms collected urine two ways: directly in a cup ("non-clean") and midstream clean catch ("ideal"). Samples underwent standard automated urinalysis and culture. Urinalysis indices and culture contamination were compared. The proportion of abnormal results from samples collected by "non-clean" vs. "ideal" technique, respectively, were: leukocyte esterase (>trace) 50%, 35% (95% confidence interval for difference -6% to 36%); nitrites (any) 2.5%, 2.5% (difference -2.5 to 2.5%); white blood cells (>5/high-powered field [HPF]) 50%, 27.5% (difference 4 to 41%); bacteria (any/HPF) 77.5%, 62.5%, (difference -7 to 37%); epithelial cells (>few) 65%, 30% (difference 13 to 56%); culture contamination (>1000 colony-forming units of commensal or >2 species) 77%, 63% (difference -5 to 35%). No urinalysis index was positively correlated with culture contamination. Contemporary automated urinalysis indices were often abnormal in a disease-free population of women, even using ideal collection technique. In clinical practice, such false-positive results could lead to false-positive UTI diagnosis. Only urine nitrite showed a high specificity. Culture contamination was common regardless of collection technique and was not predicted by urinalysis results. Copyright © 2015 Elsevier Inc. All rights reserved.

  9. Therapeutic Results of Radiotherapy in Rectal Carcinoma -Comparison of Sandwich Technique Radiotherapy with Postoperative Radiotherapy

    International Nuclear Information System (INIS)

    Huh, Gil Cha; Suh, Hyun Suk; Lee, Hyuk Sang; Kim, Re Hwe; Kim, Chul Soo; Kim, Hong Yong; Kim, Sung Rok

    1996-01-01

    Purpose : To evaluate the potential advantage for 'sandwich' technique radiotherapy compared to postoperative radiotherapy in respectable rectal cancer. Between January 1989 and May 1994, 60 patients with respectable rectal cancer were treated at Inje University Seoul and Sanggye Paik Hospital.Fifty one patients were available for analysis : 20 patients were treated with sandwich technique radiotherapy and 31 patients were treated with postoperative radiotherapy. In sandwich technique radiotherapy(RT), patients were treated with preoperative RT 1500 cGy/5fx followed by immediate curative resection. Patients staged as Astler-Coller B2, C were considered for postoperative RT with 2500-4500 cGy. In postoperative RT, total radiation dose of 4500-6120 cGy, 180 cGy daily at 4-6 weeks was delivered. Patients were followed for median period of 25 months. Results : The overall 5-year survival rates for sandwich technique RT group and postoperative RT group were 60% and 71%, respectively(p>0.05). The 5-year disease free survival rates for each group were 63%. There was no difference in local failure rate between two groups(11% versus 7%). Incidence of distant metastasis was 11%(2/20) in the sandwich technique RT group and 20%(6/31) in the postoperative RT group(p>0.05). The frequencies of acute and chronic complications were comparable in both groups. Conclusion : The sandwich technique radiotherapy group shows local recurrence and survival similar to those of postoperative RT alone group but reduced distant metastasis compared to postoperative RT group. But long term follow-up and large number of patients is needed to make an any firm conclusion regarding the value of this sandwich technique RT

  10. Percutaneous radiofrequency ablation of osteoid osteomas. Technique and results; Perkutane Radiofrequenzablation von Osteoidosteomen. Technik und Ergebnisse

    Energy Technology Data Exchange (ETDEWEB)

    Bruners, P.; Penzkofer, T. [Lehrstuhl fuer Angewandte Medizintechnik, Helmholtz Inst. fuer Biomedizinische Technik, RWTH Aachen (Germany); Guenther, R. W.; Mahnken, A. [Klinik fuer Radiologische Diagnostik, Universitaetsklinikum RWTH Aachen (Germany)

    2009-08-15

    Purpose: Osteoid osteoma is a benign primary bone tumor that typically occurs in children and young adults. Besides local pain, which is often worse at night, prompt relief due to medication with acetylsalicylic acid (ASS) is characteristic for this bone lesion. Because long-term medication with ASS does not represent an alternative treatment strategy due to its potentially severe side effects, different minimally invasive image-guided techniques for the therapy of osteoid osteoma have been developed. In this context radiofrequency (RF) ablation in particular has become part of the clinical routine. The technique and results of image-guided RF ablation are compared to alternative treatment strategies. Materials and Methods: Using this technique, an often needle-shaped RF applicator is percutaneously placed into the tumor under image guidance. Then a high-frequency alternating current is applied by the tip of the applicator which leads to ionic motion within the tissue resulting in local heat development and thus in thermal destruction of the surrounding tissue including the tumor. Results: The published primary and secondary success rates of this technique are 87 and 83%, respectively. Surgical resection and open curettage show comparable success rates but are associated with higher complication rates. In addition image-guided RF ablation of osteoid osteomas is associated with low costs. (orig.)

  11. Development of a New Technique to Assess Susceptibility to Predation Resulting from Sublethal Stresses (Indirect Mortality)

    Energy Technology Data Exchange (ETDEWEB)

    Cada, G.F.

    2003-08-25

    from controls at 1-min post-exposure and for fathead minnows at 1- and 5-min post-exposure. The greatest effects occurred with exposure to the fish anesthetic; in fathead minnows all of the recorded measures were significantly different from controls at 1-min and 5-min post-exposure at the 100 mg/L dose. For striped shiners all recorded behavioral measures were significantly different from controls at 1-min at the 200 and 100 mg/L doses and for selected behavioral measures at 5-min. Turbulence also had significant effects on striped shiner startle responses following 20- and 30-min exposures for all behavioral measures at 1-min. The patterns suggest that any effects on startle response due to turbulence or low doses of anesthetic are short-lived, but can be evaluated using the escape behavior technique. The most useful indication of changes in escape behavior in these tests was the simple reaction/no reaction to the startle stimulus. The startle response occurred reliably among unstressed fish, and was frequently reduced or eliminated in fish exposed to turbulence or anesthesia. The other behavioral parameters observed were often altered by the sublethal stresses as well. A standard predator preference test was also conducted with largemouth bass as the predators and fathead minnows as prey. In this test design, groups of 10 unstressed fish (controls) and 10 stressed fish were put in a tank with a predator. The stressed fathead minnows were exposed to turbulence or fish anesthetic. The predator was allowed to eat half of the prey, and the data were evaluated to determine whether predators consumed greater proportions of stressed minnows than control minnows. The predation test indicated that exposure to MS-222 resulted in significant predation in fathead minnows, but exposure to turbulence did not. This pattern was the same as seen in fathead minnows using the startle response (escape behavior) test. For the sublethal stresses we applied, evaluation of changes in fish

  12. Ruptures of the distal biceps brachii tendon: results of three surgical techniques.

    Science.gov (United States)

    Ozyürekoğlu, Tuna; Tsai, Tsu-Min

    2003-07-01

    The results of three different surgical techniques used for the treatment of 46 ruptures of the distal biceps brachii tendon in 45 patients were evaluated and compared. Mean follow-up time was 14 months. The 46 ruptures were categorised according to the surgical technique used for treatment. In Group I, 17 arms were treated using two incisions and transosseous suture fixation; in Group II, 19 patients were treated using bone-anchor fixation; and in Group III, ten patients were treated using a tie-on-button technique. After treatment, 41 patients (89.1%) had full active range of motion (ROM) and 38 patients (82.6%) had excellent or good strength. The results after treatment in all three groups were satisfactory. Though the outcomes of these techniques were similar, operative time, time to return to regular activity, and time to return to work was shorter in the bone-anchor and tie-on-button groups than that in the two-incision transosseous fixation group.

  13. MONITORING OF LAND SUBSIDENCE IN RAVENNA MUNICIPALITY USING INTEGRATED SAR - GPS TECHNIQUES: DESCRIPTION AND FIRST RESULTS

    Directory of Open Access Journals (Sweden)

    G. Artese

    2016-06-01

    Full Text Available The Emilia Romagna Region (N-E Italy and in particular the Adriatic Sea coastline of Ravenna, is affected by a noticeable subsidence that started in the 1950s, when the exploitation of on and off-shore methane reservoirs began, along with the pumping of groundwater for industrial uses. In such area the current subsidence rate, even if lower than in the past, reaches the -2 cm/y. Over the years, local Authorities have monitored this phenomenon with different techniques: spirit levelling, GPS surveys and, more recently, Differential Interferometric Synthetic Aperture Radar (DInSAR techniques, confirming the critical situation of land subsidence risk. In this work, we present the comparison between the results obtained with DInSAR and GPS techniques applied to the study of the land subsidence in the Ravenna territory. With regard to the DInSAR, the Small Baseline Subset (SBAS and the Coherent Pixel Technique (CPT techniques have been used. Different SAR datasets have been exploited: ERS-1/2, ENVISAT, TerraSAR-X and Sentinel-1. Some GPS campaigns have been also carried out in a subsidence prone area. 3D vertices have been selected very close to existing persistent scatterers in order to link the GPS measurement results to the SAR ones. GPS data were processed into the International reference system and the comparisons between the coordinates, for the first 6 months of the monitoring, provided results with the same trend of the DInSAR data, even if inside the precision of the method.

  14. Rotational acceleration during head impact resulting from different judo throwing techniques.

    Science.gov (United States)

    Murayama, Haruo; Hitosugi, Masahito; Motozawa, Yasuki; Ogino, Masahiro; Koyama, Katsuhiro

    2014-01-01

    Most severe head injuries in judo are reported as acute subdural hematoma. It is thus necessary to examine the rotational acceleration of the head to clarify the mechanism of head injuries. We determined the rotational acceleration of the head when the subject is thrown by judo techniques. One Japanese male judo expert threw an anthropomorphic test device using two throwing techniques, Osoto-gari and Ouchi-gari. Rotational and translational head accelerations were measured with and without an under-mat. For Osoto-gari, peak resultant rotational acceleration ranged from 4,284.2 rad/s(2) to 5,525.9 rad/s(2) and peak resultant translational acceleration ranged from 64.3 g to 87.2 g; for Ouchi-gari, the accelerations respectively ranged from 1,708.0 rad/s(2) to 2,104.1 rad/s(2) and from 120.2 g to 149.4 g. The resultant rotational acceleration did not decrease with installation of an under-mat for both Ouchi-gari and Osoto-gari. We found that head contact with the tatami could result in the peak values of translational and rotational accelerations, respectively. In general, because kinematics of the body strongly affects translational and rotational accelerations of the head, both accelerations should be measured to analyze the underlying mechanism of head injury. As a primary preventative measure, throwing techniques should be restricted to participants demonstrating ability in ukemi techniques to avoid head contact with the tatami.

  15. Evaluation of the functional results after rotator cuff arthroscopic repair with the suture bridge technique

    Directory of Open Access Journals (Sweden)

    Alberto Naoki Miyazaki

    Full Text Available ABSTRACT OBJECTIVE: To evaluate the results of arthroscopic treatment of large and extensive rotator cuff injuries (RCI that involved the supra and infraspinatus muscles using the suture bridge (SB technique. METHODS: Between July 2010 and November 2014, 37 patients with RCI who were treated with SB technique were evaluated. The study included all patients with a minimum follow-up of 12 months who underwent primary surgery of the shoulder. Twenty-four patients were male and 13 were female. The mean age was 60 years (45-75. The dominant side was affected in 32 cases. The most common cause of injury was trauma (18 cases. The mean preoperative motion was 123°, 58°, T11. Through magnetic resonance imaging, 36 fatty degenerations were classified according to Goutallier. Patients underwent rotator cuff repair with SB technique, which consists of using a medial row anchor with two Corkscrew(r fibertape(r or fiberwire(r at the articular margin, associated with lateral fixation without stitch using PushLocks(r or SwiveLocks(r. RESULTS: The mean age was 60 years and mean fatty degeneration was 2.6. The mean range of motion (following the AAOS in the postoperative evaluation was 148° of forward elevation, 55° in lateral rotation and medial rotation in T9. Using the criteria of the University of California at Los Angeles (UCLA, 35 (94% patients had excellent and good results; one (2.7%, fair; and one (2.7%, poor. CONCLUSION: Arthroscopic repair of a large and extensive RCI using SB technique had good and excellent results in 94% of the patients.

  16. Contemporary techniques in inferior turbinate reduction: survey results of the American Society for Aesthetic Plastic Surgery.

    Science.gov (United States)

    Feldman, Evan M; Koshy, John C; Chike-Obi, Chuma J; Hatef, Daniel A; Bullocks, Jamal M; Stal, Samuel

    2010-09-01

    Nasal airway obstruction is a frequently-encountered problem, often secondary to inferior turbinate hypertrophy. Medical treatment can be beneficial but is inadequate for many individuals. For these refractory cases, surgical intervention plays a key role in management. The authors evaluate the current trends in surgical management of inferior turbinate hypertrophy and review the senior author's (SS) preferred technique. A questionnaire was devised and sent to members of the American Society for Aesthetic Plastic Surgery (ASAPS) to determine their preferred methods for assessment and treatment of inferior turbinate hypertrophy. One hundred and twenty-seven physicians responded to the survey, with 85% of surveys completed fully. Of the responses, 117 (92%) respondents were trained solely in plastic surgery and 108 (86.4%) were in private practice. Roughly 81.6% of respondents employ a clinical exam alone to evaluate for airway issues. The most commonly-preferred techniques to treat inferior turbinate hypertrophy were a limited turbinate excision (61.9%) and turbinate outfracture (35.2%). Based on the results of this study, it appears that limited turbinate excision and turbinate outfracture are the most commonly-used techniques in private practice by plastic surgeons. Newer techniques such as radiofrequency coblation have yet to become prevalent in terms of application, despite their current prevalence within the medical literature. The optimal method of management for inferior turbinate reduction should take into consideration the surgeon's skill and preference, access to surgical instruments, mode of anesthesia, and the current literature.

  17. Assessing atrophy measurement techniques in dementia: Results from the MIRIAD atrophy challenge

    Science.gov (United States)

    Cash, David M.; Frost, Chris; Iheme, Leonardo O.; Ünay, Devrim; Kandemir, Melek; Fripp, Jurgen; Salvado, Olivier; Bourgeat, Pierrick; Reuter, Martin; Fischl, Bruce; Lorenzi, Marco; Frisoni, Giovanni B.; Pennec, Xavier; Pierson, Ronald K.; Gunter, Jeffrey L.; Senjem, Matthew L.; Jack, Clifford R.; Guizard, Nicolas; Fonov, Vladimir S.; Collins, D. Louis; Modat, Marc; Cardoso, M. Jorge; Leung, Kelvin K.; Wang, Hongzhi; Das, Sandhitsu R.; Yushkevich, Paul A.; Malone, Ian B.; Fox, Nick C.; Schott, Jonathan M.; Ourselin, Sebastien

    2015-01-01

    Structural MRI is widely used for investigating brain atrophy in many neurodegenerative disorders, with several research groups developing and publishing techniques to provide quantitative assessments of this longitudinal change. Often techniques are compared through computation of required sample size estimates for future clinical trials. However interpretation of such comparisons is rendered complex because, despite using the same publicly available cohorts, the various techniques have been assessed with different data exclusions and different statistical analysis models. We created the MIRIAD atrophy challenge in order to test various capabilities of atrophy measurement techniques. The data consisted of 69 subjects (46 Alzheimer's disease, 23 control) who were scanned multiple (up to twelve) times at nine visits over a follow-up period of one to two years, resulting in 708 total image sets. Nine participating groups from 6 countries completed the challenge by providing volumetric measurements of key structures (whole brain, lateral ventricle, left and right hippocampi) for each dataset and atrophy measurements of these structures for each time point pair (both forward and backward) of a given subject. From these results, we formally compared techniques using exactly the same dataset. First, we assessed the repeatability of each technique using rates obtained from short intervals where no measurable atrophy is expected. For those measures that provided direct measures of atrophy between pairs of images, we also assessed symmetry and transitivity. Then, we performed a statistical analysis in a consistent manner using linear mixed effect models. The models, one for repeated measures of volume made at multiple time-points and a second for repeated “direct” measures of change in brain volume, appropriately allowed for the correlation between measures made on the same subject and were shown to fit the data well. From these models, we obtained estimates of the

  18. A Short-term Comparison Between Result of Palisade Cartilage Tympanoplasty and Temporalis Fascia Technique

    Directory of Open Access Journals (Sweden)

    Mahmood Shishegar

    2012-03-01

    Full Text Available Introduction: The use of cartilage as a grafting material has been advocated in cases where there is a high risk of graft failure, such as subtotal perforations, adhesive processes, and residual defects after primary tympanoplasties. The purpose of this study was to compare the graft acceptance rates and auditory outcomes of cartilage tympanoplasty operations using a palisade technique with those of primary tympanoplasty using temporalis fascia in a homogenous group of patients. Study Design: Prospective study.  Materials and Methods:The study population included 54 patients who were operated on in two groups (palisade technique & temporalis fascia technique with each group containing 27 patients. Patients with pure subtotal perforations (perforation of >50% of the whole tympanic membrane [TM] area, an intact ossicular chain, at least a one month dry period, and normal middle ear mucosa were included in the study. Grafts acceptance rates and pre- and post-operative audiograms were compared. The follow-up time was six months.  Results: Graft acceptance was achieved in all patients (100% in the palisade cartilage tympanoplasty group and in 25 patients (92.5% in the temporalis fascia group. This difference was not statistically significant (P= 0.15. Comparison of the increases in mean speech reception threshold, air–bone gap, and pure-tone average scores between both techniques showed no significant changes.    Conclusion: Our experience with the palisade cartilage technique demonstrates that subtotal or total perforation at high risk for graft failure can be treated efficiently, and that a durable and resistant reconstruction of the TM with reasonable auditory function can be achieved.  

  19. Early tumor necrosis factor α antagonist therapy in everyday practice for inflammatory back pain suggesting axial spondyloarthritis: results from a prospective multicenter french cohort.

    Science.gov (United States)

    Canouï-Poitrine, Florence; Poulain, Cécile; Molto, Anna; Le Thuaut, Aurélie; Lafon, Cécile; Farrenq, Valérie; Ferkal, Salah; Le Corvoisier, Philippe; Ghaleh, Bijan; Bastuji-Garin, Sylvie; Fautrel, B; Dougados, Maxime; Claudepierre, Pascal

    2014-09-01

    To determine the frequency of and factors associated with early tumor necrosis factor α (TNFα) antagonist therapy in everyday clinical practice in patients with suspected axial spondyloarthropathy (SpA). We used data from the prospective observational study in the French Devenir des Spondylarthropathies Indifférenciées Récentes (DESIR; Outcome of Recent Undifferentiated Spondylarthropathies) cohort of 708 patients with recent-onset (50 (OR 1.88, 95% CI 1.24-2.87, P = 0.003), current or past disease-modifying antirheumatic drug use (OR 2.09, 95% CI 1.22-3.59, P = 0.008), systemic corticosteroid use (OR 2.48, 95% CI 1.43-4.34, P = 0.002), and mild to severe radiographic hip abnormalities (OR 9.43, 95% CI 2.11-42.09, P = 0.003). After adjustment on these factors, Achilles enthesis hypervascularization by power Doppler and number of work days missed were associated with TNFα antagonist therapy. In the DESIR cohort, approximately one-fourth of patients with recent IBP suggestive of axial SpA were under anti-TNFα therapy after 1 year of followup. All factors associated with this early initiation reflected higher disease activity, refractoriness, or severity, which suggests compliance of French rheumatologists with current treatment guidelines. Copyright © 2014 by the American College of Rheumatology.

  20. Results of hip arthroplasty using Paavilainen technique in patients with congenitally dislocated hip

    Directory of Open Access Journals (Sweden)

    R. M. Tikhilov

    2014-01-01

    Full Text Available The purpose of the study was to analyze the medium- and long-term results of hip arthroplasty using Paavilainen technique in patients with the congenitally dislocated hip. Methods: From 2001 to 2012 180 operations were carried out were using the Paavilainen technique in 140 patients with high dislocation of the hip (Crowe IV. All patients were clinically evaluated using the Harris Hip Score (HHS, VAS and radiography. Statistical analysis was performed using the Pearson correlation coefficients, multiple regression analysis and classification trees analysis. Results: The average Harris score improved from preoperative 41.6 (40,3-43,5 to 79.3 (77,9-82,7 at final follow-up, and the difference was significant. Early complications were 9% (the most frequent were fractures of the proximal femur, later - 16.7% (pseudoarthrosis of the greater trochanter, 13.9%; disclocations-1,1%, aseptic loosening of the components - 1.7%, reoperation performed in 8.3% of cases. Such factors as age and limb length has statistically significant effect on functional outcomes. Established predictive model allows to get the best possible functional outcome in such patients with severe dysplasia. Conclusions: Total Hip arthroplasty using the Paavilainen technique is an effective method of surgical treatment in patients with the congenitally dislocated hip, but it is technically difficult operation with a high incidence of complications in comparison with standard primary total hip replacement.

  1. Lateral Oncoplastic Breast Surgery (LOBS) - A new surgical technique and short term results.

    Science.gov (United States)

    Singh, Gurpreet; Kohli, Pavneet Singh; Bagaria, Dinesh

    2017-09-21

    We present a new approach for BCS which we have named as the Lateral Oncoplastic Breast Surgery (LOBS) approach. Patients with biopsy proven breast cancer or phyllodes tumors in the outer quadrants of the breast were selected. The patients were operated in the lateral position using the principles of a Level 1 oncoplastic technique. 106 patients (93 breast cancer; 13 phyllodes tumor) were operated using this technique. For patients with breast cancer the mean tumor size was 2.7 cms. 3 patients had a positive margin. The mean tumor size for phyllodes tumors was 6.7 cms. Surgical site infections (15 patients), marginal skin necrosis (2 patients) and superficial NAC necrosis (1 patient) were observed. Although the mean follow up was only 355.8 days there were no early detected recurrences. LOBS is a new approach for BCS which offers distinct advantages. The short term results, both oncological and aesthetic, are encouraging. A new approach for performing oncoplastic breast conserving surgery (BCS) is described and the short term results of our first 106 cases are presented. Advantages of this approach over conventional techniques are reviewed. Copyright © 2017 Elsevier Inc. All rights reserved.

  2. RESULTS OF THE USE OF PEEK CAGES IN THE TREATMENT OF BASILAR INVAGINATION BY GOEL TECHNIQUE

    Directory of Open Access Journals (Sweden)

    Luís Eduardo Carelli Teixeira da Silva

    2016-03-01

    Full Text Available ABSTRACT Objective: Analysis of the use of polyetheretherketone (PEEK cages for atlantoaxial facet realignment and distraction for treatment of basilar invagination by Goel technique. Method: Retrospective descriptive statistical analysis of the neurological status, pain, presence of subsidence and bone fusion with the use of PEEK cages in 8 atlantoaxial joints of 4 patients with basilar invagination. All patients were treated with atlantoaxial facet distraction and realignment and subsequent arthrodesis C1-C2 by the technique of Goel modified by the use of PEEK cage. Results: All patients showed improvement in Nurick neurological assessment scale and Visual Analogue Scale (VAS of pain. There were no cases of subsidence, migration, or damage to the vertebral artery during the insertion of the cage. All joints evolved with bone fusion, assessed by dynamic radiographs, and computed tomography. Two patients developed neuropathic pain in dermatome of C2 and one patient had unilateral vertebral artery injury during C2 instrumentation treated with insertion of pedicle screw to control the bleeding. Conclusion: The results of the treatment of basilar invagination by the Goel technique with the use of PEEK cages shown to be effective and safe although further studies are needed to confirm this use.

  3. Improvement in technique for arthroscopic ankle fusion: results in 15 patients.

    Science.gov (United States)

    Kats, J; van Kampen, A; de Waal-Malefijt, M C

    2003-01-01

    We retrospectively assessed time until consolidation, complications, and functional results according to Morgan from the clinical charts and radiographs of 15 arthroscopic ankle fusions. In 11 patients unilateral distraction and crossed screw placement over the fusion area through tibia and fibula were used (group A); in 4 patients a technique of bilateral distraction and parallel screw placement from the dorsal side of the tibia into the neck of the talus was used (group B). In group A there were two cases of insufficient compression at the arthrodesis site, three cases of suboptimal compression, and five cases of malposition of the screws. In all cases in group B good compression and fixation was achieved, and no case of malpositioning of screws occurred. There was nonunion in 3 of 11 patients in group A and in none of the four patients in group B. Time until fusion was 23.3 in group A and 12.5 weeks in group B. Functional results were better in group B. The initial experiences with our technique of bilateral distraction and parallel screw placement are therefore promising. Screw placement is easier and optimal compression and fixation are achieved. We feel that this technique should be considered when performing an arthroscopic ankle fusion.

  4. Loss of Niemann-Pick C1 or C2 protein results in similar biochemical changes suggesting that these proteins function in a common lysosomal pathway.

    Directory of Open Access Journals (Sweden)

    Sayali S Dixit

    Full Text Available Niemann-Pick Type C (NPC disease is a lysosomal storage disorder characterized by accumulation of unesterified cholesterol and other lipids in the endolysosomal system. NPC disease results from a defect in either of two distinct cholesterol-binding proteins: a transmembrane protein, NPC1, and a small soluble protein, NPC2. NPC1 and NPC2 are thought to function closely in the export of lysosomal cholesterol with both proteins binding cholesterol in vitro but they may have unrelated lysosomal roles. To investigate this possibility, we compared biochemical consequences of the loss of either protein. Analyses of lysosome-enriched subcellular fractions from brain and liver revealed similar decreases in buoyant densities of lysosomes from NPC1 or NPC2 deficient mice compared to controls. The subcellular distribution of both proteins was similar and paralleled a lysosomal marker. In liver, absence of either NPC1 or NPC2 resulted in similar alterations in the carbohydrate processing of the lysosomal protease, tripeptidyl peptidase I. These results highlight biochemical alterations in the lysosomal system of the NPC-mutant mice that appear secondary to lipid storage. In addition, the similarity in biochemical phenotypes resulting from either NPC1 or NPC2 deficiency supports models in which the function of these two proteins within lysosomes are linked closely.

  5. Clinical Results of Flexor Tendon Repair in Zone II Using a six Strand Double Loop Technique.

    Science.gov (United States)

    Savvidou, Christiana; Tsai, Tsu-Min

    2015-06-01

    The purpose of this study is to report the clinical results after repair of flexor tendon zone II injuries utilizing a 6-strand double-loop technique and early post-operative active rehabilitation. We retrospectively reviewed 22 patients involving 51 cases with zone II flexor tendon repair using a six strand double loop technique from September 1996 to December 2012. Most common mechanism of injuries was sharp lacerations (86.5 %). Tendon injuries occurred equally in manual and non-manual workers and were work-related in 33 % of the cases. The Strickland score for active range of motion (ROM) postoperatively was excellent and good in the majority of the cases (81 %). The rupture rate was 1.9 %. The six strand double loop technique for Zone II flexor tendon repair leads to good and excellent motion in the majority of patients and low re- rupture rate. It is clinically effective and allows for early postoperative active rehabilitation.

  6. Arthroscopic reduction and percutaneous fixation of selected calcaneus fractures: surgical technique and early results.

    Science.gov (United States)

    Sivakumar, Brahman S; Wong, Peter; Dick, Charles G; Steer, Richard A; Tetsworth, Kevin

    2014-10-01

    To highlight a technique combining fluoroscopy and arthroscopy to aid percutaneous reduction and internal fixation of selected displaced intra-articular calcaneal fractures, assess outcome scores, and compare this method with other previously reported percutaneous methods. Retrospective review of all patients treated by this technique between June 2009 and June 2012. A tertiary care center located in Brisbane, Queensland, Australia. Thirteen consecutive patients were treated by this method during this period. All patients had a minimum of 13 months follow-up and were available for radiological checks and assessment of complications; functional outcome scores were available for 9 patients. The patient was placed in a lateral decubitus position. Reduction was achieved with the aid of both intraoperative fluoroscopy and subtalar arthroscopy and held with cannulated screws in orthogonal planes. The patient was mobilized non-weight bearing for 10 weeks. Outcomes measured were improvement in Bohler angle, postoperative complications, and 3 functional outcome scores (American Orthopaedic Foot and Ankle Society ankle-hindfoot score, Foot Function Index, and Calcaneal Fracture Scoring System). Mean postoperative improvement in Bohler angle was 18.3 degrees, with subsidence of 1.7 degrees. Functional outcome scores compared favorably with the prior literature. Based on available postoperative computed tomography scans (8/13), maximal residual articular incongruity measured 2 mm or less in 87.5% of our cases. Early results indicate that this technique, when combined with careful patient selection, offers a valid therapeutic option for the treatment of a distinct subset of displaced intra-articular calcaneal fractures, with diminished risk of wound complications. Large, prospective multicenter studies will be necessary to better evaluate the potential benefits of this technique. Level IV Therapeutic. See Instructions for Authors for a complete description of levels of evidence.

  7. Improved synthetic aperture focusing technique results of thick concrete specimens through frequency banding

    Science.gov (United States)

    Clayton, Dwight; Barker, Alan; Albright, Austin; Santos-Villalobos, Hector

    2016-02-01

    A multitude of concrete-based structures are typically part of a light water reactor (LWR) plant to provide the foundation, support, shielding, and containment functions. This use has made its long-term performance crucial for the safe operation of commercial nuclear power plants (NPPs). Extending reactor life to 60 years and beyond will likely increase susceptibility and severity of known forms of degradation. We seek to improve and extend the usefulness of results produced using the synthetic aperture focusing technique (SAFT) on ultrasonic data collected from thick, complex concrete structures such as in NPPs. Towards these goals, we apply the time-frequency technique of wavelet packet decomposition and reconstruction using a mother wavelet that possesses the exact reconstruction property. However, instead of analyzing the coefficients of each decomposition node, we select and reconstruct specific nodes based on the frequency band it contains to produce a frequency band specific time-series representation. SAFT is then applied to these frequency specific reconstructions allowing SAFT to be used to visualize the reflectivity of a frequency band and that band's interaction with the contents of the concrete structure. Specially designed and fabricated test specimens can provide realistic flaws that are similar to actual flaws in terms of how they interact with a particular NDE technique. Artificial test blocks allow the isolation of certain testing problems as well as the variation of certain parameters. Because conditions in the laboratory are controlled, the number of unknown variables can be decreased, making it possible to focus on specific aspects, investigate them in detail, and gain further information on the capabilities and limitations of each method. To minimize artifacts caused by boundary effects, the dimensions of the specimens should not be too compact. In this paper, we apply this enhanced SAFT technique to a 2.134 m × 2.134 m × 1.016 m concrete

  8. Bevacizumab reduces the growth rate constants of renal carcinomas: a novel algorithm suggests early discontinuation of bevacizumab resulted in a lack of survival advantage.

    Science.gov (United States)

    Stein, Wilfred D; Yang, James; Bates, Susan E; Fojo, Tito

    2008-10-01

    To hasten cancer drug development, new paradigms are needed to assess therapeutic efficacy. In a randomized phase II study in patients with renal cell carcinoma, 10 microg/kg bevacizumab (Avastin; Genentech, Inc., South San Francisco, CA) administered every 2 weeks resulted in a longer time to progression but a statistically significant difference in overall survival could not be demonstrated. We developed a novel two-phase equation to estimate concomitant rates of tumor regression (regression rate constant) and tumor growth (growth rate constant). This method allows us to assess therapeutic efficacy using tumor measurements gathered while a patient receives therapy in a clinical trial. The growth rate constants of renal cell carcinomas were significantly lower during therapy with 10 microg/kg bevacizumab than those of tumors in patients receiving placebo. In all cohorts the tumor growth rate constants were correlated with survival. That a survival advantage was not demonstrated with bevacizumab appears to have been a result of early discontinuation of bevacizumab. Single-agent bevacizumab significantly affects the growth rate constants of renal cell carcinoma. Extrapolating from the growth rate constants, we conclude that the failure to demonstrate a survival advantage in the original study was a result of premature discontinuation of bevacizumab. The mathematical model described herein has applications to many tumor types and should aid in evaluating the relative efficacies of different therapies. Quantitating tumor growth rate constants using data gathered while patients are enrolled in a clinical trial, as in the present study, may streamline and assist in drug development.

  9. Technique and results after distal braquial biceps tendon reparation, through two anterior mini-incisions

    Science.gov (United States)

    Pascarelli, Luciano; Righi, Lúcio César Silva; Bongiovanni, Roberto Rangel; Imoto, Rogério Sano; Teodoro, Renato Loureiro; Ferro, Hemanoel Fernando dos Anjos

    2013-01-01

    OBJECTIVE: Evaluation of postoperative results of repair of distal biceps brachii ruptures through a two anterior mini-incisions. METHODS: Nine patients with clinical and imaging (MRI) diagnosis of total lesion of the biceps brachii at its insertion were operated with a surgical technique with two mini-incisions between 2008 and 2011. The patients were evaluated after three months of evolution and all of them recovered the fully flexion-extension arch. RESULTS: Two patients (22.2%) presented a limitation of 20 degrees of supination. One patient (11.1%) had radial nerve palsy, but was totally recovered after five months. In one patient (11.1%) the muscle remained retracted, but the insertion was recovered. In three patients (33.3%) adhesion was observed on the proximal scar. There was no clinical or radiographic evidence of radioulnar synostosis after six months of evolution. All patients reported satisfaction with the treatment. CONCLUSIONS: We conclude that the presented method shows good results as well as other techniques, with less risk of adhesion on the flexor fold of the elbow. Level of Evidence IV, Case Series. PMID:24453647

  10. Transtemporal amygdalohippocampectomy: a novel minimally-invasive technique with optimal clinical results and low cost

    Directory of Open Access Journals (Sweden)

    Juan Antonio Castro Flores

    Full Text Available ABSTRACT Mesial temporal sclerosis creates a focal epileptic syndrome that usually requires surgical resection of mesial temporal structures. Objective: To describe a novel operative technique for treatment of temporal lobe epilepsy and its clinical results. Methods: Prospective case-series at a single institution, performed by a single surgeon, from 2006 to 2012. A total of 120 patients were submitted to minimally-invasive keyhole transtemporal amygdalohippocampectomy. Results: Of the patients, 55% were male, and 85% had a right-sided disease. The first 70 surgeries had a mean surgical time of 2.51 hours, and the last 50 surgeries had a mean surgical time of 1.62 hours. There was 3.3% morbidity, and 5% mild temporal muscle atrophy. There was no visual field impairment. On the Engel Outcome Scale at the two-year follow-up, 71% of the patients were Class I, 21% were Class II, and 6% were Class III. Conclusion: This novel technique is feasible and reproducible, with optimal clinical results.

  11. First results in the use of sterile insect technique against Trialeurodes vaporariorum (Homoptera: Aleyroididae) in greenhouses

    International Nuclear Information System (INIS)

    Calvitti, M.; Remotti, P.C.; Pasquali, A.; Cirio, U.

    1998-01-01

    Trials for the evaluation of the effectiveness of the sterile insect technique for the suppression of greenhouse whitefly, Trialeurodes vaporariorum (Westwood), both in cage and in greenhouse conditions are described. The results show a significant reduction of the reproductive capacity of the untreated whitefly populations interacting with sterile insects. Untreated whiteflies, co-existing in a mixed population together with sterile insects, attained less than the half (44%) of their potential reproductive capacity. This trend was also evident in the cage test where the untreated whitefly population, crossed with the sterile whiteflies, increased without exceeding 2/3 of the density recorded in the control cages. These results may be based on 2 joint sterile insect technique effects: primarily a drastic reduction of the progeny of normal untreated females, when mating with sterile males, carriers of dominant lethal mutations, and secondarily a progressive reduction of the females in the population due to an increasing rate of unsuccessful matings resulting in a condition of forced arrhenotoky. No deleterious effects, on plant health and fruit quality, were observed on plants exposed to high sterile whitefly pressures

  12. A Review of Methodology for Evaluating the Performance of Atmospheric Transport and Dispersion Models and Suggested Protocol for Providing More Informative Results

    Directory of Open Access Journals (Sweden)

    Steven Herring

    2018-03-01

    Full Text Available Many models exist for predicting the atmospheric transport and dispersion of material following its release into the atmosphere. The purpose of these models may be to support air quality assessments and/or to predict the hazard resulting from releases of harmful materials to inform emergency response actions. In either case it is essential that the user understands the level of predictive accuracy that might be expected. However, contrary to expectation, this is not easily determined from published comparisons of model predictions against data from dispersion experiments. The paper presents and reviews the methods adopted and issues involved in comparing the predictive performance of atmospheric transport and dispersion models to experimental data, by reference to a number of experimental data sets and comparison results. It then presents an approach which is designed to make the performance of atmospheric dispersion models more transparent, through clearly defining the basis on which the comparison is made, and comparing the performance of the chosen model to that of a reference model. Such an approach establishes a clear baseline against which the accuracy of models can be evaluated and the performance benefits of more sophisticated approaches quantified. The use of a simple analytic reference model applicable to continuous ground level releases in open terrain and urban areas is shown as a proof-of-principle.

  13. Subtalar fusion in cerebral palsy patients: results of a new technique using corticocancellous allograft.

    Science.gov (United States)

    Senaran, Hakan; Yilmaz, Guney; Nagai, Mary K; Thacker, Mihir; Dabney, Kirk W; Miller, Freeman

    2011-03-01

    Valgus deformity of the hindfoot in cerebral palsy (CP) patients is common and causes functional deterioration and shoe fitting problems together with skin ulcerations. Our aims in this study are, to present an intra-articular technique of subtalar fusion using allograft and internal fixation to achieve stabilization and second to report the results and clinical outcome of a series of intra-articular subtalar arthrodesis performed in CP children. We performed a retrospective review of radiographs and medical records of 145 children with CP who underwent intra-articular subtalar fusion from January 1994 to December 2004. The subtalar joint was fixed through the anterior facet with a cannulated screw whereas the anterior aspect of the calcaneus was parallel to the anterior aspect of the head of the talus. Tricortical iliac crest allograft was placed into the sinus tarsi and the denuded posterior facet area. Results are grouped as good, satisfactory, and poor according to the radiographic and clinical outcomes. The mean age at the time of surgery was 12.7 years (range: 5 to 20 y) and the average follow-up was 4.8 years (range: 2 to 11 y). Good results were obtained in 242 feet (96%). Satisfactory results were obtained in 6 feet (2%) which were painless pseudoarthrosis of subtalar joint in 2 feet and screw removal was required in 4 feet because of pain. Nonunion of thesubtalar joint together with recurrence of deformity was observed in 5 feet (2%) which is accepted as poor result and required revision surgery. No deep infections, implant failure, allograft failure were observed in a mean of 4.8 years. Our described technique of intra-articular subtalar joint fusion is safe and reliable in CP children with high rate of satisfactory results. Therapeutic studies-Level IV.

  14. Results of a bone splint technique for the treatment of lower limb deformities in children with type I osteogenesis imperfecta

    Directory of Open Access Journals (Sweden)

    Dasheng Lin

    2013-01-01

    Full Text Available Background: Children with osteogenesis imperfecta (OI can suffer from frequent fractures and limb deformities, resulting in impaired ambulation. Osteopenia and thin cortices complicate orthopedic treatment in this group. This study evaluates the clinical results of a bone splint technique for the treatment of lower limb deformities in children with type I OI. The technique consists of internal plating combined with cortical strut allograft fixation. Materials and Methods: We prospectively followed nine children (five boys, four girls with lower limb deformities due to type I OI, who had been treated with the bone splint technique (11 femurs, four tibias between 2003 and 2006. The fracture healing time, deformity improvement, ambulation ability and complications were recorded to evaluate treatment effects. Results: At the time of surgery the average age in our study was 7.7 years (range 5-12 years. The average length of followup was 69 months (range 60-84 months. All patients had good fracture healing with an average healing time of 14 weeks (range 12-16 weeks and none experienced further fractures, deformity, or nonunion. The fixation remained stable throughout the procedure in all cases, with no evidence of loosening or breakage of screws and the deformity and mobility significantly improved after surgery. Of the two children confined to bed before surgery, one was able to walk on crutches and the other needed a wheelchair. The other seven patients could walk without walking aids or support like crutches. Conclusions: These findings suggest that the bone splint technique provides good mechanical support and increases the bone mass. It is an effective treatment for children with OI and lower limb deformities.

  15. Numerical modelling of radon-222 entry into houses: An outline of techniques and results

    DEFF Research Database (Denmark)

    Andersen, C.E.

    2001-01-01

    Numerical modelling is a powerful tool for studies of soil gas and radon-222 entry into houses. It is the purpose of this paper to review some main techniques and results. In the past, modelling has focused on Darcy flow of soil gas (driven by indoor–outdoor pressure differences) and combined......, fractures, moisture, non-uniform soil temperature, non-Darcy flow of gas, and flow caused by changes in the atmospheric pressure. Numerical models can be used to estimate the importance of specific factors for radon entry. Models are also helpful when results obtained in special laboratory or test structure...... experiments need to be extrapolated to more general situations (e.g. to real houses or even to other soil–gas pollutants). Finally, models provide a cost-effective test bench for improved designs of radon prevention systems. The paper includes a summary of transport equations and boundary conditions...

  16. Reduction and Mastopexy Techniques for Optimal Results in Oncoplastic Breast Reconstruction

    Science.gov (United States)

    Rose, Jessica F.; Colen, Jessica Suarez; Ellsworth, Warren A.

    2015-01-01

    Breast conservation therapy has emerged as an important option for select cancer patients as survival rates are similar to those after mastectomy. Large tumor size and the effect of radiation create cosmetic deformities in the shape of the breast after lumpectomy alone. Volume loss, nipple displacement, and asymmetry of the contralateral breast are just a few concerns. Reconstruction of lumpectomy defects with local tissue rearrangement in concert with reduction and mastopexy techniques have allowed for outstanding aesthetic results. In patients who have a reasonable tumor- to breast-size ratio, this oncoplastic surgery can successfully treat the patient's cancer while often improving upon preoperative breast shape. Specific surgical guidelines in reduction and mastopexy help achieve predictable aesthetic results, despite the effects of radiation, and can allow for a single surgical procedure for cancer removal, reconstruction, and contralateral symmetry in one stage. PMID:26528086

  17. [Endoscopic calcaneoplasty (ECP) in Haglund's syndrome. Indication, surgical technique, surgical findings and results].

    Science.gov (United States)

    Jerosch, J; Sokkar, S; Dücker, M; Donner, A

    2012-06-01

    Posterior calcaneal exostosis treatment modalities have given rise to many controversial opinions. After failure of the conservative treatment, surgical bursectomy and resection of the calcaneal exostosis are indicated by many authors. But clinical studies also show a high rate of unsatisfactory results with a relative high incidence of complications. The minimally invasive surgical technique by an endoscopic calcaneoplasty (ECP) could be an option to overcome some of these problems. Between 1999 und 2010 we operated 164 patients with an age range between 16 and 67 years, 81 males and 83 females. The radiological examination prior to surgery documented in all cases a posterior superior calcaneal exostosis that showed friction to the Achilles tendon. All patients included in the study had no clinical varus of the hind foot, nor cavus deformities. All patients had undergone a trial of conservative treatment for at least 6 months and did not show a positive response. The average follow-up was 46.3 (range: 8-120) months. According to the Ogilvie-Harris score 71 patients presented good and 84 patients excellent results, while 5 patients showed fair results, and 4 patients only poor results. All the post-operative radiographs showed sufficient resection of the calcaneal spur. In 61 patients the preoperative MRI showed a partial rupture of the Achilles tendon close to the insertion side. In no case could we observe a complete tear at the time of follow-up. Only minor postoperative complications were observed. In many patients we could observe a chondral layer at the posterior aspect of the calcaneus. Close to the intersion the Achilles tendon showed also in many patients a chondroide metaplasia. ECP is an effective and minimally invasive procedure for the treatment of patients with calcaneal exostosis. After a short learning curve the endoscopic exposure is superior to the open technique, has less morbidity, less operating time, and nearly no complications. Moreover, the

  18. [Functional results of the parallel-plate technique for complex distal humerus fractures].

    Science.gov (United States)

    Atalar, Ata Can; Demirhan, Mehmet; Salduz, Ahmet; Kiliçoğlu, Onder; Seyahi, Aksel

    2009-01-01

    We evaluated functional results of patients treated with open reduction and internal fixation with the parallel-plate technique for complex distal humerus fractures. Twenty-one patients (14 males, 7 females; mean age 47 years; range 16 to 85) underwent open reduction with olecranon osteotomy and internal fixation with the parallel-plate technique for distal humerus fractures accompanied by highly intra-articular or metaphyseal comminution (n=10), intra-articular comminution and osteoporosis (n=7), and intra-articular and metaphyseal comminution with bone loss (n=4). According to the AO classification, there were 12 C3, six C2, and three C1 type fractures. Eight patients had open fractures. The mean time to surgery was six days (range 1 to 17 days). Functional results were evaluated using the Mayo elbow performance score, Jupiter elbow score, and DASH (Disabilities of the Arm, Shoulder and Hand) score. The mean follow-up was 28 months (range 12 to 48 months). The mean total range of motion was 90.2+/-31.1 degrees, flexion was 118.1+/-17.4 degrees, and extension was 27.8+/-17.4 degrees. The mean Mayo elbow performance score and DASH score were 86.1+/-12.6 and 7.6+/-9.5, respectively. According to the Jupiter elbow scores, the results were excellent in seven patients, good in 11 patients, moderate in two patients, and poor in one patient. Radiographically, solid union was achieved in all the patients. Heterotopic ossification of varying degrees was seen in seven patients, two of whom underwent resection of heterotopic ossification due to severe limitation of movement. Debridement was performed in one patient due to the development of deep infection. Chondrolysis of the elbow occurred in one patient. Patients with open fractures had significantly lower range of motion than those with closed fractures (p0.05). Functional results are satisfactory in distal humerus fractures treated with stable osteosynthesis and parallel-plate technique that allow early active motion.

  19. Comparison of NDT techniques to evaluate CFRP. Results obtained in a MAIzfp round robin test

    Energy Technology Data Exchange (ETDEWEB)

    Grosse, Christian U. [Technische Univ. Muenchen (Germany). Chair of Non-destructive Testing; Goldammer, Matthias; Grager, Jan-Carl [Siemens AG Corporate Technology, Muenchen (Germany); and others

    2016-10-01

    Fiber reinforced polymeric materials are used for lightweight constructions and are an integral part of cars, airplanes or rotor blades of wind turbines. Nondestructive testing (NDT) methods play an increasing role concerning the manufacturing process and the inspection during lifetime. The selection of the best NDT technique for a certain application depends - of course - on many factors including the type, position and size of the defect to be detected but also on secondary issues like accessibility, automation, testing costs, reliability and resolution to mention only some. For the more technical-scientific part of these issues, the determination of the probability of detection (PoD) plays a significant role. Early in the design process questions should be raised concerning the probability with which certain attribute of interest (a defect that has an effect on the structural behavior) can be detected (and localized) in a certain construction. Several defect types have been identified to be critical like impact damages, undulations and porosity. Test samples out of differently processed Carbon Fiber-Reinforced Polymers (CFRP) as used in the automotive or aeronautical industry have been produced including defects of different type and size. In order to determine the PoD and to check whether a technique is applicable the different partners applied a broad variety of selected NDT techniques including Micro CT, Ultrasound (including phased-array and air-coupled UT), Active Thermography, Eddy Current, Vibration and Visual Analysis and Local Acoustic Resonance Spectroscopy (LARS). The presentation will summarize some of the results of the experiments and ongoing data analysis.

  20. Preliminary Experimental Results on the Technique of Artificial River Replenishment to Mitigate Sediment Loss Downstream Dams

    Science.gov (United States)

    Franca, M. J.; Battisacco, E.; Schleiss, A. J.

    2014-12-01

    The transport of sediments by water throughout the river basins, from the steep slopes of the upstream regions to the sea level, is recognizable important to keep the natural conditions of rivers with a role on their ecology processes. Over the last decades, a reduction on the supply of sand and gravel has been observed downstream dams existing in several alpine rivers. Many studies highlight that the presence of a dam strongly modifies the river behavior in the downstream reach, in terms of morphology and hydrodynamics, with consequences on local ecology. Sediment deficit, bed armoring, river incision and bank instability are the main effects which affect negatively the aquatic habitats and the water quality. One of the proposed techniques to solve the problem of sediment deficit downstream dams, already adopted in few Japanese and German rivers although on an unsatisfactory fashion, is the artificial replenishment of these. Generally, it was verified that the erosion of the replenishments was not satisfactory and the transport rate was not enough to move the sediments to sufficient downstream distances. In order to improve and to provide an engineering answer to make this technique more applicable, a series of laboratory tests are ran as preparatory study to understand the hydrodynamics of the river flow when the replenishment technique is applied. Erodible volumes, with different lengths and submergence conditions, reproducing sediment replenishments volumes, are positioned along a channel bank. Different geometrical combinations of erodible sediment volumes are tested as well on the experimental flume. The first results of the experimental research, concerning erosion time evolution, the influence of discharge and the distance travelled by the eroded sediments, will be presented and discussed.

  1. Comparison of NDT techniques to evaluate CFRP. Results obtained in a MAIzfp round robin test

    International Nuclear Information System (INIS)

    Grosse, Christian U.

    2016-01-01

    Fiber reinforced polymeric materials are used for lightweight constructions and are an integral part of cars, airplanes or rotor blades of wind turbines. Nondestructive testing (NDT) methods play an increasing role concerning the manufacturing process and the inspection during lifetime. The selection of the best NDT technique for a certain application depends - of course - on many factors including the type, position and size of the defect to be detected but also on secondary issues like accessibility, automation, testing costs, reliability and resolution to mention only some. For the more technical-scientific part of these issues, the determination of the probability of detection (PoD) plays a significant role. Early in the design process questions should be raised concerning the probability with which certain attribute of interest (a defect that has an effect on the structural behavior) can be detected (and localized) in a certain construction. Several defect types have been identified to be critical like impact damages, undulations and porosity. Test samples out of differently processed Carbon Fiber-Reinforced Polymers (CFRP) as used in the automotive or aeronautical industry have been produced including defects of different type and size. In order to determine the PoD and to check whether a technique is applicable the different partners applied a broad variety of selected NDT techniques including Micro CT, Ultrasound (including phased-array and air-coupled UT), Active Thermography, Eddy Current, Vibration and Visual Analysis and Local Acoustic Resonance Spectroscopy (LARS). The presentation will summarize some of the results of the experiments and ongoing data analysis.

  2. Radiation techniques used in patients with breast cancer: Results of a survey in Spain

    Science.gov (United States)

    Algara, Manuel; Arenas, Meritxell; De las Peñas Eloisa Bayo, Dolores; Muñoz, Julia; Carceller, José Antonio; Salinas, Juan; Moreno, Ferran; Martínez, Francisco; González, Ezequiel; Montero, Ángel

    2012-01-01

    Aim To evaluate the resources and techniques used in the irradiation of patients with breast cancer after lumpectomy or mastectomy and the status of implementation of new techniques and therapeutic schedules in our country. Background The demand for cancer care has increased among the Spanish population, as long as cancer treatment innovations have proliferated. Radiation therapy in breast cancer has evolved exponentially in recent years with the implementation of three-dimensional conformal radiotherapy, intensity modulated radiotherapy, image guided radiotherapy and hypofractionation. Material and Methods An original survey questionnaire was sent to institutions participating in the SEOR-Mama group (GEORM). In total, the standards of practice in 969 patients with breast cancer after surgery were evaluated. Results The response rate was 70% (28/40 centers). In 98.5% of cases 3D conformal treatment was used. All the institutions employed CT-based planning treatment. Boost was performed in 56.4% of patients: electrons in 59.8%, photons in 23.7% and HDR brachytherapy in 8.8%. Fractionation was standard in 93.1% of patients. Supine position was the most frequent. Only 3 centers used prone position. The common organs of risk delimited were: homolateral lung (80.8%) and heart (80.8%). In 84% histograms were used. An 80.8% of the centers used isocentric technique. In 62.5% asymmetric fields were employed. CTV was delimited in 46.2%, PTV in 65% and both in 38.5%. A 65% of the centers checked with portal films. IMRT and hypofractionation were used in 1% and in 5.5% respectively. Conclusion In most of centers, 3D conformal treatment and CT-based planning treatment were used. IMRT and hypofractionation are currently poorly implemented in Spain. PMID:24377012

  3. Results of Patello-Tibial Cerclage Wire Technique for Comminuted Patella Fractures Treated with Partial Patellectomy

    Directory of Open Access Journals (Sweden)

    Ender Alagöz

    2014-12-01

    Full Text Available Aim: Partial patellectomy and patellotibial cerclage technique used in comminuted inferior pole patellar fractures were evaluated and the results were discussed. Methods: Thirteen patients who have undergone partial distal patellar excision were evaluated in the study. In all patients, the inferior pole of the patella was resected, patellar tendon was sutured to the proximal patellar fragment and patellotibial cerclage was performed. At the last visit, the patients were evaluated using measurement of the distance between the superior pole of the patella and the tibial tubercle, the Lysholm knee scoring scale, knee range of motion and thigh circumference measurement. Results: The mean flexion value was 131.10 (±4.6 in normal knees and 117.20 (±8.0 in operated knees. The mean thigh diameter was 49.5 (±3.7 cm and 46.4 (±4.5 cm in normal knees and in operated knees, respectively. The mean Lysholm knee score in the patient group was 84.3 (±17.1 points. The mean distance between the superior pole of the patella and the tibial tubercle was 10.6 (±1.0 cm in normal knees and 10.1 (±1.2 cm in operated knees. The exstensor mechanism was intact in all patients and no revision surgery was performed. Conclusion: Patellotibial cerclage technique performed after partial patellectomy permits early motion and protects patients from harmful effects of immobilization; and good functional results are obtained if patients start early knee motion.

  4. Initial results on fault diagnosis of DSN antenna control assemblies using pattern recognition techniques

    Science.gov (United States)

    Smyth, P.; Mellstrom, J.

    1990-01-01

    Initial results obtained from an investigation using pattern recognition techniques for identifying fault modes in the Deep Space Network (DSN) 70 m antenna control loops are described. The overall background to the problem is described, the motivation and potential benefits of this approach are outlined. In particular, an experiment is described in which fault modes were introduced into a state-space simulation of the antenna control loops. By training a multilayer feed-forward neural network on the simulated sensor output, classification rates of over 95 percent were achieved with a false alarm rate of zero on unseen tests data. It concludes that although the neural classifier has certain practical limitations at present, it also has considerable potential for problems of this nature.

  5. ViPS (Viabahn Padova Sutureless) technique: preliminary results in the treatment of peripheral arterial disease.

    Science.gov (United States)

    Ferretto, Luca; Piazza, Michele; Bonvini, Stefano; Battocchio, Piero; Grego, Franco; Ricotta, Joseph J

    2012-01-01

    To describe early results of a novel technique (ViPS, Viabahn Padova Sutureless) that connects a vascular prosthetic graft to a target artery in a sutureless fashion. A consecutive series of five patients with peripheral arterial occlusive disease (Rutherford class IV and V) underwent six ViPS procedures (one bilateral) for limb revascularization. Angiography in all cases demonstrated complete superficial femoral artery (SFA) occlusion with reconstitution of a circumferentially calcified above-knee popliteal artery. Ultrasonography revealed no adequate vein for autogenous bypass creation. In all cases, a previous attempt of SFA endovascular recanalization was unsuccessful. A Viabahn (W.L. Gore, Flagstaff, AZ) endoprosthesis was partially deployed, and its proximal end was sutured to a polytetrafluoroethylene graft. After surgical exposure, the circumferentially calcified popliteal artery, which could not be safely sutured, was transected and the undeployed distal portion of the Viabahn was inserted into the popliteal artery supported by a stiff guidewire. The distal portion of the Viabahn graft was then deployed 2.5 cm into the popliteal artery with optimal apposition. The proximal end of the polytetrafluoroethylene graft was then sutured to the common femoral artery. The distal portion of the Viabahn was ballooned to ensure apposition with the popliteal artery. The mean time for surgical modification of the device was 6.6 minutes with a mean time for ViPS anastomosis deployment of 7 seconds. Mean operative time for ViPS procedure was 61 minutes (range: 48-74). Completion angiogram in all cases demonstrated a patent graft with no sign of dissection. The patients' symptoms resolved in all cases, with complete ulcer healing occurring in five patients within 3 weeks. Follow-up imaging (mean = 2.6 months, range: 1-5) with eco-color-Doppler and computed tomography angiogram demonstrated a patent graft with no loss of device integrity in all cases. The ViPS technique is

  6. Antegrade scrotal sclerotherapy of internal spermatic veins for varicocele treatment: technique, complications, and results

    Directory of Open Access Journals (Sweden)

    Alessandro Crestani

    2016-01-01

    Full Text Available Varicocele repair is mainly indicated in young adult patients with clinical palpable varicocele and abnormal semen parameters. Varicocele treatment is associated with a significant improvement in sperm concentration, motility, morphology, and pregnancy rate. Antegrade scrotal sclerotherapy (ASS represented one of the main alternatives to the traditional inguinal or suprainguinal surgical ligation. This article reviews the use of ASS for varicocele treatment. We provide a brief overview of the history of the procedure and present our methods used in ASS. In addition, we review complication and success of ASS, including our own retrospective data of treating 674 patients over the last 17 years. Herein, we analyzed step by step the ASS technique and described our results with an original modified technique with a long follow-up. Between December 1997 and December 2014, we performed 674 ASS. Mean operative time was 14 min (range 9 to 50 min. No significant intraoperative complications were reported. Within 90 days from the procedure, postoperative complications were recorded in overall 49 (7.2% patients. No major complications were recorded. A persistent/recurrent varicocele was detected in 40 (5.9% cases. In 32/40 (80% cases, patients showed preoperative grade III varicoceles. In patients with a low sperm number before surgery, sperm count improved from 13 × 10 6 to 21 × 10 6 ml−1 (P < 0.001. The median value of the percentage of progressive motile forms at 1 h improved from 25% to 45% (P < 0.001. Percentage of normal forms increased from 17% before surgery to 35% 1 year after the procedure (P < 0.001. In the subgroup of the 168 infertile patients, 52 (31% fathered offspring at a 12-month-minimum follow-up. Therefore, ASS is an effective minimal invasive treatment for varicocele with low recurrence/persistence rate.

  7. Photolysis frequency measurement techniques: results of a comparison within the ACCENT project

    Directory of Open Access Journals (Sweden)

    K. C. Clemitshaw

    2008-09-01

    Full Text Available An intercomparison of different radiometric techniques measuring atmospheric photolysis frequencies j(NO2, j(HCHO and j(O1D was carried out in a two-week field campaign in June 2005 at Jülich, Germany. Three double-monochromator based spectroradiometers (DM-SR, three single-monochromator based spectroradiometers with diode-array detectors (SM-SR and seventeen filter radiometers (FR (ten j(NO2-FR, seven j(O1D-FR took part in this comparison. For j(NO2, all spectroradiometer results agreed within ±3%. For j(HCHO, agreement was slightly poorer between −8% and +4% of the DM-SR reference result. For the SM-SR deviations were explained by poorer spectral resolutions and lower accuracies caused by decreased sensitivities of the photodiode arrays in a wavelength range below 350 nm. For j(O1D, the results were more complex within +8% and −4% with increasing deviations towards larger solar zenith angles for the SM-SR. The direction and the magnitude of the deviations were dependent on the technique of background determination. All j(NO2-FR showed good linearity with single calibration factors being sufficient to convert from output voltages to j(NO2. Measurements were feasible until sunset and comparison with previous calibrations showed good long-term stability. For the j(O1D-FR, conversion from output voltages to j(O1D needed calibration factors and correction functions considering the influences of total ozone column and elevation of the sun. All instruments showed good linearity at photolysis frequencies exceeding about 10% of maximum values. At larger solar zenith angles, the agreement was non-uniform with deviations explainable by insufficient correction functions. Comparison with previous calibrations for some j(O1D-FR indicated

  8. Nurse Practitioners' Use of Communication Techniques: Results of a Maryland Oral Health Literacy Survey

    OpenAIRE

    Koo, Laura W.; Horowitz, Alice M.; Radice, Sarah D.; Wang, Min Q.; Kleinman, Dushanka V.

    2016-01-01

    Objectives We examined nurse practitioners? use and opinions of recommended communication techniques for the promotion of oral health as part of a Maryland state-wide oral health literacy assessment. Use of recommended health-literate and patient-centered communication techniques have demonstrated improved health outcomes. Methods A 27-item self-report survey, containing 17 communication technique items, across 5 domains, was mailed to 1,410 licensed nurse practitioners (NPs) in Maryland in 2...

  9. Dentist-patient communication techniques used in the United States: the results of a national survey.

    Science.gov (United States)

    Rozier, R Gary; Horowitz, Alice M; Podschun, Gary

    2011-05-01

    The authors conducted a national survey to determine the communication techniques that dentists use routinely and variations in their use. American Dental Association Survey Center staff members mailed an 86-item questionnaire to a random sample of 6,300 U.S. dentists in private practice. Participants reported routine use ("most of the time" or "always") during a typical week of 18 communication techniques, of which seven are basic techniques. The authors used analysis of variance and ordinary least squares regression models to test the association of communication, provider and practice characteristics with the number of techniques. Dentists routinely use an average of 7.1 of the 18 techniques and 3.1 of the seven basic techniques. Two-thirds or more of dentists used four of the techniques (hand out printed materials, speak slowly, use models or radiographs to explain, use simple language). Less than one-fourth of dentists used any of the techniques in the teach-back method or patient-friendly practice domains. A dentist's age, race/ethnicity, education outside the United States and area of dentistry affected use. Health literacy variables (awareness, education in communication, practice-level change, outcome expectancy) and lack of time were associated with the number of techniques used. Routine use of all of the communication techniques is low among dentists, including some techniques thought to be most effective with patients with low literacy skills. Professional education is needed to improve knowledge about communication techniques and to ensure that they are used effectively. A firm foundation for these efforts requires the development, evaluation and dissemination of communication guidelines for dental care professionals.

  10. Two-bundle reconstruction of the anterior cruciate ligament using semitendinosus tendon with endobuttons: operative technique and preliminary results.

    Science.gov (United States)

    Muneta, T; Sekiya, I; Yagishita, K; Ogiuchi, T; Yamamoto, H; Shinomiya, K

    1999-09-01

    We carried out two-bundle reconstruction of the anterior cruciate ligament (ACL) using multi-strand semitendinosus tendon for the purpose of getting better stability under aggressive rehabilitation by putting the graft in the normal anatomy with minimized notch-plasty. The drill guide position was determined using two-directional radiography in hyperextension. The two-bundle procedure was performed using the inside-out technique for grafting and two Endobuttons (Acufex Microsurgical, Mansfield, MA) for femoral graft fixation. The clinical outcomes 2 years postoperatively of 54 of 62 consecutive patients were reported. The preliminary results suggested that the two-bundle procedure showed a better trend with respect to anterior stability compared with those of our previous experience using the single-bundle technique under the same aggressive rehabilitation. The two-bundle procedures have several theoretical advantages over single-bundle with multi-strand tendon graft. The present two-bundle reconstruction is recommended to result in better anterior stability with minimized notch-plasty and with no serious complications.

  11. Encouraging results despite complexity of multidisciplinary care of HIV-infected women using assisted reproduction techniques.

    Science.gov (United States)

    Ohl, Jeanine; Partisani, Marialuisa; Wittemer, Christiane; Lang, Jean-Marie; Viville, Stéphane; Favre, Romain

    2005-11-01

    Assisted reproduction technologies can treat infertility for human immunodeficiency virus (HIV) seropositive women. We assessed the efficacy of these techniques in the results and difficulties encountered while conducting our assisted reproduction programme for 49 couples in which at least the woman had HIV infection that was currently under control. Treatments included intrauterine insemination (IUI), IVF and ICSI, with ovarian stimulation. Embryos were transferred on day 3 after oocyte retrieval. An elective single transfer was performed, except for patients aged > or = 40 years. The median age of the women was 36 years. Ten IUI, nine IVF, 53 ICSI and 10 frozen-thawed embryo transfers have been performed. No pregnancy occurred following the IUI trials but for the couples with IVF and ICSI attempts the clinical pregnancy rate per embryo transfer was 23.9%. Eight babies have been born leading to a 22.2% take home baby rate per treated couple. Contamination was not observed in any newborn. Assisted reproduction technologies and particularly ICSI can provide HIV seropositive women with a safe means of mothering children. Results are encouraging when considering the age of the patients and a preferential single embryo transfer.

  12. A Morphing Technique Applied to Lung Motions in Radiotherapy: Preliminary Results

    Directory of Open Access Journals (Sweden)

    R. Laurent

    2010-01-01

    Full Text Available Organ motion leads to dosimetric uncertainties during a patient’s treatment. Much work has been done to quantify the dosimetric effects of lung movement during radiation treatment. There is a particular need for a good description and prediction of organ motion. To describe lung motion more precisely, we have examined the possibility of using a computer technique: a morphing algorithm. Morphing is an iterative method which consists of blending one image into another image. To evaluate the use of morphing, Four Dimensions Computed Tomography (4DCT acquisition of a patient was performed. The lungs were automatically segmented for different phases, and morphing was performed using the end-inspiration and the end-expiration phase scans only. Intermediate morphing files were compared with 4DCT intermediate images. The results showed good agreement between morphing images and 4DCT images: fewer than 2 % of the 512 by 256 voxels were wrongly classified as belonging/not belonging to a lung section. This paper presents preliminary results, and our morphing algorithm needs improvement. We can infer that morphing offers considerable advantages in terms of radiation protection of the patient during the diagnosis phase, handling of artifacts, definition of organ contours and description of organ motion.

  13. Prediction of high level vibration test results by use of available inelastic analysis techniques

    International Nuclear Information System (INIS)

    Hofmayer, C.H.; Park, Y.J.; Costello, J.F.

    1991-01-01

    As part of a cooperative study between the United States and Japan, the US Nuclear Regulatory Commission and the Ministry of International Trade and Industry of Japan agreed to perform a test program that would subject a large scale piping model to significant plastic strains under excitation conditions much greater than the design condition for nuclear power plants. The objective was to compare the results of the tests with state-of-the-art analyses. Comparisons were done at different excitation levels from elastic to elastic-plastic to levels where cracking was induced in the test model. The program was called the high Level Vibration Test (HLVT). The HLVT was performed on the seismic table at the Tadotsu Engineering Laboratory of Nuclear Power Engineering Test Center in Japan. The test model was constructed by modifying the 1/2.5 scale model of one loop of a PWR primary coolant system which was previously tested by NUPEC as part of their seismic proving test program. A comparison of various analysis techniques with test results shows a higher prediction error in the detailed strain values than in the overall response values. This prediction error is magnified as the plasticity in the test model increases. There is no significant difference in the peak responses between the simplified and the detailed analyses. A comparison between various detailed finite element model runs indicates that the material properties and plasticity modeling have a significant impact on the plastic strain responses under dynamic loading reversals. 5 refs., 12 figs

  14. First characterization of the expiratory flow increase technique: method development and results analysis

    International Nuclear Information System (INIS)

    Maréchal, L; Barthod, C; Jeulin, J C

    2009-01-01

    This study provides an important contribution to the definition of the expiratory flow increase technique (EFIT). So far, no measuring means were suited to assess the manual EFIT performed on infants. The proposed method aims at objectively defining the EFIT based on the quantification of pertinent cognitive parameters used by physiotherapists when practicing. We designed and realized customized instrumented gloves endowed with pressure and displacement sensors, and the associated electronics and software. This new system is specific to the manoeuvre, to the user and innocuous for the patient. Data were collected and analysed on infants with bronchiolitis managed by an expert physiotherapist. The analysis presented is realized on a group of seven subjects (mean age: 6.1 months, SD: 1.1; mean chest circumference: 44.8 cm, SD: 1.9). The results are consistent with the physiotherapist's tactility. In spite of inevitable variability due to measurements on infants, repeatable quantitative data could be reported regarding the manoeuvre characteristics: the magnitudes of displacements do not exceed 10 mm on both hands; the movement of the thoracic hand is more vertical than the movement of the abdominal hand; the maximum applied pressure with the thoracic hand is about twice higher than with the abdominal hand; the thrust of the manual compression lasts (590 ± 62) ms. Inter-operators measurements are in progress in order to generalize these results

  15. Hypnosis, suggestion, and suggestibility: an integrative model.

    Science.gov (United States)

    Lynn, Steven Jay; Laurence, Jean-Roch; Kirsch, Irving

    2015-01-01

    This article elucidates an integrative model of hypnosis that integrates social, cultural, cognitive, and neurophysiological variables at play both in and out of hypnosis and considers their dynamic interaction as determinants of the multifaceted experience of hypnosis. The roles of these variables are examined in the induction and suggestion stages of hypnosis, including how they are related to the experience of involuntariness, one of the hallmarks of hypnosis. It is suggested that studies of the modification of hypnotic suggestibility; cognitive flexibility; response sets and expectancies; the default-mode network; and the search for the neurophysiological correlates of hypnosis, more broadly, in conjunction with research on social psychological variables, hold much promise to further understanding of hypnosis.

  16. Variability and trends in the Arctic Sea ice cover: Results from different techniques

    Science.gov (United States)

    Comiso, Josefino C.; Meier, Walter N.; Gersten, Robert

    2017-08-01

    Variability and trend studies of sea ice in the Arctic have been conducted using products derived from the same raw passive microwave data but by different groups using different algorithms. This study provides consistency assessment of four of the leading products, namely, Goddard Bootstrap (SB2), Goddard NASA Team (NT1), EUMETSAT Ocean and Sea Ice Satellite Application Facility (OSI-SAF 1.2), and Hadley HadISST 2.2 data in evaluating variability and trends in the Arctic sea ice cover. All four provide generally similar ice patterns but significant disagreements in ice concentration distributions especially in the marginal ice zone and adjacent regions in winter and meltponded areas in summer. The discrepancies are primarily due to different ways the four techniques account for occurrences of new ice and meltponding. However, results show that the different products generally provide consistent and similar representation of the state of the Arctic sea ice cover. Hadley and NT1 data usually provide the highest and lowest monthly ice extents, respectively. The Hadley data also show the lowest trends in ice extent and ice area at -3.88%/decade and -4.37%/decade, respectively, compared to an average of -4.36%/decade and -4.57%/decade for all four. Trend maps also show similar spatial distribution for all four with the largest negative trends occurring at the Kara/Barents Sea and Beaufort Sea regions, where sea ice has been retreating the fastest. The good agreement of the trends especially with updated data provides strong confidence in the quantification of the rate of decline in the Arctic sea ice cover.Plain Language SummaryThe declining Arctic sea ice cover, especially in the summer, has been the center of attention in recent years. Reports on the sea ice cover have been provided by different institutions using basically the same set of satellite data but different techniques for estimating key parameters such as ice concentration, ice extent, and ice area. In

  17. Técnica de suturas ajustables: Resultados Technique of adjustable sutures: Results

    Directory of Open Access Journals (Sweden)

    Lourdes R. Hernández Santos

    2001-06-01

    Full Text Available Se realizó un estudio sensorial y motor preoperatorio y posoperatorio a 84 pacientes que acudieron a la consulta de Visión Binocular con el diagnóstico de estrabismo horizontal a partir de los 13 años de edad. El método estadístico utilizado fue "t" o Chi cuadrado. Nos trazamos como objetivo determinar los resultados posoperatorios de la cirugía de estrabismo realizada con la técnica de suturas ajustables, que fueron los siguientes: el 61 % de los pacientes con exotropía y el 71,4 % con el diagnóstico de exotropía se encontraban en ortotropía a los 6 meses de la intervención. El 71,4 % de los pacientes con esotropía y el 83,3 % con el diagnóstico de esotropía se encontraban en ortotropía al año de la intervención. Esta técnica quirúrgica permite la modificación de la desviación en el posoperatorio inmediato.A preoperative and postoperative sensorial and motor study was conducted among 84 patients who received attention at the consultation room of Binocular Vision with the diagnosis of horizontal strabismus from the age of 13 years old on. The statistical method used was "t" or chi square test. Our objective was to determine the postoperative results of the strabismus surgery performed by the technique of adjustable sutures. The results were as follows: 61 % of the patients with exotropia and 71.4 % with the diagnosis of exotropia were in orthotropia 6 months after the operation. 71.4 % of the patients with exotropia and 83.3 % with the diagnosis of exotropia were in orthotropia a year after the operation. This surgical technique allows the modification of the deviation in the immediate postoperative.

  18. Fusing Observations and Model Results for Creation of Enhanced Ozone Spatial Fields: Comparison of Three Techniques

    Science.gov (United States)

    This paper presents three simple techniques for fusing observations and numerical model predictions. The techniques rely on model/observation bias being considered either as error free, or containing some uncertainty, the latter mitigated with a Kalman filter approach or a spati...

  19. The GRIM Test : A Simple Technique Detects Numerous Anomalies in the Reporting of Results in Psychology

    NARCIS (Netherlands)

    Brown, Nicholas J. L.; Heathers, James A. J.

    2017-01-01

    We present a simple mathematical technique that we call granularity-related inconsistency of means (GRIM) for verifying the summary statistics of research reports in psychology. This technique evaluates whether the reported means of integer data such as Likert-type scales are consistent with the

  20. Percutaneous gastrostomy and jejunostomy: Technique, results, and complications in 55 cases

    International Nuclear Information System (INIS)

    Mueller, P.R.; Brown, A.; Saini, S.; Hahn, P.F.; Steiner, E.; Ferrucci, J.T.; Forman, B.H.; Silverman, S.G.

    1987-01-01

    Percutaneous radiologic gastrostomy is a well-described method that has not been widely adopted by radiologists. The authors reviewed their experience to highlight technical points and clinical results. Direct percutaneous gastrostomy was performed in 51 patients and percutaneous jejunostomy in four. Indications for gastrostomy procedures were the need for general nutrition (n = 31), complications of use of a nasogastric feeding tube (n = 7), gastric or small bowel decompression (n = 4) and endoscopic failure (n = 5). The major indication for percutaneous jejunostomy was decompression of small bowel obstruction. Key technical aspects include the use of a novel needle device that tacks the abdominal wall to the stomach, thus assuring a seal between the two structures. In the percutaneous gastrostomies, 18-F Foley catheters were introduced through the tacked portion of the stomach with a Seldinger technique and dilators. For percutaneous jejunostomy, 18-F feeding tubes were placed. All procedures were performed under local anesthesia. The authors conclude that a radiologic percutaneous gastrostomy is a safe and effective procedure and should be pursued aggressively by interventional radiologists

  1. Evaluation of Midterm Clinical Results of All inside Suture Technique in Meniscus Repair

    Directory of Open Access Journals (Sweden)

    Murat Gül

    2015-03-01

    Full Text Available Aim: The aim of this study was to evaluate the functional outcomes of arthroscopic all-inside meniscal repair at an average 5-year follow-up. Methods: Thirty-two patients (29 males 3 females; 19 right knees, 13 left knees, who underwent arthroscopic all-inside meniscal repair, were included in the study. Clinical examination and magnetic resonance imaging were the main diagnostic tools. The mean age of the patients was 28 years (23-41 years. ACL reconstruction was performed in the same session in 12 patients with meniscal injury associated with ACL tear. Preoperative and postoperative functional knee scores of the patients were assessed by modified Marshall functional knee scores in their last follow-up. Results: The mean follow-up period was 58 months (range 49- 81. Marshall knee scores in the last follow-up were found to be excellent in 23 patients, good - in 8 patients, and moderate in 1 patient. ACL reconstruction was performed in the same session in 12 patients with meniscal injury associated with ACL tear. A statistically significant functional improvement was detected in patients with meniscal repair after 5 years. Conclusion: This study showed that all-inside meniscal repair technique is an easy and reliable method for the treatment of meniscus tears. (The Medical Bulletin of Haseki 2015; 53:47-51

  2. Mapping the temporal pole with a specialized electrode array: technique and preliminary results

    International Nuclear Information System (INIS)

    Abel, Taylor J; Rhone, Ariane E; Nourski, Kirill V; Oya, Hiroyuki; Kawasaki, Hiroto; Howard, Matthew A III; Granner, Mark A; Tranel, Daniel T; Griffiths, Timothy D

    2014-01-01

    Temporopolar cortex plays a crucial role in the pathogenesis of temporal lobe epilepsy and subserves important cognitive functions. Because of its shape and position in the middle cranial fossa, complete electrode coverage of the temporal pole (TP) is difficult to achieve using existing devices. We designed a novel TP electrode array that conforms to the surface of temporopolar cortex and achieves dense electrode coverage of this important brain region. A multi-pronged electrode array was designed that can be placed over the surface of the TP using a straightforward insertion technique. Twelve patients with medically intractable epilepsy were implanted with the TP electrode array for purposes of seizure localization. Select patients underwent cognitive mapping by electrocorticographic (ECoG) recording from the TP during a naming task. Use of the array resulted in excellent TP electrode coverage in all patients. High quality ECoG data were consistently obtained for purposes of delineating seizure activity and functional mapping. During a naming task, significant increases in ECoG power were observed within localized subregions of the TP. One patient developed a transient neurological deficit thought to be related to the mass effect of multiple intracranial recording arrays, including the TP array. This deficit resolved following removal of all electrodes. The TP electrode array overcomes limitations of existing devices and enables clinicians and researchers to obtain optimal multi-site recordings from this important brain region. (paper)

  3. Ten years of laser treatment of congenital vascular disorders: techniques and results

    Science.gov (United States)

    Philipp, Carsten M.; Berlien, Hans-Peter; Poetke, Margitta; Waldschmidt, Juergen

    1994-12-01

    During the period of January 1984 - July 1993, we have treated 611 children with more than 2000 lesions of congenital vascular disorders (CVD) such as hemangiomas and vascular malformations. This number does not include the patients with port wine stains, which also have been treated by means of laser. Most of the CVD patients (n equals 467) presented hemangiomas of the face, the anogenital region, and the extremities, some were located in the trachea or mouth or in the urogenital tract. All of these hemangiomas were growing prior to intervention or showed complications such as bleeding, ulceration, superinfection, or obstruction. Nearly a quarter (n equals 144) of the patients presented vascular malformations, either of singular vessel type involvement or of mixed vascular genesis (venous, arterio- venous, veno-lymphatic or lymphatic) with various complications like tracheal obstruction or recurrent thrombophlebitis. According to our step program, which is based on a clinical classification, the hemangiomas were treated as early as possible, while the vascular malformations were only treated with laser when no other therapeutic technique (embolization, resection) was suitable. All patients were referred for laser treatment from other centers. The lasers used were Nd:YAG and Argon lasers with transcutaneous application with or without continuous ice-cube surface cooling or interstitial laser application. The treatments were performed either on in- or outpatient basis according to age, localization and with good to excellent results in most cases and a complication rate of less than 2%.

  4. External radiotherapy in macular degeneration: Our technique, dosimetric calculation, and preliminary results

    International Nuclear Information System (INIS)

    Akmansu, M.; Dirican, Bahar; Oeztuerk, Berrin; Egehan, Ibrahim; Subasi, Mahmut; Or, Meral

    1998-01-01

    Purpose: This study was performed to determine the toxicity and efficacy of external-beam radiotherapy in patients with age-related subfoveal neovascularization. Methods and Materials: Between January 1996 and September 1996, 25 patients with a mean age of 70.5 (60-84) years were enrolled. All patients underwent fluorescein angiographic evaluation and documentation of their neovascular disease prior to irradiation. A total of 25 patients were treated with a total dose of 12 Gy in 6 fractions over 8 days. We used a lens-sparing technique and patients were treated with a single lateral 6-MV photon beam. To assess the risk of radiation carcinogenesis after treatment of age-related subfoveal neovascularization, we estimated the effective dose for a standard patient on the basis of tissue-weighting factors as defined by the International Commission on Radiological Protection (ICRP). The calculations were made with TLD on a male randophantom. The lens dose was found to be 0.217 Gy per fraction. Results: No significant acute morbidity was noted. Visual acuity was maintained or improved in 76% and 80% of treated patients at their 1- and 3-month follow-up examinations, respectively. On angiographic imaging, there was stabilization of subfoveal neovascular membranes in 23 patients (92%) at 3 months after irradiation. Conclusion: Our observations on these 25 patients in this study indicate that many patients will have improved or stable vision after radiotherapy treatment with low-dose irradiation

  5. CT coronary angiography: examination technique, clinical results, and outlook on future developments

    International Nuclear Information System (INIS)

    Dewey, M.; Hamm, B.

    2007-01-01

    Multislice computed tomography (MSCT) after intravenous contrast agent administration enables visualization of the coronary arteries with high spatial resolution (voxel sizes down to 0.5 x 0.35 x 0.35 mm3) and a short scan time. Magnetic resonance imaging (MRI) is also intensively studied with respect to the noninvasive detection of coronary artery stenosis and thus the detection of coronary artery disease (CAD) without radiation exposure but is not equal to MSCT at present. This article provides an overview of the historical development of CT coronary angiography from 4-slice CT to 16-slice CT and 64-slice CT. A crucial aspect of this development is the improvement in image quality resulting from shorter breath-hold periods and the reduced gantry rotation time. Other techniques that appear to considerably improve image quality and accuracy and make CT independent of patient heart rates are multisegment reconstruction and dual-source CT. Sublingual nitroglycerin as well as oral or intravenous betablocker administration should be considered in relation to the diagnostic question to be answered and the patient's heart rate. In the studies available CT coronary angiography with at least 12 simultaneous detector rows has a sensitivity of 96.9 % and a specificity of 75.3 % at the patient level. Especially the negative predictive value of CT (94.6 %) emphasizes the idea that this technique may reliably exclude CAD in patients with intermediate pretest likelihood. In the near future, 256-slice CT will allow examination of the entire heart during one heartbeat or even 4D CT scanning with simultaneous assessment of myocardial perfusion. Automatic or semiautomatic software tools will assume a central place in detecting and quantifying coronary artery stenoses and plaques as well as in the analysis of cardiac function in the clinical setting over the next years. Prior to its routine clinical use, the cost-effectiveness of CT coronary angiography must be determined and the

  6. Prospective study of the " Inside-Out" arthroscopic ankle ligament technique: Preliminary result.

    Science.gov (United States)

    Nery, Caio; Fonseca, Lucas; Raduan, Fernando; Moreno, Marcus; Baumfeld, Daniel

    2017-03-22

    Lateral ankle ligament injury is among the most common orthopedic injuries. The objective of this study is to present the preliminary prospective results of treatment using the "Inside-Out" variant of the fully arthroscopic Broström-Gould technique. Twenty six patients were included: 20 male and 6 female, aged 19-60 years, mean 41 years. All patients had positive "anterior drawer" and "talar tilt" tests. When necessary, cartilage injuries were treated with microfracture and arthroscopic resection for anterior impingement; three patients had hindfoot varus, on whom Dwyer osteotomy was performed; one patient had peroneal tendinopathy and was treated with tendoscopic debridement and another one had partial injury of the deltoid ligament, which was treated by direct repair. Two arthroscopic surgery portals were used; the anteromedial and anterolateral. After careful inspection of the joint, the anterior surface of the fibula was cleaned to resect the remains of the anterior talo-fibular ligament. An anchor with two sutures was placed on the anterior aspect of the fibula, 1cm from the distal apex of the malleolus. The sutures were passed through the remnant of the anterior talo-fibular ligament as well as the extensor retinaculum using special curved needles. Duncan knots were used to tie the ligament and the inferior extensor retinaculum while the ankle was kept in a neutral position. Patients were kept immobilized non-weight bearing for 2 weeks and were then allowed to start weight bearing in a removable protective boot for 4 weeks. The patients were able to return to sporting activities 6 months after surgery. After a mean follow-up of 27 months (range 21-36 months), patients were functionally evaluated using the American Orthopedics Foot and Ankle Society (AOFAS) ankle score. The mean preoperative value was 58 points, while the mean postoperative value increased to 90 points. One patient had paresthesia in the superficial fibular nerve area, which resolved

  7. Early Results of Chimney Technique for Type B Aortic Dissections Extending to the Aortic Arch

    Energy Technology Data Exchange (ETDEWEB)

    Huang, Chen [Affiliated Hospital of Nantong University, Department of General Surgery (China); Tang, Hanfei; Qiao, Tong; Liu, Changjian; Zhou, Min, E-mail: 813477618@qq.com [The Affiliated Hospital of Nanjing University Medical School, Department of Vascular Surgery, Nanjing Drum Tower Hospital (China)

    2016-01-15

    ObjectiveTo summarize our early experience gained from the chimney technique for type B aortic dissection (TBAD) extending to the aortic arch and to evaluate the aortic remodeling in the follow-up period.MethodsFrom September 2011 to July 2014, 27 consecutive TBAD patients without adequate proximal landing zones were retrograde analyzed. Chimney stent-grafts were deployed parallel to the main endografts to reserve flow to branch vessels while extending the landing zones. In the follow-up period, aortic remodeling was observed with computed tomography angiography.ResultsThe technical success rate was 100 %, and endografts were deployed in zone 0 (n = 3, 11.1 %), zone 1 (n = 18, 66.7 %), and zone 2 (n = 6, 22.2 %). Immediately, proximal endoleaks were detected in 5 patients (18.5 %). During a mean follow-up period of 17.6 months, computed tomography angiography showed all the aortic stent-grafts and chimney grafts to be patent. Favorable remodeling was observed at the level of maximum descending aorta and left subclavian artery with expansion of true lumen (from 18.4 ± 4.8 to 25 ± 0.86 mm, p < 0.001 and 27.1 ± 0.62 to 28.5 ± 0.37 mm, p < 0.001) and depressurization of false lumen (from 23.7 ± 2.7 to 8.7 ± 3.8 mm, p < 0.001, from 5.3 ± 1.2 to 2.1 ± 2.1 mm, p < 0.001). While at the level of maximum abdominal aorta, suboptimal remodeling of the total aorta (from 24.1 ± 0.4 to 23.6 ± 1.5 mm, p = 0.06) and true lumen (from 13.8 ± 0.6 to 14.5 ± 0.4 mm, p = 0.08) was observed.ConclusionBased on our limited experience, the chimney technique with thoracic endovascular repair is demonstrated to be promising for TBAD extending to the arch with favorable aortic remodeling.

  8. Thermodynamic Spectrum of Solar Flares Based on SDO/EVE Observations: Techniques and First Results

    Science.gov (United States)

    Wang, Yuming; Zhou, Zhenjun; Zhang, Jie; Liu, Kai; Liu, Rui; Shen, Chenglong; Chamberlin, Phillip C.

    2016-01-01

    The Solar Dynamics Observatory (SDO)/EUV Variability Experiment (EVE) provides rich information on the thermodynamic processes of solar activities, particularly on solar flares. Here, we develop a method to construct thermodynamic spectrum (TDS) charts based on the EVE spectral lines. This tool could potentially be useful for extreme ultraviolet (EUV) astronomy to learn about the eruptive activities on distant astronomical objects. Through several cases, we illustrate what we can learn from the TDS charts. Furthermore, we apply the TDS method to 74 flares equal to or greater than the M5.0 class, and reach the following statistical results. First, EUV peaks are always behind the soft X-ray (SXR) peaks and stronger flares tend to have faster cooling rates. There is a power-law correlation between the peak delay times and the cooling rates, suggesting a coherent cooling process of flares from SXR to EUV emissions. Second, there are two distinct temperature drift patterns, called Type I and Type II. For Type I flares, the enhanced emission drifts from high to low temperature like a quadrilateral, whereas for Type II flares the drift pattern looks like a triangle. Statistical analysis suggests that Type II flares are more impulsive than Type I flares. Third, for late-phase flares, the peak intensity ratio of the late phase to the main phase is roughly correlated with the flare class, and the flares with a strong late phase are all confined. We believe that the re-deposition of the energy carried by a flux rope, which unsuccessfully erupts out, into thermal emissions is responsible for the strong late phase found in a confined flare. Furthermore, we show the signatures of the flare thermodynamic process in the chromosphere and transition region in the TDS charts. These results provide new clues to advance our understanding of the thermodynamic processes of solar flares and associated solar eruptions, e.g., coronal mass ejections.

  9. Fast Spectral Velocity Estimation Using Adaptive Techniques: In-Vivo Results

    DEFF Research Database (Denmark)

    Gran, Fredrik; Jakobsson, Andreas; Udesen, Jesper

    2007-01-01

    spectral Capon (BPC) method is based on a standard minimum variance technique adapted to account for both averaging over slowtime and depth. The Blood Amplitude and Phase Estimation technique (BAPES) is based on finding a set of matched filters (one for each velocity component of interest) and filtering......Adaptive spectral estimation techniques are known to provide good spectral resolution and contrast even when the observation window(OW) is very sbort. In this paper two adaptive techniques are tested and compared to the averaged perlodogram (Welch) for blood velocity estimation. The Blood Power...... the blood process over slow-time and averaging over depth to find the power spectral density estimate. In this paper, the two adaptive methods are explained, and performance Is assessed in controlled steady How experiments and in-vivo measurements. The three methods were tested on a circulating How rig...

  10. [Surgical treatment of the GER with Boix-Ochoa technique. Long term results].

    Science.gov (United States)

    Hernández-Orgaz, A; López-Alonso, M

    2004-07-01

    The Boix-Ochoa technique enable hipercorrection of the gastroesophageal reflux (GER), avoiding the disphagia and allowing the eructing capability as a consequence of the fundoplication procedure. During the last decade 102 children were surgically treated using the Boix-Ochoa technique. The age range was 4.93 +/- 3.80 years. All patients have previously been studied with Xray, esophageal manometry, pHmetry during 24 h, and eventually with medical treatment. Failure of the medical treatment lead to the surgical treatment with the Boix-Ochoa technique. After surgery, 24 h controls of esophageal pHmetry showed reflux indexes greater than 5 in six patients. Two of them had neurological pathology and one of them suffered peptic stenosis previously treated by means of mechanical dilatation. The rest of patients showed normal value of reflux indexes after surgery. Excluding the esophageal atresia and caustic stenosis, the Boix-Ochoa technique is the best choice for the surgical treatment of GER.

  11. Classification of hadith into positive suggestion, negative suggestion, and information

    Science.gov (United States)

    Faraby, Said Al; Riviera Rachmawati Jasin, Eliza; Kusumaningrum, Andina; Adiwijaya

    2018-03-01

    As one of the Muslim life guidelines, based on the meaning of its sentence(s), a hadith can be viewed as a suggestion for doing something, or a suggestion for not doing something, or just information without any suggestion. In this paper, we tried to classify the Bahasa translation of hadith into the three categories using machine learning approach. We tried stemming and stopword removal in preprocessing, and TF-IDF of unigram, bigram, and trigram as the extracted features. As the classifier, we compared between SVM and Neural Network. Since the categories are new, so in order to compare the results of the previous pipelines, we created a baseline classifier using simple rule-based string matching technique. The rule-based algorithm conditions on the occurrence of words such as “janganlah, sholatlah, and so on” to determine the category. The baseline method achieved F1-Score of 0.69, while the best F1-Score from the machine learning approach was 0.88, and it was produced by SVM model with the linear kernel.

  12. Results of open wound technique in the treatment of post-sequestrectomy dead space.

    Science.gov (United States)

    Onuminya, J E; Onuminya, D S

    2008-02-01

    Severe chronic osteomyelitis with variable outcomes is still common among children in developing nations. There has been no consensus on the optimal method of treatment. We therefore prospectively evaluated the rates of wound healing and recurrence following open wound treatment of post-sequestrectomy dead spaces in 30 patients with haematogenous chronic osteomyelitis of the tibial shaft at the King Orthopaedic Clinic, Ekpoma, Edo State, Nigeria, between January 2001 and December 2005. Thirty similar patients whose post-sequestrectomy dead spaces were treated by closed wound technique formed the control group. Both groups were subjected to standard methods of perioperative management. Saucerisation, sequestrectomy and curettage were the cornerstones of surgical therapy. The wounds were primarily either left open (study group) or closed (control group). The rates of wound healing and recurrence were used to assess the outcome of treatment. The chi-square test was used for statistical analysis. The median age was 13 years, with a range of 6 - 60 years. Staphylococcus aureus was the organism most commonly associated with chronic osteomyelitis. Rates of wound healing and recurrence in the study group were significantly better than in the control group (p<0.05), even though it took a relatively longer period to achieve healing with the open method of treatment. The follow-up period ranged from 1 to 5 years, with a median of 2 years. We observed that the results of the open method of treating post-sequestrectomy dead spaces were good, and we advocate its use in resource-poor settings.

  13. Laparoscopic inguinal preperitoneal injection--novel technique for inguinal hernia repair: preliminary results of experimental study.

    Science.gov (United States)

    Kozlov, Yury; Novogilov, Vladimir; Rasputin, Andrey; Podkamenev, Alexey; Krasnov, Pavel; Weber, Irina; Solovjev, Alexey

    2012-04-01

    Inguinal hernia repair is the most common procedure in pediatric surgery. Suture techniques for laparoscopic inguinal hernia repair in children are easy to perform and popular with a low recurrence rate. The aim of this study was to evaluate the effect of laparoscopic preperitoneal injection of three-dimensional gel on closing of the inguinal hernia sac (IHS) in laboratory animals. With the animals under general anesthesia, we performed peritoneoscopy in 12 male Chinchilla rabbits weighing 1200-1400 g. The endoscope was introduced into the abdominal cavity, and bilateral deep inguinal rings were identified. A Tuohy needle with the injectable polymeric bulking agent DAM+™ (three-dimensional polyacrylamide gel with silver ions [Argiform(®) from Bioform(®)]) was introduced preperitoneally. The implant was then injected across the entire orifice of the deep inguinal rings and draped over the cord structures. After completion of bilateral repairs, the rabbits were extubated and observed in the animal laboratory. Then the second laparoscopy was performed 6 months later, and the deep inguinal rings were inspected. The postoperative course was uneventful in all the animals. At the second laparoscopy no reopening of the entire orifice of the deep inguinal rings was noted. Accurate placement of the polymeric agent and adequate coverage of the vas deferens were accomplished in all the animals. This study demonstrates that the biopolymeric implant gives good postoperative results and a stable trend of closing the IHS in long-term follow-up. In conclusion, we hope that injectable polymeric bulking agents can be used for treatment of inguinal hernias of pediatric patients after additional animal and human research.

  14. Testing the ISP method with the PARIO device: Accuracy of results and influence of homogenization technique

    Science.gov (United States)

    Durner, Wolfgang; Huber, Magdalena; Yangxu, Li; Steins, Andi; Pertassek, Thomas; Göttlein, Axel; Iden, Sascha C.; von Unold, Georg

    2017-04-01

    The particle-size distribution (PSD) is one of the main properties of soils. To determine the proportions of the fine fractions silt and clay, sedimentation experiments are used. Most common are the Pipette and Hydrometer method. Both need manual sampling at specific times. Both are thus time-demanding and rely on experienced operators. Durner et al. (Durner, W., S.C. Iden, and G. von Unold (2017): The integral suspension pressure method (ISP) for precise particle-size analysis by gravitational sedimentation, Water Resources Research, doi:10.1002/2016WR019830) recently developed the integral suspension method (ISP) method, which is implemented in the METER Group device PARIOTM. This new method estimates continuous PSD's from sedimentation experiments by recording the temporal evolution of the suspension pressure at a certain measurement depth in a sedimentation cylinder. It requires no manual interaction after start and thus no specialized training of the lab personnel. The aim of this study was to test the precision and accuracy of new method with a variety of materials, to answer the following research questions: (1) Are the results obtained by PARIO reliable and stable? (2) Are the results affected by the initial mixing technique to homogenize the suspension, or by the presence of sand in the experiment? (3) Are the results identical to the one that are obtained with the Pipette method as reference method? The experiments were performed with a pure quartz silt material and four real soil materials. PARIO measurements were done repetitively on the same samples in a temperature-controlled lab to characterize the repeatability of the measurements. Subsequently, the samples were investigated by the pipette method to validate the results. We found that the statistical error for silt fraction from replicate and repetitive measurements was in the range of 1% for the quartz material to 3% for soil materials. Since the sand fractions, as in any sedimentation method, must

  15. The periumbilical approach in ventriculoperitoneal shunt placement: technique and long-term results.

    Science.gov (United States)

    Recinos, Pablo F; Pindrik, Jonathan A; Bedri, Mazen I; Ahn, Edward S; Jallo, George I; Recinos, Violette Renard

    2013-05-01

    low infection rates, and has cosmetically appealing results. It may be considered as an alternative option to standard VP shunt placement techniques.

  16. Visualization technique of CFD results using VRML; VRML wo mochiitaa CFD kekka no kashika gijutsu

    Energy Technology Data Exchange (ETDEWEB)

    Koyamada, K. [University of Iwate Prefecture, Iwate (Japan)

    2000-06-25

    In this paper, we propose a new technique for visualizing volume datasets using VRML. In general, a visualization algorithm generates tens thousands of geometric triangles with numerical data, when it is visualized. They are huge in number, if we transfer them through the Internet. To solve the problem, we restrict the visualization on a slice plane and represent triangle mesh as a single quadrateral with a texture image. The texture image are constructed at a server side. We apply the technique to some volume datasets and confirm the effectiveness. (author)

  17. In vivo proton MR spectroscopy of normal liver parenchyma: technique and results

    International Nuclear Information System (INIS)

    Mueller, C.; Huebner, F.; Bisdas, S.; Herzog, C.; Hammerstingl, R.M.; Vogl, T.J.; Ackermann, H.; Vorbuchner, M.

    2006-01-01

    Purpose: To analyze the proton magnetic resonance spectroscopic data ( 1 H MRS) of normal liver parenchyma with regard to age, sex, body mass index and location in the liver. Materials and Methods: 45 healthy volunteers age 24 to 65 years were examined with an optimized single-voxel 1 H MRS using a 1.5-T scanner. A spin echo sequence with a TR of 1500 ms and a TE of 135 ms was used, allowing in-phase detection of the choline signal. Weak water suppression was achieved using a chemical shift selective suppression (CHESS) technique. Each examination included the measurement of three voxels with a voxel size of 18 x 18 x 18 mm 3 in different areas of the liver. The volunteers were divided into different age-based groups (young: ≤44 years; older: ≥44 years), BMI (normal weighted: 2 ; obese: >25 kg/m 2 ) and sex. Results: In the acquired spectra different lipid (e.g. [CH 2 ] n ), choline, glutamine, glutamate and glycogenglucose-complex reasonances were detected. The analysis of the spectra, however, only focused on the concentrations of choline and (CH 2 ) n and the relative concentrations of the choline-to-(CH 2 ) n -ratios. In the older volunteers the relative concentration of the choline-to-(CH 2 ) n -ratio was significantly decreased by 0.213±0.193 in comparison to the younger subjects (p=0,031). Further statistical analysis confirmed a significant decrease of the choline-to-(CH 2 ) n -ratio by 0.223±0.180 in obese volunteers compared to volunteers of a standard weight (p=0,016). The significant difference between the choline-to-(CH 2 ) n -ratio female versus male volunteers was calculated with an increase of 0.483±0.172 (p=0,000). The location of the voxel in the liver parenchyma did not yield a signficant difference in the choline-to-(CH 2 ) n -ratio. (orig.)

  18. Clinical and radiological results of two hybrid reconstructive techniques in noncontiguous 3-level cervical spondylosis.

    Science.gov (United States)

    Kan, Lisheng; Kang, Jian; Gao, Rui; Chen, Xiongsheng; Jia, Lianshun

    2014-12-01

    To date, formulation of the optimal surgical protocol for noncontiguous multilevel cervical spondylosis remains controversial, and the corresponding clinical data continue to be limited. The purpose of this study was to compare the clinical and radiological outcomes of two hybrid reconstructive techniques in noncontiguous 3-level cervical spondylosis (2 contiguous disc levels and 1 "skip" disc level [nonoperated level between 2 operated levels]). The incidence of adjacent-segment degeneration (ASD) was also evaluated. Sixty-three consecutive patients with noncontiguous 3-level cervical spondylosis who underwent two different hybrid methods of treatment were retrospectively reviewed. The patients were divided into 2 groups, the fusion group and the arthroplasty group. A titanium mesh cage and an anterior cervical plate were used after the anterior cervical corpectomy, and then a stand-alone cage (the fusion group) or an artificial cervical disc (the arthroplasty group) was used after the discectomy. Clinical outcomes were assessed using the Japanese Orthopaedic Association (JOA) scale score and the JOA scale score improvement rate preoperatively and during follow-up. Radiological results were assessed using global angle and global range of motion (ROM) of the cervical spine. The ASD was also evaluated. The JOA scores of the patients significantly improved postoperatively and were well maintained within the follow-up period, as did the JOA scale score improvement rate. The mean global angle of the cervical spine of the patients significantly increased postoperatively. At the last follow-up evaluation, the mean global ROM was retained by patients in the arthroplasty group (p > 0.05) but not by patients in the fusion group (p = 0.00). There was no significant difference in the incidence of ASD between the 2 groups (p = 0.114). However, at the skip levels, patients in the fusion group had a higher incidence of ASD than patients in the arthroplasty group (p = 0

  19. Limited vs extended face-lift techniques: objective analysis of intraoperative results.

    Science.gov (United States)

    Litner, Jason A; Adamson, Peter A

    2006-01-01

    To compare the intraoperative outcomes of superficial musculoaponeurotic system plication, imbrication, and deep-plane rhytidectomy techniques. Thirty-two patients undergoing primary deep-plane rhytidectomy participated. Each hemiface in all patients was submitted sequentially to 3 progressively more extensive lifts, while other variables were standardized. Four major outcome measures were studied, including the extent of skin redundancy and the repositioning of soft tissues along the malar, mandibular, and cervical vectors of lift. The amount of skin excess was measured without tension from the free edge to a point over the intertragal incisure, along a plane overlying the jawline. Using a soft tissue caliper, repositioning was examined by measurement of preintervention and immediate postintervention distances from dependent points to fixed anthropometric reference points. The mean skin excesses were 10.4, 12.8, and 19.4 mm for the plication, imbrication, and deep-plane lifts, respectively. The greatest absolute soft tissue repositioning was noted along the jawline, with the least in the midface. Analysis revealed significant differences from baseline and between lift types for each of the studied techniques in each of the variables tested. These data support the use of the deep-plane rhytidectomy technique to achieve a superior intraoperative lift relative to comparator techniques.

  20. Results of the 'User Interaction Techniques for Future Lighting Systems' workshop at INTERACT 2011

    NARCIS (Netherlands)

    Aliakseyeu, D.V.; Mason, J.D.; Meerbeek, B.W.; Van Essen, H.; Offermans, S.; Alessandrini, A.; Sanesi, V.; Carreira, P.; Eby, C.

    2012-01-01

    Technological advances in lighting lead towards the development of intelligent LED systems and require reconsidering the way we interactwith lighting systems. In this paper, we report on the workshop ‘User Interaction Techniques for Future Lighting System’ that was heldin conjunction with INTERACT

  1. Results and analysis of the 2008-2009 Insulin Injection Technique Questionnaire survey

    NARCIS (Netherlands)

    De Coninck, Carina; Frid, Anders; Gaspar, Ruth; Hicks, Debbie; Hirsch, Larry; Kreugel, Gillian; Liersch, Jutta; Letondeur, Corinne; Sauvanet, Jean-Pierre; Tubiana, Nadia; Strauss, Kenneth

    Background: The efficacy of injection therapy in diabetes depends on correct injection technique and, to provide patients with guidance in this area, we must understand how they currently inject. Methods: From September 2008 to June 2009, 4352 insulin-injecting Type 1 and Type 2 diabetic patients

  2. Techniques used for the isolation and characterization of extracellular vesicles : results of a worldwide survey

    NARCIS (Netherlands)

    Gardiner, Chris; Di Vizio, Dolores; Sahoo, Susmita; Théry, Clotilde; Witwer, Kenneth W; Wauben, Marca; Hill, Andrew F

    2016-01-01

    Extracellular vesicles (EVs) represent an important mode of intercellular communication. Research in this field has grown rapidly in the last few years, and there is a plethora of techniques for the isolation and characterization of EVs, many of which are poorly standardized. EVs are heterogeneous

  3. Open to Suggestion.

    Science.gov (United States)

    Journal of Reading, 1987

    1987-01-01

    Offers (1) suggestions for improving college students' study skills; (2) a system for keeping track of parent, teacher, and community contacts; (3) suggestions for motivating students using tic tac toe; (4) suggestions for using etymology to improve word retention; (5) a word search grid; and (6) suggestions for using postcards in remedial reading…

  4. A New Robot-assisted Billroth-I Reconstruction: Details of the Technique and Early Results.

    Science.gov (United States)

    Ceccarelli, Graziano; Marano, Luigi; Codacci-Pisanelli, Massimo; Andolfi, Enrico; Biancafarina, Alessia; Fabozzi, Massimiliano; Caruso, Stefano; Patriti, Alberto

    2018-02-01

    Laparoscopic surgery for gastric tumor is considered a demanding procedure because of lymph node dissection and reconstruction. Billroth-I (B-I) reconstruction after laparoscopic distal gastrectomy is commonly performed extracorporeally because of the complexity of an intracorporeal procedure. Robotic surgery overcomes some limitations of laparoscopy, allowing to reproduce the basic maneuvers of open surgery. We describe a new technique to perform robotic B-I anastomosis. Between January 2012 and February 2015, 5 patients underwent distal gastrectomy with intracorporeal B-I-stapled anastomosis. Patient demographics, tumor characteristics, histopathologic features, and perioperative data were analyzed. Median operative time was 170 minutes (145 to 180 min). There were no conversions. Contrast swallow was routinely performed on the third postoperative day. Median postoperative hospitalization was 7 days (range: 6 to 8). No major complications or mortality were observed. Robotic distal gastrectomy with intracorporeal B-I anastomosis is a safe and promising technique in selected cases of gastric tumors.

  5. Planned posterior assisted levitation in severe subluxated cataract: Surgical technique and clinical results

    Directory of Open Access Journals (Sweden)

    Tova Lifshitz

    2012-01-01

    Full Text Available We report the surgical technique and outcome of planned posterior assisted levitation (P-PAL in four cases of subluxated cataract. P-PAL was planned as the preferred approach in all cases. A spatula was inserted via the pars plana, the whole lens was lifted to the anterior chamber and then removed through a scleral tunnel incision. Anterior chamber intraocular lenses were implanted in all cases. All four eyes had severe subluxation of the crystalline lenses with marked phacodonesis. Two eyes had history of blunt trauma, and the other two eyes had severe pseudoexfoliation with spontaneous lens subluxation. Follow-up ranged from 1 to 2 years in three cases. The postoperative visual acuity was 20/80 or better. No intraoperative complications were observed. In conclusion, the P-PAL technique was successfully performed during cataract surgery in four eyes with severe subluxated cataracts. There were no complications over the long-term follow-up.

  6. A truly knotless technique for scleral fixation of intraocular lenses: Two-year results

    Directory of Open Access Journals (Sweden)

    Naresh K Yadav

    2012-01-01

    Full Text Available Scleral fixated intraocular lens (SFIOL is a safe and effective option for managing optical aphakia. Suture related complications like suture erosion, suture breakage, endophthalmitis, etc. are unique to SFIOL. The knots can be covered by partial thickness flaps or they can be rotated into scleral tissues without flaps to reduce the complications. We performed a recently described novel technique which obviates the need for knot and scleral flaps in securing the SFIOL. This novel 2-point Ab externo knotless technique may reduce the knot related problems. Twenty-three eyes undergoing this knotless SFIOL procedure were analyzed for intraoperative and postoperative complications. Twenty-two eyes either maintained or improved on their preoperative vision. All patients had a minimum follow-up of 24 months.

  7. Endoscopically assisted nasojejunal feeding tube placement: technique and results in five dogs.

    Science.gov (United States)

    Campbell, Scott Ayers; Daley, Catherine A

    2011-01-01

    Interest in noninvasive feeding tube placement in companion animals led to the adaption of a human technique utilizing endoscopy to place nasojejunal feeding tubes. Data from medical records in which nasojejunal feeding tubes were attempted were reviewed. Feeding tubes were attempted and successfully placed in five dogs within a median of 35 min. Feeding tubes remained in place for approximately 7 days. Complications included facial irritation (5/5), sneezing (5/5), fractured facial sutures (4/5), vomiting (3/5), diarrhea (3/5), crimping of feeding tube (3/5), regurgitation (1/5), epistaxis (1/5), clogging of the feeding tube (2/5), and oral migration with premature removal of the feeding tube (1/5). The deployment technique used in this study was found to be cumbersome. Despite minor complications, endoscopy can be used to rapidly and accurately place nasoenteric feeding devices.

  8. Techniques used for the isolation and characterization of extracellular vesicles: results of a worldwide survey

    Science.gov (United States)

    Gardiner, Chris; Vizio, Dolores Di; Sahoo, Susmita; Théry, Clotilde; Witwer, Kenneth W.; Wauben, Marca; Hill, Andrew F.

    2016-01-01

    Extracellular vesicles (EVs) represent an important mode of intercellular communication. Research in this field has grown rapidly in the last few years, and there is a plethora of techniques for the isolation and characterization of EVs, many of which are poorly standardized. EVs are heterogeneous in size, origin and molecular constituents, with considerable overlap in size and phenotype between different populations of EVs. Little is known about current practices for the isolation, purification and characterization of EVs. We report here the first large, detailed survey of current worldwide practices for the isolation and characterization of EVs. Conditioned cell culture media was the most widely used material (83%). Ultracentrifugation remains the most commonly used isolation method (81%) with 59% of respondents use a combination of methods. Only 9% of respondents used only 1 characterization method, with others using 2 or more methods. Sample volume, sample type and downstream application all influenced the isolation and characterization techniques employed. PMID:27802845

  9. New techniques and results for worldline simulations of lattice field theories

    Science.gov (United States)

    Giuliani, Mario; Orasch, Oliver; Gattringer, Christof

    2018-03-01

    We use the complex ø4 field at finite density as a model system for developing further techniques based on worldline formulations of lattice field theories. More specifically we: 1) Discuss new variants of the worm algorithm for updating the ø4 theory and related systems with site weights. 2) Explore the possibility of canonical simulations in the worldline formulation. 3) Study the connection of 2-particle condensation at low temperature to scattering parameters of the theory.

  10. Techniques used for the isolation and characterization of extracellular vesicles: results of a worldwide survey

    OpenAIRE

    Gardiner, Chris; Vizio, Dolores Di; Sahoo, Susmita; Th?ry, Clotilde; Witwer, Kenneth W.; Wauben, Marca; Hill, Andrew F.

    2016-01-01

    Extracellular vesicles (EVs) represent an important mode of intercellular communication. Research in this field has grown rapidly in the last few years, and there is a plethora of techniques for the isolation and characterization of EVs, many of which are poorly standardized. EVs are heterogeneous in size, origin and molecular constituents, with considerable overlap in size and phenotype between different populations of EVs. Little is known about current practices for the isolation, purificat...

  11. Subsidies to cytogenetic dosimetry technique generated from analysis of results of Goiania radiological accident

    International Nuclear Information System (INIS)

    Ramalho, Adriana Teixeira

    1993-06-01

    Following the Goiania radiation accident, which occurred in September of 1987, peripheral lymphocytes from 129 exposed or potentially exposed individuals were analyzed for the frequency of unstable chromosomal aberrations (dicentrics and centric rings) to estimate absorbed radiation dose. During the emergency period, the doses were assessed to help immediate medical treatment. After this initial estimation, doses were reassessed using in vitro calibration curves produced after the accident, more suitable for the conditions prevailing in Goiania. Dose estimates for 24 subjects exceeded 0,5 Gy. Among those, 15 individuals exceeded 1,0 Gy and 5 exceeded 3,0 Gy. None of the estimates exceeded 6,0 Gy. Four of the subjects died. During the emergency period, a cytogenetic follow-up of 14 of the exposed patients was started, aiming to observe the mean lifetime of lymphocytes containing dicentric and ring aberrations. The results suggest that for the highly exposed individuals the disappearance rate of unstable aberrations follows a two- term exponential function. Up to 470 days after the exposure, there is a rapid fall in the aberration frequency. After 470 days, the disappearance rate is very slow, almost constant. The estimated average half-time of elimination of dicentrics and rings among the highly exposed group (> 1 Gy) was 140 days for the initial period after the exposure (up to 470 days). This value is significantly shorter than the usually accepted value of 3 years reported in the literature. Mean disappearance functions of unstable chromosome aberrations were inferred, to be applied in accident situations in which there is a blood sampling delay. Statistical analysis of possible correlations between the individual half-times and biological parameters, such as sex, age, leukopenia level shown during the critical period, absorbed dose (initial frequency of chromosomal aberrations) and the administration of the bone marrow stimulating factor (rHuGM-CSF) was

  12. Agricultural soils decontamination techniques: methods and results of tests realized near Chernobyl

    International Nuclear Information System (INIS)

    Maubert, H.; Jouve, A.; Mary, N.

    1992-01-01

    After a major nuclear accident, decontamination of agricultural soils would be necessary in order to reclaim the land. Specific techniques were studied in the framework of the European program for Rehabilitation of Soils and Surfaces after an Accident (RESSAC). Different ways to remove the top layer of soils are described, and especially the use of Decontaminating Vegetal Network (D.V.N.) combined with spraying of organic polymers. Real scale tests in the 30 km zone around the Chernobyl nuclear power plant showed that it is possible to achieve an excellent decontamination of agricultural fields (decontamination factor greater than 95%. (author)

  13. First results from Solax: A new technique to detect axions from the sun

    International Nuclear Information System (INIS)

    Avignone, F.T. III; Creswick, R.J.; Farach, H.A.; Abriola, D.; Di Gregorio, D.E.; Gattone, A.O.; Hasenbalg, F.; Huck, H.; Brodzinski, R.L.; Miley, H.S.; Reeves, J.H.; Collar, J.I.; Guerard, C.K.; Morales, A.; Morales, J.; Ortiz de Solorzano, A.; Villar, J.A.; Nussinov, S.; Zioutas, K.

    1998-01-01

    A new technique has been used to seek solar axions with a single-crystal germanium detector. It exploits the coherent conversion of axions into photons when their angle of incidence satisfies the Bragg condition with a crystalline plane. The analysis of approximately 1.94 kg yr of data from the 1-kg DEMOS detector in Sierra Grande, Argentina, yields a new laboratory bound on the axion-photon coupling constant (g aγγ -9 GeV -1 ), irrespective of the axion mass up to ∼1 keV

  14. A simple novel technique [PUIT] for closure of urethrocutaneous fistula after hypospadias repair: Preliminary results

    Directory of Open Access Journals (Sweden)

    Awad M

    2005-01-01

    Full Text Available Urethrocutaneous fistula is a common complication of urethroplasty for severe hypospadias, even when a microsurgical technique is applied, the closure of the fistula is a challenging problem. We present a simple surgical procedure, posterior urethral incision technique [PUIT] to close the fistula in our department. Between February 2001 and December 2004 we prospectively evaluated 32 patients, 26 patients with initial hypospadias fistulas and 6 with recurrent fistulas who underwent closure of urethrocutaneous fistula after hypospadias repair. The mean age of patients was 5 years, the operation consisted of trimming the fistula edge after mobilization of the skin all-around then a midline posterior urethral incision was done 2 mm above and 2 mm below the fistula opening then re-approximation of the urethral edges using 6/0 vicryl sutures with loop magnification. The timing of fistula repair was between 6 and 13 months after it was formed, all of these were effectively closed except three cases with stricture and fistula. Of these, two were completely relieved after repeated urethral dilatation, three times a week for 2 weeks. The third failed case will need another sitting after 6 months. The posterior midline urethral incision gives a good opportunity for repair without tension with a good cosmetic outcome. This may be done under local anesthesia in adults. The procedure is considered simple rapid and easy to be done for variable fistulas types whatever of its site and the age.

  15. Robotic lobectomy and segmentectomy for lung cancer: results and operating technique.

    Science.gov (United States)

    Veronesi, Giulia

    2015-04-01

    Video-assisted thoracic surgery (VATS) is a minimally invasive approach with several advantages over open thoracotomy for the surgery of lung cancer but also some limitations like rigid instruments and suboptimal vision. Robot technology is an evolution of manual videothoracoscopy introduced to overcome these limitations maintaining the advantages related to low invasiveness. More intuitive movements, greater flexibility and high definition three-dimensional vision are advantages of the robotic approach. Different studies demonstrate that robotic lobectomy and segmentectomy are feasible and safe with long term outcome similar to that of open/VATS approaches, however no randomised comparison are available and benefits in terms of quality of life (QOL) and pain need to be demonstrated yet. Several different robotic techniques are currently employed and differ for number of robotic arms (three versus four), the use of CO2 insufflation, timing of utility incision and the port positioning. The four arms robotic approach with anterior utility incision is the technique described by the authors. Indications to perform robotic lung resections may be more extensive than those of traditional videothoracoscpic approach and includes patients with locally advanced disease after chemotherapy or those requiring anatomical segmentectomy. Learning curve of vats and robotic lung resection is similar. High capital and running costs are the most important disadvantages. Entry of competitor companies should drive down costs.

  16. Single tooth immediate provisional restoration of dental implants: technique and early results.

    Science.gov (United States)

    Block, Michael; Finger, Israel; Castellon, Paulino; Lirettle, Denise

    2004-09-01

    Patients desire efficient restoration of missing teeth. Immediate provisionalization of implants at the time of placement can provide the patient with a tooth-like restoration. Our hypothesis is that preoperative fabrication of the implant abutment and provisional restoration can provide successful immediate provisionalization of implants, if specific diagnostic criteria are used for patient selection. This hypothesis is evaluated by prospectively following 74 implants thus treated for 6 months to 2 years. A technique is presented to illustrate a simple and reliable method to provisionally restore a single tooth restoration. The method involves preoperative placement of an implant analog into a model, preparation of the abutment on the model, and fabrication of a provisional crown out of occlusion. At the time of surgery, the implant is placed according to the prescription of the restorative dentist, the surgeon places the abutment and provisional crown, and the final restoration is fabricated after the implant integrates. Seventy of 74 (94.6%) restorations have been successful with up to 2-year follow-up, which is similar to single tooth implants treated using a 2-stage protocol. Single tooth immediate provisionalization implants are effective techniques when specific diagnostic criteria are used.

  17. [Tibial defects and infected non-unions : Treatment results after Masquelet technique].

    Science.gov (United States)

    Moghaddam, A; Ermisch, C; Fischer, C; Zietzschmann, S; Schmidmaier, G

    2017-03-01

    The treatment of non-unions with large bone defects or osteitis is a major challenge in orthopedic and trauma surgery. A new concept of therapy is a two-step procedure: Masquelet technique according to the diamond concept. Between February 2010 and June 2014, 55 patients with tibia non-unions or infections were treated in a two-step Masquelet technique in our center. The patients' average age was 48 (median 50; minimum 15-maximum 72) with an average BMI (body mass index) of 28 (27; 18-52). There were 10 (18 %) female and 45 (82 %) male patients in the group. All study patients went through a follow up. Bone healing and clinical functional data were collected, as well as data according to subjective patient statements about pain and everyday limitations. In 42 cases (76.4 %) the outcome was a sufficient bony consolidation. On average, the time to heal was 10.3 (8, 5; 3-40) months, defect gaps were 4 cm (3 cm; 0,6-26 cm), and on average the patients had had 6 (median 4; range 1-31) previous operations . In all cases patients received osteosynthesis as well as a defect filling with RIA (reamer-irrigator-aspirator), and growth factor BMP-7 (bone morphogenetic protein-7). In 13 cases (23.6 %) there was no therapeutic success. In the evaluation of the SF12 questionnaire the mental health score increased from 47.4 (49.1; 27.6-65.7) to 49.8 (53.0; 28.7-69.4) and the well-being score from 32.7 (32.7;16.9-55.7) to 36.6 (36.5; 24.6-55.9). The two-step bone grafting method in the Masquelet technique used for tibia non-unions according to the diamond concept is a promising treatment option. Its application for tibia shaft non-unions with large bone defects or infections means a high degree of safety for the patient.

  18. Dynamic cholangio-cysto scintigraphy with sup(99m)Tc HIDA. Technique - Interpretation of results

    International Nuclear Information System (INIS)

    Queant, D.G.C.

    1978-10-01

    Amongst all the methods used to explore the bile function of the liver, isotopic cholangio-cysto scintigraphy should be ideally placed because of its harmlessness and ease of application and the importance of the information supplied. By this technique the bile function may be explored in its various aspects. Functional kinetics: - uptake and excretion by the hepatocytes, - storage and motivity (spontaneous or activated), - spontaneous vesicular rhythm. Morphological: - size and permeability of the bile ducts. The purpose of this study is to define the practical details involved in sup(99mTc)-HIDA cholangio-cysto scintigraphy and to estimate its reliability, advantages and limits. It covers the first 20 patients subjected to this examination in the biophysics service of the Lyon-Sud Faculty of Medicine [fr

  19. Double contrast barium enema: technique, indications, results and limitations of a conventional imaging methodology in the MDCT virtual endoscopy era.

    Science.gov (United States)

    Rollandi, Gian Andrea; Biscaldi, Ennio; DeCicco, Enzo

    2007-03-01

    The double contrast barium enema of the colon continues to be a diffused conventional radiological technique and allows for the diagnosis of neoplastic and inflammatory pathology. After the '70s, a massive initiative is undertaken to simplify, perfect and encode the method of the double contrast barium enema: Altaras from Germany, Miller from USA and Cittadini from Italy are responsible for the perfection of this technique in the last 30 years. The tailored patient preparation, a perfect technique of execution and a precise radiological documentation are essentials steps to obtain a reliable examination. The main limit of double contrast enema is that it considers the pathology only from the mucosal surface. In neoplastic pathology evaluation the main limit is the "T" parameter staging, but more limited are the "N" and "M" parameters evaluation. Today the double contrast technique continues to be a refined, sensitive and specific diagnostic method, moreover, diagnostic results cannot compete with the new CT multislice techniques (CT-enteroclysis and virtual colonoscopy) which can examine both the lumen and the wall of the colon. The double contrast is a cheap and simple examination but in the next future is predictably a progressive substitution of conventional radiology from new multislice techniques, because the cross sectional imaging is more frequently able to detect causes of the symptoms whether resulting both from colonic or non colonic origin.

  20. Double contrast barium enema: Technique, indications, results and limitations of a conventional imaging methodology in the MDCT virtual endoscopy era

    International Nuclear Information System (INIS)

    Rollandi, Gian Andrea; Biscaldi, Ennio; DeCicco, Enzo

    2007-01-01

    The double contrast barium enema of the colon continues to be a diffused conventional radiological technique and allows for the diagnosis of neoplastic and inflammatory pathology. After the '70s, a massive initiative is undertaken to simplify, perfect and encode the method of the double contrast barium enema: Altaras from Germany, Miller from USA and Cittadini from Italy are responsible for the perfection of this technique in the last 30 years. The tailored patient preparation, a perfect technique of execution and a precise radiological documentation are essentials steps to obtain a reliable examination. The main limit of double contrast enema is that it considers the pathology only from the mucosal surface. In neoplastic pathology evaluation the main limit is the 'T' parameter staging, but more limited are the 'N' and 'M' parameters evaluation. Today the double contrast technique continues to be a refined, sensitive and specific diagnostic method, moreover, diagnostic results cannot compete with the new CT multislice techniques (CT-enteroclysis and virtual colonoscopy) which can examine both the lumen and the wall of the colon. The double contrast is a cheap and simple examination but in the next future is predictably a progressive substitution of conventional radiology from new multislice techniques, because the cross sectional imaging is more frequently able to detect causes of the symptoms whether resulting both from colonic or non colonic origin

  1. Korean Round-Robin Tests Result for New International Program to Assess the Reliability of Emerging Nondestructive Techniques

    Directory of Open Access Journals (Sweden)

    Kyung Cho Kim

    2017-04-01

    Full Text Available The Korea Institute of Nuclear Safety, as a representative organization of Korea, in February 2012 participated in an international Program to Assess the Reliability of Emerging Nondestructive Techniques initiated by the U.S. Nuclear Regulatory Commission. The goal of the Program to Assess the Reliability of Emerging Nondestructive Techniques is to investigate the performance of emerging and prospective novel nondestructive techniques to find flaws in nickel-alloy welds and base materials. In this article, Korean round-robin test results were evaluated with respect to the test blocks and various nondestructive examination techniques. The test blocks were prepared to simulate large-bore dissimilar metal welds, small-bore dissimilar metal welds, and bottom-mounted instrumentation penetration welds in nuclear power plants. Also, lessons learned from the Korean round-robin test were summarized and discussed.

  2. Prophylactic Bilateral Nipple-sparing Mastectomy and a Staged Breast Reconstruction Technique: Preliminary Results

    Science.gov (United States)

    Tondu, Thierry; Thiessen, Filip; Tjalma, Wiebren A.A.

    2016-01-01

    More high-risk women with breast cancer are identified using genetic testing at a younger age. These young women often opt for prophylactic surgery. Most patients are reluctant for extra donor-site scars besides infections and necrosis. In order to reduce these risks, a two-stage breast reconstruction technique is used for high-risk women with large or ptotic breasts. We presume that this procedure will reduce the risk of skin envelope and nipple–areola complex (NAC) necrosis to less than 1%. In the first stage, an inferior pedicle reduction is performed to obtain large volume reduction with maximal safety for the NAC. The ptosis, skin excess, and malpositioning of the NAC are corrected safely at this stage. In the second stage, the skin-sparing mastectomy is performed with or without nipple sparing. During this procedure, the areola is never removed. A bilateral breast reconstruction is then performed with an immediate subpectoral prothesis or delayed with the use of a subpectoral tissue expander. In this way, we aim to meet the patient’s wish to undergo bilateral risk reducing mastectomy in breasts that need ptosis correction without donor-site scarring. This article describes the procedure and reports the preliminary data. PMID:27867298

  3. Prophylactic Bilateral Nipple-sparing Mastectomy and a Staged Breast Reconstruction Technique: Preliminary Results

    Directory of Open Access Journals (Sweden)

    Thierry Tondu

    2016-01-01

    Full Text Available More high-risk women with breast cancer are identified using genetic testing at a younger age. These young women often opt for prophylactic surgery. Most patients are reluctant for extra donor-site scars besides infections and necrosis. In order to reduce these risks, a two-stage breast reconstruction technique is used for high-risk women with large or ptotic breasts. We presume that this procedure will reduce the risk of skin envelope and nipple–areola complex (NAC necrosis to less than 1%. In the first stage, an inferior pedicle reduction is performed to obtain large volume reduction with maximal safety for the NAC. The ptosis, skin excess, and malpositioning of the NAC are corrected safely at this stage. In the second stage, the skin-sparing mastectomy is performed with or without nipple sparing. During this procedure, the areola is never removed. A bilateral breast reconstruction is then performed with an immediate subpectoral prothesis or delayed with the use of a subpectoral tissue expander. In this way, we aim to meet the patient's wish to undergo bilateral risk reducing mastectomy in breasts that need ptosis correction without donor-site scarring. This article describes the procedure and reports the preliminary data.

  4. Ultra-mini PNL (UMP): Material, indications, technique, advantages and results.

    Science.gov (United States)

    Desai, Janak D

    2017-01-01

    Stone disease has afflicted mankind since centuries; records from ancient civilisations of India and Egypt have shown stones in human bodies. The scientific mind of humans has always made smart endeavours to remove the kidney stones. From large instruments made like the beaks of different animals and birds in 600 BC (Indian civilisation) to extremely sophisticated and miniaturised endoscopic intruments of today the human race has travelled a long way. The theme has always been to remove the stones with minimal morbidity and mortality and with minimum pain to the patient. The article takes you through the journey of instruments used in 600 BC until today. The story of instrumentation is a symbiosis of the medical minds along with engineering advances. The story of miniaturisation could not have moved further without the development of lasers, fiberoptics and sophisticated cameras. As the field stands today, we remove more complex stones by larger endoscopic intervention and smaller stones by miniaturised instruments. The article discusses all the merits and shortcomings of various techniques: from open surgery to standard PCNL to Mini PCNL to Ultra- Mini PCNL to Micro-PCNL.

  5. Minimally invasive posterior cervical discectomy for cervical radiculopathy: technique and clinical results.

    Science.gov (United States)

    Lidar, Zvi; Salame, Khalil

    2011-12-01

    Retrospective analysis of data of all patients treated by minimally invasive posterior discectomy for cervical radiculopathy between January 2004 and February 2008. To describe our technique and report the outcome of minimally invasive posterior cervical discectomy using the MetRx tubular retractor system and surgical microscope. Although several studies have been published on posterior minimally invasive approaches to cervical radiculopathy, most have focused on decompression of the nerve root by laminoforaminotomy only without the removal of the offending disc. The hospital charts, magnetic resonance imaging studies, and follow-up records of all the patients were reviewed. Outcome was assessed by neurological status, visual analog scale (VAS) for neck and arm pain, and by the short form-36 health survey questionnaire. Thirty-two patients were included in this study. The follow-up time was 20 to 67 months (mean, 39 mo). Muscle weakness improved in all patients; sensory deficits resolved in 21 patients and improved in 7 patients. Analysis of the mean VAS for radicular pain, VAS for neck pain, and all 8 domains of the short form-36 health survey questionnaire showed significant improvement. Complications included 1 case of incidental dural tear without postoperative cerebrospinal fluid leakage and 1 case of longstanding neck pain. Minimally invasive posterior cervical discectomy is safe and effective in the management of lateral cervical disc herniation manifested by radiculopathy. In addition to eliminating some of the disadvantages of open surgical approaches, it may also have swifter symptoms resolution compared with laminoforaminotomy without discectomy.

  6. In-vivo validation of fast spectral velocity estimation techniques – preliminary results

    DEFF Research Database (Denmark)

    Hansen, Kristoffer Lindskov; Gran, Fredrik; Pedersen, Mads Møller

    2008-01-01

    Spectral Doppler is a common way to estimate blood velocities in medical ultrasound (US). The standard way of estimating spectrograms is by using Welch's method (WM). WM is dependent on a long observation window (OW) (about 100 transmissions) to produce spectrograms with sufficient spectral...... resolution and contrast. Two adaptive filterbank methods have been suggested to circumvent this problem: the Blood spectral Power Capon method (BPC) and the Blood Amplitude and Phase Estimation method (BAPES). Previously, simulations and flow rig experiments have indicated that the two adaptive methods can...... used to estimate the spectrograms: WM with a Hanning window (WMhw), WM with a boxcar window (WMbw), BPC and BAPES. For each approach the window length was varied: 128, 64, 32, 16, 8, 4 and 2 emissions/estimate. Thus, from the same data set of each volunteer 28 spectrograms were produced. The artery...

  7. Modified urethrovesical anastomosis during robot-assisted simple prostatectomy: Technique and results

    Directory of Open Access Journals (Sweden)

    Octavio Castillo

    2016-06-01

    Conclusion: The results of our study show that RASP with UVA is a feasible, secure, and reproducible procedure with low morbidity. Additional series with larger patient cohorts are needed to validate this approach.

  8. Numerical modelling of CO2 migration in saline reservoirs using geoelectric and seismic techniques - first results

    Science.gov (United States)

    Hagrey, S. A. Al; Strahser, M. H. P.; Rabbel, W.

    2009-04-01

    The research project "CO2 MoPa" (modelling and parameterisation of CO2 storage in deep saline formations for dimensions and risk analysis) has been initiated in 2008 by partners from different disciplines (e.g. geology, hydrogeology, geochemistry, geophysics, geomechanics, hydraulic engineering and law). It deals with the parameterisation of virtual subsurface storage sites to characterise rock properties, with high pressure-temperature experiments to determine in situ hydro-petrophysical and mechanical parameters, and with modelling of processes related to CCS in deep saline reservoirs. One objective is the estimation of the sensitivity and the resolution of reflection seismic and geoelectrical time-lapse measurements in order to determine the underground distribution of CO2. Compared with seismic, electric resistivity tomography (ERT) has lower resolution, but its permanent installation and continuous monitoring can make it an economical alternative or complement. Seismic and ERT (in boreholes) applications to quantify changes of intrinsic aquifers properties with time are justified by the velocity and resistivity decrease related to CO2 injection. Our numerical 2D/3D modelling reveals the capability of the techniques to map CO2 plumes and changes as a function of thickness, concentration, receiver/electrode configuration, aspect ratio and modelling and inversion constraint parameters. Depending on these factors, some configurations are favoured due to their better spatial resolution and lower artefacts. Acknowledgements This work has been carried out in the framework of "CO2 MoPa" research project funded by the Federal German Ministry of Education and Research (BMBF) and a consortium of energy companies (E.ON Energy, EnBW AG, RWE Dea AG, Stadtwerke Kiel AG, Vattenfall Europe Technology Research GmbH and Wintershall Holding AG).

  9. Monitoring ambient ozone with a passive measurement technique method, field results and strategy

    NARCIS (Netherlands)

    Scheeren, BA; Adema, EH

    1996-01-01

    A low-cost, accurate and sensitive passive measurement method for ozone has been developed and tested. The method is based on the reaction of ozone with indigo carmine which results in colourless reaction products which are detected spectrophotometrically after exposure. Coated glass filters are

  10. Tools, Techniques, and Training: Results of an E-Resources Troubleshooting Survey

    Science.gov (United States)

    Rathmel, Angela; Mobley, Liisa; Pennington, Buddy; Chandler, Adam

    2015-01-01

    A primary role of any e-resources librarian or staff is troubleshooting electronic resources (e-resources). While much progress has been made in many areas of e-resources management (ERM) to understand the ERM lifecycle and to manage workflows, troubleshooting access remains a challenge. This collaborative study is the result of the well-received…

  11. Improvement in technique for arthroscopic ankle fusion: results in 15 patients.

    NARCIS (Netherlands)

    Kats, J.; Kampen, A. van; Waal Malefijt, M.C. de

    2003-01-01

    We retrospectively assessed time until consolidation, complications, and functional results according to Morgan from the clinical charts and radiographs of 15 arthroscopic ankle fusions. In 11 patients unilateral distraction and crossed screw placement over the fusion area through tibia and fibula

  12. Scapular allograft reconstruction after total scapulectomy: surgical technique and functional results

    NARCIS (Netherlands)

    Capanna, R.; Totti, F.; Geest, I.C.M. van der; Muller, D.A.

    2015-01-01

    HYPOTHESIS: Scapular allograft reconstruction after total scapulectomy preserving the rotator cuff muscles is an oncologically safe procedure and results in good functional outcome with a low complication rate. METHODS: The data of 6 patients who underwent scapular allograft reconstruction after a

  13. Clinical Results After Prostatic Artery Embolization Using the PErFecTED Technique: A Single-Center Study

    Energy Technology Data Exchange (ETDEWEB)

    Amouyal, Gregory, E-mail: gregamouyal@hotmail.com; Thiounn, Nicolas, E-mail: nicolas.thiounn@aphp.fr; Pellerin, Olivier, E-mail: olivier.pellerin@aphp.fr [Université Paris Descartes - Sorbonne - Paris - Cité, Faculté de Médecine (France); Yen-Ting, Lin, E-mail: ymerically@gmail.com [Assistance Publique - Hôpitaux de Paris, Hôpital Européen Georges Pompidou, Interventional Radiology Department (France); Giudice, Costantino Del, E-mail: costantino.delgiudice@aphp.fr [Université Paris Descartes - Sorbonne - Paris - Cité, Faculté de Médecine (France); Dean, Carole, E-mail: carole.dean@aphp.fr [Assistance Publique - Hôpitaux de Paris, Hôpital Européen Georges Pompidou, Interventional Radiology Department (France); Pereira, Helena, E-mail: helena.pereira@aphp.fr [Assistance Publique - Hôpitaux de Paris, Hôpital Européen Georges Pompidou, Clinical Research Unit (France); Chatellier, Gilles, E-mail: gilles.chatellier@aphp.fr; Sapoval, Marc, E-mail: marc.sapoval2@aphp.fr [Université Paris Descartes - Sorbonne - Paris - Cité, Faculté de Médecine (France)

    2016-03-15

    BackgroundProstatic artery embolization (PAE) has been performed for a few years, but there is no report on PAE using the PErFecTED technique outside from the team that initiated this approach.ObjectiveThis single-center retrospective open label study reports our experience and clinical results on patients suffering from symptomatic BPH, who underwent PAE aiming at using the PErFecTED technique.Materials and MethodsWe treated 32 consecutive patients, mean age 65 (52–84 years old) between December 2013 and January 2015. Patients were referred for PAE after failure of medical treatment and refusal or contra-indication to surgery. They were treated using the PErFecTED technique, when feasible, with 300–500 µm calibrated microspheres (two-night hospital stay or outpatient procedure). Follow-up was performed at 3, 6, and 12 months.ResultsWe had a 100 % immediate technical success of embolization (68 % of feasibility of the PErFecTED technique) with no immediate complications. After a mean follow-up of 7.7 months, we observed a 78 % rate of clinical success. Mean IPSS decreased from 15.3 to 4.2 (p = .03), mean QoL from 5.4 to 2 (p = .03), mean Qmax increased from 9.2 to 19.2 (p = .25), mean prostatic volume decreased from 91 to 62 (p = .009) mL. There was no retrograde ejaculation and no major complication.ConclusionPAE using the PErFecTED technique is a safe and efficient technique to treat bothersome LUTS related to BPH. It is of interest to note that the PErFecTED technique cannot be performed in some cases for anatomical reasons.

  14. Bench Test Results on a new Technique for Far InfraRed Polarimetry

    OpenAIRE

    Barry, S.; Nieswand, C.; Prunty,, S. L.; Mansfield, H. M.; O'Leary, P

    1997-01-01

    The results of bench tests performed on a new method of combined interferometry/polarimetry for the magnetic-field reconstruction of tokamak plasmas is presented. In particular, the sensitivity obtained in the polarimetric measurement shows the feasibility of Faraday rotation determination approaching a precision of ±0.2°. The method is based on an optically pumped far-infrared laser with a rotating polarization where both the interferometric and polarimetric information is determined from ph...

  15. Techniques and results of extremities dosimetric assessments among interventional imagery operators

    International Nuclear Information System (INIS)

    Donadille, L.; Tagnard-Merat, F.; Rehel, J.L.; Gauron, C.

    2009-01-01

    The authors evoke different surveys made among interventional imagery operators to assess the doses received by their hands. The operators had a local dosimeter on their middle finger nail during a single procedure, and had then to fill in a questionnaire. At least ten measurements per operator are required for the survey. The survey started in 2008 and is planned to end in December 2009. Some results are already briefly discussed

  16. Early results from an angiosome-directed open surgical technique for venous arterialization in patients with critical lower limb ischemia

    Directory of Open Access Journals (Sweden)

    Kim Houlind

    2013-12-01

    Full Text Available Background: Patients with critical lower limb ischemia without patent pedal arteries cannot be treated by the conventional arterial reconstruction. Venous arterialization has been suggested to improve limb salvage in this subgroup of patients but has not gained wide acceptance. We report our early experience after implementing deep and superficial venous arterialization of the lower limb. Materials and methods: Ten patients with critical ischemia and without crural or pedal arteries available for conventional bypass surgery or angioplasty were treated with distal venous arterialization. Inflow was from the most distal unobstructed segment. Run-off was the dorsal pedal venous arch (n=5, the dorsal pedal venous arch and a concomitant vein of the posterior tibial artery (n=3, or the dorsal pedal venous arch and a concomitant vein of the common plantar artery (n=2 depending on the location of the ischemic lesion. Venous valves were destroyed using antegrade valvulotomes, guide wires, knob needles, or retrograde valvulotomes via an extra incision. Results: Seven of the operated limbs were amputated after 23 (1–256 days (median [range]. The main reasons for amputation were lack of healing of either the original wound, of incisional wounds on the foot, or persisting pain at rest. In three cases, the bypass was open at the time of amputation. Two patients experienced complete wound healing after 231 and 342 days, respectively. By the end of follow-up, the last patient was ambulating with slow wound healing but without pain 309 days after surgery. Conclusion: Venous arterialization may be used as a treatment of otherwise unsalveable limbs. The success rate is, however, limited. Technical optimization of the technique is warranted.

  17. Multidetector computed tomography of urolithiasis. Technique and results; Multidetektor-Computertomografie der Urolithiasis. Technik und Ergebnisse

    Energy Technology Data Exchange (ETDEWEB)

    Karul, M.; Regier, M. [Universitaetsklinikum Hamburg-Eppendorf, Hamburg (Germany). Zentrum fuer Radiologie und Endoskopie; Heuer, R. [Universitaetsklinikum Hamburg-Eppendorf, Hamburg (Germany). Zentrum fuer Operative Medizin

    2013-02-15

    The diagnosis of acute urolithiasis results from unenhanced multidetector computed tomography (MDCT). This test analyses the functional and anatomical possibility for passing an ureteral calculi, the localization and dimension of which are important parameters for further therapy. Alternatively chronic urolithiasis could be ruled out by magnetic resonance urography (MRU). MRU is the first choice especially in pregnant women and children because of radiation hygiene. Enhanced MDCT must be emphasized as an alternative to intravenous urography (IVU) for diagnosis of complex drainage of urine and suspected disorder of the involved kidney. This review illustrates the principles of different tests and the clinical relevance thereof. (orig.)

  18. Surgery in older cancer patients - recent results and new techniques: worth the investment?.

    Science.gov (United States)

    van Leeuwen, Barbara L; Huisman, Monique G; Audisio, Riccardo A

    2013-01-01

    Recent developments in oncogeriatric surgery focus on several items - preoperative risk estimation and identification of frail patients and optimalization of perioperative care. New screening tools are being evaluated and show promising results. There is increasing evidence that preoperative training of frail patients might decrease the rate of postoperative complications and increase survival. The recent trend towards individualized treatment schemes will certainly be of benefit for the elderly population. More tools are becoming available to answer the most difficult question of all, namely whether surgery is the optimal treatment in this individual frail elderly oncogeriatric patient. Copyright © 2013 S. Karger AG, Basel.

  19. Bench test results on a new technique for far-infrared polarimetry

    International Nuclear Information System (INIS)

    Barry, S.; Nieswand, C.; Prunty, S.L.; Mansfield, H.M.; O'Leary, P.

    1996-11-01

    The results of bench tests performed on a new method of combined interferometry/polarimetry for the magnetic field reconstruction of tokamak plasmas is presented. In particular, the sensitivity obtained in the polarimetric measurement shows the feasibility of Faraday rotation determination approaching a precision of ±0.2 o . The method is based on an optically pumped far-infrared (FIR) laser with a rotating polarization where both the interferometric and polarimetric information is determined from phase measurements. Specific sources which introduce disturbances in the optical arrangement and which can limit the attainment of the polarimetric precision, mentioned above, are discussed. (author) 4 figs., 6 refs

  20. Comparative Analysis of Different Measurement Techniques for MLC Characterization: Preliminary Results

    International Nuclear Information System (INIS)

    Larraga-Gutierrez, J. M.; Ballesteros-Zebadua, P.; Garcia-Garduno, O. A.; Martinez-Davalos, A.; Rodriguez-Villafuerte, M.; Moreno-Jimenez, S.; Celis, M. A.

    2008-01-01

    Radiation transmission, leakage and beam penumbra are essential dosimetric parameters related to the commissioning of a multileaf collimation system. This work shows a comparative analysis of commonly used film detectors: X-OMAT V2 and EDR2 radiographic films, and GafChromic EBT registered radiochromic film. The results show that X-OMAT over-estimates radiation leakage and 80-20% beam penumbra. However, according to the reference values reported by the manufacturer for these dosimetric parameters, all three films are adequate for MLC dosimetric characterization, but special care must be taken when X-OMAT V2 film is used due to its low energy photon dependence

  1. Preliminary results of human PrPC protein studied by spectroscopic techniques

    Science.gov (United States)

    Nowakowski, Michał; Czapla-Masztafiak, Joanna; Kozak, Maciej; Zhukov, Igor; Zhukova, Lilia; Szlachetko, Jakub; Kwiatek, Wojciech M.

    2017-11-01

    Neurodegenerative diseases are one of the malfunctions of human nervous system, being a class of complex and prominent pathologies. The human prion Protease Resistant Protein (PrP) is protein regulating copper metabolism in mammalian cells through binding of Cu(II) ions to specific fragments. Nowadays misfolding of this protein is associated with development of prion diseases. Therefore, it is crucial to obtain structural information about coordination of Cu(II) by PrP protein. Herein, we report X-ray absorption spectroscopy (XAS) measurements, carried out on SuperXAS beamline (SLS, PSI Villigen) on PrPC-Cu(II) complexes. Obtained results were compared with theoretical predictions done by FEFF 9.6 software. Complementary to XAS data, Atomic Force Microscopy (AFM) measurements were conducted to obtain low resolution structural information about prepared sample that allow to develop protocol of fixing PrPC molecules on solid substrate used for further experiments. It has been established that folded C-terminal domain of PrPC protein has around 5 nm in diameter. Presented results showed that both XAS and AFM methods are useful tools in detailed examination of complexes of human PrPC either with Cu(II) or with other divalent metal ions.

  2. Role and rationale for extended periarterial sympathectomy in the management of severe Raynaud syndrome: techniques and results.

    Science.gov (United States)

    Merritt, Wyndell H

    2015-02-01

    There is no consensus regarding etiology or best surgical technique for severe Raynaud syndrome in patients with connective tissue disease. Observations after 30 years' experience in more than 100 cases led to the conclusion that an extended periarterial sympathectomy (with or without vein-graft reconstruction) and adjunctive use of Botox topically will offer benefits that exceed palliation and reduce recurrent ulcerations. In this article the rationale for this approach is reviewed, techniques and results are outlined, and a hypothesis for the mechanism of Raynaud attacks is offered. Copyright © 2015 Elsevier Inc. All rights reserved.

  3. Early Results Show Reduced Infection Rate Using No-touch Technique for Expander/ADM Breast Reconstruction

    Directory of Open Access Journals (Sweden)

    Henry B. Wilson, MD, FACS

    2015-03-01

    Full Text Available Summary: Infection is a common complication of immediate breast reconstruction that often leads to device removal, a result emotionally devastating to the patient and frustrating for her surgeon. “No-touch” techniques have been used in other surgical disciplines and plastic surgery, but they have not been reported for breast reconstruction with tissue expanders or implants and acellular dermis. We report a novel technique of tissue expander and acellular dermis placement using no-touch principles with a self-retaining retractor system that holds promise to decrease infectious complications of breast reconstruction.

  4. The Cochlear Baha 4 Attract System - design concepts, surgical technique and early clinical results.

    Science.gov (United States)

    Clamp, Philip J; Briggs, Robert J S

    2015-05-01

    Bone conduction implant systems utilize osseointegrated fixtures to transmit sound through the bones of the skull. They allow patients with hearing loss to receive acoustic signals directly to the inner ear, bypassing the outer and middle ear. The new Cochlear™ Baha(®) Attract System (Cochlear Bone Anchored Solutions AB, Mölnlycke, Sweden) has been designed as a non-skin penetration hearing implant. The system uses magnetic coupling to hold the external sound processor in place and transmit acoustic energy. An implantable magnet is anchored to the skull via a single osseointegrated fixture, maximizing the efficiency of energy sound transfer. The interposed soft tissue is protected by a SoftWear pad that evenly distributes pressure in order to minimize the risk of pressure necrosis. This article summarizes the design features and early clinical results of the Baha 4 Attract System and provides context as to its place in the broader hearing aid market.

  5. Laparoscopic Conversion of Gastric Bypass Complication to Sleeve Gastrectomy: Technique and Early Results.

    Science.gov (United States)

    Chen, Chung-Yen; Lee, Wei-Jei; Lee, Hui-Ming; Chen, Jung-Chien; Ser, Kong-Han; Lee, Yi-Chih; Chen, Shu-Chun

    2016-09-01

    Laparoscopic gastric bypass is a commonly performed bariatric surgery for the treatment of morbid obesity. Revision surgery for patients who have gastric bypass complications is a challenge for bariatric surgeon. Our aim is to present the early results of the conversions of gastric bypass complications to sleeve gastrectomies. From January 2001 to April 2015, 49 of 2382 gastric bypasses underwent revisional surgery to convert gastric bypasses to sleeve gastrectomies. The demographic data, surgical parameters, and outcomes were studied. The mean age of the study group was 35.0 years (range 20 to 55), and the average body mass index (BMI) prior to the reoperation was 25.3 kg/m(2). Seven patients had previous laparoscopic Roux-en-Y gastric bypasses (LRYGBs), and 42 had laparoscopic single anastomosis (mini-) gastric bypasses (LSAGBs). The main reasons for the revisions were malnutrition (58 %), weight regain (10 %), intolerance (18 %), and others (14 %). The revisional surgeries had longer operative times, greater blood loss, and longer flatus passage times than the primary gastric bypass surgeries. Four patients (8.1 %) developed major complications during revisional surgery, including three (6.1 %) cases of leakage and one (2.0 %) case of internal bleeding. No mortality was noted. After conversion to sleeve gastrectomy, the body weights of the patients remained stable, and all patients improved in terms of malnutrition, including anemia, hypoalbuminemia, and secondary hyperparathyroidism. Conversion to sleeve gastrectomy is an effective and safe option for patients with gastric bypass complications. The conversions to sleeve gastrectomy resulted in significant improvements in malnutrition and maintained weight loss at the early follow-ups.

  6. Radiotherapy of plantar heel spur. Indication, technique and clinical results for different dose concepts

    International Nuclear Information System (INIS)

    Seegenschmiedt, M.H.; Keilholz, L.; Stecken, A.; Katalinic, A.; Sauer, R.

    1996-01-01

    From 1.1.1984 through 1.3.1994, 182 patients with refractory painful heel symptoms and radiologically proven plantar heel spur received radiotherapy. A total of 141 patients and 170 heels (due to double-sided symptoms) were completely documented in long-term follow-up. Clearly defined semi-quantitative criteria (9-point score) were used to analyze heel pain and ankle function prior to RT, 6 to 12 weeks post-radiation, and at last follow-up. The treatment outcome, i.e. (un)favourable response, of 3 radiation dose concepts were compared: Group A (n=72 heels) received 12 Gy total radiation dose in 3 fractions per week and 2 series (6x1 Gy per series) separated by 6 weeks; group B (n=98 heels) received 3 Gy total radiation dose in 10 fractions of 0.3 Gy (n=50) or 5 Gy (10x0.5 Gy) (n=48) with conventiona fraction in 1 series. Radiotherapy was very effective: At last follow-up 67% (group A) and 71% (group B) remained completely free of pain. The rate of 'complete pain relief' (i.e. free of any pain symptoms) was not different between the 3 radiation concepts. However, significant differences were observed with regard to 'incomplete or insufficient pain relief', i.e. a subjective pain relief of less than 80%, a delayed pain relief after more than 4 weeks or a relapse of pain symptoms in long-term follow-up. More favourable results were achieved in patients receiving 5 Gy or 12 Gy total dose, while patients with 3 Gy total dose had significantly worse results. Prognostic factors for 'complete pain relief' were short duration of pain symptoms and acute pain symptoms prior to radiotherapy; with regard to 'incomplete or insufficient pain relief' the total dose was found to be a prognostic parameter. (orig./MG) [de

  7. Seed dispersal into wetlands: Techniques and results for a restored tidal freshwater marsh

    Science.gov (United States)

    Neff, K.P.; Baldwin, A.H.

    2005-01-01

    Although seed dispersal is assumed to be a major factor determining plant community development in restored wetlands, little research exists on density and species richness of seed available through dispersal in these systems. We measured composition and seed dispersal rates at a restored tidal freshwater marsh in Washington, DC, USA by collecting seed dispersing through water and wind. Seed dispersal by water was measured using two methods of seed collection: (1) stationary traps composed of coconut fiber mat along an elevation gradient bracketing the tidal range and (2) a floating surface trawl net attached to a boat. To estimate wind dispersal rates, we collected seed from stationary traps composed of coconut fiber mat positioned above marsh vegetation. We also collected a small number of samples of debris deposited along high tide lines (drift lines) and feces of Canada Goose to explore their seed content. We used the seedling emergence method to determine seed density in all samples, which involved placing the fiber mats or sample material on top of potting soil in a greenhouse misting room and enumerating emerging seedlings. Seedlings from a total of 125 plant species emerged during this study (including 82 in river trawls, 89 in stationary water traps, 21 in drift lines, 39 in wind traps, and 10 in goose feces). The most abundant taxa included Bidens frondosa, Boehmeria cylindrica, Cyperus spp., Eclipta prostrata, and Ludwigia palustris. Total seedling density was significantly greater for the stationary water traps (212 + 30.6 seeds/m2/month) than the equal-sized stationary wind traps (18 + 6.0 seeds/m(2)/month). Lower-bound estimates of total species richness based on the non-parametric Chao 2 asymptotic estimators were greater for seeds in water (106 + 1.4 for stationary water traps and 104 + 5.5 for trawl samples) than for wind (54 + 6.4). Our results indicate that water is the primary source of seeds dispersing to the site and that a species-rich pool

  8. Comparison of the cytology technique and the frozen section results in intraoperative consultation of the breast lesions

    Directory of Open Access Journals (Sweden)

    "Haeri H

    2002-07-01

    Full Text Available The cytology study is effective and reliable technique in intraoperative consultation. This study was performed to evaluate the accuracy of the cytology study in intraoperative consultation of the breast lesions. 125 specimens of the breast lesions were examined and studied in Imam Khomeini Hospital during the years 1998-99. The sensitivity, specificity and accuracy for cytological method were 87.5% , 95%, 90.5% and for the frozen section 92.4%, 100% and 95.4% respectively. The false positive reports were 2% in the cytology technique and the most important source of error and false postivie reports was fibroadenoma in this method. By reviewing the results. It could be concluded that combination of these two techniques is beneficial and more reliable in intraoperative consultation resports of the breast lesions

  9. Ultrasound-guided endocavitary drainage of pelvic abscesses: Technique, results and complications

    International Nuclear Information System (INIS)

    Ryan, R.S.; McGrath, F P.; Haslam, P.J.; Varghese, J.C.; Lee, M.J.

    2003-01-01

    AIM: To evaluate the experience in our institution with ultrasound-guided transrectal and transvaginal (endocavitary) drainage of pelvic abscesses. MATERIALS AND METHODS: Eighteen patients (four male, 14 female; mean age 55 years, range 30-78 years) presenting with pelvic abscesses were referred to our institution for therapeutic drainage over a 4 year period. Patients received broad-spectrum antibiotics prior to drainage, which was performed by either the transvaginal or transrectal route under ultrasound guidance. Patients were given sedo-analgesia in the form of midazolam and fentanyl and local anaesthesia was also employed. Eight French catheters were inserted into the abscess cavities, and patients were subsequently monitored on a daily basis by a member of the interventional radiology team until such time as it was deemed appropriate to remove the catheter. RESULTS: Eighteen catheters were placed in 17 patients, and transvaginal aspiration alone was performed in one patient. Drainage was successful in 16 of 17 patients, but a transgluteal approach was ultimately required in the remaining patient to enable passage of a larger catheter into an infected haematoma. The mean duration of drainage was 5 days, mean time to defervesce 2 days. Spontaneous catheter dislodgement occurred in four patients associated with straining, but this did not have any adverse effect in three of the four patients. CONCLUSION: Endocavitary drainage is an effective method of treatment for pelvic abscesses. Spontaneous catheter dislodgement does not affect patient outcome

  10. Ultrasound-guided endocavitary drainage of pelvic abscesses: Technique, results and complications

    Energy Technology Data Exchange (ETDEWEB)

    Ryan, R.S.; McGrath, F P.; Haslam, P.J.; Varghese, J.C.; Lee, M.J

    2003-01-01

    AIM: To evaluate the experience in our institution with ultrasound-guided transrectal and transvaginal (endocavitary) drainage of pelvic abscesses. MATERIALS AND METHODS: Eighteen patients (four male, 14 female; mean age 55 years, range 30-78 years) presenting with pelvic abscesses were referred to our institution for therapeutic drainage over a 4 year period. Patients received broad-spectrum antibiotics prior to drainage, which was performed by either the transvaginal or transrectal route under ultrasound guidance. Patients were given sedo-analgesia in the form of midazolam and fentanyl and local anaesthesia was also employed. Eight French catheters were inserted into the abscess cavities, and patients were subsequently monitored on a daily basis by a member of the interventional radiology team until such time as it was deemed appropriate to remove the catheter. RESULTS: Eighteen catheters were placed in 17 patients, and transvaginal aspiration alone was performed in one patient. Drainage was successful in 16 of 17 patients, but a transgluteal approach was ultimately required in the remaining patient to enable passage of a larger catheter into an infected haematoma. The mean duration of drainage was 5 days, mean time to defervesce 2 days. Spontaneous catheter dislodgement occurred in four patients associated with straining, but this did not have any adverse effect in three of the four patients. CONCLUSION: Endocavitary drainage is an effective method of treatment for pelvic abscesses. Spontaneous catheter dislodgement does not affect patient outcome.

  11. Techniques and Results for Determining Window Placement and Configuration for the Small Pressurized Rover (SPR)

    Science.gov (United States)

    Thompson, Shelby; Litaker, Harry; Howard, Robert

    2009-01-01

    A natural component to driving any type of vehicle, be it Earth-based or space-based, is visibility. In its simplest form visibility is a measure of the distance at which an object can be seen. With the National Aeronautics and Space Administration s (NASA) Space Shuttle and the International Space Station (ISS), there are human factors design guidelines for windows. However, for planetary exploration related vehicles, especially land-based vehicles, relatively little has been written on the importance of windows. The goal of the current study was to devise a proper methodology and to obtain preliminary human-in-the-loop data on window placement and location for the small pressurized rover (SPR). Nine participants evaluated multiple areas along the vehicle s front "nose", while actively maneuvering through several lunar driving simulations. Subjective data was collected on seven different aspects measuring areas of necessity, frequency of views, and placement/configuration of windows using questionnaires and composite drawings. Results indicated a desire for a large horizontal field-of-view window spanning the front of the vehicle for most driving situations with slightly reduced window areas for the lower front, lower corners, and side views.

  12. Training in atomic science and techniques. Some results of the IAEA fellowship programme

    International Nuclear Information System (INIS)

    1963-01-01

    The International Atomic Energy Agency has regarded the creation of adequate facilities for training in nuclear science and technology as an essential step towards the development of the peaceful uses of atomic energy throughout the world. It has also been clear that this is one of the fields in which the Agency an give most fruitful assistance to its Member States: by awarding fellowships for training at advanced centres of study and research, by instituting visiting professorships to train scientific and technical personnel in their home countries, by organizing international and regional training courses or training centres. The Agency has made use of all these methods and more than 60 countries have benefited from its training programme. A part of the programme is financed out of voluntary contributions by Member States to the Agency's General Fund and some of it financed out of funds made available to the Agency under the UN Expanded Programme of Technical Assistance (EPTA). In addition, use is made of training facilities provided free by several Member States. In an attempt to assess some of the concrete results of the training programme, the Agency recently sent a special questionnaire to 151 former Agency fellows who had completed their training at least two years earlier. By the end of last year, replies had been received from 121 former fellows from 31 countries. They provide an encouraging picture, as can be seen from the numerical analysis

  13. Medial release and lateral imbrication for intractable anterior knee pain: diagnostic process, technique, and results

    Directory of Open Access Journals (Sweden)

    Meldrum AR

    2015-01-01

    Full Text Available Alexander R Meldrum,1 Jeremy R Reed,2 Megan D Dash3 1Department of Surgery, Section of Orthopedic Surgery, University of Calgary, Calgary, AB, Canada; 2Department of Surgery, University of Saskatchewan College of Medicine, Regina, SK, Canada; 3Department of Family Medicine, College of Medicine, University of Saskatchewan, Regina, SK, Canada Purpose: To present two cases of intractable patellofemoral pain syndrome treated with a novel procedure, arthroscopic medial release, and lateral imbrication of the patellar retinaculum. Patients and methods: This case series presents the treatment of three knees in two patients (one bilateral in whom an all-inside arthroscopic medial release and lateral imbrication of the patellar retinaculum was performed. Subjective measurement of pain was the primary outcome measurement, and subjective patellofemoral instability was the secondary outcome measurement. Results: Subjectively the two patients had full resolution of their pain, without any patellofemoral instability. Conclusion: Medial release and lateral imbrication of the patellar retinaculum is a new surgical procedure that has been used in the treatment of intractable patellofemoral pain syndrome. This is the first report of its kind in the literature. While outcome measurements were less than ideal, the patients had positive outcomes, both functionally and in terms of pain. Keywords: anterior knee pain syndrome, chondromalacia patellae, runners knee, patellar chondropathy, patellofemoral dysfunction, patellofemoral tracking disorder

  14. [Local excision of rectal tumors. Indications, preoperative diagnosis, surgical technique and results].

    Science.gov (United States)

    Heintz, A; Braunstein, S; Menke, H

    1992-05-15

    Between January 1986 and October 1991 255 patients with rectal tumors were treated by local excision. In 239 patients local excision was performed by transanal endoscopic microsurgery, 16 tumors were removed with the retractor developed by Parks. Operative mortality was 1% in 189 local removed adenomas, complications were observed in two patients (2.1%), local recurrences in seven patients (3.7%). 66 rectal carcinomas were treated by local excision (operative mortality 1%, complication rate 3%). In one of 28 local excised "low risk" T1-carcinomas a recurrence was observed. Five of eleven local treated patients with "high risk" tumors developed a recurrence. Endosonography was of utmost importance in preoperative staging of rectal tumors. Between June 1987 and October 1991 204 patients with rectal tumors (92 sessile adenomas, 30 T1-carcinomas and 82 advanced carcinomas) were examined preoperatively by endosonography. The diagnosis of an adenoma or a T1-carcinoma was made with a sensitivity of 0.9, although no differentiation was possible between adenomas and T1-carcinomas. Results of digital examination were comparable to endosonography, under condition that digital examination was complete. Insufficient information was obtained from the endosonographic detection of lymph-node metastatic spread.

  15. Long-term results of aortic root repair using the reimplantation technique.

    Science.gov (United States)

    David, Tirone E; Armstrong, Susan; Manlhiot, Cedric; McCrindle, Brian W; Feindel, Christopher M

    2013-03-01

    Aortic valve sparing is frequently performed to treat patients with aortic root aneurysm, but there is an inadequate amount of information regarding its long-term durability. This study examines the long-term results of reimplantation of the aortic valve in patients with aortic root aneurysms. From August 1989 to December 2010, 296 consecutive patients had reimplantation of the aortic valve into a tubular Dacron graft. Their mean age was 45 years (range, 11-79 years), and 78% were men. Of the patients, 36% had Marfan syndrome and 11% had bicuspid aortic valve. Patients were followed prospectively with periodic images of the aortic root and remaining aorta. The mean follow-up was 6.9 ± 4.5 years. There were 21 patients at risk at 15 years. There were 4 operative and 18 late deaths. The survival at 5, 10, and 15 years was 95.1% ± 3.5%, 93.1% ± 4.4%, and 76.5% ± 18%, respectively. Only 3 patients required reoperation on the aortic valve; all 3 patients had the Bentall procedure. Freedom from reoperation at 5, 10, and 15 years was 99.7% ± 2.0%, 97.8% ± 5.3%, and 97.8% ± 5.3%, respectively. During follow-up, moderate aortic insufficiency developed in 9 patients, and severe aortic insufficiency developed in 2 patients. Freedom from moderate or severe aortic insufficiency at 5, 10, and 15 years was 98.3% ± 3.5%, 92.9% ± 6.5%, and 89.4% ± 12%, respectively. The function of the aortic valve implanted inside a tubular Dacron graft remains normal at 15 years in most patients after this type of aortic valve-sparing operation. Copyright © 2013 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.

  16. Magnetic field evolution of neutron stars - I. Basic formalism, numerical techniques and first results

    Science.gov (United States)

    Bransgrove, Ashley; Levin, Yuri; Beloborodov, Andrei

    2018-01-01

    In this work we explore the evolution of magnetic fields inside strongly magnetized neutron stars in axisymmetry. We model numerically the coupled field evolution in the core and the crust. Our code models the Hall drift and Ohmic effects in the crust, the back-reaction on the field from magnetically induced elastic deformation of the crust, the magnetic twist exchange between the crust and the core, and the drift of superconducting flux tubes inside the core. The correct hydromagnetic equilibrium is enforced in the core. We find that (i) The Hall attractor found by Gourgouliatos and Cumming in the crust exists also for configurations when the B-field penetrates into the core. However, the evolution time-scale for the core-penetrating fields is dramatically different from that of the fields confined to the crust. (ii) The combination of Jones' flux tube drift and Ohmic dissipation in the crust can deplete the pulsar magnetic fields on the time-scale of 150 Myr if the crust is hot (T ∼ 2 × 108 K), but acts on much slower time-scales for cold neutron stars, such as recycled pulsars (∼1.8 Gyr, depending on impurity levels). (iii) The outward motion of superfluid vortices during the rapid spin-down of a young highly magnetized pulsar can result in a partial expulsion of flux from the core when B ≲ 1013 G. However for B ≳ 2 × 1013 G, the combination of a stronger magnetic field and a longer spin period implies that the core field cannot be expelled.

  17. MR cholangiopancreatography (MRCP) at 0.5 T: technique optimisation and preliminary results

    Energy Technology Data Exchange (ETDEWEB)

    Pavone, P. [Ist. di Radiologia - 2 Cattedra, Univ. degli Studi di Roma `La Sapienza`, Policlinico Umberto I (Italy); Laghi, A. [Ist. di Radiologia - 2 Cattedra, Univ. degli Studi di Roma `La Sapienza`, Policlinico Umberto I (Italy); Catalano, C. [Ist. di Radiologia - 2 Cattedra, Univ. degli Studi di Roma `La Sapienza`, Policlinico Umberto I (Italy); Broglia, L. [Ist. di Radiologia - 2 Cattedra, Univ. degli Studi di Roma `La Sapienza`, Policlinico Umberto I (Italy); Messina, A. [Ist. di Radiologia - 2 Cattedra, Univ. degli Studi di Roma `La Sapienza`, Policlinico Umberto I (Italy); Scipioni, A. [Ist. di Radiologia - 2 Cattedra, Univ. degli Studi di Roma `La Sapienza`, Policlinico Umberto I (Italy); Di Girolamo, M. [Ist. di Radiologia - 2 Cattedra, Univ. degli Studi di Roma `La Sapienza`, Policlinico Umberto I (Italy); Passariello, R. [Ist. di Radiologia - 2 Cattedra, Univ. degli Studi di Roma `La Sapienza`, Policlinico Umberto I (Italy)

    1996-04-01

    The aim of our study was to evaluate the feasibility of MR cholangiopancreatography (MRCP) at 0.5 T. To our knowledge no previous studies of MRCP have been performed at mid-field strength. Thirty-one patients with dilated biliary systems were examined with three-dimensional MRCP. All patients were studied with a 0.5 T superconducting magnet. A three-dimensional turbo spin-echo (TSE) sequence was acquired (TR=5000 ms, TE=244 ms, echo train length=45; acquisition time=14 min 10 s). Coronal images were post-processed with the MIP algorithm. Recently, the parameters have been optimised (TR=3000 ms, TE=700 ms, echo train length=128), reducing the acquisition time to 3 min. Endoscopic retrograde cholangiopancreatography (ERCP) was performed in 26 cases; 5 patients underwent percutaneous transhepatic cholangiography PTC. MRCP and ERCP images were evaluated by an experienced radiologist and an endoscopist. MRCP of diagnostic quality was acquired in all patients. Choledocholithiasis was correctly evaluated by MRCP in 12 of 12 patients, compared with 11 correct diagnoses by ERCP. The Presence and the level of the stricture were accurately shown in 16 of 16 patients with MRCP and in 13 of 16 patients with ERCP. The peripheral biliary tree above the obstruction and pancreatic duct were better evaluated by MRCP in all cases. In 3 of 3 patients who had undergone bilio-enteric surgery, a correct evaluation of the site of the anastomosis was possible with MRCP. It is concluded that MRCP performed at mid-field strength allows good visualisation of the dilated biliary system. Excellent results have been obtained on comparison with ERCP. MRCP performed at mit-field strength could have the same clinical value as high field strength MRCP. (orig.)

  18. Comparision of results between two different techniques of cranio-cervical decompression in patients with Chiari I malformation.

    Science.gov (United States)

    Kunert, Przemysław; Janowski, Mirosław; Zakrzewska, Agnieszka; Marchel, Andrzej

    2009-01-01

    A variety of approaches are employed for treatment of Chiari I malformation. They differ in extent of cranio-c ervical decompression. A technique based on arachnoid preservation and duroplasty was introduced in our department in 2001. The aim of the study is to compare between the previous and the present technique. Retrospective analysis of 38 patients with Chiari I malformation treated between 1998 and 2004 was performed. The previous technique including arach- noid incision, coagulation of cerebellar tonsils, and fourth ventricle exploration without duroplasty was used to treat 21 patients (group 1). A further 17 patients were treated with the present technique consisting of arachnoid preservation and duroplasty (group 2). Complication rates as well as early and late results of treatment were evaluated. Karnofsky (KPS), Rankin (RS) and Bidziński (BS) scales were used for evaluation of results. Post-operative complications were detected in 9 patients in group 1 (43%). They included liquorrhoea (5 cases), meningitis (1 case), and symptoms progression (3 cases). There were no surgical complications in group 2 (p = 0.002). Neurological improvement in the early period (until discharge from hospital) occurred in 10 (48%) patients in group 1 and in 13 (76%) in group 2 (p = NS). Further improvement or lack of symptoms progression was found in 58% in group 1 and 82% in group 2 (p = NS). Assessment in KPS, RS and BS showed slightly better results of group 2 but the difference was statistically insignificant. Results of both techniques are comparable. The risk of post-operative complications after extra-arachnoid cranio-cervical decompression with duroplasty is, however, significantly lower.

  19. Comparison between clinical and audiological results of tympanoplasty with double layer graft (modified sandwich fascia) technique and single layer graft (underlay fascia and underlay cartilage) technique.

    Science.gov (United States)

    Nemade, Sanjana Vijay; Shinde, Kiran Jaywant; Sampate, Pratibha Bharat

    2017-08-27

    Surgical repair of the tympanic membrane, termed a type one tympanoplasty is a tried and tested treatment modality. Overlay or underlay technique of tympanoplasty is common. Sandwich Tympanoplasty is the combined overlay and underlay grafting of tympanic membrane. To describe and evaluate the modified sandwich graft (mediolateral double layer graft) tympanoplasty using temporalis fascia and areolar fascia. To compare the clinical and audiological outcome of modified sandwich tympanoplasty with underlay tympanoplasty. A total of 88 patients of chronic otitis media were studied. 48 patients (Group A) underwent type one tympanoplasty with modified sandwich graft. Temporalis fascia was underlaid and the areolar fascia was overlaid. 48 patients (Group B) underwent type one tympanoplasty with underlay fascia technique. 48 patients (Group C) underwent type one tympanoplasty with underlay cartilage technique. We assessed the healing and hearing results. Successful graft take up was accomplished in 47 patients (97.9%) in Group A, in 40 patients (83.3%) Group B, and in 46 (95.8%) patients in Group C. The average Air-Bone gap closure achieved in Group A was 24.4±1.7dB, in Group B, it was 22.5±3.5dB and in group C, it was 19.8±2.6dB. Statistically significant difference was found in graft healing rate. Difference in hearing improvement was not statistically significant. Double layered graft with drum-malleus as a 'meat' of sandwich maintains a perfect balance between sufficient stability and adequate acoustic sensitivity. Copyright © 2017 Elsevier B.V. All rights reserved.

  20. A comparison of solute-transport solution techniques and their effect on sensitivity analysis and inverse modeling results

    Science.gov (United States)

    Mehl, S.; Hill, M.C.

    2001-01-01

    Five common numerical techniques for solving the advection-dispersion equation (finite difference, predictor corrector, total variation diminishing, method of characteristics, and modified method of characteristics) were tested using simulations of a controlled conservative tracer-test experiment through a heterogeneous, two-dimensional sand tank. The experimental facility was constructed using discrete, randomly distributed, homogeneous blocks of five sand types. This experimental model provides an opportunity to compare the solution techniques: the heterogeneous hydraulic-conductivity distribution of known structure can be accurately represented by a numerical model, and detailed measurements can be compared with simulated concentrations and total flow through the tank. The present work uses this opportunity to investigate how three common types of results - simulated breakthrough curves, sensitivity analysis, and calibrated parameter values - change in this heterogeneous situation given the different methods of simulating solute transport. The breakthrough curves show that simulated peak concentrations, even at very fine grid spacings, varied between the techniques because of different amounts of numerical dispersion. Sensitivity-analysis results revealed: (1) a high correlation between hydraulic conductivity and porosity given the concentration and flow observations used, so that both could not be estimated; and (2) that the breakthrough curve data did not provide enough information to estimate individual values of dispersivity for the five sands. This study demonstrates that the choice of assigned dispersivity and the amount of numerical dispersion present in the solution technique influence estimated hydraulic conductivity values to a surprising degree.

  1. Techniques and results

    Digital Repository Service at National Institute of Oceanography (India)

    Mudholkar, A.V.; Pattan, J.N.; Sudhakar, M.

    India Ltd (EIL) and Metallurgical and Engineering Consultants (MECON) were involved in the database management R & D efforts in the extraction of metallurgy of the nodules was started by various leading research centres in the country Efforts to develop...

  2. Subluxation of iris-sutured intraocular lenses and results of a closed chamber technique for repositioning after penetrating keratoplasty.

    Science.gov (United States)

    Jabbur, Nada S; Akpek, Esen Karamursel; Stark, Walter J

    2005-05-01

    To describe subluxation of iris-fixated intraocular lenses (IOLs) after penetrating keratoplasty (PK) as a postoperative complication and report the long-term outcomes of a closed-chamber refixation technique used in the management. This was a retrospective, noncomparative interventional case series in which 19 consecutive patient charts with a subluxated iris-fixated IOL after PK were retrospectively reviewed. Fourteen of the patients underwent surgery using a closed-chamber refixation technique. These patients were evaluated for visual outcome and surgical complications associated with the procedure. In 13 patients, postoperative follow-up was available. In all 13 cases, the fixated IOL appeared stable and remained well positioned during a follow-up period of 56 months (range, 6-122). All patients (100%) achieved improved uncorrected visual acuity. The postoperative visual acuity ranged from 20/20 to 20/100 with a mean of 20/40. Vitreous hemorrhage occurred in 1 patient, and an additional patient required a second surgery using the same technique. Both of these patients did well with a final visual acuity of 20/40 and 20/50, respectively. Subluxation of iris-fixated IOL after PK can occur as a postoperative complication. The technique that we herein describe enables secure refixation of subluxated IOLs and yields favorable long-term results.

  3. High-grade spondylolisthesis: gradual reduction using Magerl's external fixator followed by circumferential fusion technique and long-term results.

    Science.gov (United States)

    Karampalis, Christos; Grevitt, Michael; Shafafy, Masood; Webb, John

    2012-05-01

    To report the results of a cohort of patients treated with this technique high lighting radiological and functional outcomes, discussing also benefits arising from a gradual reduction procedure compared with other techniques. We evaluated nine patients who have undergone high-grade listhesis reduction and circumferential fusion at our institution from 1988 to 2006. Average length of follow-up was 11 years (5-19). Functional outcomes and radiological measurements were recorded and reported. Slip magnitude was reduced by an average of 2.9 grades (Meyerding classification). Slip angle improved by an average of 66% (p = 0.0001), lumbosacral angle by 47% (p = 0.0002), sacral rotation by 51% (p = 0.0068) and sacral inclination by 47% (p = 0.0055). At the latest follow-up 88.9% had achieved solid fusion. Post-operative 10-point Visual Analogue Score (VAS) for back pain had improved by 70% (p Average postoperative Oswestry Disability Index for all patients was 8% (range 0-16%) and that for Low Back Outcome Scores was 56.6 (range 44-70). All components of Short Form 36 Health Survey were greater than 80%. Overall patients' expectations were met in 100%. This is an effective and safe technique which addresses the lumbosacral kyphosis and cosmetic deformity without the neurological complications which accompany other reduction and fusion techniques for high-grade spondylolisthesis.

  4. Results of treatment of clubfoot by Ponseti′s technique in 40 cases : Pitfalls and problems in the Indian scenario

    Directory of Open Access Journals (Sweden)

    Bhaskar Atul

    2006-01-01

    Full Text Available Background : Though described long back, there has been a renewed interest towards Ponseti method of conservative treatment of clubfoot recently. Methods : Forty children with idiopathic clubfeet were treated by Ponseti technique. The median age at presentation was 9 days. Twenty-six children with bilateral and 12 children with unilateral clubfeet were graded by the Pirani method at the commencement of treatment and then at the final follow-up. Feet were graded as excellent if the Pirani score was zero, fair, if the sum of mid-foot and hind-foot score was one or less and poor, if the score was more than one. Thirty four children need a heel cord tenotomy and all children received conventional ankle-foot orthosis (AFO and foot-abduction orthosis (FAO to maintain correction. Results : Twenty-eight children had excellent correction, four had a fair outcome and eight cases had relapse in their deformity. Poor splint compliance and fitting along with incomplete correction of the deformity were identified as the chief causes leading to a poor result. Conclusion : A strict protocol and parent education can improve the outcome for all cases with the Ponseti technique. Key-words: Clubfoot; Congenital talipes equinovarus; Ponseti technique.

  5. Deepening sleep by hypnotic suggestion.

    Science.gov (United States)

    Cordi, Maren J; Schlarb, Angelika A; Rasch, Björn

    2014-06-01

    Slow wave sleep (SWS) plays a critical role in body restoration and promotes brain plasticity; however, it markedly declines across the lifespan. Despite its importance, effective tools to increase SWS are rare. Here we tested whether a hypnotic suggestion to "sleep deeper" extends the amount of SWS. Within-subject, placebo-controlled crossover design. Sleep laboratory at the University of Zurich, Switzerland. Seventy healthy females 23.27 ± 3.17 y. Participants listened to an auditory text with hypnotic suggestions or a control tape before napping for 90 min while high-density electroencephalography was recorded. After participants listened to the hypnotic suggestion to "sleep deeper" subsequent SWS was increased by 81% and time spent awake was reduced by 67% (with the amount of SWS or wake in the control condition set to 100%). Other sleep stages remained unaffected. Additionally, slow wave activity was significantly enhanced after hypnotic suggestions. During the hypnotic tape, parietal theta power increases predicted the hypnosis-induced extension of SWS. Additional experiments confirmed that the beneficial effect of hypnotic suggestions on SWS was specific to the hypnotic suggestion and did not occur in low suggestible participants. Our results demonstrate the effectiveness of hypnotic suggestions to specifically increase the amount and duration of slow wave sleep (SWS) in a midday nap using objective measures of sleep in young, healthy, suggestible females. Hypnotic suggestions might be a successful tool with a lower risk of adverse side effects than pharmacological treatments to extend SWS also in clinical and elderly populations.

  6. Nuclear techniques to assess irrigation schedules for field crops. Results of a co-ordinated research programme

    International Nuclear Information System (INIS)

    1996-06-01

    This TECDOC summarizes the results of a Co-ordinated Research Programme on The Use of Nuclear and Related Techniques in Assessment of Irrigation Schedules of Field Crops to Increase Effective Use of Water in Irrigation Projects. The programme was carried out between 1990 and 1995 through the technical co-ordination of the Soil Fertility, Irrigation and Crop Production Section of the Joint FAO/IAEA Division of Nuclear Techniques in Food and Agriculture of the International Atomic Energy Agency. Fourteen Member States of the IAEA and FAO carried out a series of field experiments aimed at improving irrigation water use efficiency through a type of irrigation scheduling known as deficit irrigation. Refs, figs, tabs

  7. Monitoring of land subsidence in Ravenna Municipality using two different DInSAR techniques: comparison and discussion of the results.

    Science.gov (United States)

    Fiaschi, Simone; Di Martire, Diego; Tessitore, Serena; Achilli, Vladimiro; Ahmed, Ahmed; Borgstrom, Sven; Calcaterra, Domenico; Fabris, Massimo; Ramondini, Massimo; Serpelloni, Enrico; Siniscalchi, Valeria; Floris, Mario

    2015-04-01

    Land subsidence affecting the Ravenna Municipality (Emilia Romagna Region, NE Italy) is one of the best example on how the exploitation of natural resources can affect the environment and the territory. In fact, the pumping of groundwater and the extraction of gas from both on and off-shore reservoirs, started in the 1950s, have caused a strong land subsidence affecting most of the Emilia Romagna territory but in particular the Adriatic Sea coastline near Ravenna. In such area the current subsidence rate, even if lower than in the past, can reach the -2cm/y. Local Authorities have monitored this phenomenon over the years with different techniques: spirit levelling, GPS surveys and, more recently, Interferometric Synthetic Aperture Radar (InSAR) techniques, confirming the critical situation of land subsidence risk. In this work, we present the comparison between the results obtained with two different DInSAR techniques applied to the study of the land subsidence in the Ravenna territory: the Small Baseline Subset (SBAS) and the Coherent Pixel Technique (CPT) techniques. The SBAS works on SARscape software and is based on the Berardino et al., 2002 algorithm. This technique relies on the combination of differential interferograms created from stacks of SAR image pairs that have small temporal and perpendicular baselines. Thanks to the application of several interferograms for every single image, it is possible to obtain high spatial coherence, high data density and more effective error reduction. This allows us to obtain mean velocity maps with good data density even over non-urbanized territories. For the CPT we used the SUBsoft processor based on the algorithm implemented by Mora et al., 2003. CPT is able to extract from a stack of differential interferograms the deformation evolution over wide areas during large time spans. The processing scheme is composed of three main steps: a) the generation of the best interferogram set among all the available images of the

  8. Preliminary results from osteosynthesis using Ender nails by means of a percutaneous technique, in humeral diaphysis fractures in adults

    Directory of Open Access Journals (Sweden)

    Glaydson Gomes Godinho

    2015-08-01

    Full Text Available ABSTRACTOBJECTIVE: To demonstrate the clinical and functional results from treatment of humeral diaphysis fractures using Ender nails. METHODS: Eighteen patients who underwent osteosynthesis of humeral diaphysis fractures using Ender nails were evaluated. In addition to the clinical and radiographic evaluations, patients with a minimum of one year of follow-up were assessed by means of the Constant, American Shoulder and Elbow Surgeons (ASES, Mayo Clinic and Simple Shoulder Value (SSV functional scores, and in relation to the degree of satisfaction with the final result. The fixation technique used was by means of an anterograde percutaneous route. RESULTS: All the patients achieved fracture consolidation, after a mean of 2.9 months (ranging from 2 to 4 months. The mean Constant score was 85.7 (ranging from 54 to 100 and the mean ASES score was 95.9 (ranging from 76 to 100. All the patients achieved the maximum score on the Mayo Clinic scale. CONCLUSION: Fixation of humeral diaphysis fractures using Ender nails by means of a percutaneous technique was shown to be a method with promising preliminary results.

  9. Deepening Sleep by Hypnotic Suggestion

    Science.gov (United States)

    Cordi, Maren J.; Schlarb, Angelika A.; Rasch, Björn

    2014-01-01

    Study Objectives: Slow wave sleep (SWS) plays a critical role in body restoration and promotes brain plasticity; however, it markedly declines across the lifespan. Despite its importance, effective tools to increase SWS are rare. Here we tested whether a hypnotic suggestion to “sleep deeper” extends the amount of SWS. Design: Within-subject, placebo-controlled crossover design. Setting: Sleep laboratory at the University of Zurich, Switzerland. Participants: Seventy healthy females 23.27 ± 3.17 y. Intervention: Participants listened to an auditory text with hypnotic suggestions or a control tape before napping for 90 min while high-density electroencephalography was recorded. Measurements and Results: After participants listened to the hypnotic suggestion to “sleep deeper” subsequent SWS was increased by 81% and time spent awake was reduced by 67% (with the amount of SWS or wake in the control condition set to 100%). Other sleep stages remained unaffected. Additionally, slow wave activity was significantly enhanced after hypnotic suggestions. During the hypnotic tape, parietal theta power increases predicted the hypnosis-induced extension of SWS. Additional experiments confirmed that the beneficial effect of hypnotic suggestions on SWS was specific to the hypnotic suggestion and did not occur in low suggestible participants. Conclusions: Our results demonstrate the effectiveness of hypnotic suggestions to specifically increase the amount and duration of slow wave sleep (SWS) in a midday nap using objective measures of sleep in young, healthy, suggestible females. Hypnotic suggestions might be a successful tool with a lower risk of adverse side effects than pharmacological treatments to extend SWS also in clinical and elderly populations. Citation: Cordi MJ, Schlarb AA, Rasch B. Deepening sleep by hypnotic suggestion. SLEEP 2014;37(6):1143-1152. PMID:24882909

  10. A novel technique for repair of mid-penile hypospadias using a preputial skin flap: results of 110 patients.

    Science.gov (United States)

    Elmoghazy, Hazem; Hussein, Mohamed M; Mohamed, Elnisr; Badawy, Abdelbasset; Alsagheer, Gamal; Abd Elhamed, Ahmed Mamdouh

    2016-12-01

    glanular closure, and we use the inner and adjacent outer skin in a vertical manner to preserve excess skin for penile coverage. Prepuce is split at midline to preserve more preputial skin with favourable dartos tissue for penile skin coverage. The glans is closed using a stitch-by-stitch method that has not been described previously. This study presents a novel technique for mid-penile hypospadias repair using a preputial skin flap with excellent results in terms of short- and long-term outcomes.

  11. Assessment of Environmental Qualification Practices and Condition Monitoring Techniques for Low-Voltage Electric Cables: LOCA Test Results

    Energy Technology Data Exchange (ETDEWEB)

    Lofaro, R. [Brookhaven National Lab. (BNL), Upton, NY (United States); Grove, E. [Brookhaven National Lab. (BNL), Upton, NY (United States); Villaran, M. [Brookhaven National Lab. (BNL), Upton, NY (United States); Soo, P. [Brookhaven National Lab. (BNL), Upton, NY (United States); Hsu, F. [Brookhaven National Lab. (BNL), Upton, NY (United States)

    2001-02-01

    This report documents the results of a research program addressing issues related to the qualification process for low-voltage instrumentation and control (I&C) electric cables used in commercial nuclear power plants. Three commonly used types of I&C cable were tested: Cross-Linked Polyethylene (XLPE) insulation with a Neoprene® jacket, Ethylene Propylene Rubber (EPR) insulation with an unbonded Hypalon® jacket, and EPR with a bonded Hypalon® jacket. Each cable type received accelerated aging to simulate 20, 40, and 60 years of qualified life. In addition, naturally aged cables of the same types were obtained from decommissioned nuclear power plants and tested. The cables were subjected to simulated loss-of-coolant-accident (LOCA) conditions, which included the sequential application of LOCA radiation followed by exposure to steam at high temperature and pressure, as well as to chemical spray. Periodic condition monitoring (CM) was performed using nine different techniques to obtain data on the condition of the cable, as well as to evaluate the effectiveness of those CM techniques for in situ monitoring of cables. Volume 1 of this report presents the results of the LOCA tests, and Volume 2 discusses the results of the condition monitoring tests.

  12. Results based on 124 cases of breast cancer and 97 controls from Taiwan suggest that the single nucleotide polymorphism (SNP309 in the MDM2 gene promoter is associated with earlier onset and increased risk of breast cancer

    Directory of Open Access Journals (Sweden)

    Lin I-Feng

    2009-01-01

    Full Text Available Abstract Background It has been suggested that the single nucleotide polymorphism 309 (SNP309, T -> G in the promoter region of the MDM2 gene is important for tumor development; however, with regards to breast cancer, inconsistent associations have been reported worldwide. It is speculated that these conflicting results may have arisen due to different patient subgroups and ethnicities studied. For the first time, this study explores the effect of the MDM2 SNP309 genotype on Taiwanese breast cancer patients. Methods Genomic DNA was obtained from the whole blood of 124 breast cancer patients and 97 cancer-free healthy women living in Taiwan. MDM2 SNP309 genotyping was carried out by restriction fragment length polymorphism (RFLP assay. The multivariate logistic regression and the Kaplan-Meier method were used for analyzing the risk association and significance of age at diagnosis among different MDM2 SNP309 genotypes, respectively. Results Compared to the TT genotype, an increased risk association with breast cancer was apparent for the GG genotype (OR = 3.05, 95% CI = 1.04 to 8.95, and for the TG genotype (OR = 2.12, 95% CI = 0.90 to 5.00 after adjusting for age, cardiovascular disease/diabetes, oral contraceptive usage, and body mass index, which exhibits significant difference between cases and controls. Furthermore, the average ages at diagnosis for breast cancer patients were 53.6, 52 and 47 years for those harboring TT, TG and GG genotypes, respectively. A significant difference in median age of onset for breast cancer between GG and TT+TG genotypes was obtained by the log-rank test (p = 0.0067. Conclusion Findings based on the current sample size suggest that the MDM2 SNP309 GG genotype may be associated with both the risk of breast cancer and an earlier age of onset in Taiwanese women.

  13. Fast, free-breathing, in vivo fetal imaging using time-resolved 3D MRI technique: preliminary results.

    Science.gov (United States)

    Liu, Jing; Glenn, Orit A; Xu, Duan

    2014-04-01

    Fetal MR imaging is very challenging due to the movement of fetus and the breathing motion of the mother. Current clinical protocols involve quick 2D scouting scans to determine scan plane and often several attempts to reorient the scan plane when the fetus moves. This makes acquisition of fetal MR images clinically challenging and results in long scan times in order to obtain images that are of diagnostic quality. Compared to 2D imaging, 3D imaging of the fetus has many advantages such as higher SNR and ability to reformat images in multiple planes. However, it is more sensitive to motion and challenging for fetal imaging due to irregular fetal motion in addition to maternal breathing and cardiac motion. This aim of this study is to develop a fast 3D fetal imaging technique to resolve the challenge of imaging the moving fetus. This 3D imaging sequence has multi-echo radial sampling in-plane and conventional Cartesian encoding through plane, which provides motion robustness and high data acquisition efficiency. The utilization of a golden-ratio based projection profile allows flexible time-resolved image reconstruction with arbitrary temporal resolution at arbitrary time points as well as high signal-to-noise and contrast-to-noise ratio. The nice features of the developed image technique allow the 3D visualization of the movements occurring throughout the scan. In this study, we applied this technique to three human subjects for fetal MRI and achieved promising preliminary results of fetal brain, heart and lung imaging.

  14. [Posterior lamellar keratoplasty with DSEK technique and use of the Tan EndoGlide - short-term results].

    Science.gov (United States)

    Kałuiny, Bartłomiej J; Piotrowiak, Ilona; Sołdańska, Beata; Grzybek, Katarzyna; Czajkowska, Monika; Galas, Małgorzata; Malukiewicz, Grazyna

    2013-01-01

    To present the differences in surgical technique of DSEK (Descemet's Stripping Endothelial Keratoplasty) with the use of Tan EndoGlide (Coronet, UK) and Busin Glide (Moria, FR). Short-term results will also be presented, DSEK was performed in 24 eyes, in 8 cases the surgery was combined with cataract phacoemulsification and lOL implantation. Surgery course and 6 months postoperative results of first 12 eyes performed with the use of Tan EndoGlide were compared with 12 consecutive eyes preformed with Busin Glide. Tan EndoGlide provided much more stable anterior chamber, donor tissue unfolding process was better controlled but the incision was wider incision. Surgically induced mean refractory cylinder 6. months after the surgery was 1.56 - 1.15 Dsph in Tan EndoGlide group and 1.18 +/- 1.10 Dsph in Busin Glide group (P 0.05). Mean CDVA was 0.65+/- 0.27 and 0.63 +/- 0.25, respectively (P>0,05). Statistically significant differences in intra- and post-operative complications between both groups were not found. The Tan EndoGlide used during posterior lamellar keratoplasty with DSEK technique is a good alternative to currently used methods. It provides better stabilization of the anterior chamber, however its use is linked with higher postoperative astigmatism in comparison with Busin Glide. The visual outcomes and endothelial cell loss 6 months after the surgery were similar in both groups.

  15. Parallel-scanning tomosynthesis using a slot scanning technique: Fixed-focus reconstruction and the resulting image quality

    International Nuclear Information System (INIS)

    Shibata, Koichi; Notohara, Daisuke; Sakai, Takihito

    2014-01-01

    Purpose: Parallel-scanning tomosynthesis (PS-TS) is a novel technique that fuses the slot scanning technique and the conventional tomosynthesis (TS) technique. This approach allows one to obtain long-view tomosynthesis images in addition to normally sized tomosynthesis images, even when using a system that has no linear tomographic scanning function. The reconstruction technique and an evaluation of the resulting image quality for PS-TS are described in this paper. Methods: The PS-TS image-reconstruction technique consists of several steps (1) the projection images are divided into strips, (2) the strips are stitched together to construct images corresponding to the reconstruction plane, (3) the stitched images are filtered, and (4) the filtered stitched images are back-projected. In the case of PS-TS using the fixed-focus reconstruction method (PS-TS-F), one set of stitched images is used for the reconstruction planes at all heights, thus avoiding the necessity of repeating steps (1)–(3). A physical evaluation of the image quality of PS-TS-F compared with that of the conventional linear TS was performed using a R/F table (Sonialvision safire, Shimadzu Corp., Kyoto, Japan). The tomographic plane with the best theoretical spatial resolution (the in-focus plane, IFP) was set at a height of 100 mm from the table top by adjusting the reconstruction program. First, the spatial frequency response was evaluated at heights of −100, −50, 0, 50, 100, and 150 mm from the IFP using the edge of a 0.3-mm-thick copper plate. Second, the spatial resolution at each height was visually evaluated using an x-ray test pattern (Model No. 38, PTW Freiburg, Germany). Third, the slice sensitivity at each height was evaluated via the wire method using a 0.1-mm-diameter tungsten wire. Phantom studies using a knee phantom and a whole-body phantom were also performed. Results: The spatial frequency response of PS-TS-F yielded the best results at the IFP and degraded slightly as the

  16. Clinical results of a surgical technique using endobuttons for complete tendon tear of pectoralis major muscle: report of five cases

    Directory of Open Access Journals (Sweden)

    Uchiyama Yoshiyasu

    2011-09-01

    Full Text Available Abstract Background We herein describe a surgical technique for the repair of complete tear of the pectoralis major (PM tendon using endobuttons to strengthen initial fixation. Methods Five male patients (3 judo players, 1 martial arts player, and 1 body builder were treated within 2 weeks of sustaining complete tear of the PM tendon. Average age at surgery and follow-up period were 28.4 years (range, 23-33 and 28.8 months (range, 24-36. A rectangular bone trough (about 1 × 4 cm was created on the humerus at the insertion of the distal PM tendon. The tendon stump was introduced into this trough, and fixed to the reverse side of the humeral cortex using endobuttons and non-absorbable suture. Clinical assessment of re-tear was examined by MRI. Shoulder range of motion (ROM, outcome of treatment, and isometric power were measured at final follow-up. Results There were no clinical re-tears, and MRI findings also showed continuity of the PM tendon in all cases at final follow-up. Average ROM did not differ significantly between the affected and unaffected shoulders. The clinical outcomes at final follow-up were excellent (4/5 cases or good (1/5. In addition, postoperative isometric power in horizontal flexion of the affected shoulder showed complete recovery when compared with the unaffected side. Conclusions Satisfactory outcomes could be obtained when surgery using the endobutton technique was performed within 2 weeks after complete tear of the PM tendon. Therefore, our new technique appears promising as a useful method to treat complete tear of the PM tendon.

  17. Early and mid-term results of mitral valve repair using premeasured Gore-Tex loops ('loop technique').

    Science.gov (United States)

    Kuntze, Thomas; Borger, Michael A; Falk, Volkmar; Seeburger, Joerg; Girdauskas, Evaldas; Doll, Nicolas; Walther, Thomas; Mohr, Friedrich Wilhelm

    2008-04-01

    Mitral valve (MV) repair with premeasured Gore-Tex loops (the 'loop technique') was introduced in 1999. We assessed the early- and mid-term outcomes for the loop technique in patients with MV prolapse. A total of 632 patients (447 male, 185 female) underwent MV repair with Gore-Tex loops for MV prolapse. A mini-thoracotomy was performed in 522 patients (mean age 58+/-12.4 years) and 110 patients received a full sternotomy (mean age 66.5+/-11.9 years). Early postoperative echo was performed in all patients and clinical follow-up was obtained in 95% of patients. Loops were used to correct prolapse of the posterior leaflet in 308 patients, the anterior leaflet in 150 patients, and both leaflets in 174 patients. The mean length of Gore-Tex loops was 20.8+/-3.4 mm for the A2 segment and 14.3+/-3.0mm for the P2 segment. Concomitant procedures consisted of atrial fibrillation ablation in 123 patients, tricuspid valve repair in 30 patients, coronary bypass surgery in 73 patients, and aortic valve surgery in 21 patients. Mean aortic cross-clamp and cardiopulmonary bypass times were 89+/-32 and 137+/-43 min, respectively. Predischarge echocardiography revealed no residual mitral regurgitation (MR) in 75%, trace or mild MR in 21% and mild-to-moderate MR in 4% of patients. Thirty-day survival was 98.6%, and one-year survival was 97.1%. Freedom from reoperation was 97.4+/-1.4%, 3 years postoperatively. MV repair with premeasured Gore-Tex loops results in excellent early- and mid-term outcomes for all types of leaflet prolapse. The loop technique facilitates minimal invasive MV repair without compromising surgical outcomes.

  18. Incidence, Results, and Our Current Intraoperative Technique to Control Major Vascular Injuries During Minimally Invasive Robotic Thoracic Surgery.

    Science.gov (United States)

    Cerfolio, Robert J; Bess, Kyle M; Wei, Benjamin; Minnich, Douglas J

    2016-08-01

    Our objective is to report our incidence, results, and technique for the control of major vascular injuries during minimally invasive robotic thoracic surgery. This is a consecutive series of patients who underwent a planned robotic thoracic operation by one surgeon. Between February 2009 and September 2015, 1,304 consecutive patients underwent a robotic operation (lobectomy, n = 502; segmentectomy, n = 130; mediastinal resection, n = 115; Ivor Lewis, n = 103; thymectomy, n = 97; and others, n = 357) by one surgeon. Conversion to thoracotomy occurred in 61 patients (4.7%) and in 14 patients (1.1%) for bleeding (pulmonary artery, n = 13). The incidence of major vascular injury during anatomic pulmonary resection was 2.4% (15 of 632). Of these, 13 patients required thoracotomy performed in a nonurgent manner while the injury was displayed on a monitor, 2 had the vessel repaired minimally invasively, 2 required blood transfusion (0.15%), and 1 patient had 30-day mortality (0.16%). Techniques used to minimize morbidity include having a sponge available during vessel dissection and stapling, applying immediate pressure, delaying the opening until the bleeding is controlled without external pressure, and ensuring there is no bleeding while the chest is opened. Major vascular injuries can be safely managed during minimally invasive robotic surgery. Our evolving technique features initial packing of the bleeding for several minutes, maintaining calmness to provide time to prepare for thoracotomy, and reexamination of the injured vessel. If repair is not possible minimally invasively, the vessel is repacked and a nonhurried, elective thoracotomy is performed while the injury is displayed on a monitor to ensure active bleeding is not occurring. Copyright © 2016 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  19. results

    Directory of Open Access Journals (Sweden)

    Salabura Piotr

    2017-01-01

    Full Text Available HADES experiment at GSI is the only high precision experiment probing nuclear matter in the beam energy range of a few AGeV. Pion, proton and ion beams are used to study rare dielectron and strangeness probes to diagnose properties of strongly interacting matter in this energy regime. Selected results from p + A and A + A collisions are presented and discussed.

  20. Quartz preferred orientation in naturally deformed mylonitic rocks (Montalto shear zone-Italy): a comparison of results by different techniques, their advantages and limitations

    Science.gov (United States)

    Fazio, Eugenio; Punturo, Rosalda; Cirrincione, Rosolino; Kern, Hartmut; Pezzino, Antonino; Wenk, Hans-Rudolf; Goswami, Shalini; Mamtani, Manish A.

    2017-10-01

    In the geologic record, the quartz c-axis patterns are widely adopted in the investigation of crystallographic preferred orientations (CPO) of naturally deformed rocks. To this aim, in the present work, four different methods for measuring quartz c-axis orientations in naturally sheared rocks were applied and compared: the classical universal stage technique, the computer-integrated polarization microscopy method (CIP), the time-of-flight (TOF) neutron diffraction analysis , and the electron backscatter diffraction (EBSD). Microstructural analysis and CPO patterns of quartz, together with the ones obtained for feldspars and micas in mylonitic granitoid rocks, have been then considered to solve structural and geological questions related to the Montalto crustal scale shear zone (Calabria, southern Italy). Results obtained by applying the different techniques are discussed, and the advantages as well as limitations of each method are highlighted. Importantly, our findings suggest that patterns obtained by means of different techniques are quite similar. In particular, for such mylonites, a subsimple shear (40% simple shear vs 60% pure shear) by shape analysis of porphyroclasts was inferred. A general tendency of an asymmetric c-maximum near to the Z direction (normal to foliation) suggesting dominant basal slip, consistent with fabric patterns related to dynamically recrystallization under greenschist facies, is recognized. Rhombohedral slip was likely active as documented by pole figures of positive and negative rhombs (TOF), which reveal also potential mechanical Dauphiné twinning. Results showed that the most complete CPO characterization on deformed rocks is given by the TOF (from which also other quartz crystallographic axes can be obtained as well as various mineral phases may be investigated). However, this use is restricted by the fact that (a) there are very few TOF facilities around the world and (b) there is loss of any domainal reference, since TOF is a

  1. Parallel-scanning tomosynthesis using a slot scanning technique: fixed-focus reconstruction and the resulting image quality.

    Science.gov (United States)

    Shibata, Koichi; Notohara, Daisuke; Sakai, Takihito

    2014-11-01

    Parallel-scanning tomosynthesis (PS-TS) is a novel technique that fuses the slot scanning technique and the conventional tomosynthesis (TS) technique. This approach allows one to obtain long-view tomosynthesis images in addition to normally sized tomosynthesis images, even when using a system that has no linear tomographic scanning function. The reconstruction technique and an evaluation of the resulting image quality for PS-TS are described in this paper. The PS-TS image-reconstruction technique consists of several steps (1) the projection images are divided into strips, (2) the strips are stitched together to construct images corresponding to the reconstruction plane, (3) the stitched images are filtered, and (4) the filtered stitched images are back-projected. In the case of PS-TS using the fixed-focus reconstruction method (PS-TS-F), one set of stitched images is used for the reconstruction planes at all heights, thus avoiding the necessity of repeating steps (1)-(3). A physical evaluation of the image quality of PS-TS-F compared with that of the conventional linear TS was performed using a R/F table (Sonialvision safire, Shimadzu Corp., Kyoto, Japan). The tomographic plane with the best theoretical spatial resolution (the in-focus plane, IFP) was set at a height of 100 mm from the table top by adjusting the reconstruction program. First, the spatial frequency response was evaluated at heights of -100, -50, 0, 50, 100, and 150 mm from the IFP using the edge of a 0.3-mm-thick copper plate. Second, the spatial resolution at each height was visually evaluated using an x-ray test pattern (Model No. 38, PTW Freiburg, Germany). Third, the slice sensitivity at each height was evaluated via the wire method using a 0.1-mm-diameter tungsten wire. Phantom studies using a knee phantom and a whole-body phantom were also performed. The spatial frequency response of PS-TS-F yielded the best results at the IFP and degraded slightly as the distance from the IFP increased. A

  2. Triangular block bridge method for surgical treatment of complex proximal humeral fractures: theoretical concept, surgical technique and clinical results.

    Science.gov (United States)

    Russo, Raffaele; D'Auria, Daniela; Ciccarelli, Michele; Della Rotonda, Giuseppe; D'Elia, Gesualdo; Siciliano, Bruno

    2017-10-01

    Criteria for classification, indication and choice of a surgical device to treat proximal humeral fractures are still controversial. We report an original technique based on a mechanical concept with a structural principle of a triangle as a rigid body applied to the humeral head fractures in association with other devices. This retrospective study aims to describe in detail the surgical technique and results at long time follow up. We analysed two series of 101 patients with proximal humeral fractures (mean age, 52.9 y; range 19-78 y) treated between 2001 and 2012 reporting the clinical and radiological results. In the first series of 23 cases (mean age 51.4 y, range 35-74 y) we used as support a bone piece taken from allograft or autologous tricortical iliac crest and shaped as a triangular pyramid during the operation; while in the second series of 78 cases (mean age 53.6 years, range 29-78 years, SD 13.5 years) a triangular titanium cage was used in 69 patients while in 9 allograft or bone substitute was used as augmentation. An analytical retrospective study was done to understand the mechanical function of medial augmentation composed by a solid body in association with different types of synthesis to stabilize properly a proximal humeral fracture. We obtained excellent and good results in 83,2% of patients, fair in 12,8% and bad in 4% in terms of active anterior elevation, external and internal rotation, pain and strength according to Constant and DASH score. A medial solid body, especially in titanium material and shaped as trapezoidal/pyramidal form used to fill the secondary bone loss in complex instable proximal humeral fracture, allows an anatomic reduction and stable fixation in association with simple and more complex tools and it provides a better biomechanical environment for union and maintenance of alignment. © 2017 Elsevier Ltd. All rights reserved.

  3. Seasonal differences in the subjective assessment of outdoor thermal conditions and the impact of analysis techniques on the obtained results

    Science.gov (United States)

    Kántor, Noémi; Kovács, Attila; Takács, Ágnes

    2016-11-01

    Wide research attention has been paid in the last two decades to the thermal comfort conditions of different outdoor and semi-outdoor urban spaces. Field studies were conducted in a wide range of geographical regions in order to investigate the relationship between the thermal sensation of people and thermal comfort indices. Researchers found that the original threshold values of these indices did not describe precisely the actual thermal sensation patterns of subjects, and they reported neutral temperatures that vary among nations and with time of the year. For that reason, thresholds of some objective indices were rescaled and new thermal comfort categories were defined. This research investigates the outdoor thermal perception patterns of Hungarians regarding the Physiologically Equivalent Temperature ( PET) index, based on more than 5800 questionnaires. The surveys were conducted in the city of Szeged on 78 days in spring, summer, and autumn. Various, frequently applied analysis approaches (simple descriptive technique, regression analysis, and probit models) were adopted to reveal seasonal differences in the thermal assessment of people. Thermal sensitivity and neutral temperatures were found to be significantly different, especially between summer and the two transient seasons. Challenges of international comparison are also emphasized, since the results prove that neutral temperatures obtained through different analysis techniques may be considerably different. The outcomes of this study underline the importance of the development of standard measurement and analysis methodologies in order to make future studies comprehensible, hereby facilitating the broadening of the common scientific knowledge about outdoor thermal comfort.

  4. Assisted reproductive technology in South Africa: first results generated from the South African Register of Assisted Reproductive Techniques.

    Science.gov (United States)

    Dyer, Silke Juliane; Kruger, Thinus Frans

    2012-02-23

    We present the first report from the South African Register of Assisted Reproductive Techniques. All assisted reproductive technology (ART) centres in South Africa were invited to join the register. Participant centres voluntarily submitted information from 2009 on the number of ART cycles, embryo transfers, clinical pregnancies, age of female partners or egg donors, and use of fertilisation techniques. Data were anonymised, pooled and analysed. The 12 participating units conducted a total of 4 512 oocyte aspirations and 3 872 embryo transfers in 2009, resulting in 1 303 clinical pregnancies. The clinical pregnancy rate (CPR) per aspiration and per embryo transfer was 28.9% and 33.6%, respectively. Fertilisation was achieved by intracytoplasmic sperm injection in two-thirds of cycles. In most cycles, 1 - 2 embryos or blastocysts were transferred. Female age was inversely related to pregnancy rate. The register achieved a high rate of participation. The reported number of ART cycles covers approximately 6% of the estimated ART demand in South Africa. The achieved CPRs compare favourably with those reported for other countries.

  5. Two-flap palatoplasty: description of the surgical technique and reporting of results at a single center.

    Science.gov (United States)

    Koudoumnakis, Emmanouel; Vlastos, Ioannis M; Parpounas, Kostas; Houlakis, Michael

    2012-03-01

    Two-flap palatoplasty is commonly used to treat cleft palate defects, but only a few reports on outcomes have been published in the literature. We conducted a retrospective analysis of 257 cases of cleft palate treated with two-flap palatoplasty at a single center in Greece over a 13-year period. Our outcomes data included surgical complication rates, the results of speech assessments, midface development, and other parameters. We found a low rate of short- and long-term complications that required revision surgery, such as symptomatic fistula (5.4%) and velopharyngeal insufficiency (5.3%). Speech outcomes in relation to intelligibility, hypernasality, and nasal emissions were satisfactory in 70 to 86% of patients. Dental arch relationships, as estimated by the 5-Year-Olds Index, were judged to be either good or excellent in 62% of those evaluated. A considerable proportion of patients (45%) who had otitis media with effusion experienced a spontaneous resolution without the use of tympanostomy tubes 2 to 8 months after their operation. We conclude that two-flap palatoplasty is an effective procedure that warrants further attention. We describe the surgical technique in detail. Our technique includes a modified intravelar veloplasty that incorporates near-total muscle retropositioning.

  6. Integrated remote sensing techniques for the detection of buried archaeological adobe structures: preliminary results in Cahuachi (Peru

    Directory of Open Access Journals (Sweden)

    N. Masini

    2008-11-01

    Full Text Available This paper is focused on the jointly use of satellite Quickbird (QB images and Ground Probing Radar (GPR for assessing their capability in the detection of archaeological adobe structures (sun-dried earth material. Such detection is particularly complex. due to the low contrast generally existing between the archaeological features and the background. Two significant test areas were investigated in the Ceremonial Centre of Cahuachi (in the Nasca territory, Southern Peru dating back to 6th century BC to 4th century AD.

    Our results showed that both satellite and GPR data provided valuable indications for unearthing precious ancient remains. Our preliminary analyses pointed out that the integrated use of non destructive remote sensing techniques has high potentiality for its important scientific implications and for its significant contributions to cultural resource management.

  7. Ultrasound-guided supra-acetabular pin placement in pelvic external fixation: description of a surgical technique and results.

    Science.gov (United States)

    Chana-Rodríguez, Francisco; Cuervas-Mons, Manuel; Rojo-Manaute, José; Mora, Félix; Arnal, Juan; Vaquero-Martín, Javier

    2017-11-01

    Pelvic fracture in trauma patients can lead to hemodynamic instability. External fixation is a treatment capable of stabilizing these injuries in the context of damage control surgery. Supra-acetabular pin offers the greater biomechanical stability but requires the use of intraoperative fluoroscopy. The aim of this study was to analyze our results for an ultrasound-guided supra-acetabular pinning. Cross-sectional study with cadaveric specimens. Ultrasound-guided pin placement assessed by fluoroscopy and dissection. Fourteen ultrasound-guided supra-acetabular pins were placed in seven cadaveric specimens. Excellent placement in all cases, evaluated with radiological control. Good qualitative bone fixation after dissection. One femoral cutaneous nerve was not found during anatomic dissection and was assumed injured. Ultrasound-guided supra-acetabular pin placement is a feasible and effective technique. Our study indicates that pin placement without intraoperative fluoroscopy is feasible without compromising the reliability of its placement. © 2017 Elsevier Ltd. All rights reserved.

  8. Comparison of results from different imputation techniques for missing data from an anti-obesity drug trial

    DEFF Research Database (Denmark)

    Jørgensen, Anders W.; Lundstrøm, Lars H; Wetterslev, Jørn

    2014-01-01

    . In anti-obesity drug trials, many data are usually missing, and the most used imputation method is last observation carried forward (LOCF). LOCF is generally considered conservative, but there are more reliable methods such as multiple imputation (MI). OBJECTIVES: To compare four different methods......BACKGROUND: In randomised trials of medical interventions, the most reliable analysis follows the intention-to-treat (ITT) principle. However, the ITT analysis requires that missing outcome data have to be imputed. Different imputation techniques may give different results and some may lead to bias...... of handling missing data in a 60-week placebo controlled anti-obesity drug trial on topiramate. METHODS: We compared an analysis of complete cases with datasets where missing body weight measurements had been replaced using three different imputation methods: LOCF, baseline carried forward (BOCF) and MI...

  9. Integrated remote sensing techniques for the detection of buried archaeological adobe structures: preliminary results in Cahuachi (Peru)

    Science.gov (United States)

    Masini, N.; Rizzo, E.; Lasaponara, R.; Orefici, G.

    2008-11-01

    This paper is focused on the jointly use of satellite Quickbird (QB) images and Ground Probing Radar (GPR) for assessing their capability in the detection of archaeological adobe structures (sun-dried earth material). Such detection is particularly complex. due to the low contrast generally existing between the archaeological features and the background. Two significant test areas were investigated in the Ceremonial Centre of Cahuachi (in the Nasca territory, Southern Peru) dating back to 6th century BC to 4th century AD. Our results showed that both satellite and GPR data provided valuable indications for unearthing precious ancient remains. Our preliminary analyses pointed out that the integrated use of non destructive remote sensing techniques has high potentiality for its important scientific implications and for its significant contributions to cultural resource management.

  10. [Open repair of gluteus medius and minimus tendons tears with double-row technique : Clinical and radiological results].

    Science.gov (United States)

    Schröder, J H; Geßlein, M; Schütz, M; Perka, C; Krüger, D

    2018-01-11

    Operative refixation is a new therapeutic option in cases of failed conservative treatment for trochanteric pain syndrome (TPS) and lesions of the hip abductors in magnetic resonance imaging (MRI). Evaluation of the clinical and radiological results after open gluteus medius and minimus tendon reconstruction with a double-row technique was carried out. Patients with failed conservative treatment for TPS and confirmed lesions of the hip abductors in MRI were treated by open hip abductor tendon reconstruction with a double-row technique. The patients were evaluated preoperatively and postoperatively (minimum follow-up 12 months) using the modified Harris hip score (mHHS) and a subjective score (subjective hip value, SHV). Preoperative and postoperative MRI evaluation included measurement of hip abductor muscle diameter and cross-sectional area as well as fatty degeneration. In this study 12 consecutive cases of open reconstruction of the hip abductor tendons were included. There was a significant improvement in the mHHS. In one case the patient showed an atraumatic rupture in the proximal anchor row. The MRI showed a significant improvement in muscle diameter and cross-sectional area for the gluteus medius muscle of the affected and the contralateral side, while the degree of fatty degeneration did not improve. The fatty degeneration showed a significant correlation with the postoperative results in the mHHS and the SHV. Operative reconstruction of lesions in the hip abductor tendons is a therapy option with significant improvement of patient satisfaction and functional scores as well as muscle diameter and cross-sectional area for the gluteus medius. The degree of fatty degeneration and possible differential diagnoses need to be taken into consideration.

  11. ISSLS Prize winner: Long-term follow-up suggests spinal fusion is associated with increased adjacent segment disc degeneration but without influence on clinical outcome: results of a combined follow-up from 4 randomized controlled trials.

    Science.gov (United States)

    Mannion, Anne F; Leivseth, Gunnar; Brox, Jens-Ivar; Fritzell, Peter; Hägg, Olle; Fairbank, Jeremy C T

    2014-08-01

    Cross-sectional analysis of long-term follow-up (LTFU) data from 4 randomized controlled trials of operative versus nonoperative treatment for chronic low back pain. To examine the influence of spinal fusion on adjacent segment disc space height as an indicator of disc degeneration at LTFU. There is ongoing debate as to whether adjacent segment disc degeneration results from the increased mechanical stress of fusion. Plain standing lateral radiographs were obtained at LTFU (mean, 13 ± 4 yr postrandomization) in 229 of 464 (49%) patients randomized to surgery and 140 of 303 (46%), to nonoperative care. Disc space height and posteroanterior displacement were measured for each lumbar segment using a validated computer-assisted distortion compensated roentgen analysis technique. Values were reported in units of standard deviations above or below age and sex-adjusted normal values. Patient-rated outcomes included the Oswestry Disability Index and pain scales. Radiographs were usable in 355 of 369 (96%) patients (259 fusion and 96 nonoperative treatment). Both treatment groups showed significantly lower values for disc space height of the adjacent segment than norm values. There was a significant difference between treatment groups for the disc space height of the cranial adjacent segment (in both as-treated and intention-to-treat analyses). The mean treatment effect of fusion on adjacent segment disc space height was -0.44 SDs (95% CI, -0.77 to -0.11; P = 0.01; as-treated analysis); there was no group difference for posteroanterior displacement (0.18 SDs, 95% confidence interval, -0.28 to 0.64, P = 0.45). Adjacent level disc space height and posteroanterior displacement were not correlated with Oswestry Disability Index or pain scores at LTFU (r = 0.010-0.05; P > 0.33). Fusion was associated with lower disc space height at the adjacent segment after an average of 13 years of FU. The reduced disc space height had no influence on patient self-rated outcomes (pain or

  12. Oil palm fresh fruit bunch ripeness classification based on rule- based expert system of ROI image processing technique results

    International Nuclear Information System (INIS)

    Alfatni, M S M; Shariff, A R M; Marhaban, M H; Shafie, S B; Saaed, O M B; Abdullah, M Z; BAmiruddin, M D

    2014-01-01

    There is a processing need for a fast, easy and accurate classification system for oil palm fruit ripeness. Such a system will be invaluable to farmers and plantation managers who need to sell their oil palm fresh fruit bunch (FFB) for the mill as this will avoid disputes. In this paper,a new approach was developed under the name of expert rules-based systembased on the image processing techniques results of thethree different oil palm FFB region of interests (ROIs), namely; ROI1 (300x300 pixels), ROI2 (50x50 pixels) and ROI3 (100x100 pixels). The results show that the best rule-based ROIs for statistical colour feature extraction with k-nearest neighbors (KNN) classifier at 94% were chosen as well as the ROIs that indicated results higher than the rule-based outcome, such as the ROIs of statistical colour feature extraction with artificial neural network (ANN) classifier at 94%, were selected for further FFB ripeness inspection system

  13. Evaluation of the incidence on insufficient cytology results comparing different ultrasound-guided aspiration techniques for thyroid nodules

    International Nuclear Information System (INIS)

    Kim, Seong Hyng; Park, Jun Hyun; Park, Ji Kang

    2013-01-01

    We compared the incidence of insufficient thyroid cytology due to blood-stained materials or low cellularity in terms of aspiration technique, especially focusing on the degree of suction pressure and needle size. Three experienced radiologists performed ultrasound-guided aspiration for thyroid nodules in 1174 thyroid nodules consecutively. Three different techniques were used; (A) using a 25 gauge needle with mainly capillary technique in 269 nodules; (B) using a 25 gauge needle with 3 cc syringe and minimal suction pressure in 303 nodules; (C) using a 22-23 gauge needle with 10 cc syringe and aspirator in 602 nodules. The differences of the incidence of the insufficient cytology among the three aspiration techniques and relationships of the incidence and needle size/degree of suction pressure was statistically analyzed using the Mann-Whitney U test and the chi-square test with linear-by-linear association. Overall, the difference in insufficient cytology was significant across the three aspiration technique (p = 0.004), and the incidence tended to increase significantly with increase of needle size and degree of suction pressure (p < 0.001). A pairwise comparison of aspiration techniques found significant differences (p = 0.003) between techniques (A) and (C), and no differences between technique (B) and (C) (p 0.07) and between techniques (A) and (B) (p = 0.10). The incidence of insufficient cytology was significantly low in the capillary technique, and it increased significantly with the increase of needle size and degree of suction pressure.

  14. Evaluation of the incidence on insufficient cytology results comparing different ultrasound-guided aspiration techniques for thyroid nodules

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Seong Hyng; Park, Jun Hyun; Park, Ji Kang [Dept. of Radiology, Jeju National University Hospital, Jeju National University School of Medicine, Jeju (Korea, Republic of)

    2013-07-15

    We compared the incidence of insufficient thyroid cytology due to blood-stained materials or low cellularity in terms of aspiration technique, especially focusing on the degree of suction pressure and needle size. Three experienced radiologists performed ultrasound-guided aspiration for thyroid nodules in 1174 thyroid nodules consecutively. Three different techniques were used; (A) using a 25 gauge needle with mainly capillary technique in 269 nodules; (B) using a 25 gauge needle with 3 cc syringe and minimal suction pressure in 303 nodules; (C) using a 22-23 gauge needle with 10 cc syringe and aspirator in 602 nodules. The differences of the incidence of the insufficient cytology among the three aspiration techniques and relationships of the incidence and needle size/degree of suction pressure was statistically analyzed using the Mann-Whitney U test and the chi-square test with linear-by-linear association. Overall, the difference in insufficient cytology was significant across the three aspiration technique (p = 0.004), and the incidence tended to increase significantly with increase of needle size and degree of suction pressure (p < 0.001). A pairwise comparison of aspiration techniques found significant differences (p = 0.003) between techniques (A) and (C), and no differences between technique (B) and (C) (p 0.07) and between techniques (A) and (B) (p = 0.10). The incidence of insufficient cytology was significantly low in the capillary technique, and it increased significantly with the increase of needle size and degree of suction pressure.

  15. Early- and Mid-term Results of the Chimney Technique in the Repair of Aortic Arch Pathologies

    Energy Technology Data Exchange (ETDEWEB)

    Zou, Junjie; Jiao, Yuanyong, E-mail: wishlucky@163.com, E-mail: johemail@163.com; Zhang, Xiwei; Jiang, Jun; Yang, Hongyu; Ma, Hao [First Affiliated Hospital of Nanjing Medical University, Division of Vascular Surgery, Department of General Surgery (China)

    2016-11-15

    PurposeTo examine the safety, feasibility, and mid-term efficacy of the chimney technique for aortic arch pathologies.MethodsFrom February 2011 to December 2014, a total of 35 patients (30 men; mean age 54.3 ± 14.1 years) with aortic arch pathologies underwent thoracic endovascular aortic repair combined with chimney stents. The indication was a proximal landing zone <1.5 cm. Follow-up was performed at 3, 6, and 12 months and then yearly thereafter.ResultsA total of 36 chimney stents were deployed (innominate artery, n = 1; left common carotid artery, n = 9; right subclavian artery, n = 1; left subclavian artery, n = 25). The technical success rate was 94.3 % (33/35). Immediate type Ia endoleaks (ELIa) were observed in two patients (8.6 %, 2/35). Twenty-five patients were successfully followed-up for a median period of 29.3 months (range, 6–48 months). One patient died due to aortic dissection aneurysm rupture at 36 months (mortality rate of 4 %, 1/25). Three late ELIa were observed and no reinterventions were performed. The overall incidence of ELIa was 20 % (5/25). During follow-up, the patency rate for chimney stents was 92 % (23/25).ConclusionOur limited experience demonstrates that the chimney technique is a viable and relatively safe treatment for patients with challenging thoracic aortic pathologies at least in the mid-term follow-up period.

  16. Instruments for radiation measurement in biosciences. Series 3. radioluminography. 1. Results of questionnaires to the scientists using radioluminographic techniques

    International Nuclear Information System (INIS)

    Kurihara, Norio; Nakajima, Eiichi; Takahashi, Sentaro

    1998-01-01

    Radioluminography (RLG) is a method to detect radioactivity with its photostimulated luminescence phenomenon. This paper describes major results of questionnaires to the scientists using RLG technique which was performed by the technical subcommittee for research instruments for isotope tracer of Life Science Section, Japan Radioisotope Association. The main purpose was to find the advantage and problems of RLG recognized by users. Questionnaires were sent to 271 users and 101 answers were obtained from pharmaceutical companies, universities and other public research facilities. RLG was found mainly used in gel electrophoresis in the molecular biology field, thin layer chromatography and quantitative whole body autoradiography. RLG technology itself of the instrument, imaging plate and standard usage was found to be in progress as well. Problems were those on the fundamental handling (e.g., ROI definition), on instruments, on quantitativeness, on different nuclides, on value for formal data and on radiation control. The major instrument manufacturers were Fuji Film Co., BioRad Co. and Molecular Dynamics Co. Results of the questionnaire will be published in more detailed form in future. (K.H.)

  17. Results of deformity correction in children with X-linked hereditary hypophosphatemic rickets by external fixation or combined technique.

    Science.gov (United States)

    Popkov, Arnold; Aranovich, Anna; Popkov, Dmitry

    2015-12-01

    The operative procedures to correct multiplanar bone deformities may be indicated for prevention of secondary orthopaedic complications in children with X-linked hereditary hypophosphatemic rickets (XHPR). Different problems related to surgical correction were reported: increased rate of non-union, delayed union, recurrent deformity, deep intramedullary infection, refracture, nerve palsy, and pin tract infection. The aim of this retrospective study was comparison of results of correction in children with XHPR who underwent the treatment with either the Ilizarov device alone or a combined technique: the Ilizarov fixator with flexible intramedullary nailing (FIN) with hydroxyapatite bioactive coating and FIN. We retrospectively analysed 47 cases (children of age under 14 years) affected by XHPR. Simultaneous deformity correction in femur and tibia was performed with the Ilizarov device (group I) or the combined method (group II). This article is based on the results of a historical comparative retrospective study from the same institution. The duration of external fixation is noted to be shorter applying the combined technique: 124.7 days (group I) vs 87.4 days (group II). In both groups deformity correction was achieved with a proper alignment. Nevertheless, while a child continues to grow during long-term follow-up, deviations of the mechanic axis from the centre of the knee joint have been developing again and values of mLDFA, mMPTA have become pathologic in the most of the cases. In group I location of a newly developed deformity resembled a pre-operative one, whereby both diaphyseal and metaphyseal parts were deformed. In group II in all the cases an apex of deformity was located in distal metadiaphyseal zone of the femur and proximal metadiaphyseal zone of the tibia. It is important to note that all of those in group II were out of the zone of the intramedullary nail. Simultaneous correction of femoral and tibial deformities by means of circular external

  18. Biological reconstruction of large osteochondral lesions of the talar dome with a modified "sandwich" technique-Midterm results.

    Science.gov (United States)

    Sadlik, Boguslaw; Kolodziej, Lukasz; Blasiak, Adrian; Szymczak, Mateusz; Warchal, Bartłomiej

    2017-12-01

    Surgical treatment for large osteochondral lesions of the talar dome (OLTD) must restore the convexity and curvature of the talus. Here, we present midterm results and describe the modified "sandwich" reconstruction procedure. Bone defects were restored using a biological inlay consists of autologous bone chips that were mixed with bone marrow concentrate and fibrin glue and covered with a xenogeneic collagen membrane infiltrated with bone marrow concentrate and stabilized by fibrin glue. Ten patients who were treated using a modified "sandwich" OLTD reconstruction were assessed after an average follow-up period of 46.4 (±18) months, using the clinical American Orthopaedic Foot and Ankle Society Ankle Hindfoot Scale (AOFAS) score and radiological magnetic resonance observation of cartilage repair tissue (MOCART) score. The mean AOFAS score increased significantly from 58.3 (±8.5) points to 81.8 (±15.5) points as well the mean VAS score reduced significantly from 5.58 (±0.97) to 1.83 (±0.93) points. The average MOCART score was 69.5% (±16.7%) in the final follow-up. The presented modified "sandwich" technique permanently recreates the convexity and curvature in large osteochondral lesions of the talar dome with a single step surgical procedure. Copyright © 2016 European Foot and Ankle Society. Published by Elsevier Ltd. All rights reserved.

  19. The main results of the long-term measurements of the neutral atmosphere parameters by the artificial periodic irregularities techniques

    Science.gov (United States)

    Tolmacheva, Ariadna V.; Bakhmetieva, Nataliya V.; Grigoriev, Gennady I.; Kalinina, Elena E.

    2015-09-01

    The results of the atmospheric parameter determination by the method of artificial periodic irregularities (the API techniques) at the E-region heights obtained during many years of the observation are presented. The features of the obtaining data, their processing and the determination of the atmospheric parameters are given in details. A lot of information about dynamical phenomena in the lower thermosphere has been obtained. There are often height profiles of the atmospheric parameters with the wave-like variations and with the vertical scale of about 4-6 km. The temporal variations of the atmospheric parameters take place with the periods from 15 min to some hours. Such variations could be caused by the passage of the internal gravity waves (IGWs) and the tide waves. The temperature minima were observed as 100-140 K above 100 km in the equinoctial periods. The instability growth is also observed in the number of cases. The dependence of the neutral temperature and the density on solar and geomagnetic activity is not found.

  20. Techniques for getting the most from an evaluation: Review of methods and results for attributing progress, non-energy benefits, net to gross, and cost-benefit

    International Nuclear Information System (INIS)

    Skumatz, Lisa A.

    2005-01-01

    As background for several evaluation and attribution projects, the authors conducted research on best practices in a few key areas of evaluation. We focused on techniques used in measuring market progress, enhanced techniques in attributing net energy impacts, and examining omitted program effects, particularly net non-energy benefits. The research involved a detailed literature review, interviews with program managers and evaluators across the US, and refinements of techniques used by the authors in conducting evaluation work. The object of the research was to uncover successful (and unsuccessful) approaches being used for key aspects of evaluation work. The research uncovered areas of tracking that are becoming more commonly used by agencies to assess progress in the market. In addition, detailed research by the authors on a number of impact and attribution evaluations have also led to recommendations on key practices that we believe comprise elements of best practices for assessments of attributable program effects. Specifically, we have identified a number of useful steps to improve the attribution of impacts to program interventions. Information on techniques for both attribution/causality work for a number of programs are presented - including market transformation programs that rely on marketing, advertising, training, and mid-stream incentives and work primarily with a network of participating mid-market actors. The project methods and results are presented and include: Theory-based evaluation, indicators, and hypothesis testing; Enhanced measurement of free riders, spillover, and other effects, and attribution of impacts using distribution and ranges of measure and intervention impacts, rather than less reliable point estimates; Attribution of program-induced non-energy benefits; Net to gross, benefit cost analysis, and incorporation of scenario/risk analysis of results; Comparison of net to gross results across program types to explore patterns and

  1. Early results from an angiosome-directed open surgical technique for venous arterialization in patients with critical lower limb ischemia

    DEFF Research Database (Denmark)

    Houlind, Kim Christian; Hallenberg, Christian; Christensen, Johnny

    2013-01-01

    Background: Patients with critical lower limb ischemia without patent pedal arteries cannot be treated by the conventional arterial reconstruction. Venous arterialization has been suggested to improve limb salvage in this subgroup of patients but has not gained wide acceptance. We report our early...... experience after implementing deep and superficial venous arterialization of the lower limb. Materials and methods: Ten patients with critical ischemia and without crural or pedal arteries available for conventional bypass surgery or angioplasty were treated with distal venous arterialization. Inflow...... of the ischemic lesion. Venous valves were destroyed using antegrade valvulotomes, guide wires, knob needles, or retrograde valvulotomes via an extra incision. Results: Seven of the operated limbs were amputated after 23 (1256) days (median [range]). The main reasons for amputation were lack of healing of either...

  2. Long-Term Results of a Highly Performing Conformal Electron Therapy Technique for Chest Wall Irradiation After Mastectomy

    Energy Technology Data Exchange (ETDEWEB)

    Grellier Adedjouma, Noemie, E-mail: grellier.noemie@gmail.com [Department of Radiation Oncology, Institut Curie, Paris (France); Chevrier, Marion [Department of Biostatistics, Institut Curie, Paris (France); Fourquet, Alain; Costa, Emilie; Xu, Haoping [Department of Radiation Oncology, Institut Curie, Paris (France); Berger, Frederique [Department of Biostatistics, Institut Curie, Paris (France); Campana, Francois [Department of Radiation Oncology, Institut Curie, Paris (France); Laki, Fatima [Department of Surgical Oncology, Institut Curie, Paris (France); Beuzeboc, Philippe [Department of Medical Oncology, Institut Curie, Paris (France); Lefeuvre, Delphine [Department of Biostatistics, Institut Curie, Paris (France); Fournier-Bidoz, Nathalie; Kirova, Youlia M. [Department of Radiation Oncology, Institut Curie, Paris (France)

    2017-05-01

    Purpose: To evaluate locoregional control and survival after mastectomy, as well as toxicity, in patients irradiated by a previously described postmastectomy highly conformal electron beam radiation therapy technique (PMERT). Methods and Materials: We included all women irradiated by postmastectomy electron beam radiation therapy for nonmetastatic breast cancer between 2007 and 2011 in our department. Acute and late toxicities were retrospectively assessed using Common Terminology Criteria for Adverse Events version 3.0 criteria. Results: Among the 796 women included, 10.1% were triple-negative, 18.8% HER2-positive, and 24.6% received neoadjuvant chemotherapy (CT). Multifocal lesions were observed in 51.3% of women, and 64.6% had at least 1 involved lymph node (LN). Internal mammary chain, supraclavicular, infraclavicular, and axillary LNs were treated in 85.6%, 88.3%, 77.9%, and 14.9% of cases, respectively. With a median follow-up of 64 months (range, 6-102 months), 5-year locoregional recurrence–free survival and overall survival were 90% (95% confidence interval 88.1%-92.4%) and 90.9% (95% confidence interval 88.9%-93%), respectively. Early skin toxicity was scored as grade 1 in 58.5% of patients, grade 2 in 35.9%, and grade 3 in 4.5%. Concomitant CT was associated with increased grade 3 toxicity (P<.001). At long-term follow-up, 29.8% of patients presented temporary or permanent hyperpigmentation or telangiectasia or fibrosis (grade 1: 23.6%; grade 2: 5.2%; grade 3: 1%), with higher rates among smokers (P=.06); 274 patients (34.4%) underwent breast reconstruction. Only 24 patients (3%) had early esophagitis of grade 1. Only 3 patients developed ischemic heart disease: all had been treated by anthracycline-based CT with or without trastuzumab, all had been irradiated to the left chest wall and LN, and all presented numerous cardiovascular risk factors (2-4 factors). Conclusions: This study demonstrated the good efficacy of this technique in terms of

  3. A forward-striking technique for reducing fracture gaps during intramedullary nailing: A technical note with clinical results.

    Science.gov (United States)

    Lim, Seung-Jae; So, Sang-Yeon; Yoon, Yong-Cheol; Cho, Won-Tae; Oh, Jong-Keon

    2015-12-01

    A residual postoperative fracture gap between major bone fragments following intramedullary nailing of long-bone fractures is recognised as one of the major risk factors for delayed union and non-union. The most common method for reducing a fracture gap after nail insertion is through application of the backstroke technique. We introduce forward-striking as a new and simple technique that can be used to reduce fracture gaps during cephalomedullary or intramedullary nailing. The forward-striking technique was used in 20 patients with subtrochanteric or femoral shaft fractures and three patients with tibial shaft fractures who underwent cephalomedullary or intramedullary nailing at two university teaching hospitals between February 2013 and March 2014. Bone union was achieved in all cases, with a mean time of 5.7 months (range, 3-9 months). No major complications, including, non-union, implant failure, or infection, were encountered during the follow-up period. A forward-striking technique is simple, convenient, and highly efficient in terms of reducing fracture gaps during cephalomedullary or intramedullary nailing. The advantage of this technique is that it carries no risk of deforming the proximal interlocking screw, prevents excessive protrusion of the nail, and enables the lag screw to be placed into the optimal lag screw position relative to the femoral head at the time of cephalomedullary nailing. The forward-striking technique is particularly useful if no compression screw system is available. Copyright © 2015 Elsevier Ltd. All rights reserved.

  4. Postpartum Hemorrhage Treated with Gelfoam Slurry Embolization Using the Superselective Technique: Immediate Results and 1-Month MRI Follow-up

    Energy Technology Data Exchange (ETDEWEB)

    Pellerin, Olivier, E-mail: olivier.pellerin@egp.aphp.fr [Universite Paris Descartes, Sorbonne Paris Cite, Faculte de Medecine - Assistance Publique-Hopitaux de Paris - Hopital Europeen Georges-Pompidou, Paris, France, Interventional Radiology Department (France); Bats, Anne-Sophie [Universite Paris Descartes, Sorbonne Paris Cite, Faculte de Medecine - Assistance Publique-Hopitaux de Paris - Hopital Europeen Georges-Pompidou, Paris, France, Gynecologic and Oncologic Surgery Department (France); Primio, Massimiliano Di; Palomera-Ricco, Ana [Universite Paris Descartes, Sorbonne Paris Cite, Faculte de Medecine - Assistance Publique-Hopitaux de Paris - Hopital Europeen Georges-Pompidou, Paris, France, Interventional Radiology Department (France); Pinot de Villechenon, Gabrielle [Universite Paris Descartes, Sorbonne Paris Cite, Faculte de Medecine - Assistance Publique-Hopitaux de Paris - Hopital Europeen Georges-Pompidou, Paris, France, Anesthesia and Surgical Intensive Care Unit (France); and others

    2013-02-15

    To evaluate the efficacy and safety of superselective embolization of the uterine arteries in a postpartum hemorrhage. Between November 2004 and January 2011, a total of 44 consecutive women (median {+-} standard deviation age 34 {+-} 3 years, range 23-41 years) were referred to our institution for postpartum intractable hemorrhage management. All patients were embolized with a microcatheter that was placed deep into the uterine arteries upstream of the cervical arteries. The embolic agent was a mixture of contrast medium and 5 Multiplication-Sign 5 Multiplication-Sign 5 cm pieces of gelfoam (Gelita-Spon) modified into a gelatin emulsion as follows: rapid mixing through a three-way stopcock with two 2.5-ml syringes. A 1-ml syringe was used for injection. One month after embolization, all patients underwent magnetic resonance imaging and clinical examination. Technical and clinical success was obtained in all cases. Thirty-five patients experienced bleeding related to poor retraction of the uterus, 7 patients because of a tear of the cervix and 2 because of a vaginal hematoma. Pre- and postembolization red blood cell transfusions were (mean {+-} standard deviation [SD]) 6 {+-} 1.2 (range 3-8) U and 2 {+-} 0.7 (range 2-4) U, respectively. One-month magnetic resonance imaging follow-up revealed no sign of ischemic myometrium or necrosis, and no instances of uterine rupture and no pelvic vein thrombosis. Incidental findings included two small intramyometrial hematic collections. All uterine arteries were patent via magnetic resonance angiography. Seventeen patients had concomitant fibroids, all of which appeared hypovascular. This technique permits good, safe clinical results with no marked damage to the uterine arteries or the uterus itself.

  5. Acquisition War-Gaming Technique for Acquiring Future Complex Systems: Modeling and Simulation Results for Cost Plus Incentive Fee Contract

    Directory of Open Access Journals (Sweden)

    Tien M. Nguyen

    2018-03-01

    Full Text Available This paper provides a high-level discussion and propositions of frameworks and models for acquisition strategy of complex systems. In particular, it presents an innovative system engineering approach to model the Department of Defense (DoD acquisition process and offers several optimization modules including simulation models using game theory and war-gaming concepts. Our frameworks employ Advanced Game-based Mathematical Framework (AGMF and Unified Game-based Acquisition Framework (UGAF, and related advanced simulation and mathematical models that include a set of War-Gaming Engines (WGEs implemented in MATLAB statistical optimization models. WGEs are defined as a set of algorithms, characterizing the Program and Technical Baseline (PTB, technology enablers, architectural solutions, contract type, contract parameters and associated incentives, and industry bidding position. As a proof of concept, Aerospace, in collaboration with the North Carolina State University (NCSU and University of Hawaii (UH, successfully applied and extended the proposed frameworks and decision models to determine the optimum contract parameters and incentives for a Cost Plus Incentive Fee (CPIF contract. As a result, we can suggest a set of acquisition strategies that ensure the optimization of the PTB.

  6. Monoblock Obturation Technique for Non-Vital Immature Permanent Maxillary Incisors Using Mineral Trioxide Aggregate: Results from Case Series

    International Nuclear Information System (INIS)

    Iqbal, Z.; Qureshi, A. H.

    2014-01-01

    Ten patients presented with non-vital immature teeth for root canal treatment. In all these cases the pre-operative clinical examination revealed apical periodontitis with a buccal sinus tract of endodontic origin. These cases were treated by a mineral trioxide aggregate (MTA) monoblock obturation technique. Follow-up evaluations were performed at 1 - 2 years after treatment. Eight out of 10 cases were associated with periradicular healing at follow-up evaluation. Mineral trioxide aggregate Monoblock obturation technique appears to be a valid material to obtain periradicular healing in teeth with open apices and necrotic pulps. (author)

  7. Successful development of innovative fabrication technique based on laser welding, for superconducting RF cavities - results and path ahead

    International Nuclear Information System (INIS)

    Khare, Prashant; Upadhyay, B.N.; Dwivedi, Jishnu

    2013-01-01

    Superconducting radio frequency (SCRF) cavities are the heart of any particle accelerator based on SCRF technology. All over the world, efforts are being made to develop a technique which can bring down the cost and time of fabrication of these cavities. The present day fabrication method of SCRF cavities uses Electron beam welding (EBW) technique. The cavities fabricated by this method turn out to be expensive and take long fabrication time. To overcome such difficulties related with EBW process, an innovative concept for fabrication of SCRF cavities based on laser welding was formulated at RRCAT. International patent application was immediately launched for this work, to protect intellectual property rights of DAE

  8. Magnetic Resonance and Ultrasound Image Fusion Supported Transperineal Prostate Biopsy Using the Ginsburg Protocol: Technique, Learning Points, and Biopsy Results.

    Science.gov (United States)

    Hansen, Nienke; Patruno, Giulio; Wadhwa, Karan; Gaziev, Gabriele; Miano, Roberto; Barrett, Tristan; Gnanapragasam, Vincent; Doble, Andrew; Warren, Anne; Bratt, Ola; Kastner, Christof

    2016-08-01

    Prostate biopsy supported by transperineal image fusion has recently been developed as a new method to the improve accuracy of prostate cancer detection. To describe the Ginsburg protocol for transperineal prostate biopsy supported by multiparametric magnetic resonance imaging (mpMRI) and transrectal ultrasound (TRUS) image fusion, provide learning points for its application, and report biopsy results. The article is supplemented by a Surgery in Motion video. This single-centre retrospective outcome study included 534 patients from March 2012 to October 2015. A total of 107 had no previous prostate biopsy, 295 had benign TRUS-guided biopsies, and 159 were on active surveillance for low-risk cancer. A Likert scale reported mpMRI for suspicion of cancer from 1 (no suspicion) to 5 (cancer highly likely). Transperineal biopsies were obtained under general anaesthesia using BiopSee fusion software (Medcom, Darmstadt, Germany). All patients had systematic biopsies, two cores from each of 12 anatomic sectors. Likert 3-5 lesions were targeted with a further two cores per lesion. Any cancer and Gleason score 7-10 cancer on biopsy were noted. Descriptive statistics and positive predictive values (PPVs) and negative predictive values (NPVs) were calculated. The detection rate of Gleason score 7-10 cancer was similar across clinical groups. Likert scale 3-5 MRI lesions were reported in 378 (71%) of the patients. Cancer was detected in 249 (66%) and Gleason score 7-10 cancer was noted in 157 (42%) of these patients. PPV for detecting 7-10 cancer was 0.15 for Likert score 3, 0.43 for score 4, and 0.63 for score 5. NPV of Likert 1-2 findings was 0.87 for Gleason score 7-10 and 0.97 for Gleason score ≥4+3=7 cancer. Limitations include lack of data on complications. Transperineal prostate biopsy supported by MRI/TRUS image fusion using the Ginsburg protocol yielded high detection rates of Gleason score 7-10 cancer. Because the NPV for excluding Gleason score 7-10 cancer was very

  9. The results of 163 Achilles tendon ruptures treated by a minimally invasive surgical technique and functional aftertreatment

    NARCIS (Netherlands)

    Lansdaal, J. R.; Goslings, J. C.; Reichart, M.; Govaert, G. A. M.; van Scherpenzeel, K. M.; Haverlag, R.; Ponsen, K. J.

    2007-01-01

    BACKGROUND: There is still controversy regarding the optimal surgical technique and post-operative treatment of acute Achilles tendon ruptures. We evaluated a treatment protocol for Achilles tendon ruptures consisting of a minimally invasive Achilles tendon repair combined with early full weight

  10. Application for Suggesting Restaurants Using Clustering Algorithms

    Directory of Open Access Journals (Sweden)

    Iulia Alexandra IANCU

    2014-10-01

    Full Text Available The aim of this article is to present an application whose purpose is to make suggestions of restaurants to users. The application uses as input the descriptions of restaurants, reviews, user reviews available on the specialized Internet sites and blogs. In the application there are used processing techniques of natural language implemented using parsers, clustering algorithms and techniques for data collection from the Internet through web crawlers.

  11. Treatment satisfaction with tadalafil or tamsulosin vs placebo in men with lower urinary tract symptoms (LUTS) suggestive of benign prostatic hyperplasia (BPH): results from a randomised, placebo-controlled study.

    Science.gov (United States)

    Oelke, Matthias; Giuliano, François; Baygani, Simin K; Melby, Thomas; Sontag, Angelina

    2014-10-01

    To assess treatment satisfaction with tadalafil or tamsulosin vs placebo in a 12-week, randomised, double-blind study of men with lower urinary tract symptoms suggestive of benign prostatic hyperplasia (LUTS/BPH). After a 4-week placebo lead-in period, men aged ≥45 years with an International Prostate Symptom Score (IPSS) of ≥13 and a maximum urinary flow rate of ≥4 to ≤15 mL/s received placebo (172 men), tadalafil 5 mg (171), or tamsulosin 0.4 mg (168) once daily for 12 weeks. Treatment Satisfaction Scale-BPH (TSS-BPH) responses were assessed based on median treatment differences using the van Elteren test. Overall treatment satisfaction was greater for tadalafil vs placebo (P = 0.005), based on greater satisfaction with efficacy (P = 0.003); neither overall treatment satisfaction nor satisfaction with efficacy was greater for tamsulosin vs placebo (P ≥ 0.409). For individual questions, 66.5% of men rated tadalafil treatment as 'effective/very effective' (Question 1, Q1) vs placebo (P = 0.011), 72.6% would 'definitely/probably recommend their treatment' (Q3; P = 0.043), 71.8% were generally 'very satisfied/satisfied with their medication' (Q8; P tamsulosin, differences vs placebo were not statistically significant. Subgroup analyses of overall TSS-BPH by baseline age (≤65/>65 years), history of erectile dysfunction (yes/no), LUTS/BPH severity (IPSStamsulosin and placebo. © 2014 The Authors. BJU International © 2014 BJU International.

  12. Cardiovascular adaptation in people with multiple sclerosis following a twelve week exercise programme suggest deconditioning rather than autonomic dysfunction caused by the disease. Results from a randomized controlled trial.

    Science.gov (United States)

    Feltham, M G; Collett, J; Izadi, H; Wade, D T; Morris, M G; Meaney, A J; Howells, K; Sackley, C; Dawes, H

    2013-12-01

    Guidelines for optimal exercise doses in people with multiple sclerosis (MS) have to be established. We need to ascertain the basic physiological and perceptual response and adaptation to different exercise doses in this clinical population. The aim of this paper was to explore the response during maximal and sub-maximal exercise in people with MS prior to and following two different twelve week exercise programmes. Sub-analysis of per protocol exercise data of a two group, single blinded, randomised control trial. Multicentre (community leisure and rehabilitation centres). Participants with MS assigned to a continuous (N.=12; mean±SE age=52.3±2.08; Barthel index median & range=19&13-20) or interval (N.=9; mean±SE age=49.3±3.5; Barthel index median & range=19&18-20) exercise programme. Cardiovascular, respiratory and perceptual exercise response and adaption was measured at maximal and sub-maximal levels of physical exercise prior to and following a twelve week exercise programme, delivered at different intensities. Irrespective of the type of exercise programme followed, there was a significant increase in peak power (z=-1.98; P=0.05) and normalised oxygen uptake during unloaded cycling (z =-2.00; P=0.05). At discharge from the exercise programmes, the cardiovascular response to sub-maximal exercise had significantly changed (t(360) =-4.62; pphysical exercise following a twelve week programme is analogous to non-diseased adults. Cardiovascular adaptation in people with MS following a twelve week exercise programme suggests deconditioning rather than autonomic dysfunction caused by the disease.

  13. Tracing transfer processes of metal pollutants from soils to surface water using environmental magnetic techniques - results from Paris suburbia (France)

    Science.gov (United States)

    Franke, Christine; Lamy, Isabelle; van Oort, Folkert; Thiesson, Julien; Barsalini, Luca

    2015-04-01

    Major river systems in Europe are potential sinks for environmental pollutions and therefore reflect the consequences of European industrialization and urbanization. Surface water pollution is a major concern for the health of the population and its related ecosystems as well as for the water quality. Within the variety of different typical pollutants in a river watershed, the metallic fraction embraces many toxic/dangerous contaminants. Each of these elements comprises different sources and follows specific processes throughout its pathways from its origin to and within the river system. But the detection, estimation and follow up of the different contaminants is highly complex. Physico-chemical techniques such as environmental and rock magnetics are powerful complementary tools to traditional methods because they comprise the possibility to trace the entire metal fraction and do offer the possibility to perform spatio-temporal analyze campaigns directly in the field and on a relative high number of samples from both the river and the adjacent areas (suspended particular matter, soils, dust, sediments, etc). In this study, we took advantages of the recent results on the Seine river (France) that have shown the high potential of environmental magnetic methods to estimate the metal fraction in suspended particular matter samples, and to allow the discrimination of its natural detrital, biogenic or anthropogenic origin (see parallel EGU abstract of Kayvantash et al. in this session). We focused on a suburban agricultural area west of Paris (Pierrelaye-Bessancourt) adjacent to the Seine river, which suffers from a high accumulation of heavy metal pollutants caused by long-term historical irrigation with urban waste waters. For the time being, these heavy metals seem to be geochemically fixed in the surface layer mainly by the soil organic matter. Future land use planning, however, arises questions on the fate of these pollutants and their potential remobilization by

  14. Application of the {sup 210}Pb-dating technique to evaluate environmental changes resulting from recent human activities

    Energy Technology Data Exchange (ETDEWEB)

    Jenkinson, A.V.; Chisari, R.; Farrar, Y.J.; Heijnis, H.; McOrist, G.D. [Australian Nuclear Science and Technology Organisation, Lucas Heights, NSW (Australia); Hallegraeff, G. [University of Tasmania, Tasmania, (Australia). Department of Plant Science; Hughes, M.; Napoli, M. [University of Sydney, Sydney, NSW (Australia). Department of Geology and Geophysics; James, J.M. [University of Sydney, NSW, (Australia). School of Chemistry; McMinn, A.; Thomson, P. [University of Tasmania, Tasmania, (Australia). Institute of Antartic and Southern Ocean Studies; Smith, J.D.; Tinker, R.A. [University of Melbourne, Parkville, VIC (Australia). School of Chemistry, Marine Chemistry Laboratory

    1997-10-01

    The {sup 210}Pb-dating technique has shown particular promise for the study of recent environmental change by enabling the establishment of chronologies for contemporary environmental processes. In this paper two case studies are discussed. Case Study (1) looks at trace element and heavy metal levels in the estuaries of the Georges River and the Hacking River which are partly located in suburban Sydney and Case Study (2) looks at blooms of the toxic dinoflagellate Gymnodinium catenatum which were first observed in Tasmanian waters, principally the Huon and Derwent Rivers in 1980. In both cases the {sup 210}Pb dating technique has been used to establish the sequence of sediment deposition in order to associate an age to the sediment layer which contains the entity under investigation 7 refs., 5 figs.

  15. Application of the 210Pb-dating technique to evaluate environmental changes resulting from recent human activities

    International Nuclear Information System (INIS)

    Jenkinson, A.V.; Chisari, R.; Farrar, Y.J.; Heijnis, H.; McOrist, G.D.; Hallegraeff, G.; Hughes, M.; Napoli, M.; James, J.M.; McMinn, A.; Thomson, P.; Smith, J.D.; Tinker, R.A.

    1997-01-01

    The 210 Pb-dating technique has shown particular promise for the study of recent environmental change by enabling the establishment of chronologies for contemporary environmental processes. In this paper two case studies are discussed. Case Study (1) looks at trace element and heavy metal levels in the estuaries of the Georges River and the Hacking River which are partly located in suburban Sydney and Case Study (2) looks at blooms of the toxic dinoflagellate Gymnodinium catenatum which were first observed in Tasmanian waters, principally the Huon and Derwent Rivers in 1980. In both cases the 210 Pb dating technique has been used to establish the sequence of sediment deposition in order to associate an age to the sediment layer which contains the entity under investigation

  16. Ridge augmentation with soft tissue procedures in aesthetic dentistry: first clinical results measured with a new kind of moire technique

    Science.gov (United States)

    Studer, Stephan P.; Bucher, Andreas; Mueller, Felix

    1993-09-01

    The oral health of the Swiss population was significantly improved by the successful prevention of dental caries and periodontitis. Along with the healthy dentition the demand for aesthetic dentistry is increasing. Removable partial dentures are becoming less accepted. Therefore, to substitute lost teeth by permanent fixed partial prosthesis (bridges), the often deformed alveolar ridge has to be operated, either to improve the aesthetic appearance or to make it possible to restore the missing teeth by a fixed cemented bridge. The aim of this paper is (1) to evaluate whether the moire technique is an appropriate and handy method, and (2) to validate the precision of the new method. The measuring system consisted of a moire projector with an integrated phase shift device and a moire viewer with a CCD video camera, connected to a frame grabber in a personal computer. a highly versatile software was allowed to control the system as well as to grab the moire images using the four-phase shift technique in order to compute the phase image of the actual object. The new technique was validated with one solid test object measured by a 3D coordination, high precision measuring machine.

  17. Could the eventual results of the NSABP* 39/RTOG** 0413 trial for partial breast irradiation (PBI) be improved by combining spherical applicators and whole breast irradiation? Radiobiology suggests it may.

    Science.gov (United States)

    Smit, B J

    2010-01-01

    There may be unacceptable risks associated with the relatively large single doses of irradiation prescribed over five days instead of over six weeks for three of the four trial arms of the NSABP39/RTOG 0413 clinical trial seeking to enlist 4,300 patients. The first arm prescribes 60 Gray (Gy) in two Gy fractions over six weeks, which is the present standard. The dose implications of the other three arms with reference to this standard were examined using the ID2 formalism. Particularly poor (non-homogeneous) dose distributions characterise spherical applicators like "MammoSite" used as a sole device for accelerated partial breast irradiation (APBI). The alternative treatment, APBI done by 3-D conformal radiation, may also have a drawback, namely a sudden sharp cut-off in dose which may cause cosmetic problems due to circumscribed fibrosis and edema. Some recently published results from this trial reveal an alarming level of complications. The possible causes of these complications and poor cosmetic outcomes and how to avoid them are examined. An obstacle to the more widespread use of the "MammoSite type of device is that the device is not allowed closer than 5-7 mm from the skin or ribs; a possible remedy for this restriction is offered. It is also intended to make the relevant radiobiological principles usable for surgical oncologists.

  18. Mechanical power sheath mediated recanalization and lead implantation in patients with venous occlusion: Technique and results.

    Science.gov (United States)

    Witte, Olivier A; Adiyaman, Ahmet; van Bemmel, Marnix W; Smit, Jaap Jan J; Ghani, Abdul; Misier, Anand R Ramdat; Elvan, Arif; Delnoy, Peter Paul H M

    2018-02-01

    Chronic venous occlusion hampers lead revisions and upgrades in patients with a cardiac implantable electronic devices (CIEDs). This can make cardiothoracic surgery, venoplasty, or contra-lateral implantation of leads with tunneling necessary. A technique using venous recanalization may be a preferred alternative. We assessed the efficacy and safety of this new technique. From 2009 to 2016, all consecutive patients planned for lead revision or upgrade with known chronic venous occlusion were studied. All patients underwent extraction of an existing malfunctional or functional CIED lead with the Cook Evolution mechanical power sheath. By using the lumen of the sheath, endovascular access to the heart was obtained for new leads. Forty-two patients (107 leads, 2.6 ± 1.1) were included. The indication for this procedure was replacement of malfunctional leads (n = 35, 83%) or device upgrade (n = 7, 17%). In total, 77 leads were extracted (30 leads stayed in situ) with a mean age at time of extraction of 8.4 years. Because of damage to bystander leads during extraction, two additional leads (one RA lead, one LV lead) were extracted. Clinical success was achieved in 41 patients (97%) and complete success in 39 patients (93%). There were two minor complications (two pocket hematomas, managed conservatively) and one major complication (tamponade, needing thoracotomy). Mean procedure time was 3.0 hours (median, 2.0; range, 1:28-5:35 hours) with a mean fluoroscopy time of 14.9 ± 12.5 minutes. The technique of Evolution-mediated recanalization in case of lead revisions or upgrades is feasible with an acceptable safety profile and high efficacy. © 2017 Wiley Periodicals, Inc.

  19. Combining Bilateral Magnetically Controlled Implants Inserted Parallel to the Spine With Rib to Pelvis Fixation: Surgical Technique and Early Results.

    Science.gov (United States)

    Hell, Anna K; Groenefeld, Katharina; Tsaknakis, Konstantinos; Braunschweig, Lena; Lorenz, Heiko M

    2018-01-23

    Spine-based fixation of magnetically controlled lengthening devices has been successfully performed for children with early-onset scoliosis. However, spinal manipulation may lead to ossifications, stiffness, and autofusion as previously described. To avoid these problems, a surgical technique combining bilateral externally controlled magnetic device implantation with a rib cradle and pelvic hook fixation was introduced by us in 2011. By using a bilateral single-rib or double-rib cradle fixation and a pelvic hook, the magnetic device is percutaneously inserted. The spine corrects indirectly without further manipulation. In small rib diameter or severe osteoporosis, double-rib cradles are used. Our introduced technique enables modification of the rib vertebral angle, which may be beneficial in children with spinal muscular atrophy and rib-cage deformity. This nonrandomized prospective study describes 18 children with neuromuscular scoliosis treated first by this method. All patients followed the same protocol, with expansion procedures being performed 5 months after surgery and every 3 months thereafter. Clinical, radiologic, and complication data were analyzed, showing a significant reduction in scoliosis and pelvic obliquity and an increase in spinal length, which could be maintained over a follow-up period of 1.2 years. The overall complication rate was lower than previously described, with 8%, 2 of them requiring surgery.

  20. Results of solid state nuclear track detector technique application in radon detection, by alpha particles tracks, for uranium prospecting in Caetite (BA-Brazil)

    International Nuclear Information System (INIS)

    Moraes, M.A.P.V. de; Khouri, M.T.F.C.

    1988-11-01

    The solid state nuclear track detector technique has been used in radon detection, by alpha particles tracks for uranium prospecting on the ground in Caetite city (Bahia-Brazil). The sensitive film to alpha particles used were CA 8015 exposed during 15 days and the results of three anomalies of this region are showed in a form of maps, made with the density of tracks obtained, and were compared with scintillation counter measurements. The technique showed to be simple and an effective auxiliary for the prospection of uranium ore bodies. The initial uranium exploration costs can be reduced by using this technique. (author) [pt

  1. Saturation of superstorms and finite compressibility of the magnetosphere: Results of the magnetogram inversion technique and global PPMLR-MHD model

    Science.gov (United States)

    Mishin, V. V.; Mishin, V. M.; Karavaev, Yu.; Han, J. P.; Wang, C.

    2016-07-01

    We report on novel features of the saturation process of the polar cap magnetic flux and Poynting flux into the magnetosphere from the solar wind during three superstorms. In addition to the well-known effect of the interplanetary electric (Esw) and southward magnetic (interplanetary magnetic field (IMF) Bz) fields, we found that the saturation depends also on the solar wind ram pressure Pd. By means of the magnetogram inversion technique and a global MHD numerical model Piecewise Parabolic Method with a Lagrangian Remap, we explore the dependence of the magnetopause standoff distance on ram pressure and the southward IMF. Unlike earlier studies, in the considered superstorms both Pd and Bz achieve extreme values. As a result, we show that the compression rate of the dayside magnetosphere decreases with increasing Pd and the southward Bz, approaching very small values for extreme Pd ≥ 15 nPa and Bz ≤ -40 nT. This dependence suggests that finite compressibility of the magnetosphere controls saturation of superstorms.

  2. Leadership Theories--Managing Practices, Challenges, Suggestions

    Science.gov (United States)

    Hawkins, Cheryl

    2009-01-01

    A shortage of community college executives due to the number of retirements occurring among current leaders is predicted. An examination of three leadership theories--servant-leadership, business leadership and transformational leadership--suggests techniques for potential community college leaders. Servant-leaders focus on the needs of their…

  3. IRIT at TREC 2014 Contextual Suggestion Track

    Science.gov (United States)

    2014-11-01

    both criteria users preferences and geographical location criteria. 1 Introduction TREC3 2014 Contextual Suggestion track examines search techniques...Contextual Retrieval Framework We address here the contextual retrieval problem as a multi-criteria decision making ( MCDM ) problem. The difficulty here

  4. The use of nuclear techniques in the management of nitrogen fixation by trees to enhance fertility of fragile tropical soils. Results of a co-ordinated research project

    International Nuclear Information System (INIS)

    1998-11-01

    The Joint FAO/IAEA Division of Nuclear Techniques in Food and Agriculture initiated in 1990 a Co-ordinated Research Project on The Use of Nuclear or Related Techniques in Management of Nitrogen Fixation by Trees for Enhancing Soil Fertility and Soil Conservation in Fragile Tropical Soils. This document contains nine papers referring to the results of the project. A separate abstract was prepared for each paper

  5. Comparison of Three Patellar Tendon Anterior Cruciate Ligament Reconstruction Techniques with Emphasis on Tunnel Location and Outcome. Are Our Results Improving?

    OpenAIRE

    Merchant, Thomas C

    2001-01-01

    In order to determine if recent changes in tunnel placement during anterior cruciate ligament reconstruction are producing better outcomes, the results of three different "bone-patellar tendon-bone" anterior cruciate ligament reconstruction techniques were compared. These techniques were: two-incision with the tibial tunnel at the anterior "footprint" of the anterior cruciate ligament (group I), two-incision with freehand placement of the tibial tunnel in the central or posterior "footprint" ...

  6. Breathing adapted radiotherapy: final clinic results of the program for the support to costly innovating techniques (Stic) of 2003

    International Nuclear Information System (INIS)

    Giraud, P.; Giraud, P.; Morvan, E.; Djadi-Prat, J.; Rosenwald, J.C.; Carrere, M.O.

    2010-01-01

    The authors report the comparison, from a clinic point of view, between breathing adapted conformational radiotherapy (BART) and conventional conformational radiotherapy, in the case of lung and breast cancers. The assessment comprised a clinic examination, a thoracic radiography, breathing functional tests, a thoracic scanography at different moments (3, 6, 12, 18 and 24 months), and dosimetric criteria for tumour target volumes and the different thoracic organs at risk. Data have been collected among more than six hundred patients. Breathing adapted techniques allow acute and late toxicity to be reduced, notably for the lung, heart and oesophagus during a lung irradiation. They are less interesting for mammary irradiation, but could be important for a radiotherapy of the left breast. Short communication

  7. Repair of Unstable Posterior Sternoclavicular Dislocation Using Nonabsorbable Tape Suture and Tension Band Technique: A Case Report with Good Results

    Directory of Open Access Journals (Sweden)

    Ekrem Aydın

    2015-01-01

    Full Text Available Posterior sternoclavicular joint dislocation (PSCJD is quite a rare condition. Nearly half of the closed reduction attempts fail due to various reasons. In this paper, we present a 25-year-old male patient who was admitted to the emergency department in our hospital after having a motor-vehicle accident. It was decided to do PSCJD after physical and imaging studies. Following necessary preparations, closed reduction was attempted with abduction-traction maneuver under general anesthesia; however, adequate stabilization could not be achieved and redislocation was detected during control. Therefore, joint was stabilized with tension band technique using 6 mm polyamide nonabsorbable type suture during open reduction. Painless and complete range of motion in shoulder was achieved at the postoperative 10th week.

  8. Legal Education Reform: Modest Suggestions.

    Science.gov (United States)

    Watson, Alan

    2001-01-01

    Based on harsh criticism of legal education by students, offers suggestions for improvement that do not require additional time for law studies, will increase the exposure of students both to law as practice and to law as an intellectual discipline, and involve no greater burden on law schools. A main suggestion involves elimination of teaching…

  9. Initial results of irradiation for prostatic cancer following three-dimensional treatment planning. Irradiation technique and toxicity

    International Nuclear Information System (INIS)

    Wiegel, T.; Schmidt, R.; Baumann, M.; Schwarz, R.; Steiner, P.; Arps, H.; Goeckel-Beining, B.

    1994-01-01

    During the period from June 91 until May 93 thirty-three patients suffering from histologically confirmed carcinoms of the prostate were assigned to four treatment groups and subjected to irradiation of the prostate and, if required, efferent lymphatic system of the minor pelvis that was performed according to a three-dimensional prospective treatment plan. The doses used for localized radiotherapy of the tumour tissue were in the range between 62 and 70 Gy, the efferent lymph system of the minor pelvis was irradiated with doses of up to 50 Gy. The local or boost treatments were carried out using four (box technique) or five irregular fields, while radiotherapy of the minor pelvis was solely based on the box technique using four fields of irregular shape. The immediate and long-term toxicity was evaluated in a prospective approach according to the RTOG score for the rectum, urinary bladder and skin. Twenty-five of the thirty-three patients (76%) developed immediate toxic symptoms. Immediate reactions classifiable with degree II of the rating scale were, however, only observed in four patients (15%) for the rectum (2), bladder (1) and skin (1). Immediate toxic reactions compatible with RTOG grades III or IV were not recorded. In all patients, the untoward effects were completely reversed within a maximum period of 6 weeks following termination of treatment. Two patients from the study cohort (6%), which has so far been followed up for an average period of 16 months, showed long-term grade I effects in the rectum and a further long-term effect observed in the urinary bladder of another patient was classified with degree II. Two patients died intercurrently and two patients developed metastases remote from the primary tumour. Local tumour control can currently be reported for 96%. (orig.) [de

  10. Organizing Vocabulary (Open to Suggestion).

    Science.gov (United States)

    Dixon, Dorothy J.

    1990-01-01

    Describes a technique for vocabulary instruction in which students complete a chart by providing two synonyms, an antonym, and the pronunciation of a given word. Reports that, even though the chart is easy to complete, students using it began to think both critically and creatively. (RS)

  11. Technical results of the French electricity supply industry 2002; Resultats techniques du secteur electrique en France 2002

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-07-01

    Provisional detailed results of power flows in France in 2002, with the operating context and international comparisons. This booklet presents provisional results, expressed in rounded values because of some estimated values. Data come from measures made by RTE, completed by various actors of the power system and by estimations made by RTE: general results France; operation outlook; energy flows; exchanges with foreign countries; French consumption; French generation; network operation; access to the transmission network; development over the past 15 years; international comparisons; terminology.

  12. Technical results of the power sector in France 2001; Resultats techniques du secteur electrique en France 2001

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-07-01

    Provisional detailed results of power flows in France in 2002, with the operating context and international comparisons. This booklet presents provisional results, expressed in rounded values because of some estimated values. Data come from measures made by RTE, completed by various actors of the power system and by estimations made by RTE: general results France; operation outlook; energy flows; exchanges with foreign countries; French consumption; French generation; network operation; access to the transmission network; development over the past 15 years; international comparisons; terminology.

  13. Infant Care Suggestions for Parents

    Science.gov (United States)

    ... bones, that are in various stages of healing. Handling Suggestions • All movements should be slow, methodical and ... holding, lifting, diapering, and general infant care. The return demonstration will ensure that the parents are comfortable ...

  14. Results of Applying Cultural Domain Analysis Techniques and Implications for the Design of Complementary Feeding Interventions in Northern Senegal.

    Science.gov (United States)

    Zobrist, Stephanie; Kalra, Nikhila; Pelto, Gretel; Wittenbrink, Brittney; Milani, Peiman; Diallo, Abdoulaye Moussa; Ndoye, Tidiane; Wone, Issa; Parker, Megan

    2017-12-01

    Designing effective nutrition interventions for infants and young children requires knowledge about the population to which the intervention is directed, including insights into the cognitive systems and values that inform caregiver feeding practices. To apply cultural domain analysis techniques in the context of implementation research for the purpose of understanding caregivers' knowledge frameworks in Northern Senegal with respect to infant and young child (IYC) feeding. This study was intended to inform decisions for interventions to improve infant and young child nutrition. Modules from the Focused Ethnographic Study for Infant and Young Child Feeding Manual were employed in interviews with a sample of 126 key informants and caregivers from rural and peri-urban sites in the Saint-Louis region of northern Senegal. Descriptive statistics, cluster analysis, and qualitative thematic analysis were used to analyze the data. Cluster analysis showed that caregivers identified 6 food clusters: heavy foods, light foods, snack foods, foraged foods, packaged foods, and foods that are good for the body. The study also revealed similarities and differences between the 2 study sites in caregivers' knowledge frameworks. The demonstration of differences between biomedical concepts of nutrition and the knowledge frameworks of northern Senegalese women with regard to IYC feeding highlights the value of knowledge about emic perspectives of local communities to help guide decisions about interventions to improve nutrition.

  15. Establishment of IDF-curves for precipitation in the tropical area of Central Africa - comparison of techniques and results

    Directory of Open Access Journals (Sweden)

    B. Mohymont

    2004-01-01

    Full Text Available The establishment of Intensity-Duration-Frequency (IDF curves for precipitation remains a powerful tool in the risk analysis of natural hazards. Indeed the IDF-curves allow for the estimation of the return period of an observed rainfall event or conversely of the rainfall amount corresponding to a given return period for different aggregation times. There is a high need for IDF-curves in the tropical region of Central Africa but unfortunately the adequate long-term data sets are frequently not available. The present paper assesses IDF-curves for precipitation for three stations in Central Africa. More physically based models for the IDF-curves are proposed. The methodology used here has been advanced by Koutsoyiannis et al. (1998 and an inter-station and inter-technique comparison is being carried out. The IDF-curves for tropical Central Africa are an interesting tool to be used in sewer system design to combat the frequently occurring inundations in semi-urbanized and urbanized areas of the Kinshasa megapolis.

  16. [Nonpalpable testes: short, middle and long-term results with the use of an exclusively laparoscopic technique].

    Science.gov (United States)

    Marijuán, V; Ibáñez, V; Mangas, L; Couselo, M; Gómez-Chacón, J; Valdés, E; Vila Carbó, J J

    2010-04-01

    Non palpable testis (NPT) has an incidence of 20% and clinical relevance derived from the possibility of malignant degeneration, fertility disfunction. Recently the development of minimally invasive surgery (MIS) allowed more accurate diagnosis and has become a new therapeutic tool. We carried out a retrospective study that included all the patients who underwent laparoscopic orchidopexy between 1998 and 2008. 156 patients were reviewed, which represent 179 testis units (TU). In 65 occasions the testis was placed in the internal inguinal orifice and in 68 occasions the testis was purely intraabdominal. Testicular atrophy was evidenced in 32 cases (7%). Laparoscopic orchidopexy was carried out in 152 TUs except in those that developed agenesia or atrophy-. A prothesis was placed after removing the remaining testis. 18 cases required a FowlerStephens. Inmediate postoperative complications were oedema (18 cases) and escrotal hematoma (9 cases). Testicular atrophy appeared in 12 cases after descent and in 3 cases after the first stage of the FowlerStephens. In 8 cases it was necessary to proceed to a second descent because of ascent after surgery. Laparoscopic orchidopexy has proved to be an efficient technique for the management of NPT which unifies the advantages of MIS and the outcomes of the conventional opened approach.

  17. Quantification results from an application of a new technique for human event analysis (ATHEANA) at a pressurized water reactor

    International Nuclear Information System (INIS)

    Whitehead, D.W.; Kolaczkowski, A.M.; Thompson, C.M.

    1998-05-01

    This paper presents results from the quantification of the three human failure events (HFEs) identified using the ATHEANA methodology as discussed in an earlier companion paper presented at this conference. Sections describe the quantification task, important basic events, and the results obtained from quantifying the three HFEs that were identified -- the first two of which were simulated at the Seabrook Station Simulator

  18. In-depth study of homogeneity in DBS using two different techniques: Results from the EBF DBS-microsampling consortium

    NARCIS (Netherlands)

    Cobb, Z.; Vries, R. de; Spooner, N.; Williams, S.; Staelens, L.; Doig, M.; Broadhurst, R.; Barfield, M.; Merbel, N. van de; Schmid, B.; Siethoff, C.; Ortiz, J.; Verheij, E.; Baar, B. van; White, S.; Timmerman, P.

    2013-01-01

    Background: At the start of their work, the European Bioanalysis Forum dried blood spots microsampling consortium did not form a dedicated team to investigate the spot homogeneity. However, two teams performed experiments that produced results relating to sample homogeneity. Results: The data, which

  19. Evaluation of effectiveness of a computer system (CAD) in the identification of lung nodules with low-dose MSCT: scanning technique and preliminary results

    International Nuclear Information System (INIS)

    Fraioli, Francesco; Catalano, Carlo; Almberger, Maria; Bertoletti, Linda; Cantisani, Vito; Danti, Massimiliano; Pediconi, Federica; Passariello, Roberto

    2005-01-01

    Purpose: Evaluation of the effectiveness of a computer-aided diagnosis (CAD) in the identification of pulmonary nodules. Materials and methods: Two observers (A1, A2) with different levels of experience independently evaluated 20 chest MSCT studies with and without the aid of a CAD system (LungCheck, R2 Technology, Inc.). The study parameters were as follows: 140 kVs, 40 mAs, collimation 4x1 mm, slice thickness 1.25 mm, reconstruction interval 1.0 mm. The observers analysed the images with and without CAD and evaluated: 1) nodule size (longer axis); 2) number and location of nodules; 3) reading time for each observer. The gold standard was represented by the evaluation of both readers in consensus with the aid of the CAD system. Results: Without CAD support the two readers identified 77 (A1) and 79 (A2) nodules and with CAD 81 (A1) and 82 (A2) nodules. Working in consensus the two observers identified 81 nodules without the aid of CAD and 84 nodules with the aid of CAD. Total number of nodules identified by CAD was 104, 25 of which were false positive and 5 false negative. The average reading time with the aid of CAD decreased by as much as 40% for both the observers. Conclusions: The preliminary results of our study suggest that the CAD technique is an accurate automatic support tool in the identification of pulmonary nodules. It reduces reading time and automatically supplies the size, volume, density and number of nodules, thus being useful both in screening programmes and in the follow-up of cancer patients, in whom comparison of the images is particularly difficult [it

  20. Environmentally-safe pest control using novel bioelectrostatic techniques: Initial results and prospects for area-wide usage

    International Nuclear Information System (INIS)

    Howse, P.E.; Underwood, K.L.

    2000-01-01

    The aim of our work is to provide an alternative to broad-scale pesticide spraying for crop protection. The need for such a development, in order to protect the environment, wildlife and human health, has never been more urgent. The project was conceived in 1992 deriving from concepts which are the subject of patent applications in 60 countries throughout the world. Since then, feasibility studies have been completed and links have been made with other organisations keen to evaluate and develop the technique. A parallel project, using similar electrostatic powder technology, was the development of an environmentally-friendly cockroach trap, which received a Prince of Wales Award for Innovation in 1997. In order to hasten the commercialisation of the technology, a new company, ExoSect Ltd, has been set up in association with the University of Southampton. The technique is based on the discovery that certain inert powders that can be electrostatically charged will adhere to the insect cuticle. The cuticle appears to be permanently electrically polarised (i.e., it functions as an electret). Powders of opposite polarity to the surface will therefore attach readily and it is extremely difficult for the insect to dislodge itself. In contrast, powders which do not charge easily or which rapidly lose their charge, quickly fall off, or can be groomed off by the insect. Male insects are lured to a source of charged powder by odour attractants (e.g., sexual pheromones). They then contaminate themselves with the powder. After leaving the trap, they pass on the powder to females in mating attempts. An insecticidal material formulated with the powder can thus be delivered to the females. The insecticide must be slow-acting in order for this transfer to take place. The components of the method are the following: Carrier Particles There are various inert or biodegradable materials with appropriate electrostatic characteristics which can be used as carriers for other biologically

  1. The painting technique of the vaulted roof at the Saadian Tomb of Mulay Ahmed Al Mansour: preliminary results

    International Nuclear Information System (INIS)

    Andreotti, A.; Colombini, M. P.; Lluveras, A.; Raihan, M.; Ibnoussina, M.; Tanouti, B.; Boujamid, A.

    2010-01-01

    The Saadian tombs date back from the time of the sultan Ahmed Al Mansour (1578-1603). the tombs have, because of the beauty of their decoration, been a major attraction for visitors of Marrakech. The central mausoleum, the Hall of Twelve Columns, contains the tombs of ahmed Al Mansour and his family. It's dark, lavish, and ornate, with a huge vaulted roof, carved cedar doors and moucharabia (carved wooden screens traditionally to separate the sexes), and gray Italian marble columns. Samples from the painted roof have been collected and are currently under analysis to understand the executive technique used in its decoration. Generally, samples from painted works of art are characterised by the presence of several different organic materials together with pigments, fillers and dryers. A GC-MS analytical procedure for the characterisation of lipids, waxes, resins, pitch, tar, proteinaceous and polysaccharide material in the same paint micro-sample is applied to each collected micro-sample. The analytical procedure is based on a multi step sample pre-treatment that is able to separate the various organic components into different fractions (polysacharide, lipiresinous and proteinaceous), which are separately analyzed by GC-MS after purification and derivatisation. In particuler, this method achieves: -- the identification of proteinaceous binder (egg, collagen, casein) on the basis of the quantitative determination of the amino acid profile processed by principal component analysis -- the identification of lipids (linseed oil, poppy seed oil, walnut oil and egg), plant resins, animal resins,tar or pitches and natural waxes on the basis of the quantitative determination of fatty and dicarboxylic acids, and molecular pattern recognition of alchols and hydrocarbons and terpenic molecular markers -- the identification of th polysaccharide binder( starch, tragacanth gum, arabic gum, fruit tree gum, guar gum, karayagum) on the basis of the quantitative

  2. Geophysical techniques in the historical center of Venice (Italy): preliminary results from HVSR and multichannel analysis of surface waves

    Science.gov (United States)

    Trevisani, Sebastiano; Rocca, Michele; Boaga, Jacopo

    2014-05-01

    This presentation aims to outline the preliminary findings related to an extensive seismic survey conducted in the historical center of Venice, Italy. The survey was conducted via noninvasive and low-cost seismic techniques based on surface waves analysis and microtremor methods, mainly using single station horizontal to vertical spectral ratio techninques (HVSR) and multichannel analysis of surface waves in passive (ReMI) and active (MASW) configurations. The importance and the fragility of the cultural heritage of Venice, coupled with its peculiar geological and geotechnical characteristics, stress the importance of a good knowledge of its geological architecture and seismic characteristics as an opportunity to improve restoration and conservation planning. Even if Venice is located in a relatively low seismic hazard zone, a local characterization of soil resonance frequencies and surficial shear waves velocities could improve the planning of engineering interventions, furnishing important information on possible local effects related to seismic amplification and possible coupling within buildings and soil resonance frequencies. In the specific we collected more than 50 HVSR single station noise measurements and several passive and active multichannel analysis of surface waves located in the historical center. In this work we report the characteristics of the conducted seismic surveys (instrumentation, sampling geometry, etc.) and the preliminary findings of our analysis. Moreover, we discuss briefly the practical issues, mainly of logistic nature, of conducting this kind of surveys in a peculiar and crowed historical center as represented by Venice urban contest. Acknowledgments Instrumentation acquired in relation to the project co-financed by Regione Veneto, POR-CRO, FESR, 2007-2013, action 1.1.1. "Supporto ad attività di ricerca, processi e reti di innovazione e alla creazione di imprese in settori a elevato contenuto tecnologico"

  3. Reinventing suggestion systems for continuous improvement

    NARCIS (Netherlands)

    Schuring, R.W.; Luijten, Harald

    2001-01-01

    This article reports an experiment to increase the effectiveness of a suggestion system by deliberately applying principles of the kaizen and performance management. Design rules for suggestion systems are derived from these theories. The suggestion system that resulted differs from traditional

  4. Hypnotic suggestion and cognitive neuroscience.

    Science.gov (United States)

    Oakley, David A; Halligan, Peter W

    2009-06-01

    The growing acceptance of consciousness as a legitimate field of enquiry and the availability of functional imaging has rekindled research interest in the use of hypnosis and suggestion to manipulate subjective experience and to gain insights into healthy and pathological cognitive functioning. Current research forms two strands. The first comprises studies exploring the cognitive and neural nature of hypnosis itself. The second employs hypnosis to explore known psychological processes using specifically targeted suggestions. An extension of this second approach involves using hypnotic suggestion to create clinically informed analogues of established structural and functional neuropsychological disorders. With functional imaging, this type of experimental neuropsychopathology offers a productive means of investigating brain activity involved in many symptom-based disorders and their related phenomenology.

  5. Difficulties and Problematic Steps in Teaching the Onstep Technique for Inguinal Hernia Repair, Results from a Focus Group Interview

    DEFF Research Database (Denmark)

    Andresen, Kristoffer; Laursen, Jannie; Rosenberg, Jacob

    2016-01-01

    Germany, UK, France, Belgium, Italy, Greece, and Sweden. Results. Four main themes were found, with one theme covering three subthemes: instruction of others (experience, patient selection, and tailored teaching), comfort, concerns/fear, and anatomy. Conclusion. Surgeons receiving a one-day training...

  6. Quality control of baby food products on the basis of results obtained using the instrumental neutron-activation analysis technique

    International Nuclear Information System (INIS)

    Mukhammedov, S.; Khaydarov, A.; Pardaev, O.

    2013-01-01

    The purpose of this study was to use the instrumental neutron-activation analysis (INAA) to determine the elemental composition of some kind of imported baby food products (BFP) and to compare the results with the permissible contents. The nuclear reactor WWR-SM of INP has been used to develop INAA to study the mineral composition of some children's food products. The concentration of 26 trace elements, including Mg, Ca, Fe, Zn, etc. was found. The comparison of the results with regulation contents and the daily data on food needs have shown that the investigated group of BFP does not meet the requirements for all trace and macro elements composition. (authors)

  7. Analysis of results obtained with different cutting techniques and associated filtration systems for the dismantling of radioactive metallic components

    International Nuclear Information System (INIS)

    Bach, F.W.; Steiner, H.; Schreck, G.

    1993-01-01

    The present joint study performed by the Commissariat a l'energie atomique and the Universitaet Hannover and coordinated by the Commission of the European Communities was intended to analyse the results generated in a number of research contracts concerned with cutting tests in air and underwater, with consideration of the prevailing working conditions. The analysis has led to a large database, giving broadly-assessed information for the dismantling of radioactive components. The range of study was enlarged, where possible, to include recently obtained results outside the present research programme, consideration also being given to supplementary cutting tools and filtration systems not covered by the present programme. Data was concentrated in structured information packages on practical experience available for a series of cutting tools and filters. These were introduced into a computerized user-friendly databank, to be considered as a first-stage development, which should be continuously updated and possibly oriented in the future to an expert system

  8. Pet Food Palatability Evaluation: A Review of Standard Assay Techniques and Interpretation of Results with a Primary Focus on Limitations

    OpenAIRE

    Aldrich, Gregory C.; Koppel, Kadri

    2015-01-01

    Simple Summary Palatability of pet foods is typically measured using a single-bowl or a two-bowl test. While these tests give a general understanding of the liking or preference of one food over another, opportunities exist for further method development. Abstract The pet food industry continues to grow steadily as a result of new innovative products. Quality control and product development tests for pet foods are typically conducted through palatability testing with dogs and cats. Palatabili...

  9. Laboratory environment and bio-medical experience: the impact of administration technique on the quality of immune-behavior data results in stress experience

    Directory of Open Access Journals (Sweden)

    Nessaibia Issam

    2015-12-01

    Conclusion: In an experimental protocol conducted on animal models, it is essential to opt for painless techniques such as oral administration instead of painful injections to avoid confusion at the behavioral and immunological results from biomedical experiments specifically one that focuses on the stress study.

  10. Classification Technique of Interviewer-Bot Result using Naïve Bayes and Phrase Reinforcement Algorithms

    Directory of Open Access Journals (Sweden)

    Moechammad Sarosa

    2018-02-01

    Full Text Available Students with hectic college schedules tend not to have enough time repeating the course material. Meanwhile, after they graduated, to be accepted in a foreign company with a higher salary, they must be ready for the English-based interview. To meet these needs, they try to practice conversing with someone who is proficient in English. On the other hand, it is not easy to have someone who is not only proficient in English, but also understand about a job interview related topics. This paper presents the development of a machine which is able to provide practice on English-based interviews, specifically on job interviews. Interviewer machine (interviewer bot is expected to help students practice on speaking English in particular issue of finding suitable job. The interviewer machine design uses words from a chat bot database named ALICE to mimic human intelligence that can be applied to a search engine using AIML. Naïve Bayes algorithm is used to classify the interview results into three categories: POTENTIAL, TALENT and INTEREST students. Furthermore, based on the classification result, the summary is made at the end of the interview session by using phrase reinforcement algorithms. By using this bot, students are expected to practice their listening and speaking skills, also to be familiar with the questions often asked in job interviews so that they can prepare the proper answers. In addition, the bot’ users could know their potential, talent and interest in finding a job, so they could apply to the appropriate companies. Based on the validation results of 50 respondents, the accuracy degree of interviewer chat-bot (interviewer engine response obtained 86.93%.

  11. Fast, free-breathing, in vivo fetal imaging using time-resolved 3D MRI technique: preliminary results

    OpenAIRE

    Liu, Jing; Glenn, Orit A.; Xu, Duan

    2014-01-01

    Fetal MR imaging is very challenging due to the movement of fetus and the breathing motion of the mother. Current clinical protocols involve quick 2D scouting scans to determine scan plane and often several attempts to reorient the scan plane when the fetus moves. This makes acquisition of fetal MR images clinically challenging and results in long scan times in order to obtain images that are of diagnostic quality. Compared to 2D imaging, 3D imaging of the fetus has many advantages such as hi...

  12. Pet Food Palatability Evaluation: A Review of Standard Assay Techniques and Interpretation of Results with a Primary Focus on Limitations.

    Science.gov (United States)

    Aldrich, Gregory C; Koppel, Kadri

    2015-01-16

    The pet food industry continues to grow steadily as a result of new innovative products. Quality control and product development tests for pet foods are typically conducted through palatability testing with dogs and cats. Palatability is the measure of intake of a food that indicates acceptance or the measure of preference of one food over another. Pet food palatability is most commonly measured using a single-bowl or a two-bowl assay. While these tests answer some questions about the animals' perception of the food, there are many limitations as well. This review addresses some of these limitations and indicates opportunities for future research.

  13. Pet Food Palatability Evaluation: A Review of Standard Assay Techniques and Interpretation of Results with a Primary Focus on Limitations

    Directory of Open Access Journals (Sweden)

    Gregory C. Aldrich

    2015-01-01

    Full Text Available The pet food industry continues to grow steadily as a result of new innovative products. Quality control and product development tests for pet foods are typically conducted through palatability testing with dogs and cats. Palatability is the measure of intake of a food that indicates acceptance or the measure of preference of one food over another. Pet food palatability is most commonly measured using a single-bowl or a two-bowl assay. While these tests answer some questions about the animals’ perception of the food, there are many limitations as well. This review addresses some of these limitations and indicates opportunities for future research.

  14. Validation Techniques of network harmonic models based on switching of a series linear component and measuring resultant harmonic increments

    DEFF Research Database (Denmark)

    Wiechowski, Wojciech Tomasz; Lykkegaard, Jan; Bak, Claus Leth

    2007-01-01

    In this paper two methods of validation of transmission network harmonic models are introduced. The methods were developed as a result of the work presented in [1]. The first method allows calculating the transfer harmonic impedance between two nodes of a network. Switching a linear, series network......, as for example a transmission line. Both methods require that harmonic measurements performed at two ends of the disconnected element are precisely synchronized....... are used for calculation of the transfer harmonic impedance between the nodes. The determined transfer harmonic impedance can be used to validate a computer model of the network. The second method is an extension of the fist one. It allows switching a series element that contains a shunt branch...

  15. Observations of Phobos by the Mars Express radar MARSIS: Description of the detection techniques and preliminary results

    Science.gov (United States)

    Cicchetti, A.; Nenna, C.; Plaut, J. J.; Plettemeier, D.; Noschese, R.; Cartacci, M.; Orosei, R.

    2017-11-01

    The Mars Advanced Radar for Subsurface and Ionosphere Sounding (MARSIS) (Picardi et al., 2005) is a synthetic aperture low frequency radar altimeter, onboard the ESA Mars Express orbiter, launched in June 2003. It is the first and so far the only spaceborne radar that has observed the Martian moon Phobos. Radar echoes were collected on different flyby trajectories. The primary aim of sounding Phobos is to prove the feasibility of deep sounding, into its subsurface. MARSIS is optimized for deep penetration investigations and is capable of transmitting at four different bands between 1.3 MHz and 5.5 MHz with a 1 MHz bandwidth. Unfortunately the instrument was originally designed to operate exclusively on Mars, assuming that Phobos would not be observed. Following this assumption, a protection mechanism was implemented in the hardware (HW) to maintain a minimum time separation between transmission and reception phases of the radar. This limitation does not have any impact on Mars observation but it prevented the observation of Phobos. In order to successfully operate the instrument at Phobos, a particular configuration of the MARSIS onboard software (SW) parameters, called ;Range Ambiguity,; was implemented to override the HW protection zone, ensuring at the same time a high level of safety of the instrument. This paper describes the principles of MARSIS onboard processing, and the procedure through which the parameters of the processing software were tuned to observe targets below the minimum distance allowed by hardware. Some preliminary results of data analysis will be shown, with the support of radar echo simulations. A qualitative comparison between the simulated results and the actual data, does not support the detection of subsurface reflectors.

  16. Closed reduction and percutaneus Kirschner wire fixation for the treatment of dislocated calcaneal fractures: surgical technique, complications, clinical and radiological results after 2–10 years

    Science.gov (United States)

    Sauer, B.; Degreif, J.; Walde, H.-J.

    2008-01-01

    Introduction To reduce complications, a minimally invasive technique for the treatment of dislocated intraarticular fractures of the calcaneus was used. Therefore previously described closed reduction and internal fixation techniques were combined and modified. Materials and methods Sixty-seven out of 92 calcaneal fractures could be retrospectively evaluated with an average follow-up time of 5.7 years (minimum 2–10 years follow-up). For radiographic evaluation, plain radiographs and CT scans were obtained. The Zwipp score was used for clinical evaluation. Sanders type II, III and IV fractures were diagnosed. Results Length of surgery averaged 61 min (range 20–175 min). The incidence of subtalar arthritis was correlated to the severity of fracture. Böhler’s angle was restored in 70.1% (47 of 67) of the cases. On the last follow-up evaluation the average Zwipp score was 130 points (range 48–186 points). The majority (77.7%) of patients were content with their treatment result. The rate of significant complications was 6.5%. Discussion Compared to open techniques the presented minimally invasive technique showed comparable results with a low rate of serious complications and is a viable alternative for the treatment of intraarticular, dislocated calcaneal fractures. PMID:18309507

  17. Frontalis suspension surgery to treat patients with essential blepharospasm and apraxia of eyelid opening-technique and results.

    Science.gov (United States)

    Karapantzou, Chrisanthi; Dressler, Dirk; Rohrbach, Saskia; Laskawi, Rainer

    2014-10-22

    We describe the results of 15 patients suffering from essential blepharospasm with apraxia of eyelid opening who underwent frontalis suspension surgery. Patients with apraxia of eyelid opening and unresponsive to botulinum toxin injections were studied. Bilateral frontalis suspension surgery was performed (sling operation) using polytetrafluoroethylene (Gore-Tex®) sutures. The patients reported the degree of improvement using a subjective rating scale to evaluate the benefit of the operation at two times after surgery (0-10 days and 180-360 days). The patients reported a high degree of subjective improvement. In the early postoperative period (0-10 days) the mean degree of subjective improvement was 74.6% (standard deviation (SD) 26.4%). At 180-360 days after surgery the mean improvement was 70.0% (SD 26.7%). Small hematomas of the upper lid occurred postoperatively in all patients. Other complications were suture extrusions (9.1%), suture granulomas (6.1%), lacrimation (5.0%) and local infections (7.5%). Postoperatively, all patients needed additional botulinum toxin injections for optimal outcome. Frontalis suspension surgery is a minimally invasive and effective treatment option for apraxia of eyelid opening in patients with essential blepharospasm unresponsive to botulinum toxin injections alone.

  18. Long-Term Results of Surgical Treatment for Herniated Discs Using the Technique of Autologous Chondrocyte Transplantation

    Directory of Open Access Journals (Sweden)

    E.G. Pedachenko

    2016-08-01

    Full Text Available Objective: to evaluate the effectiveness of autologous chondrocyte (AC transplantation in patients after lumbar microdiscectomy in the long-term period. Materials and methods. Transplantation of cryopreserved AC has been carried out in 6 patients 3 months after lumbar microdiscectomy. Evaluation of clinical status was performed using VAS and NASS scales, before and 3 months after microdiscectomy, 1 and 2 years after AC transplantation. In the same period, there were also evaluated magnetic resonance characteristics of hydration of intervertebral disc. Results. According to magnetic resonance imaging, recovery of nucleus pulposus hydrophilicity was found in 4 of 6 patients (66.7 %, who underwent AC transplantation. Pain severity decreased significantly in the early period after microdiscectomy, and 3 months after (by the time of AC transplantation it has reduced by almost 6 times. One and 2 years after this procedure, pain continued to decline steadily. Functional status and quality of life after microdiscectomy significantly improved during first 3 months, and after transplantation they have not changed. Conclusions. Autologous chondrocyte transplantation after lumbar microdiscectomy is a safe method of surgical treatment for degenerative diseases of the spine, it helps to recover the biomechanical properties of the operated intervertebral disc.

  19. An IAEA multi-technique X-ray spectrometry endstation at Elettra Sincrotrone Trieste: benchmarking results and interdisciplinary applications.

    Science.gov (United States)

    Karydas, Andreas Germanos; Czyzycki, Mateusz; Leani, Juan José; Migliori, Alessandro; Osan, Janos; Bogovac, Mladen; Wrobel, Pawel; Vakula, Nikita; Padilla-Alvarez, Roman; Menk, Ralf Hendrik; Gol, Maryam Ghahremani; Antonelli, Matias; Tiwari, Manoj K; Caliri, Claudia; Vogel-Mikuš, Katarina; Darby, Iain; Kaiser, Ralf Bernd

    2018-01-01

    The International Atomic Energy Agency (IAEA) jointly with the Elettra Sincrotrone Trieste (EST) operates a multipurpose X-ray spectrometry endstation at the X-ray Fluorescence beamline (10.1L). The facility has been available to external users since the beginning of 2015 through the peer-review process of EST. Using this collaboration framework, the IAEA supports and promotes synchrotron-radiation-based research and training activities for various research groups from the IAEA Member States, especially those who have limited previous experience and resources to access a synchrotron radiation facility. This paper aims to provide a broad overview about various analytical capabilities, intrinsic features and performance figures of the IAEA X-ray spectrometry endstation through the measured results. The IAEA-EST endstation works with monochromatic X-rays in the energy range 3.7-14 keV for the Elettra storage ring operating at 2.0 or 2.4 GeV electron energy. It offers a combination of different advanced analytical probes, e.g. X-ray reflectivity, X-ray absorption fine-structure measurements, grazing-incidence X-ray fluorescence measurements, using different excitation and detection geometries, and thereby supports a comprehensive characterization for different kinds of nanostructured and bulk materials.

  20. Clinical Results of Arthroscopic Repair of Isolated Longitudinal Tear of Medial Meniscus by Vertical Cruciate Double Mattress Sutures with Outside-in Technique

    Directory of Open Access Journals (Sweden)

    Seyied Hamid Barzgar

    2013-09-01

    Full Text Available Introduction : Meniscal tears are one of the most common injuries treated by arthroscopic techniques. Arthroscopic meniscal repair is an accepted way of treatment for meniscal tears. Different arthroscopic techniques for meniscal repair are: inside-out, outside-in and all inside. In the first 2 techniques, meniscus is repaired by sutures and in the later by suture or by commercial ready implants . The goal of current study is assessing clinical results of arthroscopic repair of longitudinal meniscal tears with vertical cruciate double mattress sutures by outside-in technique after 9 months.   Methods: In this case series study, in 13 patients having criteria for engaging the study with longitudinal isolated meniscus tear, arthroscopic meniscal repair was done with vertical cruciate double mattress sutures by outside-in technique and patients were followed for 9 months.   Results: Of 13 patients, there were 12 males (92.3% and one female (7.7% aged 15-38 (average 28.3 years. In follow up period, there was one case (7.7% of irritation by subcutaneous knot. There was not any failure of repair. Average Lysholm score increased from 55.23 to 91.23 after 9 months of follow up, which was statistically significant (p<0.001. At the end of follow up period, there was not any medial joint line tenderness of knee, giving way or significant effusion or pain.   Conclusion: This study shows that this technique has a good short term outcome with no failure and low complications but it is necessary to do more long term studies to prove it.

  1. Nasopharyngeal Carcinoma Treated with Precision-Oriented Radiation Therapy Techniques Including Intensity-Modulated Radiotherapy: Preliminary Results

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    Wen-Shan Liu

    2004-02-01

    Full Text Available This paper reports preliminary results with intensity-modulated radiotherapy (IMRT in nasopharyngeal carcinoma (NPC. Between August 2000 and May 2001, we treated 19 patients with NPC using IMRT. Twelve patients had stage I-II disease and seven had stage III-IV disease. Six patients received 9.0-19.8 Gy three-dimensional conformal radiotherapy (3D-CRT before IMRT and 18 patients received a brachytherapy boost after IMRT. The mean follow-up time was 13.0 months. All patients with stage II-IV disease except one received two cycles of chemoradiotherapy with cisplatin and 5-fluorouracil (5-FU during radiotherapy, followed by two to four cycles of chemotherapy after radiotherapy. Tumor response was assessed using clinical examination and computerized tomography or magnetic resonance imaging. The mean doses administered to the gross tumor volume and clinical tumor volume were 70.9 Gy and 63.2 Gy, respectively. The mean doses administered to the right and left parotid glands were 38.1 Gy and 38.6 Gy, respectively. All 19 patients had a complete response of primary and lymph node disease. Grade III mucositis developed during chemoradiotherapy in 15 patients (79%. In addition, clinical grade I xerostomia was recorded in nine patients, grade II in nine, and grade III in one. This study demonstrated that 3D-CRT, IMRT, intracavitary brachytherapy, and chemotherapy are effective and safe methods to treat NPC. Although IMRT treatment spared parotid gland function, its efficacy may be significantly influenced by disease stage and location of the neck lymph nodes. More cases and a longer follow-up to assess survival and complications are planned.

  2. Epicondylopathia humeri. Indication, technique and clinical results of radiotherapy; Epicondylopathia humeri. Indikation, Technik, klinische Ergebnisse der Radiotherapie

    Energy Technology Data Exchange (ETDEWEB)

    Seegenschmiedt, M.H. [Strahlentherapeutische Klinik und Poliklinik, Waldkrankenhaus St. Marien, Erlangen-Nuernberg Univ., Erlangen (Germany)]|[Klinik fuer Radioonkologie, Strahlentherapie und Nuklearmedizin, Alfred-Krupp von Bohlen und Halbach-Krankenhaus, Essen (Germany); Keilholz, L. [Strahlentherapeutische Klinik und Poliklinik, Waldkrankenhaus St. Marien, Erlangen-Nuernberg Univ., Erlangen (Germany); Martus, P. [Inst. fuer Medizinische Statistik und Dokumentation, Waldkrankenhaus St. Marien, Erlangen-Nuernberg Univ., Erlangen (Germany); Kuhr, M. [Orthopaedische Klinik, Waldkrankenhaus St. Marien, Erlangen-Nuernberg Univ., Erlangen (Germany); Wichmann, G. [Strahlentherapeutische Klinik und Poliklinik, Waldkrankenhaus St. Marien, Erlangen-Nuernberg Univ., Erlangen (Germany); Sauer, R. [Strahlentherapeutische Klinik und Poliklinik, Waldkrankenhaus St. Marien, Erlangen-Nuernberg Univ., Erlangen (Germany)

    1997-04-01

    Background: The efficacy of radiotherapy for degenerative-inflammatory disorders is well known, but so far long-term observations and reliable assessment of symptoms according to objective criteria and scores for validation are still missing. Results: Forty-three patients (ot totally 85)(50 elbows of totally 93) achieved `complete pain relief (CR)` in all pain categories: 59% elbows with pain at strain had `complete pain relief`, 79% with pain at night, 84% with permanent pain, 80% with pain at rest and 81% with pain at initiation or morning stiffness. Nineteen elbows gained `major pain relief (PR)`, i.e. had minor symptoms (maximum grade 1) in all categories. Thus, a total of 69 (74%) elbows responded to radiotherapy. Seventeen patients (19 elbows) were operated because of persistent symptoms or dissatisfaction in long-term follow-up; 7 of those became completely free of symptoms. The Morrey-Score improved by a mean of 18 points from 78 prior to radiotherapy to 96 points at last follow-up. According to the Morrey-Score only 2 patients became worse in long-term follow-up. Two parameters indicated a negative prognosis in multivariate analysis: Long symptom duration prior to radiotherapy and immobilisation with plaster (p<0.05). Conclusions: Radiotherapy for refractory epicondylopathia humeri is highly effective. Long symptom duration and long-term immobilisation by plaster are negative prognostic factors for treatment outcome. Due to the low side effects and treatment costs, radiotherapy is a good therapeutic option in comparison to conventional treatment methods and surgery in the chronic stage of epicondylopathia humeri. (orig./VHE) [Deutsch] Hintergrund: Die Wirksamkeit der Radiotherapie bei degenerativ-entzuendlichen Erkrankungen ist klinisch zwar gut belegt, doch fehlen ausreichende Langzeitbeobachtungen und eine Bewertung nach objektivierbaren Kriterien zur Validierung. Ergebnis: 43 Patienten (von insgesamt 85)(50 Ellenbogen von insgesamt 93) wurden in allen

  3. Management of transjugular intrahepatic portosystemic shunt induced refractory hepatic encephalopathy with the parallel technique: results of a clinical follow-up study.

    Science.gov (United States)

    Maleux, Geert; Heye, Sam; Verslype, Chris; Nevens, Fredrik

    2007-08-01

    To retrospectively evaluate the safety, feasibility, and midterm clinical outcome of the use of the parallel technique to treat transjugular intrahepatic portosystemic shunt (TIPS)-induced hepatic encephalopathy (HE) refractory to medical treatment. Additionally, factors potentially influencing clinical results after shunt reduction are assessed. Seventeen patients (11 men and 6 women) presenting with TIPS-induced HE refractory to medical treatment underwent shunt reduction with use of the parallel technique. West Haven HE grades before shunt reduction were IV and III in seven patients each and II in three patients. Mean portosystemic pressure gradient (PSPG) before shunt reduction was 6.8 mm Hg (range, 2-16 mm Hg). Relations between change in patients' mental state and several clinical parameters were analyzed. In all patients, it was technically feasible to reduce the shunt with use of the parallel technique. PSPG after reduction increased by a mean of 5.8 mm Hg (range, 1-12 mm Hg; P parallel technique is feasible and safe. It results in an increase of PSPG, which is associated with an improvement in neuropsychiatric status in most patients.

  4. The relationships between suggestibility, influenceability, and relaxability.

    Science.gov (United States)

    Polczyk, Romuald; Frey, Olga; Szpitalak, Malwina

    2013-01-01

    This research explores the relationships between relaxability and various aspects of suggestibility and influenceability. The Jacobson Progressive Muscle Relaxation procedure was used to induce relaxation. Tests of direct suggestibility, relating to the susceptibility of overt suggestions, and indirect suggestibility, referring to indirect hidden influence, as well as self-description questionnaires on suggestibility and the tendency to comply were used. Thayer's Activation-Deactivation Adjective Check List, measuring various kinds of activation and used as a pre- and posttest, determined the efficacy of the relaxation procedure. Indirect, direct, and self-measured suggestibility proved to be positively related to the ability to relax, measured by Thayer's subscales relating to emotions. Compliance was not related to relaxability. The results are discussed in terms of the aspects of relaxation training connected with suggestibility.

  5. Comparison of three dosimetric techniques to take in account lung tumor motion: gating-like technique results lead to advice the use of gating device even in the cases of pre-operative irradiation

    International Nuclear Information System (INIS)

    Beneyton, V.; Billaud, G.; Niederst, C.; Meyer, P.; Schumacher, C.; Karamanoukian, D.; Noel, G.; Bourhala, K.

    2010-01-01

    Purpose: Comparison of three dosimetric techniques of lung tumor delineation to integrate tumor motion during breathing. Patients and method: Nineteen patients with T1-3N0M0 malignant lung tumor were treated with definitive chemoradiotherapy (14 cases) or pre-surgery chemo radiation. Doses were, respectively, 66 and 46 Gy. CT-scan for delineation was performed during three phases of breathing: free breathing and deep breath-hold inspiration and expiration. G.T.V. (gross tumor volume) was delineated on the three sequences. The classic technique included G.T.V. from the free-breathing sequence plus a C.T.V. (clinical target volume) margin of 5 to 8 mm plus a P.T.V. (planning target volume) margin of 7 to 10 mm (including I.T.V. [internal target volume] margin and set-up margin). The gating-like technique included G.T.V. from the deep breath-hold inspiration sequence plus a C.T.V. margin of 5 to 8 mm plus a P.T.V. margin of 2 mm. The three-volume technique, included G.T.V. as a result of the fusion of G.T.V.s from the three sequences plus a C.T.V. margin of 5 to 8 mm plus a P.T.V. margin of 2 mm. Dosimetry was calculated for the three P.T.V.s, if possible, with the same fields number and position. Dose constraints and rules were imposed to accept dosimetries: firstly spinal cord maximal dose less than 45 Gy, followed by V95 % for P.T.V. greater than or equal to 95 %, and V20 GY Gy for lung less than or equal to 30 %, V30 GY Gy for lung less than or equal to 20 %. Results: G.T.V.s were not statistically different between the three methods of delineation. P.T.V.s were significantly lower with the gating-like technique. V95% of the P.T.V. were not different between the three techniques. With the classic-, the gating-like- and the 3-volume techniques, dosimetry was considered as acceptable, respectively in 15, 18 and 15 cases. Comparisons of constraint values showed that the gating-like method gave the best results. In the case of pre-operative management, the gating

  6. Acromioclavicular reconstruction using hook plate and anterior tibial tendon allograft with triple tunnel: The early results of revision surgery using a novel surgical technique

    Science.gov (United States)

    Deveci, Alper; Firat, Ahmet; Yilmaz, Serdar; Yildirim, Ahmet Ozgur; Acar, Halil I.; Unal, Kazim O.; Bozkurt, Murat

    2013-01-01

    In this study, a new modified surgical technique is presented for anatomic acromioclavicular (AC) joint reconstruction made by the application of anterior tibialis tendon autograft, three-way tunnel (two clavicular and one coracoid) and hook plate. The study is aimed to evaluate the post-operative short-term results of patients who underwent this treatment. A total of 11 patients underwent AC joint reconstruction because of persistent AC subluxation. In this reconstruction, a triple tunnel was made between the coracoid and the clavicle to anatomically restore the coracoclavicular (CC) ligament and an allograft was passed through the tunnels resembling conoid and trapezoid ligaments. The tendon had to be non-weight bearing at the appropriate tension to provide rapid and appropriate integration of the tendon in the tunnel. This was maintained by applying a hook plate. The hook plate method was used to protect the reconstructed ligament during the healing process as it has a similar hardness to that of the natural AC joint and provides rigid fixation. For a more comprehensive description of the technique, a cadaver demonstration was also performed. The mean follow-up period was 25.3 months (range: 18-34 month). None of the patients had a loss of reduction at the final follow-up. When the constant scores were examined, of the total 11 patients, 2 (18.2%) 38,39 had excellent results, 6 (54.5%) had good results and 3 (27.3%) had fair results. It can be seen that this newly described reconstruction technique has successful short-term results as an anatomic method and can be used effectively in revision cases. However, there is a need for further biomechanical and clinical studies to make comparisons with other techniques. PMID:24403760

  7. Relations between Anthropometric Characteristics and Motor Abilities of 14 – 15U Female Swimmers on 50m Result for each Technique

    Directory of Open Access Journals (Sweden)

    Goran Dimitrić

    2016-10-01

    Full Text Available In aim of correlation between antropometric characteristics, motor abilities and results of swimming 50m in all swimming techniques, a group of 22 swimmers (girls of Serbian national team, aged 14-15, underwent some anthropometric measurements as well as some motor abilities. Observed longitudinal dimensions were: body height, body mass, arm span and torax circumference and observed motor abilities were: body strength (arms, legs, stomach and flexibility (trunk and arms. Regression analisys showed that arm span corellated with 50m butterfly and free style score as well as strenght of body and legs corellated with 50m backstroke and free style score. Other measures didn΄t corelatted significantly on this sample. Study results confirms importance of arm span and some segments of body strenhgt of swimmers (girls for successful swimm on 50m in butterfly, backstroke and freestyle techniques in the age 14-15 years.

  8. Carbon and nitrogen determination in Zr by photon or proton activation analysis. Comparison between the results obtained by this method and other analytical techniques

    International Nuclear Information System (INIS)

    Petit, J.; Gosset, J.; Engelmann, C.

    1977-01-01

    Carbon and nitrogen are determined by the following nuclear reactions: 12 C(γ,n) 11 C and 14 N(p,α) 11 C. The performances of the method and the main interferences are considered. The process developed for the separation of carbon-11 from zirconium is described and its efficiency evaluated. The results obtained are compared with those given by different laboratories using various analytical techniques [fr

  9. Comparison of three patellar tendon anterior cruciate ligament reconstruction techniques with emphasis on tunnel location and outcome. Are our results improving?

    Science.gov (United States)

    Merchant, T C

    2001-01-01

    In order to determine if recent changes in tunnel placement during anterior cruciate ligament reconstruction are producing better outcomes, the results of three different "bone-patellar tendon-bone" anterior cruciate ligament reconstruction techniques were compared. These techniques were: two-incision with the tibial tunnel at the anterior "footprint" of the anterior cruciate ligament (group I), two-incision with freehand placement of the tibial tunnel in the central or posterior "footprint" (group II), and endoscopic single incision utilizing a guide keying on the posterior cruciate ligament to achieve posterior tibial tunnel location (group III). The femoral tunnel was established with a rear-entry guide for the two-incision techniques. A guide keying off the posterior intercondylar shelf or roof was used for femoral tunnel placement with the endoscopic technique. Subjective rating, Lysholm scores, range of motion, manual and instrumented laxity, and radiographic tibial and femoral tunnel location in the sagittal plane were studied for 33 patients (twelve in group I, nine in group II, twelve in group III) at minimum follow-up of two years. Patients had uniform rehabilitation programs. Statistically significant differences were found between the groups for a number of the variables: the mean maximum manual KT-1000 score was 3.7 millimeters for group I compared to 1.4 millimeters for group III; the mean flexion deficit was 0.5 degrees for group I and 8.3 degrees for group III; tibial tunnels were located 31% posteriorly along the sagittal tibial articular length for group I, while groups II and III were 38% and 43% respectively. Femoral tunnels for groups I and II were located 83% and 79% posteriorly along Blumensaat's line respectively, where as the mean for group III was 69%. Recent techniques (group III) for anterior cruciate ligament reconstruction successfully achieved "posterior" tibial tunnel placement. This was associated with superior results as judged by

  10. Evaluation of the results from surgical treatment of fractures of the lateral extremity of the clavicle, using the double ligature technique

    Directory of Open Access Journals (Sweden)

    Alberto Naoki Miyazaki

    2015-04-01

    Full Text Available OBJECTIVE: To evaluate the incidence of consolidation in surgical treatment of fractures of the lateral extremity of the clavicle using the double subcoracoid ligature technique, with nonabsorbable No. 5 thread.METHODS: Between May 1993 and June 2013, the Shoulder and Elbow Group of our service surgically treated 116 patients (116 shoulders with fractures of the lateral extremity of the clavicle. Among these, we were able to reassess 65 cases. The surgical technique used consisted of double subcoracoid ligature with two nonabsorbable threads. In two patients classified as type III, we had to combine this technique with use of an interfragmentary screw for fixation of the intra-articular portion of the acromioclavicular joint.RESULTS: We achieved fracture consolidation in 90%. Fourteen cases (21% evolved with major complications: four cases of pseudarthrosis, five of adhesive capsulitis, two of delayed consolidation and three of loss of reduction. Two cases (3% evolved with minor complications of skin granuloma.CONCLUSION: The double ligature technique for fractures of the lateral extremity of the clavicle promotes the stabilization needed for consolidation to take place, without the need for synthesis using metal components. It avoids reoperation for the synthesis material to be removed. Moreover, it is a low-cost procedure with good reproducibility and preservation of the acromioclavicular joint.

  11. Comparative analysis of the results of various physical therapy techniques in the treatment of patients with primary open-angle glaucoma with chronic cerebral ischemia

    Directory of Open Access Journals (Sweden)

    Lazarev М.S.

    2012-06-01

    Full Text Available

    Aim of the study: to evaluate the effectiveness of the techniques of dynamic simultaneous transcranial magnetic therapy and resonance, and electrical stimulation, transcranial magnetic therapy and dynamic laser stimulation, magnetic simpatokorrektsii in the treatment of patients with primary open-angle glaucoma with chronic cerebral ischemia. Techniques. We observed 184 patients diagnosed with primary open-angle glaucoma who received different physical therapy techniques. Results. Patients treated with transcranial magnetic therapy and electrical stimulation or laser stimulation, in addition to improving visual function and improve the bioelectrical activity of the visual cortex, more pronounced than in other groups also observed the activation of the intraocular blood fow. Application of magnetic simpatokorrektsii allows for improvement of basic functional, electrophysiological and hemodynamic performance by reducing the activity of the sympathetic nervous system and reduce the vasopressor effect. Conclusion. Transcranial magnetic therapy in combination with electrical stimulation or laser stimulation is effective in the treatment of patients with POAG. In patients with primary open-angle glaucoma with chronic cerebral ischemia technique of magnetic sim-patokorrektsii compared with traditional methods of vasoactive therapy is more effective, which is manifested not only increase the visual functions, but also a decrease in cognitive impairment.

  12. Electrocardiographic features suggestive of a left. ventricular ...

    African Journals Online (AJOL)

    Abstract. Electrocardiographic features suggestive of a transmural anterior myocardial infarction with resultant left ventricular aneurysm formation were found in a 22-year-old man who had sustained a ballistic missile injury to his chest.

  13. Benchmark Analysis for Condition Monitoring Test Techniques of Aged Low Voltage Cables in Nuclear Power Plants. Final Results of a Coordinated Research Project

    International Nuclear Information System (INIS)

    2017-10-01

    This publication provides information and guidelines on how to monitor the performance of insulation and jacket materials of existing cables and establish a programme of cable degradation monitoring and ageing management for operating reactors and the next generation of nuclear facilities. This research was done through a coordinated research project (CRP) with participants from 17 Member States. This group of experts compiled the current knowledge in a report together with areas of future research and development to cover aging mechanisms and means to identify and manage the consequences of aging. They established a benchmarking programme using cable samples aged under thermal and/or radiation conditions, and tested before and after ageing by various methods and organizations. In particular, 12 types of cable insulation or jacket material were tested, each using 14 different condition monitoring techniques. Condition monitoring techniques yield usable and traceable results. Techniques such as elongation at break, indenter modulus, oxidation induction time and oxidation induction temperature were found to work reasonably well for degradation trending of all materials. However, other condition monitoring techniques, such as insulation resistance, were only partially successful on some cables and other methods like ultrasonic or Tan δ were either unsuccessful or failed to provide reliable information to qualify the method for degradation trending or ageing assessment of cables. The electrical in situ tests did not show great promise for cable degradation trending or ageing assessment, although these methods are known to be very effective for finding and locating faults in cable insulation material. In particular, electrical methods such as insulation resistance and reflectometry techniques are known to be rather effective for locating insulation damage, hot spots or other faults in essentially all cable types. The advantage of electrical methods is that they can be

  14. Endovascular treatment of diabetic foot syndrome: results from a single center prospective registry using mixed coronary and peripheral techniques and equipment.

    Science.gov (United States)

    Cardaioli, Paolo; Rigatelli, Gianluca; Dell'avvocata, Fabio; Giordan, Massimo; Lisato, Giovanna; Mollo, Francesco; Vassilev, Dobrin; Nanjundappa, Aravinda

    2011-12-01

    To assess the long-term results of interventional treatment of diabetic foot using mixed coronary and peripheral equipments and techniques. The interventional diabetic foot syndrome treatment is rapidly becoming the therapy of choice in such patients, but proper materials and techniques are still debated. From January 2006 to December 2010, we prospectively enrolled 220 diabetic patients (78.5 ± 15.8 years, 107 females, all with Fontaine III or IV class), referred to our center for diabetic foot syndrome and severe limb ischemia. Mixed coronary and peripheral guidewires and balloons techniques were used. Doppler ultrasonography and foot transcutaneous oxygen pressure (TCPO2) before and after the procedure were calculated as well as the amputation rate. The preferred approach was ipsilateral femoral antegrade in 170/220 patients (77.7%), contralateral cross-over in 40/220 patients (18.8%), and popliteal retrograde + femoral antegrade in 10/220 patients (4.5%). The techniques included combined use of coronary and dedicated peripheral guidewires and coronary and peripheral dedicated balloons. Balloon angioplasty was performed in 252 legs (32 patients with bilateral disease): the procedure was successful in 239/252 legs with an immediate success rate of 94.8% and a significant improvement in TCPO2 and ankle-brachial index with ulcer healing in 233/252 legs (92.4%). The freedom from major amputation was 82.8% at a mean follow-up of 3.1 ± 1.8 years (range 1 to 5 years). The endovascular diabetic foot syndrome treatment using mixed coronary and peripheral materials and techniques seems to lead to high immediate success and limb salvage rates compared to historical series. ©2011, Wiley Periodicals, Inc.

  15. Characteristics of intercommunications of sport results and indexes of technique and tactic of competition activity of highly qualified sportsmen of karate-do.

    Directory of Open Access Journals (Sweden)

    Baranov M.V.

    2011-02-01

    Full Text Available The effectiveness of the individualization of technical and tactical training of athletes of karate-offensive, maneuver, and expectant management style duels. By analyzing the competitive activities of representatives of these styles, world and European champion 2007-2009 classification features were identified techniques and tactics of karate-do and established differences in their use of technical-tactical vehicles. Results of correlation analysis of the relationship of sports results and performance of technical and tactical actions of these athletes can determine the direction of individualization of training in different styles of karate fights.

  16. A comparison of geostatistically-based inverse techniques for use in performance assessment analyses at the WIPP site results from the Test Case No. 1

    International Nuclear Information System (INIS)

    Zimmerman, D.A.; Gallegos, D.P.

    1992-01-01

    The groundwater flow pathway in the Culebra Dolomite aquifer at the Waste Isolation Pilot Plant (WIPP) has been identified a potentially important pathway for radionuclide migration to the accessible environment. Consequently, uncertainties in the models used to describe flow and transport in the Culebra need to be addressed. A ''Geostatistics Test Problem'' is being developed to evaluate a number of inverse techniques that may be used for Dow calculations in the WIPP performance assessment (PA). The Test Problem is actually a series of test cases, each being developed as a highly complex synthetic data sct; the intent is for the ensemble of these data sets span the range of possible conceptual models of groundwater now at the WIPP site. This paper describes the results from Test Case No. 1. Of the five techniques compared, those based on the linearized form of the groundwater flow equation exhibited less bias and less spread in their GWTT distribution functions; the semi-analytical method had the least bias. While the results are not sufficient to make generalizations about which techniques may be better suited for the WIPP PA (only one test case has been exercised), analyses of the data from this test case provides some indication about the relative importance of other aspects of the flow modeling (besides inverse method or geostatistical approach) in PA. Then ancillary analyses examine the effect of gridding an the effect of boundary conditions on the groundwater travel time estimates

  17. Monosegment ALPPS: A new variant of the techniques for rapid hepatic regeneration. Critical review of the initial results of our series.

    Science.gov (United States)

    Montalvá Orón, Eva María; Maupoey Ibáñez, Javier; Bañuelos Carrillo, Rómulo; Boscà Robledo, Andrea; Orbis Castellanos, Juan Francisco; Moya Herraiz, Ángel; Ballester Vallés, Carmen; Pérez Rojas, Judith; Aparicio Urtasun, Jorge; López-Andújar, Rafael

    2015-01-01

    Associating Liver Partition and Portal vein ligation for Staged hepatectomy (ALPPS) is a novel surgical technique that provides fast and effective growth of liver remnant volume, allowing surgical resection of hepatic lesions initially considered unresectable. Short and long-term results and the convenience of carrying out this technique are issues that still remain under debate while waiting for the final outcomes of the multicenter registries with larger number of cases. The aim of this paper is to describe, from a critical point of view, the outcomes of the cases performed at our center (n=8). On the other hand, it is possible to leave only one hepatic segment as a liver remnant and we illustrate this new surgical procedure (ALPPS monosegment) performed in one patient. Copyright © 2014 AEC. Publicado por Elsevier España, S.L.U. All rights reserved.

  18. A comparison of geostatistically-based inverse techniques for use in performance assessment analysis at the WIPP site results from test case No. 1

    International Nuclear Information System (INIS)

    Zimmerman, D.A.; Gallegos, D.P.

    1993-01-01

    The groundwater flow pathway in the Culebra Dolomite aquifer at the Waste Isolation Pilot Plant (WIPP) has been identified as a potentially important pathway for radionuclide migration to the accessible environment. Consequently, uncertainties in the models used to described flow and transport in the Culebra need to be addressed. A 'Geostatistics Test Problem' is being developed as a highly complex synthetic data set; the intent is for the ensemble of these data sets span the range of possible conceptual models of groundwater flow at the WIPP site. The Test Problem analysis approach is to use a comparison of the probabilistic groundwater travel time (GWTT) estimates produced by each technique as the basis for the evaluation. Participants are given observations of head and transmissivity and are asked to develop stochastic models of groundwater flow for the synthetic system. Cumulative distribution functions (CDFs) of groundwater flow (computed via particle tracking) are constructed using the head and transmissivity data generated through the application of each technique; one semi-analytical method generates the CDFs of groundwater flow directly. This paper describes the results from Test Case No 1. Of the five techniques compared, those based on the linearized form of the groundwater flow equation exhibited less bias and less spread in their GWTT distribution functions; the semi-analytical method had the least bias. While the results are not sufficient to make generalizations about which techniques may be better suited for the WIPP PA (only one test case has been exercised), analysis of the data from this test case provides some indication about the relative importance of other aspects of the flow modeling (besides inverse method or geostatistical approach) in PA. These ancillary analyses examine the effect of gridding and the effect of boundary conditions on the groundwater travel time estimates

  19. Percutaneous Treatment of Simple Hepatic Cysts: The Long-Term Results of PAIR and Catheterization Techniques as Single-Session Procedures

    Energy Technology Data Exchange (ETDEWEB)

    Akhan, Okan, E-mail: akhano@tr.net [Hacettepe University Faculty of Medicine, Department of Radiology (Turkey); Islim, Filiz, E-mail: fislim@yahoo.com [Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Radiology (Turkey); Balci, Sinan, E-mail: snnbalci@gmail.com [Hacettepe University Faculty of Medicine, Department of Radiology (Turkey); Erbahceci, Aysun, E-mail: aysunerbahceci@yahoo.com [Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Radiology (Turkey); Akpınar, Burcu, E-mail: burcu-akpinar@yahoo.com; Ciftci, Turkmen, E-mail: turkmenciftci@yahoo.com; Akinci, Devrim, E-mail: akincid@hotmail.com [Hacettepe University Faculty of Medicine, Department of Radiology (Turkey)

    2016-06-15

    PurposeThe purpose of our study is to evaluate results of percutaneous aspiration with alcohol sclerotherapy in symptomatic patients with simple hepatic cysts by employing single-session techniques either by a needle or a catheter.Materials and MethodsWe retrospectively included 39 simple hepatic cysts in 35 patients treated via percutaneous aspiration and single-session alcohol sclerotherapy between years 1993 and 2012. Indications were pain (n = 28) or ruling out cystic echinococcus (CE) disease (n = 7). 29 cysts in 26 patients were treated by needle technique (Group A) and ten cysts in nine patients were treated by single-session catheter technique (Group B). Patients were followed for 4–173 months (median: 38 months).ResultsAll patients were successfully treated. Before procedure, cyst volumes were 21–676 cc (median: 94 cc). Post-procedure cyst volumes at last follow-up were 0-40 cc (median: 1 cc). The mean decrease in cyst volume was 95.92 ± 2.86 % in all patients (95.96 ± 3.26 % in Group A and 95.80 ± 6.20 % in Group B). There was no statistically significant difference between the volume reduction rates of Group A and Group B. Only one patient, in Group B, developed a major complication, an abscess. Hospitalization period was 1 day for all patients.ConclusionsFor patients with symptomatic simple hepatic cysts smaller than 500 cc in volume by using puncture, aspiration, injection, and reaspiration (PAIR) technique with only needle, single-session alcohol sclerotherapy of 10 min is a safe and effective procedure with high success rate.

  20. Personalized and not general suggestion produces false autobiographical memories and suggestion-consistent behavior.

    Science.gov (United States)

    Scoboria, Alan; Mazzoni, Giuliana; Jarry, Josée L; Bernstein, Daniel M

    2012-01-01

    Suggesting false childhood events produces false autobiographical beliefs, memories and suggestion-consistent behavior. The mechanisms by which suggestion affects behavior are not understood, and whether false beliefs and memories are necessary for suggestions to impact behavior remains unexplored. We examined the relative effects of providing a personalized suggestion (suggesting that an event occurred to the person in the past), and/or a general suggestion (suggesting that an event happened to others in the past). Participants (N=122) received a personalized suggestion, a general suggestion, both or neither, about childhood illness due to spoiled peach yogurt. The personalized suggestion resulted in false beliefs, false memories, and suggestion-consistent behavioral intentions immediately after the suggestion. One week or one month later participants completed a taste test that involved eating varieties of crackers and yogurts. The personalized suggestion led to reduced consumption of only peach yogurt, and those who reported a false memory showed the most eating suppression. This effect on behavior was equally strong after one week and one month, showing a long lived influence of the personalized suggestion. The general suggestion showed no effects. Suggestions that convey personal information about a past event produce false autobiographical memories, which in turn impact behavior. Copyright © 2011 Elsevier B.V. All rights reserved.

  1. A comparison of geostatistically based inverse techniques for use in performance assessment analysis at the Waste Isolation Pilot Plant Site: Results from Test Case No. 1

    International Nuclear Information System (INIS)

    Zimmerman, D.A.; Gallegos, D.P.

    1993-10-01

    The groundwater flow pathway in the Culebra Dolomite aquifer at the Waste Isolation Pilot Plant (WIPP) has been identified as a potentially important pathway for radionuclide migration to the accessible environment. Consequently, uncertainties in the models used to describe flow and transport in the Culebra need to be addressed. A ''Geostatistics Test Problem'' is being developed to evaluate a number of inverse techniques that may be used for flow calculations in the WIPP performance assessment (PA). The Test Problem is actually a series of test cases, each being developed as a highly complex synthetic data set; the intent is for the ensemble of these data sets to span the range of possible conceptual models of groundwater flow at the WIPP site. The Test Problem analysis approach is to use a comparison of the probabilistic groundwater travel time (GWTT) estimates produced by each technique as the basis for the evaluation. Participants are given observations of head and transmissivity (possibly including measurement error) or other information such as drawdowns from pumping wells, and are asked to develop stochastic models of groundwater flow for the synthetic system. Cumulative distribution functions (CDFs) of groundwater flow (computed via particle tracking) are constructed using the head and transmissivity data generated through the application of each technique; one semi-analytical method generates the CDFs of groundwater flow directly. This paper describes the results from Test Case No. 1

  2. The results of surgical treatment of oviductal infertility with use of microsurgical technique; Wyniki leczenia operacyjnego nieplodnosci pochodzenia jajowodowego przy zastosowaniu techniki mikrochirurgicznej

    Energy Technology Data Exchange (ETDEWEB)

    Cislo, M.; Murawski, M.; Palczynski, B. [Akademia Medyczna, Wroclaw (Poland)

    1993-12-31

    40 women were operated on infertility due to oviductal factor. This kind of infertility has been previously diagnosed by hysterosalpingography examination and then verified in 22 cases (55%) by laparoscopy combined with chromotubation. The operations were carried out with use of microsurgical technique and instruments. At the same time the prophylactics of postoperative intraperitoneal adhesions was applied. Seven pregnancies were obtained, that makes 17.5% of success. It is an outcome comparable with results presented by many other world centers of gynecological microsurgery. (author) 20 refs, 1 tab

  3. A Comparison of Palaeointensity Results Obtained Using the Microwave Technique and LTD- DHT Shaw Method on Basalts From the Auckland Volcanic Field, New Zealand

    Science.gov (United States)

    Hill, M. J.; Cassidy, J.

    2007-12-01

    Samples from five monogenetic volcanoes in the Quaternary Auckland volcanic field that record the same geomagnetic excursion have been investigated using the microwave palaeointensity technique. Both the perpendicular applied field method and Coe version of the Thellier technique were carried out, with sister sub samples being run in many cases to check for consistency. The experiments were performed using the Liverpool microwave systems operating at 14 GHz. A total of 58 samples gave results ranging from 1 to 24 μT with the mean palaeointensity per volcano ranging from 7 to 17 μT. Mochizuki et al (2006 Phys. Earth Planet. Int., 154, 168-179) previously studied samples from three of the five volcanoes using the LTD-DHT Shaw palaeointensity method. Their results from 17 samples showed greater consistency both between and within volcanoes. Possible reasons for the differences between results from the microwave method and LTD-DHT Shaw method will be discussed. Despite the differences, both overall mean palaeointensities are statistically indistinguishable and show that the geomagnetic dipole moment was reduced to about 2 x 1022 Am2 for this Auckland excursion.

  4. The use of a mono-fluted reamer results in decreased enlargement of the tibial tunnel when using a transtibial ACL reconstruction technique.

    Science.gov (United States)

    Knight, Justin R; Condie, Daniel; Querry, Ross; Robertson, William J

    2014-02-01

    To evaluate whether femoral tunnel preparation using a mono-fluted reamer rather than an acorn reamer would result in less tibial tunnel deformation when using a transtibial technique for anterior cruciate ligament reconstruction. Tibial and femoral tunnel preparation was performed in four matched pairs of cadaveric knees. The tibial tunnel was drilled using a standard acorn reamer. The femoral tunnel was prepared using a transtibial technique with a mono-fluted reamer, and then, the same femoral tunnel was re-reamed using an acorn reamer. The anterior-posterior (AP) and medial-lateral (ML) dimensions of the tibial tunnel were recorded after each reamer. We then compared the measurements following the use of each reamer using a paired two-sample t test. There was a significantly larger degree of tibial tunnel deformation following femoral tunnel preparation with the acorn reamer when compared with the mono-fluted reamer. The initial tibial tunnel measured 10.5 and 10.1 mm in the AP and ML dimensions, respectively. The resultant AP diameter of the tibial tunnel after femoral reaming was 16.7 mm (p mono-fluted reamer. The ML diameters were 11.3 mm (p = 0.003) versus 10.2 mm (p = 0.07) for the acorn and mono-fluted reamer, respectively. The use of a mono-fluted reamer for femoral tunnel preparation results in less tibial tunnel deformation during transtibial reaming.

  5. Clinical prospective study of a modified technique to extend the keratinized gingiva around implants in combination with ridge augmentation: one-year results.

    Science.gov (United States)

    Stimmelmayr, Michael; Stangl, Martin; Edelhoff, Daniel; Beuer, Florian

    2011-01-01

    The aim of this study was to evaluate the effectiveness of a modified surgical technique to extend the keratinized gingiva around implants in augmented mandibles and the stability of the technique after 1 year. Implants were inserted in mandibles in combination with ridge augmentation and extension of deficient buccal keratinized gingiva (BKT) with free gingival grafts (FGGs), in which the keratinized local gingiva (KLG) was transferred toward the lingual. In group 1, implants were placed simultaneous with ridge augmentation, and FGGs were performed at the time of uncovering the implants. In group 2, the implants were placed after ridge augmentation, and FGGs were performed at the time of implant placement with nonsubmerged healing. The width of KLG and FGG, as well as the width of the BKT and lingual keratinized gingiva (LKT), were measured 4 weeks, 3 months, and 1 year after soft tissue grafting. Seventy implants (46 in group 1, 24 in group 2) were placed in 29 patients with a mean age of 54.4 years. The mean width of KLG was 2.90 mm preoperatively (3.00 mm for group 1, 2.75 mm for group 2). Mean FGG was 4.60 mm in group 1 and 4.70 mm in group 2. For group 1 the mean width of BKT was 3.70 mm after 1 year. In contrast, group 2 showed mean BKT of 3.30 mm after 1 year. The resultant overall gain in BKT was 3.50 mm at 1 year. The LKT exhibited significantly more atrophy in group 1 (0.35 mm at 1 year) than in group 2 (0.05 mm at 1 year). The combination of ridge augmentation with the presented modified surgical technique resulted in the stable extension of keratinized gingiva around implants for 1 year.

  6. Sodium magnetic resonance imaging of ankle joint in cadaver specimens, volunteers, and patients after different cartilage repair techniques at 7 T: initial results.

    Science.gov (United States)

    Zbýň, Štefan; Brix, Martin O; Juras, Vladimir; Domayer, Stephan E; Walzer, Sonja M; Mlynarik, Vladimir; Apprich, Sebastian; Buckenmaier, Kai; Windhager, Reinhard; Trattnig, Siegfried

    2015-04-01

    the MFX and MACT patients (P = 0.185). No significant difference in sodium cSI was found between reference cartilage of the volunteers and the patients (P = 0.355). The patients showed significantly higher American Orthopaedic Foot and Ankle Society and Modified Cincinnati scores after treatment than they did before treatment. In the volunteers, sodium cSI was significantly higher in the tibial cartilage than in the talar cartilage of ankle joint (P = 0.002) and in the talar cartilage than in the calcaneal cartilage of subtalar joint (P ankle samples showed a strong linear relationship between the sodium values and the histochemically determined GAG content (r = 0.800; P ankle and subtalar joints at 7 T. A strong correlation observed between the histochemically evaluated GAG content and the sodium values proved the sufficient sensitivity of sodium MRI to changes in the GAG content of cartilages in the ankle. Both MFX and MACT produced RT with lower sodium cSI and, thus, of lower quality compared with reference cartilage in the patients or in the volunteers. Our results suggest that MFX and MACT produce RT with similar GAG content and similar morphological appearance in patients with similar surgery outcome. Sodium MRI at 7 T allows a quantitative evaluation of RT quality in the ankle and may thus be useful in the noninvasive assessment of new cartilage repair procedures.

  7. Methods and Techniques Used to Convey Total System Performance Assessment Analyses and Results for Site Recommendation at Yucca Mountain, Nevada, USA

    International Nuclear Information System (INIS)

    Mattie, Patrick D.; McNeish, Jerry A.; Sevougian, S. David; Andrews, Robert W.

    2001-01-01

    Total System Performance Assessment (TSPA) is used as a key decision-making tool for the potential geologic repository of high level radioactive waste at Yucca Mountain, Nevada USA. Because of the complexity and uncertainty involved in a post-closure performance assessment, an important goal is to produce a transparent document describing the assumptions, the intermediate steps, the results, and the conclusions of the analyses. An important objective for a TSPA analysis is to illustrate confidence in performance projections of the potential repository given a complex system of interconnected process models, data, and abstractions. The methods and techniques used for the recent TSPA analyses demonstrate an effective process to portray complex models and results with transparency and credibility

  8. LSD enhances suggestibility in healthy volunteers.

    Science.gov (United States)

    Carhart-Harris, R L; Kaelen, M; Whalley, M G; Bolstridge, M; Feilding, A; Nutt, D J

    2015-02-01

    Lysergic acid diethylamide (LSD) has a history of use as a psychotherapeutic aid in the treatment of mood disorders and addiction, and it was also explored as an enhancer of mind control. The present study sought to test the effect of LSD on suggestibility in a modern research study. Ten healthy volunteers were administered with intravenous (i.v.) LSD (40-80 μg) in a within-subject placebo-controlled design. Suggestibility and cued mental imagery were assessed using the Creative Imagination Scale (CIS) and a mental imagery test (MIT). CIS and MIT items were split into two versions (A and B), balanced for 'efficacy' (i.e. A ≈ B) and counterbalanced across conditions (i.e. 50 % completed version 'A' under LSD). The MIT and CIS were issued 110 and 140 min, respectively, post-infusion, corresponding with the peak drug effects. Volunteers gave significantly higher ratings for the CIS (p = 0.018), but not the MIT (p = 0.11), after LSD than placebo. The magnitude of suggestibility enhancement under LSD was positively correlated with trait conscientiousness measured at baseline (p = 0.0005). These results imply that the influence of suggestion is enhanced by LSD. Enhanced suggestibility under LSD may have implications for its use as an adjunct to psychotherapy, where suggestibility plays a major role. That cued imagery was unaffected by LSD implies that suggestions must be of a sufficient duration and level of detail to be enhanced by the drug. The results also imply that individuals with high trait conscientiousness are especially sensitive to the suggestibility-enhancing effects of LSD.

  9. The Candy-Plug Technique: Technical Aspects and Early Results of a New Endovascular Method for False Lumen Occlusion in Chronic Aortic Dissection.

    Science.gov (United States)

    Rohlffs, Fiona; Tsilimparis, Nikolaos; Fiorucci, Beatrice; Heidemann, Franziska; Debus, Eike Sebastian; Kölbel, Tilo

    2017-08-01

    To describe the technical aspects and early results of the Candy-Plug technique for endovascular false lumen occlusion in chronic aortic dissection. A retrospective single-center study analyzing 18 consecutive patients (mean age 63 years, range 44-76; 16 men) with thoracic false lumen aneurysm in chronic aortic dissection. All patients underwent thoracic endovascular aortic repair with false lumen occlusion using the Candy-Plug technique. Primary endpoints consisted of technical success (successful deployment) and clinical success (no false lumen backflow). Secondary endpoints included 30-day mortality and morbidity as well as aortic remodeling during follow-up. Technical success was 100%. Additional intraprocedural false lumen embolization at the Candy-Plug level was needed in 1 patient due to persisting false lumen backflow on the final angiogram (clinical success 94%). There were no intraprocedural complications. In the perioperative period, there were 3 minor complications: transient mild spinal cord ischemia, cervical hematoma after carotid-subclavian bypass, and a common femoral artery pseudoaneurysm. No deaths or reinterventions occurred. Complete distal false lumen occlusion was present on postoperative computed tomography in 15 patients, while 3 had minor contrast enhancement in the distal false lumen. Over a mean 9-month follow-up (range 0-26), 1 patient died due to rupture. Follow-up >6 months was available in 10 patients (mean 14.7 months, range 7-26): 7 patients showed aortic remodeling, while aneurysm size was stable in 3 patients. The Candy-Plug technique is a feasible endovascular method to achieve false lumen occlusion and aortic remodeling in chronic aortic dissection. It is associated with low morbidity and mortality due to its minimal invasiveness.

  10. Evaluating agronomic effectiveness of phosphate rocks using nuclear and related techniques: Results from an FAO/IAEA co-ordinated research project

    International Nuclear Information System (INIS)

    Zapata, F.

    2000-01-01

    An FAO/IAEA Co-ordinated Research Project, 'The use of nuclear and related techniques for evaluating the agronomic effectiveness of phosphatic fertilisers, in particular rock phosphates', was in operation during the period 1993-98. The research network comprised twenty-three scientists, of whom seventeen were in developing countries, with six in industrialized nations. Conventional and 32 P-isotope techniques were utilized to assess the bioavailability of P in soils amended with phosphate rock (PR) and water-soluble fertilisers, and to evaluate the agronomic effectiveness of PR products. No single chemical extraction method was found to be suitable for all soils and fertilisers. The Pi strip method showed promising results, but more testing is needed with tropical acid soils. The 32 P-phosphate-exchange kinetics method allowed a complete characterization of P dynamics, and provided basic information for estimating the kinetic pools of soil P. The agronomic effectiveness (AE) of PRs depends on their solubility (reactivity), which is related to the degree of carbonate substitution for phosphate in the apatite structure. Rock phosphates of low reactivity were unsuitable for direct application to annual crops. Research in Venezuela, China, Cuba, Brazil, and Thailand demonstrated that AE can be increased by partial acidulation, or by mixing with organic materials or a water-soluble source. The AE can be enhanced also through inoculation with mycorrhizal fungi and rhizobacteria. The AE, which depends on species, is particularly high in crops such as canola and lupin that exude organic acids from the roots. Agronomic effectiveness of PR is higher on soils with low pH, low available P, low exchangeable Ca, high cation exchange capacity and high organic-matter content. The 32 P-techniques are powerful tools for studying the factors that affect AE. Information from field trials was used to create a database for validating a model for providing recommendations for PR

  11. Long-term results of secondary alveolar bone grafting using a technique to harvest pure calvarial cancellous bone: Evaluation based on plain radiography and computed tomography.

    Science.gov (United States)

    Han, Kihwan; Jeong, Woonhyeok; Yeo, Hyeonjung; Choi, Jaehoon; Kim, Junhyung; Son, Daegu; Oh, Sangho; Kim, Changhyun

    2017-03-01

    We introduce a method to extract the maximum amount of cancellous bone from the calvarium and analyze the outcomes using plain radiography and computed tomography. We retrospectively analyzed the medical records of patients who underwent secondary alveolar bone grafts using a maximal harvesting technique for calvarial cancellous bone. Bone survival was determined based on Enemark's grading system using plain radiographs. Alveolar thickness and height were analyzed by computed tomography and compared with radiographic measurements. Our study enrolled 27 patients, 22 unilateral and 5 bilateral, for a total of 32 alveolar clefts. The mean age at surgery was 9.04 ± 0.41 years (range: 6-12 years). Donor sites were successfully recovered without complications, such as hematomas, seromas, infections, or tears in the dura mater. The mean follow-up duration for obtaining plain radiographs was 6.90 ± 0.61 years (range: 2.0-18.50 years). The mean follow-up duration for computed tomography was 6.51 ± 0.99 years (range: 2.0-14.83 years). A canine tooth erupted in 30 cases. Success (Enemark's grades I or II) was achieved in 26 cases. Alveolar height was strongly correlated with the Enemark scale results (γ = 0.878, p technique resulted in successful graft survival without serious complications, including dural or brain injuries. Although the ilium is widely accepted as the optimal donor site for secondary alveolar bone grafting, the calvarium could be an alternative donor site that results in equivalent outcomes. Copyright © 2016 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

  12. Vocal and ventricular fold lateralization using crossing sutures with the thyroplasty window technique for bilateral vocal fold immobility: long-term results.

    Science.gov (United States)

    Songu, Murat; Aslan, Hale; Denizoglu, Ilter; Ozkul, Yilmaz; Basoglu, Sinan; Ates, Duzgun; Ozturkcan, Sedat; Katilmis, Huseyin

    2013-11-01

    Vocal and ventricular fold lateralization using crossing sutures with the thyroplasty window technique is an effective and durable procedure for the management of patients with bilateral vocal fold immobility. To review the long-term results of bilateral vocal fold immobility in 26 patients treated with vocal and ventricular fold lateralization using crossing sutures with the thyroplasty window technique over a 6-year period. This retrospective study examined patients with a minimum follow-up of 1 year. The main outcome measures used were the modified Medical Research Council (MRC) dyspnoea scale and the assessment of voice quality pre- and postoperatively using the Likert method. The mean follow-up period was 23.77 ± 12.01 months. All patients reported marked symptomatic improvement in dyspnoea (p = 0.0001). The voice quality worsened as expected; however, this difference did not reach a significant level (p = 0.642). Transient microaspiration was noted in seven of the patients and resolved in 1 or 2 days. The procedure was performed for the contralateral vocal fold in one case, due to the loss of suture tension. No patient showed aspiration postoperatively or during follow-up. All patients were regularly followed up for the beginning of movement of the lateralized or contralateral vocal folds in our outpatient clinic.

  13. ARTHRODESIS OF THE FIRST METATARSOPHALANGEAL JOINT IN PATIENTS WITH RHEUMATOID ARTHRITIS AND HALLUX VALGUS: CHOICE OF TECHNIQUE OF ARTHRODESIS FIXATION, COMPLICATIONS AND LONG-TERM RESULTS

    Directory of Open Access Journals (Sweden)

    V. P. Pavlov

    2014-01-01

    Full Text Available Objective: to study results of arthrodesis of the first metatarsophalangeal joint (I MPT joint in patients with rheumatoidarthritis (RA and hallux valgus, assess methods of arthrodesis fixation, reveal complications and analyze longterm results.Subjects and methods. Authors observed 86 patients with RA, female : male ratio 3.2:1, mean age was 53.8±9.5 years (from 18 to 75 years; 80 from them had seropositive and 6 – seronegative RA. 72 patients had low, and 14 –moderate activity of the disease. II stage of RA was revealed in 31.4%, III – in 62.8%, IV – in 5.8%; 52.3% of  patients had I and 47.7% – II functional class. All patients  ad hallux valgus as a component of typical deformation of the forefoot – digitis V rheumaticus (DVR. Standard global reconstructive operation (SGRO and its modification (MGRO were used. Both techniques included arthrodesis of the I MTP joint where fusion of bones was fixed with Kirschner wire and compression clamps in groups A and B respectively. Results of surgical treatmentwere assessed separately for I and II–V toes. The present work provides solely the results of the I MTP joint arthrodesis.Results. Assessment of the I MTP joint with hallux valgus before and 2.3±1.5 years after operation based on AOFAS comprised 35.51±8.16/82.32±6.09 in the group A and 39.93±6.65/82.26±5,59 in the group B. Inefficiency of arthrodesis of the I MTP joint was observed in 3 patients from the group B (2.15%. Before operation, 3 from 141 feet had hallux valgus of the II stage (21–40°; III (41–60° and IV (>60° stages of hallux valgus were recorded in 90 and48 feet respectively. Following 2.3 years after arthrodesis normal I MTP joints (10–11° were observed in 131 feet whereas, that of the II stage of hallux valgus (12–20° – in 10 feet.Conclusion. High efficacy of arthrodesis of the I MTP joint in patients with RA and hallux valgus and, subsequently, low failure rate (2.15% were achieved as

  14. Early results and review of the literature of a novel hybrid surgical technique combining cervical arthrodesis and disc arthroplasty for treating multilevel degenerative disc disease: opposite or complementary techniques?

    Science.gov (United States)

    Assietti, Roberto; Corbino, Leonardo; Olindo, Giuseppe; Foti, Pietro V.; Russo, Vittorio; Albanese, Vincenzo

    2009-01-01

    We report the clinical and radiological results on the safety and efficacy of an unusual surgical strategy coupling anterior cervical discectomy and fusion and total disc replacement in a single-stage procedure, in patients with symptomatic, multilevel cervical degenerative disc disease (DDD). The proposed hybrid, single-stage, fusion–nonfusion technique aims either at restoring or maintaining motion where appropriate or favouring bony fusion when indicated by degenerative changes. Twenty-four patients (mean age 46.7 years) with symptomatic, multilevel DDD, either soft disc hernia or different stage spondylosis per single level, with predominant anterior myeloradicular compression and absence of severe alterations of cervical spine sagittal alignment, have been operated using such hybrid technique. Fifteen patients underwent a two-level surgery, seven patients received a three-level surgery and two a four-level procedure, for a total of 59 implanted devices (27 disc prostheses and 32 cages). Follow-up ranged between 12 and 40 months (mean 23.8 months). In all but one patient clinical follow-up (neurological examination, Nurick scale, NDI, SF-36) demonstrated significant improvement; radiological evaluation showed functioning disc prostheses (total range of motion 3–15°) and fusion through cages. None of the patients needed revision surgery for persisting or recurring symptoms, procedure-related complications or devices dislocations. To the authors’ best knowledge, this is the first study with the longest available follow-up describing a different concept in the management of cervical multilevel DDD. Although larger series with longer follow-up are needed, in selected cases of symptomatic multilevel DDD, the proposed surgical strategy appears to be a safe and reliable application of combined arthroplasty and arthrodesis during a single surgical procedure. PMID:19415346

  15. Tongue-base suspension with a soft tissue-to-bone anchor for obstructive sleep apnea: preliminary clinical results of a new minimally invasive technique.

    Science.gov (United States)

    DeRowe, A; Gunther, E; Fibbi, A; Lehtimaki, K; Vahatalo, K; Maurer, J; Ophir, D

    2000-01-01

    The Repose system is a new minimally invasive technique for tongue-base suspension in the treatment of sleep-disordered breathing caused by tongue-base collapse. It involves the insertion of a titanium miniscrew with attached suture into the anterior intraoral mandible and passing the suture through the tongue base. The procedure was performed in 16 patients with sleep-disordered breathing. Fourteen patients reported an improvement in daytime sleepiness, and their bed partners reported an improvement in snoring. The mean respiratory distress index before surgery was 35. Two months after surgery, the mean respiratory distress index was 17, an improvement of 51.4% (P = 0.001, 2-tailed t test). These preliminary results show the initial efficacy and safety of this new surgical procedure.

  16. Detection of an organic-non volatile compound in variable-contaminated volcanic soil samples via Time Domain Reflectometry (TDR) technique: Preliminary results

    Science.gov (United States)

    comegna, alessandro; coppola, antonio; dragonetti, giovanna; chaali, nesrine; sommella, angelo

    2014-05-01

    Hydrocarbons may be present in soils as non-aqueous phase liquids (NAPLs), which means that these organic compounds, exist as a separate and immiscible phase with respect to water and air commonly present in the soil. NAPLs, which can be accidentally introduced in the environment (for example by waste disposal sites, industrial spills, gasoline stations, etc), constitutes a serious geo-environmental problem, given the toxicity level and the high mobility. Time domain reflectometry (TDR) has became, over several decades, an important technique for water estimation in soils. In order to expand the potentiality of the TDR technique, the main objective of this study is to explore the capacity of dielectric response to detect the presence of NAPLs in volcanic soils. In laboratory, soil samples were oven dried at 105° C and passed through a 2 mm sieve. Known quantities of soil, water and NAPL (corn oil, a non-volatile and non-toxic organic compound) were mixed and repacked into plastic cylinders (16 cm high and 9.5 cm in diameter); in order to obtain forty different volumetric combinations of water and oil (i.e. θfg = θwater + θNAPL), with θNAPL varying from 0.05 to 0.40 by 0.05 cm3/cm3 increments. Data collected were employed to implement a multiphase mixing model which permitted conversion from a dielectric permittivity domain into a θf domain and vice versa. The results of this study show that, the TDR device is NAPL-sensitive, especially for θf values greater than 0.20. Further works will be built on this initial study, concentrating on improving the dielectric response-database, in order to: i) enhancing the model efficiency in terms of NAPL capability detention, and ii) validating the developed TDR interpretation tool with field results.

  17. Comparison between two sampling methods by results obtained using petrographic techniques, specially developed for minerals of the Itataia uranium phosphate deposit, Ceara, Brazil

    International Nuclear Information System (INIS)

    Salas, H.T.; Murta, R.L.L.

    1985-01-01

    The results of comparison of two sampling methods applied to a gallery of the uranium-phosphate ore body of Itataia-Ceara State, Brazil, along 235 metres of mineralized zone, are presented. The results were obtained through petrographic techniques especially developed and applied to both samplings. In the first one it was studied hand samples from a systematically sampling made at intervals of 2 metres. After that, the estimated mineralogical composition studies were carried out. Some petrogenetic observations were for the first time verified. The second sampling was made at intervals of 20 metres and 570 tons of ore extracted and distributed in sections and a sample representing each section was studied after crushing at -65. Their mineralogy were quantified and the degree of liberation of apatite calculated. Based on the mineralogical data obtained it was possible to represent both samplings and to make the comparison of the main mineralogical groups (phosphates, carbonates and silicates). In spite of utilizing different methods and methodology and the kind of mineralization, stockwork, being quite irregular, the results were satisfactory. (Author) [pt

  18. Using Neurolinguistic Programming: Some Suggestions for the Remedial Teacher.

    Science.gov (United States)

    Burton, Grace M.

    1986-01-01

    The use of neurolinguistic programming techniques is suggested as a means of enhancing rapport with students. Mirroring, digital mirroring, analog mirroring, metaphors, knowing persons, and how these aid in presenting content are each discussed. (MNS)

  19. Nuclear and isotopic techniques for the characterization of submarine groundwater discharge in coastal zones. Results of a coordinated research project 2001-2006

    International Nuclear Information System (INIS)

    2007-07-01

    regimes; a better management of groundwater resources in coastal areas; and development of numerical models of SGD. This report examines several methodologies of SGD assessment, which were carried out during a series of five intercomparison experiments in different hydrogeological environments (coastal plains, karst, glacial till, fractured crystalline rocks and volcanic terrains). This report reviews the scientific and management significance of SGD, measurement approaches, and the results of the intercomparison experiments. We conclude that while SGD is essentially ubiquitous in coastal areas, the assessment of its magnitude at any one location is subject to enough variability that measurements should be made by a variety of techniques and over large enough spatial and temporal scales to capture the majority of these variable conditions

  20. Shortened breath-hold contrast-enhanced MRI of the liver using a new parallel imaging technique, CAIPIRINHA (controlled aliasing in parallel imaging results in higher acceleration): a comparison with conventional GRAPPA technique.

    Science.gov (United States)

    Ogawa, Masaki; Kawai, Tatsuya; Kan, Hirohito; Kobayashi, Susumu; Akagawa, Yoshihiro; Suzuki, Kazushi; Nojiri, Shunsuke; Ozawa, Yoshiyuki; Shibamoto, Yuta

    2015-10-01

    We examined whether the shortened breath-hold 3-dimensional volumetric interpolated breath-hold examination (3D-VIBE) sequence for high acceleration factor (AF) using the controlled aliasing in parallel imaging results in higher acceleration (CAIPIRINHA) could substitute for the conventional sequence using generalized autocalibrating partially parallel acquisition (GRAPPA) in patients undergoing routine gadoxetic acid-enhanced liver MRI. Thirty patients with clinically suspected focal liver lesions were scanned using 3D-VIBE sequences with GRAPPA with AF = 2 and AF = 4 and CAIPIRINHA with AF = 4 (acquisition times: 21, 14, and 12 s, respectively) during the hepatobiliary phase. Visual evaluations using a 3- or 5-point scale and signal-to-noise ratio (SNR) analysis were performed for the 3 sequences. For CAIPIRINHA with AF = 4, there was significantly less image noise in both visual evaluation and SNR analysis and fewer parallel imaging artifacts than for GRAPPA with AF = 4 (P technique with a high AF of 4 was superior to the conventional GRAPPA sequence. The shortened breath-hold sequence using GRAPPA with a high AF of 4 worsened the image quality and lesion conspicuity.

  1. Comparison of Bispectral Index™ values during the flotation restricted environmental stimulation technique and results for stage I sleep: a prospective pilot investigation.

    Science.gov (United States)

    Dunham, C Michael; McClain, Jesse V; Burger, Amanda

    2017-11-29

    To determine whether Bispectral Index™ values obtained during flotation-restricted environment stimulation technique have a similar profile in a single observation compared to literature-derived results found during sleep and other relaxation-induction interventions. Bispectral Index™ values were as follows: awake-state, 96.6; float session-1, 84.3; float session-2, 82.3; relaxation-induction, 82.8; stage I sleep, 86.0; stage II sleep, 66.2; and stages III-IV sleep, 45.1. Awake-state values differed from float session-1 (%difference 12.7%; Cohen's d = 3.6) and float session-2 (%difference 14.8%; Cohen's d = 4.6). Relaxation-induction values were similar to float session-1 (%difference 1.8%; Cohen's d = 0.3) and float session-2 (%difference 0.5%; Cohen's d = 0.1). Stage I sleep values were similar to float session-1 (%difference 1.9%; Cohen's d = 0.4) and float session-2 (%difference 4.3%; Cohen's d = 1.0). Stage II sleep values differed from float session-1 (%difference 21.5%; Cohen's d = 4.3) and float session-2 (%difference 19.6%; Cohen's d = 4.0). Stages III-IV sleep values differed from float session-1 (%difference 46.5%; Cohen's d = 5.6) and float session-2 (%difference 45.2%; Cohen's d = 5.4). Bispectral Index™ values during flotation were comparable to those found in stage I sleep and nadir values described with other relaxation-induction techniques.

  2. [Suggestions to improve dentist-endodontist collaboration].

    Science.gov (United States)

    Zabalegui, B; Zabalegui, I; Flores, L

    1989-01-01

    Referrals from the general dentist to the endodontist are in some occasions complicated with lack of proper communication among dentist-patient-specialist, resulting in the loss of confidence or even the patient. Suggestions to improve this communication are discussed, which will provide the patient a higher confidence in the indicated endodontic treatment and a better dental service. It will also enhance the prestige of the general dentists' and specialists' practice.

  3. The Technique and Benefits of Angiographic Embolization of Inferior Epigastric Arteries Prior to Pedicled TRAM Flap Breast Reconstruction: Results from a Single Center.

    Science.gov (United States)

    Sever, Alysse J; Patel, Chirag; Albeer, Yahya; Darian, Vigen B

    2017-12-01

    To report a single center's experience with selective arterial embolization of the deep inferior epigastric arteries (DIEA) prior to pedicled TRAM flap breast reconstruction including techniques and outcomes. Retrospective chart review was performed for 15 patients who underwent pedicled TRAM flap breast reconstruction after selective embolization of bilateral DIEA. Data were analyzed to display the spectrum of postoperative outcomes following the TRAM flap procedure status post-selective angiographic embolization of the bilateral DIEA to improve vascularity of the TRAM flaps by rendering the tissue partially ischemic to undergo neovascularization. We then compared our results to historical controls of those delayed by ligating the DIEA via traditional surgical means to see if the outcomes are similar. We also compared our results to historical non-delayed TRAM flap reconstruction. One patient had a small area of partial flap skin necrosis, and no patients had total flap loss. 13.3% of patients had clinically significant TRAM flap fat necrosis. Outcomes of TRAM flaps delayed by selective arterial embolization are comparable to historical controls of those delayed by traditional surgical means and better than non-delayed flaps. Angiographic delayed TRAM flap reconstruction procedure is a reasonable safe alternative to the surgical delayed TRAM flap reconstruction procedure with less morbidity and is better than non-delayed TRAM flap procedures.

  4. Simultaneous Multislice Echo Planar Imaging With Blipped Controlled Aliasing in Parallel Imaging Results in Higher Acceleration: A Promising Technique for Accelerated Diffusion Tensor Imaging of Skeletal Muscle.

    Science.gov (United States)

    Filli, Lukas; Piccirelli, Marco; Kenkel, David; Guggenberger, Roman; Andreisek, Gustav; Beck, Thomas; Runge, Val M; Boss, Andreas

    2015-07-01

    The aim of this study was to investigate the feasibility of accelerated diffusion tensor imaging (DTI) of skeletal muscle using echo planar imaging (EPI) applying simultaneous multislice excitation with a blipped controlled aliasing in parallel imaging results in higher acceleration unaliasing technique. After federal ethics board approval, the lower leg muscles of 8 healthy volunteers (mean [SD] age, 29.4 [2.9] years) were examined in a clinical 3-T magnetic resonance scanner using a 15-channel knee coil. The EPI was performed at a b value of 500 s/mm2 without slice acceleration (conventional DTI) as well as with 2-fold and 3-fold acceleration. Fractional anisotropy (FA) and mean diffusivity (MD) were measured in all 3 acquisitions. Fiber tracking performance was compared between the acquisitions regarding the number of tracks, average track length, and anatomical precision using multivariate analysis of variance and Mann-Whitney U tests. Acquisition time was 7:24 minutes for conventional DTI, 3:53 minutes for 2-fold acceleration, and 2:38 minutes for 3-fold acceleration. Overall FA and MD values ranged from 0.220 to 0.378 and 1.595 to 1.829 mm2/s, respectively. Two-fold acceleration yielded similar FA and MD values (P ≥ 0.901) and similar fiber tracking performance compared with conventional DTI. Three-fold acceleration resulted in comparable MD (P = 0.199) but higher FA values (P = 0.006) and significantly impaired fiber tracking in the soleus and tibialis anterior muscles (number of tracks, P parallel imaging results in higher acceleration can remarkably reduce acquisition time in DTI of skeletal muscle with similar image quality and quantification accuracy of diffusion parameters. This may increase the clinical applicability of muscle anisotropy measurements.

  5. Resultados de la técnica stop and chop en la facoemulsificación Results of stop and chop technique in phacoemulsification

    Directory of Open Access Journals (Sweden)

    Juan Raúl Hernández Silva

    2010-06-01

    Full Text Available OBJETIVOS: Describir los resultados morfofuncionales alcanzados con la técnica stop and chop en la cirugía de catarata por facoemulsificación (faco, en el Centro de Microcirugía Ocular del Instituto Cubano de Oftalmología "Ramón Pando Ferrer" entre Junio de 2006 y Marzo de 2009. MÉTODOS: Se realizó un estudio descriptivo, transversal en el cual el universo y la muestra del trabajo lo constituyeron todos los pacientes con diagnóstico de catarata presenil y senil, quienes cumplían con los criterios de selección y aceptaron someterse a la técnica quirúrgica señalada, lo cual correspondió a 201 ojos operados. Estos datos se analizaron a través de tablas de contingencia con frecuencias absolutas y relativas; además se emplearon medias con el uso del programa de procesamiento de datos SPSS versión 11.1, donde se aplicó la prueba t de student para su comparación. RESULTADOS: Se encontró que la catarata predominó en mayores de 70 años en el 33,4 % de los pacientes. La mejor agudeza visual con corrección obtenida se incrementó hasta siete líneas en la escala de Snellen en el 93,0 % de los casos; el cilindro refractivo apenas se modificó en 0,15 dioptrías; la pérdida de células endoteliales fue de 8,2 % y las complicaciones operatorias fueron de 1,5 %. CONCLUSIONES: La edad de los pacientes sometidos a cirugía de catarata por la técnica de stop and chop fue en su mayoría de más de 70 años. La MAVC posoperatoria ganó hasta siete líneas en la escala de Snellen; el astigmatismo que se indujo en la cirugía fue menor de media dioptría; la pérdida celular y las complicaciones posoperatorias no fueron significativas.OBJECTIVES: To describe the morphofunctional results of the stop and chop technique in cataract surgery in phacoemulsification at the Eye Microsurgery Center of "Ramón Pando Ferrer" Cuban Institute of Ophthalmology from June 2006 to March 2009. METHODS: A cross-sectional descriptive study was conducted. The

  6. Plastia da valva mitral com a técnica do "Duplo Teflon": resultados de 10 anos Mitral valve repair with "Double Teflon" technique: 10-year results

    Directory of Open Access Journals (Sweden)

    Carlos Manuel de Almeida Brandão

    2007-12-01

    Full Text Available OBJETIVO: O objetivo deste trabalho é apresentar os resultados clínicos tardios da plástica da valva mitral com a técnica do "Duplo Teflon". MÉTODOS: A plástica de "Duplo Teflon" consiste em técnica de reparo mitral com ressecção quadrangular da cúspide posterior, anuloplastia segmentar com plicatura do anel com de fios com "pledgets" sobre uma tira de Teflon, e sutura borda a borda da cúspide. Entre abril de 1994 e dezembro de 2003, 133 pacientes com diagnóstico de insuficiência mitral degenerativa com alongamento ou rotura de cordas da cúspide posterior foram submetidos à plástica com esta técnica. A idade média foi de 60,4 anos e 60,9% eram do sexo feminino. Quanto à avaliação clínica no pré-operatório, 29,3% dos pacientes estavam em classe funcional IV, 55,7% em classe III e 15,0% em classe II. Técnicas associadas de plástica mitral foram utilizadas em 15,2% dos pacientes, sendo a mais comum o encurtamento de cordas. Vinte e seis (19,5% pacientes foram submetidos a operações associadas. RESULTADOS: Houve um (0,75% óbito hospitalar. No período pós-operatório tardio, 95,5% dos sobreviventes estavam em classe funcional I. As taxas linearizadas de tromboembolismo, reoperação e óbito foram 0,9%, 0,3% e 0,6% pacientes/ano, respectivamente. A sobrevida atuarial em 10 anos foi de 94,1% ± 3,6%. As sobrevidas atuariais livre de tromboembolismo e reoperação foram de 97,3 ± 1,5% e 99,2 ± 0,8%, respectivamente. Não houve casos de endocardite ou hemólise. CONCLUSÃO: A plástica da valva mitral com a técnica do "Duplo Teflon" apresenta baixa morbi-mortalidade e boa evolução clínica tardia.OBJECTIVE: The purpose of this paper is to present the late clinical results of mitral valve repair with the "Double Teflon" technique. METHODS: "Double Teflon" technique consists of a quadrangular resection of the posterior leaflet, annulus plication with "pledgetted" stitches over a Teflon patch, and leaflet suture. Between

  7. The Provisional Extension To Induce Complete Attachment (PETTICOAT) technique to promote distal aortic remodelling in repair of acute DeBakey type I aortic dissection: preliminary results.

    Science.gov (United States)

    Hsu, Hung-Lung; Chen, Yin-Yin; Huang, Chun-Yang; Huang, Jih-Hsin; Chen, Jer-Shen

    2016-07-01

    To report our preliminary results of an aggressive technique, the Provisional Extension To Induce Complete Attachment (PETTICOAT), in repair of acute DeBakey type I aortic dissection. From April 2014 to November 2014, 18 patients with acute DeBakey type I aortic dissection were reviewed retrospectively. Nine patients underwent open repair combined with proximal stent grafting and distal bare stenting (PETTICOAT group). For comparison, another 9 patients underwent open repair combined with proximal stent grafting (NON-PETTICOAT group) were included. Open repair entailed ascending aorta plus total arch replacement under circulatory arrest, with variable aortic root work. Mortality and morbidity were recorded, and computed tomography was performed to evaluate the aortic remodelling at 6 months postoperatively. Preoperative parameters were similar. In the PETTICOAT group, one early mortality was noted. One complication of cardiac tamponade and sternal wound infection led to reopen surgeries. In the NON-PETTICOAT group, one case of transient ischaemic attack took place. Compared with the NON-PETTICOAT group, a significant increase in diameter of true lumen (median, 0.6 vs 0.1 mm, P University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

  8. Treatment of lithic tumors of the distal ending of the radius: Results of two surgical techniques in a series of cases

    International Nuclear Information System (INIS)

    Escandon, Santiago; Soto, Camilo; Pulido, Edgar

    2003-01-01

    The distal ending of the radius can bear several tumors with different degrees of aggressiveness that depend on the extension of the tumor. Their treatment varies according to the aggressiveness it and can include curettage only or may require more extensive surgical procedures including, in some cases reconstructive surgery. The present study describes two surgical reconstructive techniques and their results in a series of cases. Five patients underwent radio-carpal, and three Ulnar-carpal arthrodesis with non-vascularized autologous bone graft from the iliac crest. Pathology diagnosis included: six giant cell tumors, one Ewing's sarcoma, and one chondroblastoma. There were five males and three females, with an average age of 34.6 years (rank: 17-52). All the patients underwent wide surgical resection of the tumor, and only the patient with the Ewing's sarcoma received additionally adjuvant chemotherapy and radiotherapy. Five patients had compromise of the surrounding soft tissues. Two had limitation of movement of the fingers, and one hypoesthesia. One patient with ulnar arthrodesis had a fracture of the cubitus, at the proximal ending of the plate, secondary to trauma. AII patients have been followed for an average time of 12.8 months (rank: 0.5-72). There have been no episodes of infection. Neither non-union of the osteotomies, nor failures of fixation or recurrences were observed

  9. New methods and techniques for decontamination in maintenance or decommissioning operations. Results of a co-ordinated research programme 1994-1998

    International Nuclear Information System (INIS)

    1998-06-01

    Decontamination of nuclear facilities is a subject of increasing importance as the nuclear community considers the issues related to the decommissioning of surplus or obsolete facilities and making modifications to operational facilities, or conducts the necessary inspections and maintenance to permit continued efficient and safe operation of existing facilities. Previous co-ordinated research programmes (CRP) conducted respectively from 1984 to 1987, and from 1989 to 1993, highlighted the role of decontamination within the overall domain of decommissioning. Having recognized technological progress in decontamination and the large potential for optimization, the CRP on New Methods and Techniques for Optimization of Decontamination for Maintenance or Decommissioning was launched and conducted by the IAEA from 1994 to 1998. Concluding reports that summarized the work undertaken under the aegis of the CRP were presented at the third and final Research Co-ordination Meeting (RCM) held in Mol, Belgium, 12-16 January 1998 and are collected in this Technical Document. Operating experience in real-scale applications, lessons learned, key results in laboratory scale or pilot scale research, and validation of mathematical models, are among the most significant achievements of the CRP and have been highlighted

  10. Transfer of the clavicular or sternocostal portion of the pectoralis major muscle for irreparable tears of the subscapularis. Technique and clinical results.

    Science.gov (United States)

    Valenti, Philippe; Boughebri, Omar; Moraiti, Constantina; Dib, Choukry; Maqdes, Ali; Amouyel, Thomas; Ciais, Grégoire; Kany, Jean

    2015-03-01

    The transfer of the pectoralis major in cases of irreparable rupture of the subscapularis has been described through different techniques. The aim of this prospective study was to compare the clinical results of transferring the clavicular or the sternal head of the pectoralis major tendon underneath the conjoint tendon. Fifteen patients underwent the procedure, including eight clavicular head of the pectoralis major tendon transfers and seven sternal head transfers. The mean age at the time of surgery was 57 years (range, 37-66). Each patient had pre-operative MRI and CT scan. The criteria for an irreparable subscapularis tear were retraction at the level of the glenoid and fatty infiltration of the muscle graded III or IV. Pre-operative and postoperative functions were assessed by the Constant score. Patients were finally asked if they were very satisfied, satisfied or unhappy with the functional outcome. The average follow-up was 24 months (range, 12-50). The mean absolute Constant score of the entire series increased significantly from 36 preoperatively to 69 at the latest follow up (p function of the shoulder.

  11. Micro-dissection testicular sperm extraction as an alternative for sperm acquisition in the most difficult cases of Azoospermia: Technique and preliminary results in India

    Science.gov (United States)

    Ashraf, Mohamed C; Singh, Sankalp; Raj, Dharma; Ramakrishnan, Sujatha; Esteves, Sandro C

    2013-01-01

    CONTEXT: Non-obstructive azoospermia (NOA) is an unfavorable prognostic condition for male infertility since spermatogenesis is disrupted. Sperm retrieval (SR) coupled with intracytoplasmic sperm injection (ICSI) is the only option for men with NOA who seek fertility. Among the SR techniques, microdissection testicular sperm extraction (micro-TESE) has been applied with encouraging results. AIMS: We describe how we implemented the micro-TESE procedure and present initial micro-TESE experience in a group of men with NOA and poor prognosis for SR. SETTINGS AND DESIGN: Case series of men with NOA treated in a tertiary healthcare center. MATERIALS AND METHODS: An Assisted Reproductive Technology (ART) facility was setup to perform SR using microsurgery. Fourteen men with NOA and previous failed retrievals or unfavorable histologic results underwent micro-TESE while their female partners received ovarian stimulation for oocyte pickup (OCP). Micro-TESE was performed the day prior to OCP and testicular sperm were used for sperm injections. We assessed retrieval rates and ICSI outcomes. STATISTICAL ANALYSIS: Outcomes of SR and ICSI were analyzed descriptively. Mann-Whitney and Fisher exact test were used to compare characteristics of men with successful and failed SR. RESULTS: The success of micro-TESE was 50.0% with no major complications. A clear microscopic distinction between enlarged and collapsed seminiferous tubules was seen in 35.7% of the cases, and sperm were retrieved in all but one of these cases. Patients with successful and failed retrieval did not differ with respect to baseline characteristics, use of medical therapy, presence of varicocele, and testicular histology. Sperm injections resulted in normal fertilization and embryo cleavage of 64% and 75%, respectively. A total of five transfers with an average of 1.5 embryos resulted in a cumulative clinical pregnancy rate per ICSI cycle of 28.6%, with an implantation rate of 33.3%. CONCLUSIONS: We were

  12. Results on the electrochromic and photocatalytic properties of vanadium doped tungsten oxide thin films prepared by reactive dc magnetron sputtering technique

    International Nuclear Information System (INIS)

    Karuppasamy, K Muthu; Subrahmanyam, A

    2008-01-01

    In this investigation, vanadium doped tungsten oxide (V : WO 3 ) thin films are prepared at room temperature by reactive dc magnetron sputtering employing a tungsten-vanadium 'inlay' target. In comparison with pure sputtered tungsten oxide thin films, 11% vanadium doping is observed to decrease the optical band gap, enhance the colour neutral property, decrease the coloration efficiency (from 121 to 13 cm 2 C -1 ), increase the surface work function (4.68-4.83 eV) and significantly enhance the photocatalytic efficiency in WO 3 thin films. These observations suggest that (i) vanadium creates defect levels that are responsible for optical band gap reduction, (ii) multivalent vanadium bonding with terminal oxygen in the WO 3 lattice gives rise to localized covalent bonds and thus results in an increase in the work function, and (iii) a suitable work function of V : WO 3 with ITO results in an enhancement of the photocatalytic activity. These results on electrochromic and photocatalytic properties of V : WO 3 thin films show good promise in the low maintenance window application

  13. Limits of quantitation — Yet another suggestion

    Energy Technology Data Exchange (ETDEWEB)

    Carlson, Jill; Wysoczanski, Artur; Voigtman, Edward, E-mail: voigtman@chem.umass.edu

    2014-06-01

    The work presented herein suggests that the limit of quantitation concept may be rendered substantially less ambiguous and ultimately more useful as a figure of merit by basing it upon the significant figure and relative measurement error ideas due to Coleman, Auses and Gram, coupled with the correct instantiation of Currie's detection limit methodology. Simple theoretical results are presented for a linear, univariate chemical measurement system with homoscedastic Gaussian noise, and these are tested against both Monte Carlo computer simulations and laser-excited molecular fluorescence experimental results. Good agreement among experiment, theory and simulation is obtained and an easy extension to linearly heteroscedastic Gaussian noise is also outlined. - Highlights: • True Currie detection limits are estimated. • Experimental results validate previous 2008 theory. • Linearly heteroscedastic system is correctly modeled.

  14. Comparison of the techniques for the identification of the epidural space using the loss-of-resistance technique or an automated syringe - results of a randomized double-blind study.

    Science.gov (United States)

    Duniec, Larysa; Nowakowski, Piotr; Sieczko, Jakub; Chlebus, Marcin; Łazowski, Tomasz

    2016-01-01

    The conventional, loss of resistance technique for identification of the epidural space is highly dependent on the anaesthetist's personal experience and is susceptible to technical errors. Therefore, an alternative, automated technique was devised to overcome the drawbacks of the traditional method. The aim of the study was to compare the efficacy of epidural space identification and the complication rate between the two groups - the automatic syringe and conventional loss of resistance methods. 47 patients scheduled for orthopaedic and gynaecology procedures under epidural anaesthesia were enrolled into the study. The number of attempts, ease of epidural space identification, complication rate and the patients' acceptance regarding the two techniques were evaluated. The majority of blocks were performed by trainee anaesthetists (91.5%). No statistical difference was found between the number of needle insertion attempts (1 vs. 2), the efficacy of epidural anaesthesia or the number of complications between the groups. The ease of epidural space identification, as assessed by an anaesthetist, was significantly better (P = 0.011) in the automated group (87.5% vs. 52.4%). A similar number of patients (92% vs. 94%) in both groups stated they would accept epidural anaesthesia in the future. The automated and loss of resistance methods of epidural space identification were proved to be equivalent in terms of efficacy and safety. Since the use of the automated technique may facilitate epidural space identification, it may be regarded as useful technique for anaesthetists inexperienced in epidural anaesthesia, or for trainees.

  15. [Changes in the structure and clinical significance of the positive results of pretransfusion testing during the switching from tube test agglutination to gel microcolumn technique].

    Science.gov (United States)

    Petrusić-Kafedzić, Alma; Ivanković, Zdravko; Ekinović, Sabahudin; Hutinović, Aida; Ibrahimagić-Seper, Lejla

    2010-08-01

    To investigate the changes in pretransfusion testing during the switch from the agglutination tube test to the gel test. Clinical significance of positive results has been analyzed in 7667 pretransfusion tests (with 16610 cross-matches) performed by the tube test in 2005-2006, and in 7372 pretransfusion tests (with 17294 cross-matches) performed in 2007-2008 by the gel test. In both analyzed periods antibody detection was positive in 1.3% and cross-matching in 0.3% cases. At least one test was positive in 1.4% pretransfusions tested by the tube test and in 1.3% by the gel test, with >75% positive results in women. Analyzing cases with positive cross-matching but negative antibody detection, eight of ten such cases found by the tube test were caused by 'cold antibodies' whereas 'warm non-specific antibodies' caused all three cases found by the gel test. The gel test detected higher proportion of immune antibodies than the tube test (69.8% vs 41.3%, p antibodies. The tube test detected 24 cases of clinically non-significant antibodies, as compared with no cases found by the gel test (p antibodies' more often caused positive cross-matches than antibody detection (42.6% vs. 29.9% by the tube test, 28.9% vs. 18.3% by the gel test). Despite of being close in the detection of irregular antibodies (p=0.062), the difference between the tube and gel test was not significant. 'Non-specific antibodies' were found by both tests more often in women, while clinical departments were of no significance. The gel test has proved to be a more optimal technique of pretransfusion testing. The detection of irregular antibodies is recommended as an obligatory part of pretransfusion testing.

  16. Optical mammography: a new technique for visualizing breast lesions in women presenting non palpable BIRADS 4–5 imaging findings: preliminary results with radiologic–pathologic correlation

    Science.gov (United States)

    Vanel, Daniel; Fournier, Laure; Balleyguier, Corinne

    2007-01-01

    The purpose of this prospective study is to determine the diagnostic accuracy of near-infrared breast optical absorption imaging in patients with Breast Imaging Reporting and Data System (BIRADS) 4–5 non-palpable lesions scheduled for biopsy, using pathology after core or excisional biopsy as a reference. The patient's breast was positioned onto a panel of red light-emitting diodes (640 nm). A soft membrane was inflated to exert a uniform pressure on the breast. Transmitted light was detected using a CCD camera. The entire acquisition sequence took 1 minute. Image processing generated dynamic images displayed in colour scale, to reveal time-dependent changes in the transmitted light intensity caused by the pressure change. Dynamic curves were classified in two categories: consistently decreasing intensity suspicious for malignancy, and sinusoidal increasing intensity considered as benign. Seventy-eight women consulting for non-palpable breast lesions were initially included in the study. An imaging–histology correlation was obtained for seventy-two patients, the remaining six patients were excluded for technical optical scan reasons. We experienced an overall sensitivity of 73% and specificity of 38%, the false negative results being mainly small size (<10 mm) infiltrating malignant lesions and ductal carcinoma in situ (DCIS). False positive results were seen in benign proliferative lesions. Dynamic optical breast imaging is a novel, low-cost, non-invasive technique yielding a new type of information about the physiology of breast lesions. Absorption is due to haemoglobin and its products, therefore reflecting the angiogenic status of breast tumours. PMID:17339139

  17. Optical mammography: a new technique for visualizing breast lesions in women presenting non palpable BIRADS 4-5 imaging findings: preliminary results with radiologic-pathologic correlation.

    Science.gov (United States)

    Athanasiou, Alexandra; Vanel, Daniel; Fournier, Laure; Balleyguier, Corinne

    2007-02-28

    The purpose of this prospective study is to determine the diagnostic accuracy of near-infrared breast optical absorption imaging in patients with Breast Imaging Reporting and Data System (BIRADS) 4-5 non-palpable lesions scheduled for biopsy, using pathology after core or excisional biopsy as a reference. The patient's breast was positioned onto a panel of red light-emitting diodes (640 nm). A soft membrane was inflated to exert a uniform pressure on the breast. Transmitted light was detected using a CCD camera. The entire acquisition sequence took 1 minute. Image processing generated dynamic images displayed in colour scale, to reveal time-dependent changes in the transmitted light intensity caused by the pressure change. Dynamic curves were classified in two categories: consistently decreasing intensity suspicious for malignancy, and sinusoidal increasing intensity considered as benign. Seventy-eight women consulting for non-palpable breast lesions were initially included in the study. An imaging-histology correlation was obtained for seventy-two patients, the remaining six patients were excluded for technical optical scan reasons. We experienced an overall sensitivity of 73% and specificity of 38%, the false negative results being mainly small size (<10 mm) infiltrating malignant lesions and ductal carcinoma in situ (DCIS). False positive results were seen in benign proliferative lesions. Dynamic optical breast imaging is a novel, low-cost, non-invasive technique yielding a new type of information about the physiology of breast lesions. Absorption is due to haemoglobin and its products, therefore reflecting the angiogenic status of breast tumours.

  18. Monitoring the Microgravity Environment Quality On-board the International Space Station Using Soft Computing Techniques. Part 2; Preliminary System Performance Results

    Science.gov (United States)

    Jules, Kenol; Lin, Paul P.; Weiss, Daniel S.

    2002-01-01

    This paper presents the preliminary performance results of the artificial intelligence monitoring system in full operational mode using near real time acceleration data downlinked from the International Space Station. Preliminary microgravity environment characterization analysis result for the International Space Station (Increment-2), using the monitoring system is presented. Also, comparison between the system predicted performance based on ground test data for the US laboratory "Destiny" module and actual on-orbit performance, using measured acceleration data from the U.S. laboratory module of the International Space Station is presented. Finally, preliminary on-orbit disturbance magnitude levels are presented for the Experiment of Physics of Colloids in Space, which are compared with on ground test data. The ground test data for the Experiment of Physics of Colloids in Space were acquired from the Microgravity Emission Laboratory, located at the NASA Glenn Research Center, Cleveland, Ohio. The artificial intelligence was developed by the NASA Glenn Principal Investigator Microgravity Services Project to help the principal investigator teams identify the primary vibratory disturbance sources that are active, at any moment of time, on-board the International Space Station, which might impact the microgravity environment their experiments are exposed to. From the Principal Investigator Microgravity Services' web site, the principal investigator teams can monitor via a dynamic graphical display, implemented in Java, in near real time, which event(s) is/are on, such as crew activities, pumps, fans, centrifuges, compressor, crew exercise, structural modes, etc., and decide whether or not to run their experiments, whenever that is an option, based on the acceleration magnitude and frequency sensitivity associated with that experiment. This monitoring system detects primarily the vibratory disturbance sources. The system has built-in capability to detect both known

  19. Cementless two-staged total hip arthroplasty with a short term interval period for chronic deep periprosthetic infection. Technique and long-term results.

    Science.gov (United States)

    Erhart, Jochen; Jaklitsch, Karl; Schurz, Mark; Vécsei, Vilmos; Ehall, Reinhard

    2010-05-01

    The two-staged exchange with delayed reimplantation is the most reliable method to treat a deep periprosthetic infection after a total hip arthroplasty (THR). Nether uniform recommendations for the technique of cementless reimplantation, nor long term clinical and radiological results are reported. Our protocol is performed under short term antibiosis with cementless primary porous hip implants to treat chronic deep periprosthetic infections following THR. A retrospective study was performed to evaluate the clinical and radiological long term outcome and the rate of persistent infection of 14 patients. In a five year minimum follow up persistent infection was observed twice in a two-staged revision THR. A dislocation of the hip components was observed in three cases, and could be surgically treated in twice and by wearing a hip-brace in one case. We could not find a loosening of THR components. Three patients had a good or excellent, 11 patients a fair or bad functional outcome. There was a significant correlation between functional outcome and length of interval of prosthesis exand reimplantation. Patients have an increased comfort resulting from a short, CRP depending time interval between ex- and reimplantation. Functional outcome is the better the shorter the interval is. The reinfection rate is comparable to those of cemented revision THR's with a long term interval. We could observe advantages in a reduced amount of bone loss and better osseous integration of the uncemented implants, compared to cemented implants reviewing literature. Alterations of acetabular bone stock and soft tissue are responsible for a high rate of instability of the THR. An inaccurate gait pattern is caused by gluteal weakness in the majority of patients. Repeated surgical intervention and duration of immobilization have to be minimalized.

  20. Changes in the structure and clinical significance of the positive results of pretransfusion testing during the switching from tube test agglutination to gel microcolumn technique

    Directory of Open Access Journals (Sweden)

    Petrušić-Kafedžić Alma

    2010-08-01

    Full Text Available im To investigate the changes in pretransfusion testing during the switch from the agglutination tube test to the gel test. Methods Clinical significance of positive results has been analyzed in 7667 pretransfusion tests (with 16610 cross-matches performed by the tube test in 2005-2006, and in 7372 pretransfusion tests (with17294 cross-matches performed in 2007-2008 by the gel test. ResultsIn both analyzed periods antibody detection was positive in 1.3% and cross-matching in 0.3% cases. At least one test was positive in 1.4%pretransfusions tested by the tube test and in 1.3% by the gel test,with >75% positive results in women. Analyzing cases with positive cross-matching but negative antibody detection, eight of ten such cases found by the tube test were caused by ‘cold antibodies’whereas‘warm non-specific antibodies’ caused all three cases found by the gel test. The gel test detected higher proportion of immune antibodies than the tube test (69.8% vs 41.3%, p<0.001, with a double increase in anti-K and Rh antibodies. The tube test detected 24 cases of clinically non-significant antibodies, as compared with no cases found by the gel test (p<0,001. ‘Non-specific antibodies’ more often caused positive cross-matches than antibody detection(42.6% vs. 29.9% by the tube test, 28.9% vs. 18.3% by the gel test. Despite of being close in the detection of irregular antibodies (p=0.062, the difference between the tube and gel test was not significant. ‘Non-specific antibodies’ were found by both tests more often in women, while clinical departments were of no significance.Conclusion The gel test has proved to be a more optimal technique of pretransfusion testing. The detection of irregular antibodies isrecommended as an obligatory part of pretransfusion testing.

  1. Real-Time Pretreatment Review Limits Unacceptable Deviations on a Cooperative Group Radiation Therapy Technique Trial: Quality Assurance Results of RTOG 0933

    Energy Technology Data Exchange (ETDEWEB)

    Gondi, Vinai, E-mail: vgondi@chicagocancer.org [Cadence Brain Tumor Center and CDH Proton Center, Warrenville, Illinois (United States); University of Wisconsin School of Medicine & Public Health, Madison, Wisconsin (United States); Cui, Yunfeng [Duke University School of Medicine, Durham, North Carolina (United States); Mehta, Minesh P. [University of Maryland School of Medicine, Baltimore, Maryland (United States); Manfredi, Denise [Radiation Therapy Oncology Group—RTQA, Philadelphia, Pennsylvania (United States); Xiao, Ying; Galvin, James M. [Thomas Jefferson University Hospital, Philadelphia, Pennsylvania (United States); Rowley, Howard [University of Wisconsin School of Medicine & Public Health, Madison, Wisconsin (United States); Tome, Wolfgang A. [Montefiore Medical Center and Institute for Onco-Physics, Albert Einstein College of Medicine of Yeshiva University, Bronx, New York (United States)

    2015-03-01

    Purpose: RTOG 0933 was a phase II trial of hippocampal avoidance during whole brain radiation therapy for patients with brain metastases. The results demonstrated improvement in short-term memory decline, as compared with historical control individuals, and preservation of quality of life. Integral to the conduct of this trial were quality assurance processes inclusive of pre-enrollment credentialing and pretreatment centralized review of enrolled patients. Methods and Materials: Before enrolling patients, all treating physicians and sites were required to successfully complete a “dry-run” credentialing test. The treating physicians were credentialed based on accuracy of magnetic resonance imaging–computed tomography image fusion and hippocampal and normal tissue contouring, and the sites were credentialed based on protocol-specified dosimetric criteria. Using the same criteria, pretreatment centralized review of enrolled patients was conducted. Physicians enrolling 3 consecutive patients without unacceptable deviations were permitted to enroll further patients without pretreatment review, although their cases were reviewed after treatment. Results: In all, 113 physicians and 84 sites were credentialed. Eight physicians (6.8%) failed hippocampal contouring on the first attempt; 3 were approved on the second attempt. Eight sites (9.5%) failed intensity modulated radiation therapy planning on the first attempt; all were approved on the second attempt. One hundred thirteen patients were enrolled in RTOG 0933; 100 were analyzable. Eighty-seven cases were reviewed before treatment; 5 (5.7%) violated the eligibility criteria, and 21 (24%) had unacceptable deviations. With feedback, 18 cases were approved on the second attempt and 2 cases on the third attempt. One patient was treated off protocol. Twenty-two cases were reviewed after treatment; 1 (4.5%) violated the eligibility criteria, and 5 (23%) had unacceptable deviations. Conclusions: Although >95% of the

  2. Resultados quirúrgicos de la facoemulsificación por técnicas de Pre Chop Surgical results of phacoemulsification by Pre Chop techniques

    Directory of Open Access Journals (Sweden)

    Juan R. Hernández Silva

    2004-12-01

    Full Text Available Este estudio se propuso determinar los resultados obtenidos con la técnica de Pre-Chop en la cirugía de catarata por facoemulsificación en el Centro de Microcirugía Ocular del Hospital Oftalmológico Docente "Ramón Pando Ferrer" en el 2001. El universo de trabajo estuvo constituido por todos los pacientes (ojos con diagnóstico de catarata presenil y senil y recibieron tratamiento quirúrgico con la técnica de Pre-Chop por facoemulsificación. Se analizaron como variables: edad, sexo, agudeza visual con corrección, microscopia endotelial y cilindro refractivo, todos en el pre y posoperatorio, así como el tiempo de ultrasonido y complicaciones más frecuentes. Estos datos se analizaron a través de tablas de contingencia con frecuencias absolutas y relativas, medias y se utilizó la prueba T de Student para su comparación. Se encontró que la catarata predominó en el sexo masculino entre los 46 y los 60 años; la agudeza visual con corrección mejoró a 0.64 (20/40 como promedio, el cilindro refractivo apenas se modificó, el tiempo de ultrasonido aplicado estuvo dentro de valores normales, la pérdida de células endoteliales no fue importante y la complicación transoperatoria más frecuente fue rotura de cápsula posterior con salida de vítreo y queratitis.The aim of this paper was to determine the results obtained with the Pre Chop technique in the cataract surgery by phacoemulsification at the Center of Ocular Microsurgery of "Ramón Pando Ferrer" Ophthalmological Teaching Hospital in 2001. All the patients (eyes with diagnosis of presenile and senile cataract that received surgical treatment with the Pre Chop technique by phacoemulsification were included in the study. Variables such as age, sex, visual acuity with correction, endothelial microscopy, refractive cylinder in the pre- and postoperative, time of ultrasound and the most frequent complications, were analyzed through contingency tables with mean absolute and relative

  3. Momentum--"Evaluating Your Marketing Program: Measuring and Tracking Techniques."

    Science.gov (United States)

    Meservey, Lynne D.

    1990-01-01

    Suggests 10 tracking techniques for evaluating marketing performance. Techniques involve utilization rate, inquiry and source of inquiry tracking, appointment and interview tracking, enrollment conversion, cost per inquiry and per enrollment, retention rate, survey results, and "mystery shopper." (RJC)

  4. Dinosaur Peptides Suggest Mechanisms of Protein Survival

    Energy Technology Data Exchange (ETDEWEB)

    San Antonio, James D.; Schweitzer, Mary H.; Jensen, Shane T.; Kalluri, Raghu; Buckley, Michael; Orgel, Joseph P.R.O. (Harvard-Med); (IIT); (NCSU); (UPENN); (Manchester); (Orthovita)

    2011-09-16

    Eleven collagen peptide sequences recovered from chemical extracts of dinosaur bones were mapped onto molecular models of the vertebrate collagen fibril derived from extant taxa. The dinosaur peptides localized to fibril regions protected by the close packing of collagen molecules, and contained few acidic amino acids. Four peptides mapped to collagen regions crucial for cell-collagen interactions and tissue development. Dinosaur peptides were not represented in more exposed parts of the collagen fibril or regions mediating intermolecular cross-linking. Thus functionally significant regions of collagen fibrils that are physically shielded within the fibril may be preferentially preserved in fossils. These results show empirically that structure-function relationships at the molecular level could contribute to selective preservation in fossilized vertebrate remains across geological time, suggest a 'preservation motif', and bolster current concepts linking collagen structure to biological function. This non-random distribution supports the hypothesis that the peptides are produced by the extinct organisms and suggests a chemical mechanism for survival.

  5. Dinosaur peptides suggest mechanisms of protein survival.

    Directory of Open Access Journals (Sweden)

    James D San Antonio

    Full Text Available Eleven collagen peptide sequences recovered from chemical extracts of dinosaur bones were mapped onto molecular models of the vertebrate collagen fibril derived from extant taxa. The dinosaur peptides localized to fibril regions protected by the close packing of collagen molecules, and contained few acidic amino acids. Four peptides mapped to collagen regions crucial for cell-collagen interactions and tissue development. Dinosaur peptides were not represented in more exposed parts of the collagen fibril or regions mediating intermolecular cross-linking. Thus functionally significant regions of collagen fibrils that are physically shielded within the fibril may be preferentially preserved in fossils. These results show empirically that structure-function relationships at the molecular level could contribute to selective preservation in fossilized vertebrate remains across geological time, suggest a 'preservation motif', and bolster current concepts linking collagen structure to biological function. This non-random distribution supports the hypothesis that the peptides are produced by the extinct organisms and suggests a chemical mechanism for survival.

  6. Demystifying Survey Research: Practical Suggestions for Effective Question Design

    Directory of Open Access Journals (Sweden)

    Deborah H. Charbonneau

    2007-12-01

    Full Text Available Objective ‐ Recent research has yielded several studies helpful for understanding the use of the survey technique in various library environments. Despite this, there has been limited discussion to guide library practitioners preparing survey questions. The aim of this article is to provide practical suggestions for effective questions when designing written surveys.Methods ‐ Advice and important considerations to help guide the process of developing survey questions are drawn from a review of the literature and personal experience.Results ‐ Basic techniques can be incorporated to improve survey questions, such as choosing appropriate question forms and incorporating the use of scales. Attention should be paid to the flow and ordering of the survey questions. Careful wording choices can also help construct clear, simple questions. Conclusion ‐ A well‐designed survey questionnaire can be a valuable source of data. By following some basic guidelines when constructing written survey questions, library and information professionals can have useful data collection instruments at their disposal.

  7. New Approaches to the Sea-Floor Mapping: Results From the GEBCO-NF Alumni Team's Technique Developments in Preparation to the Shell Ocean Discovery XPRIZE 2017.

    Science.gov (United States)

    Bazhenova, E.; Zarayskaya, Y.; Wigley, R. A.; Anderson, R.; Falconer, R. K. H.; Kearns, T.; Martin, T.; Minami, H.; Roperez, J.; Rosedee, A.; Sade, H.; Seeboruth, S.; Simpson, B.; Sumiyoshi, M.; Tinmouth, N.; Zwolak, K.

    2017-12-01

    In preparation for the XPRIZE 2017 Round 1, a new sea-floor mapping system has been assembled based on an Unmanned Surface Vessel (USV) coupled with an Autonomous Underwater Vehicle (AUV). USV operation allows reducing logistics costs, while the AUV provides enhanced maneuverability and high accuracy of stabilization for the mapping missions. The AUV is equipped with a high-resolution interferometric synthetic aperture sonar (HISAS) and a multibeam sonar (MBES), covering a wide bathymetry swath and the nadir, respectively. Typically operating at 20 to 40 m altitude, the HISAS is capable of providing SAS imagery with 4 x 4 cm resolution and bathymetry with 40 x 40 cm resolution throughout the swath. Smaller areas of interest (50 x 50 m) can be further examined using the Spot processing technique, to produce SAS imagery with 2 x 2 cm resolution and high- resolution SAS bathymetry with 5 x 5 cm resolution. This allows multi-aspect imaging and examination of seabed geological features at different scales. Advanced data post-processing can be performed to produce 3D images of objects and explore their structure using the shadow contrast and shape. Being an interferometric system, the HISAS collects data for both imagery and bathymetry in the same swath. This improves the robustness for SAS in areas with significant relief. In the standard survey mode, the HISAS can typically collect SAS data at 2.6 km2/hr over relatively flat ground. Another limiting factor to the HISAS data coverage and quality is the vehicle stability influenced by downslope and cross currents and the resulting vehicle's speed. From experience, the best coverage occurs at a vehicle speed of around 2 m/s. At slower speeds the vehicle starts to lose steerage leading to degradation of tracking and navigation performance, which harms the focusing algorithm that creates the SAS data. For the AUV mission planning in unknown areas or in case of highly variable conditions at the study site, MBES

  8. Fechamento de canal arterial por minitoracotomia: técnica e resultados Patent ductus arteriosus (PDA closure with minithoracotomy: technique and results

    Directory of Open Access Journals (Sweden)

    Pedro R. SALERNO

    2000-09-01

    Full Text Available CASUÍSTICA E MÉTODOS: No período de novembro de 1996 a dezembro de 1997, 15 crianças portadoras de canal arterial (CA, sendo 12 do sexo feminino, com idade média de 2,7 anos, peso médio de 13,9 kg foram submetidas a fechamento do CA por minitoracotomia. O ecodopplercardiograma confirmou o diagnóstico em todos o casos e mostrou o diâmetro do CA entre 2 mm e 10 mm, com média de 4,06 mm. A indicação cirúrgica foi eletiva em todos os casos. A operação consistiu de minitoracotomia esquerda no 4º espaço intercostal de 2,5 cm a 3,0 cm, seguida de dissecção do CA e clipagem do mesmo com 2 clips metálicos. Não foi utilizada drenagem pleural em nenhum dos casos. RESULTADOS: Todos os pacientes receberam alta em média no 4º dia de pós-operatório, sem nenhum escape pelo CA ao ecodopplercardiograma. CONCLUSÃO: O fechamento de CA por minitoracotomia é uma alternativa de tratamento que reduz o período de internação, bom efeito cosmético e baixo índice de complicações.OBJECTIVE:The purpose of this study was to describe a new technique for closure of patent ductus arteriosus (PDA by minithoracotomy (2.5 a 3.0 cm and clipping the PDA with titanium clips. MATERIAL AND METHODS: From November 1996 to December 1997, 15 children with PDA underwent surgical closure. The mean age at the time of operation was 2.7 years, mean weight was 13.9 kg. The procedure was through a left minithoracotomy at the 4º intercostal space. The ductus was identified, dissected and isolated. Interruption of ductal flow was performed by direct clipping with two clips. The chest was closed without a chest drain. Unless the patient was ventilator dependent before the closure, the child usually was extubated in the operating room. RESULTS: Color doppler echocardiography demonstrated total occlusion of the ductus in all patients. All 15 patients were discharged from the hospital on the 4º postoperative day (mean. CONCLUSION: We conclude that surgical closure of

  9. An in vitro comparative study of apically extruded debris resulting from conventional and three rotary (Profile, Race, FlexMaster) instrumentation techniques.

    Science.gov (United States)

    Zarrabi, Mohammad Hasan; Bidar, Maryam; Jafarzadeh, Hamid

    2006-06-01

    Canal preparation is one of the most important stages of endodontic therapy, and various techniques have been applied for it. The present study was conducted to compare the quantity of debris extruded from the apical foramen during canal preparation during the manual technique and with the use of three rotary systems (Profile, Race, FlexMaster). One hundred single-rooted premolars were divided into four groups of 25 teeth each. For collection of debris, vials containing distilled water and weighed before canal preparation were used. Groups H, P, R and F were prepared by the manual step-back technique, and with the use of the Profile system, Race system and FlexMaster system, respectively. After canal preparation, the vials were dried thoroughly and reweighed. The difference between the weights of the vials at the two stages was taken as the debris weight. The mean debris weights were compared by one-way ANOVA. Group H had the highest mean debris weight, which was significantly different from those of the rotary groups (P < 0.001). The lowest mean debris weight was related to group R, which was significantly different from that of group F but not significantly different from that of group P. It was concluded that the Race system induces less extruded debris than the manual technique and the FlexMaster system.

  10. Evaluation of the results from surgical treatment of fractures of the lateral extremity of the clavicle, using the double ligature technique.

    Science.gov (United States)

    Miyazaki, Alberto Naoki; da Silva, Luciana Andrade; do Val Sella, Guilhermel; Checchia, Sergio Luiz; Cândido Dos Santos, Sílvia Helena Cavadinha; Chadud, Vitor Schneider

    2015-01-01

    To evaluate the incidence of consolidation in surgical treatment of fractures of the lateral extremity of the clavicle using the double subcoracoid ligature technique, with nonabsorbable No. 5 thread. Between May 1993 and June 2013, the Shoulder and Elbow Group of our service surgically treated 116 patients (116 shoulders) with fractures of the lateral extremity of the clavicle. Among these, we were able to reassess 65 cases. The surgical technique used consisted of double subcoracoid ligature with two nonabsorbable threads. In two patients classified as type III, we had to combine this technique with use of an interfragmentary screw for fixation of the intra-articular portion of the acromioclavicular joint. We achieved fracture consolidation in 90%. Fourteen cases (21%) evolved with major complications: four cases of pseudarthrosis, five of adhesive capsulitis, two of delayed consolidation and three of loss of reduction. Two cases (3%) evolved with minor complications of skin granuloma. The double ligature technique for fractures of the lateral extremity of the clavicle promotes the stabilization needed for consolidation to take place, without the need for synthesis using metal components. It avoids reoperation for the synthesis material to be removed. Moreover, it is a low-cost procedure with good reproducibility and preservation of the acromioclavicular joint.

  11. Using the Oaxaca-Blinder Decomposition Technique to Analyze Learning Outcomes Changes over Time: An Application to Indonesia's Results in PISA Mathematics. Policy Research Working Paper 5584

    Science.gov (United States)

    Barrera-Osorio, Felipe; Garcia-Moreno, Vicente; Patrinos, Harry Anthony; Porta, Emilio

    2011-01-01

    The Oaxaca-Blinder technique was originally used in labor economics to decompose earnings gaps and to estimate the level of discrimination. It has been applied since in other social issues, including education, where it can be used to assess how much of a gap is due to differences in characteristics (explained variation) and how much is due to…

  12. Tests of heat techniques in households. Analysis of the results of the field tests; Praktijkprestaties van warmtetechnieken bij huishoudens. Analyse resultaten veldtesten

    Energy Technology Data Exchange (ETDEWEB)

    De Jong, A.; Friedel, P.; Overman, P. [Energy Matters, Driebergen (Netherlands)

    2012-11-15

    The development within conventional techniques and new techniques for the recovery and generation of heat in the house construction industry led to a need for knowledge of efficiencies of those techniques in practice. Therefore a project has been set up to gain insight into the efficiencies. In the field tests, five heat techniques are investigated: high-efficiency boilers, solar water heaters, balanced ventilation systems with heat recovery (also called heat recovery systems) and heat pump water heaters [Dutch] De ontwikkeling binnen conventionele technieken en nieuwe technieken voor de terugwinning en opwekking van warmte in de woningbouw leidden ertoe dat er bij verschillende partijen in de keten een kennisbehoefte is ontstaan naar de rendementen van deze technieken in de praktijk. Daartoe heeft AgentschapNL een project opgezet om meer inzicht te verkrijgen in deze rendementen. In de veldtesten worden vijf warmtechnieken bekeken: HR-ketels, HRe-ketels, zonneboilers, gebalanceerde ventilatiesystemen met warmteterugwinning (verder WTW-systemen genoemd) en warmtepompboilers. Deze worden op minutenbasis bemeten.

  13. Machine-assisted verification of latent fingerprints: first results for nondestructive contact-less optical acquisition techniques with a CWL sensor

    Science.gov (United States)

    Hildebrandt, Mario; Kiltz, Stefan; Krapyvskyy, Dmytro; Dittmann, Jana; Vielhauer, Claus; Leich, Marcus

    2011-11-01

    A machine-assisted analysis of traces from crime scenes might be possible with the advent of new high-resolution non-destructive contact-less acquisition techniques for latent fingerprints. This requires reliable techniques for the automatic extraction of fingerprint features from latent and exemplar fingerprints for matching purposes using pattern recognition approaches. Therefore, we evaluate the NIST Biometric Image Software for the feature extraction and verification of contact-lessly acquired latent fingerprints to determine potential error rates. Our exemplary test setup includes 30 latent fingerprints from 5 people in two test sets that are acquired from different surfaces using a chromatic white light sensor. The first test set includes 20 fingerprints on two different surfaces. It is used to determine the feature extraction performance. The second test set includes one latent fingerprint on 10 different surfaces and an exemplar fingerprint to determine the verification performance. This utilized sensing technique does not require a physical or chemical visibility enhancement of the fingerprint residue, thus the original trace remains unaltered for further investigations. No particular feature extraction and verification techniques have been applied to such data, yet. Hence, we see the need for appropriate algorithms that are suitable to support forensic investigations.

  14. Elastic wave scattering methods: assessments and suggestions

    International Nuclear Information System (INIS)

    Gubernatis, J.E.

    1985-01-01

    The author was asked by the meeting organizers to review and assess the developments over the past ten or so years in elastic wave scattering methods and to suggest areas of future research opportunities. He highlights the developments, focusing on what he feels were distinct steps forward in our theoretical understanding of how elastic waves interact with flaws. For references and illustrative figures, he decided to use as his principal source the proceedings of the various annual Reviews of Progress in Quantitative Nondestructive Evaluation (NDE). These meetings have been the main forum not only for presenting results of theoretical research but also for demonstrating the relevance of the theoretical research for the design and interpretation of experiment. In his opinion a quantitative NDE is possible only if this relevance exists, and his major objective is to discuss and illustrate the degree to which relevance has developed

  15. An hypnotic suggestion: review of hypnosis for clinical emergency care.

    Science.gov (United States)

    Iserson, Kenneth V

    2014-04-01

    Hypnosis has been used in medicine for nearly 250 years. Yet, emergency clinicians rarely use it in emergency departments or prehospital settings. This review describes hypnosis, its historical use in medicine, several neurophysiologic studies of the procedure, its uses and potential uses in emergency care, and a simple technique for inducing hypnosis. It also discusses reasons why the technique has not been widely adopted, and suggests methods of increasing its use in emergency care, including some potential research areas. A limited number of clinical studies and case reports suggest that hypnosis may be effective in a wide variety of conditions applicable to emergency medical care. These include providing analgesia for existing pain (e.g., fractures, burns, and lacerations), providing analgesia and sedation for painful procedures (e.g., needle sticks, laceration repair, and fracture and joint reductions), reducing acute anxiety, increasing children's cooperation for procedures, facilitating the diagnosis and treatment of acute psychiatric conditions, and providing analgesia and anxiolysis for obstetric/gynecologic problems. Although it is safe, fast, and cost-effective, emergency clinicians rarely use hypnosis. This is due, in part, to the myths surrounding hypnosis and its association with alternative-complementary medicine. Genuine barriers to its increased clinical use include a lack of assured effectiveness and a lack of training and training requirements. Based on the results of further research, hypnosis could become a powerful and safe nonpharmacologic addition to the emergency clinician's armamentarium, with the potential to enhance patient care in emergency medicine, prehospital care, and remote medical settings. Copyright © 2014 Elsevier Inc. All rights reserved.

  16. Percutaneous thermoablation of lung metastases. Indication, techniques, first results, and imaging findings; Perkutane Laserablation von Lungenmetastasen. Indikation, technische Durchfuehrung, erste Ergebnisse und Bildbefunde

    Energy Technology Data Exchange (ETDEWEB)

    Weigel, C.; Schuchmann, S.; Kirsch, M.; Mensel, B.; Hosten, N. [Abteilung fuer Diagnostische und Interventionelle Radiologie, Klinikum der Ernst-Moritz-Arndt-Universtiaet Greifswald (Germany)

    2004-05-01

    Not unlike thermoablation of liver metastases, thermoablation of metastases to the lungs is gaining clinical interest. Radiofrequency ablation and laser-induced interstitial thermotherapy are both used clinically. Initially it was suspected that percutaneous treatment of lung metastases would result in a rate of pneumothoraces and tissue reactions which would not be clinically acceptable. However, this did not prove true. Fear of pneumothoraces however did lead to the desire for an applicator with a maximally reduced diameter. While clinical results are not yet available, technical success rates of laser-induced interstitial thermotherapy of lung metastases are promising. The percentage of pneumothoraces does not differ significantly from that seen in diagnostic procedures. Large metastases may be treated by simultaneous use of multiple applicators or by repositioning of an applicator (pullback technique). Surgical experience is still guiding us in deciding which primaries' metastases may be successfully treated percutaneously. The literature indicates that lung metastases from colorectal primaries are especially suited. Radiotherapy is only an alternative method in cases of lung metastases if they cause symptoms (such as pain because of thorax infiltration or difficulty in breathing because of bronchial lesion). Due to the risk of radiation-induced pneumonia general radiotherapy is not to be recommended. The possibility of stereotactic ray treatment is being considered, but because breathing shifts the metastases it is not yet feasible. Therefore, percutaneous thermoablation could be used as a minimally invasive, rather riskless therapeutic option for a relatively high percentage of inoperable lung metastases. (orig.) [German] Die Thermoablation von Lungenmetastasen ist dabei, sich aehnlich erfolgreich im klinischen Alltag zu etablieren wie die heute weit verbreitete Thermoablation von Lebermetastasen. Bei beiden Metastasierungsformen kommen die Radiofrequenz

  17. Serum 3,3'-L-diiodothyronine, a direct radioimmunoassay in human serum: method and clinical results. [/sup 125/I tracer technique

    Energy Technology Data Exchange (ETDEWEB)

    Burger, A.; Sakoloff, C.

    1977-09-01

    A specific radioimmunoassay for 3,3'-diiodothyronine (T/sub 2/) is described which is capable of detecting as little as 1.3 ng/dl. The antiserum recognizes mainly T/sub 2/; biliary conjugates of T/sub 2/ bind slightly to the antibody. The intraassay and interassay coefficients of variation were, respectively, 5.7% and 13.1%. T/sub 2/ was detected in the serum of hypothyroid patients treated with triiodothyronine (T/sub 3/) and in euthyroid subjects treated with reverse triiodothyronine (rT/sub 3/). These results suggest that both T/sub 3/ and rT/sub 3/ are deiodinated to T/sub 2/. Serum concentrations of T/sub 2/ in normal subjects decreased with age. Between 20 and 40 years the mean concentration was 4.3 +- 2.0 ng/dl (2 SD), between 41 and 60 years it varied from 1.9 to 5.8 ng/dl (3.8 +- 0.3 ng/dl, SE) and in elderly subjects have 60 years concentrations varied from unmeasurable to 4 ng/dl (2.9 +- 0.4 ng/dl, SE). Low serum T/sub 2/ concentrations were found in anorexia nervosa (2.5 +- 0.3 ng/dl, SE). In hypothyroidism the serum concentrations were low or unmeasurable. As most of the hypothyroid subjects were elderly their serum T/sub 2/ concentrations overlapped with the low values found in the elderly euthyroid subjects. In classical hyperthyroidism serum T/sub 2/ concentrations were greatly increased (3.3 to 31 ng/dl (11.8 +- 2.7 ng/dl, SE) but in ''T/sub 3/ toxicosis'' the concentrations were only modestly increased (2.4 to 8.8 ng/dl, 5.2 +- 0.8 ng/dl, SE).

  18. Three-dimensional shape analysis of coarse aggregates: New techniques for and preliminary results on several different coarse aggregates and reference rocks

    International Nuclear Information System (INIS)

    Erdogan, S.T.; Quiroga, P.N.; Fowler, D.W.; Saleh, H.A.; Livingston, R.A.; Garboczi, E.J.; Ketcham, P.M.; Hagedorn, J.G.; Satterfield, S.G.

    2006-01-01

    The shape of aggregates used in concrete is an important parameter that helps determine many concrete properties, especially the rheology of fresh concrete and early-age mechanical properties. This paper discusses the sample preparation and image analysis techniques necessary for obtaining an aggregate particle image in 3-D, using X-ray computed tomography, which is then suitable for spherical harmonic analysis. The shapes of three reference rocks are analyzed for uncertainty determination via direct comparison to the geometry of their reconstructed images. A Virtual Reality Modeling Language technique is demonstrated that can give quick and accurate 3-D views of aggregates. Shape data on several different kinds of coarse aggregates are compared and used to illustrate potential mathematical shape analyses made possible by the spherical harmonic information

  19. Is video-assisted thoracoscopic diaphragmatic plication a widespread technique for diaphragmatic hernia in adults? Review of the literature and results of a national survey.

    Science.gov (United States)

    Rombolá, Carlos A; Genovés Crespo, Marta; Tárraga López, Pedro J; García Jiménez, María Dolores; Honguero Martínez, Antonio F; León Atance, Pablo; Rodríguez Ortega, Claudia R; Triviño Ramírez, Ana; Rodríguez Montes, José Antonio

    2014-01-01

    Diaphragmatic plication is the most accepted treatment for symptomatic diaphragmatic hernia in adults. The fact that this pathology is infrequent and this procedure not been widespread means that this is an exceptional technique in our field. To estimate its use in the literature, we carried out a review in English and Spanish, to which we added our series. We found only six series that contribute 59 video-assisted mini-thoractomy for diaphragmatic plications in adults, and none in Spanish. Our series will be the second largest with 18 cases. Finally, we conducted a survey in all the Spanish Thoracic Surgery units in Spain: none reported more than 10 cases operated by thoracoscopy in the last 8 years (except our series) and most continue employing thoracotomy as the main approach. We believe that many patients with symptomatic diaphragmatic hernia could benefit from the use of such techniques. Copyright © 2013 AEC. Published by Elsevier Espana. All rights reserved.

  20. Results of emergency management of acute abdomen in adults based on clinical assessment and basic imaging investigations: are advanced imaging techniques always necessary for successful treatment?

    OpenAIRE

    Sangram Karandikar

    2016-01-01

    Background: The term acute abdomen refers to signs and symptoms of abdominal pain and tenderness, a clinical presentation that may require emergency surgical treatment. Patients suffering from both, surgical as well as medical diseases may present with acute abdomen. The main objectives of the study are to identify common causes of acute abdomen, to assess the need for urgent surgical intervention in these patients and to evaluate role of basic diagnostic techniques and need of advanced imagi...

  1. A Modified Technique for Occipitocervical Fusion Using Compressed Iliac Crest Allograft Results in a High Rate of Fusion in the Pediatric Population.

    Science.gov (United States)

    Iyer, Rajiv R; Tuite, Gerald F; Meoded, Avner; Carey, Carolyn C; Rodriguez, Luis F

    2017-11-01

    In children, high rates of occipitocervical (OC) fusion have been demonstrated with the use of rigid instrumentation in combination with harvested autograft, with or without bone morphogenetic protein (BMP). Historically, the use of allograft materials demonstrated inferior OC fusion outcomes compared with autograft. However, autograft harvest harbors an increased risk of patient morbidity, and the use of BMP is costly and controversial in children. Thus, there remains a need for safer, less costly, yet efficacious techniques for OC fusion in the pediatric population. We retrospectively reviewed the charts of patients younger than 21 years of age who underwent OC fusion with structural allograft placement at our institution from 2010 to 2015. Data collected included age, sex, follow-up duration, fusion outcomes, and postoperative complications. A total of 19 patients (8 female and 11 male) underwent OC fusion with our surgical technique. Mean age was 8.5 ± 4.3 years. Radiographic follow up data were available for 18 of 19 patients. One patient was lost to clinical follow up but had radiographic confirmation of fusion. Thus, 18 of 18 (100%) of patients with radiographic follow-up achieved successful arthrodesis as determined by computed tomography. Median duration to documented fusion was 4.5 months. Clinical follow-up was available for 17 of 19 patients and was on average 18.8 ± 13.5 months. One patient required reoperation for graft fracture 8 months after radiographic confirmation of successful fusion. There were no vertebral artery injuries or other postoperative complications. We demonstrate a modified technique for OC fusion in children with unique structural allograft shaping and affixation, leading to excellent fusion outcomes at follow up. This technique obviates the need for autograft harvest or BMP, and may decrease postoperative morbidity. Copyright © 2017 Elsevier Inc. All rights reserved.

  2. The 'Mini-Perc' technique of percutaneous nephrolithotomy with a 14-Fr peel-away sheath: 3-year results in 72 patients

    International Nuclear Information System (INIS)

    Sung, Yon Mi; Choo, Sung Wook; Jeon, Seong Soo; Shin, Sung Wook; Park, Kwang Bo; Do, Young Soo

    2006-01-01

    To assess the efficacy and safety of a 'mini-perc' technique of percutaneous nephrolithotomy using a 14-Fr peel-away sheath for the removal of pyelocaliceal stones, and to determine appropriate inclusion criteria. Form July 1999 to June 2002, the medical records and radiographic images of 72 patients who underwent the 'mini-perc' technique of percutaneous nephrolithotomy with a 14-Fr peel-away sheath, were reviewed to determine clinical history, stone characteristics, immediate stone free rate, final stone free rate after additional procedures, complications, and hospital stay. We also analyzed the effect of the longest stone diameter, the cumulative longest diameter of stones, the cumulative stone burden, and the stone density on the immediate stone free rate using a Fisher exact test. The only major complication, arterial bleeding, occurred in a patient with Child A liver cirrhosis and was successfully treated by embolization with coils and a gelatin sponge. The immediate stone free rate was 80.6%, which was significantly influenced by stone diameter but not stone density. The mean hospital stay after the procedure was 3.97 days. The 'mini-perc' technique of percutaneous nephrolithotomy, which uses the 14-Fr peel-away sheath, is a safe and effective modality for treating renal calculi

  3. Our Totally Intra-Articular "Needle-Anchor" Tenodesis Technique Applied in Isolated Long Head of the Biceps Tendinopathy: Clinical and Functional Results in 60 Patients.

    Science.gov (United States)

    Vitali, Matteo; Pedretti, Alberto; Naim Rodriguez, Nadim; Valenti, Mario; Fraschini, Gianfranco

    2016-03-01

    The disorders of the long head of the biceps (LHB) are a common cause of shoulder pain. Among all surgical treatments used to resolve LHB tendon disorders, tenodesis is one of the most frequent.The literature describes many arthroscopic and open surgical techniques, but there is still no general consensus on the standard of care.The purpose of this paper is to describe the clinical and functional outcomes of our totally intra-articular "Needle-Anchor" arthroscopic tenodesis technique applied to isolated LHB tendinopathy. We present a case study of 60 patients with an isolated LHB tendon disorder, treated with our totally intra-articular Needle-Anchor arthroscopic technique between 2011 and 2013.All patients were assessed preoperatively with University of California, Los Angeles (UCLA) and Constant-Murley (CS) shoulder scores and the visual analogue scale (VAS) for subjective pain assessment. Imaging studies were performed through magnetic resonance imaging. Patients were reevaluated with a follow-up at 3 and 12 months with VAS, UCLA, and CS scores.Statistical analysis was performed with the Mann-Whitney score where values of P<0.05 were considered as significant. CS showed a significant (P<0.05) improvement at 3 and 12 months follow-up, 81.54 ± 7.5 and 88.90 ± 5.2, respectively; when compared with preoperative values of 55.14 ± 9.8.Moreover, the UCLA score showed significant improvement (P<0.05) at the same follow-ups with values of 28.49 ± 2.1 and 30.88 ± 1.7, respectively, with preoperative scores of 14.03 ± 2.4.VAS values were significant at both follow-ups, 2.54 ± 0.2 and 0.58 ± 0.08, respectively, when compared with preoperative values of 5.34 ± 0.3. Biceps tenodesis performed with our Needle-Anchor technique applied to selected patients affected by isolated LHB pathology demonstrated to be effective both in terms of pain and functionality. Moreover, the described technique proved to be reliable, safe, time efficient, easily reproducible, and

  4. Point of Technique

    African Journals Online (AJOL)

    .

    hotmail.com. Introduction. Minimally invasive techniques are becoming popular choice for the recent times. These techniques are lowering the cost and giving the best cosmetic results. For cardiovascular surgery these techniques are much more.

  5. Low profile pelvic fixation with the sacral alar iliac technique in the pediatric population improves results at two-year minimum follow-up.

    Science.gov (United States)

    Sponseller, Paul D; Zimmerman, Ryan M; Ko, Phebe S; Pull Ter Gunne, Albert F; Mohamed, Ahmed S; Chang, Tai-Li; Kebaish, Khaled M

    2010-09-15

    Retrospective review. Anchor stability and prominence are problems with pelvic fixation in pediatric spinal deformity surgery. We compared the new sacral alar iliac (SAI) fixation technique (with a starting point in the sacral ala and in-line anchors deep under the midline muscle flap) with other methods of screw fixation. Iliac anchors have been shown to provide the best form of pelvic fixation. A trajectory from the posterior sacral surface to the iliac wings has recently been described. To our knowledge, no clinical series has compared this method of pelvic fixation in children to others. Of 32 consecutive pediatric patients who underwent SAI fixation, 2 died and 26 returned for follow-up (>2 years). Mean age at surgery was 14 years. Average screw size was 67 mm long and 7 to 9 mm in diameter. Clinical examinations, radiographs, and computed tomography scans were analyzed. Outcomes included pain over the implants, screw placement, implant prominence, radiographic lucency, need for revision, and infection. SAI patients were compared with 27 previous patients who had pelvic fixation via other screw techniques. For SAI fixation, correction of pelvic obliquity and Cobb angles were 20° ± 11° (70%) and 42° ± 25° (67%), respectively. For other pelvic fixation methods, those values were 10° ± 9° (50%), and 46° ± 16° (60%), respectively. Compared with other screws, SAI screws provided significantly better pelvic obliquity correction (P = 0.002) but no difference in Cobb correction. There were 2 lucencies adjacent to screws in both groups. Computed tomography scans of 18 SAI patients showed no intrapelvic protrusion, but 1 screw extended laterally (pelvic fixation produces better correction of pelvic obliquity than do previous techniques. Radiographic and clinical anchor stability is satisfactory at 2-year follow-up.

  6. MRI-Guided Intervention for Breast Lesions Using the Freehand Technique in a 3.0-T Closed-Bore MRI Scanner: Feasibility and Initial Results

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Hye Young [Department of Radiology, Gyeongsang National University Hospital, Jinju 660-702 (Korea, Republic of); Kim, Sun Mi; Jang, Mijung; Yun, Bo La [Department of Radiology, Seoul National University Bundang Hospital, Seongnam 463-707 (Korea, Republic of); Kim, Sung-Won; Kang, Eunyoung [Department of Surgery, Seoul National University Bundang Hospital, Seongnam 463-707 (Korea, Republic of); Park, So Yeon [Department of Pathology, Seoul National University Bundang Hospital, Seongnam 463-707 (Korea, Republic of); Moon, Woo Kyung [Department of Radiology, Seoul National University College of Medicine, Seoul National University Hospital, Seoul 110-744 (Korea, Republic of); Ko, Eun Sook [Department of Radiology, Samsung Medical Center, Seoul 135-710 (Korea, Republic of)

    2013-07-01

    To report the feasibility of magnetic resonance imaging (MRI)-guided intervention for diagnosing suspicious breast lesions detectable by MRI only, using the freehand technique with a 3.0-T closed-bore MRI scanner. Five women with 5 consecutive MRI-only breast lesions underwent MRI-guided intervention: 3 underwent MRI-guided needle localization and 2, MRI-guided vacuum-assisted biopsy. The interventions were performed in a 3.0-T closed-bore MRI system using a dedicated phased-array breast coil with the patients in the prone position; the freehand technique was used. Technical success and histopathologic outcome were analyzed. MRI showed that four lesions were masses (mean size, 11.5 mm; range, 7-18 mm); and 1, a nonmass-like enhancement (maximum diameter, 21 mm). The locations of the lesions with respect to the breast with index cancer were as follows: different quadrant, same breast - 3 cases; same quadrant, same breast - 1 case; and contralateral breast - 1 case. Histopathologic evaluation of the lesions treated with needle localization disclosed perilobular hemangioma, fibrocystic change, and fibroadenomatous change. The lesions treated with vacuum-assisted biopsy demonstrated a radial scar and atypical apocrine hyperplasia. Follow-up MRI after 2-7 months (mean, 4.6 months) confirmed complete lesion removal in all cases. MRI-guided intervention for breast lesions using the freehand technique with a 3.0-T closed-bore MRI scanner is feasible and accurate for diagnosing MRI-only lesions.

  7. CT-guided percutaneous radiofrequency ablation in osteoid osteoma. Re-assessments of results with optimized technique and possible pain patterns in mid-term follow-up

    International Nuclear Information System (INIS)

    Omlor, G.; Merle, C.; Lehner, B.; Ewerbeck, V.; Rehnitz, C.; Weber, M.A.; Ludwig, K.

    2012-01-01

    To re-assess radiofrequency ablation (RFA) of osteoid osteoma (OO) with an optimized technique and to evaluate patterns of post-interventional pain important for the detection of recurrence. 44 consecutive patients with OO treated with precise inclusion criteria by RFA were examined retrospectively. RFA was performed with an optimized technique. Technical success (TS), primary and secondary clinical success (PCS/SCS) and minor and major complications (MIC/MAC) were evaluated. Pain patterns defined as 'osteoid osteoma-specific pain' (OOSP) and 'unspecific pain' (UP), 'limitations in daily activity' (LDA) and 'patient satisfaction' (PS) were evaluated using a numeric rating scale (0 - 10; 0 = no pain, 0 = no limitation, 10 = fully satisfied). The pain intensity before and after RFA was compared. The mean follow-up time was 35 months (n = 40, range 2 - 60 months). TS was 100 % (n = 44), PCS 98 % (n = 44), and SCS 100 % (n = 40). MIC and MAC were 0 % (n = 44). OOSP was 0 after RFA in all 44 patients. UP was 0 in 24 of 40 patients (60 %), 1 in 11 patients (28 %) for up to 7 days and 1 - 4 in 5 patients (13 %) for 30 - 180 days. LDA was 0 in 39 of 40 patients (98 %), and 1 in 1 patient. PS was 10 in all patients. The pain after RFA was significantly less than before RFA (p < 0.0001). Using an optimized technique primary clinical success rates in the high nineties have to be expected. Unspecific pain of low intensity is not unusual after RFA and has to be distinguished from pain caused by recurrent disease. (orig.)

  8. CT-guided percutaneous radiofrequency ablation in osteoid osteoma. Re-assessments of results with optimized technique and possible pain patterns in mid-term follow-up

    Energy Technology Data Exchange (ETDEWEB)

    Omlor, G.; Merle, C.; Lehner, B.; Ewerbeck, V. [Universitaetsklinik Heidelberg (Germany). Orthopaedische Universitaetsklinik; Rehnitz, C.; Weber, M.A. [Universitaetsklinik Heidelberg (Germany). Klinik fuer Diagnostische und Interventionelle Radiologie; Ludwig, K. [Klinikum Herford (Germany). Klinik fuer Diagnostische und Interventionelle Radiologie

    2012-04-15

    To re-assess radiofrequency ablation (RFA) of osteoid osteoma (OO) with an optimized technique and to evaluate patterns of post-interventional pain important for the detection of recurrence. 44 consecutive patients with OO treated with precise inclusion criteria by RFA were examined retrospectively. RFA was performed with an optimized technique. Technical success (TS), primary and secondary clinical success (PCS/SCS) and minor and major complications (MIC/MAC) were evaluated. Pain patterns defined as 'osteoid osteoma-specific pain' (OOSP) and 'unspecific pain' (UP), 'limitations in daily activity' (LDA) and 'patient satisfaction' (PS) were evaluated using a numeric rating scale (0 - 10; 0 = no pain, 0 = no limitation, 10 = fully satisfied). The pain intensity before and after RFA was compared. The mean follow-up time was 35 months (n = 40, range 2 - 60 months). TS was 100 % (n = 44), PCS 98 % (n = 44), and SCS 100 % (n = 40). MIC and MAC were 0 % (n = 44). OOSP was 0 after RFA in all 44 patients. UP was 0 in 24 of 40 patients (60 %), 1 in 11 patients (28 %) for up to 7 days and 1 - 4 in 5 patients (13 %) for 30 - 180 days. LDA was 0 in 39 of 40 patients (98 %), and 1 in 1 patient. PS was 10 in all patients. The pain after RFA was significantly less than before RFA (p < 0.0001). Using an optimized technique primary clinical success rates in the high nineties have to be expected. Unspecific pain of low intensity is not unusual after RFA and has to be distinguished from pain caused by recurrent disease. (orig.)

  9. Nuclear techniques support to assess erosion and sedimentation processes: preliminary results of the use of 137Cs as soil tracer in Slovenia

    Directory of Open Access Journals (Sweden)

    Vesna Zupanc

    2010-12-01

    Full Text Available Most studies of erosion and sedimentation evaluation in Slovenia have focused on the use of conventional approaches. This paper highlights potential advantages of nuclear techniques to assess soil redistribution magnitude and presents assessment of the initial 137Cs fallout in undisturbed site, located in Šalamenci, Eastern Slovenia. The 137Cs background activity in the selected forested site was evaluated at 7316 2525 Bq m-2 with a coefficient of variation of 34 % (n = 20. This information will be used in future investigations to assess erosion and sedimentation processes of adjacent agricultural fields with 137Cs method.

  10. Technique of tritium-tagging of soil moisture for determination of ground water recharge. Some results from north eastern region of Brazil

    International Nuclear Information System (INIS)

    Chandra, U.

    1986-01-01

    The technique of reactor produced tritium for tracing downward movement of soil moisture and its application for detemination of ground water recharge is described. Data of rainfall infiltration and the consequent recharge in purely sandy sites and one clayey site of semi-arid climate are described. Tritiated water was injected below 70-90 cm ground surface in five radially concentric points 10 cm appart. Sampling of soil was carried out after one year, at every 10 cm depth interval. Soil samples were vacuum distilled and tritium in distilled moisture was determined by liquid scintillation counting. (Author) [pt

  11. Hypnotic suggestion: opportunities for cognitive neuroscience.

    Science.gov (United States)

    Oakley, David A; Halligan, Peter W

    2013-08-01

    Hypnosis uses the powerful effects of attention and suggestion to produce, modify and enhance a broad range of subjectively compelling experiences and behaviours. For more than a century, hypnotic suggestion has been used successfully as an adjunctive procedure to treat a wide range of clinical conditions. More recently, hypnosis has attracted a growing interest from a cognitive neuroscience perspective. Recent studies using hypnotic suggestion show how manipulating subjective awareness in the laboratory can provide insights into brain mechanisms involved in attention, motor control, pain perception, beliefs and volition. Moreover, they indicate that hypnotic suggestion can create informative analogues of clinical conditions that may be useful for understanding these conditions and their treatments.

  12. Photothermal ablation with the excimer laser sheath technique for embedded inferior vena cava filter removal: initial results from a prospective study.

    Science.gov (United States)

    Kuo, William T; Odegaard, Justin I; Louie, John D; Sze, Daniel Y; Unver, Kamil; Kothary, Nishita; Rosenberg, Jarrett K; Hovsepian, David M; Hwang, Gloria L; Hofmann, Lawrence V

    2011-06-01

    To evaluate the safety and effectiveness of the excimer laser sheath technique for removing embedded inferior vena cava (IVC) filters. Over 12 months, 25 consecutive patients undergoing attempted IVC filter retrieval with a laser-assisted sheath technique were prospectively enrolled into an institutional review board-approved study registry. There were 10 men and 15 women (mean age 50 years, range 20-76 years); 18 (72%) of 25 patients were referred from an outside hospital. Indications for retrieval included symptomatic filter-related acute caval thrombosis (with or without acute pulmonary embolism), chronic IVC occlusion, and bowel penetration. Retrieval was also performed to remove risks from prolonged implantation and potentially to eliminate need for lifelong anticoagulation. After failure of standard methods, controlled photothermal ablation of filter-adherent tissue with a Spectranetics laser sheath and CVX-300 laser system was performed. All patients were evaluated with cavography, and specimens were sent for histologic analysis. Laser-assisted retrieval was successful in 24 (96%) of 25 patients as follows: 11 Günther Tulip (mean 375 days, range 127-882 days), 4 Celect (mean 387 days, range 332-440 days), 2 Option (mean 215 days, range 100-330 days), 4 OPTEASE (mean 387 days, range 71-749 days; 1 failed 188 days), 2 TRAPEASE (mean 871 days, range 187-1,555 days), and 2 Greenfield (mean 12.8 years, range 7.2-18.3 years). There was one (4%) major complication (acute thrombus, treated with thrombolysis), three (12%) minor complications (small extravasation, self-limited), and one adverse event (coagulopathic retroperitoneal hemorrhage) at follow-up (mean 126 days, range 13-302 days). Photothermal ablation of filter-adherent tissue was histologically confirmed in 23 (92%) of 25 patients. The laser-assisted sheath technique appears to be a safe and effective tool for retrieving embedded IVC filters, including permanent types, with implantation ranging from

  13. Postoperative irradiation of carcinoma of the head of the pancreas area: Short-time tolerance and results to precision high-dose technique in 18 patients

    Energy Technology Data Exchange (ETDEWEB)

    Nguyen, T.D.; Bugat, R.; Combes, P.F.

    1982-07-01

    During the period from January 1977-August 1979, 18 patients with biopsy-proven pancreas duct or ampullary adenocarcinoma with no distant or liver metastases underwent external beam radiation therapy following laparotomy. With the use of a 25 MEV photon beam and a four field ''box'' technique, the dose delivered to the target volume identified with radio-opaque clips at laparotomy was 6000 rad in six weeks, while largely sparing the spinal cord, kidney, liver and gut. All patients subjected to low fat, gluten free diet completed treatment as planned without any acute reaction. Three patients developed delayed pancreatic insufficiency. According to actuarial survival analysis and low morbidity such an approach may lead to increased survival in patients with pancreatic cancer.

  14. Discrimination and quantification of contamination and implanted solar wind in Genesis collector shards using grazing incidence synchrotron x-ray techniques: Initial results

    International Nuclear Information System (INIS)

    Kitts, K.; Sutton, S.; Eng, P.; Ghose, S.; Burnett, D.

    2006-01-01

    Grazing incidence X-ray fluorescence is a non-destructive technique that can differentiate the embedded solar wind component from surface contamination and collector background in the Genesis shards. Initial solar Fe abundance in D30554 is 8 x 10 12 /cm 2 . Accurate knowledge of the composition of the Sun provides a baseline, which allows an understanding of how the solar system has evolved over time and how solar processes and solar wind mechanics behave. Unfortunately, the errors in photospheric abundances are too large for many planetary science problems and this hampers our understanding of these different processes. Analyses of solar wind implanted in meteorites or lunar soils have provided more precise data but alteration processes on these bodies may complicate such information. In response to this need for pristine solar wind samples, NASA developed and launched the Genesis Probe. Unfortunately, the probe smashed into the Utah desert shattering the 300 collector plates into 15,000+ pieces all of which are now coated in a both a fine terrestrial dust and Si and Ge powder from the disrupted collectors themselves. The solar wind penetration depth is 100-200 nm and the superposed contamination layers are typically 40-50 nm. Stringent cleaning regimes have the potential of removing the solar wind itself. The best solution is to have sufficient spatial resolution to separately analyze the surface contamination and penetrated solar wind. To that end, three Genesis collector array shards and their appropriate flight spares were characterized via grazing incidence x-ray fluorescence and x-ray reflectivity. The goals were (1) to evaluate the various cleaning methods used to eliminate contamination, (2) to identify the collector substrates most suited for this technique, (3) to determine whether the solar wind signature could be deconvolved from the collector background signature, and (4) to measure the relative abundances of Ca to Ge in the embedded solar wind.

  15. [Press-fit bone dowel arthrodesis of the ankle or the subtalar joint using a diamond bone cutting system. Surgical technique and initial results in 10 patients].

    Science.gov (United States)

    Dresing, K; Stürmer, K M

    2000-08-01

    Arthrodesis of the ankle (AA) or the subtalar joint (AST) is still a necessary treatment in case of painful posttraumatic arthrosis or paresis of the muscles after compartment syndrome. Today the alloplastic ankle joint replacement does not satisfy. Many treatments of arthrodesis with minimal or extended resection of the joint surface with or without bone transplantation are described in literature. We present in detail a new developed technique of press-fit dowel arthrodesis (KDA) for the ankle and subtalar joint. After adjustment of the joint position and retention with Kirschner wires the surface of both sides of the joint surface and underlying bone is removed by a cannulated diamond bone cutting device. Dowels from the anterior iliac crest are impacted in the cutted joint defect. The dowels are 1/10 mm bigger in dimension than the primary defect in the joint surface. The surgery will be completed with a compression screw osteosynthesis, at the ankle joint transarticular through the lateral and medial malleolus, at the subtalar joint from plantar. Ten patients have treated by press-fit-KDA (female 2, male 8; AA 7, 33.6 +/- 9 y; AST 3.38 +/- 10.9 y). The indication for KDA was in nine cases a severe posttraumatic arthrosis, in one case the paretic malfunction after compartment syndrome. The arthrodesis were clinically and radiologically consolidated after 8.2 +/- 1.9 weeks. At this time the patients showed no symptoms and were fully mobilised with complete weight-bearing. The advantages of KDA: preservation of the outline of joint and hindfoot, preservation of length of the leg and outline of iliac crest, no risk for the soft tissue, quick consolidation of the arthrodesis, no need of external fixation. The technique is also suitable for other indications as presented.

  16. A New Rerouting Technique for the Extensor Pollicis Longus in Palliative Treatment for Wrist and Finger Extension Paralysis Resulting From Radial Nerve and C5C6C7 Root Injury.

    Science.gov (United States)

    Laravine, Jennifer; Cambon-Binder, Adeline; Belkheyar, Zoubir

    2016-03-01

    Wrist and finger extension paralysis is a consequence of an injury to the radial nerve or the C5C6C7 roots. Despite these 2 different levels of lesions, palliative treatment for this type of paralysis depends on the same tendon transfers. A large majority of the patients are able to compensate for a deficiency of the extension of the wrist and fingers. However, a deficiency in the opening of the first web space, which could be responsible for transfers to the abductor pollicis longus, the extensor pollicis brevis, and the extensor pollicis longus (EPL), frequently exists. The aim of this work was to evaluate the feasibility of a new EPL rerouting technique outside of Lister's tubercle. Another aim was to verify whether this technique allows a better opening of the thumb-index pinch in this type of paralysis. In the first part, we performed an anatomic study comparing the EPL rerouting technique and the frequently used technique for wrist and finger extension paralyses. In the second part, we present 2 clinical cases in which this new technique will be practiced. Preliminary results during this study favor the EPL rerouting technique. This is a simple and reproducible technique that allows for good opening of the first web space in the treatment of wrist and finger extension paralysis.

  17. A technique for resection of invasive tumors involving the trigone area of the bladder in dogs: preliminary results in two dogs.

    Science.gov (United States)

    Saulnier-Troff, Francois-Guillaume; Busoni, Valeria; Hamaide, Annick

    2008-07-01

    To describe a surgical technique for resection of the entire bladder neck, including the trigone and proximal urethra in dogs with invasive tumors causing life-threatening urinary tract obstruction. Clinical case reports. Dogs (n=2) with bladder tumors. Circumferential excision of the bladder neck and proximal urethra with preservation of the neurovascular pedicles was performed to remove a rhabdomyosarcoma (dog 1) and a transitional cell carcinoma (dog 2) involving the trigone and bladder neck that were causing urinary tract obstruction. Reconstruction of the bladder and proximal urethra included bilateral ureteroneocystostomy. Adjuvant chemotherapy was administered postoperatively to both dogs. Postoperatively, dogs 1 and 2 were continent after 7 and 17 days, respectively, and regained normal urinary function after resolution of a transient pollakiuria. Dog 1 had no evidence of local or regional recurrence; however, a large solitary pulmonary metastatic lesion was diagnosed 8 months later. The dog was euthanatized despite a lack of clinical signs. Dog 2 had at least 1 metastatic lesion in the abdominal wall 6 months later and was euthanatized at 580 days because of renal failure. En-bloc removal of the bladder neck and proximal urethra with preservation of the dorsal vascular and nervous pedicles, although a technically challenging procedure, can be performed without associated urinary incontinence or bladder wall necrosis. In dogs with invasive bladder tumors causing life-threatening urinary tract obstruction, resection of the bladder neck and proximal urethra should be considered as a promising surgical alternative to urinary diversion.

  18. Prevention of severe contractures might replace multilevel surgery in cerebral palsy: results of a population-based health care programme and new techniques to reduce spasticity.

    Science.gov (United States)

    Hägglund, Gunnar; Andersson, Sofia; Düppe, Henrik; Lauge-Pedersen, Henrik; Pedertsen, Henrik Lauge; Nordmark, Eva; Westbom, Lena

    2005-07-01

    During the 1990s three new techniques to reduce spasticity and dystonia in children with cerebral palsy (CP) were introduced in southern Sweden: selective dorsal rhizotomy, continuous intrathecal baclofen infusion and botulinum toxin treatment. In 1994 a CP register and a health care programme, aimed to prevent hip dislocation and severe contractures, were initiated in the area. The total population of children with CP born 1990-1991, 1992-1993 and 1994-1995 was evaluated and compared at 8 years of age. In non-ambulant children the passive range of motion in hip, knee and ankle improved significantly from the first to the later age groups. Ambulant children had similar range of motion in the three age groups, with almost no severe contractures. The proportion of children treated with orthopaedic surgery for contracture or skeletal torsion deformity decreased from 40 to 15% (P = 0.0019). One-fifth of the children with spastic diplegia had been treated with selective dorsal rhizotomy. One-third of the children born 1994-1995 had been treated with botulinum toxin before 8 years of age. With early treatment of spasticity, early non-operative treatment of contracture and prevention of hip dislocation, the need for orthopaedic surgery for contracture or torsion deformity is reduced, and the need for multilevel procedures seems to be eliminated.

  19. Dependence of early therapy results and complications on radiation dose values and their fractionation in pre-operative ''afterloading'' technique brachyradiotherapy applied to cervix uteri carcinoma patients

    International Nuclear Information System (INIS)

    Kaminska, G.; Kawczynska, M.

    1984-01-01

    The ''afterloading'' technique with use of Curietron (41 cases) or Selectron (43 cases) apparatus was applied in 83 cervix uteri carcinoma patients in phase 1b (79 cases) and 2a (4 cases). The Wertheim-Magis operation was performed after several weeks. Post-operative histologic investigation showed complete destruction of the tumour in 72% cases; persistent cancer cells in cervix uteri were stated in 11 patients (13%), while lymphatic node metastasis was seen in 14 patients (17%). Supplementary teleradiotherapy was performed in those cases. 39 patients (95%) of the 41 observed during 3 years survived without any cancer symptoms. No explicit relationship between dose administered to vaginal disc and cancer persistence frequency in the cervix uteri was stated. However, such relationship was stated for the dose in point A. In the group of 19 patients who received point A dose of the least 6000 rads, with average TDF value of 135, presence of cancer cells in cervix uteri was not stated in any of the cases. In 7 patients (17%) observed for over 3 years light and medium heavy postradiation complications were stated; in that 5 rectum side complications were stated in patients additionally irradiated from external fields, where the dose absorbed by rectum wall exceeded 8000 rads, with TDF - 150. No complications were observed when the dose was less than 5000 rads and TDF below 100. 16 refs., 1 fig. (author)

  20. Experimental techniques; Techniques experimentales

    Energy Technology Data Exchange (ETDEWEB)

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

    2007-07-01

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

  1. Analysing the Air: Experiences and Results of Long Term Air Pollution Monitoring in the Asia-Pacific Region Using Nuclear Analysis Techniques

    International Nuclear Information System (INIS)

    Atanacio, Armand J.

    2015-01-01

    Particles present in the air we breathe are now recognized as a major cause of disease and premature death globally. In fact, a World Health Organization (WHO) report recently ranked ambient air pollution as one of the top 10 causes of death in the world, directly contributing annually to around 3.7 million premature deaths worldwide 65% of which occurred in the Asian region alone. Airborne particulate matter (PM) can be generated from natural sources such as windblown soil or coastal sea-spray; as well as anthropogenic sources such as power stations, industry, vehicles and domestic biomass burning. At low concentration these fine pollution particles are too small to be seen by eye, but penetrate deep into our lungs and even our blood stream as our nose and throat are inefficient at filtering them out. At large concentrations, they can also have wider regional effects including reduced visibility, acid rain and even climate variability. The International Atomic Energy Agency (IAEA) in 2000, recognizing air pollution as a significant local, national and global challenge, initiated a collaborative air pollution study involving 14 countries across the greater Asia-pacific region from 2000 to 2015. This has amassed a database containing more than 14,000 data lines of PM mass concentration and the concentration of up to 40 elements using nuclear analytical techniques. It represents the most comprehensive and long-term airborne PM data set compiled to date for the Asia-Pacific region and as will be discussed, can be used to statistically resolve individual source fingerprints and their contributions to total air pollution using Positive Matrix Factorization (PMF). This sort of data necessary for implementing or reviewing the effectiveness of policy level changes aimed at targeted air pollution reduction. (author)

  2. The Number Density Evolution of Extreme Emission Line Galaxies in 3D-HST: Results from a Novel Automated Line Search Technique for Slitless Spectroscopy

    Science.gov (United States)

    Maseda, Michael V.; van der Wel, Arjen; Rix, Hans-Walter; Momcheva, Ivelina; Brammer, Gabriel B.; Franx, Marijn; Lundgren, Britt F.; Skelton, Rosalind E.; Whitaker, Katherine E.

    2018-02-01

    The multiplexing capability of slitless spectroscopy is a powerful asset in creating large spectroscopic data sets, but issues such as spectral confusion make the interpretation of the data challenging. Here we present a new method to search for emission lines in the slitless spectroscopic data from the 3D-HST survey utilizing the Wide-Field Camera 3 on board the Hubble Space Telescope. Using a novel statistical technique, we can detect compact (extended) emission lines at 90% completeness down to fluxes of 1.5(3.0)× {10}-17 {erg} {{{s}}}-1 {{cm}}-2, close to the noise level of the grism exposures, for objects detected in the deep ancillary photometric data. Unlike previous methods, the Bayesian nature allows for probabilistic line identifications, namely redshift estimates, based on secondary emission line detections and/or photometric redshift priors. As a first application, we measure the comoving number density of Extreme Emission Line Galaxies (restframe [O III] λ5007 equivalent widths in excess of 500 Å). We find that these galaxies are nearly 10× more common above z ∼ 1.5 than at z ≲ 0.5. With upcoming large grism surveys such as Euclid and WFIRST, as well as grisms featured prominently on the NIRISS and NIRCam instruments on the James Webb Space Telescope, methods like the one presented here will be crucial for constructing emission line redshift catalogs in an automated and well-understood manner. This work is based on observations taken by the 3D-HST Treasury Program and the CANDELS Multi-Cycle Treasury Program with the NASA/ESA HST, which is operated by the Association of Universities for Research in Astronomy, Inc., under NASA contract NAS5-26555.

  3. The functional anatomy of suggested limb paralysis.

    Science.gov (United States)

    Deeley, Quinton; Oakley, David A; Toone, Brian; Bell, Vaughan; Walsh, Eamonn; Marquand, Andre F; Giampietro, Vincent; Brammer, Michael J; Williams, Steven C R; Mehta, Mitul A; Halligan, Peter W

    2013-02-01

    Suggestions of limb paralysis in highly hypnotically suggestible subjects have been employed to successfully model conversion disorders, revealing similar patterns of brain activation associated with attempted movement of the affected limb. However, previous studies differ with regard to the executive regions involved during involuntary inhibition of the affected limb. This difference may have arisen as previous studies did not control for differences in hypnosis depth between conditions and/or include subjective measures to explore the experience of suggested paralysis. In the current study we employed functional magnetic resonance imaging (fMRI) to examine the functional anatomy of left and right upper limb movements in eight healthy subjects selected for high hypnotic suggestibility during (i) hypnosis (NORMAL) and (ii) attempted movement following additional left upper limb paralysis suggestions (PARALYSIS). Contrast of left upper limb motor function during NORMAL relative to PARALYSIS conditions revealed greater activation of contralateral M1/S1 and ipsilateral cerebellum, consistent with the engagement of these regions in the completion of movements. By contrast, two significant observations were noted in PARALYSIS relative to NORMAL conditions. In conjunction with reports of attempts to move the paralysed limb, greater supplementary motor area (SMA) activation was observed, a finding consistent with the role of SMA in motor intention and planning. The anterior cingulate cortex (ACC, BA 24) was also significantly more active in PARALYSIS relative to NORMAL conditions - suggesting that ACC (BA 24) may be implicated in involuntary, as well as voluntary inhibition of prepotent motor responses. Copyright © 2012 Elsevier Ltd. All rights reserved.

  4. Overview of the SBS 2016 Suggestion Track

    DEFF Research Database (Denmark)

    Koolen, Marijn; Bogers, Toine; Jaap, Kamps

    2016-01-01

    The goal of the SBS 2016 Suggestion Track is to evaluate approaches for supporting users in searching collections of books who express their information needs both in a query and through example books. The track investigates the complex nature of relevance in book search and the role of traditional...... and user-generated book metadata in retrieval. We consolidated last year’s investigation into the nature of book suggestions from the LibraryThing forums and how they compare to book relevance judgements. Participants were encouraged to incorporate rich user profiles of both topic creators and other...

  5. Studies and Suggestions on Prewriting Activities

    Science.gov (United States)

    Zheng, Shigao; Dai, Weiping

    2012-01-01

    This paper studies and suggests the need for writing instruction by which students can experience writing as a creative process in exploring and communicating meaning. The prewriting activities generate ideas which can encourage a free flow of thoughts and help students discover both what they want to say and how to say it on paper. Through the…

  6. Qualitative Research Articles: Guidelines, Suggestions and Needs

    Science.gov (United States)

    Crescentini, Alberto; Mainardi, Giuditta

    2009-01-01

    Purpose: The purpose of this paper is to give ideas and suggestions to avoid some typical problems of qualitative articles. The aim is not to debate quality in qualitative research but to indicate some practical solutions. Design/methodology/approach: The paper discusses the design of qualitative research and the structure of a qualitative article…

  7. Suggestions for Structuring a Research Article

    Science.gov (United States)

    Klein, James D.; Reiser, Robert A.

    2014-01-01

    Researchers often experience difficulty as they attempt to prepare journal articles that describe their work. The purpose of this article is to provide researchers in the field of education with a series of suggestions as to how to clearly structure each section of a research manuscript that they intend to submit for publication in a scholarly…

  8. Family Living: Suggestions for Effective Parenting.

    Science.gov (United States)

    Katz, Lilian G.; And Others

    Suggestions for effective parenting of preschool children are provided in 33 brief articles on children's feelings concerning self-esteem; fear; adopted children; the birth of a sibling; death; depression; and coping with stress, trauma, and divorce. Children's behavior is discussed in articles on toddlers' eating habits, punishment and…

  9. Didactic Experiments Suggest Enhanced Learning Outcomes

    DEFF Research Database (Denmark)

    Pals Svendsen, Lisbet

    2011-01-01

    and presenting material in the language studied, just as they were encouraged to systematically use evaluation processes to enhance learning outcomes. Eventually, increased grade point averages suggested that the experiment was successful. The article also mentions subsequent revisions to the original format...... and points the way for further research....

  10. Behavioral Risk Profile of Men Who Have Sex with Men in Beijing, China: Results from a Cross-sectional Survey with Randomized Response Techniques

    Directory of Open Access Journals (Sweden)

    Guo-Zhu Geng

    2016-01-01

    Conclusions: Our study employed RRTs in a survey containing questions on sexual behavior among MSM, and the results showed that RRT might be a useful tool to obtain truthful feedback on sensitive information such as sexual behavior from the respondents, especially in traditional Chinese cultural settings.

  11. Suprafascial versus traditional harvesting technique for free antero lateral thigh flap: A case-control study to assess the best functional and aesthetic result in extremity reconstruction.

    Science.gov (United States)

    Maruccia, Michele; Fallico, Nefer; Cigna, Emanuele; Ciudad, Pedro; Nicoli, Fabio; Trignano, Emilio; Nacchiero, Eleonora; Giudice, Giuseppe; Ribuffo, Diego; Chen, Hung-Chi

    2017-11-01

    Clinical applications of ALT flap have currently extended to extremity (hand and foot) as well as oral cavity reconstruction. In these anatomical areas, the traditional harvesting technique presents a few disadvantages such as bulkiness of the recipient site and potential donor site morbidity including damage to the deep fascia and skin graft adhesions. The purpose of the present study was to compare the functional and aesthetic outcomes of upper and lower extremity reconstruction with either suprafascial or subfascial harvested anterolateral (ALT) flaps. Sixty patients who underwent hand or foot reconstruction with an ALT flap between January 2013 and January 2015 were included in the study (34 flaps elevated on a subfascial plane and 26 on a suprafascial plane). Group 1 (subfascial harvested ALT flap) was composed of 23 male and 11 female patients with an average age of 53.4 years (range, 36-72 years). Group 2 (suprafascial harvested ALT flap) was composed of 18 male and 8 female patients with an average age of 48.7 years (range, 32-69 years). Surgical indication was tumor resection for 20 patients in group 1 and 16 patients in group 2, chronic ulcer for 8 patients in group 1 and 6 patients in group 2, and trauma for 6 patients in group 1 and 4 patients in group 2. Complications were documented. Aesthetic outcomes were considered in terms of bulkiness of the recipient site, subsequent request for a debulking procedure, and donor site morbidity. Donor site scars were evaluated for cosmesis using a modified Hollander Wound Evaluation Scale (HWES). Skin grafts outcomes were assessed according to the modified Vancouver Scar Scale (VSS). Functional outcome at the recipient site was measured using the Enneking functional outcome score (ESS). Total range of motion (ROM) was recorded. All flaps were successfully elevated with at least one viable perforator with both approaches. The survival rates of suprafascial and subfascial harvested ALT flaps were 96.2 and 97

  12. Research priorities relating to the debate on assisted dying: what do we still need to know? Results of a modified Delphi technique.

    Science.gov (United States)

    Rodgers, Mark; Booth, Alison; Norman, Gill; Sowden, Amanda

    2016-06-07

    To identify the main areas of uncertainty and subsequent research priorities to inform the ongoing debate around assisted dying. Two-round electronic modified Delphi consultation with experts and interested bodies. 110 groups and individuals interested in the subject of end-of-life care and/or assisted dying were approached to participate. Respondents included health and social care professionals, researchers, campaigners, patients and carers predominantly based in the UK. In the first round, the respondents were asked to propose high-priority research questions related to the topic of assisted dying. The collected research questions were then deduplicated and presented to all respondents in a second round in which they could rate each question in terms of importance. 24% and 26% of participants responded to the first and second rounds, respectively. Respondents suggested 85 unique research questions in the first round. These were grouped by theme and rated in terms of importance in the second round. Emergent themes were as follows: palliative care/symptom control; patient characteristics, experiences and decisions; families and carers; society and the general public; arguments for and against assisted dying; international experiences/analysis of existing national data; suicide; mental health, psychological and psychosocial considerations; comorbidities; the role of clinicians; environment and external influences; broader topics incorporating assisted dying; and moral, ethical and legal issues. 10 of the 85 proposed questions were rated as being important (≥7/10) by at least 50% of respondents. Research questions with the highest levels of consensus were predominantly concerned with understanding how and why people make end-of-life decisions, and which factors influence those decisions. Dissemination of these findings alongside a focused examination of the existing literature may be the most effective way to add evidence to the ongoing debate around assisted

  13. Suggestion of a conventional Islamic calendar

    Directory of Open Access Journals (Sweden)

    M.G. Rashed

    2017-12-01

    Full Text Available There is a complexity of the problem concerning the first sighting of the new lunar crescent, which is attributed to various astronomical, astrophysical and geographical factors. Therefore, Astronomers adopted various criteria for the new crescent visibility. Muslims around the world differ in the beginning of the Hijric months. In fact the differences are not due to different methodology of astronomical calculations, which in turn the variations of the calendar at different countries gives. Farewell Hajj of Prophet Mohamed was on Friday, the ninth of Thul'hejja of the tenth year of immigration (Biography of the Prophet Mohamed. Therefor; the beginning of the month of Thul'hejja 10 A.H is on Thursday. Our suggested calendar takes Farewell Hajj of the Prophet Mohammad to be the base of this calendar. The advantage of our suggested calendar far away from any criteria; where the adoption of criteria for the new crescent visibility is often misleading.

  14. Suggestion of a conventional Islamic calendar

    Science.gov (United States)

    Rashed, M. G.; Moklof, M. G.

    2017-12-01

    There is a complexity of the problem concerning the first sighting of the new lunar crescent, which is attributed to various astronomical, astrophysical and geographical factors. Therefore, Astronomers adopted various criteria for the new crescent visibility. Muslims around the world differ in the beginning of the Hijric months. In fact the differences are not due to different methodology of astronomical calculations, which in turn the variations of the calendar at different countries gives. Farewell Hajj of Prophet Mohamed was on Friday, the ninth of Thul'hejja of the tenth year of immigration (Biography of the Prophet Mohamed). Therefor; the beginning of the month of Thul'hejja 10 A.H is on Thursday. Our suggested calendar takes Farewell Hajj of the Prophet Mohammad to be the base of this calendar. The advantage of our suggested calendar far away from any criteria; where the adoption of criteria for the new crescent visibility is often misleading.

  15. Does neuroimaging of suggestion elucidate hypnotic trance?

    Science.gov (United States)

    Raz, Amir

    2011-07-01

    Contemporary studies in the cognitive neuroscience of attention and suggestion shed new light on the underlying neural mechanisms that operationalize these effects. Without adhering to important caveats inherent to imaging of the living human brain, however, findings from brain imaging studies may enthrall more than explain. Scholars, practitioners, professionals, and consumers must realize that the influence words exert on focal brain activity is measurable but that these measurements are often difficult to interpret. While recent brain imaging research increasingly incorporates variations of suggestion and hypnosis, correlating overarching hypnotic experiences with specific brain substrates remains tenuous. This article elucidates the mounting role of cognitive neuroscience, including the relative merits and intrinsic limitations of neuroimaging, in better contextualizing trance-like concepts.

  16. The use of suggestion in sports practice

    Directory of Open Access Journals (Sweden)

    Omelyanenko V.I.

    2013-09-01

    Full Text Available The aim of the study is to provide a comprehensive, integrated modified technique of personal psycho-physiological regulation based on a system of Raja Yoga. The study involved candidates and masters of sports of freestyle skiing in the amount of 21 people aged 17 to 23 years. Found that athletes co 2 and stage 3 of the hypnotic state successfully acquired by dhyana and can apply it in preparation for a competition. The proposed method includes a high quality optimal fighting condition, modeling and programming training and competitive processes using deferred units, the correction of motor skills. Athletes in their imagination run program of the second day of competition. Then, the third day of competition modeled, programmed overall health. Are told that in the day of the event will have a good mood, great feeling, a surge of strength, vigor, vitality, desire to show all of their sporting qualities.

  17. Ontology Learning - Suggesting Associations from Text

    OpenAIRE

    Kvarv, Gøran Sveia

    2007-01-01

    In many applications, large-scale ontologies have to be constructed and maintained. A manual construction of an ontology is a time consuming and resource demanding process, often involving some domain experts. It would therefore be beneficial to support this process with tools that automates the construction of an ontology. This master thesis has examined the use of association rules for suggesting associations between words in text. In ontology learning, concepts are often extracted from d...

  18. Phase I/II study of proton beam irradiation for the treatment of subfoveal choroidal neovascularization in age-related macular degeneration: treatment techniques and preliminary results

    International Nuclear Information System (INIS)

    Yonemoto, Leslie T.; Slater, Jerry D.; Friedrichsen, Eric J.; Loredo, Lilia N.; Ing, Jeffrey; Archambeau, John O.; Teichman, Sandra; Moyers, Michael F.; Blacharski, Paul A.; Slater, James M.

    1996-01-01

    Purpose: Age-related macular degeneration is the prevalent etiology of subfoveal choroidal neovascularization (CNV). The only effective treatment is laser photocoagulation, which is associated with decreased visual acuity following treatment in most patients. This study assessed both the response of subfoveal CNV to proton beam irradiation and treatment-related morbidity. We evaluated preliminary results in patients treated with an initial dose of 8 Cobalt Gray Equivalents (CGE) using a relative biological effectiveness (RBE) of 1.1. Methods and Materials: Twenty-one patients with subfoveal CNV received proton irradiation to the central macula with a single fraction of 8 CGE; 19 were eligible for evaluation. Treatment-related morbidity was based on Radiation Therapy Oncology Group (RTOG) criteria; response was evaluated by Macular Photocoagulation Study (MPS) guidelines. Fluorescein angiography was performed; visual acuity, contrast sensitivity, and reading speed were measured at study entry and at 3-month intervals after treatment. Follow-up ranged from 6 to 15 months. Results: No measurable treatment-related morbidity was seen during or after treatment. Of 19 patients evaluated at 6 months, fluorescein angiography demonstrated treatment response in 10 (53%); 14 (74%) patients had improved or stable visual acuity. With a mean follow-up of 11.6 months, 11 (58%) patients have demonstrated improved or stable visual acuity. Conclusion: A macular dose of 8 CGE yielded no measurable treatment morbidity in patients studied. Fluorescein nagiography demonstrated that regressed or stabilized lesions were associated with improved visual acuity as compared with MPS results. In the next phase, a dose of 14 CGE in a single fraction will be used to further define the optimal dose fractionation schedule

  19. Association between fixation technique and revision risk in total hip arthroplasty patients younger than 55 years of age. Results from the Nordic Arthroplasty Register Association

    DEFF Research Database (Denmark)

    Pedersen, A. B.; Mehnert, F.; Havelin, L. I.

    2014-01-01

    Objectives: To evaluate implant survival following primary total hip replacement (THR) in younger patients. To describe the diversity in use of cup-stem implant combinations. Design: 29,558 primary THRs osteoarthritis (OA) patients younger than 55 years of age performed from 1995 through 2011 were...... identified using the Nordic Arthroplasty Registry Association database. We estimated adjusted relative risk (aRR) of revision with 95% confidence interval (CI) using Cox regression. Results: In general, no difference was observed between uncemented and cemented implants in terms of risk of any revision...

  20. One-stage reconstruction of isolated and combined tendon defects with the vascularized adductor magnus tendon graft: Surgical technique and preliminary results.

    Science.gov (United States)

    Neuwirth, M; Bürger, H; Palle, W; Rab, M

    2016-07-01

    Secondary reconstructions of isolated and combined tendon defects are still a challenge for plastic surgeons. Due to its reliable anatomy, reconstructive potential and low donor-site morbidity, the medial femoral condyle is an ideal area for harvesting isolated and combined tendon flaps. This study evaluates our preliminary results with the vascularized adductor magnus tendon flap. The study included six patients who received a vascularized tendon flap (upper extremity: three patients; lower extremity: three patients) from 2011 to 2015. For three patients, the adductor magnus tendon was used as a single flap; for the other three patients, the tendon was included in a composite flap. A retrospective chart review provided the patients' demographic data, surgical details and the post-operative course. The further objective and patient-reported outcome was evaluated with a long-term follow-up. All of the free vascularized flaps healed without complications and with good vascularization upon duplex ultrasonography. One patient did, however, require revision surgery in the late post-operative course. At the end point, all patients showed good functional results without any donor-site morbidity. For carefully selected isolated and combined tendon defects on the upper and lower extremities, the vascularized adductor magnus tendon flap provides a reliable and versatile method for microsurgical reconstruction. Copyright © 2016 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

  1. Triple osteotomy of the pelvis and trochanteric osteotomy as a treatment for hip dysplasia in the immature dog: the surgical technique and results of 77 consecutive operations

    International Nuclear Information System (INIS)

    Schrader, S.C.

    1986-01-01

    Triple osteotomy of the pelvis with transplantation of the greater trochanter was performed in 41 immature dogs (77 hips) with hip dysplasia. Before surgery, all hips were moderately to severely subluxated and unstable on palpation. The juxta-acetabular location of the ilial, ischial, and pubic osteotomies allowed repositioning of the acetabulum over the femoral head even when subluxation was severe. The acetabular fragment was rotated 70 degrees to 90 degrees in all hips. After surgery, craniodorsal coverage of the femoral head was increased and each hip was stable on palpation. Bilateral procedures were performed 4 to 7 weeks apart. The functional status of the limb was assessed and physical examination and radiography were performed in 71% (55) of the hips 1.0 to 5.5 years (mean, 2.7 years) after surgery. Functional ability was considered satisfactory in 93% (51) of the limbs, though few dogs had a normal gait. On palpation, all hips were stable and all but one were evaluated as nonpainful. In most instances, contact between the femoral neck and the repositioned acetabular rim resulted in a variable amount of crepitus and restriction of motion when the hip was abducted and rotated externally and internally. Eighty-two percent (45) of the hips had little or no evidence of degenerative joint disease. A satisfactory functional, physical, and radiographic result was obtained in 73% (40) of the hips

  2. A Novel Technique for Performing Space Based Radiation Dosimetry Using DNA: Results from GRaDEx-I and the Design of GRaDEx-II

    Science.gov (United States)

    Ritter, Joe; Branly, R.; Theodorakis, C.; Bickham, J.; Swartz, C.; Friedfeld, R.; Ackerman, E.; Carruthers, C.; DiGirolamo, A.; Faranda, J.; hide

    1999-01-01

    Because of the large amounts of cosmic radiation in the space environment relative to that on earth, the effects of radiation on the physiology of astronauts is of major concern. Doses of radiation which can cause acute or chronic biological effects are to be avoided, therefore determination of the amount of radiation exposure encountered during space flight and assessment of its impact on biological systems is critical. Quantifying the radiation dosage and damage to biological systems, especially to humans during repetitive high altitude flight and during long duration space flight is important for several reasons. Radiation can cause altered biosynthesis and long term genotoxicity resulting in cancer and birth defects, etc. Radiation damage to biological systems depends in a complex way on incident radiation species and their energy spectra. Typically non-biological, i.e. film or electronic monitoring systems with narrow energy band sensitivity are used to perform dosimetry and then results are extrapolated to biological models. For this reason it may be desirable to perform radiation dosimetry by using biological molecules e.g. DNA or RNA strands as passive sensors. A lightweight genotoxicology experiment was constructed to determine the degree to which in-vitro naked DNA extracted from tissues of a variety of vertebrate organisms is damaged by exposure to radiation in a space environment. The DNA is assayed by means of agarose gel electrophoresis to determine damage such as strand breakage caused by high momentum particles and photons, and base oxidation caused by free radicals. The length distribution of DNA fragments is directly correlated with the radiation dose. It is hoped that a low mass, low cost, passive biological system to determine dose-response relationship (increase in strand breaks with increase in exposure) can be developed to perform radiation dosimetry in support of long duration space flight, and to predict negative effects on biological

  3. A Novel Technique for Performing Space Based Radiation Dosimetry Using DNA-Results from GRaDEx-I and the Design of GRaDEx-II

    Science.gov (United States)

    Ritter, Joe; Branly, R.; Theodorakis, C.; Bickham, J.; Swartz, C.; Friedfeld, R.; Ackerman, E.; Carruthers, C.; DiGirolamo, A.; Faranda, J.

    1999-01-01

    Because of the large amounts of cosmic radiation in the space environment relative to that on earth, the effects of radiation on the physiology of astronauts is of major concern. Doses of radiation which can cause acute or chronic biological effects are to be avoided, therefore determination of the amount of radiation exposure encountered during space flight and assessment of its impact on biological systems is critical. Quantifying the radiation dosage and damage to biological systems, especially to humans during repetitive high altitude flight and during long duration space flight is important for several reasons. Radiation can cause altered biosynthesis and long term genotoxicity resulting in cancer and birth defects etc. Radiation damage to biological systems depends in a complex way on incident radiation species and their energy spectra. Typically non-biological, i.e. film or electronic monitoring systems with narrow energy band sensitivity are used to perform dosimetry and then results are extrapolated to biological models. For this reason it may be desirable to perform radiation dosimetry by using biological molecules e.g. DNA or RNA strands as passive sensors. A lightweight genotoxicology experiment was constructed to determine the degree to which in vitro naked DNA extracted from tissues of a variety of vertebrate organisms is damaged by exposure to radiation in a space environment. The DNA is assayed by means of agarose gel electrophoresis to determine damage such as strand breakage caused by high momentum particles and photons, and base oxidation caused by free radicals. The length distribution of DNA fragments is directly correlated with the radiation dose. It is hoped that a low mass, low cost, passive biological system to determine dose response relationship (increase in strand breaks with increase in exposure) can be developed to perform radiation dosimetry in support of long duration space flight, and to predict negative effects on biological

  4. Ice911 Research: A Reversible Localized Geo-Engineering Technique to Mitigate Climate Change Effects: Field Testing, Instrumentation and Climate Modeling Results

    Science.gov (United States)

    Field, L. A.; Sholtz, A.; Chetty, S.; Manzara, A.; Johnson, D.; Christodoulou, E.; Decca, R.; Walter, P.; Katuri, K.; Bhattacharyya, S.; Ivanova, D.; Mlaker, V.; Perovich, D. K.

    2017-12-01

    This work uses ecologically benign surface treatment of silica-based materials in carefully selected, limited areas to reduce polar ice melt by reflecting energy from summertime polar sun to attempt to slow ice loss due to the Ice-Albedo Feedback Effect. Application of Ice911's materials can be accomplished within a season, at a comparatively low cost, and with far less secondary environmental impact than many other proposed geo-engineering solutions. Field testing, instrumentation, safety testing, data-handling and modeling results will be presented. The albedo modification has been tested over a number of melt seasons with an evolving array of instrumentation, at multiple sites and on progressively larger scales, most recently in a small artificial pond in Minnesota and in a lake in Barrow, Alaska's BEO (Barrow Experimental Observatory) area. The test data show that the glass bubbles can provide an effective material for increasing albedo, significantly reducing the melting rate of ice. Using NCAR's CESM package the environmental impact of the approach of surface albedo modification was studied. During two separate runs, region-wide Arctic albedo modification as well as more targeted localized treatments were modeled and compared. The parameters of a surface snow layer are used as a proxy to simulate Ice911's high-albedo materials, and the modification is started in January over selected ice/snow regions in the Arctic. Preliminary results show promising possibilities of enhancements in surface albedo, sea ice area and sea-ice concentration, as well as temperature reductions of .5 to 3 degree Kelvin in the Arctic, and global average temperature reductions of .5 to 1 degrees.

  5. Osteocartilaginous transfer of the proximal part of the fibula for osseous overgrowth in children with congenital or acquired tibial amputation: surgical technique and results.

    Science.gov (United States)

    Fedorak, Graham T; Watts, Hugh G; Cuomo, Anna V; Ballesteros, Julian P; Grant, Heather J; Bowen, Richard E; Scaduto, Anthony A

    2015-04-01

    Osseous overgrowth is a common problem in children after tibial transcortical amputation. We present the results of forty-seven children (fifty tibiae) treated for tibial osseous overgrowth with an autologous osteocartilaginous cap from the proximal part of the ipsilateral fibula. We reviewed the records of all patients who underwent amputation at a single pediatric hospital from 1990 to 2011. All patients who had been followed for a minimum of two years after undergoing osteocartilaginous capping with the proximal part of the ipsilateral fibula to treat established tibial overgrowth were included. Patients with acquired and congenital amputations were compared. Fifty tibiae in forty-seven patients met our inclusion criteria. There were thirty-one acquired and nineteen congenital amputations. The mean age at surgery was 7.6 years (range, 2.1 to 15.6 years), and the mean duration of follow-up was 7.2 years (range, 2.2 to 15.4 years). Five tibiae (10%) in four patients had recurrence of the overgrowth at a mean of 5.4 years (range, 2.8 to 7.6 years) after the osteocartilaginous transfer. There was no significant difference in the results between children with an acquired amputation and those with a congenital amputation. At a mean of 7.2 years after autologous osteocartilaginous capping with the proximal part of the fibula, 90% of the limbs had not had recurrent overgrowth. This is a safe and effective treatment of long-bone overgrowth following either congenital or acquired amputation in children. Copyright © 2015 by The Journal of Bone and Joint Surgery, Incorporated.

  6. Preventing motor training through nocebo suggestions.

    Science.gov (United States)

    Pollo, Antonella; Carlino, Elisa; Vase, Lene; Benedetti, Fabrizio

    2012-11-01

    Although placebos have repeatedly been shown to increase physical performance and endurance, much less is known about the effect of their negative counterpart, nocebos. Here, we employ negative suggestions and a sham electrical stimulation as a nocebo conditioning procedure in healthy subjects performing a leg extension exercise to total exhaustion. Using two different protocols, we analyze the contribution of expectation alone or the combination of conditioning and expectation to the nocebo effect evaluated as the change of work performed and rate of perceived exertion. We find that it is possible to negatively modulate the physical performance in both cases, and we argue that this effect can effectively offset the outcome of training programs.

  7. Radiotherapy for treatment of bursitis. Indication, technique, own results, literature survey; Strahlentherapie bei der Periarthropathia humeroscapularis (PHS). Indikation, Technik, eigene Ergebnisse, Literaturuebersicht

    Energy Technology Data Exchange (ETDEWEB)

    Heyd, R. [Staedtische Kliniken Offenbach am Main (Germany). Strahlenklinik]|[Frankfurt Univ. (Germany). Klinik fuer Strahlentherapie und Onkologie; Schopohl, B.; Boettcher, H.D. [Frankfurt Univ. (Germany). Klinik fuer Strahlentherapie und Onkologie

    1998-12-31

    Our own experience covers 41 primarily chronic cases. The patients have been irradiated with a telecobalt device with isocentric opposing fields, receiving 4x1.0 Gy within two weeks; 15 patients (36.6%) received a second radiation treatment (8 Gy), and one patient (2.4%) a third (12 Gy). After a follow-up period of 44 months on the average, the results were: Complete remittence of pain in 44%, abatement of pain in 44%, and no effect in 12%. Improvement of shoulder joint motility was achieved in 78%. The rate of recidivation was as low as 3%. A statistical evaluation of data acquired revealed that the prognosis is worst in case of a long period of pain preceding commencement of radiotherapy, combined with intensive prior therapy. (orig./CB) [Deutsch] In einer eigenen Untersuchung wurden 41 ueberwiegend chronische Faelle mit 4x1,0 Gy in 2 Wochen an einem Telekobaltgeraet mit isozentrischen Gegenfeldern behandelt, 15 (36,6%) erhielten eine 2. Bestrahlungsserie (8 Gy), ein Fall (2,4%) eine Dritte (12 Gy). Nach einem Nachbeobachtungszeitraum von median 44 Monaten fand sich bei 44% eine komplette Schmerzremission, bei 44% eine Linderung und 12% waren ohne einen Einfluss der Behandlung. Eine Verbesserung der Motilitaet des Schultergelenkes wurde bei 78% erreicht. Die Rezidivrate lag bei nur 3%. Nach statistischer Bearbeitung der Daten erwies sich die Kombination einer langen Beschwerdedauer vor Einleitung der Radiotherapie und intensiver Vortherapie als prognostisch unguenstiger (p=0,02). (orig.)

  8. Estapedotomia totalmente endoscópica: técnica e resultados preliminares Fully endoscopic stapes surgery (stapedotomy: technique and preliminary results

    Directory of Open Access Journals (Sweden)

    João Flávio Nogueira Júnior

    2011-12-01

    visualization of important structures. b To show initial results, discuss possible advantages and disadvantages of this instrument. METHODS: 15 patients with otosclerosis were selected to undergo stapedotomies in 2010. The data and surgery videos were analyzed retrospectively (study case series. The anatomical conditions of the oval window niche and surgical steps were described and used to assess possible benefits of such procedures. RESULTS: The surgeries were performed with endoscopes only and all relevant anatomical structures were visualized without difficulty. No complications were observed and 14 of the 15 patients reported improvement of their hearing, confirmed by postoperative audiological tests. CONCLUSION: Totally endoscopic stapes surgeries are technically feasible, safe and promising. In this small series, the main advantages were: virtually no trauma to the chorda tympani nerve and excellent vision. The disadvantages were the lack of stereoscopic vision, having to work with one hand only and the learning curve.

  9. Noninvasive assessment of coronary artery disease by multislice spiral computed tomography using a new retrospectively ECG-gated image reconstruction technique. Comparison with angiographic results

    Energy Technology Data Exchange (ETDEWEB)

    Sato, Yuichi; Matsumoto, Naoya; Kato, Masahiko [Nihon Univ., Tokyo (Japan). Surugadai Hospital] [and others

    2003-04-01

    The present study was designed to investigate the accuracy of multislice spiral computed tomography (MSCT) in detecting coronary artery disease, compared with coronary angiography (CAG), using a new retrospectively ECG-gated reconstruction method that reduced cardiac motion artifact. The study group comprised 54 consecutive patients undergoing MSCT and CAG. MSCT was performed using a SOMATOM Volume Zoom (4-detector-row, Siemens, Germany) with slice thickness 1.0 mm, pitch 1.5 (table feed: 1.5 mm per rotation) and gantry rotation time 500 ms. Metoprolol (20-60 mg) was administered orally prior to MSCT imaging. ECG-gated image reconstruction was performed with the reconstruction window (250 ms) positioned immediately before atrial contraction in order to reduce the cardiac motion artifact caused by the abrupt diastolic ventricular movement occurring during the rapid filling and atrial contraction periods. Following inspection of the volume rendering images, multiplanar reconstruction images and axial images of the left main coronary artery (LMCA), left anterior descending artery (LAD), left circumflex artery (LCx) and right coronary artery (RCA) were obtained and evaluated for luminal narrowing. The results were compared with those obtained by CAG. Of 216 coronary arteries, 206 (95.4%) were assessable; 10 arteries were excluded from the analysis because of severe calcification (n=4), stents (n=3) or insufficient contrast enhancement (n=3). The sensitivity to detect coronary stenoses {>=}50% was 93.5% and the specificity to define luminal narrowing <50% was 97.2%. The positive predictive value and the negative predictive value were 93.5% and 97.2%, respectively. The sensitivity was still satisfactory (80.6%) even when non-assessable arteries were included in the analysis. The new retrospectively ECG-gated reconstruction method for MSCT has excellent diagnostic accuracy in detecting significant coronary artery stenoses. (author)

  10. The result analysis by A-Frame technique in coating failure detection; Analise dos resultados do uso da tecnica A-Frame na localizacao de falhas no revestimento

    Energy Technology Data Exchange (ETDEWEB)

    Silva, Fabio Amarante; Leite, Daniele C.F. [PETROBRAS, Rio de Janeiro, RJ (Brazil); Oliver, Joao Hipolito L. [TRANSPETRO - PETROBRAS Transportes, Rio de Janeiro, RJ (Brazil)

    2005-07-01

    This paper presents the method used to helps the on land pipeline integrity management, focusing on external corrosion control. The method is achieved by gathering together the data from an Over The Line Survey (OLS) and an In Line Inspection (ILI). As the corrosion occurs at a coating fault in a non-effective cathodic protection (cp) area, both coating and metal loss inspection data were employed in this method. The OLS is applied to pinpoint and graduate the coating faults in underground pipeline by using the Coating Attenuation / A-Frame (ACVG - Alternate Current Voltage Gradient) technic. The ILI is applied to measure the external metal loss (corrosion) by running a smart PIG tool. In some pipelines a huge number of coating fault can be found, but it doesn't mean that all of them must be repaired, so it is a need to identify the critical coating fault, so that the number of digging for coating repair can be drastically reduced. In the other way, as the smart PIG can provide data of corrosion in the pipe, the coating fault on a corroded area can be considered as a critical one. Together, those data may point the spot where the cathodic protection was not effective and the coating failure resulted in corrosion on the pipe. This method has been a helpful criterion to identify critical coating faults and reduce the overall repair cost, it can be also used to indirect evaluate the performance of cp system, since no corrosion indication on a coating fault area can be assumed that the CP is effective. (author)

  11. Bone Apparent and Material Densities Examined by Cone Beam Computed Tomography and the Archimedes Technique: Comparison of the Two Methods and Their Results

    Directory of Open Access Journals (Sweden)

    George J. Adams

    2018-02-01

    Full Text Available An understanding of bone apparent and material densities and how they vary within bone at the organ level is of great interest in the understanding of degenerative bone conditions and for biomedical engineering applications. The densities of bone tissue have been shown to appreciably influence the mechanical competency of bone tissue. In order to assess the density of bone in the body, it is important to ensure that the parameters being measured in vivo are truly representative of the real values that have been measured in vitro. To assess the densities of bone across the entire spectrum of available porosities, 112 samples from an elephant femur were assessed using the Archimedes method (water displacement and by micro-computed tomography (μ-CT. Comparisons were drawn between the two methods to determine if the densities calculated by μ-CT were representative of physically measured densities. The results showed that the apparent densities measured over the entire spectrum were very similar but varied in the intermediate regions of bone tissue, probably due to an increased presence of osteoid, increased remodeling, or experimental error as these type of bone is known for the presence of regions of closed cell geometry in the cancellous architecture. It could be argued that the measurements taken by μ-CT are more reliable of bone density values for the mineralized regions of bone as the threshold is defined with respect to the absorption of X-rays by the mineral. In contrast, the Archimedes method thresholds everything with a density value above that of the surrounding medium, 1 (g cm−3 for water, and hence it is more sensitive to the presence of osteoid, soft collagenous matrix, and epithelial cell layers. Further research is required to optimize the parameters of scanning methods for the structural properties of different bone tissue porosities, which hopefully in turn will be able to provide a basis for the development of predictive

  12. Chest magnetic resonance imaging: a protocol suggestion

    Directory of Open Access Journals (Sweden)

    Bruno Hochhegger

    2015-12-01

    Full Text Available Abstract In the recent years, with the development of ultrafast sequences, magnetic resonance imaging (MRI has been established as a valuable diagnostic modality in body imaging. Because of improvements in speed and image quality, MRI is now ready for routine clinical use also in the study of pulmonary diseases. The main advantage of MRI of the lungs is its unique combination of morphological and functional assessment in a single imaging session. In this article, the authors review most technical aspects and suggest a protocol for performing chest MRI. The authors also describe the three major clinical indications for MRI of the lungs: staging of lung tumors; evaluation of pulmonary vascular diseases; and investigation of pulmonary abnormalities in patients who should not be exposed to radiation.

  13. Health service marketing: a suggested model.

    Science.gov (United States)

    Zaltman, G; Vertinsky, I

    1971-07-01

    Focus is on social marketing in a health context, and attention is directed to the development of a psychosocial model of health-related behavior with emphasis on developing countries. Each component of the model is identified and defined, with some of the interactions among its components noted. There are both advantages and limitations to using the model in a social marketing context. The model's primary contribution at this stage of its development is in structuring and organizing diverse sources of knowledge and data. New relationships are suggested which were not previously considered in the literature. The relationship between risk-taking and perceived susceptibility is 1 example. The model also provides a basis for simulating health processes, providing a testing ground for health policies before their actual implementation. The model's perspective is uniquely appropriate for the development of social marketing strategies, and it promises to encompass health market behavior in various cultural settings.

  14. Ultrasonographic findings of early abortion: suggested predictors

    International Nuclear Information System (INIS)

    Jun, Soon Ae; Ahn, Myoung Ock; Cha, Kwang Yul; Lee, Young Doo

    1992-01-01

    To investigate predictable ultrasonographic findings of early abortion. To investigate objective rules for the screening of abortion. Ultrasonographic examination of 111 early pregnancies between the sixth and ninth week in women who had regular 28 day menstrual cycles was performed. Ultrasonographic measurements of the gestational sac, crown rump length and fetal heart rate were performed using a linear array real time transducer with doppler ultrasonogram. All measurements of 17 early abortions were compared to those of 94 normal pregnancies. Most of early aborted pregnancies were classified correctly by discriminant analysis with G-SAC and CRL (G-SAC=0.5 CRL + 15, sensitivity 76.5%, specificity 96.8%). With the addition of FHR, 94.1% of early abortions could be predicted. In conclusion, ultrasonographic findings of early intrauterine growth retardation, small gestational sac and bradycardia can be predictable signs suggestive of poor prognosis of early pregnancies

  15. Chest magnetic resonance imaging: a protocol suggestion*

    Science.gov (United States)

    Hochhegger, Bruno; de Souza, Vinícius Valério Silveira; Marchiori, Edson; Irion, Klaus Loureiro; Souza Jr., Arthur Soares; Elias Junior, Jorge; Rodrigues, Rosana Souza; Barreto, Miriam Menna; Escuissato, Dante Luiz; Mançano, Alexandre Dias; Araujo Neto, César Augusto; Guimarães, Marcos Duarte; Nin, Carlos Schuler; Santos, Marcel Koenigkam; Silva, Jorge Luiz Pereira e

    2015-01-01

    In the recent years, with the development of ultrafast sequences, magnetic resonance imaging (MRI) has been established as a valuable diagnostic modality in body imaging. Because of improvements in speed and image quality, MRI is now ready for routine clinical use also in the study of pulmonary diseases. The main advantage of MRI of the lungs is its unique combination of morphological and functional assessment in a single imaging session. In this article, the authors review most technical aspects and suggest a protocol for performing chest MRI. The authors also describe the three major clinical indications for MRI of the lungs: staging of lung tumors; evaluation of pulmonary vascular diseases; and investigation of pulmonary abnormalities in patients who should not be exposed to radiation. PMID:26811555

  16. PEER SUGGESTIVE FEEDBACK IN ENGLISH SPEAKING CLASS

    Directory of Open Access Journals (Sweden)

    Agnes Widyaningrum

    2017-12-01

    Full Text Available Students learn English in Speaking Class should get enjoyable learning atmosphere in order to help them improve their speaking skill. Teacher‘s role as facilitator contributes in reducing students‘ anxiety when they have chance to speak. Nunan (1995 and Richards (2008 argue that speaking is an important skill in language learning whether it is as EFL or ESL that enable language learners to communicate not only in expressing view point but also in giving responses in their communication. This classroom study supports the idea to give positive suggestion as students‘ feedback given by their peers. Each student has their own chance to review and to be reviewed so that they can perform better in speaking class. This study is conducted in order to improve students‘ speaking skill in speaking class.

  17. Técnica e resultados da endarterectomia de artéria coronária Technique and results of coronary endarterectomy

    Directory of Open Access Journals (Sweden)

    Pedro R Salerno

    1994-09-01

    que a endarterectomia é um procedimento que, utilizado criteriosamente, possibilita uma RM completa e com resultados consistentes.The surgical approach to coronary artery disease has improved a lot during the past two decades. With the widespread use of balloon angioplasty, a growing percentage of surgical patients, have complex coronary pathology. In properly selected patients, coronary endarterectomy has been a valuable adjunt to bypass techiniques by removing obstructing lesions and preparing the distal artery for bypass grafting. Over a 5 years period (1988 to 1993, 2781 patients underwent surgical revascularization at our Instituition (Hospital do Coração. Coronary artery bypass combined with coronary endarterectomy was done in 110 patients. There were 99 men (90% and 11 women, mean age 58.9 years. For comparation patients were placed into two groups: Group A, patients undergoing endarterectomy to one artery, 104 patients - 94.5%. Group B, patients with more than one endarterectomy - 6 patients 5.4%. Perioperative myocardial infarction envolving the area supplied by the endarterectomized artery occurred in 6.3%, (7 patients. In 3 (2.7% the infarction was not related with the endarterectomized artery. Complications during the post-operative period were: arrhythmia in 26 patients (23.6%, return to the operation room for control of bleeding in 12 (10.9%, acute renal failure in 10 (9%, and low cardiac output in 4 (3.6% patients. Operative mortality rate was 4.5% (5/110, due to low cardiac output and multiple organs failure; 4 (3.8% patients belonged to Group A and 1 to Group B (16.6%. This study demostrates that multiple bypass grafting and adjunt coronary endarterectomy, can yeld good clinical results in patients with difuse coronary artery disease, many of whom would otherwise be inoperable.

  18. Suggestions for Teaching the Principles of Continental Drift in the Elementary School

    Science.gov (United States)

    Glenn, William H.

    1977-01-01

    Provides a brief overview of current geographic ideas regarding continental drift and plate tectonics and suggests techniques for illustrating continental motions to elementary school pupils. (Author/DB)

  19. The impact of hypnotic suggestibility in clinical care settings

    Science.gov (United States)

    Montgomery, Guy H.; Schnur, Julie B.; David, Daniel

    2013-01-01

    Hypnotic suggestibility has been described as a powerful predictor of outcomes associated with hypnotic interventions. However, there have been no systematic approaches to quantifying this effect across the literature. The present meta-analysis evaluates the magnitude of the effect of hypnotic suggestibility on hypnotic outcomes in clinical settings. PsycINFO and PubMed were searched from their inception through July 2009. Thirty-four effects from ten studies and 283 participants are reported. Results revealed a statistically significant overall effect size in the small to medium range (r = 0.24; 95% Confidence Interval = −0.28 to 0.75), indicating that greater hypnotic suggestibility led to greater effects of hypnosis interventions. Hypnotic suggestibility accounted for 6% of the variance in outcomes. Smaller sample size studies, use of the SHCS, and pediatric samples tended to result in larger effect sizes. Results question the usefulness of assessing hypnotic suggestibility in clinical contexts. PMID:21644122

  20. Foraminal syringomyelia: suggestion for a grading system.

    Science.gov (United States)

    Versari, P P; D'Aliberti, G; Talamonti, G; Collice, M

    1993-01-01

    The standard treatment of foraminal syringomyelia includes foramen magnum decompression and duraplasty. Improvement or stabilization of the disease are achieved in most of cases. However, at least one third of patients are reported to receive little or no benefit. In this paper we retrospectively reviewed a series of 40 consecutive foramen magnum decompressions in order to identify the possible pre-operative outcome predictors. Based on clinical evolution, neurological impairment and radiological features, a scale of severity was fixed and retrospectively tested. A pre-operative score was obtained for each patient and was correlated with the surgical results. Then a four level grading system was derived. All grade I and grade II patients achieved good results (improvement or stabilization), whereas grade III patients showed intermediate behaviour and grade IV invariably worsened. On this basis, surgical results of foramen magnum decompression might be further improved provided that a careful pre-operative selection is made.

  1. Surface science techniques

    CERN Document Server

    Bracco, Gianangelo

    2013-01-01

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

  2. Suggested use of vaccines in diabetes

    Directory of Open Access Journals (Sweden)

    Jothydev Kesavadev

    2012-01-01

    Full Text Available Diabetes has emerged as a disease of major public health importance in India affecting the rich and the poor alike. Conventionally, comprehensive diabetes management is aimed at preventing micro and macro vascular complications. However, morbidity and mortality due to infections are also significant. In developing countries like India, the concept of adult immunization is far from reality. Recently the H1N1 pandemic has triggered the necessity for considering immunization in all age groups for the prevention of vaccine-preventable fatal infectious diseases. Considering the economics of immunization in a developing country, providing free vaccines to all adults may not be a practical solution, although the free universal immunization program for children is in existence for several decades. There is no consensus on the use of vaccines in diabetes subjects in India. However, there are some clinics offering routine pneumococcal, influenza and other vaccinations. Patients with diabetes have a deranged immune system making them more prone for infections. Hospitalization and death due to pneumococcal disease and influenza are higher in diabetes patients. They, like other healthy individuals, have a normal humoral response to vaccination with clinically significant benefits. The American Diabetes Association, Advisory Committee on Immunization Practices, Centers for Disease Control and Prevention, World Health Organization, United Kingdom Guidelines and a number of other scientific organizations have well defined guidelines for vaccination in diabetes. In this article we make some suggestions for clinicians in India, regarding use of vaccines in subjects with diabetes.

  3. [Evidence that suggest the reality of reincarnation].

    Science.gov (United States)

    Bonilla, Ernesto

    2015-06-01

    Worldwide, children can be found who reported that they have memories of a previous life. More than 2,500 cases have been studied and their specifications have been published and preserved in the archives of the Division of Perceptual Studies at the University of Virginia (United States). Many of those children come from countries where the majority of the inhabitants believe in reincarnation, but others come from countries with different cultures and religions that reject it. In many cases, the revelations of the children have been verified and have corresponded to a particular individual, already dead. A good number of these children have marks and birth defects corresponding to wounds on the body of his previous personality. Many have behaviors related to their claims to their former life: phobias, philias, and attachments. Others seem to recognize people and places of his supposed previous life, and some of their assertions have been made under controlled conditions. The hypothesis of reincarnation is controversial. We can never say that it does not occur, or will obtain conclusive evidence that it happens. The cases that have been described so far, isolated or combined, do not provide irrefutable proof of reincarnation, but they supply evidence that suggest its reality.

  4. Exploration of Opinion-aware Approach to Contextual Suggestion

    Science.gov (United States)

    2014-11-01

    are selected since they cover 1 http://www.yelp.com Report Documentation Page Form ApprovedOMB No. 0704-0188 Public reporting burden for the collection...suggestion are crawled. Approximately 60,442 candidate sug- gestions are crawled for all contexts, resulting in average 1208 candidate suggestions per

  5. On theory, technique and text : guidelines and suggestions on publishing International Human Resource Management Research

    NARCIS (Netherlands)

    Raghuram, Sumita; Brewster, Chris; Chen, Xiao-Ping; Farndale, E.; Gully, Stan; Morley, Michael J.

    2017-01-01

    Publishing IHRM research continues to be a challenge for seasoned as much as junior faculty. Quantitative and qualitative studies exploring HRM-related topics involving multiple countries or complex contextual factors raise issues of developing an appropriate research question, presenting multilevel

  6. Indirect lymphography: Indications, technique, clinical results

    International Nuclear Information System (INIS)

    Gmeinwieser, J.; Lehner, K.; Golder, W.

    1988-01-01

    Indirect lymphography with iotrolan makes it possible to demonstrate the lymphatic pathways with minimal invasiveness. This opens up new possibilities in the differential diagnosis of chronic swelling of the extremities. The typical radiological appearances make it possible to diagnose various types of lymphoedema and lymphangiomatous malformations. The method also promises to be useful in elucidating the pathogenesis of various types of swelling of the extremities. (orig.) [de

  7. Why 1D electrical resistivity techniques can result in inaccurate siting of boreholes in hard rock aquifers and why electrical resistivity tomography must be preferred: the example of Benin, West Africa

    Science.gov (United States)

    Alle, Iboukoun Christian; Descloitres, Marc; Vouillamoz, Jean-Michel; Yalo, Nicaise; Lawson, Fabrice Messan Amen; Adihou, Akonfa Consolas

    2018-03-01

    Hard rock aquifers are of particular importance for supplying people with drinking water in Africa and in the world. Although the common use of one-dimensional (1D) electrical resistivity techniques to locate drilling site, the failure rate of boreholes is usually high. For instance, about 40% of boreholes drilled in hard rock aquifers in Benin are unsuccessful. This study investigates why the current use of 1D techniques (e.g. electrical profiling and electrical sounding) can result in inaccurate siting of boreholes, and checks the interest and the limitations of the use of two-dimensional (2D) Electrical Resistivity Tomography (ERT). Geophysical numerical modeling and comprehensive 1D and 2D resistivity surveys were carried out in hard rock aquifers in Benin. The experiments carried out at 7 sites located in different hard rock groups confirmed the results of the numerical modeling: the current use of 1D techniques can frequently leads to inaccurate siting, and ERT better reveals hydrogeological targets such as thick weathered zone (e.g. stratiform fractured layer and preferential weathering associated with subvertical fractured zone). Moreover, a cost analysis demonstrates that the use of ERT can save money at the scale of a drilling programme if ERT improves the success rate by only 5% as compared to the success rate obtained with 1D techniques. Finally, this study demonstrates, using the example of Benin, that the use of electrical resistivity profiling and sounding for siting boreholes in weathered hard rocks of western Africa should be discarded and replaced by the use of ERT technique, more efficient.

  8. The Short Breath-Hold Technique, Controlled Aliasing in Parallel Imaging Results in Higher Acceleration, Can Be the First Step to Overcoming a Degraded Hepatic Arterial Phase in Liver Magnetic Resonance Imaging: A Prospective Randomized Control Study.

    Science.gov (United States)

    Yoo, Jung Lim; Lee, Chang Hee; Park, Yang Shin; Kim, Jeong Woo; Lee, Jongmee; Kim, Kyeong Ah; Seol, Hae Young; Park, Cheol Min

    2016-07-01

    The aim of this study was to assess whether a short breath-hold technique can improve hepatic arterial phase (HAP) image quality in gadoxetic acid-enhanced magnetic resonance (MR) imaging compared with a conventional long breath-hold technique. Institutional review board approval and patient consent were obtained for this prospective randomized control study. One hundred nineteen patients undergoing gadoxetic acid-enhanced MR imaging were randomly assigned to groups A or B. Group A patients underwent an 18-second long breath-hold MR technique (conventional VIBE [volumetric interpolated breath-hold examination] technique with GRAPPA [generalized autocalibrating partially parallel acquisition]), and group B patients underwent a 13-second short breath-hold MR technique (VIBE technique with CAIPIRINHA [controlled aliasing in parallel imaging results in higher acceleration]). Respiratory-related graphs of the precontrast and HAP were acquired. The breath-hold degree was graded based on the standard deviation (SD) value of respiratory waveforms. Gadoxetic acid-related dyspnea was defined as when the SD value of the HAP was 200 greater than that of the precontrast phase without degraded image quality in the portal and transitional phases (SD value of the HAP - SD value of the precontrast phase). The overall image quality and motion artifacts of the precontrast and HAP images were evaluated. The groups were compared using the Student t or Fisher exact test, as appropriate. The incidence of breath-holding difficulty (breath-hold grades 3 and 4) during the HAP was 43.6% (27/62) and 36.8% (21/57) for group A and B, respectively. The SD value during the precontrast phase and the SD value difference between the precontrast and HAP were both significantly higher in group A than in group B (P = 0.047 and P = 0.023, respectively). Gadoxetic acid-related dyspnea was seen in 19.4% (12/62) of group A and 7.0% (4/57) of group B. Group B showed better precontrast and HAP image quality

  9. Placebo-Suggestion Modulates Conflict Resolution in the Stroop Task

    Science.gov (United States)

    Caspar, Emilie A.; Gevers, Wim; Cleeremans, Axel

    2013-01-01

    Here, we ask whether placebo-suggestion (without any form of hypnotic induction) can modulate the resolution of cognitive conflict. Naïve participants performed a Stroop Task while wearing an EEG cap described as a “brain wave” machine. In Experiment 1, participants were made to believe that the EEG cap would either enhance or decrease their color perception and performance on the Stroop task. In Experiment 2, participants were explicitly asked to imagine that their color perception and performance would be enhanced or decreased (non-hypnotic imaginative suggestion). We observed effects of placebo-suggestion on Stroop interference on accuracy: interference was decreased with positive suggestion and increased with negative suggestion compared to baseline. Intra-individual variability was also increased under negative suggestion compared to baseline. Compliance with the instruction to imagine a modulation of performance, on the other hand, did not influence accuracy and only had a negative impact on response latencies and on intra-individual variability, especially in the congruent condition of the Stroop Task. Taken together, these results demonstrate that expectations induced by a placebo-suggestion can modulate our ability to resolve cognitive conflict, either facilitating or impairing response accuracy depending on the suggestion’s contents. Our results also demonstrate a dissociation between placebo-suggestion and non-hypnotic imaginative suggestion. PMID:24130735

  10. EUROCODE — Wind Action. Suggestions for modernisation

    Directory of Open Access Journals (Sweden)

    Bartosz Bawiec

    2016-09-01

    Full Text Available The European Standard EN 1991-1-4 2005 Part 1-4 Wind Actions should be modernized. It should be the computer program not the book. The maps of the anticipated wind speed should be replaced by the probable maximal speed of the wind blast calculated by meteorology institutes. The results of flow calculation should be converted into the spline approximated function or generalized Fourier series. The Standard should disclose physical relations wind-structure-pressure. The safety coefficients should not be included in a model of wind action at a being built object. We expect discussion.[b]Keywords[/b]: civil engineering, wind pressure, load modelling in engineering

  11. An improved method of renal tissue engineering, by combining renal dissociation and reaggregation with a low-volume culture technique, results in development of engineered kidneys complete with loops of Henle.

    Science.gov (United States)

    Chang, C-Hong; Davies, Jamie A

    2012-01-01

    Tissue engineering of functional kidney tissue is an important goal for clinical restoration of renal function in patients damaged by infectious, toxicological, or genetic disease. One promising approach is the use of the self-organizing abilities of embryonic kidney cells to arrange themselves, from a simply reaggregated cell suspension, into engineered organs similar to fetal kidneys. The previous state-of-the-art method for this results in the formation of a branched collecting duct tree, immature nephrons (S-shaped bodies) beside and connected to it, and supportive stroma. It does not, though, result in the significant formation of morphologically detectable loops of Henle - anatomical features of the nephron that are critical to physiological function. We have combined the best existing technique for renal tissue engineering from cell suspensions with a low-volume culture technique that allows intact kidney rudiments to make loops of Henle to test whether engineered kidneys can produce these loops. The result is the formation of loops of Henle in engineered cultured 'fetal kidneys', very similar in both morphology and in number to those formed by intact organ rudiments. This brings the engineering technique one important step closer to production of a fully realistic organ. Copyright © 2012 S. Karger AG, Basel.

  12. An effective suggestion method for keyword search of databases

    KAUST Repository

    Huang, Hai

    2016-09-09

    This paper solves the problem of providing high-quality suggestions for user keyword queries over databases. With the assumption that the returned suggestions are independent, existing query suggestion methods over databases score candidate suggestions individually and return the top-k best of them. However, the top-k suggestions have high redundancy with respect to the topics. To provide informative suggestions, the returned k suggestions are expected to be diverse, i.e., maximizing the relevance to the user query and the diversity with respect to topics that the user might be interested in simultaneously. In this paper, an objective function considering both factors is defined for evaluating a suggestion set. We show that maximizing the objective function is a submodular function maximization problem subject to n matroid constraints, which is an NP-hard problem. An greedy approximate algorithm with an approximation ratio O((Formula presented.)) is also proposed. Experimental results show that our suggestion outperforms other methods on providing relevant and diverse suggestions. © 2016 Springer Science+Business Media New York

  13. Dismantling techniques

    International Nuclear Information System (INIS)

    Wiese, E.

    1998-01-01

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

  14. Hypnotic suggestibility predicts the magnitude of the imaginative word blindness suggestion effect in a non-hypnotic context.

    Science.gov (United States)

    Parris, Benjamin A; Dienes, Zoltan

    2013-09-01

    The present study investigated how the magnitude the word blindness suggestion effect on Stroop interference depended on hypnotic suggestibility when given as an imaginative suggestion (i.e. not post-hypnotic suggestion) and under conditions in which hypnosis was not mentioned. Hypnotic suggestibility is shown to be a significant predictor of the magnitude of the imaginative word blindness suggestion effect under these conditions. This is therefore the first study to show a linear relationship between the imaginative word blindness suggestion effect and hypnotic suggestibility across the whole hypnotizability spectrum. The results replicate previous findings showing that highs respond to the word blindness suggestion to a greater extent than lows but extend previous work by showing that the advantage for those higher on the hypnotizability spectrum occurs even in a non-hypnotic context. Negative attitudes about hypnosis may not explain the failure to observe similar effects of the word blindness suggestion in less hypnotizable individuals. Copyright © 2013 Elsevier Inc. All rights reserved.

  15. Point of Technique

    African Journals Online (AJOL)

    .

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

  16. Introduction of digital soil mapping techniques for the nationwide regionalization of soil condition in Hungary; the first results of the DOSoReMI.hu (Digital, Optimized, Soil Related Maps and Information in Hungary) project

    Science.gov (United States)

    Pásztor, László; Laborczi, Annamária; Szatmári, Gábor; Takács, Katalin; Bakacsi, Zsófia; Szabó, József; Dobos, Endre

    2014-05-01

    Due to the former soil surveys and mapping activities significant amount of soil information has accumulated in Hungary. Present soil data requirements are mainly fulfilled with these available datasets either by their direct usage or after certain specific and generally fortuitous, thematic and/or spatial inference. Due to the more and more frequently emerging discrepancies between the available and the expected data, there might be notable imperfection as for the accuracy and reliability of the delivered products. With a recently started project (DOSoReMI.hu; Digital, Optimized, Soil Related Maps and Information in Hungary) we would like to significantly extend the potential, how countrywide soil information requirements could be satisfied in Hungary. We started to compile digital soil related maps which fulfil optimally the national and international demands from points of view of thematic, spatial and temporal accuracy. The spatial resolution of the targeted countrywide, digital, thematic maps is at least 1:50.000 (approx. 50-100 meter raster resolution). DOSoReMI.hu results are also planned to contribute to the European part of GSM.net products. In addition to the auxiliary, spatial data themes related to soil forming factors and/or to indicative environmental elements we heavily lean on the various national soil databases. The set of the applied digital soil mapping techniques is gradually broadened incorporating and eventually integrating geostatistical, data mining and GIS tools. In our paper we will present the first results. - Regression kriging (RK) has been used for the spatial inference of certain quantitative data, like particle size distribution components, rootable depth and organic matter content. In the course of RK-based mapping spatially segmented categorical information provided by the SMUs of Digital Kreybig Soil Information System (DKSIS) has been also used in the form of indicator variables. - Classification and regression trees (CART) were

  17. Using suggestion to model different types of automatic writing.

    Science.gov (United States)

    Walsh, E; Mehta, M A; Oakley, D A; Guilmette, D N; Gabay, A; Halligan, P W; Deeley, Q

    2014-05-01

    Our sense of self includes awareness of our thoughts and movements, and our control over them. This feeling can be altered or lost in neuropsychiatric disorders as well as in phenomena such as "automatic writing" whereby writing is attributed to an external source. Here, we employed suggestion in highly hypnotically suggestible participants to model various experiences of automatic writing during a sentence completion task. Results showed that the induction of hypnosis, without additional suggestion, was associated with a small but significant reduction of control, ownership, and awareness for writing. Targeted suggestions produced a double dissociation between thought and movement components of writing, for both feelings of control and ownership, and additionally, reduced awareness of writing. Overall, suggestion produced selective alteratio