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Sample records for underwent surgical mw

  1. Influence of perioperative administration of amino acids on thermoregulation response in patients underwent colorectal surgical procedures

    Directory of Open Access Journals (Sweden)

    Zeba Snježana

    2007-01-01

    Full Text Available Background. Hypothermia in the surgical patients can be the consequence of long duration of surgical intervention, general anesthesia and low temperature in operating room. Postoperative hypothermia contributes to a number of postoperative complications such as arrhythmia, myocardial ischemia, hypertension, bleeding, wound infection, coagulopathy, prolonged effect of muscle relaxants. External heating procedures are used to prevent this condition, but some investigations reported that infusion of aminoacids during surgery can induce thermogenesis and prevent postoperative hypothermia. Case report. We reported two males who underwent major colorectal surgery for rectal carcinoma. One patient received Aminosol 15% solution, 125 ml/h, while the other did not. The esophageal temperatures in both cases were measured every 30 minutes during the operation and 60 minutes after in Intensive Care Unit. We were monitoring blood pressure, heart rate, ECG, and shivering. Patient who received aminoacids showed ameliorated postoperative hypothermia without hypertension, arrhythmia, or shivering, while the other showed all symptoms mentioned above. Conclusion. According to literature data, as well as our findings, we can conclude that intraoperative intravenous treatment with amino acid solution ameliorates postoperative hypothermia along with its complications. .

  2. Surgical outcomes of 380 patients with double outlet right ventricle who underwent biventricular repair.

    Science.gov (United States)

    Li, Shoujun; Ma, Kai; Hu, Shengshou; Hua, Zhongdong; Yang, Keming; Yan, Jun; Chen, Qiuming

    2014-09-01

    The study objective was to report the outcomes of biventricular repair in patients with double outlet right ventricle. Patients with double outlet right ventricle who underwent biventricular repair at Fuwai Hospital from January 2005 to December 2012 were included. Patients were excluded if double outlet right ventricle was combined with atrioventricular septal defect, heterotaxy syndrome, atrioventricular discordance, or univentricular physiology. A total of 380 consecutive patients with a mean age of 1.9 ± 2.1 years (range, 1 month to 6 years) were included. Varied types of biventricular repair were customized individually. Follow-up was 90.4% complete, and the mean follow-up time was 3.4 ± 3.9 years. There were 17 (4.5%) early deaths and 7 (2.1%) late deaths. Preoperative pulmonary hypertension was the only risk factor for early mortality. Postoperative significant left ventricular outflow tract obstruction was present in 9 survivors. Patients with noncommitted ventricular septal defect had a longer crossclamp time, longer cardiopulmonary bypass time, and higher incidence of postdischarge left ventricular outflow tract obstruction. There were 4 reoperations, all of which were caused by subaortic left ventricular outflow tract obstruction. All of the pressure gradients were decreased to less than 20 mm Hg after the modified Konno procedure with an uneventful postoperative course. Optimal results of varied types of biventricular repair for double outlet right ventricle have been acquired. Although noncommitted ventricular septal defect is technically difficult, the outcomes of patients are favorable. Late-onset left ventricular outflow tract obstruction is the main reason for reoperation but can be successfully relieved by the modified Konno procedure. Copyright © 2014 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.

  3. Management of antithrombotic therapy in patients with coronary artery disease or atrial fibrillation who underwent abdominal surgical operations.

    Science.gov (United States)

    Schizas, Dimitrios; Kariori, Maria; Boudoulas, Konstantinos Dean; Siasos, Gerasimos; Patelis, Nikolaos; Kalantzis, Charalampos; Carmen-Maria, Moldovan; Vavuranakis, Manolis

    2018-04-02

    Patients treated with antithrombotic therapy that require abdominal surgical procedures has progressively increased overtime. The management of antithrombotics during both the peri- and post- operative period is of crucial importance. The goal of this review is to present current data concerning the management of antiplatelets in patients with coronary artery disease and of anticoagulants in patients with atrial fibrillation who had to undergo abdominal surgical operations. For this purpose, incidence of major adverse cardiovascular events (MACE) and risk of antithrombotic use during surgical procedures, as well as the recommendations based on recent guidelines were reported. A thorough search of PubMed, Scopus and the Cochrane Databases was conducted to identify randomized controlled trials, observational studies, novel current reviews, and ESC and ACC/AHA guidelines on the subject. Antithrombotic use in daily clinical practice results to two different pathways: reduction of thromboembolic risk, but a simultaneous increase of bleeding risk. This may cause a therapeutic dilemma during the perioperative period. Nevertheless, careless cessation of antithrombotics can increase MACE and thromboembolic events, however, maintenance of antithrombotic therapy may increase bleeding complications. Studies and current guidelines can assist clinicians in making decisions for the treatment of patients that undergo abdominal surgical operations while on antithrombotic therapy. Aspirin should not be stopped perioperatively in the majority of surgical operations. Determining whether to discontinue the use of anticoagulants before surgery depends on the surgical procedure. In surgical operations with a low risk for bleeding, oral anticoagulants should not be discontinued. Bridging therapy should only be considered in patients with a high risk of thromboembolism. Finally, patients with an intermediate risk for thromboembolism, management should be individualized according to patient

  4. Analysis of 175 Cases Underwent Surgical Treatment in Our Hospital After Having Abdominal Wounding by Firearm in the War at Syria

    Directory of Open Access Journals (Sweden)

    Yusuf Yucel

    2016-04-01

    Full Text Available Aim: We aimed at analysing the patients, who underwent surgical treatment in our hospital after having abdominal wounding by firearm in the war at Syria, retrospectively. Material and Method: The files of Syrian patients, who applied to Emergency Service of Harran University Medical Faculty because of gunshot wounds and had operation after being hospitalized in General Surgery Clinic due to abdominal injuries between the years of 2011 and 2014, were analysed retrospectively. Results: 175 Syrian patients, who had abdominal injuries by firearms, underwent operation in our general surgery clinic. 99.4% (n=174 of the patients were male, and 0.6% (n=1 were female. Trauma-admission to hospital times of all cases were %u2265 6 hours. 62.8% (n=110 of the patients had isolated abdominal injuries, and 37.1% (n=65 had two or more system injuries. The frequency of more than one organ injuries in abdominal region was 44.5% (n=78 and the most frequent complication was wound infection (10%. Negative laparoscopy was 2.8% (n=5, support for intensive care was 38.2% (n=67, average duration of intensive care unit stay was 5.57 days and mortality was 9.7% (n=17. Discussion: In our study, it was seen that infectious morbidity and mortality increased for the patients, who applied to our hospital because of abdominal injuries by firearm, particularly the ones with gastrointestinal perforation, if trauma-admission to hospital times were %u2265 6 hours. And this shows us that the early intervention to injuries that perforate gastrointestinal tract was an important factor for decreasing morbidity and mortality.

  5. 12 MW

    DEFF Research Database (Denmark)

    Hasager, Charlotte Bay; Pena Diaz, Alfredo; Mikkelsen, Torben

    '12MW: final report' is for the project with the full title ‘12 MW wind turbines: the scientific basis for their operation at 70 to 270 m height offshore’ that had the goal to experimentally investigate the wind and turbulence characteristics between 70 and 270 m above sea level and thereby...... establish the scientific basis relevant for the next generation of huge 12 MW wind turbines operating offshore. The project started 1st October 2005 and ended 31st March 2009. Firstly was conducted a 6-month experiment at the Horns Rev offshore wind farm deploying a lidar and a sodar on the transformer...

  6. Impact ofin vitrochemosensitivity test-guided platinum-based adjuvant chemotherapy on the surgical outcomes of patients with p-stage IIIA non-small cell lung cancer that underwent complete resection.

    Science.gov (United States)

    Akazawa, Yuki; Higashiyama, Masahiko; Nishino, Kazumi; Uchida, Jyunji; Kumagai, Toru; Inoue, Takako; Fujiwara, Ayako; Tokunaga, Toshiteru; Okami, Jiro; Imamura, Fumio; Kodama, Ken; Kobayashi, Hisayuki

    2017-09-01

    The impact of in vitro chemosensitivity test-guided platinum-based adjuvant chemotherapy on the surgical outcomes of patients undergoing complete resection for locally advanced non-small cell lung cancer (NSCLC) has yet to be elucidated. In the present study, the utility of adjuvant chemotherapy based on the collagen gel droplet embedded culture drug sensitivity test (CD-DST) in patients with p (pathology)-stage IIIA NSCLC was retrospectively analyzed. A series of 39 patients that had received platinum-based adjuvant chemotherapy following complete resection between 2007 and 2012 were enrolled. Their surgical specimens were subjected to the CD-DST. The patients were subsequently classified into two groups on the basis of in vitro anti-cancer drug sensitivity data obtained using the CD-DST: The sensitive group (25 patients) were treated with regimens including one or two of the anti-cancer drug(s) that were indicated to be effective by the CD-DST, whereas the non-sensitive group (14 patients) were treated with chemotherapy regimens that did not include any CD-DST-selected anti-cancer drugs. There were no significant differences in the background characteristics of the two groups [including in respect of the pathological TN (tumor-lymph node) stage, tumor histology, epidermal growth factor receptor mutation status, the frequency of each chemotherapy regimen, and the number of administered cycles]. The 5-year disease-free survival (DFS) rate of the sensitive group was 32.3%, whereas that of the non-sensitive group was 14.3% (P=0.037). In contrast, no difference in overall survival (OS) was observed (P=0.76). Multivariate analysis revealed that adjuvant chemotherapy based on the CD-DST had a significant favorable effect on the DFS (P=0.01). Therefore, the present study has demonstrated that CD-DST data obtained from surgical specimens aid the selection of effective platinum-based adjuvant chemotherapy regimens for patients undergoing complete resection for p-stage IIIA

  7. Estudo dos lipídios em jovens portadores de esquistossomose hepatoesplênica submetidos a tratamento cirúrgico A lipid study of schistosomotic young people underwent surgical treatment

    Directory of Open Access Journals (Sweden)

    Schirley Nóbrega da Silva

    2002-08-01

    group of the patients, which was similar to the control group. Similar results were observed with the fractions of ester and free cholesterol. There was a reduction on the concentration of plasmatic triglicerides, but without significance. The individual's phospholipids presented relative concentration, similar to the control group, but there was significant reduction (p<0,01 in the patient's phosphatidilethanolamine fraction, however, there was no significantly reduction of molar concentration of total plasmatic phospholipids, compared to the controls. In the erythrocyte membrane, the total cholesterol and. total phospholipids levels do not suffered significant alterations. Conclusion: The obtained data indicated a similarity of the lipids levels in the plasma and in the erythrocyte membrane of the patients submitted to the surgical treatment.

  8. A case that underwent bilateral video-assisted thoracoscopic ...

    African Journals Online (AJOL)

    No Abstract Available A case that underwent bilateral video-assisted thoracoscopic surgical (VATS) biopsy combined with pneumonectomy is presented. The patient developed hypoxia during the contralateral VATS biopsy. His hypoxia was treated with positive expiratory pressure (PEEP) to the dependent lung and apneic ...

  9. DANAERO MW: Final Report

    DEFF Research Database (Denmark)

    Troldborg, Niels; Bak, Christian; Aagaard Madsen, Helge

    This report describes the results of the EUDP funded DANAERO MW II project carried out by DTU Wind Energy (formerly Risø DTU) and the industrial partners, LM Wind Power, Vestas Wind Systems A/S and Siemens Wind Power. An overview of the data available from the project as well as the results from...

  10. Hurricane Satellite (HURSAT) Microwave (MW)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Hurricane Satellite (HURSAT) from Microwave (MW) observations of tropical cyclones worldwide data consist of raw satellite observations. The data derive from the...

  11. ALGORITHM FOR MANAGEMENT OF HYPERTENSIVE PATIENTS UNDERWENT UROLOGY INTERVENTIONS

    Directory of Open Access Journals (Sweden)

    S. S. Davydova

    2015-09-01

    Full Text Available Aim. To study the efficacy of cardiovascular non-invasive complex assessment and pre-operative preparation in hypertensive patients needed in surgical treatment of urology dis- eases.Material and methods. Males (n=883, aged 40 to 80 years were included into the study. The main group consisted of patients that underwent laparotomic nephrectomy (LTN group; n=96 and patients who underwent laparoscopic nephrectomy (LSN group; n=53. Dynamics of ambulatory blood pressure monitoring (ABPM data was analyzed in these groups in the immediate postoperative period. The efficacy of a package of non-invasive methods for cardiovascular system assessment was studied. ABPM was performed after nephrectomy (2-nd and 10-th days after surgery in patients with complaints of vertigo episodes or intense general weakness to correct treatment.Results. In LTN group hypotension episodes or blood pressure (BP elevations were observed in 20 (20.8% and 22 (22.9% patients, respectively, on the 2-nd day after the operation. These complications required antihypertensive treatment correction. Patients with hypotension episodes were significantly older than patients with BP elevation and had significantly lower levels of 24-hour systolic BP, night diastolic BP and minimal night systolic BP. Re-adjustment of antihypertensive treatment on the 10-th postoperative day was required to 2 (10% patients with hypotension episodes and to 1 (4.5% patient with BP elevation. Correction of antihypertensive therapy was required to all patients in LSN group on the day 2, and to 32 (60.4% patients on the 10-th day after the operation. Reduction in the incidence of complications (from 1.2% in 2009 to 0.3% in 2011, p<0.001 was observed during the application of cardiovascular non-invasive complex assessment and preoperative preparation in hypertensive patients.Conclusion. The elaborated management algorithm for patients with concomitant hypertension is recommended to reduce the cardiovascular

  12. ALGORITHM FOR MANAGEMENT OF HYPERTENSIVE PATIENTS UNDERWENT UROLOGY INTERVENTIONS

    Directory of Open Access Journals (Sweden)

    S. S. Davydova

    2013-01-01

    Full Text Available Aim. To study the efficacy of cardiovascular non-invasive complex assessment and pre-operative preparation in hypertensive patients needed in surgical treatment of urology dis- eases.Material and methods. Males (n=883, aged 40 to 80 years were included into the study. The main group consisted of patients that underwent laparotomic nephrectomy (LTN group; n=96 and patients who underwent laparoscopic nephrectomy (LSN group; n=53. Dynamics of ambulatory blood pressure monitoring (ABPM data was analyzed in these groups in the immediate postoperative period. The efficacy of a package of non-invasive methods for cardiovascular system assessment was studied. ABPM was performed after nephrectomy (2-nd and 10-th days after surgery in patients with complaints of vertigo episodes or intense general weakness to correct treatment.Results. In LTN group hypotension episodes or blood pressure (BP elevations were observed in 20 (20.8% and 22 (22.9% patients, respectively, on the 2-nd day after the operation. These complications required antihypertensive treatment correction. Patients with hypotension episodes were significantly older than patients with BP elevation and had significantly lower levels of 24-hour systolic BP, night diastolic BP and minimal night systolic BP. Re-adjustment of antihypertensive treatment on the 10-th postoperative day was required to 2 (10% patients with hypotension episodes and to 1 (4.5% patient with BP elevation. Correction of antihypertensive therapy was required to all patients in LSN group on the day 2, and to 32 (60.4% patients on the 10-th day after the operation. Reduction in the incidence of complications (from 1.2% in 2009 to 0.3% in 2011, p<0.001 was observed during the application of cardiovascular non-invasive complex assessment and preoperative preparation in hypertensive patients.Conclusion. The elaborated management algorithm for patients with concomitant hypertension is recommended to reduce the cardiovascular

  13. 12MW Horns Rev experiment

    DEFF Research Database (Denmark)

    Hasager, Charlotte Bay; Peña, A.; Mikkelsen, Torben

    The 12MW project with the full title ‘12 MW wind turbines: the scientific basis for their operation at 70 to 270 m height offshore’ has the goal to experimentally investigate the wind and turbulence characteristics between 70 and 270 m above sea level and thereby establish the scientific basis...... relevant for the next generation of huge 12 MW wind turbines operating offshore. The report describes the experimental campaign at the Horns Rev offshore wind farm at which observations from Doppler Laser LIDAR and SODAR were collected from 3 May to 24 October 2006. The challenges for mounting...... profile. Further studies on this part of the work are on-going. Technical detail on LIDAR and SODAR are provided as well as theoretical work on turbulence and atmospheric boundary layer flow. Selected results from the experimental campaign are reported....

  14. 600 MW nuclear power database

    International Nuclear Information System (INIS)

    Cao Ruiding; Chen Guorong; Chen Xianfeng; Zhang Yishu

    1996-01-01

    600 MW Nuclear power database, based on ORACLE 6.0, consists of three parts, i.e. nuclear power plant database, nuclear power position database and nuclear power equipment database. In the database, there are a great deal of technique data and picture of nuclear power, provided by engineering designing units and individual. The database can give help to the designers of nuclear power

  15. Atrioventricular septal defect (AVSD) : A study of 219 patients who underwent surgery for AVSD at Rikshospitalet from 1979 to 1999

    OpenAIRE

    Skraastad, Ingrid Birthe Bendixen; Skraastad, Berit Kristine

    2010-01-01

    Background: The present study evaluates 219 consecutive patients that underwent surgical repair for AVSD in a long term follow-up. Methods: The patients had a surgical correction for AVSD at Rikshospitalet from January 1979 to December 1999. The follow-up was closed in January 2009. AVSD with additional defects and syndromes were included. Results: Forty-two patients died during the observational period. Early mortality was 12.8% and late mortality was 6.4%. Early mortality declined f...

  16. Conceptual designs for 100-MW space radiators

    International Nuclear Information System (INIS)

    Prenger, F.C.; Sullivan, J.A.

    1982-01-01

    A description and comparison of heat rejection systems for multimegawatt space-based power supplies is given. Current concepts are described, and through a common performance parameter, these are compared with three advanced radiator concepts. The comparison is based on a power system that rejects 100 MW of heat while generating 10 MW of electrical power

  17. NUTRITION SUPPORT COMPLICATIONS IN PATIENT WHO UNDERWENT CARDIAC SURGERY

    OpenAIRE

    Krdžalić, Alisa; Kovčić, Jasmina; Krdžalić, Goran; Jahić, Elmir

    2016-01-01

    Background: The nutrition support complications after cardiac surgery should be detected and treated on time. Aim: To show the incidence and type of nutritional support complication in patients after cardiac surgery. Methods: The prospective study included 415 patients who underwent cardiac surgery between 2010 and 2013 in Clinic for Cardiovascular Disease of University Clinical Center Tuzla. Complications of the delivery system for nutrition support (NS) and nutrition itself were analy...

  18. Brief introduction to 60 MW CARR

    Energy Technology Data Exchange (ETDEWEB)

    Yang Tonghua; Ye Chuntang [China Inst. of Atomic Energy, Beijing BJ (China)

    1998-10-01

    CARR, a 60 MW reactor will be constructed at China Institute of Atomic Energy (CIAE). The reactor type, its safety features, core lay-out, fuel assemblies, main parameters designed, main applications of are briefly described. (author)

  19. 30 400 MW worldwide in early 2003

    International Nuclear Information System (INIS)

    Anon.

    2003-01-01

    Accounting for more than 74% of wind power output in the world, Europe is now more than ever the spearhead of the wind energy industry. First estimates for 2002 show a 6 000 MW progression that now places total world output around 30 400 MW, that is enough to electrify 17 million households. Nevertheless, although it's still growing at a remarkable speed, the rate of development for wind energy has slowed down for the first time in years. (authors)

  20. Evolution of elderly patients who underwent cardiac surgery with cardiopulmonary bypass

    Directory of Open Access Journals (Sweden)

    Alain Moré Duarte

    2016-01-01

    Full Text Available Introduction: There is a steady increase in the number of elderly patients with severe cardiovascular diseases who require a surgical procedure to recover some quality of life that allows them a socially meaningful existence, despite the risks.Objectives: To analyze the behavior of elderly patients who underwent cardiac surgery with cardiopulmonary bypass.Method: A descriptive, retrospective, cross-sectional study was conducted with patients over 65 years of age who underwent surgery at the Cardiocentro Ernesto Che Guevara, in Santa Clara, from January 2013 to March 2014.Results: In the study, 73.1% of patients were men; and there was a predominance of subjects between 65 and 70 years of age, accounting for 67.3%. Coronary artery bypass graft was the most prevalent type of surgery and had the longest cardiopulmonary bypass times. Hypertension was present in 98.1% of patients. The most frequent postoperative complications were renal dysfunction and severe low cardiac output, with 44.2% and 34.6% respectively.Conclusions: There was a predominance of men, the age group of 65 to 70 years, hypertension, and patients who underwent coronary artery bypass graft with prolonged cardiopulmonary bypass. Renal dysfunction was the most frequent complication.

  1. Pigmented Villonodular Synovitis in a Patient who Underwent Hip Arthroplasty

    Directory of Open Access Journals (Sweden)

    Nevzat Dabak

    2014-09-01

    Full Text Available Pigmented villonodular synovitis (PVNS is a rare, benign, but a locally aggressive tumor. It is characterized by the proliferation of synovial membrane, but it can also be seen in tendon sheaths and bursae. Clinical presentation of solitary lesions include compression and locking of the joint suggesting loose bodies in the joint and a subsequent findings of an effusion, whereas diffuse lesions manifest with pain and chronic swelling. In this article, we presented a curious case of PVNS in a female patient who have been followed up due to an acetabular cystic lesion. She underwent total hip arthroplasty for severe osteoarthritis of the hip joint and associated pain. The diagnosis of PVNS was established intraoperatively. (The Me­di­cal Bul­le­tin of Ha­se­ki 2014; 52: 235-7

  2. Abortion - surgical

    Science.gov (United States)

    Suction curettage; Surgical abortion; Elective abortion - surgical; Therapeutic abortion - surgical ... Surgical abortion involves dilating the opening to the uterus (cervix) and placing a small suction tube into the uterus. ...

  3. Frequency of Helicobacter pylori in patients underwent endoscopy

    Directory of Open Access Journals (Sweden)

    Ahmet Tay

    2012-06-01

    Full Text Available Objectives: The aim of this study was to investigate thefrequency of Helicobacter pylori in patients underwent endoscopyeastern Anatolia.Materials and methods: The patients whose endoscopicantral biopsies were taken for any reason in our endoscopyunit in February-June 2010 period were includedand retrospectively investigated. The frequency of Helicobacterpylori was determined as separating the patientsaccording to general, sex and the age groups. Antral biopsieswere stained with hematoxylin-eosin and modified giemsamethod and examined under light microscope andreported as (+ mild, (++ moderate, (+++ severe positiveaccording to their intensities.Results: Biopsy specimens of 1298 patients were includedinto the study. The mean age was 47.5 ± 17.5 years(range 14-88 and 607 of these patients (47% were male.Histopathological evaluation revealed that, 918 of the patientswere (71% positive and 379 (29% were negativefor Helicobacter pylori. Approximately 60% of our patientshad mild, 29% had moderate and 11% had severe positivityfor Helicobacter pylori. No significant difference wasfound in the frequency of Helicobacter pylori betweenwomen and men. The frequencies of Helicobacter pyloriwere 73.2%, 71.5%, 68.6% and 70.4%, respectively, inthe age groups of 14-30 years, 31-45 years, 46-60 yearsand 61-88 years.Conclusion: The frequency of Helicobacter pylori was71% in Eastern Anatolia Region. No statistically significantdifference was found between genders and agegroups in term of the frequency of Helicobacter pylori.

  4. The Mid-Term Results of Patients who Underwent Radiofrequency Atrial Fibrillation Ablation Together with Mitral Valve Surgery

    Directory of Open Access Journals (Sweden)

    Abdurrahim Çolak

    Full Text Available Abstract Objetive: Saline-irrigated radiofrequency ablation, which has been widely used for surgical treatment of atrial fibrillation in recent years, is 80-90% successful in achieving sinus rhythm. In our study, our surgical experience and mid-term results in patients who underwent mitral valve surgery and left atrial radiofrequency ablation were analyzed. Methods: Forty patients (15 males, 25 females; mean age 52.05±9.9 years; range 32-74 underwent surgery for atrial fibrillation associated with mitral valvular disease. All patients manifested atrial fibrillation, which started at least six months before the surgical intervention. The majority of patients (36 patients, 90% were in NYHA class III; 34 (85% patients had rheumatic heart disease. In addition to mitral valve surgery and radiofrequency ablation, coronary artery bypass, DeVega tricuspid annuloplasty, left ventricular aneurysm repair, and left atrial thrombus excision were performed. Following discharge from the hospital, patients' follow-up was performed as outpatient clinic examinations and the average follow-up period of patients was 18±3 months. Results: While the incidence of sinus rhythm was 85.3% on the first postoperative day, it was 80% during discharge and 71% in the 1st year follow-up examination. Conclusion: Radiofrequency ablation is an effective method when it is performed by appropriate surgical technique. Its rate for returning to sinus rhythm is as high as the rate of conventional surgical procedure.

  5. Multilevel converters for 10 MW Wind Turbines

    DEFF Research Database (Denmark)

    Ma, Ke; Blaabjerg, Frede

    2011-01-01

    Several promising multi-level converter configurations for 10 MW Wind Turbines both with direct drive and one-stage gear box drive using Permanent Magnet Synchronous Generator (PMSG) are proposed, designed and compared. Reliability is a crucial indicator for large scale wind power converters...

  6. Effect of different pneumoperitoneum pressure on stress state in patients underwent gynecological laparoscopy

    Directory of Open Access Journals (Sweden)

    Ai-Yun Shen

    2016-10-01

    Full Text Available Objective: To observe the effect of different CO2 pneumoperitoneum pressure on the stress state in patients underwent gynecological laparoscopy. Methods: A total of 90 patients who were admitted in our hospital from February, 2015 to October, 2015 for gynecological laparoscopy were included in the study and divided into groups A, B, and C according to different CO2 pneumoperitoneum pressure. The changes of HR, BP, and PetCO2 during the operation process in the three groups were recorded. The changes of stress indicators before operation (T0, 30 min during operation (T1, and 12 h after operation (T2 were compared. Results: The difference of HR, BP, and PetCO2 levels before operation among the three groups was not statistically significant (P>0.05. HR, BP, and PetCO2 levels 30 min after pneumoperitoneum were significantly elevated when compared with before operation (P0.05. PetCO2 level 30 min after pneumoperitoneum in group B was significantly higher than that in group A (P0.05. Conclusions: Low pneumoperitoneum pressure has a small effect on the stress state in patients underwent gynecological laparoscopy, will not affect the surgical operation, and can obtain a preferable muscular relaxation and vision field; therefore, it can be selected in preference.

  7. Evaluation of patients who underwent resympathectomy for treatment of primary hyperhidrosis.

    Science.gov (United States)

    de Campos, José Ribas Milanez; Lembrança, Lucas; Fukuda, Juliana Maria; Kauffman, Paulo; Teivelis, Marcelo Passos; Puech-Leão, Pedro; Wolosker, Nelson

    2017-11-01

    Video thoracoscopic sympathectomy is the recommended surgical treatment for primary hyperhidrosis and has a high success rate. Despite this high success rate, some patients are unresponsive and eventually need a resympathectomy. Few studies have previously analysed exclusively the results of these resympathectomies in patients with primary hyperhidrosis. None of the studies have objectively evaluated the degree of response to surgery or the improvement in quality of life after resympathectomies. This is a retrospective study, evaluating 15 patients from an initial group of 2300 patients who underwent resympathectomy after failure of the primary surgical treatment. We evaluated sympathectomy levels of resection, technical difficulties, surgical complications preoperative quality of life, response to treatment and quality-of-life improvement 30 days after each surgery. Regarding gender, 11 (73.3%) patients were women. The average age was 23.2 with SD of 5.17 years, and the mean body mass index was 20.9 (SD 2.12). Ten patients had major complaints about their hands (66%) and 5 (33%) patients about their forearms. A high degree of response to sympathectomy occurred in 73% of patients. In 11 of these patients, the improvement in quality of life was considered high, 3 showed a mild improvement and 1 did not improve. No major complications occurred; the presence of adhesions was reported in 11 patients and pleural drainage was necessary in 4 patients. Resympathectomy is an effective procedure, and it improves the quality of life in patients with primary hyperhidrosis who failed after the first surgery. © The Author 2017. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

  8. 1-MW klystron for fusion plasma heating

    International Nuclear Information System (INIS)

    Okamoto, Tadashi; Miyake, Setsuo; Ohno, Hiroaki

    1985-01-01

    A plasma test apparatus to bring about the critical plasma conditions for nuclear fusion is now under construction in Japan Atomic Energy Research Institute. Among various means of plasma heating, the most promising is the lower hybrid resonance heating (LHRF) in the 2-GHz region. Although it has so far requied 7 to 8 MW of microwave power for the plasma test apparatus, the new klystron, E3778, now constructed by Toshiba has the world's highest output power of 1 MW in the 2-GHz region. In addition to the excellent high-power operation for 10 seconds, the wide operating frequency range of 1.7 to 2.26 GHz by dint of sophisticated high-speed tuning mechanism, and the high durability to reflected power of up to 2.0 of VSWR are the high-lighted features of this klystron, which have never been achieved by conventional klystrons. (author)

  9. The DAN-AERO MW Experiments

    DEFF Research Database (Denmark)

    Aagaard Madsen, Helge; Bak, Christian; Schmidt Paulsen, Uwe

    This report describes the DAN-AERO MW experiments carried out within a collaborative, three years research project between Risø DTU and the industrial partners LM Glasfiber, Siemens Wind Power, Vestas Wind Systems A/S and the utility company DONG Energy. The main objective of the project...... was to establish an experimental data base which can provide new insight into a number of fundamental aerodynamic and aero-acoustic issues, important for the design and operation of MW size turbines. The most important issue is the difference between airfoil characteristics measured under 2D, steady conditions...... in a wind tunnel and the unsteady 3D flow conditions on a rotor. The different transition characteristics might explain some of the differences between the 2D and 3D airfoil data and the experiments have been set up to provide data on this subject. The overall experimental approach has been to carry out...

  10. Clinical outcomes for 14 consecutive patients with solid pseudopapillary neoplasms who underwent laparoscopic distal pancreatectomy.

    Science.gov (United States)

    Nakamura, Yoshiharu; Matsushita, Akira; Katsuno, Akira; Yamahatsu, Kazuya; Sumiyoshi, Hiroki; Mizuguchi, Yoshiaki; Uchida, Eiji

    2016-02-01

    The postoperative results of laparoscopic distal pancreatectomy for solid pseudopapillary neoplasm of the pancreas (SPN), including the effects of spleen-preserving resection, are still to be elucidated. Of the 139 patients who underwent laparoscopic pancreatectomy for non-cancerous tumors, 14 consecutive patients (average age, 29.6 years; 1 man, 13 women) with solitary SPN who underwent laparoscopic distal pancreatectomy between March 2004 and June 2015 were enrolled. The tumors had a mean diameter of 4.8 cm. Laparoscopic spleen-preserving distal pancreatectomy was performed in eight patients (spleen-preserving group), including two cases involving pancreatic tail preservation, and laparoscopic spleno-distal pancreatectomy was performed in six patients (standard resection group). The median operating time was 317 min, and the median blood loss was 50 mL. Postoperatively, grade B pancreatic fistulas appeared in two patients (14.3%) but resolved with conservative treatment. No patients had postoperative complications, other than pancreatic fistulas, or required reoperation. The median postoperative hospital stay was 11 days, and the postoperative mortality was zero.None of the patients had positive surgical margins or lymph nodes with metastasis. The median follow-up period did not significantly differ between the two groups (20 vs 39 months, P = 0.1368). All of the patients are alive and free from recurrent tumors without major late-phase complications. Laparoscopic distal pancreatectomy might be a suitable treatment for patients with SPN. A spleen-preserving operation is preferable for younger patients with SPN, and this study demonstrated the non-inferiority of the procedure compared to spleno-distal pancreatectomy. © 2015 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and John Wiley & Sons Australia, Ltd.

  11. GE will finance 614-MW cogeneration plant

    International Nuclear Information System (INIS)

    Anon.

    1990-01-01

    The General Electric Power Funding Corporation, a unit of GE Capital, will provide up to $870 million in construction and permanent financing, and letters of credit to Cogen Technologies of Houston, Texas. The agreement will fund the construction of a 614-megawatt (MW), combined-cycle cogeneration plant to be built in Linden, New Jersey, and for the purchase of gas properties. The plant will be owned by Cogen Technologies. The financing is one of the largest packages ever for a cogeneration plant, GE said

  12. MW-Class Electric Propulsion System Designs

    Science.gov (United States)

    LaPointe, Michael R.; Oleson, Steven; Pencil, Eric; Mercer, Carolyn; Distefano, Salvador

    2011-01-01

    Electric propulsion systems are well developed and have been in commercial use for several years. Ion and Hall thrusters have propelled robotic spacecraft to encounters with asteroids, the Moon, and minor planetary bodies within the solar system, while higher power systems are being considered to support even more demanding future space science and exploration missions. Such missions may include orbit raising and station-keeping for large platforms, robotic and human missions to near earth asteroids, cargo transport for sustained lunar or Mars exploration, and at very high-power, fast piloted missions to Mars and the outer planets. The Advanced In-Space Propulsion Project, High Efficiency Space Power Systems Project, and High Power Electric Propulsion Demonstration Project were established within the NASA Exploration Technology Development and Demonstration Program to develop and advance the fundamental technologies required for these long-range, future exploration missions. Under the auspices of the High Efficiency Space Power Systems Project, and supported by the Advanced In-Space Propulsion and High Power Electric Propulsion Projects, the COMPASS design team at the NASA Glenn Research Center performed multiple parametric design analyses to determine solar and nuclear electric power technology requirements for representative 300-kW class and pulsed and steady-state MW-class electric propulsion systems. This paper describes the results of the MW-class electric power and propulsion design analysis. Starting with the representative MW-class vehicle configurations, and using design reference missions bounded by launch dates, several power system technology improvements were introduced into the parametric COMPASS simulations to determine the potential system level benefits such technologies might provide. Those technologies providing quantitative system level benefits were then assessed for technical feasibility, cost, and time to develop. Key assumptions and primary

  13. A five MW nuclear heating reactor

    International Nuclear Information System (INIS)

    Zhang Dafang; Don Duo; Su Quingshan

    1997-01-01

    The 5 MW Nuclear Heating Reactor (NHR-5) developed and designed by the Institute of Nuclear Energy and Technology (INET) and has been operated for four winter seasons since 1989. During the time of commissioning and operation a number of experiments including self-stability, self-regulation and simulation of ATWS etc. were carried out. Some operating experiences such as water chemistry, radiation protection, and environmental impacts and so on, were also obtained at the same time. All of these demonstrate that the design of NHR-5 is successful. (author)

  14. [A survey of perioperative asthmatic attack among patients with bronchial asthma underwent general anesthesia].

    Science.gov (United States)

    Ie, Kenya; Yoshizawa, Atsuto; Hirano, Satoru; Izumi, Sinyuu; Hojo, Masaaki; Sugiyama, Haruhito; Kobayasi, Nobuyuki; Kudou, Kouichirou; Maehara, Yasuhiro; Kawachi, Masaharu; Miyakoshi, Kouichi

    2010-07-01

    We investigated the risk factor of perioperative asthmatic attack and effectiveness of preventing treatment for asthmatic attack before operation. We performed retrospective chart review of one hundred eleven patients with asthma underwent general anesthesia and surgical intervention from January 2006 to October 2007 in our hospital. The rate of perioperative asthmatic attack were as follows; 10.2% (5 in 49 cases) in no pretreatment group, 7.5% (3 in 40 cases) in any pretreatments except for systemic steroid, and 4.5% (1 in 22 cases) in systemic steroid pretreatment group. Neither preoperative asthma severity nor duration from the last attack had significant relevancy to perioperative attack rate. The otolaryngological surgery, especially those have nasal polyp and oral surgery had high perioperative asthma attack rate, although there was no significant difference. We recommend the systemic steroid pretreatment for asthmatic patients, especially when they have known risk factor such as administration of the systemic steroid within 6 months, or possibly new risk factor such as nasal polyp, otolaryngological and oral surgery.

  15. Congenital hydrocele: prevalence and outcome among male children who underwent neonatal circumcision in Benin City, Nigeria.

    Science.gov (United States)

    Osifo, O D; Osaigbovo, E O

    2008-06-01

    To determine the prevalence and spontaneous resolution of congenital hydrocele diagnosed in male neonates who underwent circumcision at our centre. All male neonates presented for circumcision at the University of Benin Teaching Hospital, Benin City, Nigeria between January 2002 and December 2006 were examined for the presence of hydrocele. Those diagnosed with this condition were recruited and followed up in a surgical outpatient clinic for 2 years. The number of cases of spontaneous resolution and age at which this occurred were documented on a structured pro forma. A total of 2715 neonates were circumcised and 128 (4.7%) were diagnosed with 163 cases of hydrocele, while 27 cases in 25 (0.9%) children failed to resolve at the age of 2 years. Neonatal hydrocele was bilateral in 112 (68.7%), and there were 20 (12.3%) right and 31 (19.0%) left. Among those with hydrocele, 28.1% were delivered preterm and resolution was spontaneous in many of them, with no observed significant statistical difference to those delivered full term (P=0.4740). Of the 163 hydrocele cases, 136 (83.4%) resolved spontaneously by age 18 months with peak resolution at 4-6 months. No spontaneous resolution occurred after 18 months and no hydrocele-related complication occurred during follow up. Neonates with congenital hydrocele should be observed for spontaneous resolution for at least 18 months before being subjected to surgery.

  16. 20 MW Flywheel frequency regulation plant

    Energy Technology Data Exchange (ETDEWEB)

    Arseneaux, James [Beacon Power LLC, Wilmington, MA (United States)

    2015-02-05

    Hazle designed, built, commissioned, and operates a utility-scale 20 MW flywheel energy storage plant in Hazle Township, Pennsylvania (the Hazle Facility) using flywheel technology developed by its affiliate, Beacon Power, LLC (Beacon Power). The Hazle Facility provides frequency regulation services to the regional transmission organization, PJM Interconnection, LLC (PJM), through its participation in PJM’s Regulation Market (a market-based system for the purchase and sale of the Regulation ancillary service). The zero emission Hazle Facility is designed for a 20 year-life over which it is capable of performing at least 100,000 full depth of discharge cycles. To achieve its 20 MW capacity, the Hazle Facility is comprised of two hundred of Beacon Power’s 100 kilowatt (kW)/25 kilowatt/hour (kWh) flywheels connected in parallel. The Hazle Facility can fully respond to a signal from PJM in less than 2 seconds. The Hazle facility was constructed in an economic development zone designated by the Commonwealth of Pennsylvania and its construction relied on local contractors and labor for completion.

  17. Percentages of NKT cells in the tissues of patients with non-small cell lung cancer who underwent surgical treatment.

    Science.gov (United States)

    Pyszniak, Maria; Rybojad, Paweł; Pogoda, Katarzyna; Jabłonka, Andrzej; Bojarska-Junak, Agnieszka; Tabarkiewicz, Jacek

    2014-03-01

    Natural killer T (NKT) cells are involved in the antitumor response by direct cytotoxicity and indirectly through activation of effector cells. Recent studies have shown a relationship between the number and function of NKT cells and clinical outcomes. NKT cells seem to represent a promising tool for immunotherapy of cancer. The aim of the study was to evaluate the distribution of NKT cells in peripheral blood, lymph nodes and tumor tissue of non-small cell lung cancer (NSCLC) patients, as well as development of the most efficient set of cytokines stimulating differentiation of NKT cells. We evaluated the percentage of iNKT+CD3+ cells in the tissues collected from patients with NSCLC. For the generation of NKT cells, we cultured cells isolated from the blood of 20 healthy donors and from the tissues of 4 NSCLC patients. Cells were stimulated with α-GalCer in combinations with cytokines. We noted significant differences in the percentages of NKT cells in the patients' tissues. The highest percentage of these cells was observed in the tumor tissue and the lowest in the lymph nodes. In vitro, in healthy donors all α-GalCer-cytokine combinations were effective in stimulation of NKT cells' proliferation. NKT cells' proliferation was the most efficiently stimulated by α-GalCer+IL-2+IL-7 and α-GalCer+IL-2+IFN-γ. Our results suggest that in the course of NSCLC, NKT cells migrate to the primary tumor and accumulate therein. All tested combinations of α-GalCer and cytokines were capable of generation of NKT cells in vitro.

  18. Maintenance of French 900 MW PWR plants

    International Nuclear Information System (INIS)

    Anon.

    1985-01-01

    This paper presents the doctrine and the aims of maintenance of EDF in the next few years. With an average age of 3.5 years, France's 900 MW PWRs, which now total 31, have overcome their growing pains. During the next few years EDF is aiming for a sharp increase in the availability factor of these plants which make up most of its nuclear thermal capacity, a reduction in the number of emergency outages, as great a cut back as possible in the period of programmed outages and the bringing down of the doses received by staff to the lowest possible level. Eventually the idea is to extend the operating life of plants as much as possible, perhaps to 40 or 50 years [fr

  19. Aeroelastic optimization of MW wind turbines

    Energy Technology Data Exchange (ETDEWEB)

    Hartvig Hansen, M.; Zahle, F.

    2011-12-15

    This report contains the results from the Energy Development and Demonstration Project ''Aeroelastic Optimization of MW wind turbine'' (AeroOpt). The project has had the following five Work Packages: 1. Geometric non-linear, anisotropic beam element for HAWC2. 2. Closed-loop eigenvalue analysis of controlled wind turbines. 3. Resonant wave excitation of lateral tower bending modes. 4. Development of next generation aerodynamic design tools. 5. Advanced design and verification of airfoils. The purposes of these Work Packages are briefly described in the Preface and a summary of the results are given in Section 2. Thereafter, the results from each Work Package are described in eight subsequent chapters. (Author)

  20. SKODA 1000 MW turbo-generator

    International Nuclear Information System (INIS)

    Strunc, J.

    1992-01-01

    A basic technical outline is given of the 1000 MW turbogenerator developed and manufactured by the SKODA Plzen Electrical Engineering Works for the new Czechoslovak nuclear power plants. The basic parameters of the machine are the following: apparent output 1111 MVA, active power 1000 MW, power factor 0.9, stator voltage 24 kV (±5 %), stator current 26.7 kA, frequency 50 Hz (±2.5 %), speed 3000 rpm, hydrogen pressure (abs.) 600 kPa, relative short-circuit current 0.4, efficiency 98.75 %, insulation F and thermal exploitation B. In order to respect the dimensions of the turbogenerator and the action of dynamic forces upon the active and mechanical part of the machine, a brand new concept was chosen for the strengthening of the stator winding ends. The magnetic circuit of the stator uses low-loss stampings with oriented grain of Czechoslovak make, 0.35 mm thick and insulated by the insulation producer with ceramic insulation. The rotor was imported from France. Also imported are the hollow conductors of the stator and rotor, the insulation of the slotted part of the rotor and the non-magnetic bandages of the rotor winding. The insulation of the stator coils (RELANEX) is of Czechoslovak make. The equipment of the turbogenerator is briefly described including the excitation system and the systems of sealing oil, gas and cooling water of the stator winding. The technology of turbogenerator manufacture and its testing are also described. (Z.S.) 9 figs

  1. Effect of advanced blood pressure control with nifedipine delayedrelease tablets on the blood pressure in patients underwent nasal endoscope surgery

    Directory of Open Access Journals (Sweden)

    Qing-Hua Xia

    2016-08-01

    Full Text Available Objective: To explore the effect of advanced blood pressure control with nifedipine delayedrelease tablets on the blood pressure in patients underwent nasal endoscope surgery and its feasibility. Methods: A total of 80 patients who were admitted in ENT department from June, 2012 to June, 2015 for nasal endoscope surgery were included in the study and randomized into the observation group and the control group with 40 cases in each group. The patients in the observation group were given nifedipine delayed-release tablets for advanced blood pressure control before operation, and were given routine blood pressure control during operation; while the patients in the control group were only given blood pressure control during operation. The changes of blood pressure, mean central arterial pressure, and heart rate before anesthesia (T0, after intubation (T1, during operation (T2, extubation when waking (T3, 30 min after extubation (T4, and 3 h after back to wards (T5 in the two groups were compared. The intraoperative situation and the surgical field quality in the two groups were compared. Results: SBP, DBP, and MAP levels at T1-5 in the two groups were significantly lower than those at T0. SBP, DBP, and MAP levels at T2 were significantly lower than those at other timing points, and were gradually recovered after operation, but were significantly lower than those at T0. The effect taking time of blood pressure reducing, intraoperative nitroglycerin dosage, and postoperative wound surface exudation amount in the observation group were significantly less than those in the control group. The surgical field quality scores in the observation group were significantly superior to those in the control group. Conclusions: Advanced blood pressure control with nifedipine delayed-release tablets can stabilize the blood pressure during the perioperative period in patients underwent nasal endoscope surgery, and enhance the surgical field qualities.

  2. Vaginal and pelvic recurrence rates based on vaginal cuff length in patients with cervical cancer who underwent radical hysterectomies.

    Science.gov (United States)

    Kim, K; Cho, S Y; Park, S I; Kim, B J; Kim, M H; Choi, S C; Ryu, S Y; Lee, E D

    2011-09-01

    The objective of this study was to determine the association of vaginal cuff length (VCL) with vaginal and pelvic recurrence rates in patients with cervical cancer who underwent radical hysterectomies. The clinicopathologic characteristics were collected from the medical records of 280 patients with cervical cancer who underwent radical hysterectomies. The association of VCL with 3-year vaginal and pelvic recurrence rates was determined using a Z-test. The association of VCL with other clinicopathologic characteristics was also determined. The VCL was not associated with 3-year vaginal and pelvic recurrence rates. The 3-year vaginal recurrence rate was 0%-2% and the 3-year pelvic recurrence rate was 7%-8%, independent of VCL. The VCL and the age of patients had an inverse relationship. However, the VCL was not associated with histologic type, FIGO stage, clinical tumor size, tumor size in the surgical specimen, depth of invasion, lymphovascular space invasion, parametrial involvement, lymph node involvement, and adjuvant therapy. One-hundred ninety of 280 patients (68%) underwent adjuvant therapies following radical hysterectomies. Although it is limited by the high rate of adjuvant therapy, the current study suggested that the VCL following radical hysterectomy in patients with cervical cancer was not associated with vaginal and pelvic recurrence rates. Copyright © 2011 Elsevier Ltd. All rights reserved.

  3. Leakage experiences with 1 MW steam generator

    International Nuclear Information System (INIS)

    Kanamori, A.; Kawara, M.; Sano, A.

    1975-01-01

    An 1 MW steam generator was tested from October, 1971 and completed with the first series of experiments by May, 1972 after 3600 hours of operation. During these tests, unextraordinary heat absorption was experienced in the downcomer region, which led to shortage of heat transfer area to attain the rated steam temperature and to one of the reasons of flow instabilities. The steam generator was disassembled to get test pieces for structure as well as material examinations and then it was reassembled to proceed the second series of tests. Before it was done, a modification was provided to insulate the downcomer region by putting a gas space around the downcomer tube. The gas space was provided by a dual tube and spacers were welded on the inner tube and an end plate was welded on upper parts between the two to seal the gap by means of fillet welding. After the modified steam generator was put into operation, water happened to leak into a sodium side two times through these additional welding spots for the gas insulation. This paper presents operating conditions and behaviors of monitors at the time of the leakages, identifications of leaked spots, an evaluation of causes and a treatment or a precaution for them

  4. Surgical Audit

    African Journals Online (AJOL)

    2010-01-06

    Jan 6, 2010 ... A good way to describe the first surgical audits is that they were 'polite, restrained discussions'. This was the situation before the development of quality assurance in the business world. As this slowly infiltrated into the medical profession the discussions changed to more cri- teria based surgical audits.

  5. Improving flexibility characteristics of 200 MW unit

    Science.gov (United States)

    Taler, Jan; Trojan, Marcin; Taler, Dawid; Dzierwa, Piotr; Kaczmarski, Karol

    2017-03-01

    Calculations were performed of the thermal system of a power plant with installed water pressure tanks. The maximum rise in the block electric power resulting from the shut-off of low-pressure regenerative heaters is determined. At that time, the boiler is fed with hot water from water pressure tanks acting as heat accumulators. Accumulation of hot water in water tanks is also proposed in the periods of the power unit small load. In order to lower the plant electric power in the off-peak night hours, water heated in low-pressure regenerative heaters and feed water tank to the nominal temperature is directed to water pressure tanks. The water accumulated during the night is used to feed the boiler during the period of peak demand for electricity. Drops in the power block electric power were determined for different capacities of the tanks and periods when they are charged. A financial and economic profitability analysis (of costs and benefits) is made of the use of tanks for a 200 MW power unit. Operating in the automatic system of frequency and power control, the tanks may also be used to ensure a sudden increase in the electric power of the unit. The results of the performed calculations and analyses indicate that installation of water pressure tanks is well justified. The investment is profitable. Water pressure tanks may not only be used to reduce the power unit power during the off-peak night hours and raise it in the periods of peak demand, but also to increase the power capacity fast at any time. They may also be used to fill the boiler evaporator with hot water during the power unit start-up from the cold state.

  6. [Surgical treatment of primary thymoma].

    Science.gov (United States)

    Zhi, Xiu-yi; Liu, Bao-dong; Xu, Qing-sheng; Zhang, Yi; Su, Lei; Wang, Ruo-tian; Hu, Mu; Liu, Lei

    2007-02-13

    To summarize the clinical and pathologic features of thymoma and assess surgical treatment thereof. The clinical data of 66 thymoma patients, 35 males and 31 females, aged 40.8 (30 approximately 59), who underwent surgical treatment in the past 20 years, were analyzed. By Masaoka staging system, underwent extensive or radical or palliative operation, most commonly performed through a median sternotomy and frequently requires en-bloc resection of one or more adjacent structures. Fourteen of the 66 patients had associated myasthenia gravis (MG). The most common symptoms included chest pain, MG, cough, and dyspnea; only 11 of the 66 (16.7%) patients had no symptom. Masaoka staging revealed stage I in 29 patients (43.9%), stage II in 16 (24.2%), stage III in 19 (28.8%), and stage IV in 2 (3.0%). Fourteen of the 66 patients underwent radical resection, resection of the whole thymus and thymoma, 40 underwent simple resection of thymus, 5 underwent palliative resection of thymoma, and 6 underwent thymectomy exploration. Recurrence of tumor was observed in 4 patients. Postoperative radiotherapy and chemotherapy were performed 24 h after the operation, mainly in the cases of invasive or metastatic thymoma. One patient died within 30 days after the operation. Resection and postoperative radiotherapy or chemotherapy are necessary in treatment of thymoma, particularly complete thymectomy.

  7. Accuracy of bone SPECT/CT for identifying hardware loosening in patients who underwent lumbar fusion with pedicle screws

    Energy Technology Data Exchange (ETDEWEB)

    Hudyana, Hendrah; Maes, Alex [AZ Groeninge, Department of Nuclear Medicine, Kortrijk (Belgium); University Hospital Leuven, Department of Morphology and Medical Imaging, Leuven (Belgium); Vandenberghe, Thierry; Fidlers, Luc [AZ Groeninge, Department of Neurosurgery, Kortrijk (Belgium); Sathekge, Mike [University of Pretoria, Department of Nuclear Medicine, Pretoria (South Africa); Nicolai, Daniel [AZ Groeninge, Department of Nuclear Medicine, Kortrijk (Belgium); Wiele, Christophe van de [AZ Groeninge, Department of Nuclear Medicine, Kortrijk (Belgium); University Ghent, Department of Radiology and Nuclear Medicine, Ghent (Belgium)

    2016-02-15

    The aim of this retrospective study was to evaluate the accuracy of bone SPECT (single photon emission computed tomography)/CT (computed tomography) in diagnosing loosening of fixation material in patients with recurrent or persistent back pain that underwent lumbar arthrodesis with pedicle screws using surgery and clinical follow-up as gold standard A total of 48 patients (median age 49 years, range 21-81 years; 17 men) who had undergone lumbar spinal arthrodesis were included in this retrospective analysis. SPECT/CT results were compared to the gold standard of surgical evaluation or clinical follow-up. Positive SPECT/CT results were considered true positives if findings were confirmed by surgery or if clinical and other examinations were completely consistent with the positive SPECT/CT finding. They were considered false positives if surgical evaluation did not find any loose pedicle screws or if symptoms subsided with non-surgical therapy. Negative SPECT/CT scans were considered true negatives if symptoms either improved without surgical intervention or remained stable over a minimum follow-up period of 6 months. Negative SPECT/CT scans were determined to be false negatives if surgery was still required and loosening of material was found. The median length of time from primary surgery to bone SPECT/CT referral was 29.5 months (range 12-192 months). Median follow-up was 18 months (range 6-57) for subjects who did not undergo surgery. Thirteen of the 48 patients were found to be positive for loosening on bone SPECT/CT. Surgical evaluation (8 patients) and clinical follow-up (5 patients) showed that bone SPECT/CT correctly predicted loosening in 9 of 13 patients, while it falsely diagnosed loosening in 4 patients. Of 35 negative bone SPECT/CT scans, 12 were surgically confirmed. In 18 patients, bone SPECT/CT revealed lesions that could provide an alternative explanation for the symptoms of pain (active facet degeneration in 14 patients, and disc and sacroiliac

  8. The new 6 MW industrial gas turbine from MAN; Die neue 6 MW Industriegasturbine von MAN

    Energy Technology Data Exchange (ETDEWEB)

    Beukenberg, M.; Wiedermann, A.; Orth, U.; Aschenbruck, E.; Reiss, F. [MAN Diesel und Turbo SE, Oberhausen (Germany)

    2010-07-01

    The development of a completely new series of gas turbines requires significant capital, resources and know-how. MAN Diesel and Turbo strategically decided to create a small gas turbine in the 6 MW-class. The construction of the Gas Turbine has been on the basis of opportunities in current and future markets and the positioning of the competition, this has determined the characteristics and technical parameters which have been optimised in the 6 MW design. The construction uses extremely high precision engineering so that the assembly of sub-components to modules is a smooth flowing process and can guarantee the high standards both quality and performance which MAN Diesel and Turbo are operating to. The individual components must be tested and thoroughly validated many months before actual assembly of the first machine. These include in particular the compressor of the gas turbine and the combustion chamber. The combustion system required special attention, since the emissions are strongly focused to satisfy stringent environmental requirements. The planned tests are a prerequisite for the construction of such a prototype and must be successfully completed before the Gas Turbine will be accepted into service. (orig.)

  9. HPP Boshkov Most - upgrading the designed installed capacity from 45 MW to 70 MW

    International Nuclear Information System (INIS)

    Pavleski, Vlatko; Jakimova-Filipovska, Nevenka; Ivanova-Davidovikj, Jasna

    2004-01-01

    HPP Boskov Most location will be near the town of Debar, accessible from the Mavrovo-Debar road. This Project involves the tributaries that combine to make tip the Mala Reka, the biggest tributary to Radika river. The watershed area is characterized as having high mountains and rich watercourses, without major settlements. The hydro system consists of: The Tresonce Reservoir with 44 m high dam, with an intake to a head race tunnel, also additional intakes linked by a system of siphons, covered channels collect the waters from high mountains and deliver their flow to the head- race tunnel. The head race tunnel ends with surge shaft and pen stock to the powerhouse. In this paper will be given differences between the Main Design prepared by HEP - Skopje in 1983, where the installed capacity is 45 MW and Feasibility Study prepared by Paul C. Rizzo Ass., where installed capacity is suggested to be 70 MW through enlarged nominal discharge - from 14 m 3 /s to 22 m 3 /s. (Author)

  10. Surgical approach of hypertelorbitism in craniofrontonasal dysplasia.

    Science.gov (United States)

    Denadai, Rafael; Roberto, Wellington Matheus; Buzzo, Celso Luiz; Ghizoni, Enrico; Raposo-Amaral, César Augusto; Raposo-Amaral, Cassio Eduardo

    2017-01-01

    to present our experience in the hypertelorbitism surgical treatment in craniofrontonasal dysplasia. retrospective analysis of craniofrontonasal dysplasia patients operated through orbital box osteotomy or facial bipartition between 1997 and 2015. Surgical data was obtained from medical records, complementary tests, photographs, and clinical interviews. Surgical results were classified based on the need for additional surgery and orbital relapse was calculated. seven female patients were included, of whom three (42.86%) underwent orbital box osteotomy and four (57.14%) underwent facial bipartition. There was orbital relapse in average of 3.71±3,73mm. Surgical result according to the need for further surgery was 2.43±0.53. surgical approach to hypertelorbitism in craniofrontonasal dysplasia should be individualized, respecting the age at surgery and preferences of patients, parents, and surgeons.

  11. Optimised Control of 10 MW Photovoltaic (PV) Plant with 1MW / 1MWh Battery

    DEFF Research Database (Denmark)

    Nørgård, Per Bromand; Bindner, Henrik W.; Thavlov, Anders

    2016-01-01

    MWp PV capacity and 1MW/1MWh battery storage at the campus. This paper presents the specific context of the power system in Cyprus and the future UCY microgrid along with the possible and expected impacts of the PV plant and Battery Energy Storage System. The battery control strategies are tested......With the existing energy systems and electricity grids worldwide being developed as smart systems and grids with increased renewable energy in general, there are critical needs in smart grid knowledge, development, testing, demonstration, evaluation, education and training. The University of Cyprus...... (UCY) is presently establishing a complete new green-field campus in Nicosia and is looking at the opportunity to introduce smart, sustainable and cost and energy efficient solutions for the energy services at the campus as a truly smart grid living lab. As part of this vision, UCY plans to install 10...

  12. Light Rotor: The 10-MW reference wind turbine

    DEFF Research Database (Denmark)

    Bak, Christian; Bitsche, Robert; Yde, Anders

    2012-01-01

    This paper describes the design of a rotor and a wind turbine for an artificial 10-MW wind turbine carried out in the Light Rotor project. The turbine called the Light Rotor 10-MW Reference Wind Turbine (LR10-MW RWT), is designed with existing methods and techniques and serves as a reference...... design show a rather well performing wind turbine both in terms of power and loads, but in the further work towards the final design the challenges in the control needs to be solved and the balance between power performance and loads and between structural performance and mass will be investigated...... like the determination of the specific power and upscaling of the turbine. The design of Iteration #2 of the LR10-MW RWT is carried out in a sequence between aerodynamic rotor design, structural design and aero-servo-elastic design. Each of these topics is described. The results from the Iteration #2...

  13. Curvas de arranque de unidades de 100 MW // Starting Graphs of generating units of 100 MW.

    Directory of Open Access Journals (Sweden)

    J. L. Rodríguez Olivera

    2000-03-01

    Full Text Available Se exponen las principales consideraciones para los arranques de las unidades de 100 MW en función del estado térmico yse establecen modelos de comportamiento de los principales parámetros a partir de cualquier estado térmico inicial. Paraello se parte de los métodos establecidos en las instrucciones de explotación vigentes y de las curvas de arranques delfabricante. Los modelos de variación de los parámetros fundamentales permiten obtener las curvas de arranque de estasunidades para cualquier estado térmico inicial, lo que reporta una disminución en los tiempos de puesta en servicio, ahorrode combustible en los arranques, el control y evaluación de los arranques y una mayor seguridad durante la explotación delas unidades. Se presenta un software para la obtención de estos gráficos y toda la información de los arranques.Palabras claves: Gráficos de arranque, unidades térmicas, turbinas de vapor.____________________________________________________________________________AbstractThe principal considerations for the starting of the 100 MW units are exposed in function of thermal state and behavior modelsare established of principal parameters from any thermal initial state are established.The work is based on the performance instructions of stablished methods and starting graphs supply by the manufacturer. Thevariation models of fundamental parameters allow us to obtain the base curves of these units for any thermal initial state. Alsoallow: a diminution in the set times of put on line, saving fuel, evaluation and control of the starting stage and a great securityduring the service of these generating units. A software that allowed to obtain all the starting information and the suitablegraphs is exposed.Key words: Starting graphs, thermal generating units, steam turbine, power plants.

  14. DeepWind - from Idea to 5 MW Concept

    DEFF Research Database (Denmark)

    Schmidt Paulsen, Uwe; Aagaard Madsen, Helge; Kragh, Knud Abildgaard

    2014-01-01

    , which implies a high potential for cost saving. The most critical aspects of the concept are addressed in proving feasibility, and if it can be scaled up to 20 MW. Applying structural mechanics, generator, floater & mooring system, control system design, and rotor design using detailed integrated models...... of both the generator and the aerodynamic rotor. Another example is aerofoil design affecting energy capture, stall behaviour, structural dynamics and control design. Finally, the potential for up-scaling to 20 MW is discussed....

  15. SURGICAL ANATOMY

    African Journals Online (AJOL)

    SURGICAL ANATOMY. Rare high origin of the radial artery: a bilateral, symmetrical ease. I. O. ()koro and B. C. J iburum. Department of Anatomy, College of Medicine, lrno State University, Owerri, Nigeria. Reprint requests to: Dr I. O. 0k0r0, Department of Anatomy, [mo State University, P. M. B. 2000. Owerri, Nigeria.

  16. SURGICAL TECHNIQUE

    African Journals Online (AJOL)

    Conclusion:Foraminotomy with or without discectomy is a simple posterior surgical approach to T B spine with good neurological outcome. It is adapted to our ... of the spine also referred to as. (HIV/AIDS) further challenge the outcome. These .... treatment; or for spinal cord or nerve root from 2 weeks depending on patient ...

  17. Surgical treatment for myelodysplastic clubfoot,

    Directory of Open Access Journals (Sweden)

    Alexandre Zuccon

    2014-12-01

    Full Text Available Objective:To analyze the results from surgical treatment of 69 cases of clubfoot in 43 patients with myelodysplasia according to clinical and radiographic criteria, at our institution between 1984 and 2004.Methods:This was a retrospective study involving analysis of medical files, radiographs and consultations relating to patients who underwent surgical correction of clubfoot. The surgical technique consisted of radical posteromedial and lateral release with or without associated talectomy.Results:The patients' mean age at the time of the surgery was four years and two months, and the mean length of postoperative follow-up was seven years and two months. Satisfactory results were achieved in 73.9% of the feet and unsatisfactory results in 26.1% (p < 0.0001.Conclusion:Residual deformity in the immediate postoperative period was associated with unsatisfactory results. Opening of the Kite (talocalcaneal angle in feet that only underwent posteromedial and lateral release, along with appropriate positioning of the calcaneus in cases that underwent talectomy, was the radiographic parameter that correlated with satisfactory results.

  18. Surgical Navigation

    DEFF Research Database (Denmark)

    Azarmehr, Iman; Stokbro, Kasper; Bell, R. Bryan

    2017-01-01

    body removal, respectively. The average technical system accuracy and intraoperative precision reported were less than 1 mm and 1 to 2 mm, respectively. In general, SN is reported to be a useful tool for surgical planning, execution, evaluation, and research. The largest numbers of studies and patients......Purpose: This systematic review investigates the most common indications, treatments, and outcomes of surgical navigation (SN) published from 2010 to 2015. The evolution of SN and its application in oral and maxillofacial surgery have rapidly developed over recent years, and therapeutic indications...... surgery, skull-base surgery, and foreign body removal were the areas of interests. Results: The search generated 13 articles dealing with traumatology; 5, 6, 2, and 0 studies were found that dealt with the topics of orthognathic surgery, cancer and reconstruction surgery, skull-base surgery, and foreign...

  19. MW-assisted synthesis of SVO for ICD primary batteries

    Energy Technology Data Exchange (ETDEWEB)

    Beninati, Sabina; Fantuzzi, Matteo; Mastragostino, Marina; Soavi, Francesca [UCI, Scienze Chimiche, Radiochimiche e Metallurgiche, Universita di Bologna, Via San Donato 15, 40127 Bologna (Italy)

    2006-06-19

    An Ag{sub 2}V{sub 4}O{sub 11} (SVO) cathode material prepared by microwave (MW)-assisted solid-state synthesis (MW-SVO) was developed for lithium primary batteries for implantable cardioverter/defibrillators (ICDs). This paper presents the results of physical-chemical and electrochemical characterizations of MW-SVO as well as those of SVO prepared by conventional thermal route (T-SVO). A specific effect of MWs which accelerates the synthesis reaction and contributes to yield a material of different morphology and degree of crystallinity compared with those of T-SVO was observed. The results of pulsed electrochemical tests carried out at 37{sup o}C in operative conditions of ICDs on Li/MW-SVO batteries with cathode mass loading sized for practical use are also reported. These tests demonstrated that MW-SVO can be used for high performing lithium primary battery delivering in few seconds the specific energy values required by ICD application. (author)

  20. Analysis of Ulcer Recurrences After Metatarsal Head Resection in Patients Who Underwent Surgery to Treat Diabetic Foot Osteomyelitis.

    Science.gov (United States)

    Sanz-Corbalán, Irene; Lázaro-Martínez, José Luis; Aragón-Sánchez, Javier; García-Morales, Esther; Molines-Barroso, Raúl; Alvaro-Afonso, Francisco Javier

    2015-06-01

    Metatarsal head resection is a common and standardized treatment used as part of the surgical routine for metatarsal head osteomyelitis. The aim of this study was to define the influence of the amount of the metatarsal resection on the development of reulceration or ulcer recurrence in patients who suffered from plantar foot ulcer and underwent metatarsal surgery. We conducted a prospective study in 35 patients who underwent metatarsal head resection surgery to treat diabetic foot osteomyelitis with no prior history of foot surgeries, and these patients were included in a prospective follow-up over the course of at least 6 months in order to record reulceration or ulcer recurrences. Anteroposterior plain X-rays were taken before and after surgery. We also measured the portion of the metatarsal head that was removed and classified the patients according the resection rate of metatarsal (RRM) in first and second quartiles. We found statistical differences between the median RRM in patients who had an ulcer recurrence and patients without recurrences (21.48 ± 3.10% vs 28.12 ± 10.8%; P = .016). Seventeen (56.7%) patients were classified in the first quartile of RRM, which had an association with ulcer recurrence (P = .032; odds ratio = 1.41; 95% confidence interval = 1.04-1.92). RRM of less than 25% is associated with the development of a recurrence after surgery in the midterm follow-up, and therefore, planning before surgery is undertaken should be considered to avoid postsurgical complications. © The Author(s) 2015.

  1. The 1.5 MW wind turbine of tomorrow

    Energy Technology Data Exchange (ETDEWEB)

    De Wolff, T.J.; Sondergaard, H. [Nordtank Energy Group, Richmond, VA (United States)

    1996-12-31

    The Danish company Nordtank is one of the pioneers within the wind turbine industry. Since 1981 Nordtank has installed worldwide more than 2300 wind turbine generators with a total name plate capacity that is exceeding 350 MW. This paper will describe two major wind turbine technology developments that Nordtank has accomplished during the last year: Site Optimization of Nordtank wind turbines: Nordtank has developed a flexible design concept for its WTGs in the 500/600 kW range, in order to offer the optimal WTG solution for any given site and wind regime. Nordtank`s 1.5 MW wind turbine: In September 1995, Nordtank was the first company to install a commercial 1.5 NM WTG. This paper will document the development process, the design as well as operations of the Nordtank 1.5 MW WTG.

  2. Surgical endodontics.

    Science.gov (United States)

    Carrotte, P

    2005-01-22

    Root canal treatment usually fails because infection remains within the root canal. An orthograde attempt at re-treatment should always be considered first. However, when surgery is indicated, modern microtechniques coupled with surgical magnification will lead to a better prognosis. Careful management of the hard and soft tissues is essential, specially designed ultrasonic tips should be used for root end preparation which should ideally be sealed with MTA. All cases should be followed up until healing is seen, or failure accepted, and should form a part of clinical audit.

  3. Factors associated with late specialized rehabilitation among veterans with lower extremity amputation who underwent immediate postoperative rehabilitation.

    Science.gov (United States)

    Kurichi, Jibby E; Xie, Dawei; Kwong, Pui L; Bates, Barbara E; Vogel, W Bruce; Stineman, Margaret G

    2011-05-01

    The aim of this study was to determine what patient- and facility-level characteristics drive late specialized rehabilitation among veterans who already received immediate postoperative services. Data were obtained from eight administrative databases for 2,453 patients who underwent lower limb amputation in Veterans Affairs Medical Centers in 2002-2004. A Cox proportional hazards model was used to determine the hazard ratios and 95% confidence intervals of the factors associated with days to readmission for late services after discharge from surgical hospitalization. There were 2304 patients who received only immediate postoperative services, whereas 152 also received late specialized rehabilitation. After adjustment, veterans who were less disabled physically, residing in the South Central compared with the Southeast region, and had their surgeries in facilities accredited by the Commission on Accreditation of Rehabilitation Facilities were all more likely to receive late services. The hazard ratios for type of immediate postoperative rehabilitation were not constant over time. At hospital discharge, there was no difference in receipt; however, after 3 mos, those who received early specialized rehabilitation were significantly less likely to receive late services. The factors associated with late specialized rehabilitation were due mainly to facility-level characteristics and care process variables. Knowledge of these factors may help with decision-making policies regarding units accredited by the Commission on Accreditation of Rehabilitation Facilities.

  4. Surgical treatment of thymoma.

    Science.gov (United States)

    Miller, Quintessa; Moulton, Michael J; Pratt, Jerry

    2002-01-01

    A case report is presented of a 66-year-old white woman with a 3-month history of atypical chest pain and shortness of breath. A lateral chest radiograph demonstrated an anterior mediastinal density. A subsequent computed tomography (CT) scan revealed a mass in the right anterolateral mediastinum. Fine-needle aspiration (FNA) revealed tumor cells positive for cytokeratin and negative for leukocyte common antigen. The differential diagnosis at that time included thymoma versus thymic carcinoid. She underwent a median sternotomy with complete thymectomy. The pathology revealed a large thymoma with microinvasion into the surrounding adipose tissue. She had an uneventful postoperative course and later underwent adjuvant radiation therapy. Surgical treatment of thymoma is discussed, with emphasis on diagnosis and treatment. Although some patients may present with symptoms caused by involvement of surrounding structures, most thymomas are discovered incidentally on chest radiograph. Various diagnostic procedures can aid the surgeon in ruling out other neoplasms, such as lymphoma or germ cell tumors. Prognosis is not based on histology, but on the tumor's gross characteristics at operation. Benign tumors are noninvasive and encapsulated. All patients with potentially resectable lesions should undergo en-bloc excision. Radiation or chemotherapy should be instituted in more advanced tumors.

  5. The coseismic displacements of the 2013 Lushan Mw6.6 earthquake determined using continuous global positioning system measurements

    Directory of Open Access Journals (Sweden)

    Huang Yong

    2013-05-01

    Full Text Available Based on Continuous GPS (CGPS observation data of the Crustal Movement Observation Network of China (CMONOC and the Sichuan Continuous Operational Reference System (SCCORS, we calculated the horizontal coseismic displacements of CGPS sites caused by the 2013 Lushan Mw 6. 6 earthquake. The results indicate that the horizontal coseismic deformations of CGPS stations are consistent with thrust-compression rupture. Furthermore, the sites closest to the epicenter underwent significant coseismic displacements. Three network stations exhibited displacements greater than 9 mm (the largest is 20. 9 mm at SCTQ, while the others were displaced approximately 1–4 mm.

  6. Lightweight MgB2 superconducting 10 MW wind generator

    Science.gov (United States)

    Marino, I.; Pujana, A.; Sarmiento, G.; Sanz, S.; Merino, J. M.; Tropeano, M.; Sun, J.; Canosa, T.

    2016-02-01

    The offshore wind market demands a higher power rate and more reliable turbines in order to optimize capital and operational costs. The state-of-the-art shows that both geared and direct-drive conventional generators are difficult to scale up to 10 MW and beyond due to their huge size and weight. Superconducting direct-drive wind generators are considered a promising solution to achieve lighter weight machines. This work presents an innovative 10 MW 8.1 rpm direct-drive partial superconducting generator using MgB2 wire for the field coils. It has a warm iron rotor configuration with the superconducting coils working at 20 K while the rotor core and the armature are at ambient temperature. A cooling system based on cryocoolers installed in the rotor extracts the heat from the superconducting coils by conduction. The generator's main parameters are compared against a permanent magnet reference machine, showing a significant weight and size reduction. The 10 MW superconducting generator concept will be experimentally validated with a small-scale magnetic machine, which has innovative components such as superconducting coils, modular cryostats and cooling systems, and will have similar size and characteristics as the 10 MW generator.

  7. Development of 100MW Gas Turbine Shaft Sleeve Puller | Sadjere ...

    African Journals Online (AJOL)

    A Shaft Sleeve Puller was developed, designed and constructed in response to the need to pull-out / pull-in the 30-tonnes by 12m long rotor of the 100-MW gas turbine generator for inspection, as part of a refurbishment programme of a power station in Delta State, Nigeria. The design is a runway system, consisting of a ...

  8. 5MW Direct Drive Wind Turbine Generator Design

    DEFF Research Database (Denmark)

    Zaidi, Arsalan; Senn, Lucile; Ortega, Iratxe

    2012-01-01

    A 5MW direct drive offshore wind turbine generator was studied and simulated using Vector Fields OPERA. This software allows calculation of the flux density, force, torque, and eddy currents in the machine at different rotor positions. Based on the data obtained from the model, initial assumptions...

  9. Design Tool for 5-20 MW Direct Drive Generators

    DEFF Research Database (Denmark)

    Leban, Krisztina Monika; Ritchie, Ewen; Argeseanu, Alin

    2014-01-01

    This paper reports on a machine design tool for large (5-10MW) direct drive electrical generator. The aim of the work is to construct a flexible calculation tool that enables the analysis of different ideas and concepts for generator design. The tool is intended for engineers that are involved...

  10. Operational modes of french 900 MW nuclear power plant

    International Nuclear Information System (INIS)

    Shen Rugang

    1991-01-01

    The operational safety criteria of the PWR French 900 MW nuclear power plant and their operational modes: Mode A and Mode G is briefly introduced. The principle of the basic control, the operational performance, the advantages and the shortcomings of two modes are compared

  11. Spinopelvic balance evaluation of patients with degenerative spondylolisthesis L4L5 and L4L5 herniated disc who underwent surgery ?

    OpenAIRE

    Nunes, Viviane Regina Hernandez; Jacob, Charbel; Cardoso, Igor Machado; Batista, Jos? Lucas; Brazolino, Marcus Alexandre Novo; Maia, Thiago Cardoso

    2016-01-01

    ABSTRACT OBJECTIVE: To correlate spinopelvic balance with the development of degenerative spondylolisthesis and disk herniation. METHODS: This was a descriptive retrospective study that evaluated 60 patients in this hospital, 30 patients with degenerative spondylolisthesis at the L4-L5 level and 30 with herniated disk at the L4-L5 level, all of whom underwent Surgical treatment. RESULTS: Patients with lumbar disk herniation at L4-L5 level had a mean tilt of 8.06, mean slope of 36.93, an...

  12. Effect of using pump on postoperative pleural effusion in the patients that underwent CABG

    Directory of Open Access Journals (Sweden)

    Mehmet Özülkü

    2015-08-01

    Full Text Available Abstract Objective: The present study investigated effect of using pump on postoperative pleural effusion in patients who underwent coronary artery bypass grafting. Methods: A total of 256 patients who underwent isolated coronary artery bypass grafting surgery in the Cardiovascular Surgery clinic were enrolled in the study. Jostra-Cobe (Model 043213 105, VLC 865, Sweden heart-lung machine was used in on-pump coronary artery bypass grafting. Off-pump coronary artery bypass grafting was performed using Octopus and Starfish. Proximal anastomoses to the aorta in both on-pump and off-pump techniques were performed by side clamps. The patients were discharged from the hospital between postoperative day 6 and day 11. Results: The incidence of postoperative right pleural effusion and bilateral pleural effusion was found to be higher as a count in Group 1 (on-pump as compared to Group 2 (off-pump. But the difference was not statistically significant [P>0.05 for right pleural effusion (P=0.893, P>0.05 for bilateral pleural effusion (P=0.780]. Left pleural effusion was encountered to be lower in Group 2 (off-pump. The difference was found to be statistically significant (P<0.05, P=0.006. Conclusion: Under the light of these results, it can be said that left pleural effusion is less prevalent in the patients that underwent off-pump coronary artery bypass grafting when compared to the patients that underwent on-pump coronary artery bypass grafting.

  13. Dysphagia among Adult Patients who Underwent Surgery for Esophageal Atresia at Birth

    Directory of Open Access Journals (Sweden)

    Valérie Huynh-Trudeau

    2015-01-01

    Full Text Available BACKGROUND: Clinical experiences of adults who underwent surgery for esophageal atresia at birth is limited. There is some evidence that suggests considerable long-term morbidity, partly because of dysphagia, which has been reported in up to 85% of adult patients who undergo surgery for esophageal atresia. The authors hypothesized that dysphagia in this population is caused by dysmotility and/or anatomical anomalies.

  14. Acute myocardial infarctation in patients with critical ischemia underwent lower limb revascularization

    Directory of Open Access Journals (Sweden)

    Esdras Marques Lins

    2013-12-01

    Full Text Available BACKGROUND: Atherosclerosis is the main cause of peripheral artery occlusive disease (PAOD of the lower limbs. Patients with PAOD often also have obstructive atherosclerosis in other arterial sites, mainly the coronary arteries. This means that patients who undergo infrainguinal bypass to treat critical ischemia have a higher risk of AMI. There are, however, few reports in the literature that have assessed this risk properly. OBJECTIVE: The aim of this study was to determine the incidence of acute myocardial infarction in patients who underwent infrainguinal bypass to treat critical ischemia of the lower limbs caused by PAOD. MATERIAL AND METHODS: A total of 64 patients who underwent 82 infrainguinal bypass operations, from February 2011 to July 2012 were studied. All patients had electrocardiograms and troponin I blood assays during the postoperative period (within 72 hours. RESULTS: There were abnormal ECG findings and elevated blood troponin I levels suggestive of AMI in five (6% of the 82 operations performed. All five had conventional surgery. The incidence of AMI as a proportion of the 52 conventional surgery cases was 9.6%. Two patients died. CONCLUSION: There was a 6% AMI incidence among patients who underwent infrainguinal bypass due to PAOD. Considering only cases operated using conventional surgery, the incidence of AMI was 9.6%.

  15. SURGICAL NUTRITION

    Directory of Open Access Journals (Sweden)

    Danny Kurniawan Darianto

    2015-07-01

    Full Text Available A patient undergoing surgery faces great physiologic and psychologic stress. so nutritional demands are greatly increased during this period and deficiencies can easily develop. If these deficiencies are allowed to develop and are not in screening, serious malnutrition and clinical problem can occur. Therefore careful attention must be given to a patient's nutritional status in preparation of surgery, as well as to the individual nutritional needs. If these needs are met, complications are less likely developing. Natural resources provide for rapid recovery. Proper nutrition can speed healing in surgical patients with major trauma, severe malnutition, burns, and other severe illnesses. New techniques for tube feeding, intravenous nutrition for patients with serious weight loss due to gastrointestinal disorders, and use of supplements can hasten wound healing and shorten recovery times.

  16. [Contribution of Perioperative Oral Health Care and Management for Patients who Underwent General Thoracic Surgery].

    Science.gov (United States)

    Saito, Hajime; Minamiya, Yoshihiro

    2016-01-01

    Due to the recent advances in radiological diagnostic technology, the role of video-assisted thoracoscopic surgery in thoracic disease has expanded, surgical indication extended to the elderly patients. Cancer patients receiving surgery, radiation therapy and/or chemotherapy may encounter complications in conjunction with the oral cavity such as aspiration pneumonia, surgical site infection and various type of infection. Recently, it is recognized that oral health care management is effective to prevent the postoperative infectious complications, especially pneumonia. Therefore, oral management should be scheduled before start of therapy to prevent these complications as supportive therapy of the cancer treatment. In this background, perioperative oral function management is highlighted in the remuneration for dental treatment revision of 2012,and the importance of oral care has been recognized in generally. In this manuscript, we introduce the several opinions and evidence based on the recent previous reports about the perioperative oral health care and management on thoracic surgery.

  17. Cost-effectiveness of positive contrast and nuclear arthrography in patients who underwent total hip arthroplasty

    International Nuclear Information System (INIS)

    Swan, J.S.; Braunstein, E.M.; Capello, W.; Wellman, H.

    1989-01-01

    The authors have compared the cost effectiveness of contrast arthrography (CA) and nuclear arthrography (NA), in which In-111 chloride is injected with the contrast material, of total hip arthroplasties. Their series included 48 cases of surgically proved loose femoral components. The cost per true-positive result was obtained by taking the total cost of the examinations in surgically proved cases and dividing by the number of true-position cases. The cost of CA was $297 and the cost of NA was $335. For CA, the cost per true positive was $1,018, and for the NA the cost per true positive was $946. In spite of higher initial cost, NA is more cost effective than CA on a cost per true-positive case basis. NA is cost effective in evaluating hip arthroplasties in which there is suspicion of a loose femoral component

  18. Pulsing a 4.1 MW Motor Generator System to 34 MW Peak Power Under Constant Input Power Operation

    International Nuclear Information System (INIS)

    Marneris, I.; Badea, V.; Bannon, M.; Bonati, R.; Danowski, G.; Sandberg, J.; Soukas, A.

    1999-01-01

    Brookhaven operates a 9 MW motor generator, made by Siemens, as part of the main magnet power supply of the Alternating Gradient Synchrotron (AGS) accelerator. A cycloconverter power supply system is utilized to ensure that during pulsing the main magnets of the AGS up to 50 MW peak power, the input power of the motor generator remains constant. There is also another motor generator (MG set) at Brookhaven, a 40 year old system manufactured by Westinghouse. This MG set could be pulsed up to 34 MW peak power while the input average power should not exceed 4.1 MW. A project is underway to upgrade this MG system and it's controls, so it could be used as a spare while doing maintenance on the Siemens MG and thus not interrupting the RHIC physics program. The purpose of this paper is to show that it is possible to pulse the AGS magnets using the Westinghouse MG system without utilizing a cycloconverter power supply, and still be able to maintain the input power to the motor generator constant. Calculations will be provided to show that they can pulse the position of the liquid rheostat in the motor rotor circuit to support the above, while taking out the power necessary to pulse the AGS magnets. This solution is being implemented due to budget constraints and overall simplicity. The hydraulic system to accomplish this task will also be described

  19. The effect of fasting on surgical performance

    DEFF Research Database (Denmark)

    Schefte, David Fenger; Rosenstock, Steffen Jais

    2016-01-01

    BACKGROUND: It is unknown whether fasting has any impact on surgical performance. This simulator-based study investigates whether fasting affects surgical performance. METHODS: Twelve healthy medical students [seven women, mean age 26.5 years (range 23-34)] with no prior experience with surgical...... simulators underwent a short course introduction to the LapSim(®) simulator. After having reached a predefined level, the participants performed five simulated salpingectomies on the LapSim(®) simulator 5-30 days after the initial introduction. The procedures took place at 9 a.m. and 2 p.m. after fasting...... in the longitudinal axis with the left hand. CONCLUSION: The simulator-based study suggests that 17 h of fasting does not deteriorate surgical performance. Further studies on the effect of fasting on surgical performance are needed....

  20. Descending necrotizing mediastinitis: surgical management.

    Science.gov (United States)

    Papalia, E; Rena, O; Oliaro, A; Cavallo, A; Giobbe, R; Casadio, C; Maggi, G; Mancuso, M

    2001-10-01

    Descending necrotizing mediastinitis (DNM) is a primary complication of cervical or odontogenical infections that can spread to the mediastinum through the anatomic cervical spaces. Between April 1994 and April 2000, 13 patients, mean age 39.23+/-18.47 (median 38, range 16-67) years, with DNM were submitted to surgical treatment. Primary odontogenic abscess occurred in six, peritonsillar abscess in five and post-traumatic cervical abscess in two patients. Diagnosis was confirmed by computed tomography (CT) of the neck and chest. All patients underwent surgical drainage of the cervico-mediastinal regions by a bilateral collar incision associated with right thoracotomy in ten cases. Six patients out of 13 required reoperation. Two patients previously submitted only to cervical drainage required thoracotomy; four patients, which have been submitted to cervico-thoracic drainage, underwent contralateral thoracotomy in two cases and ipsilateral reoperation in two cases. Ten patients evolved well and were discharged without major sequelae; three patients died of multiorgan failure related to septic shock. Mortality rate was 23%. Early diagnosis by CT of the neck and chest suggest a rapid indication of surgical approach to DNM. Ample cervicotomy associated with mediastinal drainage via large thoracotomic incision is essential in managing these critically ill patients and can significantly reduce the mortality rate for this condition, often affecting young people, to acceptable values.

  1. Operation and maintenance of 1MW PUSPATI TRIGA reactor

    International Nuclear Information System (INIS)

    Adnan Bokhari; Mohammad Suhaimi Kassim

    2006-01-01

    The Malaysian Research Reactor, Reactor TRIGA PUSPATI (RTP) has been successfully operated for 22 years for various experiments. Since its commissioning in June 1982 until December 2004, the 1MW pool-type reactor has accumulated more than 21143 hours of operation, corresponding to cumulative thermal energy release of about 14083 MW-hours. The reactor is currently in operation and normally operates on demand, which is normally up to 6 hours a day. Presently the reactor core is made up of standard TRIAGA fuel element consists of 8.5 wt%, 12 wt% and 20 wt% types; 20%-enriched and stainless steel clad. Several measures such as routine preventive maintenance and improving the reactor support systems have been taken toward achieving this long successful operation. Besides normal routine utilization like other TRIGA reactors, new strategies are implemented for effective increase in utilization. (author)

  2. 350 MW(t) MHTGR preassembly and modularization

    International Nuclear Information System (INIS)

    Venkatesh, M.C.; Jones, G.; Dilling, D.A.; Parker, W.J.

    1991-05-01

    The Modular High Temperature Gas Cooled Reactor (MHTGR) provides a safe and economical nuclear power option for the world's electrical generation needs by the turn of the century. The proposed MHTGR plant is composed of four 350 MW(t) prismatic core reactor modules, coupled to a 2(2 x 1) turbine generator producing a net plant electrical output of 538 MW(e). Each of the four reactor module is located in a below-ground level concrete silo, and consists of a reactor vessel and a steam generator vessel interconnected by a cross duct vessel. The modules, along with the service buildings, are contained within a Nuclear Island (NI). The turbine generators and power generation facilities are in the non-nuclear Energy Conversion Area (ECA). The MHTGR design reduces cost and improves schedule by maximizing shop fabrication, minimizing field fit up of the Reactor Internals components and modularizing the NI ampersand ECA facilities. 3 refs., 6 figs., 2 tabs

  3. An evaluation of quality of life in women with endometriosis who underwent primary surgery: a 6-month follow up in Sabah Women & Children Hospital, Sabah, Malaysia.

    Science.gov (United States)

    M F, Ahmad; Narwani, Hussin; Shuhaila, Ahmad

    2017-10-01

    Endometriosis is a complex disease primarily affecting women of reproductive age worldwide. The management goals are to improve the quality of life (QoL), alleviate the symptoms and prevent severe disease. This prospective cohort study was to assess the QoL in women with endometriosis that underwent primary surgery. A pre- and post-operative questionnaire via ED-5Q and general VAS score used for the evaluation for endometrial-like pain such as dysmenorrhoea and dyspareunia. A total of 280 patients underwent intervention; 224 laparoscopically and 56 via laparotomy mostly with stage II disease with ovarian endometriomas. Improvements in dysmenorrhoea pain scores from 5.7 to 4.15 and dyspareunia from 4.05 to 2.17 (p <.001) were observed. The Self Rate Assessment was improved; 6.66-4.68 post-operatively (p < .05). In EQ-5 D Index, the anxiety and activities outcomes showed a significant worsening post-intervention. There was no correlation between the stage of disease and endometrial pain; (p = .289), method of intervention (p = .290) and usage of post-operative hormonal therapy (p = .632). This study concluded that surgical treatment improved the QoL with added hormonal therapy post-intervention, despite not reaching statistical significance, showed a promising result. Impact statement Surgical intervention does improve the QoL for women with endometriosis however post interventional hormonal therapy is remain inconclusive.

  4. Wet steam wetness measurement in a 10 MW steam turbine

    Directory of Open Access Journals (Sweden)

    Kolovratník Michal

    2014-03-01

    Full Text Available The aim of this paper is to introduce a new design of the extinction probes developed for wet steam wetness measurement in steam turbines. This new generation of small sized extinction probes was developed at CTU in Prague. A data processing technique is presented together with yielded examples of the wetness distribution along the last blade of a 10MW steam turbine. The experimental measurement was done in cooperation with Doosan Škoda Power s.r.o.

  5. TITAN - a 9 MW, 179 bar pressurised water rig

    International Nuclear Information System (INIS)

    Mogford, D.J.; Lee, D.H.

    1987-02-01

    The report describes the TITAN rig built at Winfrith for thermal hydraulic experiments with water at up to 179 bar pressure. A power supply of 9 MW is available. The report describes three typical experiments that show the versatility of the rig. The first is a 25 rod pressurized water reactor fuel bundle critical heat flux experiment, the second is a parallel channel evaporator test and the third is a model jet pump test. (author)

  6. 10 MW, L-Band Klystron for Accelerators

    Energy Technology Data Exchange (ETDEWEB)

    Read, Michael [Calabazas Creek Research, Inc., San Mateo, CA (United States); Ives, Robert L. [Calabazas Creek Research, Inc., San Mateo, CA (United States); Ferguson, Patrick [Calabazas Creek Research, Inc., San Mateo, CA (United States)

    2016-03-07

    This program developed a 10 MW, pulsed, Annular Beam Klystron (ABK) for accelerator applications. This is an alternative RF source to multiple beam klystrons MBKs), which are more complex and considerably more expensive. The ABK uses a single, annular cathode and a single beam tunnel with fundamental mode cavities. The operating specifications (voltage, efficiency, power, bndwidth, duty, etc.) are the same as for comparable MBKs.

  7. Voiding patterns of adult patients who underwent hypospadias repair in childhood.

    Science.gov (United States)

    Jaber, Jawdat; Kocherov, Stanislav; Chertin, Leonid; Farkas, Amicur; Chertin, Boris

    2017-02-01

    This study aimed at evaluating the voiding patterns of adult patients who underwent hypospadias repair in childhood. Following IRB approval 103 (22.7%) of 449 adult patients who underwent hypospadias repair between 1978 and 1993 responded to the following questionnaires: International Prostate Symptom Score (I-PSS) and Short Form 12 questionnaire (SF-12). Uroflowmetry (UF) was performed for all patients. The patients were divided into three groups according to the primary meatus localization. Group I had 63 patients (61.5%) treated for glanular hypospadias, group II had 19 patients (18.4%) treated for distal hypospadias, and group III comprised the remaining 21 patients (20.4%) treated for proximal hypospadias. The mean ± SD I-PSS score for all patients who responded to the questionnaire was 2.3 ± 2.4, and UF was 21.1 ± 4.3 mL/s. The patients from groups I and III had fewer urinary symptoms compared with those of the group II: 1.3 ± 1.5, 5.5 ± 2.4, and 1.6 ± 1.4, respectively (p hypospadias repair in childhood had normal or mild voiding disturbance, with no effects on their physical or mental status. Copyright © 2016 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.

  8. [Prognostic Analysis of Breast Cancer Patients Who Underwent Neoadjuvant Chemotherapy Using QOL-ACD].

    Science.gov (United States)

    Fukui, Yasuhiro; Kashiwagi, Shinichiro; Takada, Koji; Goto, Wataru; Asano, Yuka; Morisaki, Tamami; Noda, Satoru; Takashima, Tsutomu; Onoda, Naoyoshi; Hirakawa, Kosei; Ohira, Masaichi

    2017-11-01

    We investigated into association of quality of life(QOL)and prognosis of breast cancer patients who underwent neoadjuvant chemotherapy(NAC). We retrospectively studied 228 patients with breast cancer who were performed NAC during a period between 2007 and 2015. TheQ OL score was measured with"The QOL Questionnaire for Cancer Patients Treated with Anticancer Drugs(QOL-ACD)". We evaluate association between QOL score with antitumor effect and prognosis. Changes in the QOL score between before and after NAC were compared as well. We divided 2 groups by QOL-ACD scoreinto high and low groups. Therapeautic effect of NAC on 75 patients were pathological complete response(pCR). QOL-ACD score was not significantly associated with pCR rate in both high and low groups(p=0.199). High group was significantly associated with higher survival rate in both of disease free survival(p=0.009, logrank)and overall survival(p=0.040, logrank). QOLACD score decreased after NAC in both of pCR and non-pCR patients. In conclusion, QOL evaluation using QOL-ACD could be an indicator of breast cancer patients' prognosis who underwent NAC.

  9. HLA-G regulatory haplotypes and implantation outcome in couples who underwent assisted reproduction treatment.

    Science.gov (United States)

    Costa, Cynthia Hernandes; Gelmini, Georgia Fernanda; Wowk, Pryscilla Fanini; Mattar, Sibelle Botogosque; Vargas, Rafael Gustavo; Roxo, Valéria Maria Munhoz Sperandio; Schuffner, Alessandro; Bicalho, Maria da Graça

    2012-09-01

    The role of HLA-G in several clinical conditions related to reproduction has been investigated. Important polymorphisms have been found within the 5'URR and 3'UTR regions of the HLA-G promoter. The aim of the present study was to investigate 16 SNPs in the 5'URR and 14-bp insertion/deletion (ins/del) polymorphism located in the 3'UTR region of the HLA-G gene and its possible association with the implantation outcome in couples who underwent assisted reproduction treatments (ART). The case group was composed of 25 ART couples. Ninety-four couples with two or more term pregnancies composed the control group. Polymorphism haplotype frequencies of the HLA-G were determined for both groups. The Haplotype 5, Haplotype 8 and Haplotype 11 were absolute absence in ART couples. The HLA-G*01:01:02a, HLA-G*01:01:02b alleles and the 14-bp ins polymorphism, Haplotype 2, showed an increased frequency in case women and similar distribution between case and control men. However, this susceptibility haplotype is significantly presented in case women and in couple with failure implantation after treatment, which led us to suggest a maternal effect, associated with this haplotype, once their presence in women is related to a higher number of couples who underwent ART. Copyright © 2012. Published by Elsevier Inc.

  10. Sarcopenia: a new predictor of postoperative complications for elderly gastric cancer patients who underwent radical gastrectomy.

    Science.gov (United States)

    Zhou, Chong-Jun; Zhang, Feng-Min; Zhang, Fei-Yu; Yu, Zhen; Chen, Xiao-Lei; Shen, Xian; Zhuang, Cheng-Le; Chen, Xiao-Xi

    2017-05-01

    A geriatric assessment is needed to identify high-risk elderly patients with gastric cancer. However, the current geriatric assessment has been considered to be either time-consuming or subjective. The present study aimed to investigate the predictive effect of sarcopenia on the postoperative complications for elderly patients who underwent radical gastrectomy. We conducted a prospective study of patients who underwent radical gastrectomy from August 2014 to December 2015. Computed tomography-assessed lumbar skeletal muscle, handgrip strength, and gait speed were measured to define sarcopenia. Sarcopenia was present in 69 of 240 patients (28.8%) and was associated with lower body mass index, lower serum albumin, lower hemoglobin, and higher nutritional risk screening 2002 scores. Postoperative complications significantly increased in the sarcopenic patients (49.3% versus 24.6%, P sarcopenia (odds ratio: 2.959, 95% CI: 1.629-5.373, P Sarcopenia, presented as a new geriatric assessment factor, was a strong and independent risk factor for postoperative complications of elderly patients with gastric cancer. Copyright © 2016 Elsevier Inc. All rights reserved.

  11. Circulating S100B and Adiponectin in Children Who Underwent Open Heart Surgery and Cardiopulmonary Bypass

    Directory of Open Access Journals (Sweden)

    Alessandro Varrica

    2015-01-01

    Full Text Available Background. S100B protein, previously proposed as a consolidated marker of brain damage in congenital heart disease (CHD newborns who underwent cardiac surgery and cardiopulmonary bypass (CPB, has been progressively abandoned due to S100B CNS extra-source such as adipose tissue. The present study investigated CHD newborns, if adipose tissue contributes significantly to S100B serum levels. Methods. We conducted a prospective study in 26 CHD infants, without preexisting neurological disorders, who underwent cardiac surgery and CPB in whom blood samples for S100B and adiponectin (ADN measurement were drawn at five perioperative time-points. Results. S100B showed a significant increase from hospital admission up to 24 h after procedure reaching its maximum peak (P0.05 have been found all along perioperative monitoring. ADN/S100B ratio pattern was identical to S100B alone with the higher peak at the end of CPB and remained higher up to 24 h from surgery. Conclusions. The present study provides evidence that, in CHD infants, S100B protein is not affected by an extra-source adipose tissue release as suggested by no changes in circulating ADN concentrations.

  12. 12MW Horns Rev experiment[Wind farm

    Energy Technology Data Exchange (ETDEWEB)

    Hasager, C.B.; Pena, A; Mikkelsen, T.; Courtney, M.; Antoniou, I.; Gryning, S.-E.; Hansen, P. [Risoe National Lab., DTU, Wind Energy Dept. (Denmark); Soerensen, P.B. [DONG Energy (Denmark)

    2007-10-15

    The 12MW project with the full title '12 MW wind turbines: the scientific basis for their operation at 70 to 270 m height offshore' has the goal to experimentally investigate the wind and turbulence characteristics between 70 and 270 m above sea level and thereby establish the scientific basis relevant for the next generation of huge 12 MW wind turbines operating offshore. The report describes the experimental campaign at the Horns Rev offshore wind farm at which observations from Doppler Laser LIDAR and SODAR were collected from 3 May to 24 October 2006. The challenges for mounting and operating the instruments on the transformer platform at Horns Rev were overcome by a close collaboration between DONG energy and Risoe National Laboratory DTU. The site is presented. In particular, three tall offshore meteorological masts, up to 70 m tall, provided a useful source of meteorological data for comparison to the remotely sensed wind and turbulence observations. The comparison showed high correlation. The LIDAR and SODAR wind and turbulence observations were collected far beyond the height of the masts (up to 160 m above sea level) and the extended profiles were compared to the logarithmic wind profile. Further studies on this part of the work are on-going. Technical detail on LIDAR and SODAR are provided as well as theoretical work on turbulence and atmospheric boundary layer flow. Selected results from the experimental campaign are reported. (au)

  13. LBNF 1.2 MW TARGET: CONCEPTUAL DESIGN & FABRICATION

    Energy Technology Data Exchange (ETDEWEB)

    Crowley, Cory F. [Fermilab; Ammigan, K. [Fermilab; Anderson, K. [Fermilab; Hartsell, B. [Fermilab; Hurh, P. [Fermilab; Hylen, J. [Fermilab; Zwaska, R. [Fermilab

    2015-06-29

    Fermilab’s Long-Baseline Neutrino Facility (LBNF) will utilize a modified design based on the NuMI low energy target that is reconfigured to accommodate beam operation at 1.2 MW. Achieving this power with a graphite target material and ancillary systems originally rated for 400 kW requires several design changes and R&D efforts related to material bonding and electrical isolation. Target cooling, structural design, and fabrication techniques must address higher stresses and heat loads that will be present during 1.2 MW operation, as the assembly will be subject to cyclic loads and thermal expansion. Mitigations must be balanced against compromises in neutrino yield. Beam monitoring and subsystem instrumentation will be updated and added to ensure confidence in target positioning and monitoring. Remote connection to the target hall support structure must provide for the eventual upgrade to a 2.4 MW target design, without producing excessive radioactive waste or unreasonable exposure to technicians during reconfiguration. Current designs and assembly layouts will be presented, in addition to current findings on processes and possibilities for prototype and final assembly fabrication.

  14. LBNF 1.2 MW Target: Conceptual Design & Fabrication

    Energy Technology Data Exchange (ETDEWEB)

    Crowley, C. [Fermilab; Ammigan, K. [Fermilab; Anderson, K. [Fermilab; Hartsell, B. [Fermilab; Hurh, P. [Fermilab; Hylen, J. [Fermilab; Zwaska, R. [Fermilab

    2015-06-01

    Fermilab’s Long-Baseline Neutrino Facility (LBNF) will utilize a modified design based on the NuMI low energy target that is reconfigured to accommodate beam operation at 1.2 MW. Achieving this power with a graphite target material and ancillary systems originally rated for 400 kW requires several design changes and R&D efforts related to material bonding and electrical isolation. Target cooling, structural design, and fabrication techniques must address higher stresses and heat loads that will be present during 1.2 MW operation, as the assembly will be subject to cyclic loads and thermal expansion. Mitigations must be balanced against compromises in neutrino yield. Beam monitoring and subsystem instrumentation will be updated and added to ensure confidence in target positioning and monitoring. Remote connection to the target hall support structure must provide for the eventual upgrade to a 2.4 MW target design, without producing excessive radioactive waste or unreasonable exposure to technicians during reconfiguration. Current designs and assembly layouts will be presented, in addition to current findings on processes and possibilities for prototype and final assembly fabrication.

  15. A Pregnant Woman Who Underwent Laparoscopic Adrenalectomy due to Cushing’s Syndrome

    Directory of Open Access Journals (Sweden)

    Halit Diri

    2014-01-01

    Full Text Available Cushing’s syndrome (CS may lead to severe maternal and fetal morbidities and even mortalities in pregnancy. However, pregnancy complicates the diagnosis and treatment of CS. This study describes a 26-year-old pregnant woman admitted with hypertension-induced headache. Hormonal analyses performed due to her cushingoid phenotype revealed a diagnosis of adrenocorticotropic hormone- (ACTH- independent CS. MRI showed a 3.5 cm adenoma in her right adrenal gland. After preoperative metyrapone therapy, she underwent a successful unilateral laparoscopic adrenalectomy at 14-week gestation. Although she had a temporary postoperative adrenal insufficiency, hormonal analyses showed that she has been in remission since delivery. Findings in this patient, as well as those in previous patients, indicate that pregnancy is not an absolute contraindication for laparoscopic adrenalectomy. Rather, such surgery should be considered a safe and efficient treatment method for pregnant women with cortisol-secreting adrenal adenomas.

  16. [Patients with astigmatism who underwent cataract surgery by phacoemulsification: toric IOL x asferic IOL?].

    Science.gov (United States)

    Torres Netto, Emilio de Almeida; Gulin, Marina Carvalho; Zapparoli, Marcio; Moreira, Hamilton

    2013-01-01

    Compare the visual acuity of patients who underwent cataract surgery by phacoemulsification with IOL AcrySof(®) toric implantation versus AcrySof(®) IQ and evaluate the reduction of cylindrical diopters (CD) in the postoperative period. Analytical and retrospective study of 149 eyes with 1 or more diopters of regular symmetrical keratometric astigmatism, which underwent cataract surgery by phacoemulsification. The eyes were divided into two groups: the toric group with 85 eyes and the non-toric group with 64 eyes. In the pre-operative phase, topographic data and refraction of each eye to be operated were assessed. In the postoperative phase, refraction and visual acuity with and without correction were measured. The preoperative topographic astigmatism ranged from 1.00 to 5.6 DC in both groups. Average reduction of 1.37 CD (p<0.001) and 0.16 CD (p=0.057) was obtained for the toric and non-toric group when compared to the refractive astigmatism, respectively. Considering visual acuity without correction (NCVA), the toric group presented 44 eyes (51.7%) with NCVA of 0 logMAR (20/20) or 0.1 logMAR (20/25) and the toric group presented 7 eyes (10.93%) with these same NCVA values. The results show that patients with a significant keratometric astigmatism presented visual benefits with the toric IOL implantation. The reduction of the use of optical aids may be obtained provided aberrations of the human eye are corrected more accurately. Currently, phacoemulsification surgery has been used not only for functional improvement, but also as a refraction procedure.

  17. Enteral nutrition is superior to total parenteral nutrition for pancreatic cancer patients who underwent pancreaticoduodenectomy.

    Science.gov (United States)

    Liu, Changli; Du, Zhi; Lou, Cheng; Wu, Chenxuan; Yuan, Qiang; Wang, Jun; Shu, Guiming; Wang, Yijun

    2011-01-01

    To determine the effects of total parenteral nutrition (TPN) and enteral nutrition (EN) on biochemical and clinical outcomes in pancreatic cancer patients who underwent pancreaticoduodenectomy. From the year 2006 to 2008, 60 patients who underwent pancreaticoduodenectomy in Tianjin Third Central Hospital were enrolled in this study. They were randomly divided into the EN group and the TPN group. The biochemical and clinical parameters were recorded and analyzed between the two groups. There was no significant difference in the nutritional status, liver and kidney function, and blood glucose levels between the TPN and EN groups on the preoperative day, the 1st and 3 rd postoperative days. However, on the 7th postoperative day, there was significant difference between the two groups in 24 h urinary nitrogen, serum levels of, total protein (TP), transferrin (TF), alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase (ALP), and γ-glutamyl transpeptadase (GGT), blood urea nitrogen (BUN) and creatinine (Cr). On the 14th postoperative day, there was a significant difference between the two groups in terms of urinary levels of 24 h nitrogen, TP, TF, retinol binding protein, ALT, AST, ALP, GGT, total bilirubin, direct bilirubin, BUN, Cr, and glucose. The incidence of delayed gastric emptying in the EN and TPN groups was 0% and 20%, respectively. Moreover, the incidence of pancreatic fistulas and hemorrhages in the EN group were 3.6% and 3.6%, versus 26.7% and 30% in the TPN group, respectively. EN is better than TPN for pancreatic cancer patients who received pancreaticoduodenectomy.

  18. Physical activity in the elderly who underwent joint replacement surgery in the course of rheumatic diseases

    Directory of Open Access Journals (Sweden)

    Agnieszka Prusinowska

    2016-07-01

    Full Text Available According to the forecasts of the Central Statistical Office of Poland, in 2030 people at the age of 65 and older will account for 23.8%, i.e. their number will amount to approx. 8.5 m people. Geriatric rheumatic patients more often decide to undergo surgical joint replacement. According to the National Health Fund, the number of joint replacement services provided in 2014 increased by 93%, as compared to 2005. Improving the physical performance of this constantly expanding group of patients requires taking into account many factors to raise their functional status, reduce the risk of falling, teach rules of proper functioning with an artificial joint and encourage unassisted physical activity. Restoring fitness and independence is a difficult but necessary task due to an increasing number of seniors with replaced joint.

  19. Contraceptive Provision after Medication and Surgical Abortion.

    Science.gov (United States)

    Laursen, Laura; Stumbras, Katrina; Lewnard, Irene; Haider, Sadia

    This study sought to compare contraception provided to patients after medication and surgical abortion. Women who underwent first trimester induced abortion at a university-based urban clinic between May 2009 and May 2014 were identified. Medical records were reviewed to determine the method of contraception provided by the clinic to patients after medication and surgical abortion. Postabortal contraception was defined as any contraception administered or prescribed from our health system within 4 weeks of surgical abortion or mifepristone administration. We reviewed 824 women who were 9 weeks gestational age or less and able to choose between medication and surgical termination of pregnancy. Overall, 587 (71.1%) had a surgical abortion and 237 (28.9%) had a medication abortion. Women who had surgical abortions were more likely to initiate long-acting reversible contraception (41.9% vs. 23.2%; p abortion was 71.7%. Women who had surgical abortions had a greater odds of receiving long-acting reversible contraception than those who had medication abortions. Surgical abortion patients were also more likely to be provided contraception overall. Further prospective research is needed to determine the reasons for this difference and to ensure that all patients obtain the contraception that they desire. Copyright © 2017 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

  20. INTEGRATED GASIFICATION COMBINED CYCLE PROJECT 2 MW FUEL CELL DEMONSTRATION

    Energy Technology Data Exchange (ETDEWEB)

    FuelCell Energy

    2005-05-16

    With about 50% of power generation in the United States derived from coal and projections indicating that coal will continue to be the primary fuel for power generation in the next two decades, the Department of Energy (DOE) Clean Coal Technology Demonstration Program (CCTDP) has been conducted since 1985 to develop innovative, environmentally friendly processes for the world energy market place. The 2 MW Fuel Cell Demonstration was part of the Kentucky Pioneer Energy (KPE) Integrated Gasification Combined Cycle (IGCC) project selected by DOE under Round Five of the Clean Coal Technology Demonstration Program. The participant in the CCTDP V Project was Kentucky Pioneer Energy for the IGCC plant. FuelCell Energy, Inc. (FCE), under subcontract to KPE, was responsible for the design, construction and operation of the 2 MW fuel cell power plant. Duke Fluor Daniel provided engineering design and procurement support for the balance-of-plant skids. Colt Engineering Corporation provided engineering design, fabrication and procurement of the syngas processing skids. Jacobs Applied Technology provided the fabrication of the fuel cell module vessels. Wabash River Energy Ltd (WREL) provided the test site. The 2 MW fuel cell power plant utilizes FuelCell Energy's Direct Fuel Cell (DFC) technology, which is based on the internally reforming carbonate fuel cell. This plant is capable of operating on coal-derived syngas as well as natural gas. Prior testing (1992) of a subscale 20 kW carbonate fuel cell stack at the Louisiana Gasification Technology Inc. (LGTI) site using the Dow/Destec gasification plant indicated that operation on coal derived gas provided normal performance and stable operation. Duke Fluor Daniel and FuelCell Energy developed a commercial plant design for the 2 MW fuel cell. The plant was designed to be modular, factory assembled and truck shippable to the site. Five balance-of-plant skids incorporating fuel processing, anode gas oxidation, heat recovery

  1. Study of the seroma volume changes in the patients who underwent Accelerated Partial Breast Irradiation

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Dae Ho; Son, Sang Jun; Mun, Jun Ki; Seo, Seok Jin; Lee, Je Hee [Dept. of Radiation Oncology, Seoul National University Hospital, Seoul (Korea, Republic of)

    2016-06-15

    By analyzing seroma volume changes in the patients who underwent Partial breast radiation therapy after breast conserving surgery, we try to contribute to the improvement of radiotherapy effect. Enrolled 20 patients who underwent partial breast radiation therapy by ViewRay MRIdian System were subject. After seeking for the size of the removed sample in the patients during surgery and obtained seroma volume changes on a weekly basis. On the Basis of acquired volume, it was compared with age, term from start of the first treatment after surgery, BMI (body mass index) and the extracted sample size during surgery. And using the ViewRay MRIdian RTP System, the figure was analyzed by PTV(=seroma volume + margin) to obtain a specific volume of the Partial breast radiation therapy. The changes of seroma volume from MR simulation to the first treatment (a week) is 0~5% in 8, 5~10% in 3, 10 to 15% in 2, and 20% or more in 5 people. Two patients(A, B patient) among subjects showed the biggest change. The A patient's 100% of the prescribed dose volume is 213.08 cc, PTV is 181.93 cc, seroma volume is 15.3 cc in initial plan. However, while seroma volume decreased 65.36% to 5.3 cc, 100% of the prescribed dose volume was reduced to 3.4% to 102.43 cc and PTV also did 43.6% to 102.54 cc. In the case of the B patient, seroma volume decreased 42.57% from 20.2 cc to 11.6 cc. Because of that, 100% of the prescribed dose volume decreased 8.1% and PTV also did to 40%. As the period between the first therapy and surgery is shorter, the patient is elder and the size of sample is smaller than 100 cc, the change grow bigger. It is desirable to establish an adaptive plan according to each patient's changes of seroma volume through continuous observation. Because partial breast patients is more sensitive than WBRT patients about dose conformity in accordance with the volume change.

  2. Digital, remote control system for a 2-MW research reactor

    International Nuclear Information System (INIS)

    Battle, R.E.; Corbett, G.K.

    1988-01-01

    A fault-tolerant programmable logic controller (PLC) and operator workstations have been programmed to replace the hard-wired relay control system in the 2-MW Bulk Shielding Reactor (BSR) at Oak Ridge National Laboratory. In addition to the PLC and remote and local operator workstations, auxiliary systems for remote operation include a video system, an intercom system, and a fiber optic communication system. The remote control station, located at the High Flux Isotope Reactor 2.5 km from the BSR, has the capability of rector startup and power control. The system was designed with reliability and fail-safe features as important considerations. 4 refs., 3 figs

  3. Problems in the design and development of 750 MW turbogenerators

    CERN Document Server

    Anempodistov, V P; Urusov, I D; Fry, D W; Higinbotham, W

    1963-01-01

    Problems in the Design and Development of 750 MW Turbo-Generators covers selected problems mainly related to projected machines in the development of turbo-generators. This book describes the main lines of research at the Electromechanics Institute of the U.S.S.R. Academy of Sciences.This book is divided into six chapters and begins with an overview of the progress in the generation of electricity along with the rapid economic development of the U.S.S.R. The succeeding chapter deals with the use of efficient cooling system of the winding copper to address the problem of electrical machine's un

  4. 1.5 MW RF Load for ITER

    International Nuclear Information System (INIS)

    Ives, Robert Lawrence; Marsden, David; Collins, George; Karimov, Rasul; Mizuhara, Max; Neilson, Jeffrey

    2016-01-01

    Calabazas Creek Research, Inc. developed a 1.5 MW RF load for the ITER fusion research facility currently under construction in France. This program leveraged technology developed in two previous SBIR programs that successfully developed high power RF loads for fusion research applications. This program specifically focused on modifications required by revised technical performance, materials, and assembly specification for ITER. This program implemented an innovative approach to actively distribute the RF power inside the load to avoid excessive heating or arcing associated with constructive interference. The new design implemented materials and assembly changes required to meet specifications. Critical components were built and successfully tested during the program.

  5. The status of safeguarding 600 MW(e) CANDU reactors

    International Nuclear Information System (INIS)

    Von Baeckmann, A.; Rundquist, D.E.; Pushkarjov, V.; Smith, R.M.; Zarecki, C.W.

    1982-09-01

    There has been extensive work in the development of CANDU safeguards since the last International Conference on Nuclear Power, and this has resulted in the development of improved equipment for the safeguards system now being installed in the 600 MW(e) CANDU generating stations. The overall system is designed to improve on the existing IAEA safeguards and to provide adequate coverage for each plausible nuclear material diversion route. There is sufficient sensitivity and redundancy to enable the timely detection of the possible diversion of significant quantities of nuclear material

  6. Structural Optimization of an Innovative 10 MW Wind Turbine Nacelle

    DEFF Research Database (Denmark)

    Dabrowski, Dariusz; Natarajan, Anand; Stehouwer, Ewoud

    2015-01-01

    For large wind turbine configurations of 10 MW and higher capacities, direct-drives present a more compact solution over conventional geared drivetrains. Further, if the generator is placed in front of the wind turbine rotor, a compact “king-pin” drive is designed, that allows the generator...... of the structure. Farther, the tower top mass was reduced on the basis of the topology optimization results with compliance limits applied for the king-pin and mainframe. Presented analysis shows that a structural mass of the nacelle can be reduced without significant influence on the mechanical properties...

  7. Design of 250-MW CW RF system for APT

    International Nuclear Information System (INIS)

    Rees, D.

    1997-01-01

    The design for the RF systems for the APT (Accelerator Production of Tritium) proton linac will be presented. The linac produces a continuous beam power of 130 MW at 1300 MeV with the installed capability to produce up to a 170 MW beam at 1700 MeV. The linac is comprised of a 350 MHz RFQ to 7 MeV followed in sequence by a 700 MHz coupled-cavity drift tube linac, coupled-cavity linac, and superconducting (SC) linac to 1700 MeV. At the 1700 MeV, 100 mA level the linac requires 213 MW of continuous-wave (CW) RF power. This power will be supplied by klystrons with a nominal output power of 1.0 MW. 237 kystrons are required with all but three of these klystrons operating at 700 MHz. The klystron count includes redundancy provisions that will be described which allow the RF systems to meet an operational availability in excess of 95 percent. The approach to achieve this redundancy will be presented for both the normal conducting (NC) and SC accelerators. Because of the large amount of CW RF power required for the APT linac, efficiency is very important to minimize operating cost. Operation and the RF system design, including in-progress advanced technology developments which improve efficiency, will be discussed. RF system performance will also be predicted. Because of the simultaneous pressures to increase RF system reliability, reduce tunnel envelope, and minimize RF system cost, the design of the RF vacuum windows has become an important issue. The power from a klystron will be divided into four equal parts to minimize the stress on the RF vacuum windows. Even with this reduction, the RF power level at the window is at the upper boundary of the power levels employed at other CW accelerator facilities. The design of a 350 MHz, coaxial vacuum window will be presented as well as test results and high power conditioning profiles. The transmission of 950 kW, CW, power through this window has been demonstrated with only minimal high power conditioning

  8. Feasibility study of 5MW superconducting wind turbine generator

    DEFF Research Database (Denmark)

    Abrahamsen, Asger Bech; Jensen, Bogi Bech; Seiler, E.

    2011-01-01

    The feasibility of installing a direct drive superconducting generator in the 5MW reference offshore wind turbine of the National Renewable Energy Laboratory (NREL) has been examined. The engineering current densities Je obtained in a series of race track coils have been combined with magnetization...... measurements to estimate the properties of suitable field coils for a synchronous generator, which is more light weight than the conventional used combination of a gear box and a fast rotating generator. An analytical model and finite element simulations have been used to estimate the active mass of generators...

  9. 1.5 MW RF Load for ITER

    Energy Technology Data Exchange (ETDEWEB)

    Ives, Robert Lawrence [Calabazas Creek Research, Inc., San Mateo, CA (United States); Marsden, David [Calabazas Creek Research, Inc., San Mateo, CA (United States); Collins, George [Calabazas Creek Research, Inc., San Mateo, CA (United States); Karimov, Rasul [Calabazas Creek Research, Inc., San Mateo, CA (United States); Mizuhara, Max [Calabazas Creek Research, Inc., San Mateo, CA (United States); Neilson, Jeffrey [Lexam Research, Redwood City, CA (United States)

    2016-09-01

    Calabazas Creek Research, Inc. developed a 1.5 MW RF load for the ITER fusion research facility currently under construction in France. This program leveraged technology developed in two previous SBIR programs that successfully developed high power RF loads for fusion research applications. This program specifically focused on modifications required by revised technical performance, materials, and assembly specification for ITER. This program implemented an innovative approach to actively distribute the RF power inside the load to avoid excessive heating or arcing associated with constructive interference. The new design implemented materials and assembly changes required to meet specifications. Critical components were built and successfully tested during the program.

  10. Design of 100 MW LNG Floating Barge Power Plant

    Directory of Open Access Journals (Sweden)

    I Made Ariana

    2017-06-01

    Full Text Available Floating bargepower plant able to supply amount of electricity to undeveloped island in Indonesia. In this research, the generator will be use in the power plant is dual-fuel engine. The process was determine the engine and every equipment along with its configuration then arrange the equipment. The result, MAN18V51/60DF selected along with its system configuration and its general arrangement. The final design enable 7.06 days of operation with daily average load (64.76 MW or 4.57 days with continues 100 MW load. In the end, the mobile power plant can be built on Damen B32SPo9832 Barge and comply with the regulation floating bargepower plant able to supply amount of electricity to undeveloped island in Indonesia. In this research, the generator will be use in the power plant is dual-fuel engine. The process was determine the engine and every equipment along with its configuration then arrange the equipment. The result, MAN18V51/60DF selected along with its system configuration and its general arrangement. The final design enable 7.06 days of operation with daily average load (64.76 MW or 4.57 days with continues 100 MW load. In the end, the mobile power plant can be built on Damen B32SPo9832 Barge and comply with the regulation Normal 0 false false false EN-US X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;}

  11. Comparative analysis of pain in patients who underwent total knee replacement regarding the tourniquet pressure

    Directory of Open Access Journals (Sweden)

    Marcos George de Souza Leão

    Full Text Available ABSTRACT OBJECTIVES: To evaluate through the visual analog scale (VAS the pain in patients undergoing total knee replacement (TKR with different pressures of the pneumatic tourniquet. METHODS: An observational, randomized, descriptive study on an analytical basis, with 60 patients who underwent TKR, divided into two groups, which were matched: a group where TKR was performed with tourniquet pressures of 350 mmHg (standard and the other with systolic blood pressure plus 100 mmHg (P + 100. These patients had their pain assessed by VAS at 48 h, and at the 5th and 15th days after procedure. Secondarily, the following were also measured: range of motion (ROM, complications, and blood drainage volume in each group; the data were subjected to statistical analysis. RESULTS: After data analysis, there was no statistical difference regarding the incidence of complications (p = 0.612, ROM (p = 0.202, bleeding after 24 and 48 h (p = 0.432 and p = 0.254 or in relation to VAS. No correlation was observed between time of ischemia compared to VAS and bleeding. CONCLUSIONS: The use of the pneumatic tourniquet pressure at 350 mmHg or systolic blood pressure plus 100 mmHg did not influence the pain, blood loss, ROM, and complications. Therefore the pressures at these levels are safe and do not change the surgery outcomes; the time of ischemia must be closely observed to avoid major complications.

  12. Assessment of quality of life in patients who underwent minimally invasive cosmetic procedures.

    Science.gov (United States)

    de Aquino, Marcello Simão; Haddad, Alessandra; Ferreira, Lydia Masako

    2013-06-01

    There are increasingly more patients seeking minimally invasive procedures, which have become more effective and safer in reducing the signs of facial aging. This study included 40 female adult patients who voluntarily underwent selected minimally invasive procedures (filling with hyaluronic acid and botulinum toxin injection) for facial rejuvenation. All patients were followed for a period of 6 months. They were evaluated with the use of questionnaires, a quality-of-life questionnaire (DLQI), the self-esteem scale of Rosenberg (EPM/Rosenberg), and a pain scale. The minimally invasive procedures resulted in improvement in quality of life and self-esteem, which were stronger the first 3 months after the procedures but remained at a higher level than that before treatment, even after 6 months. Hyaluronic acid with lidocaine in the formula is more comfortable for the patient as it makes the injection less painful. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

  13. Assessment of Patients Who Underwent Nasal Reconstruction After Non-Melanoma Skin Cancer Excision.

    Science.gov (United States)

    Uzun, Hakan; Bitik, Ozan; Kamburoğlu, Haldun Onuralp; Dadaci, Mehmet; Çaliş, Mert; Öcal, Engin

    2015-06-01

    Basal and squamous cell carcinomas are the most common malignant cutaneous lesions affecting the nose. With the rising incidence of skin cancers, plastic surgeons increasingly face nasal reconstruction challenges. Although multiple options exist, optimal results are obtained when "like is used to repair like". We aimed to introduce a simple algorithm for the reconstruction of nasal defects with local flaps, realizing that there is always more than one option for reconstruction. We retrospectively reviewed 163 patients who underwent nasal reconstruction after excision of non-melanoma skin cancer between March 2011 and April 2014. We analyzed the location of the defects and correlated them with the techniques used to reconstruct them. There were 66 males and 97 females (age, 21-98 years). Basal cell carcinoma was diagnosed in 121 patients and squamous cell carcinoma in 42. After tumor excision, all the defects were immediately closed by either primary closure or local flap options such as Limberg, Miter, glabellar, bilobed, nasolabial, V-Y advancement, and forehead flaps. Obtaining tumor-free borders and a pleasing aesthetic result are major concerns in nasal reconstruction. Defect reconstruction and cosmesis are as important as rapid recovery and quick return to normal daily activities, and these should be considered before performing any procedure, particularly in elderly patients.

  14. Stress and Quality of Life for Taiwanese Women Who Underwent Infertility Treatment.

    Science.gov (United States)

    Cheng, Ching-Yu; Stevenson, Eleanor Lowndes; Yang, Cheng-Ta; Liou, Shwu-Ru

    2018-04-28

    To describe the psychological stress and quality of life experienced by women who underwent fertility treatment in Taiwan. Cross-sectional, correlational study. Recruitment was conducted and questionnaires administered at a reproductive medicine center in Chiayi City, Taiwan. Informed consent to participate was obtained from 126 women who sought fertility treatment at the center. The Chinese Fertility Problem Inventory and Fertility Quality of Life scale were used to measure participants' levels of fertility-related stress and fertility-related quality of life. Descriptive statistics, correlation, and regression analysis were used. Overall, participants reported low levels of fertility-related stress and fertility-related quality of life; however, they had relatively high levels of stress related to need for parenthood. Women who were older, had greater body mass indexes, and consumed coffee regularly had lower fertility-related quality of life. Social and relationship concerns and stress related to need for parenthood were significant predictors of low fertility-related quality of life. In a culture in which childbearing is generally an expectation and an important part of family life, women who experience infertility are at risk to experience fertility-related stress. Social support and family consultation might be offered to improve women's fertility-related quality of life. Copyright © 2018 AWHONN, the Association of Women’s Health, Obstetric and Neonatal Nurses. Published by Elsevier Inc. All rights reserved.

  15. Determination of auto-antibodies to native and oxidized low-density lipoproteins (LDL) in serum of patients underwent coronariography in the Medical-Surgical Research Center (MSRC)

    International Nuclear Information System (INIS)

    Conde CerdeiraI, Hector; Soto Lopez, Yosdel; Aroche Aportela, Ronald

    2010-01-01

    Low-density lipoprotein (LDL) oxidation is an important event in atherosclerosis development. The relationship between oxidized LDL (oxLDL) autoantibodies and coronary artery disease (CAD) remains controversial. IgM and IgG autoantibodies to oxLDL were measured in twenty patients undergoing clinically indicated coronary angiography, and in ten young healthy volunteers from the Center of Molecular Immunology. The levels of IgM autoantibodies to oxLDL did not differ between no CAD patients and healthy subjects, but the levels of IgM autoantibodies to oxLDL of these two groups were higher compared with the one of CAD patient group. Our results, although preliminary, supports the hypothesis that this kind of Abs might be inversely associated with the presence of atherosclerosis

  16. Analysis of Recurrence Management in Patients Who Underwent Nonsurgical Treatment for Acute Appendicitis

    Science.gov (United States)

    Liang, Tsung-Jung; Liu, Shiuh-Inn; Tsai, Chung-Yu; Kang, Chi-Hsiang; Huang, Wei-Chun; Chang, Hong-Tai; Chen, I-Shu

    2016-01-01

    Abstract The recurrence rate for acute appendicitis treated nonoperatively varies between studies. Few studies have adequately evaluated the management of these patients when appendicitis recurs. We aimed to explore the recurrence rate and management of patients with acute appendicitis that were first treated nonoperatively. We identified patients in the Taiwan National Health Insurance Research Database who were hospitalized due to acute appendicitis for the first time between 2000 and 2010 and received nonsurgical treatment. The recurrence and its management were recorded. Data were analyzed to access the risk factors for recurrence and factors that influenced the management of recurrent appendicitis. Among the 239,821 patients hospitalized with acute appendicitis for the first time, 12,235 (5.1%) patients were managed nonoperatively. Of these, 864 (7.1%) had a recurrence during a median follow-up of 6.5 years. Appendectomy was performed by an open and laparoscopic approach in 483 (55.9%) and 258 (29.9%) patients, respectively. The remaining 123 (14.2%) patients were again treated nonsurgically. Recurrence was independently associated with young age, male sex, percutaneous abscess drainage, and medical center admission by multivariable analysis. In addition, age appendicitis, percutaneous abscess drainage, nor length of first time hospital stay had an influence on the selection of surgical approach. In conclusion, a laparoscopic appendectomy can be performed in recurrent appendicitis cases, and its application may not be related to previous appendicitis severity. PMID:27015200

  17. Do submucous myoma characteristics affect fertility and menstrual outcomes in patients underwent hysteroscopic myomectomy?

    Directory of Open Access Journals (Sweden)

    Ahmed Namazov

    2015-06-01

    Full Text Available Background: Submucous myomas may be associated with menorrhagia, infertility and dysmenorrhea. Objective: The aim of this study was to determine the long term effects of submucousal myoma resection on menorrhagia and infertility; also to detect whether the type, size, and location of myoma affect the surgical success. Materials and Methods: .Totally 98 women referred to hysteroscopy for symptomatic submucousal fibroids (menorrhagia (n=51 and infertility (n=47 between 2005- 2010 were enrolled in this historical cohort study Pregnancy rates and menstrual improvement rates were compared according to myoma characteristics (size, type and location. Results: After a mean postoperative period of 23±10 months in 51 patients with excessive bleeding, 13 had recurrent menorrhagia (25%. In Other 38 patients excessive bleeding was improved (75%. The improvement rates by location and myoma type: lower segment 100%, fundus 92%, and corpus 63%; type 0 70%, type 1 78%, type 2 80%. The mean sizes of myoma in recurred and improved patients were 23.33 mm and 29.88 mm respectively. 28 of 47 infertile women spontaneously experienced thirty pregnancies (60%. Pregnancy rates according to myoma location and type: lower segment 50%, fundus 57%, and corpus 80%; type 0 75%, type 1 62%, type 2 50%. The mean myoma size in patients who became pregnant was 30.38 mm; in patients who did not conceive was 29.95 mm. Conclusion: The myoma characetesitics do not affect improvement rates after hysteroscopic myomectomy in patients with unexplained infertility or excessive uterine bleeding.

  18. [Retrospective analysis of 856 cases with stage 0 to III rectal cancer underwent curative surgery combined modality therapy].

    Science.gov (United States)

    Chen, Pengju; Yao, Yunfeng; Zhao, Jun; Li, Ming; Peng, Yifan; Zhan, Tiancheng; Du, Changzheng; Wang, Lin; Chen, Nan; Gu, Jin

    2015-07-01

    To investigate the survival and prognostic factors of stage 0 to III rectal cancer in 10 years. Clinical data and follow-up of 856 rectal cancer patients with stage 0-III underwent curative surgery from January 2000 to December 2010 were retrospective analyzed. There were 470 male and 386 female patients, with a mean age of (58 ± 12) years. Kaplan-Meier method was used to analyze the overall survival and disease free survival. Log-rank test was used to compare the survival between groups. Cox regression was used to analyze the independent prognostic factors of rectal cancer. The patients in each stage were stage 0 with 18 cases, stage I with 209 cases, stage II with 235 cases, and stage III with 394 cases. All patients received curative surgery. There were 296 patients evaluated as cT3, cT4 and any T with N+ received preoperative radiotherapy. 5.4% patients got pathological complete response (16/296), and the recurrence rate was 4.7% (14/296). After a median time of 41.7 months (range 4.1 to 144.0 months) follow-up, the 5-year overall survival rate in stage 0 to I of was 91.0%, stage II 86.2%, and stage III 60.0%, with a significant difference (P=0.000). The cumulative local recurrence rate was 4.8% (41/856), of which 70.7% (29/41) occurred within 3 years postoperatively, 97.6% (40/41) in 5 years. The cumulative distant metastasis rate was 16.4% (140/856), of which 82.9% (129/140) occurred within 3 years postoperatively, 96.4% (135/140) in 5 years. The incidence of abnormal imaging findings was significantly higher in pulmonary than liver and other sites metastases (75.0% vs. 21.7%, χ² =25.691, P=0.000). The incidence of CEA elevation was significantly higher in liver than lung and other sites metastases (56.8% vs. 37.8%, χ² =25.691, P=0.000). Multivariable analysis showed that age (P=0.015, HR=1.385, 95% CI: 1.066 to 1.801), surgical approach (P=0.029, HR=1.337, 95% CI: 1.030 to 1.733), differentiation (P=0.000, HR=1.535, 95% CI: 1.222 to 1.928), TNM stage (P

  19. Micro-surgical endodontics.

    Science.gov (United States)

    Eliyas, S; Vere, J; Ali, Z; Harris, I

    2014-02-01

    Non-surgical endodontic retreatment is the treatment of choice for endodontically treated teeth with recurrent or residual disease in the majority of cases. In some cases, surgical endodontic treatment is indicated. Successful micro-surgical endodontic treatment depends on the accuracy of diagnosis, appropriate case selection, the quality of the surgical skills, and the application of the most appropriate haemostatic agents and biomaterials. This article describes the armamentarium and technical procedures involved in performing micro-surgical endodontics to a high standard.

  20. Peigan Nation to start 101 MW wind farm this month

    Energy Technology Data Exchange (ETDEWEB)

    McArthur, D.; Salaff, S.

    1998-06-01

    A joint venture, named Weather-Dancer Wind Power Inc., between Advanced Thermodynamics Corporation (ATC) and the Peigan First Nation Community in Alberta will begin construction in June of a wind farm on its 39,000 hectare reserve. The construction will be progressive, up to a maximum of 101 MW. If and when the farm reaches its full size, it will have cost around $175 million. The wind farm will utilize Nordex Balcke-Duerr (Nordex BD) wind turbines from Denmark. ATC is the sole distributor of these turbines in Canada, and will seek opportunities to market Nordex BD turbines and components throughout Alberta and Western Canada. ATC is also aggressively pursuing opportunities in Quebec and in Atlantic Canada. Financing for the construction of the wind farm and a long-term power purchase and distribution agreement with TransAlta Utilities are as yet incomplete, but negotiations are reported to be progressing well. The Nordex BD N54/1000, rated at one MW, will be the largest turbine, and the Peigan Nation Farm the largest wind farm in North America. This is the second attempt by the Peigan Nation to develop a wind farm on the reserve. On the first attempt, the development failed to secure access to the land needed for the project. This time around, a referendum will be held well in advance of the starting date for construction to obtain majority band approval of the site.

  1. A 12. 5 MW geothermal plant in California

    Energy Technology Data Exchange (ETDEWEB)

    1960-08-01

    The first U. S. geothermal power station is described. A 12.5 MW turbogenerator with steam conditions of 100 lb/in./sup 2/ at 348/sup 0/F went into operation at the Geysers in 1960. Enthalphy of three wells was determined to be about 1200 BTU/lb with steam flows, corresponding to a well pressure of 115 lb/in./sup 2/, between 26 and 111 klb/h. Pressure fell quite sharply when flow rate was increased. For example, on the Magma No. 1 well, a pressure of 180 lb/in./sup 2/ at zero flow, fell to 100 lb/in./sup 2/ at a flow of 125 klb/h. Entrained gases in the steam ranged from CO/sub 2/ averaging 70% to NH/sub 3/ at 1.5%. Corrosion studies by Corrosometer are reviewed and the lay out of the power station consisting of power house, barometric condenser, pipe to hot well, incoming steam main, and three cooling towers, is detailed. The generator, rated at 12.5 MW 60 c/s, 11.5 kV is connected through a 250 MVA metalclad air circuit-breaker to the station step-up transformer, rated 12.5 MVA, 11.5/60 kV and also to an auxiliary station transformer.

  2. Initial Testing of a 140 GHz 1 MW Gyrotron

    Science.gov (United States)

    Cauffman, Stephen; Felch, Kevin; Blank, Monica; Borchard, Philipp; Cahalan, Pat; Chu, Sam; Jory, Howard

    2001-10-01

    CPI has completed the fabrication of a 140 GHz 1 MW CW gyrotron to be used on the W7-X stellarator at IPP Greifswald. Testing of the initial build of this gyrotron had just begun when this abstract was prepared, and was expected to finish in September, at which time a planned rebuild of the device was scheduled to begin. This poster will summarize the gyrotron design, present results of initial testing, and outline any design changes planned as a consequence of these results. This gyrotron's design employs a number of advanced features, including a diode electron gun for simplified operation, a single-stage depressed collector to enhance overall efficiency, a CVD diamond output window, an internal mode converter that converts the excited TE28,7 cavity mode to a Gaussian output beam, and a high-voltage layout that locates all external high voltage below the superconducting magnet system without requiring an oil tank for insulation. Similar features are being used for an 84 GHz 500 kW system being built for the KSTAR tokamak program and for a 110 GHz 1.5 MW system being designed in collaboration with MIT, UMd, UW, GA, and Calabazas Creek Research with funding provided by DOE.

  3. Long-term outcomes of four patients with tracheal agenesis who underwent airway and esophageal reconstruction.

    Science.gov (United States)

    Tazuke, Yuko; Okuyama, Hiroomi; Uehara, Shuichiro; Ueno, Takehisa; Nara, Keigo; Yamanaka, Hiroaki; Kawahara, Hisayoshi; Kubota, Akio; Usui, Noriaki; Soh, Hideki; Nomura, Motonari; Oue, Takaharu; Sasaki, Takashi; Nose, Satoko; Saka, Ryuta

    2015-12-01

    The aim of this study was to evaluate the long-term outcomes of four patients with tracheal agenesis who underwent airway and esophageal/alimentary reconstruction. We reviewed the medical records of four long-term survivors of tracheal agenesis and collected the following data: age, sex, type of tracheal agenesis, method of reconstruction, nutritional management, and physical and neurological development. The patients consisted of three boys and one girl, who ranged in age from 77 to 109months. The severity of their condition was classified as Floyd's type I (n=2), II (n=1), or III (n=1). Mechanical respiratory support was not necessary in any of the cases. Esophageal/alimentary reconstruction was performed using the small intestine (n=2), a gastric tube (n=1), and the esophagus (n=1). The age at esophageal reconstruction ranged from 41 to 55months. All of the cases required enteral nutrition via gastrostomy. Three of the patients were able to swallow a small amount of liquid and one was able to take pureed food orally. The physical development of the subjects was moderately delayed-borderline in childhood. Neurological development was normal in two cases and slightly delayed in two cases. None of the long-term survivors of tracheal agenesis required the use of an artificial respirator, and their development was close to normal. Future studies should aim to elucidate the optimal method for performing esophageal reconstruction to allow tracheal agenesis patients to achieve their full oral intake. Copyright © 2015 Elsevier Inc. All rights reserved.

  4. Predictors of weight regain in patients who underwent Roux-en-Y gastric bypass surgery.

    Science.gov (United States)

    Shantavasinkul, Prapimporn Chattranukulchai; Omotosho, Philip; Corsino, Leonor; Portenier, Dana; Torquati, Alfonso

    2016-11-01

    Roux-en-Y gastric bypass (RYGB) is a highly effective treatment for obesity and results in long-term weight loss and resolution of co-morbidities. However, weight regain may occur as soon as 1-2 years after surgery. This retrospective study aimed to investigate the prevalence of weight regain and possible preoperative predictors of this phenomenon after RYGB. An academic medical center in the United States. A total of 1426 obese patients (15.8% male) who underwent RYGB during January 2000 to 2012 and had at least a 2-year follow-up were reviewed. We included only patients who were initially successful, having achieved at least 50% excess weight loss at 1 year postoperatively. Patients were then categorized into either the weight regain group (WR) or sustained weight loss (SWL) group based upon whether they gained≥15% of their 1-year postoperative weight. Weight regain was observed in 244 patients (17.1%). Preoperative body mass index was similar between groups. Body mass index was significantly higher and percent excess weight loss was significantly lower in the WR group (Pweight regain was 19.5±9.3 kg and-.8±8.5 in the WR and SWL groups, respectively (Pweight loss. Moreover, a longer duration after RYGB was associated with weight regain. Multivariate analysis revealed that younger age was a significant predictor of weight regain even after adjusting for time since RYGB. The present study confirmed that a longer interval after RYGB was associated with weight regain. Younger age was a significant predictor of weight regain even after adjusting for time since RYGB. The findings of this study underscore the complexity of the mechanisms underlying weight loss and regain after RYGB. Future prospective studies are needed to further explore the prevalence, predictors, and mechanisms of weight regain after RYGB. Copyright © 2016 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.

  5. Newly Developed Sarcopenia as a Prognostic Factor for Survival in Patients who Underwent Liver Transplantation.

    Directory of Open Access Journals (Sweden)

    Ja Young Jeon

    Full Text Available The relationship between a perioperative change in sarcopenic status and clinical outcome of liver transplantation (LT is unknown. We investigated whether post-LT sarcopenia and changes in sarcopenic status were associated with the survival of patients.This retrospective study was based on a cohort of 145 patients from a single transplant center who during a mean of 1 year after LT underwent computed tomography imaging evaluation. The cross-sectional area of the psoas muscle of LT patients was compared with that of age- and sex-matched healthy individuals. The Cox proportional hazards regression model was used to determine whether post-LT sarcopenia and changes in sarcopenic status affect post-LT survival.The mean age at LT of the 116 male and 29 female patients was 50.2 ± 7.9 years; the mean follow-up duration was 51.6 ± 32.9 months. All pre-LT patients with sarcopenia still had sarcopenia 1 year after LT; 14 (15% patients had newly developed sarcopenia. The mean survival duration was 91.8 ± 4.2 months for non-sarcopenic patients and 80.0 ± 5.2 months for sarcopenic patients (log-rank test, p = 0.069. In subgroup analysis, newly developed sarcopenia was an independent negative predictor for post-LT survival (hazard ratio: 10.53, 95% confidence interval: 1.37-80.93, p = 0.024.Sarcopenia in LT recipients did not improve in any of the previously sarcopenic patients and newly developed within 1 year in others. Newly developed sarcopenia was associated with increased mortality. Newly developed sarcopenia can be used to stratify patients with regard to the risk of post-LT mortality.

  6. The Effectiveness of Adjuvant Hyperbaric Oxygen Therapy in Adults who Underwent Hypospadias Surgery

    Directory of Open Access Journals (Sweden)

    Onder Kara

    2017-01-01

    Full Text Available Aim: To evaluate the role of hyperbaric oxygen therapy (HBO2T with buccal mucosal tube urethroplasty in adult patients with hypospadias. Material and Method: Sixteen adult patients with hypospadias were included in our study. Patients with a short urethra and penile curvature were treated in two stages (orthoplasty buccal mucosal tube urethroplasty. Buccal mucosa was taken and prepared for tube urethroplasty around a 16 French (Fr nelaton catheter and the urethral tube was introduced between the urethral meatus and glans penis. Beginning the 1st postoperative day (HBO2T was applied for 10 sessions during weekdays in 13 patients. Results: The mean age was 21 (±1.23 years and mean follow-up time was 10.1 (±2.1 months. In the group who received HBO2T postoperatively (n=13, a two-stage (orthoplasty buccal mucosal tube urethroplasty procedure was performed in 6 (46%, and the mean length of graft was 5.4 (±1.23 cm. In this group of 13 the success rate without any additional manipulations (urethrotomy intern, fistula repair was 54% (7/13. After additional manipulations, complete healing was achieved in 11 out of 13 patients (84.6%. In the group who did not receive HBO2T postoperatively (n=3, a two-stage procedure was performed in 1 patient (33%, and the mean length of graft was 8 (±5 cm. In this group of 3, complete healing was not achieved in any of these patients as a result of the hypospadias surgery. However, after the additional manipulations, complete healing was achieved in 1 patient (33%. Discussion: Given the promising rates of surgical success, postoperative HBO2T might be considered as a supportive treatment modality for adult patients with hypospadias who undergo buccal mucosal tube urethroplasty. Randomized controlled studies are needed.

  7. Spinopelvic balance evaluation of patients with degenerative spondylolisthesis L4L5 and L4L5 herniated disc who underwent surgery.

    Science.gov (United States)

    Nunes, Viviane Regina Hernandez; Jacob, Charbel; Cardoso, Igor Machado; Batista, José Lucas; Brazolino, Marcus Alexandre Novo; Maia, Thiago Cardoso

    2016-01-01

    To correlate spinopelvic balance with the development of degenerative spondylolisthesis and disk herniation. This was a descriptive retrospective study that evaluated 60 patients in this hospital, 30 patients with degenerative spondylolisthesis at the L4-L5 level and 30 with herniated disk at the L4-L5 level, all of whom underwent Surgical treatment. Patients with lumbar disk herniation at L4-L5 level had a mean tilt of 8.06, mean slope of 36.93, and mean PI of 45. In patients with degenerative spondylolisthesis at the L4-L5 level, a mean tilt of 22.1, mean slope of 38.3, and mean PI of 61.4 were observed. This article reinforces the finding that the high mean tilt and PI are related to the onset of degenerative spondylolisthesis, and also concluded that the same angles, when low, increase the risk for disk herniation.

  8. Spinopelvic balance evaluation of patients with degenerative spondylolisthesis L4L5 and L4L5 herniated disc who underwent surgery

    Directory of Open Access Journals (Sweden)

    Viviane Regina Hernandez Nunes

    Full Text Available ABSTRACT OBJECTIVE: To correlate spinopelvic balance with the development of degenerative spondylolisthesis and disk herniation. METHODS: This was a descriptive retrospective study that evaluated 60 patients in this hospital, 30 patients with degenerative spondylolisthesis at the L4-L5 level and 30 with herniated disk at the L4-L5 level, all of whom underwent Surgical treatment. RESULTS: Patients with lumbar disk herniation at L4-L5 level had a mean tilt of 8.06, mean slope of 36.93, and mean PI of 45. In patients with degenerative spondylolisthesis at the L4-L5 level, a mean tilt of 22.1, mean slope of 38.3, and mean PI of 61.4 were observed. CONCLUSION: This article reinforces the finding that the high mean tilt and PI are related to the onset of degenerative spondylolisthesis, and also concluded that the same angles, when low, increase the risk for disk herniation.

  9. Effects of Surgical Assistant's Level of Resident Training on Surgical Treatment of Intermittent Exotropia: Operation Time and Surgical Outcomes.

    Science.gov (United States)

    Kim, Moo Hyun; Chung, Hyunuk; Kim, Won Jae; Kim, Myung Mi

    2018-02-01

    To evaluate the effects of the surgical assistant's level of resident training on operation time and surgical outcome in the surgical treatment of intermittent exotropia. This study included 456 patients with intermittent exotropia who underwent lateral rectus recession and medial rectus resection and were followed up for 24 months after surgery. The patients were divided into two groups according to the surgical assistant's level of resident training: group F (surgery assisted by a first-year resident [n = 198]) and group S (surgery assisted by a second-, third-, or fourth-year resident [n = 258]). The operation time and surgical outcomes (postoperative exodeviation and the number of patients who underwent a second operation) were compared between the two groups. The average operation times in groups F and S were 36.54 ± 7.4 and 37.34 ± 9.94 minutes, respectively (p = 0.33). Immediate postoperative exodeviation was higher in group F (0.79 ± 3.82 prism diopters) than in group S (0.38 ± 3.75 prism diopters). However, repeated-measures analysis of variance revealed no significant difference in exodeviation between the two groups during the 24-month follow-up period (p = 0.45). A second operation was performed in 29.3% (58 / 198) of the patients in group F, and in 32.2% (83 / 258) of those in group S (p = 0.51). No significant difference in operation time was observed when we compared the effects of the level of resident training in the surgical treatment of intermittent exotropia. Although the immediate postoperative exodeviation was higher in patients who had undergone surgery assisted by a first-year resident, the surgical outcome during the 24-month follow-up was not significantly different.

  10. 15 MW HArdware-in-the-loop Grid Simulation Project

    Energy Technology Data Exchange (ETDEWEB)

    Rigas, Nikolaos [Clemson Univ., SC (United States); Fox, John Curtiss [Clemson Univ., SC (United States); Collins, Randy [Clemson Univ., SC (United States); Tuten, James [Clemson Univ., SC (United States); Salem, Thomas [Clemson Univ., SC (United States); McKinney, Mark [Clemson Univ., SC (United States); Hadidi, Ramtin [Clemson Univ., SC (United States); Gislason, Benjamin [Clemson Univ., SC (United States); Boessneck, Eric [Clemson Univ., SC (United States); Leonard, Jesse [Clemson Univ., SC (United States)

    2014-10-31

    The 15MW Hardware-in-the-loop (HIL) Grid Simulator project was to (1) design, (2) construct and (3) commission a state-of-the-art grid integration testing facility for testing of multi-megawatt devices through a ‘shared facility’ model open to all innovators to promote the rapid introduction of new technology in the energy market to lower the cost of energy delivered. The 15 MW HIL Grid Simulator project now serves as the cornerstone of the Duke Energy Electric Grid Research, Innovation and Development (eGRID) Center. This project leveraged the 24 kV utility interconnection and electrical infrastructure of the US DOE EERE funded WTDTF project at the Clemson University Restoration Institute in North Charleston, SC. Additionally, the project has spurred interest from other technology sectors, including large PV inverter and energy storage testing and several leading edge research proposals dealing with smart grid technologies, grid modernization and grid cyber security. The key components of the project are the power amplifier units capable of providing up to 20MW of defined power to the research grid. The project has also developed a one of a kind solution to performing fault ride-through testing by combining a reactive divider network and a large power converter into a hybrid method. This unique hybrid method of performing fault ride-through analysis will allow for the research team at the eGRID Center to investigate the complex differences between the alternative methods of performing fault ride-through evaluations and will ultimately further the science behind this testing. With the final goal of being able to perform HIL experiments and demonstration projects, the eGRID team undertook a significant challenge with respect to developing a control system that is capable of communicating with several different pieces of equipment with different communication protocols in real-time. The eGRID team developed a custom fiber optical network that is based upon FPGA

  11. Surgical handicraft: teaching and learning surgical skills.

    Science.gov (United States)

    Barnes, R W

    1987-05-01

    Surgeons choose their profession with a strong desire to excel at manual therapeutic skills. Although we mime our mentors, we have often received the torch of technique in the absence of a systematic program to optimally develop our manual dexterity. The operating room is the ultimate arena to refine one's technical ability, but a surgical skills laboratory should assume increasing importance in introducing the trainee to the many nuances of the fine manual motor skills necessary for optimal surgical technique. Surgical educators should address the science of surgical handicraft in a manner similar to the science of preoperative and postoperative surgical principles that have been espoused over the past 40 years. Although it has been euphemistically said that "you can teach a monkey to operate," few of us have broken the process down into the basic elements to accomplish such a goal. In view of the increasing complexity of operations and equipment, the constraints on animal laboratories and teaching caseloads, and the mounting economic and medico-legal pressures, the development of optimal surgical skills should be a major objective of every surgical training program. By developing novel programs and scientifically evaluating the results of such endeavors, surgical faculties may find increased academic rewards for being a good teacher.

  12. Prediction of vascular involvement and resectability by multidetector-row CT versus MR imaging with MR angiography in patients who underwent surgery for resection of pancreatic ductal adenocarcinoma

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jeong Kyong [Department of Radiology, School of Medicine, Ewha Womans University, 911-1 Mok-dong, YangCheon-ku, Seoul 158-710 (Korea, Republic of); Kim, Ah Young [Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1 Poongnab-dong, Songpa-ku, Seoul 138-736 (Korea, Republic of)], E-mail: aykim@amc.seoul.kr; Kim, Pyo Nyun; Lee, Moon-Gyu; Ha, Hyun Kwon [Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1 Poongnab-dong, Songpa-ku, Seoul 138-736 (Korea, Republic of)

    2010-02-15

    Purpose: To compare the diagnostic value of dual-phase multidetector-row CT (MDCT) and MR imaging with dual-phase three-dimensional MR angiography (MRA) in the prediction of vascular involvement and resectability of pancreatic ductal adenocarcinoma. Methods and materials: 116 patients with proven pancreatic adenocarcinoma underwent both MDCT and combined MR imaging prior to surgery. Of 116 patients, 56 who underwent surgery were included. Two radiologists independently attempt to assess detectability, vascular involvement and resectability of pancreatic adenocarcinoma on both images. Results were compared with surgical findings and statistical analysis was performed. Results: MDCT detected pancreatic mass in 45 of 56 patients (80.3%) and MR imaging in 44 patients (78.6%). In assessment of vascular involvement, sensitivities and specificities of MDCT were 61% and 96% on a vessel-by-vessel basis, respectively. Those of MR imaging were 57% and 98%, respectively. In determining resectability, sensitivities and specificities of MDCT were 90% and 65%, respectively. Those of MR imaging were 90% and 41%, respectively. There was no statistical difference in detecting tumor, assessing vascular involvement and determining resectability between MDCT and MR imaging (p = 0.5). Conclusion: MDCT and MR imaging with MRA demonstrated an equal ability in detection, predicting vascular involvement, and determining resectability for a pancreatic ductal adenocarcinoma.

  13. The importance of superficial basal cell carcinoma in a retrospective study of 139 patients who underwent Mohs micrographic surgery in a Brazilian university hospital

    Directory of Open Access Journals (Sweden)

    Luciana Takata Pontes

    2015-11-01

    Full Text Available OBJECTIVE: Mohs micrographic surgery is a specialized surgical procedure used to treat skin cancer. The purpose of this study was to better understand the profile of the patients who underwent the procedure and to determine how histology might be related to complications and the number of stages required for complete removal. METHODS: The records of patients who underwent Mohs micrographic surgery from October 2008 to November 2013 at the Dermatology Division of the Hospital of the Campinas University were assessed. The variables included were gender, age, anatomical location, histology, number of stages required and complications. RESULTS: Contingency tables were used to compare the number of stages with the histological diagnosis. The analysis showed that patients with superficial basal cell carcinoma were 9.03 times more likely to require more than one stage. A comparison between complications and histological diagnosis showed that patients with superficial basal cell carcinoma were 6.5 times more likely to experience complications. CONCLUSION: Although superficial basal cell carcinoma is typically thought to represent a less-aggressive variant of these tumors, its propensity for demonstrating “skip areas” and clinically indistinct borders make it a challenge to treat. Its particular nature may result in the higher number of surgery stages required, which may, as a consequence, result in more complications, including recurrence. Recurrence likely occurs due to the inadequate excision of the tumors despite their clear margins. Further research on this subtype of basal cell carcinoma is needed to optimize treatments and decrease morbidity.

  14. The importance of superficial basal cell carcinoma in a retrospective study of 139 patients who underwent Mohs micrographic surgery in a Brazilian university hospital.

    Science.gov (United States)

    Takata Pontes, Luciana; Fantelli Stelini, Rafael; Cintra, Maria Leticia; Magalhães, Renata Ferreira; Velho, Paulo Eduardo N F; Moraes, Aparecida Machado

    2015-11-01

    Mohs micrographic surgery is a specialized surgical procedure used to treat skin cancer. The purpose of this study was to better understand the profile of the patients who underwent the procedure and to determine how histology might be related to complications and the number of stages required for complete removal. The records of patients who underwent Mohs micrographic surgery from October 2008 to November 2013 at the Dermatology Division of the Hospital of the Campinas University were assessed. The variables included were gender, age, anatomical location, histology, number of stages required and complications. Contingency tables were used to compare the number of stages with the histological diagnosis. The analysis showed that patients with superficial basal cell carcinoma were 9.03 times more likely to require more than one stage. A comparison between complications and histological diagnosis showed that patients with superficial basal cell carcinoma were 6.5 times more likely to experience complications. Although superficial basal cell carcinoma is typically thought to represent a less-aggressive variant of these tumors, its propensity for demonstrating "skip areas" and clinically indistinct borders make it a challenge to treat. Its particular nature may result in the higher number of surgery stages required, which may, as a consequence, result in more complications, including recurrence. Recurrence likely occurs due to the inadequate excision of the tumors despite their clear margins. Further research on this subtype of basal cell carcinoma is needed to optimize treatments and decrease morbidity.

  15. Studi Pemanfaatan Limbah Padat dari Perkebunan Kelapa Sawit pada PLTU 6 MW di Bangka Belitung

    Directory of Open Access Journals (Sweden)

    Harris Harris

    2013-03-01

    Full Text Available Limbah padat dari perkebunan kelapa sawit berupa cangkang dan fibre dapat dimanfaatkan sebagai sumber energi alternatif pada PLTU. Cangkang memiliki kandungan energi sebesar 4115 kkal/kg dan fibre sebesar 3500 kkal/kg. Cangkang dan fibre dimanfaatkan sebagai bahan bakar pada PLTU 6 MW, yang digunakan untuk memanaskan air didalam boiler sehingga menghasilkan temperatur uap dan tekanan uap yang mampu memutar turbin uap. Turbin uap berfungsi sebagai prime mover untuk memutar generator sehingga menghasilkan output berupa daya listrik. Pada saat menggunakan bahan bakar cangkang PLTU 6 MW menghasilkan ouput rata – rata sebesar 4.8 MW/hr dan dalam 1 MW output membutuhkan 1.02 ton cangkang dan pada saat menggunakan bahan bakar fibre PLTU 6 MW menghasilkan output rata – rata 2.3 MW/hr dan dalam 1 MW output membutuhkan 1.83 ton fibre. Karena lebih optimal dalam pengoperasian serta maksimalnya output yang dihasilkan dari bahan bakar cangkang, maka efisiensinya pun lebih baik. Efisiensi PLTU 6 MW pada saat menggunakan bahan bakar cangkang sebesar 20.5 % dan efisiensi PLTU 6 MW dari bahan bakar fibre 13 %. Oleh karena itu bahan bakar cangkang merupakan bahan bakar utama yang digunakan pada PLTU 6 MW.

  16. Project and characteristics of a 5MW experimental fast reactor

    International Nuclear Information System (INIS)

    Ishiguro, Y.; Nascimento, J.A. do.

    1986-05-01

    Characteristics of a 5 MW experimental fast reactor are reported. The reactor is designed with emphasis on fuel and materials irradiation and uses fuel assemblies of a standard structure. The reference core consist of 37 fuel assemblies, each of which contains 19 pins of metallic Pu/Zr fuel. With a core height of 17.6 cm the core volume is 11.4 liter and the central fast (E >=100 KeV) flux is 0.9 x 10 15 n/cm 2 sec. In addition to twelve control rod assemblies with a total reactivity worth of 5.5% Δk, 42 assemblies for reactivity compensation are placed in the two rings outside the core. Replacing these assemblies with driver, blanket, or refletor-shield assemblies, large reactivities can be added to make the central assembly position available for test irradiations and to assure high levels of burnup of driver assemblies. (Author) [pt

  17. Stability characteristics of the 500 mw Indian PFBR

    Directory of Open Access Journals (Sweden)

    Anuraj Vijayan L.

    2015-01-01

    Full Text Available After the successful operation of the fast breeder test reactor for over two decades, India is now nearing the completion of a 500 MW (electrical prototype fast breeder reactor. This commercial scale power reactor is a sodium-cooled, pool-type, mixed-oxide fuelled fast reactor. The stability characteristics of the reactor are an important safety aspect to be studied. In the present work, linear stability of the prototype fast breeder reactor analysis is carried out using the transfer function method, while the stability of the system is checked via the Nyquist criteria. For the completeness of the study, transient analysis with various kinds of reactivity perturbations was carried out. The response of the system in both cases indicated that the system is stable.

  18. ECH mirror interface tank for 110 GHz, 1 MW gyrotron

    Energy Technology Data Exchange (ETDEWEB)

    O`Neil, R.C.; Callis, R.W.; Cary, W.P.; Doane, J.L.; Gallix, R.; Hodapp, T.R.; Lohr, J.M.; Luce, T.C.; Moeller, C.P.

    1995-10-01

    A 1 MW, 110 GHz gyrotron is to be installed at General Optical Atomics in 1995. A Mirror Optics Unit (MOU) has been Unit designed and built to connect to the existing 110 GHz transmission line system. The unit reduces and directs a 145 mm diameter beam from the gyrotron to a 19 mm diameter beam which is then injected into a 31.8 mm diameter corrugated waveguide of the transmission line system. The unit operates under vacuum and is able to absorb beam spray from the gyrotron. The tank also contains various diagnostics equipment to protect the gyrotron and to determine the amount of energy loss in the tank, and at the window of the gyrotron output. This paper discusses further the design parameters, assembly and installation of the unit in the transmission line system.

  19. Hydraulic Soft Yaw System for Multi MW Wind Turbines

    DEFF Research Database (Denmark)

    Stubkier, Søren

    by a systematic concept generation and analysis of different concepts, where a single concept is chosen for further analysis. A preliminary analysis, based on simulations of the NREL 5 MW turbine modified to include a soft yaw system, show that the soft yaw concept chosen leads to signicant load reductions...... in the wind turbine yaw system along with minor reductions in the blades and main shaft. Optimization of the damping and stiffness of the hydraulic soft yaw system have been conducted and an optimum found for load reduction. Linear control algorithms for control of damping pressure peaks have been developed...... and tested in simulations with success. To verify the results of the new hydraulic soft yaw concept a novel friction model for including coulomb in the yaw system is developed and implemented in the FAST aeroelastic code from NREL in order to include friction phenomena. A cosimulation interface between...

  20. 5 MW pulsed spallation neutron source, Preconceptual design study

    Energy Technology Data Exchange (ETDEWEB)

    1994-06-01

    This report describes a self-consistent base line design for a 5 MW Pulsed Spallation Neutron Source (PSNS). It is intended to establish feasibility of design and as a basis for further expanded and detailed studies. It may also serve as a basis for establishing project cost (30% accuracy) in order to intercompare competing designs for a PSNS not only on the basis of technical feasibility and technical merit but also on the basis of projected total cost. The accelerator design considered here is based on the objective of a pulsed neutron source obtained by means of a pulsed proton beam with average beam power of 5 MW, in {approx} 1 {mu}sec pulses, operating at a repetition rate of 60 Hz. Two target stations are incorporated in the basic facility: one for operation at 10 Hz for long-wavelength instruments, and one operating at 50 Hz for instruments utilizing thermal neutrons. The design approach for the proton accelerator is to use a low energy linear accelerator (at 0.6 GeV), operating at 60 Hz, in tandem with two fast cycling booster synchrotrons (at 3.6 GeV), operating at 30 Hz. It is assumed here that considerations of cost and overall system reliability may favor the present design approach over the alternative approach pursued elsewhere, whereby use is made of a high energy linear accelerator in conjunction with a dc accumulation ring. With the knowledge that this alternative design is under active development, it was deliberately decided to favor here the low energy linac-fast cycling booster approach. Clearly, the present design, as developed here, must be carried to the full conceptual design stage in order to facilitate a meaningful technology and cost comparison with alternative designs.

  1. Abortion - surgical - aftercare

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000658.htm Abortion - surgical - aftercare To use the sharing features on ... please enable JavaScript. You have had a surgical abortion. This is a procedure that ends pregnancy by ...

  2. Optimizing surgical f

    Directory of Open Access Journals (Sweden)

    Sabry Mohamed Amin

    2016-07-01

    Conclusions: In our study both dexmedetomidine and esmolol were effective in reducing MABP, and lowering the heart rate providing dry surgical field and ensured good surgical condition during cochlear implant surgery in pediatric patients.

  3. American Pediatric Surgical Association

    Science.gov (United States)

    American Pediatric Surgical Association Search for: Login Resources + For Members For Professionals For Training Program Directors For Media For ... Surgical Outcomes Surveys & Results Publications Continuing Education + ExPERT Pediatric Surgery NaT Annual Meeting CME MOC Requirements Residents / ...

  4. A controlled clinical study of serosa-invasive gastric carcinoma patients who underwent surgery plus intraperitoneal hyperthermo-chemo-perfusion (IHCP).

    Science.gov (United States)

    Kim, J Y; Bae, H S

    2001-01-01

    Despite recent advances in the treatment of advanced gastric carcinomas, no satisfactory outcomes are available because of micrometastases and free-floating carcinoma cells already existing in the peritoneal cavity. From 1990, we started using intraperitoneal hyperthermo-chemo-perfusion (IHCP) to prevent and to treat peritoneal metastasis after surgical resection of stomach cancer. We analyzed 103 serosa-invasive gastric carcinoma patients who underwent surgical resection between 1990 and 1995. Fifty-two patients who received surgery plus IHCP were compared with 51 patients who underwent surgery only, as controls. IHCP was administered for 2 h with an automatic IHCP device (closed-circuit system) just after surgical resection, with the patient under hypothermic general anesthesia (32.4 degrees C-34.0 degrees C). As perfusate, we used 1.5% peritoneal dialysis solution mixed with 10 micrograms/ml of mitomycin-C (MMC), warmed at an inflow temperature of over 44 degrees C. The overall 5-year survival rate (5-YSR) of the 103 patients was 29.97%. The 5-YSR was higher in the IHCP group than in the control group, at 32.7% and 27.1%, respectively, but this difference was not significant. However, in the 65 serosa-invasive gastric carcinoma patients (excluding those in stage IV) the 5-YSR was significantly higher (P = 0.0379) in the IHCP group than in the control group, at 58.6% and 44.4%, respectively. On multivariate analysis of all 103 patients, depth of tumor invasion and lymph node metastasis were significant factors for survival, whereas significant factors on univariate analysis, such as combined operation, distant metastasis, and peritoneal metastasis, were not significant. The most common recurrence patterns were loco-regional in the IHCP group and peritoneal in the control group. Complete cytoreductive surgery plus IHCP is effective to prevent and to treat peritoneal metastasis, and it should lead to long-term survival for serosa-invasive gastric carcinoma patients

  5. Cost comparison of 4x500 MW coal-fuelled and 4x850 MW CANDU nuclear generating stations

    International Nuclear Information System (INIS)

    Costa, M.

    1981-01-01

    The lifetime costs for a 4x850 MW CANDU generating station are compared to those for 4x500 MW bituminous coal-fuelled generating stations. Two types of coal-fuelled stations are considered; one burning U.S. coal which includes flue gas desulfurization and one burning Western Canadian coal. Current estimates for the capital costs, operation and maintenance costs, fuel costs, decommissioning costs and irradiated fuel management costs are shown. The results show: (1) The accumulated discounted costs of nuclear generation, although initially higher, are lower than coal-fuelled generation after two or three years. (2) Fuel costs provide the major contribution to the total lifetime costs for coal-fuelled stations whereas capital costs are the major item for the nuclear station. (3) The break even lifetime capacity factor between nuclear and U.S. coal-fuelled generation is projected to be 5%; that for nuclear and Canadian coal-fuelled generation is projected to be 9%. (4) Large variations in the costs are required before the cost advantage of nuclear generation is lost. (5) Comparison with previous results shows that the nuclear alternative has a greater cost advantage in the current assessment. (6) The total unit energy cost remains approximately constant throughout the station life for nuclear generation while that for coal-fuelled generation increases significantly due to escalating fuel costs. The 1978 and 1979 actual total unit energy cost to the consumer for several Ontario Hydro stations are detailed, and projected total unit energy costs for several Ontario Hydro stations are shown in terms of escalated dollars and in 1980 constant dollars

  6. Surgical treatment of peripheral artery aneurysms.

    Science.gov (United States)

    Bahcivan, Muzaffer; Keceligil, H Tahsin; Kolbakir, Fersat; Gol, M Kamil

    2010-01-01

    Peripheral arterial aneurysms (PAA) may rupture, cause emboli and ischemia, and local symptoms due to compression. A total of 109 patients who underwent surgery for PAA were analyzed retrospectively, including clinical presentation, surgical procedures used, and postoperative follow-up data obtained 10 days after discharge. True aneurysm was present in 59 (54.1%) patients and pseudoaneurysm in 50 (45.9%). The femoral artery was the most common location. The surgical procedures used were as follows: graft interposition in 31 patients, bypass with synthetic or autologous grafts in 33 patients, aneurysm ligation in 5 patients, primary repair in 41 patients, and patch angioplasty reconstruction in 7 patients. One patient died as a result of massive hemorrhage. In four patients, amputation had to be performed. It is possible to prevent amputation and other complications, including mortality, during the surgical treatment of symptomatic and asymptomatic PAA.

  7. Current management of surgical oncologic emergencies.

    Directory of Open Access Journals (Sweden)

    Marianne R F Bosscher

    Full Text Available For some oncologic emergencies, surgical interventions are necessary for dissolution or temporary relieve. In the absence of guidelines, the most optimal method for decision making would be in a multidisciplinary cancer conference (MCC. In an acute setting, the opportunity for multidisciplinary discussion is often not available. In this study, the management and short term outcome of patients after surgical oncologic emergency consultation was analyzed.A prospective registration and follow up of adult patients with surgical oncologic emergencies between 01-11-2013 and 30-04-2014. The follow up period was 30 days.In total, 207 patients with surgical oncologic emergencies were included. Postoperative wound infections, malignant obstruction, and clinical deterioration due to progressive disease were the most frequent conditions for surgical oncologic emergency consultation. During the follow up period, 40% of patients underwent surgery. The median number of involved medical specialties was two. Only 30% of all patients were discussed in a MCC within 30 days after emergency consultation, and only 41% of the patients who underwent surgery were discussed in a MCC. For 79% of these patients, the surgical procedure was performed before the MCC. Mortality within 30 days was 13%.In most cases, surgery occurred without discussing the patient in a MCC, regardless of the fact that multiple medical specialties were involved in the treatment process. There is a need for prognostic aids and acute oncology pathways with structural multidisciplinary management. These will provide in faster institution of the most appropriate personalized cancer care, and prevent unnecessary investigations or invasive therapy.

  8. Surgical managements of radiation enteritis

    Energy Technology Data Exchange (ETDEWEB)

    Tanaka, Tsuguo; Naito, Kazuyo; Noomi, Shinppachiro; Kurioka, Hideaki; Yamagishi, Hisakazu (Kyoto Prefectural Univ. of Medicine (Japan))

    1983-02-01

    Radiation injury to the digestive tract was surgically treated in 22 cases. Six of them died shortly after surgery. Major symptoms were ileus or perforative peritonitis in 20 of the 22 cases, and surgery was performed for ileal lesion in 18 cases, indicating the significance of lesions in the small intestine. Seven patients underwent resection of the injured portion of the intestinal tract and anastomotic reconstruction in one stage, but 3 of them died from rupture of sutures. It was highly probable that anastomosis was made using an injured portion of the intestine. Intraoperative judgement of intestinal injury is made by palpation and inspection. If judgement is difficult, an artificial anus should be constructed first, and anastomotic reconstruction should be done in the 2nd stage. Since delayed injury of this disease is an ischemic change due to vascular obliteration, conservative therapy never leads to complete recovery, but active resection and anastomosis seem to produce a satisfactory result.

  9. Surgical managements of radiation enteritis

    International Nuclear Information System (INIS)

    Tanaka, Tsuguo; Naito, Kazuyo; Noomi, Shinppachiro; Kurioka, Hideaki; Yamagishi, Hisakazu

    1983-01-01

    Radiation injury to the digestive tract was surgically treated in 22 cases. Six of them died shortly after surgery. Major symptoms were ileus or perforative peritonitis in 20 of the 22 cases, and surgery was performed for ileal lesion in 18 cases, indicating the significance of lesions in the small intestine. Seven patients underwent resection of the injured portion of the intestinal tract and anastomotic reconstruction in one stage, but 3 of them died from rupture of sutures. It was highly probable that anastomosis was made using an injured portion of the intestine. Intraoperative judgement of intestinal injury is made by palpation and inspection. If judgement is difficult, an artificial anus should be constructed first, and anastomotic reconstruction should be done in the 2nd stage. Since delayed injury of this disease is an ischemic change due to vascular obliteration, conservative therapy never leads to complete recovery, but active resection and anastomosis seem to produce a satisfactory result. (Chiba, N.)

  10. The first test results of the new MAN 6 MW gas turbine; Erste Erprobungsergebnisse zur neuen 6-MW-MAN-Gasturbine

    Energy Technology Data Exchange (ETDEWEB)

    Beukenberg, Markus; Wiedermann, Alexander; Orth, Ulrich; Aschenbruck, Emil; Reiss, Frank [MAN Diesel und Turbo SE, Oberhausen (Germany)

    2011-07-01

    The development of a completely new series of gas turbines requires significant capital, resources and know-how. MAN Diesel and Turbo strategically decided to create a gas turbine in the 6 MW class. The construction of the gas turbine has been on the basis of opportunities in current and future markets and the positioning of competition, this has determined the characteristics and technical parameters which have been optimised in the 6 MW design. (orig.)

  11. Environmental summary document for the Republic Geothermal, Inc. application for a geothermal loan guaranty project: 64 MW well field and 48 MW (net) geothermal power plant

    Energy Technology Data Exchange (ETDEWEB)

    Layton, D.W.; Powers, D.J.; Leitner, P.; Crow, N.B.; Gudiksen, P.H.; Ricker, Y.E.

    1979-07-01

    A comprehensive review and analysis is provided of the environmental consequences of (1) guaranteeing a load for the completion of the 64 MW well field and the 48 MW (net) power plant or (2) denying a guaranteed load that is needed to finish the project. Mitigation measures are discussed. Alternatives and their impacts are compared and some discussion is included on unavoidable adverse impacts. (MHR)

  12. Pre-feasibility study of 80mw onshore wind farm

    International Nuclear Information System (INIS)

    Almas, M.S.

    2014-01-01

    This paper discusses a pre-feasibility study of 80MW onshore wind farm in the KPK (Khyber Pakhtunkhwa) province previously known as NWFP (North West Frontier) Province of Pakistan. The realistic data of wind speed is collected from Laboratory of Meteorology and Climatology (University of the Punjab) to study the feasibility of wind farm. Detailed analysis of wind turbines from four different manufacturers is carried out together with justifications of selecting a particular wind turbine. Issues related to site selection, wind farm civil foundation, recommendations for a particular choice of tower along with environmental effects are presented. Wind data analysis is carried out by using WINDROSE PRO software to determine the resultant direction of wind at the selected site for wind farm layout. The wind distribution at hub height of the wind turbine is calculated and is used to compute annual power production by the wind farm using power curves of the wind turbine. Electrical network integration issues of wind farm to the external grid are studied and the optimum point of connection is proposed. Finally, economic analysis of the whole wind farm project depending upon the LCC (Life Cycle Cost Analysis) is presented and the feasibility of the project from the investor's point of view is identified. The study concludes that the cost per kilowatt hour of electricity generated by this wind power plant will be 10.4 PKR/kWh and the payback period for the whole project is about 11.2 years. (author)

  13. Experiences and results from Elkraft 1 MW wind turbine

    Energy Technology Data Exchange (ETDEWEB)

    Raben, N.; Jensen, F.V. [SEAS Distribution A.m.b.A., Wind Power Dept., Haslev (Denmark); Oeye, S. [DTU, Inst. for Energiteknik, Lyngby (Denmark); Markkilde Petersen, S.; Antoniou, I. [Risoe National Lab., Wind Energy and Atmospheric Physics Dept., Roskilde (Denmark)

    1999-03-01

    The Elkraft 1 MW Demonstration wind turbine was at the time of installation in 1993 the largest stall controlled wind turbine in the world. It was constructed to allow accurate comparison of two different forms of operation: pitch control and stall control. A comprehensive programme for the investigation of the two operation modes was established. This paper presents the main experiences from five years of operation and measurements. For a three-year period the wind turbine was in operation in stall controlled mode. During this period the turbine faced problems of various significance. Especially lightning strikes and unusually poor wind conditions caused delays of the project. In early 1997, the wind turbine was modified to enable pitch controlled operation. The gearbox ratio was changed in order to allow higher rotor speed, the hydraulic system was altered and new control software was installed. Tests were carried out successfully during the spring of 1997 and the wind turbine has since been operating as a pitch controlled wind turbine. The most significant events and problems are presented and commented in this paper along with results from the measurement programme. The results cover both stall and pitch controlled operation and include power curves, annual energy production, structural loads, fatigue loads etc. (au) 10 refs.

  14. Dismantling of the 50 MW steam generator test facility

    International Nuclear Information System (INIS)

    Nakai, S.; Onojima, T.; Yamamoto, S.; Akai, M.; Isozaki, T.; Gunji, M.; Yatabe, T.

    1997-01-01

    We have been dismantling the 50MW Steam Generator Test Facility (50MWSGTF). The objectives of the dismantling are reuse of sodium components to a planned large scale thermal hydraulics sodium test facility and the material examination of component that have been operated for long time in sodium. The facility consisted of primary sodium loop with sodium heater by gas burner as heat source instead of reactor, secondary sodium loop with auxiliary cooling system (ACS) and water/steam system with steam temperature and pressure reducer instead of turbine. It simulated the 1 loop of the Monju cooling system. The rated power of the facility was 50MWt and it was about 1/5 of the Monju power plant. Several sodium removal methods are applied. As for the components to be dismantled such as piping, intermediate heat exchanger (IHX), air cooled heat exchangers (AC), sodium is removed by steam with nitrogen gas in the air or sodium is burned in the air. As for steam generators which material tests are planned, sodium is removed by steam injection with nitrogen gas to the steam generator. The steam generator vessel is filled with nitrogen and no air in the steam generator during sodium removal. As for sodium pumps, pump internal structure is pulled out from the casing and installed into the tank. After the installation, sodium is removed by the same method of steam generator. As for relatively small reuse components such as sodium valves, electromagnet flow meters (EMFs) etc., sodium is removed by alcohol process. (author)

  15. ENGINEERING DESIGN OF THE EURISOL MULTI-MW SPALLATION TARGET

    CERN Document Server

    Adonai Herrera-Martinez*, Yacine Kadi, Morteza Ashrafi-Nik, Karel Samec, Janis Freibergs, Ernests Platacis

    The European Isotope Separation On-Line Radioactive Ion Beam project (EURISOL) is set to design the ‘next-generation’ European Isotope Separation On-Line (ISOL) Radioactive Ion Beam (RIB) facility. It will extend and amplify current research on nuclear physics, nuclear astrophysics and fundamental interactions beyond the year 2010. In EURISOL, four target stations are foreseen, three direct targets of approximately 100 kW of beam power and one multi-MW target assembly, all driven by a high-power particle accelerator. In this high power target station, high-intensity RIBs of neutron-rich isotopes will be obtained by inducing fission in several actinide targets surrounding a liquid metal spallation neutron source. This article summarises the work carried out within Task 2 of the EURISOL Design Study, with special attention to the coupled neutronics of the mercury proton-to-neutron converter and the fission targets. The overall performance of the facility, which will sustain fast neutron fluxes of the order ...

  16. Engineering design of the EURISOL multi-MW spallation target

    CERN Document Server

    Herrera-Martínez, A; Ashrafi-Nik, M; Samec, K; Freibergs, J; Platacis, E

    2007-01-01

    The European Isotope Separation On-Line Radioactive Ion Beam project (EURISOL) is set to design the 'next-generation' European Isotope Separation On-Line (ISOL) Radioactive Ion Beam (RIB) facility. It will extend and amplify current research on nuclear physics, nuclear astrophysics and fundamental interactions beyond the year 2010. In EURISOL, four target stations are foreseen, three direct targets of approximately 100 kW of beam power and one multi-MW target assembly, all driven by a high-power particle accelerator. In this high power target station, high-intensity RIBs of neutron-rich isotopes will be obtained by inducing fission in several actinide targets surrounding a liquid metal spallation neutron source. This article summarises the work carried out within Task 2 of the EURISOL Design Study, with special attention to the coupled neutronics of the mercury proton-to-neutron converter and the fission targets. The overall performance of the facility, which will sustain fast neutron fluxes of the order of 1...

  17. Probabilistic safety assessment for TRIGA SSR 14 MW

    International Nuclear Information System (INIS)

    Mladin, Daniela; Preda, Marin; Mladin, Mirea; Stefan, Ion

    2006-01-01

    Probabilistic Safety Assessment is a method for risk public and personnel evaluation in a complex installation such as a nuclear reactor, a chemical installation, etc. PSA techniques are powerful tools for improvement in design, construction, operation, safety and design efficiency, for modification and management of such complex installations. International practice has shown that safety analysis both for power reactors and research reactors involves definition of postulated initiating events. These initiators depend on reactor type, nominal power, fuel characteristics, safety systems, etc. Such scenarios or accident sequences derived from these initiating events are postulated in some cases, on the basis of engineering judgement. In the others cases, they are developed from probabilistic view point, starting with initiating event frequency and continuing with safety systems failures and human errors, which may intervene in the evolution of the event. Starting from these initiating events, event trees technique allows the calculation of the frequencies of final damage states having environmental or only inside installation consequences, depending on the success or failure of the safety systems analysed separately in the fault trees. The paper presents results of the PSA model for TRIGA SSR 14 Mw reactor, more precisely the qualitative and quantitative analysis of initiating evens and event trees

  18. Power Electronic System for Multi-MW PV sites

    DEFF Research Database (Denmark)

    Paasch, Kasper

    .4%. A portable IV-scanning instrument for the fast long term characterization of solar panels was developed as part of the project. Each second a sweep of the IV-characteristics of a solar panel is performed and the result stored for later analysis. The instrument is based on an active load, is optimized...... a distance of 160 m. In parallel a string based inverter configuration was established with solar panels at the same locations. An analysis of irradiation data recorded during the test period showed that non-uniform irradiance due to moving clouds is expected to influence the PV plants for less than 4...... MPPT. The analysis is based on a comparative investigation of non-uniform irradiation events caused by moving clouds during a period of one year. A set-up for the long term recording of data from the 2.1 MW Danfoss Solar Park in Nordborg (DK) and the 62 kW PV plant at the University of Southern Denmark...

  19. Epilepsy with temporal encephalocele: Characteristics of electrocorticography and surgical outcome.

    Science.gov (United States)

    Panov, Fedor; Li, Yi; Chang, Edward F; Knowlton, Robert; Cornes, Susannah B

    2016-02-01

    Temporal lobe encephaloceles (TEs) are increasingly identified in patients with epilepsy due to advances in neuroimaging. Select patients become seizure-free with lesionectomy. In practice, however, many of these patients will undergo standard anterior temporal lobectomy. Herein we report on the first series of patients with refractory temporal lobe epilepsy (TLE) with encephalocele to undergo chronic or intraoperative electrocorticography (ECoG) in order to characterize the putative epileptogenic nature of these lesions and help guide surgical planning. This retrospective study includes nine adult patients with magnetic resonance imaging/computed tomography (MRI/CT)-defined temporal encephalocele treated between 2007 and 2014 at University of California San Francisco (UCSF). Clinical features, ECoG, imaging, and surgical outcomes are reviewed. Six patients underwent resective epilepsy surgery. Each case demonstrated abnormal epileptiform discharges around the cortical area of the encephalocele. Two underwent tailored lesionectomy and four underwent lesionectomy plus anterior medial temporal resection. Postoperatively, five patients, including both with lesionectomy only, had Engel class Ia surgical outcome, and one had a class IIb surgical outcome. The role of TE in the pathogenesis of epilepsy is uncertain. ECoG can confirm the presence of interictal epileptiform discharges and seizures arising from these lesions. Patients overall had a very good surgical prognosis, even with selective surgical approaches. Wiley Periodicals, Inc. © 2015 International League Against Epilepsy.

  20. Surgical treatment of radiation enteritis

    Energy Technology Data Exchange (ETDEWEB)

    Cross, M.J.; Frazee, R.C. (Department of General Surgery, Scott and White Memorial Hospital, Temple TX (United States))

    1992-02-01

    Radiation enteritis is a progressive, disease process that causes intestinal fibrosis and obliterative endarteritis, which results in significant morbidity and mortality. The authors' clinical experience involving 20 patients over a 22-year period from 1967 through 1989 who underwent various surgical procedures to alleviate chronic symptoms secondary to radiation enteritis is described. Eight men and 12 women with a mean age of 52 years (24 to 81 years) underwent a total of 27 procedures for complications of radiation enteritis. Radiation therapy was delivered for treatment of gynecologic malignancies (55%), colorectal cancer (20%), prostate malignancies (10%), and others (15%). The mean average dose of radiation delivered was 5,514 rads with a range of 2,613 to 7,000 rads. The interval from radiation treatment to time of surgery averaged 9 years. Operative procedures consisted of 12 resection and primary anastomosis procedures and 15 resections with stoma creation. Formation of a stoma was used in patients with more severe disease. The 30-day operative mortality was 0% and morbidity was 55%. There were no anastomotic leaks or intra-abdominal abscesses. The authors conclude that resection and primary anastomosis can safely be performed in selected patients but that judicious use of stoma formation can avoid major mortality and morbidity associated with surgery in this setting.

  1. Surgical treatment of radiation enteritis

    International Nuclear Information System (INIS)

    Cross, M.J.; Frazee, R.C.

    1992-01-01

    Radiation enteritis is a progressive, disease process that causes intestinal fibrosis and obliterative endarteritis, which results in significant morbidity and mortality. The authors' clinical experience involving 20 patients over a 22-year period from 1967 through 1989 who underwent various surgical procedures to alleviate chronic symptoms secondary to radiation enteritis is described. Eight men and 12 women with a mean age of 52 years (24 to 81 years) underwent a total of 27 procedures for complications of radiation enteritis. Radiation therapy was delivered for treatment of gynecologic malignancies (55%), colorectal cancer (20%), prostate malignancies (10%), and others (15%). The mean average dose of radiation delivered was 5,514 rads with a range of 2,613 to 7,000 rads. The interval from radiation treatment to time of surgery averaged 9 years. Operative procedures consisted of 12 resection and primary anastomosis procedures and 15 resections with stoma creation. Formation of a stoma was used in patients with more severe disease. The 30-day operative mortality was 0% and morbidity was 55%. There were no anastomotic leaks or intra-abdominal abscesses. The authors conclude that resection and primary anastomosis can safely be performed in selected patients but that judicious use of stoma formation can avoid major mortality and morbidity associated with surgery in this setting

  2. Percutaneous cholecystostomy for patients with acute cholecystitis and an increased surgical risk

    NARCIS (Netherlands)

    H. van Overhagen (H.); H. Meyers (Hjalmar); H.W. Tilanus (Hugo); J. Jeekel (Hans); J.S. Laméris (Johan )

    1996-01-01

    textabstractPurpose: To evaluate percutaneous cholecystostomy in patients with acute cholecystitis and an increased surgical risk. Methods: Thirty-three patients with acute cholecystitis (calculous, n = 22; acalculous, n = 11) underwent percutaneous cholecystostomy by means of a transhepatic (n =

  3. [Findings from Total Colonoscopy in Obstructive Colorectal Cancer Patients Who Underwent Stent Placement as a Bridge to Surgery(BTS)].

    Science.gov (United States)

    Maruo, Hirotoshi; Tsuyuki, Hajime; Kojima, Tadahiro; Koreyasu, Ryohei; Nakamura, Koichi; Higashi, Yukihiro; Shoji, Tsuyoshi; Yamazaki, Masanori; Nishiyama, Raisuke; Ito, Tatsuhiro; Koike, Kota; Ikeda, Takashi; Takayanagi, Yasuhiro; Kubota, Hiroyuki

    2017-11-01

    We clinically investigated 34 patients with obstructive colorectal cancer who underwent placement of a colonic stent as a bridge to surgery(BTS), focusing on endoscopic findings after stent placement.Twenty -nine patients(85.3%)underwent colonoscopy after stent placement, and the entire large intestine could be observed in 28(96.6%).Coexisting lesions were observed in 22(78.6%)of these 28 patients.The lesions comprised adenomatous polyps in 17 patients(60.7%), synchronous colon cancers in 5 patients(17.9%), and obstructive colitis in 3 patients(10.7%), with some overlapping cases.All patients with multiple cancers underwent one-stage surgery, and all lesions were excised at the same time.Colonoscopy after colonic stent placement is important for preoperative diagnosis of coexisting lesions and planning the extent of resection. These considerations support the utility of colonic stenting for BTS.

  4. Design Optimization and the path towards a 2 MW Spallation Neutron Source

    Energy Technology Data Exchange (ETDEWEB)

    M. Blaskiewicz; N. Catalan-Lasheras; D. Davino; A. Fedotov; Y. Lee; N. Malitsky; Y. Papaphilippou; D. Raparia; A. Shishlo; N. Tsoupas; J. Wei; W. Weng; S. Zhang; J. Billen; S. Kurennoy; S. Nath; J. Stovall; H. Takeda; L. Young; R. Keller; J. Staples; A. Aleksandrov; Y. Cho; P. Chu; S. Cousineau; V. Danilov; M. Doleans; J. Galambos; J. Holmes; N. Holtkamp; D. Jeon; S. Kim; R. Kustom; E. Tanke; W. Wan; R. Sundelin

    2001-08-01

    The Spallation Neutron Source (SNS) is designed to ultimately reach an average proton beam power of 2 MW for pulsed neutron production. The SNS physics groups analyze the machine performance within the hardware constraints, optimize the accelerator design, and establish the best path towards a 2 MW and higher spallation neutron source.

  5. Design Optimization and the path towards a 2 MW Spallation Neutron Source

    International Nuclear Information System (INIS)

    M. Blaskiewicz; N. Catalan-Lasheras; D. Davino; A. Fedotov; Y. Lee; N. Malitsky; Y. Papaphilippou; D. Raparia; A. Shishlo; N. Tsoupas; J. Wei; W. Weng; S. Zhang; J. Billen; S. Kurennoy; S. Nath; J. Stovall; H. Takeda; L. Young; R. Keller; J. Staples; A. Aleksandrov; Y. Cho; P. Chu; S. Cousineau; V. Danilov; M. Doleans; J. Galambos; J. Holmes; N. Holtkamp; D. Jeon; S. Kim; R. Kustom; E. Tanke; W. Wan; R. Sundelin

    2001-01-01

    The Spallation Neutron Source (SNS) is designed to ultimately reach an average proton beam power of 2 MW for pulsed neutron production. The SNS physics groups analyze the machine performance within the hardware constraints, optimize the accelerator design, and establish the best path towards a 2 MW and higher spallation neutron source

  6. DESIGN OPTIMIZATION AND THE PATH TOWARDS A 2 MW SPALLATION NEUTRON SOURCE

    International Nuclear Information System (INIS)

    WEI, J.; BLASKIEWICZ, M.; CATALAN-LASHERAS, N.; DAVINO, D.; FEDOTOV, A.; LEE, Y.Y.; MALITSKY, N.; ET AL

    2001-01-01

    The Spallation Neutron Source (SNS) is designed to ultimately reach an average proton beam power of 2 MW for pulsed neutron production. The SNS physics groups analyze the machine performance within the hardware constraints, optimize the accelerator design, and establish the best path towards a 2 MW and higher spallation neutron source

  7. Surgical treatment of bronchiectasis

    Directory of Open Access Journals (Sweden)

    Miguel S. Guerra

    2007-09-01

    Full Text Available While the prevalence of bronchiectasis has decreased significantly over recent decades in developed countries, resection for bronchiectasis still plays an important part in thoracic surgery practice in some countries, such as Portugal. Between 1994 and 2004, 51 patients (29 female and 22 male with a mean age of 38.6 years (range 4–65 years underwent pulmonary resection for bronchiectasis. Mean duration of symptoms was 4.8 years. Surgery was indicated because of unsuccessful medical therapy in 25 patients (49.1%, haemoptysis in 12 (23.5%, lung mass in 9 (17.6% and lung abscess in 5 (9.8%. The surgical treatment was pulmonectomy in 7 patients, bilobectomy in 3, lobectomy in 36 and segmentectomy in 5. There was no operative mortality. Complications occurred in 8 patients and the morbidity rate was 15.7%. Follow-up was complete in 45 (88.2% patients with a mean of 3.4 years. Overall, 35 (77.7% patients were asymptomatic after surgery, symptoms were improved in 7 (15.6%, and unchanged or worse in 3 (6.7%. Unsuccessful medical therapy was still our main indication for surgery of bronchiectasis, despite aggressive antibiotic therapy. Surgical resection was performed with acceptable morbidity and morbidity and markedly improved symptoms in the majority of patients. Resumo: A prevalência das bronquiectasias diminuiu significativamente nas últimas décadas, principalmente nos países desenvolvidos. Contudo, a ressecção cirúrgica é ainda a alternativa terapêutica para um número significativo de doentes em alguns países, tais como Portugal. Entre 1994 e 2004, operámos 51 doentes com bronquiectasias (29 mulheres e 22 homens, com idades compreendidas entre os 4 e os 65 anos (média= 38,6 anos. A duração média dos sintomas foi de 4,8 anos e a indicação cirúrgica foi: insucesso do tratamento médico (49,1%, hemoptises (23,5%, massa pulmonar (17,6% e abcesso (9,8%. Foram realizadas 7 pneumectomias, 3

  8. Conceptual Nuclear Design of a 20 MW Multipurpose Research Reactor

    Energy Technology Data Exchange (ETDEWEB)

    Seo, Chul Gyo; Kim, Hak Sung; Park, Cheol [KAERI, Daejeon (Korea, Republic of); Nghiem, Huynh Ton; Vinh, Le Vinh; Dang, Vo Doan Hai [Dalat Nuclear Research Reactor, Hanoi (Viet Nam)

    2007-08-15

    A conceptual nuclear design of a 20 MW multi-purpose research reactor for Vietnam has been jointly done by the KAERI and the DNRI (VAEC). The AHR reference core in this report is a right water cooled and a heavy water reflected open-tank-in-pool type multipurpose research reactor with 20 MW. The rod type fuel of a dispersed U{sub 3}Si{sub 2}-Al with a density of 4.0 gU/cc is used as a fuel. The core consists of fourteen 36-element assemblies, four 18-element assemblies and has three in-core irradiation sites. The reflector tank filled with heavy water surrounds the core and provides rooms for various irradiation holes. Major analyses have been done for the relevant nuclear design parameters such as the neutron flux and power distributions, reactivity coefficients, control rod worths, etc. For the analysis, the MCNP, MVP, and HELIOS codes were used by KAERI and DNRI (VAEC). The results by MCNP (KAERI) and MVP (DNRI) showed good agreements and can be summarized as followings. For a clean, unperturbed core condition such that the fuels are all fresh and there are no irradiation holes in the reflector region, the fast neutron flux (E{sub n}{>=}1.0 MeV) reaches 1.47x10{sup 14} n/cm{sup 2}s and the maximum thermal neutron flux (E{sub n}{<=}0.625 eV) reaches 4.43x10{sup 14} n/cm{sup 2}s in the core region. In the reflector region, the thermal neutron peak occurs about 28 cm far from the core center and the maximum thermal neutron flux is estimated to be 4.09x10{sup 14} n/cm{sup 2}s. For the analysis of the equilibrium cycle core, the irradiation facilities in the reflector region were considered. The cycle length was estimated as 38 days long with a refueling scheme of replacing three 36-element fuel assemblies or replacing two 36-element and one 18-element fuel assemblies. The excess reactivity at a BOC was 103.4 mk, and 24.6 mk at a minimum was reserved at an EOC. The assembly average discharge burnup was 54.6% of initial U-235 loading. For the proposed fuel management

  9. Decommissioning strategies for a 10 MW research reactor

    International Nuclear Information System (INIS)

    Muck, Konrad

    2002-01-01

    The 10 MW multipurpose MTR research reactor ASTRA at the Austrian Research Centers Seibersdorf which operated continuously and successfully for 39 years, is to be decommissioned. In a decommissioning study the available options and the required stages for decommissioning and removal of the radioactive components were evaluated. Advantages and disadvantages among these options - dismantling to stage 1 of IAEA technical guide- lines (storage with surveillance), continuous dismantling to stage 2 (restricted site use) or complete removal of all radioactive material from the reactor in a continuous process without intermittent phases for radioactive decay - are discussed. It is shown that the complete dismantling of all radioactive components and materials in a continuous procedure without intervals for radioactive decay is the optimum option with lowest costs and probably the lowest exposure to be expected. The reasons for this choice are described in detail. The procedure in the transition between the valid operating license to the decommissioning license are described. The scope and content of the environmental impact statement required for decommissioning a reactor according to EU regulations are presented. Also, the arising volume and activity of the radioactive waste to be expected were evaluated. The estimates amount to approximately 320 kg of medium-level radioactive waste and about 100 t of activated and about 60 t of contaminated low level radioactive waste. The activity inventory in the various components to be dismantled is described. The dismantling techniques and procedures of the various components, irradiation and experimental facilities, beam tubes, coolant system pipes and components and the concrete biological shield are discussed

  10. IMPORTANCE OF SOUTHAMPTON WOUND GRADING SYSTEM IN SURGICAL SITE INFECTION

    OpenAIRE

    Shaleen; Mahendra; Shahapurkar; Md. Javed; Ankur; Shiv; Eshan

    2014-01-01

    : Post-operative wound infection is defined as surgical site infection from 0-30 days after surgery, or infection to surgical site till one year in cases of implants like mesh, vascular grafts and prosthesis. This study was done to find out incidence of post-operative wound infection in surgical patients in rural setup. This study of post-operative wound infection was carried out from August 2008 to August 2010. The study is of 3275 patients who underwent surgery in the A.V.B....

  11. Prognostic factors for perioperative myocardial infarction and immediate mortality in patients who underwent coronary artery bypass graft surgery

    Directory of Open Access Journals (Sweden)

    Mirtha López Ramírez

    2016-03-01

    Conclusions: Older age and higher body mass index were protective prognostic factors for perioperative acute myocardial infarction events. Prolonged surgical time and complications were independently associated with perioperative infarction and mortality after coronary artery bypass graft surgery. Low preoperative glomerular filtration rate was also associated with mortality.

  12. Surgical operations in elderly patients | Njeze | Orient Journal of ...

    African Journals Online (AJOL)

    There were 12 deaths recorded in the major category, and none in the minor operations. Haemorrhage, infection and cancer were responsible for the deaths. Conclusion: Most of the patients who underwent these surgical operations derived benefits both for improved quality of life and increased life expectancy. The elderly ...

  13. Evaluation of Two Different Rapid Maxillary Expansion Surgical ...

    African Journals Online (AJOL)

    Evaluation of Two Different Rapid Maxillary Expansion Surgical Techniques and Their Effects on the Malar Complex Based on 3D Cone-Beam Computed Tomography. ... Methods and Material: Each group underwent 3D analyses, and changes in hard and soft tissues of the malar region were compared. Statistical Analysis ...

  14. The morbidity and mortality of surgically treated urological patients ...

    African Journals Online (AJOL)

    Objective: To determine the morbidity and mortality of surgically treated urological patients at Moi Teaching and Referral Hospital (MTRH) and compare them with those of other tertiary centres. Design: A fi ve year hospital based, retrospective study reviewing files of patients who underwent surgery for urological problems in ...

  15. Deriving DICOM surgical extensions from surgical workflows

    Science.gov (United States)

    Burgert, O.; Neumuth, T.; Gessat, M.; Jacobs, S.; Lemke, H. U.

    2007-03-01

    The generation, storage, transfer, and representation of image data in radiology are standardized by DICOM. To cover the needs of image guided surgery or computer assisted surgery in general one needs to handle patient information besides image data. A large number of objects must be defined in DICOM to address the needs of surgery. We propose an analysis process based on Surgical Workflows that helps to identify these objects together with use cases and requirements motivating for their specification. As the first result we confirmed the need for the specification of representation and transfer of geometric models. The analysis of Surgical Workflows has shown that geometric models are widely used to represent planned procedure steps, surgical tools, anatomical structures, or prosthesis in the context of surgical planning, image guided surgery, augmented reality, and simulation. By now, the models are stored and transferred in several file formats bare of contextual information. The standardization of data types including contextual information and specifications for handling of geometric models allows a broader usage of such models. This paper explains the specification process leading to Geometry Mesh Service Object Pair classes. This process can be a template for the definition of further DICOM classes.

  16. Surgical medical record

    DEFF Research Database (Denmark)

    Bulow, S.

    2008-01-01

    A medical record is presented on the basis of selected linguistic pearls collected over the years from surgical case records Udgivelsesdato: 2008/12/15......A medical record is presented on the basis of selected linguistic pearls collected over the years from surgical case records Udgivelsesdato: 2008/12/15...

  17. Recognizing surgical patterns

    NARCIS (Netherlands)

    Bouarfa, L.

    2012-01-01

    In the Netherlands, each year over 1700 patients die from preventable surgical errors. Numerous initiatives to improve surgical practice have had some impact, but problems persist. Despite the introduction of checklists and protocols, patient safety in surgery remains a continuing challenge. This is

  18. Surgical management of pain

    African Journals Online (AJOL)

    the spinal cord.[4] In this article, the reader is referred back to this illustration to understand the surgical techniques used to manage pain. Pain is caused by ... Injured dorsal root neurons discharge at higher frequencies and more spontaneously than normally. Surgical techniques. The physician should ensure that treat-.

  19. Surgical site infections

    African Journals Online (AJOL)

    the development of SSI. Complications associated with surgical site infections7. • Longer hospital stay with risk of acquiring other hospital acquired infections like pneumonia. • Require more surgical procedures. • Risk for development of resistance to antibiotics. • Risk for development of necrotizing fasciitis with skin loss.

  20. Nuclear research reactor 0.5 to 3 MW

    International Nuclear Information System (INIS)

    1992-05-01

    This nuclear reactor has been designed for radioisotope production, basic and applied research in reactor physics and nuclear engineering, neutron-beam experimentation, irradiation of various materials and training of scientific and technical personnel. It is located in the 'Production Area' of the Nuclear Technology Center. It is equipped with the necessary facilities for large-scale production of radioisotopes to be used in medicine as well as for other scientific and industrial purposes. In addition, it has a Neutronography Facility and the required equipment to perform Neutron-Activation Analysis. It is an open pool-type reactor, moderated and cooled with light water, fuelled with 20% enriched uranium. Its reflector are graphite and water. It has plate-type fuel elements clad in aluminium. The reactor core is located near the bottom of the demineralized water pool. It includes fuel elements, reflector and sample-holding devices for materials to be irradiated. This kind of configuration, which is widely used in research reactors, provides a high degree of safety since it prevents the core from becoming exposed under any circumstance and does not require any cooling system during reactor shutdown. Power output is between 0.5 to 3 MW TH , with a minimum thermal neutron flux of approx, 10 13 n/cm 2 ·sec, at irradiation zone almost with no modifications. Heat extraction is achieved by means of a cooling circuit which comprises two circulation pumps and a plate-type heat exchanger. Final heat dissipation to the atmosphere is performed through another cooling circuit which includes two circulation pumps and a cooling tower. Reactor control is accomplished with five neutron-absorbing rods positioned by means of especially designed elements and governed by the reactor's instrumentation and control system. Should an abnormal situation arise, gravity causes the rods to fall automatically, thus extinguishing the nuclear reaction. The reactor building has a ventilation

  1. Surgical Site Infection Following Fixation of Acetabular Fractures.

    Science.gov (United States)

    Iqbal, Faizan; Younus, Sajid; Asmatullah; Zia, Osama Bin; Khan, Naveed

    2017-09-01

    Acetabular fractures are mainly caused by high energy trauma. Surgical fixation of these fractures requires extensive surgical exposure which increases the length of operation and blood loss as well. This may increase the risk of surgical site infection. Our aim is to evaluate the prevalence of surgical site infections and the risk factors associated with it so as to minimize its chances. A total of 261 patients who underwent acetabular fracture surgery were retrospectively reviewed. Patients were divided into 2 groups, with or without surgical site infection. Factors examined include patients' gender, age, body mass index (BMI), time between injury and surgery, operative time, estimated blood loss, number of packed red blood cell transfused, length of total intensive care unit (ICU) stay, fracture type, surgical approach, smoking status, patients' comorbids and associated injuries. Fourteen patients (5.4%) developed surgical site infection. Out of 14 infections, 4 were superficial and 10 were deep. The factors that were found to be associated with surgical site infection following acetabular fracture fixation were prolonged operation time, increased BMI, prolonged ICU stay, larger amount of packed red blood cell transfused and associated genitourinary and abdominal trauma. In our study, we conclude that measures should be undertaken to attenuate the chances of surgical site infection in this major surgery by considering the risk factors significantly associated with it.

  2. Chalazion management--surgical treatment versus triamcinolon application.

    Science.gov (United States)

    Biuk, Dubravka; Matić, Suzana; Barać, Josip; Vuković, Marija Jelić; Biuk, Egon; Matić, Mate

    2013-04-01

    The aim of the study was to compare the length of treatment and efficiency of applied therapy in two groups of patients with chalazion who underwent surgical procedure or got triamcinolone application in chalazion. Our study included 30 patients with chalazions that persisted for about one month. All of them were resistant to applied topical antimicrobial therapy. These patients were devided in two groups. 15 patients underwent surgical procedure that included incision, excochleation and excision of the capsule of chalazion, while other 15 patients underwent triamcinolone aplication directly in chalazion (dosage of 2-4 mg). Patients were followed up a day after therapy, two weeks after therapy and one month after applied therapy. We found that chalazion treatment with triamcinolone application directly in the lesion was to be more comfortable for patients, took less time to treat and needed no additional topical antimicrobial therapy.

  3. Design of 95 GHz, 2 MW Gyrotron for Communication and Security Applications

    Science.gov (United States)

    Kumar, Nitin; Singh, Udaybir; Singh, T. P.; Sinha, A. K.

    2011-02-01

    The design and the numerical simulation of the 95 GHz, 2 MW gyrotron for various kinds of communication, sensing and security applications is presented. The gyrotron is designed for the TE24,8 operating mode. Various in-house developed and commercially available computer codes are used for the design purpose. A 4.25 MW electron gun is designed for the 2 MW of output power. The mode selection, cold cavity and the beam-wave interaction analysis are discussed for the design of weakly tapered open resonator type of interaction cavity. The parametric analysis of the interaction cavity and the electron gun is also presented.

  4. APACHE II SCORING SYSTEM AND ITS MODIFICATION FOR THE ASSESSMENT OF DISEASE SEVERITY IN CHILDREN WHO UNDERWENT POLYCHEMOTHERAPY

    Directory of Open Access Journals (Sweden)

    А. V. Sotnikov

    2014-01-01

    Full Text Available Short-term disease prognosis should be considered for the appropriate treatment policy based on the assessment of disease severity in patients with acute disease. The adequate assessment of disease severity and prognosis allows the indications for transferring patients to the resuscitation and intensive care department to be defined more precisely. Disease severity of patients who underwent polychemotherapy was assessed using APACHE II scoring system.

  5. Comparison of libido, Female Sexual Function Index, and Arizona scores in women who underwent laparoscopic or conventional abdominal hysterectomy

    Science.gov (United States)

    Kayataş, Semra; Özkaya, Enis; Api, Murat; Çıkman, Seyhan; Gürbüz, Ayşen; Eser, Ahmet

    2017-01-01

    Objective: The aim of the present study was to compare female sexual function between women who underwent conventional abdominal or laparoscopic hysterectomy. Materials and Methods: Seventy-seven women who were scheduled to undergo hysterectomy without oophorectomy for benign gynecologic conditions were included in the study. The women were assigned to laparoscopic or open abdominal hysterectomy according to the surgeons preference. Women with endometriosis and symptomatic prolapsus were excluded. Female sexual function scores were obtained before and six months after the operation from each participant by using validated questionnaires. Results: Pre- and postoperative scores of three different quationnaires were found as comparable in the group that underwent laparoscopic hysterectomy (p>0.05). Scores were also found as comparable in the group that underwent laparotomic hysterectomy (p>0.05). Pre- and postoperative values were compared between the two groups and revealed similar results with regard to all three scores (p>0.05). Conclusion: Our data showed comparable pre- and the postoperative scores for the two different hysterectomy techniques. The two groups were also found to have similar pre- and postoperative score values. PMID:28913149

  6. SURGICAL OUTCOME OF CERVICAL AND FORAMEN MAGNUM INTRA DURAL AND INTRA MEDULLARY TUMOURS

    OpenAIRE

    Kumar Babu; Deekshanti Narayan; Biju; Manas; Vijaya Saradhi; Pathapati Rama; Madhavalu

    2014-01-01

    : INTRODUCTION: Spinal tumors account for only approximately 5-15% of the nervous system neoplasms. Technical advances in imaging and surgical procedures have brought about significant better clinical results in the last 2 decades. We also evaluated surgical and functional outcomes in patients having cervical intradural tumors including tumors at foramen magnum. METHODS: All patients who underwent surgical treatment for cervical intradural tumors from foramen magnum to C7,...

  7. Assessment of the results from arthroscopic surgical treatment of adhesive capsulitis

    OpenAIRE

    Marcio Cohen; Marcus Vinicius Amaral; Bruno Lobo Brandão; Marcelo Reis Pereira; Martim Monteiro; Geraldo da Rocha Motta Filho

    2013-01-01

    OBJECTIVE: Describe the outcomes of patients with adhesive capsulitis treated with arthroscopic surgical procedure. METHODS: Between January and September of 2009, 9 patients (10 cases) underwent arthroscopic surgical release. There were 4 male (one bilateral) and 5 female patients. Their mean age was 51 years (27-63). The time from onset of symptoms to the surgical procedure averaged 23.4 months (6-38). Preoperative assessment was based on the UCLA and Constant score. ROM was evaluated ...

  8. Surgical ethics: surgical virtue and more.

    Science.gov (United States)

    Vercler, Christian J

    2015-01-01

    The encounter between a patient and her surgeon is unique for several reasons. The surgeon inflicts pain upon a patient for the patient's own good. An operative intervention is irreducibly personal, such that the decisions about and performance of operations are inseparable from the idiosyncrasies of the individual surgeon. Furthermore, there is a chasm of knowledge between the patient and surgeon that is difficult to cross. Hence, training in the discipline of surgery includes the inculcation of certain virtues and practices to safeguard against abuses of this relationship and to make sure that the best interests of the patient are prioritized. The stories in this issue are evidence that in contemporary practice this is not quite enough, as surgeons reflect on instances they felt were ethically challenging. Common themes include the difficulty in communicating surgical uncertainty, patient-surgeon relationships, ethical issues in surgical training, and the impact of the technological imperative on caring for dying patients.

  9. Simple and surgical exodontia.

    Science.gov (United States)

    DeBowes, Linda J

    2005-07-01

    Preemptive and postoperative pain management is part of patient care when performing extractions. Simple extractions can become complicated when tooth roots are fractured. Adequate lighting,magnification, and surgical techniques are important when per-forming surgical (complicated) extractions. Radiographs should be taken before extractions and also during the procedure to assist with difficult extractions. Adequate flap design and bone removal are necessary when performing surgical extractions. Complications, including ocular trauma, jaw fracture, and soft tissue trauma, are avoided or minimized with proper patient selection and technique.

  10. Surgical treatment of polymicrogyria-related epilepsy.

    Science.gov (United States)

    Cossu, Massimo; Pelliccia, Veronica; Gozzo, Francesca; Casaceli, Giuseppe; Francione, Stefano; Nobili, Lino; Mai, Roberto; Castana, Laura; Sartori, Ivana; Cardinale, Francesco; Lo Russo, Giorgio; Tassi, Laura

    2016-12-01

    The role of resective surgery in the treatment of polymicrogyria (PMG)-related focal epilepsy is uncertain. Our aim was to retrospectively evaluate the seizure outcome in a consecutive series of patients with PMG-related epilepsy who received, or did not receive, surgical treatment, and to outline the clinical characteristics of patients who underwent surgery. We evaluated 64 patients with epilepsy associated with magnetic resonance imaging (MRI)-documented PMG. After presurgical evaluation, 32 patients were excluded from surgical treatment and 32 were offered surgery, which was declined by 8 patients. Seizure outcome was assessed in the 40 nonsurgical and 24 surgical patients. Of 40 nonsurgical patients, 8 (20%) were seizure-free after a mean follow-up of 91.7 ± (standard deviation) 59.5 months. None of the eight patients who declined surgical treatment was seizure-free (mean follow-up: 74.3 ± 60.6 months). These seizure outcomes differ significantly (p = 0.000005 and p = 0.0003, respectively) from that of the 24 surgical patients, 18 of whom (66.7%) were Engel's class I postoperatively (mean follow-up: 66.5 ± 54.0 months). Of the eight patients excluded from surgery for seizure control at first visit, two had seizure recurrence at last contact. At last contact, antiepileptic drugs (AEDs) had been withdrawn in 6 of 24 surgical and in one of 40 nonsurgical cases (p = 0.0092). The present study indicates that, at least in a subset of adequately selected patients with PMG-related epilepsy, surgery may provide excellent seizure outcomes. Furthermore, it suggests that surgery is superior to AEDs for achieving seizure freedom in these cases. Wiley Periodicals, Inc. © 2016 International League Against Epilepsy.

  11. 2000 MW(t) HTGR-DC-GT Modesto Site dry cooled model 346 concice

    International Nuclear Information System (INIS)

    1979-07-01

    Construction information is presented for a 800 MW(e) HTGR power reactor. The information is itemized for each reactor component or system and incudes quantity, labor hours, labor cost, material cost, and total costs

  12. Significance of surgical management for cystic prolactinoma.

    Science.gov (United States)

    Ogiwara, Toshihiro; Horiuchi, Tetsuyoshi; Nagm, Alhusain; Goto, Tetsuya; Hongo, Kazuhiro

    2017-04-01

    It is generally accepted that dopamine agonists (DA) represent the first-line treatment for most patients with prolactinoma, and patients become candidates for surgical intervention when DA is contraindicated. Surgical indication for cystic prolactinoma remains controversial. This study was performed to investigate the significance of surgery for cystic prolactinoma. A total of 28 patients that underwent transsphenoidal resection of prolactinoma between February 2004 and May 2016 were reviewed. Five consecutive patients with cystic prolactinoma were included in this study. Our surgical strategy for cystic prolactinoma was categorized as follows: first, when the purpose of surgical resection was normalization of the prolactin level, aggressive resection was performed; second, when volume reduction was essential to relieve the visual symptoms and headache, internal decompression was performed followed by DA therapy. The clinical outcomes were analyzed accordingly. All cystic prolactinoma were resected via the transsphenoidal approach without any complications, and all symptoms including visual impairment and hypogonadal activity were finally relieved combined with medication. Surgery for cystic prolactinoma could be a better option. Transsphenoidal surgery is relatively safe to remove the cystic prolactinoma, additionally it can normalize the prolactine level and achieve adequate and rapid decompression of optic chiasm. The risk of transsphenoidal surgery is highly dependent on the skill of the surgeon and treatment decision for cystic prolactinoma needs to be individualized for each patient.

  13. Surgical management of radiation enterocolitis

    International Nuclear Information System (INIS)

    Ieda, Katsuyuki; Katsumi, Masaharu; Ura, Shinzoh

    1980-01-01

    We reviewed 17 cases of severe radiation enterocolitis caused by tele-cobalt treatment for pelvic malignancies. They consisted of six males and nine females, ranging from 32 to 77 years old. The duration between the completion of radiation and the onset of symptoms varied from two months to ten years. Only two cases of them were treated conservatively and the other 15 cases were managed surgically. Six cases of the latter underwent an urgent surgery because of severe obstructive symptoms. Totally, 19 injuries to the intestine were revealed. The ileum was involved in eight patients, the rectum in seven and the sigmoid colon in four. Operative procedures carried out were intestinal resection with primary anastomosis in seven, colostomy alone in six and bypass operation in three. The resected segments of the ileum measured 40 cm long in two and 70 cm, 90 cm and 100 cm long in three respectively and the resected segments of the colon measured 15 cm and 45 cm long respectively. Three out of the seven cases with bowel resection were reconstructed with Gambee's single layer anastomosis and four with Albert-Lembert's two layer anastomosis. Type of anastomosis was end-to-end in six and end-to-side in one. Three cases underwent bypass operations because the injured intestines were densely adhered to the surroundings. Only one minor leakage occurred in seven primary anastomosis. Radiation doses ranged from 3000 to 9300 R. There was no relation between doses and severity of damage, clinical symptoms and site of injuries. There was no malignant findings around the damaged intestine. Many of the literatures report a high anastomotic leak in radiation enterocolitis, primary anastomosis can be carried out more safely if wide resection and reasonable anastomosis are performed. (author)

  14. Development of 1 MW output power level gyrotron for ITER ECRH system

    International Nuclear Information System (INIS)

    Litvak, A.G.; Denisov, G.G.; Zapevalov, V.E.; Flyagin, V.A.; Alikaev, V.V.; Kurbatov, V.I.; Myasnikov, V.E.

    2001-01-01

    The paper presents the approach and results of development of the 170 GHz / 1 MW ITER gyrotron in Russia. The main problems of elaborating powerful gyrotrons are discussed. Results of 170 GHz gyrotron tests are analyzed and compared with the theory. ITER related 110 GHz and 140 GHz gyrotrons are also investigated. The possibility to create a 170 GHz / 1 MW gyrotron for ITER is proved by calculations and experiments. (author)

  15. EURISOL-DS MULTI-MW TARGET ISSUES: BEAM WINDOW AND TRANSVERSE FILM TARGET

    CERN Document Server

    Adonai Herrera-Martínez, Yacine Kadi

    The analysis of the EURISOL-DS Multi_MW target precise geometry (Fig.1) has proved that large fission yields can be achieved with a 4 MW, providing a technically feasible design to evacuate the power deposited in the liquid mercury. Different designs for the mercury flow have been proposed, which maintain its temperature below the boiling point with moderate flow speeds (maximum 4 m/s).

  16. Multi-MW target station: Beam Window Issues and Transverse Film Target

    CERN Document Server

    Herrera-Martinez, A

    The analysis of the EURISOL-DS Multi_MW target precise geometry has proved that large fission yields can be achieved with a 4 MW, providing a technically feasible design to evacuate the power deposited in the liquid mercury. Different designs for the mercury flow have been proposed, which maintain its temperature below the boiling point with moderate flow speeds (maximum 4 m/s).

  17. Development of over-1 MW gyrotrons for the LHD and the GAMMA 10 ECH systems

    International Nuclear Information System (INIS)

    Imai, T.; Kariya, T.; Minami, R.

    2010-11-01

    For the ECH upgrade program of LHD and GAMMA10, over-1 MW power gyrotrons have been developed in the joint program of NIFS and University of Tsukuba. The gyrotrons for LHD and GAMMA 10 have TE 18,6 cavity and a diamond window at 77 GHz, and with TE 8,3 cavity at 28 GHz, respectively. The maximum outputs obtained are 1.9 MW for 0.1 s on the 77 GHz LHD tube and ∼ 1 MW on the 28 GHz one, which are the new records in these frequency ranges. The results of 1.8 MW for 1 s, 1.6 MW for 1.8s, 1 MW for 5 s, 300 kW for 40 min and 200 kW for 75 min were achieved at 77 GHz. In the long pulse operation, it is found that the stray RF is the major cause limiting the pulse length. Design improvements of the diffraction loss, the cavity and pitch factor α (=v sub(perpendicular)/v sub(parallel)) dispersion of the MIG have made the 77 GHz tube performance better, which have enabled to demonstrate 1.9 MW output and long pulse operation for more than 1 hour with 200 kW. The three 77 GHz gyrotrons have already been installed in the LHD ECH system and more than 3 MW has been injected into LHD plasma. In the 28 GHz long pulse operation, 400 kW for 1 sec has been obtained and it is found the higher and longer pulse operation would be possible with the operation optimization and conditioning. (author)

  18. EURISOL-DS Multi-MW Target: Design of the EURISOL Liquid metal loop

    CERN Document Server

    K. Samec (PSI)

    A Mercury loop capable of evacuating 2.7 MW of the 4 MW deposited in the Eurisol liquid metal neutron spallation target is described in the present design study.The study takes into account the effects on the loop of temperature, pressure, irradiation, liquid metal corrosion, including both steady state operations and normal transients. Accidental conditions are only briefly alluded to in the form of a description of the protection barriers and envisaged mitigation strategies.

  19. The moment magnitude Mw and the energy magnitude Me: common roots and differences

    OpenAIRE

    2010-01-01

    Abstract Starting from the classical empirical magnitude-energy relationships, in this article, the derivation of the modern scales for moment magnitude Mw and energy magnitude Me is outlined and critically discussed. The formulas for Mw and Me calculation are presented in a way that reveals, besides the contributions of the physically defined measurement parameters seismic moment M0 and radiated seismic energy ES, the role of the constants in the classical Gutenberg?Richter magnit...

  20. Ambulatory Surgical Measures - Facility

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Ambulatory Surgical Center Quality Reporting (ASCQR) Program seeks to make care safer and more efficient through quality reporting. ASCs eligible for this...

  1. Ambulatory Surgical Measures - State

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Ambulatory Surgical Center Quality Reporting (ASCQR) Program seeks to make care safer and more efficient through quality reporting. ASCs eligible for this...

  2. Surgical Treatments for Fibroids

    Science.gov (United States)

    ... NICHD Research Information Find a Study More Information Preeclampsia and Eclampsia About NICHD Research Information Find a ... Treatments Share Facebook Twitter Pinterest Email Print Surgical Treatments for Fibroids If you have moderate or severe ...

  3. Ambulatory Surgical Measures - National

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Ambulatory Surgical Center Quality Reporting (ASCQR) Program seeks to make care safer and more efficient through quality reporting. ASCs eligible for this...

  4. [Surgical treatment of ulcer].

    Science.gov (United States)

    Ungeheuer, E; Schröder, D; Lüders, K

    1978-04-27

    The standard of today in surgical treatment of the duodenal and gastric ulcer in Germany is shown. Positive and negative aspects of the different methods are discussed. Special technics are recommended for the different types of gastroduodenal ulcera.

  5. Disruptive visions: surgical education.

    Science.gov (United States)

    Satava, R M

    2004-05-01

    Technological change, decreased financial support for medical education, and social oversight (in the form of the "To Err Is Human" report, HIPPA, and reduced work hours) are forcing a rethinking of the traditional model of surgical education to improve patient safety. New approaches to evaluating surgical competence, such as objective assessment, in combination with new technologies, such as the Internet and surgical simulators, provide the tools to effect a revolution in surgical education and training. Competency based upon quantifiable criteria measures must replace the traditional subjective assessment. The implementation requires accurately defining the elements of training, establishing new quantifiable metrics, stringently measuring performance against criterion, and reporting outcomes throughout the career of a surgeon.

  6. Surgical Critical Care Initiative

    Data.gov (United States)

    Federal Laboratory Consortium — The Surgical Critical Care Initiative (SC2i) is a USU research program established in October 2013 to develop, translate, and validate biology-driven critical care....

  7. Surgical resection versus radiofrequency ablation in treatment of small hepatocellular carcinoma

    Directory of Open Access Journals (Sweden)

    HE Xiuting

    2013-08-01

    Full Text Available ObjectiveTo compare clinical efficacy and recurrence between surgical resection and radiofrequency ablation (RFA in the treatment of small hepatocellular carcinoma (HCC. MethodsThe clinical data of 97 patients with small HCC, who underwent surgical resection or RFA as the initial treatment in The First Hospital of Jilin University from January 2002 to December 2008, were collected. Sixty-three cases, who survived 2 years after treatment, were followed up; of the 63 cases, 34 underwent surgical resection, and 29 underwent RFA. The recurrence of these patients was analyzed retrospectively. The measurement data were analyzed by chi-square test. The Cox regression analysis was used for determining the risk factors for recurrence. The log-rank test was used for disease-free survival (DFS difference analysis. ResultsThe 3-month, 1-year, and 2-year intrahepatic recurrence rates for the patients who underwent surgical resection were 15%, 38%, and 64%, respectively, versus 21%, 35%, and 45% for those who underwent RFA, without significant differences between the two groups of patients. The intrahepatic recurrence after initial treatment was not significantly associated with treatment method, sex, age, Child-Pugh grade, tumor size, number of nodules, presence of cirrhosis, and alpha-fetoprotein level. There was no significant difference in DFS between the two groups of patients. ConclusionRFA produces a comparable outcome to that by surgical resection in the treatment of small HCC. RFA holds promise as a substitute for surgical resection.

  8. Laparoscopic adrenalectomy: Surgical techniques

    Directory of Open Access Journals (Sweden)

    Matthew J Mellon

    2008-01-01

    Full Text Available Since its first description in 1992, laparoscopic adrenalectomy has become the gold standard for the surgical treatment of most adrenal conditions. The benefits of a minimally invasive approach to adrenal resection such as decreased hospital stay, shorter recovery time and improved patient satisfaction are widely accepted. However, as this procedure becomes more widespread, critical steps of the operation must be maintained to ensure expected outcomes and success. This article reviews the surgical techniques for the laparoscopic adrenalectomy.

  9. The prognostic significance of preoperatively assessed AST/ALT (De Ritis) ratio on survival in patients underwent radical cystectomy.

    Science.gov (United States)

    Gorgel, Sacit Nuri; Kose, Osman; Koc, Esra Meltem; Ates, Erhan; Akin, Yigit; Yilmaz, Yuksel

    2017-09-01

    We aimed to evaluate prognostic significance of preoperatively assessed aspartate aminotransaminase (AST)/alanine aminotransferase (ALT) (De Ritis) ratio on survival in bladder cancer (BC) patients underwent radical cystectomy (RC). We, respectively, analysed clinical and pathological data of 153 patients who underwent RC for BC between February 2006 and December 2016 at a tertiary level hospital. The potential prognostic value of De Ritis ratio was assessed by using ROC curve analysis. The effect of the De Ritis ratio was analysed by the Kaplan-Meier method and Cox regression hazard models for patients' disease-specific survival (DSS) and overall survival (OAS). We had 149 BC patients, in total. Mean age was 61.65 ± 9.13 years. One hundred and thirty-nine (93.3%) of the patients were men. According to ROC analysis, optimal threshold of De Ritis ratio for DSS was 1.30. In Kaplan-Meier analyses, the high De Ritis ratio group showed worse progression in DSS and OAS (all parameters, p < 0.001). On Cox regression models of clinical and pathological parameters to predict DSS, De Ritis ratio (HR 5.79, 95% CI 2.25-15.13), pathological T stage (HR 15.89, 95% CI 3.92-64.33, in all p < 0.001); and to predict OAS, De Ritis ratio (HR 2.61, 95% CI 1.49-4.56; p < 0.001), pathological T stage (HR 5.42, 95% CI 2.63-11.64; p < 0.001) and age (HR 1.05, 95% CI 1.02-1.08; p = 0.001) were determined as independent prognostic factors. Preoperative elevated De Ritis ratio could be an independent prognostic factor in BC patients underwent RC. Our results should be confirmed by large and properly designed prospective, randomized trials.

  10. Systematic review with network meta-analysis: comparative efficacy of different enteral immunonutrition formulas in patients underwent gastrectomy.

    Science.gov (United States)

    Song, Guo-Min; Liu, Xiao-Ling; Bian, Wei; Wu, Jing; Deng, Yong-Hong; Zhang, Hui; Tian, Xu

    2017-04-04

    Optimal enteral immunonutrition (EIN) regime for gastric cancer (GC) patients underwent gastrectomy remains uncertainty. To assess comparative efficacy of different EIN formulas in GC patients underwent gastrectomy, we performed network meta-analysis. We included 11 RCTs enrolling 840 patients. Pairwise meta-analysis indicated that EIN (RR 0.56, 95% CI 0.36-0.86; MD -0.42, 95% CI -0.74-0.10), Arg+RNA+ω-3-FAs (RR 0.37, 95% CI 0.22-0.63; MD -0.42, 95% CI -0.75-0.07), Arg+Gln+ω-3-FAs (RR 0.22, 95% CI 0.05-0.94; MD -0.69, 95% CI -1.22-1.07) reduced ICs and LOS. Network meta-analysis confirmed the potential of Arg+RNA+ω-3-FAs for ICs (OR 0.27, 95% Crl 0.12-0.49) and Arg+Gln+ω-3-FAs for CIs (OR 0.22, 95% Crl 0.02-0.84) and LOS (SMD -0.63, 95% Crl -1.07-0.13), and indicated that Arg+RNA+ω-3-FAs was superior to Arg+RNA and Arg+Gln for ICs as well. We performed direct and network meta-analyses for randomized controlled trials comparing EIN formulas with each other or standard enteral nutrition (SEN) in reducing infectious complications (ICs), noninfectious complications (NICs) and length of hospital stay (LOS), through January 2016. The surface under the cumulative ranking curve (SCURA) and Grading of Recommendations Assessment, Development and Evaluation (GRADE) were used to rank regimes and rate qualities of evidences respectively. As for GC patients underwent gastrectomy, Arg+RNA+ω-3-FAs and Arg+Gln+ω-3-FAs are the optimal regimes of reducing ICs and LOS.

  11. [Contribution of surgical margin for surgical outcome of the chest wall tumors].

    Science.gov (United States)

    Maeda, Sumiko; Yamada, Takehiro; Watanabe, Tatsuaki; Niikawa, Hiromichi; Sado, Tetsu; Noda, Masafumi; Sakurada, Akira; Hoshikawa, Yasushi; Endo, Chiaki; Okada, Yoshinori; Kondo, Takashi

    2014-01-01

    We present here our institutional review of surgical treatment for the chest wall tumors. Chest wall resections were performed on 80 patients, and subsequent chest wall reconstructions were performed on 45 patients. Primary malignant tumors in the chest wall required more extensive rib resections combined with the neighboring structures such as the sternum and the vertebral bones than benign or metastatic/recurrent tumors did. Postoperative mortality and morbidity occurred in 5 patients who underwent the sternal resection and the rib resection combined with the vertebral bodies. Primary malignant tumors in the chest wall are sarcomas originating from the bones, the cartilage tissues, and the soft tissues of the chest wall. We general thoracic surgeons may not have expertise in treating sarcomas,because primary malignant chest wall tumors are rare and a single institution has limited experiences in surgical treatment of such tumors. We should be aware that a surgical margin of primary malignant chest wall tumors is important to achieve excellent local control and better prognosis. We recommend cooperation with an orthopedic oncologist who is experienced with treating sarcomas. Not only preoperative planning but also intraoperative evaluation for the surgical margin with orthopedic oncologists is necessary for better surgical outcome.

  12. [Four patients with hepatitis A presenting with fulminant hepatitis and acute renal failure and who underwent liver transplantation].

    Science.gov (United States)

    Oh, Se Hoon; Lee, Joon Hyoek; Hwang, Ji Won; Kim, Hye Young; Lee, Chang Hoon; Gwak, Geum Youn; Choi, Moon Seok; Koh, Kwang Chul; Paik, Seung Woon; Yoo, Byung Chul

    2009-09-01

    Hepatitis A is generally known as a mild, self-limiting disease of the liver, but in rare instances it can progress to fulminant hepatitis, which may require liver transplantation for recovery. Such cases are known to be related to old age and underlying liver disease. We report four cases of hepatitis A in which patients presented with fulminant hepatitis and acute renal failure and underwent liver transplantation. The following common features were observed in our cases: (1) occurrence in relatively old age (>/=39 years old), (2) association with acute renal failure, (3) presence of hepatomegaly, and (4) microscopic features of submassive hepatic necrosis.

  13. Clinical Outcomes of patients with coronary artery disease who underwent FFR evaluation of intermediate coronary lesionS– COFFRS study

    Directory of Open Access Journals (Sweden)

    Srinivasa Prasad

    2017-07-01

    Conclusion: In our experience, MACE events were not higher in patients with FFR > 0.8 and kept under medical therapy and were similarly lower in patients with FFR ≤0.8 and underwent revascularisation (p = 0.73. Also MACE events were higher in patients with FFR ≤ 0.8 and did not undergo revascularisation compared to other two appropriately treated groups (p = 0.03. FFR based revascularization decision appears to be a safe strategy in Indian patients.

  14. Post surgical complications from students' large animal surgical ...

    African Journals Online (AJOL)

    A retrospective study of post surgical complications was conducted on records of students' Large Animal Surgical Laboratories in the Faculty of Veterinary Medicine (F.V.M.), Ahmadu Bello University (A.B.U), Zaria from 1989 to 1993. Three hundred and eleven surgical complications were recorded from five surgical ...

  15. [Anesthetic Management of an Infant who Underwent Awake-intubation for Her Pharyngeal Injury Caused by a Toothbrush].

    Science.gov (United States)

    Nakano, Yoko; Suzuki, Hiroaki; Arai, Takero; Hashimoto, Yuichi; Okuda, Yasuhisa

    2016-04-01

    A 2-year-and-4-month-old female infant, 12 kg in weight and 90 cm in height fell off from a table, which was about 1 m height with a toothbrush in her mouth without her parents noticing. Urgent CT scan showed that it penetrated the left side of her oropharyngeal wall to the bifurcation of her right carotid artery. According to the initial assessment, carotid artery seemed intact and there seemed to be no sign of CNS involvement. She underwent general anesthesia for further investigation and operation. We could detect vocal code with ease by inserting Glidescope between her tongue and the toothbrush. After the intubation, we administered fentanyl 25 μg rocuronium 15 mg and sevoflulane 3-5% to her, and then she underwent arteriography. The neurosurgeon found no sign of major arterial injury nor traumatic aneurysm nor CNS involvement. She went to the ICU intubated after the removal of the toothbrush. She was extubated 5 days after operation. One of the benefits of the Glidescope is that we can share the visual image, and we chose it this time. When we expect a difficult airway during management for oropharyngeal trauma, we have to consider the way to manage the airway.

  16. Citrus aurantium Naringenin Prevents Osteosarcoma Progression and Recurrence in the Patients Who Underwent Osteosarcoma Surgery by Improving Antioxidant Capability

    Directory of Open Access Journals (Sweden)

    Lirong Zhang

    2018-01-01

    Full Text Available Citrus aurantium is rich in flavonoids, which may prevent osteosarcoma progression, but its related molecular mechanism remains unclear. Flavonoids were extracted from C. aurantium and purified by reparative HPLC. Each fraction was identified by using electrospray ionisation mass spectrometry (ESI-MS. Three main components (naringin, naringenin, and hesperetin were isolated from C. aurantium. Naringenin inhibited the growth of MG-63 cells, whereas naringin and hesperetin had no inhibitory function on cell growth. ROS production was increased in naringin- and hesperetin-treated groups after one day of culture while the level was always lowest in the naringenin-treated group after three days of culture. 95 osteosarcoma patients who underwent surgery were assigned into two groups: naringenin group (NG, received 20 mg naringenin daily, n=47 and control group (CG, received 20 mg placebo daily, n=48. After an average of two-year follow-up, osteosarcoma volumes were smaller in the NG group than in the CG group (P>0.01. The rate of osteosarcoma recurrence was also lower in the NG group than in CG group. ROS levels were lower in the NG group than in the CG group. Thus, naringenin from Citrus aurantium inhibits osteosarcoma progression and local recurrence in the patients who underwent osteosarcoma surgery by improving antioxidant capability.

  17. Prognostic Impact of the Geriatric Nutritional Risk Index on Long-Term Outcomes in Patients Who Underwent Percutaneous Coronary Intervention.

    Science.gov (United States)

    Wada, Hideki; Dohi, Tomotaka; Miyauchi, Katsumi; Doi, Shinichiro; Naito, Ryo; Konishi, Hirokazu; Tsuboi, Shuta; Ogita, Manabu; Kasai, Takatoshi; Hassan, Ahmed; Okazaki, Shinya; Isoda, Kikuo; Suwa, Satoru; Daida, Hiroyuki

    2017-06-01

    Malnutrition has been identified as an important predictor of poor clinical outcomes in patients with heart failure. The aim of this study is to examine the prognostic impact of nutritional status in patients with coronary artery disease (CAD) who underwent percutaneous coronary intervention (PCI). The impact of nutrition, assessed using the geriatric nutritional risk index (GNRI) calculated by serum albumin and body mass index, was evaluated in 2,853 patients with CAD who underwent their first PCI between 2000 and 2011. Patients were assigned to tertiles based on their GNRI levels. The incidences of all-cause death and cardiac death were assessed. The median GNRI values were 101 (interquartile range 95 to 106). Lower GNRI levels were associated with older age and higher prevalence of acute coronary syndrome and chronic kidney disease. During the median follow-up period of 7.4 years, Kaplan-Meier curves showed ongoing divergence in rates of mortality among tertiles (GNRI nutritional status was associated with long-term clinical outcomes in CAD patients after PCI. Evaluation of GNRI carries important prognostic information and may guide the therapeutic approach to such patients. Copyright © 2017 Elsevier Inc. All rights reserved.

  18. Buried penis: classification surgical approach.

    Science.gov (United States)

    Hadidi, Ahmed T

    2014-02-01

    The purpose of this study was to describe morphological classification of congenital buried penis (BP) and present a versatile surgical approach for correction. Sixty-one patients referred with BP were classified into 3 grades according to morphological findings: Grade 1-29 patients with Longer Inner Prepuce (LIP) only, Grade II-20 patients who presented with LIP associated with indrawn penis that required division of the fundiform and suspensory ligaments, and Grade III-12 patients who had in addition to the above, excess supra-pubic fat. A ventral midline penile incision extending from the tip of prepuce down to the penoscrotal junction was used in all patients. The operation was tailored according to the BP Grade. All patients underwent circumcision. Mean follow up was 3 years (range 1 to 10). All 61 patients had an abnormally long inner prepuce (LIP). Forty-seven patients had a short penile shaft. Early improvement was noted in all cases. Satisfactory results were achieved in all 29 patients in grade I and in 27 patients in grades II and III. Five children (Grades II and III) required further surgery (9%). Congenital buried penis is a spectrum characterized by LIP and may include in addition; short penile shaft, abnormal attachment of fundiform, and suspensory ligaments and excess supra-pubic fat. Congenital Mega Prepuce (CMP) is a variant of Grade I BP, with LIP characterized by intermittent ballooning of the genital area. Copyright © 2014 Elsevier Inc. All rights reserved.

  19. Comparison of Healthcare Costs Among Commercially Insured Women in the United States Who Underwent Hysteroscopic Sterilization Versus Laparoscopic Bilateral Tubal Ligation Sterilization.

    Science.gov (United States)

    Carney, Patricia I; Yao, Jianying; Lin, Jay; Law, Amy

    2017-05-01

    This study evaluated healthcare costs of index procedures and during a 6-month follow-up of women who had hysteroscopic sterilization (HS) versus laparoscopic bilateral tubal ligation (LBTL). Women (18-49 years) with claims for HS and LBTL procedures were identified from the MarketScan commercial claims database (January 1, 2010, to December 31, 2012) and placed into separate cohorts. Demographics, characteristics, index procedure costs, and 6-month total healthcare costs and sterilization procedure-related costs were compared. Multivariable regression analyses were used to examine the impact of HS versus LBTL on costs. Among the study population, 12,031 had HS (mean age: 37.0 years) and 7286 had LBTL (mean age: 35.8 years). The majority (80.9%) who had HS underwent the procedure in a physician's office setting. Fewer women who had HS versus LBTL received the procedure in an inpatient setting (0.5% vs. 2.1%), an ambulatory surgical center setting (5.0% vs. 23.8%), or a hospital outpatient setting (13.4% vs. 71.9%). Mean total cost for the index sterilization procedure was lower for HS than for LBTL ($3964 vs. $5163, p women who had HS versus LBTL. Multivariable regression results confirmed that costs were lower for women who had HS versus LBTL. Among commercially insured women in the United States, HS versus LBTL is associated with lower average costs for the index procedure and lower total healthcare and procedure-related costs during 6 months after the sterilization procedure.

  20. [Assessment of the correlation between histological degeneration and radiological and clinical parameters in a series of patients who underwent lumbar disc herniation surgery].

    Science.gov (United States)

    Munarriz, Pablo M; Paredes, Igor; Alén, José F; Castaño-Leon, Ana M; Cepeda, Santiago; Hernandez-Lain, Aurelio; Lagares, Alfonso

    The use of histological degeneration scores in surgically-treated herniated lumbar discs is not common in clinical practice and its use has been primarily restricted to research. The objective of this study is to evaluate if there is an association between a higher grade of histological degeneration when compared with clinical or radiological parameters. Retrospective consecutive analysis of 122 patients who underwent single-segment lumbar disc herniation surgery. Clinical information was available on all patients, while the histological study and preoperative magnetic resonance imaging were also retrieved for 75 patients. Clinical variables included age, duration of symptoms, neurological deficits, or affected deep tendon reflex. The preoperative magnetic resonance imaging was evaluated using Modic and Pfirrmann scores for the affected segment by 2 independent observers. Histological degeneration was evaluated using Weiler's score; the presence of inflammatory infiltrates and neovascularization, not included in the score, were also studied. Correlation and chi-square tests were used to assess the association between histological variables and clinical or radiological variables. Interobserver agreement was also evaluated for the MRI variables using weighted kappa. No statistically significant correlation was found between histological variables (histological degeneration score, inflammatory infiltrates or neovascularization) and clinical or radiological variables. Interobserver agreement for radiological scores resulted in a kappa of 0.79 for the Pfirrmann scale and 0.65 for the Modic scale, both statistically significant. In our series of patients, we could not demonstrate any correlation between the degree of histological degeneration or the presence of inflammatory infiltrates when compared with radiological degeneration scales or clinical variables such as the patient's age or duration of symptoms. Copyright © 2017 Sociedad Española de Neurocirug

  1. Surgical site infections in an Italian surgical ward: a prospective study.

    Science.gov (United States)

    Di Leo, Alberto; Piffer, Silvano; Ricci, Francesco; Manzi, Alberto; Poggi, Elena; Porretto, Vincenzo; Fambri, Paolo; Piccini, Giannina; Patrizia, Trentini; Fabbri, Luca; Busetti, Rosanna

    2009-12-01

    Surgical site infection (SSI) remains a major cause of morbidity and death. This study analyzed the results of surveillance to evaluate the incidence, risk factors, and characteristics of SSI in patients who underwent an operation in a typical Italian surgical ward. A group of 1,281 patients operated on from August 2005 to December 2007 underwent prospective and direct observation of incisions by a surgeon according to the U.S. Centers for Disease Control and Prevention (CDC) National Nosocomial Infections Surveillance (NNIS) method. The minimum follow-up was 30 days. A locally-modified risk index score (LRI) based on the NNIS was calculated for each patient, using as a cut point the 75(th) percentile of the duration of surgery (in minutes) for that particular procedure. Seventy-six patients were affected by incision site infection, and the SSI rate was 5.9%. Thirty-four (2.6% of the series) were superficial incisional, 32 (2.5%) deep incisional, and 10 (0.8%) organ/space SSIs. An increasing value of the LRI was significantly (p or=2, respectively. Obesity (body mass index >30 kg/m(2)), diabetes mellitus, and emergency surgery were associated with a higher risk of infection by multivariable analysis independent of the LRI. The NNIS method can be useful for SSI surveillance and monitoring in single surgical wards. Longer operations, diabetes mellitus, and obesity increase the risk of SSI, as does performance of surgery in an emergency situation.

  2. Surgical camps: the Ugandan experience

    African Journals Online (AJOL)

    Northern Uganda to offer free surgical services and to teach basic surgical skills to up-country doctors. The team, consisting of 10 surgeons in various specialities, two anaesthetists and two surgical residents, saw 500 patients, of whom 272 had surgery. This was the frrst such surgical camp organised by the Ugandan.

  3. 3D Surgical Simulation

    Science.gov (United States)

    Cevidanes, Lucia; Tucker, Scott; Styner, Martin; Kim, Hyungmin; Chapuis, Jonas; Reyes, Mauricio; Proffit, William; Turvey, Timothy; Jaskolka, Michael

    2009-01-01

    This paper discusses the development of methods for computer-aided jaw surgery. Computer-aided jaw surgery allows us to incorporate the high level of precision necessary for transferring virtual plans into the operating room. We also present a complete computer-aided surgery (CAS) system developed in close collaboration with surgeons. Surgery planning and simulation include construction of 3D surface models from Cone-beam CT (CBCT), dynamic cephalometry, semi-automatic mirroring, interactive cutting of bone and bony segment repositioning. A virtual setup can be used to manufacture positioning splints for intra-operative guidance. The system provides further intra-operative assistance with the help of a computer display showing jaw positions and 3D positioning guides updated in real-time during the surgical procedure. The CAS system aids in dealing with complex cases with benefits for the patient, with surgical practice, and for orthodontic finishing. Advanced software tools for diagnosis and treatment planning allow preparation of detailed operative plans, osteotomy repositioning, bone reconstructions, surgical resident training and assessing the difficulties of the surgical procedures prior to the surgery. CAS has the potential to make the elaboration of the surgical plan a more flexible process, increase the level of detail and accuracy of the plan, yield higher operative precision and control, and enhance documentation of cases. Supported by NIDCR DE017727, and DE018962 PMID:20816308

  4. Surgical treatment of advanced stage Freiberg disease

    Directory of Open Access Journals (Sweden)

    Emin Özkul

    2014-09-01

    Full Text Available Objective: Freiberg disesase is an avascular necrosis of the 2nd and 3rd metatarsal head and which kind of surgical option to be used is controversial in symptomatic patients. In this study the results of the advanced stage Freiberg’s disease patients, who were treated with surgery were evaluated. Methods: 12 patients (8 female, 4 male whose pain could not be solved with conservative method and underwent surgery (6 debridement, 3 osteotomy, 3 excision of the metatarsal head were included in this study. Themean age of the patients 19.1 (range 13- 31 and the mean follow-up 30.8(range 25-94 months. According to the Smillie classification 3 patients had type 5, 8 patients had type 4 and 1 patient had type 3 osteonecrosis. The results of the patients were evaluated according to Lesser Metatarsophalangeal-Interphalangeal Scale. Results: According to Lesser MetatarsophalangealInterphalangeal Scale 3 patients (%25 had excellent, 6 patients (%50 had good and 3 patients had poor results were obtained. 2 of 3 patients with poor results were type 5, and 1 patient was type 4 and all three patients underwent joint debridement. Conclusion:The method of surgical treatment of Freiberg disease determined according to the stage of the disease. Debridement alone in the treatment of patients with late stage is not enough, it should be combined with other methods.

  5. Surgical Site Infection Following Posterior Instrumented Surgery for Thoracolumbar Burst Fractures

    Directory of Open Access Journals (Sweden)

    A Zulkefli

    2009-11-01

    Full Text Available OBJECTIVES: To study the prevalence and the risk factors for surgical site infection in patients who underwent posterior instrumented surgery for thoracolumbar burst fractures. METHODOLOGY: Retrospective review of cases operated between year 2006 and 2007. The final end point is the detection of surgical site infection within one year. RESULTS: A total of 38 cases were reviewed. Surgical site infection occurred in 5 cases. Only one had deep infection. The onset of infection occurred within one month in all cases. The risk factors studied were smoking, timing of surgery, duration of surgery, neurological deficit, associated injuries and high dose methylprednisolone administration. None of them were statistically significant as risk factors for surgical site infection. CONCLUSION: The prevalence of surgical site infection in patients who underwent posterior instrumented surgery for thoracolumbar burst fractures was 13%.

  6. Surgical versus natural menopause: cognitive issues.

    Science.gov (United States)

    Henderson, Victor W; Sherwin, Barbara B

    2007-01-01

    Women who undergo both natural and surgical menopause experience the loss of cyclic ovarian production of estrogen, but hormonal and demographic differences distinguish these two groups of women. Our objective was to review published evidence on whether the premature cessation of endogenous estrogen production in women who underwent a surgical menopause has deleterious consequences for cognitive aging and to determine whether consequences differ for women if they undergo natural menopause. Studies of estrogen-containing hormone therapy are relevant to this issue. We reviewed evidence-based research, including the systematic identification of randomized clinical trials of hormone therapy with cognitive outcomes that included an objective measure of episodic memory. As inferred from very small, short-term, randomized, controlled trials of high-dose estrogen treatment, surgical menopause may be accompanied by cognitive impairment that primarily affects verbal episodic memory. Observational evidence suggests that the natural menopausal transition is not accompanied by substantial changes in cognitive abilities. For initiation of hormone therapy during perimenopause or early postmenopause when the ovaries are intact, limited clinical trial data provide no consistent evidence of short-term benefit or harm. There is stronger clinical trial evidence that initiation of hormone therapy in late postmenopause does not benefit episodic memory or other cognitive skills. Further research is needed on the long-term cognitive consequences of surgical menopause and long-term cognitive consequences of hormone therapy initiated near the time of surgical or natural menopause. A potential short-term cognitive benefit might be weighed when a premenopausal woman considers initiation of estrogen therapy at the time of, or soon after, hysterectomy and oophorectomy for benign conditions, although data are still quite limited and estrogen is not approved for this indication. Older

  7. Comportamiento de los pacientesancianosoperados de cirugíacardíaca con circulaciónextracorpórea/ Evolution of elderly patients who underwent cardiac surgery with cardiopulmonary bypass

    Directory of Open Access Journals (Sweden)

    Alain Moré Duarte

    2015-10-01

    Full Text Available Introduction: There is a steady increase in the number of elderly patients with severe cardiovascular diseases who require a surgical procedure to recover some quality of life that allows them a socially meaningful existence, despite the risks. Objectives: To analyze the behavior of elderly patients who underwent cardiac surgery with cardiopulmonary bypass. Method: A descriptive, retrospective, cross-sectional study was conducted with patients over 65 years of age who underwent surgery at the Cardiocentro Ernesto Che Guevara, in Santa Clara, from January 2013 to March 2014. Results: In the study, 73.1% of patients were men; and there was a predominance of subjects between 65 and 70 years of age, accounting for 67.3%. Coronary artery bypass graft was the most prevalent type of surgery and had the longest cardiopulmonary bypass times. Hypertension was present in 98.1% of patients. The most frequent postoperative complications were renal dysfunction and severe low cardiac output, with 44.2% and 34.6% respectively. Conclusions: There was a predominance of men, the age group of 65 to 70 years, hypertension, and patients who underwent coronary artery bypass graft with prolonged cardiopulmonary bypass. Renal dysfunction was the most frequent complication.

  8. A Case of Type 2 Amiodarone-Induced Thyrotoxicosis That Underwent Total Thyroidectomy under High-Dose Steroid Administration

    Directory of Open Access Journals (Sweden)

    Koshi Hashimoto

    2015-01-01

    Full Text Available Amiodarone is used commonly and effectively in the treatment of arrhythmia; however, it may cause thyrotoxicosis categorized into two types: iodine-induced hyperthyroidism (type 1 amiodarone-induced thyrotoxicosis (AIT and destructive thyroiditis (type 2 AIT. We experienced a case of type 2 AIT, in which high-dose steroid was administered intravenously, and we finally decided to perform total thyroidectomy, resulting in a complete cure of the AIT. Even though steroid had been administered to the patient (maximum 80 mg of prednisolone, the operation was performed safely and no acute adrenal crisis as steroid withdrawal syndrome was found after the operation. Few cases of type 2 AIT that underwent total thyroidectomy with high-dose steroid administration have been reported. The current case suggests that total thyroidectomy should be taken into consideration for patients with AIT who cannot be controlled by medical treatment and even in those under high-dose steroid administration.

  9. Beyond Volume: Hospital-Based Healthcare Technology for Better Outcomes in Cerebrovascular Surgical Patients Diagnosed With Ischemic Stroke

    OpenAIRE

    Kim, Jae-Hyun; Park, Eun-Cheol; Lee, Sang Gyu; Lee, Tae-Hyun; Jang, Sung-In

    2016-01-01

    Abstract We examined whether the level of hospital-based healthcare technology was related to the 30-day postoperative mortality rates, after adjusting for hospital volume, of ischemic stroke patients who underwent a cerebrovascular surgical procedure. Using the National Health Insurance Service-Cohort Sample Database, we reviewed records from 2002 to 2013 for data on patients with ischemic stroke who underwent cerebrovascular surgical procedures. Statistical analysis was performed using Cox ...

  10. Infants with Atypical Presentations of Alveolar Capillary Dysplasia with Misalignment of the Pulmonary Veins Who Underwent Bilateral Lung Transplantation.

    Science.gov (United States)

    Towe, Christopher T; White, Frances V; Grady, R Mark; Sweet, Stuart C; Eghtesady, Pirooz; Wegner, Daniel J; Sen, Partha; Szafranski, Przemyslaw; Stankiewicz, Pawel; Hamvas, Aaron; Cole, F Sessions; Wambach, Jennifer A

    2018-03-01

    To describe disease course, histopathology, and outcomes for infants with atypical presentations of alveolar capillary dysplasia with misalignment of the pulmonary veins (ACDMPV) who underwent bilateral lung transplantation. We reviewed clinical history, diagnostic studies, explant histology, genetic sequence results, and post-transplant course for 6 infants with atypical ACDMPV who underwent bilateral lung transplantation at St. Louis Children's Hospital. We compared their histology with infants with classic ACDMPV and compared their outcomes with infants transplanted for other indications. In contrast with neonates with classic ACDPMV who present with severe hypoxemia and refractory pulmonary hypertension within hours of birth, none of the infants with atypical ACDMPV presented with progressive neonatal respiratory failure. Three infants had mild neonatal respiratory distress and received nasal cannula oxygen. Three other infants had no respiratory symptoms at birth and presented with hypoxemia and pulmonary hypertension at 2-3 months of age. Bilateral lung transplantation was performed at 4-20 months of age. Unlike in classic ACDMPV, histopathologic findings were not distributed uniformly and were not diffuse. Three subjects had apparent nonmosaic genetic defects involving FOXF1. Two infants had extrapulmonary anomalies (posterior urethral valves, inguinal hernia). Three transplanted children are alive at 5-16 years of age, similar to outcomes for infants transplanted for other indications. Lung explants from infants with atypical ACDMPV demonstrated diagnostic but nonuniform histopathologic findings. The 1- and 5-year survival rates for infants with atypical ACDMPV are similar to infants transplanted for other indications. Given the clinical and histopathologic spectra, ACDMPV should be considered in infants with hypoxemia and pulmonary hypertension, even beyond the newborn period. Copyright © 2017 Elsevier Inc. All rights reserved.

  11. The association between orthostatic hypotension and cognitive state among adults 65 years and older who underwent a comprehensive geriatric assessment

    Science.gov (United States)

    Punchick, Boris; Freud, Tamar; Press, Yan

    2016-01-01

    Abstract The prevalence of cognitive impairment and orthostatic hypotension (OH) increases with age, but the results of studies that assessed possible associations between them are inconsistent. The aim of this study is to assess possible associations between cognitive impairment and OH in patients ≥65 years of age who underwent a comprehensive geriatric assessment. A retrospective analysis was conducted of the computerized medical records of the study population from 2005 to 2013. Data collected included blood pressure measurements that enabled the calculation of OH, results of the mini-mental state examination (MMSE), results of the Montreal cognitive assessment (MoCA) test, and cognitive diagnoses that were determined over the course of the assessment. The rate of OH in the study population of 571 adults was 32.1%. The mean MMSE score was 22.5 ± 5.2 among participants with OH and 21.6 ± 5.8 among those without OH (P = 0.09). The absence of a significant association between OH and MMSE remained after adjusting the MMSE score for age and education level. The mean MoCA score was 16.4 ± 5.0 among participants with OH and 16.4 ± 4.8 among those without (P = 0.33). The prevalence of OH was 39% among participants without cognitive impairment, 28.9% among those with mild cognitive impairment (MCI), and 30.6% among those with dementia (P = 0.13). There was no association between OH and cognitive impairment in adults who underwent a comprehensive geriatric assessment. PMID:27442658

  12. Long-term prognosis and clinical characteristics of young adults (≤40 years old) who underwent percutaneous coronary intervention.

    Science.gov (United States)

    Konishi, Hirokazu; Miyauchi, Katsumi; Kasai, Takatoshi; Tsuboi, Shuta; Ogita, Manabu; Naito, Ryo; Katoh, Yoshiteru; Okai, Iwao; Tamura, Hiroshi; Okazaki, Shinya; Daida, Hiroyuki

    2014-09-01

    Limited data exist regarding the long-term prognosis of percutaneous coronary intervention (PCI) in young adults. The aim of this study was to retrospectively assess the long-term clinical outcomes in young patients who underwent PCI. Between 1985 and 2011, 7649 consecutive patients underwent PCI, and data from 69 young adults (age ≤40 years) and 4255 old adults (age ≧65 years) were analyzed. A Cox proportional hazards regression analysis was used to determine the independent predictors of a composite endpoint that included all-cause death and acute coronary syndrome (ACS) during the follow-up period. The mean age of the 69 young patients was 36.1±4.9 years, and 96% of them were men. Approximately 30% were current smokers, and their body mass index (BMI) was 26.7±5.0kg/m(2). The prevalence of diabetes and hypertension was 33% and 48%, respectively. All patients had ≥1 conventional cardiovascular risk factor. At a median follow-up of 9.8 years, the overall death rate was 5.8%, and new-onset ACS occurred in 8.7%. Current smoking was an independent predictor of the composite endpoint (hazard ratio 4.46, confidence interval 1.08-19.1, p=0.04) for young adults. Current smoking and obesity (high BMI) are the important clinical characteristics in young Japanese coronary heart disease patients who undergo PCI. The long-term prognosis in young patients is acceptable, but current smoking is a significant independent predictor of death and the recurrence of ACS in young Japanese coronary heart disease patients who are obese. Copyright © 2014 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.

  13. [Evaluation of the antithrombotic strategy in low thrombotic risk patients who underwent aortic valve replacement with a bioprosthesis].

    Science.gov (United States)

    Aceves-Velázquez, Eduardo; Vieyra-Herrera, Gerardo; Rodríguez-Chávez, Laura; Herrera-Alarcón, Valentín

    2017-07-16

    According to current guidelines, in patients without additional risk factors who have undergone aortic valve replacement with a bioprosthesis, anticoagulation in the first 3 months after surgery is still a matter of debate. According to current evidence, aspirin in low doses is a reasonable alternative to vitamin K antagonists (VKA). A comparison is made between the incidence of thrombotic and haemorrhagic complications in patients with low thrombotic risk who underwent aortic valve replacement with a bioprosthesis in the National Institute of Cardiology of Ignacio Chávez of Mexico. The hypothesis: aspirin as monotherapy has a beneficial effect compared to VKA. The studied patients were the low thrombotic risk patients who underwent aortic valve replacement with a bioprosthesis in the National Institute of Cardiology of Ignacio Chávez of Mexico from 2011 to 2015. The groups studied were: aspirin only, VKA only, and the combination of VKA plus aspirin. The patients were retrospectively followed-up for 12 months, and the thrombotic and haemorrhagic complications were documented. Of the 231 patients included in the study, only one patient in the VKA only group presented with a haemorrhagic complication. No thrombotic complications were observed. In the present study no thrombotic complications were observed in patients who did not receive anticoagulation in the first 3 months after an aortic valve replacement with a bioprosthesis after a follow up period of 12 months. This suggests that the use of aspirin only is safe during this period. Copyright © 2017 Instituto Nacional de Cardiología Ignacio Chávez. Publicado por Masson Doyma México S.A. All rights reserved.

  14. Autotransplantation of spleen tissue in children with mansonic schistosomiasis who underwent splenectomy: Evaluation of splenic residual functions

    Directory of Open Access Journals (Sweden)

    Brandt Carlos Teixeira

    1998-01-01

    Full Text Available Autotransplantation of spleen tissue is an attempt for maintenance of splenic functions when splenectomy is indicated in children. It minimizes the risks of overwhelming postsplenectomy infection and it has been done in children with severe portal hypertension due to hepatosplenic mansonic schistosomiasis that underwent splenectomy. The purposes of this investigation were to study the morphology of the residual splenic tissue; to evaluate the residual filtration function of this splenosis; and to assess the immune response to polyvalent pneumococcal vaccine of these patients. Twenty-three children with portal hypertension from mansonic schistosomiasis who underwent splenectomy, ligature of the left gastric vein, autotransplantation of spleen tissue into an omental pouch were evaluated for residual splenic parenchyma and functions. Tc-99m sulfur colloid liver-spleen scans were used for detection of splenic nodules. The search for Howell Jolly bodies were used for assessing the filtration function and Enzyme-linked immunosorbent assay was used for measuring the relative rise in titter of specific pneumococcal antibodies. Splenosis was evident in all children; however, in two there were less than five splenic nodules in the greater omentum, which was considered insufficient. Howell-Jolly bodies were found in the peripheral blood only in these two patients with less evident splenosis. The immune response was adequate in 15 patients; it was intermediate in 4 patients and inadequate in 4 patients. Autotransplantation of spleen tissue into an omental pouch is efficient in maintaining the filtration splenic function in more than 90% of the cases and the immune response to pneumococcal vaccination in approximately 65% of the children.

  15. The Neutronics Design and Analysis of a 200-MW(electric) Simplified Boiling Water Reactor Core

    International Nuclear Information System (INIS)

    Tinkler, Daniel R.; Downar, Thomas J.

    2003-01-01

    A 200-MW(electric) simplified boiling water reactor (SBWR) was designed and analyzed under sponsorship of the U.S. Department of Energy Nuclear Energy Research Initiative program. The compact size of a 200-MW(electric) reactor makes it attractive for countries with a less well developed engineering infrastructure, as well as for developed countries seeking to tailor generation capacity more closely to the growth of their electricity demand. The 200-MW(electric) core design reported here is based on the 600-MW(electric) General Electric SBWR core, which was first analyzed in the work performed here in order to qualify the computer codes used in the analysis. Cross sections for the 8 x 8 fuel assembly design were generated with the HELIOS lattice physics code, and core simulation was performed with the U.S. Nuclear Regulatory Commission codes RELAP5/PARCS. In order to predict the critical heat flux, the Hench-Gillis correlation was implemented in the RELAP5 code. An equilibrium cycle was designed for the 200-MW(electric) core, which provided a cycle length of more than 2 yr and satisfied the minimum critical power ratio throughout the core life

  16. Development of MW gyrotrons for fusion devices by University of Tsukuba

    International Nuclear Information System (INIS)

    Minami, R.; Kariya, T.; Imai, T.; Numakura, T.; Endo, Y.; Nakabayashi, H.; Eguchi, T.; Shimozuma, T.; Kubo, S.; Yoshimura, Y.; Igami, H.; Takahashi, H.; Mutoh, T.; Ito, S.; Idei, H.; Zushi, H.; Yamaguchi, Y.; Sakamoto, Keishi; Mitsunaka, Y.

    2012-11-01

    Over-1 MW power gyrotrons for electron cyclotron heating (ECH) have been developed in the joint program of NIFS and University of Tsukuba. The obtained maximum outputs are 1.9 MW for 0.1 s on the 77 GHz Large Helical Device (LHD) tube and 1.0 MW for 1 ms on the 28 GHz GAMMA 10 one, which are new records in these frequency ranges. In long pulse operation, 300 kW for 40 min at 77 GHz and 540 kW for 2 s at 28 GHz were achieved. A new program of 154 GHz 1 MW development has started for high density plasma heating in LHD and the first tube has been fabricated. These lower frequency tubes like 77 GHz or 28 GHz one are also important for advanced magnetic fusion devices, which use Electron Bernstein Wave (EBW) heating / current drive. As a next activity of 28 GHz gyrotron, we have already started the development of over-1.5 MW gyrotron and a new design study of 28 GHz / 35 GHz dual frequency gyrotron, which indicates the practicability of the multi-purpose gyrotron. (author)

  17. Surgical management of gynecomastia: experience of a general surgery center.

    Science.gov (United States)

    Longheu, A; Medas, F; Corrias, F; Farris, S; Tatti, A; Pisano, G; Erdas, E; Calò, P G

    2016-01-01

    Gynecomastia is a common finding in male population of all ages. The aim of our study was to present our experience and goals in surgical treatment of gynecomastia. Clinical records of patients affected by gynecomastia referred to our Department of Surgery between September 2008 and January 2015 were analyzed. 50 patients were included in this study. Gynecomastia was monolateral in 12 patients (24%) and bilateral in 38 (76%); idiopathic in 41 patients (82%) and secondary in 9 (18%). 39 patients (78%) underwent surgical operation under general anaesthesia, 11 (22%) under local anaesthesia. 3 patients (6%) presented recurrent disease. Webster technique was performed in 28 patients (56%), Davidson technique in 16 patients (32%); in 2 patients (4%) Pitanguy technique was performed and in 4 patients (8%) a mixed surgical technique was performed. Mean surgical time was 80.72±35.14 minutes, median postoperative stay was 1.46±0.88 days. 2 patients (4%) operated using Davidson technique developed a hematoma, 1 patient (2%) operated with the same technique developed hypertrophic scar. Several surgical techniques are described for surgical correction of gynecomastia. If performed by skilled general surgeons surgical treatment of gynecomastia is safe and permits to reach satisfactory aesthetic results.

  18. Surgical site infection rates following laparoscopic urological procedures.

    Science.gov (United States)

    George, Arvin K; Srinivasan, Arun K; Cho, Jane; Sadek, Mostafa A; Kavoussi, Louis R

    2011-04-01

    Surgical site infections have been categorized by the Centers for Medicare and Medicaid Services as "never events". The incidence of surgical site infection following laparoscopic urological surgery and its risk factors are poorly defined. We evaluated surgical site infection following urological laparoscopic surgery and identified possible factors that may influence occurrence. Patients who underwent transperitoneal laparoscopic procedures during a 4-year period by a single laparoscopic surgeon were retrospectively reviewed. Surgical site infections were identified postoperatively and defined using the Centers for Disease Control criteria. Clinical parameters, comorbidities, smoking history, preoperative urinalysis and culture results as well as operative data were analyzed. Nonparametric testing using the Mann-Whitney U test, multivariable logistic regression and Spearman's rank correlation coefficient were used for data analysis. In 556 patients undergoing urological laparoscopic procedures 14 surgical site infections (2.5%) were identified at mean postoperative day 21.5. Of the 14 surgical site infections 10 (71.4%) were located at a specimen extraction site. Operative time, procedure type and increasing body mass index were significantly associated with the occurrence of surgical site infections (p = 0.007, p = 0.019, p = 0.038, respectively), whereas history of diabetes mellitus (p = 0.071) and intraoperative transfusion (p = 0.053) were found to trend toward significance. Age, gender, positive urine culture, steroid use, procedure type and smoking history were not significantly associated with surgical site infection. Body mass index and operative time remained significant predictors of surgical site infection on multivariate logistic regression analysis. Surgical site infection is an infrequent complication following laparoscopic surgery with the majority occurring at the specimen extraction site. Infection is associated with prolonged operative time and

  19. Endodontic, surgical and periodontal treatment of dens invaginatus. Case report.

    Science.gov (United States)

    Castellarin, M; Demitri, V; Politi, M

    2001-01-01

    The aim of this paper is to propose a single stage global treatment of endodontic, periapical and periodontal lesions in a lateral maxillary incisor with dens invaginatus. A 24 year-old woman presenting a lateral maxillary incisor with dens invaginatus in association with periapica1 and periodontal lesions underwent simultaneous surgical, endodontic and periodontal regenerative procedures. At 2, 6, 12, 18 months follow-up the radiographic healing appeared to be improved and the periapical lesion healed completely 1 year after surgical intervention. Surgery in association with endodontic and periodontal procedures represents the treatment of choice to maximize long term prognosis in cases of dens invaginatus with chronic periapical and periodontal lesions.

  20. Is Surgical Navigation Useful During Closed Reduction of Nasal Bone Fractures?

    Science.gov (United States)

    Kim, Seon Tae; Jung, Joo Hyun; Kang, Il Gyu

    2017-05-01

    To report the case of a 42-year-old woman with a nasal bone fracture that was easily treated using a surgical navigation system. In this clinical report, the authors suggest that intraoperative surgical navigation systems are useful diagnostically and for localizing sites of nasal bone fractures exactly. The patient underwent successful closed reduction of the nasal bone fracture. Surgical navigation is a useful tool for identifying nasal bone fracture locations and for guiding closed reduction. Surgical navigation is recommended when nasal bone fractures are complicated or not well reduced using the ordinary method.

  1. [Surgical treatment of Marfan syndrome; analysis of the patients required multiple surgical interventions].

    Science.gov (United States)

    Yamazaki, F; Shimamoto, M; Fujita, S; Nakai, M; Aoyama, A; Chen, F; Nakata, T; Yamada, T

    2002-07-01

    Without treatment, the life expectancy of patients with Marfan syndrome is reduced by the associated cardiovascular abnormalities. In this study, we reviewed our experience of the patients with Marfan syndrome who required multiple surgical interventions to identify the optimal treatment for these patients. Between January 1986 and December 2000, 44 patients with Marfan syndrome were operated on at Shizuoka City Hospital (SCH). Among them, 10 patients (22.7%) underwent multiple surgical interventions. There were 5 male and 5 female patients with a mean age of 40.6 +/- 16.1 years at the initial surgery. Only one patient was operated on at another hospital for his first, second, and third operations. His fourth operation was carried out at SCH. The remaining 9 patients underwent a total of 14 additional surgical procedures at SCH. Computed tomography (CT) scans were taken every 6 months postoperatively, and aortic diameter greater than 60 mm was considered as the indication for the additional surgery. There were no early death and one late death. The causes of additional surgery were enlargement of true aneurysm in 6, enlargement of residual dissection in 4, new dissection in 4, false aneurysm at the coronary anastomosis of Bentall procedure in 1. In 9 patients, both ascending and descending aorta were replaced. Among these 9 patients, only 3 patients underwent total arch replacement, and remaining 6 patients had their arch left in place with or without dissection. Our current strategy of the treatment of Marfan patients with acute type A dissection is total arch replacement with an elephant trunk at the initial emergent surgery.

  2. Economic Development Impact of 1,000 MW of Wind Energy in Texas

    Energy Technology Data Exchange (ETDEWEB)

    Reategui, S.; Hendrickson, S.

    2011-08-01

    Texas has approximately 9,727 MW of wind energy capacity installed, making it a global leader in installed wind energy. As a result of the significant investment the wind industry has brought to Texas, it is important to better understand the economic development impacts of wind energy in Texas. This report analyzes the jobs and economic impacts of 1,000 MW of wind power generation in the state. The impacts highlighted in this report can be used in policy and planning decisions and can be scaled to get a sense of the economic development opportunities associated with other wind scenarios. This report can also inform stakeholders in other states about the potential economic impacts associated with the development of 1,000 MW of new wind power generation and the relationships of different elements in the state economy.

  3. 4 MW upgrade to DIII-D FWCD system: System commissioning and initial operation

    International Nuclear Information System (INIS)

    Cary, W.P.; Callis, R.W.; Grassie, J.S. de; Harris, T.E.; O'Neill, R.C.; Pinsker, R.I.; Baity, F.W.; Barber, G.C.; Ferguson, S.W.

    1995-10-01

    The initial installation of the 4 MW fast wave current drive (FWCD) upgrade started in 1992 with the purchase of two ABB/Thomcast AG rf power amplifiers. These amplifiers cover the frequency range 30 MHz to 120 MHz. A maximum output power of over 2 MW between 30 MHz and 80 MHz and 1 MW at 120 MHz were the specification requirements. The system as installed is comprised of the two mentioned rf amplifiers, coaxial transmission and matching components, rf phase and amplitude monitoring, and a SUN SparcStation 10 control system. Due to various reasons almost every major component in the system required redesign and engineering in order to meet the system requirements. The failures, probable cause and the final redesigns will be discussed as well as some thoughts on how better to specify system requirements for future systems

  4. Test run of 50 MW steam generator for prototype fast breeder reactor of PNC

    International Nuclear Information System (INIS)

    Tanaka, Kenji

    1974-01-01

    A sodium heated steam generator is one of the most important machinery in a fast reactor plant, influencing the aspects of economy and reliability. In the Power Reactor and Nuclear Fuel Development Corporation (PNC), the 50 MW steam generator and associated testing facility have been developed, which lead to the demonstration of the steam generator and the establishment of plant control technology for the fast breeder reactor rackled by PNC. The steam generator is separate helical-coil type with an evaporator, a superheater and a reheater. Taking two to three years in construction, in June 1974, the steam generator with the testing facility was successfully operated at rated power of 50 MW continuously for 72 hours. The steam generator planned for the prototype FBR ''Monju'' is first outlined, together with its devlopment program. The 50 MW steam generator and the testing facility are then described, including construction and operation; finally, the results of test and future test plans are explained. (Mori, K.)

  5. Calculational criticality analyses of 10- and 20-MW UF6 freezer/sublimer vessels

    International Nuclear Information System (INIS)

    Jordan, W.C.

    1993-02-01

    Calculational criticality analyses have been performed for 10- and 20-MW UF 6 freezer/sublimer vessels. The freezer/sublimers have been analyzed over a range of conditions that encompass normal operation and abnormal conditions. The effects of HF moderation of the UF 6 in each vessel have been considered for uranium enriched between 2 and 5 wt % 235 U. The results indicate that the nuclearly safe enrichments originally established for the operation of a 10-MW freezer/sublimer, based on a hydrogen-to-uranium moderation ratio of 0.33, are acceptable. If strict moderation control can be demonstrated for hydrogen-to-uranium moderation ratios that are less than 0.33, then the enrichment limits for the 10-MW freezer/sublimer may be increased slightly. The calculations performed also allow safe enrichment limits to be established for a 20-NM freezer/sublimer under moderation control

  6. A Surgical Treatment Of

    African Journals Online (AJOL)

    user

    Email: sakeemng@yahoo.com. Snoring is now seen as one end of sleep-related breathing disorder resulting ultimately in obstructive sleep apnea. Uvulopalatopharyngoplasty (UPPP) is the first surgical procedure specifically designed to alleviate the abnormalities, although the use of laser appears to be the new trend.

  7. ANIMAL MODELS IN SURGICAL

    African Journals Online (AJOL)

    ASSEMBLED BY

    1 Dept.of Veterinary Surgery and Medicine 2Veterinary Teaching Hospital Ahmadu Bello University. Zaria .... unnecessary suffering., Administration of poisons .... way that humans are. Vivisection/ Surgical Training And Research. Animal model use: In both the human and veterinary medical practice, there continue to be ...

  8. Joseph Lister's surgical revolution.

    Science.gov (United States)

    Toledo-Pereyra, Luis H

    2010-10-01

    Joseph Lister (1827-1912), renowned British surgeon-scientist, introduced to the world the use and appreciation of the antiseptic method for the prevention of wound sepsis. Armed with the ideas of Louis Pasteur (1822-1895) regarding the role of microorganisms in infections or the so-called germ theory of disease, he advanced the surgical field by using antiseptics, such as carbolic acid, in the treatment of contaminated wounds. These developments constituted a real surgical revolution. No breakthrough before Lister's, except perhaps the discovery of anesthesia, had contributed to such an incredible advancement in relationship to the surgical arena. After 1867, the year in which Lister published his remarkable paper in Lancet, it was possible to appropriately treat or prevent wound infections with the use of antiseptics at the site of the operated wound. Lister's method was complicated but produced its desired effect--to diminish wound morbidity and patient mortality. His contribution was secured for future generations and a surgical revolution had begun!

  9. Anxiety in veterinary surgical students

    DEFF Research Database (Denmark)

    Eika, Berit; Langebæk, Rikke; Jensen, A.L.

    2012-01-01

    The surgical educational environment is potentially stressful and this can negatively affect students' learning. The aim of this study was to investigate whether veterinary students' level of anxiety is higher in a surgical course than in a non-surgical course and if pre-surgical training...... in a Surgical Skills Lab (SSL) has an anxiety reducing effect. Investigations were carried out as a comparative study and a parallel group study. Potential participants were fourth-year veterinary students who attended a surgical course (Basic Surgical Skills) and a non-surgical course (Clinical Examination...... Skills); both courses were offered in multiple classes (with a total of 171 students in 2009 and 156 students in 2010). All classes in 2009 participated in the SSL stage of the Basic Surgical Skills course before performing live-animal surgery, and one class (28 students) in 2010 did not. Two validated...

  10. Effect of Surgical Safety Checklist on Mortality of Surgical Patients in the α University Hospitals

    Directory of Open Access Journals (Sweden)

    R. Mohebbifar

    2014-01-01

    Full Text Available Background & Aims: Patient safety is one of the indicators of risk management in clinical governance system. Surgical care is one of the most sophisticated medical care in the hospitals. So it is not surprising that nearly half of the adverse events, 66% were related to surgery. Pre-flight aircraft Inspection model is starting point for designing surgical safety checklist that use for audit procedure. The aim of this study is to evaluate the effect of the use of surgical safety checklist on surgical patients mortality and complications. Materials and Methods: This is a prospective descriptive study. This study was conducted in 2012 in the North West of Iran. The population consisted of patients who had undergoing surgery in α university of medical science`s hospital which have surgical department. In this study, 1125 patients underwent surgery within 3 months were studied. Data collection tool was designed based on WHO model and Surgcical Care and Outcomes Assessment Program(SCOAP. Data analysis was performed using the SPSS-20 statistical software and logistic regression analysis was used to calculate P values for each comparison. Results: No significant differences between patients in the two periods (before and after There was. All complications rate reduced from 11 percent to 4 percent after the intervention by checklist (p<0.001. In the all hospitals mortality rate was decreased from 3.44% to 1.3% (p <0.003. Overall rate of surgical site infection and unplanned return to the operating room was reduced (p<0.001 and p<0.046. Conclusion: Many people every year due to lack of safety in hospitals, lose their lives. Despite the risks, such as leaving surgery sets in patient body and wrong surgery is due to lack of proper safety programs during surgery. By using safety checklist in all hospitals mortality rate and complications was reduced but this reduction was extremely in α3 hospital (from 5.2% to 1.48%.

  11. Seismic quiescence before the 2016 Mw 6.0 Amatrice earthquake, central Italy

    Science.gov (United States)

    Di Giovambattista, R.; Gentili, S.; Peresan, A.

    2017-12-01

    Seismic quiescence before major worldwide earthquakes has been reported by many authors. We have analyzed the seismicity preceding the last damaging 2016-2017 seismic sequence occurred in central Italy, and we have characterized the temporal and spatial extension of the foregoing seismic quiescence. The multiple mainshock sequence (24/08/2016, Mw 6.0; 26/10/2016 Mw 5.4 and 5.9; 30/10/2016, Mw 6.5), which occurred in central Italy, caused the death of nearly 300 people and widespread destruction of entire villages. The Mw 6.5 earthquake was the most powerful recorded in Italy since the 1980 M 6.9 Irpinia earthquake. The Region-Time-Length (RTL) method has been used to quantitatively analyze the seismic quiescence preceding the first Mw 6.0 Amatrice mainshock. This analysis was performed using the earthquake catalogue maintained by the Istituto Nazionale di Geofisica e Vulcanologia (INGV) declustered using a novel statistical approach, which is based on the "nearest-neighbor" distances between pairs of earthquakes in the space-time-energy domain. A well-evident quiescence that preceded the sequence was detected. The quiescence extended throughout a broad region north of the epicenter. The largest event of the sequence and its aftershocks covered most of the quiescence region, except for a small area to the west. The quiescence started from the beginning of September 2015 and lasted for approximately 1 year, up to the Amatrice mainshock. The results obtained have been compared with those of previous seismic sequences occurred in Italy. A similar analysis applied to the 1997-1998, Mw 5.7 Umbria-Marche earthquakes located at the northern termination of the Amatrice sequence, showed a decrease in RTL corresponding to a seismic quiescence, followed by a foreshock activation in the epicentral area before the occurrence of the mainshock.

  12. Initiation process of the Mw 6.2 central Tottori, Japan, earthquake on October 21, 2016: Stress transfer due to its largest foreshock of Mw 4.1

    Science.gov (United States)

    Noda, S.; Ellsworth, W. L.

    2017-12-01

    On October 21, 2016, a strike-slip earthquake with Mw 6.2 occurred in the central Tottori prefecture, Japan. It was preceded by a foreshock sequence that began with a Mw 4.1 event, the largest earthquake for the sequence, and lasted about two hours. According to the JMA catalog, the largest foreshock had a similar focal mechanism as the mainshock and was located in the immediate vicinity of the mainshock hypocenter. The goal of this study is to understand the relationship between the foreshock and the initial rupture of the mainshock. We first determine the relative hypocenter distance between the foreshock and mainshock using the P-wave onsets on Hi-net station records. The initiation points of the two events are likely about 100 m apart according to the current results, but could be closer. Within the location uncertainty, they might either be coplanar or on subparallel planes. Next, we obtain the slip-history models from a kinematic inversion method using empirical Green's functions derived from other foreshocks with M 2.2 - 2.4. The Mw 4.1 foreshock and Mw 6.2 mainshock started in a similar way until approximately 0.2 s after their onsets. For the foreshock, the rapid growth stage completed by 0.2 s even though the rupture propagation continued for 0.4 - 0.5 s longer (note that 0.2 s is significantly shorter than the typical source duration of a Mw 4.1 earthquake). On the other hand, the mainshock rupture continued to grow rapidly after 0.2 s. The comparison between the relative hypocenter locations and the slip models shows that the mainshock nucleated within the area strongly effected by both static and dynamic stress changes created by the foreshock. We also find that the mainshock initially propagated away from the foreshock hypocenter. We consider that the stress transfer process is a key to understand the mainshock nucleation as well as its rupture growth process.

  13. 65. Impact of focused echocardiography in clinical decision of patients presented with STMI, underwent primary percutenouse angioplasty

    Directory of Open Access Journals (Sweden)

    M. Qasem

    2016-07-01

    Full Text Available Echocardiography in coronary artery diseases is an essential, routine echocardiography prior to primary percutaneous angioplasty is not clear. In our clinical practice in primary angioplasty we faced lots of complications either before or during or after the procedure. Moreover, lots of incidental findings that discovered after the procedure which if known will affect the plan of management. One-hundred-nineteen consecutive underwent primary angioplasty. All patients underwent FE prior to the procedure in catheterization lab while the patient was preparing for the procedure. FE with 2DE of LV at base, mid and apex, and apical stander views. Diastology grading, E/E′ and color doppler of mitral and aortic valve were performed. (N = 119 case of STMI were enrolled, mean age 51 ± 12 year. Eleven cases (9.2% had normal coronary and normal LV function. Twenty cases (17% of MI complication detected before the procedures: RV infarction 8.4% (5.1% asymptomatic and 3.3% symptomatic, ischemic MR (8.4%, LV apical aneurysm (0.8%, significant pericardial effusion (0.80%. Acute pulmonary edema in 17 cases (14.3%: six cases (5.1% developed acute pulmonary edema on the cath lab with grade 3 diastolic dysfunction and E/E ′  >20, 9 cases (7.6% develop acute pulmonary edema in CCU with grade 2–3 diastolic dysfunction and E/E′ 15–20. 2 cases (2.7% develop acute pulmonary in CCU with grade 1–2 diastolic dysfunction and E/E′ 9–14. One case (0.8% presented cardiac tamponade 2 h post PCI. Incidental finding not related to STMI were as follow: 2 cases (1.7% with severe fibro degenerative MR, 2 cases (1.7% with mild to moderate AR and 2 cases (1.7% with mild to moderate AS. Isoled CABG 5/4.2% and CABG and MVR 2/1.7%. FE play an important role in guiding the management, early detection the incidental findings and complication post PCI.

  14. Comparison of superconducting generators and permanent magnet generators for 10-MW direct-drive wind turbines

    DEFF Research Database (Denmark)

    Liu, Dong; Polinder, Henk; Abrahamsen, Asger Bech

    2016-01-01

    Large offshore direct-drive wind turbines of 10-MW power levels are being extensively proposed and studied because of a reduced cost of energy. Conventional permanent magnet generators currently dominating the direct-drive wind turbine market are still under consideration for such large wind...... turbines. In the meantime, superconducting generators (SCSGs) have been of particular interest to become a significant competitor because of their compactness and light weight. This paper compares the performance indicators of these two direct-drive generator types in the same 10-MW wind turbine under...

  15. Sequence Control System of 1-MW CW Klystron for the PEFP

    CERN Document Server

    Park, Byoung R; Chun Myung Hwan; Han Yeung Jin; Hyo Jeong Maeng; Kim Sung Chul; Yang Jae Seok; Yu In Ha

    2005-01-01

    Sequence control system of 1-MW CW klystron for the PEFP (Proton Engineering Frontier Project) has been developed in order to drive the 1-MW klystron amplifier. The system is able to control several power supplies and many environment conditions. The hardware of sequence control and the interlock system are based on the Allen-Bradley's SLC500 Program Logic Controller (PLC). Also the system can be controlled by a touch screen at local mode or Ethernet network with high level HMI at remote mode.

  16. Design considerations in achieving 1 MW CW operation with a whispering-gallery-mode gyrotron

    International Nuclear Information System (INIS)

    Felch, K.; Feinstein, J.; Hess, C.; Huey, H.; Jongewaard, E.; Jory, H.; Neilson, J.; Pendleton, R.; Pirkle, D.; Zitelli, L.

    1989-09-01

    Varian is developing high-power, CW gyrotrons at frequencies in the range 100 GHz to 150 GHz, for use in electron cyclotron heating applications. Early test vehicles have utilized a TE 15,2,1 interaction cavity, have achieved short-pulse power levels of 820 kW and average power levels of 80 kW at 140 GHz. Present tests are aimed at reaching 400 kW under CW operating conditions and up to 1 MW for short pulse durations. Work is also underway on modifications to the present design that will enable power levels of up to 1 MW CW to be achieved. 7 refs., 2 figs

  17. Assessment of quality of life of patients who underwent anterior cruciate ligament reconstruction and a rehabilitation program

    Directory of Open Access Journals (Sweden)

    Moises Cohen

    2004-12-01

    Full Text Available Introduction: Quality of life can be defined as the expression of aconceptual model that tries to represent patient’s perspectivesand his/her level of satisfaction expressed by numbers. Theobjective of this study is to evaluate the parameters of quality oflife of 23 patients who underwent surgery for anterior cruciateligament reconstruction. Methods: We adopted SF-36, a generichealth-related evaluation questionnaire, to obtain informationregarding several aspects of patients’ health conditions, and theLysholm questionnaire, specific to evaluate the symptoms andfunction of the knee. The questionnaires were applied at two stagesof the treatment: pre- and postoperatively (after the rehabilitationprogram. Results: Before surgery, the Lysholm questionnairepresented the following results: excellent in 4% of the cases, goodin 22%, fair in 22%, and poor in 52%. After surgery (Lysholm e SF-36 the correlation level was approximately 44% (p = 0.041.Discussion: The correlation between the Lysholm and the SF-36questionnaires showed the following: the lower the level of pain,the higher the Lysholm score. The high scores presented by theLysholm questionnaire are directly proportional to physical andemotional aspects, and to functional capacity. Conclusion:Analysis of both questionnaires, as well as of their correlation,showed some improvement in patients´ quality of life. We werealso able to demonstrate the importance and usefulness of applyingthe two questionnaires at three different moments: before, duringand after physiotherapeutic intervention.

  18. The effect of anxiety and depression scores of couples who underwent assisted reproductive techniques on the pregnancy outcomes.

    Science.gov (United States)

    Terzioglu, Fusun; Turk, Rukiye; Yucel, Cigdem; Dilbaz, Serdar; Cinar, Ozgur; Karahalil, Bensu

    2016-06-01

    The aim of this study was to determine the effect of anxiety and depression scores of couples who underwent Assisted Reproductive Techniques (ART) on pregnancy outcomes. This study was conducted as a prospective and comparative study with 217 couples. The study data was collected by using a semi-structured questionnaire and the Turkish version of the State-Trait Anxiety Inventory (STAI), and Beck Depression Inventory (BDI). The questionnaire, STAI and BDI were applied to couples who initiated ART treatment. Couples' state anxiety scores were re-evaluated after embryo transfer (ET). A significant relationship was found between the depression score of women and pregnancy outcome (p 0.05) and lower depression scores (p positive pregnancy outcome. Study results indicated that the anxiety and depression scores of couples who had achieved a positive pregnancy result were lower than for couples with a negative result. The results of this study will contribute to the health professionals especially to the nurses who spend the most time with couples in providing consulting services and supporting psychological status of couples during ART process in Turkey.

  19. The Effects of Functional Knee Brace on Postural Control in Patients Who Underwent Anterior Cruciate Ligament Reconstruction

    Directory of Open Access Journals (Sweden)

    Salehi

    2016-09-01

    Full Text Available Background The current study aimed to evaluate the postural control in patients underwent anterior cruciate ligament reconstruction pre and post wearing functional knee brace. Methods Eighteen athletes undergone unilateral anterior cruciate ligament reconstruction included in the study. They had unilateral anterior cruciate ligament reconstruction at least six months before session test. Postural control was assessed pre and post wearing custom-fit functional knee brace using a posturographic platform prokin 254. The balance tests included: 1 standing on prokin platform with eyes open/closed on anterior cruciate ligament reconstruction limb, 2 standing on prokin platform with eyes open/closed on both limbs. The standard deviation (SD of body sway along the anteroposterior (AP and mediolateral (ML axis, mean velocity of center of pressure (COP along AP/ ML axis and the area ellipse (measured in 2 mm were calculated. Results Results of the paired T-test revealed a significant effect on selected postural control variables for the brace conditions especially in low challengeable conditions (double leg, eyes open test situations (P < 0.05. But in high challengeable conditions this effect was not significant. Conclusions Functional knee brace improved postural control in the simple balancing task in the subjects with anterior cruciate ligament reconstruction. But this improvement in more difficult balancing task was limited.

  20. The Effect of Prazosin and Oxybutynin on the Symptoms Due to Using Double J Catheter in Patients Underwent TUL

    Directory of Open Access Journals (Sweden)

    K. Tavakkoli Tabassi

    2014-01-01

    Full Text Available Background & Aims: Double J catheter has been used for years as an independent practice or a part of other urological practices. Although these catheters have solved many patients’ problems but those can cause symptoms and problems for patients. The aim of this study was the investigation the effect of prazosin and oxybutynin on the degree of symptoms due to using Double J catheter. Methods: In this interventional study, patients who underwent TUL from July 2008 to march 2008 in the lithotripsy ward of Imam Reza hospital were entered to the study and randomly divided in 3 groups randomly. In the first group, placebo, in the second group, oxybutynin, in the third group prazosin were prescribed. Three weeks later standard questionnaire Ureteric Stent Symptom Questionnaire (USSQ was completed. After collecting data, was analyzed using SPSS software. Results: A total of 113 patients (70 men 43 women were included to the study. The mean age was 39 years. There were no significance difference among urinary symptoms score pain of body and physical activity problems in three groups (P>0.05, but there was a significant difference in general health and work problems among them (P<0.05. Conclusion: Oxybutynin caused a low effect on improvement of general health and work problems in patients who were studied. It might Prazosin does not has a sufficient time to affect on urinary symptoms, because of shortness of usage.

  1. Carotid intima-media thickness and ınsulin resistance changes in patients who underwent sleeve gastrectomy: A prospective study.

    Science.gov (United States)

    Yorulmaz, G; Cilekar, M; Bilge, U; Akcan, E; Akalin, A

    2016-01-01

    Our aim was to examine changes in insulin resistance, Carotid Intima-Media Thickness (CIMT), in morbid obese patients without any known associated chronic diseases who underwent sleeve gastrectomy. The subjects of this study were patients with minimum BMI of 40, who did not have any known chronic diseases. Sleeve gastrectomy was performed and perioperative control endoscopy was performed. The following values were measured before the operation and after follow-up period after the operation: Fasting blood glucose and insulin, lipid profile, BMI, liver function tests, right and left CIMT. Furthermore, the patients' insulin resistance was calculated by HOMA method, and the values of 2.7. Six-teen patients (14 women and 2 men, average age: 39.12 ± 10.63 years), who did not have a known additional chronic disease, took part in the study. There was a significant difference between baseline and follow-up values of the patients, and the mean weight loss was 20.5%. Given the statistical evaluation of baseline and follow-up values, there was a significant difference in BMI, insulin resistance rates and right and left CIMT values. Bariatric surgery may provide some additional advantages for the management of cardiovascular risks in obese patients. However, it should be kept in mind that the most important components of fight against obesity are appropriate diet and exercise programs.

  2. Anatomical location of metastatic lymph nodes: an indispensable prognostic factor for gastric cancer patients who underwent curative resection.

    Science.gov (United States)

    Zhao, Bochao; Zhang, Jingting; Zhang, Jiale; Chen, Xiuxiu; Chen, Junqing; Wang, Zhenning; Xu, Huimian; Huang, Baojun

    2018-02-01

    Although the numeric-based lymph node (LN) staging was widely used in the worldwide, it did not represent the anatomical location of metastatic lymph nodes (MLNs) and not reflect extent of LN dissection. Therefore, in the present study, we investigated whether the anatomical location of MLNs was still necessary to evaluate the prognosis of node-positive gastric cancer (GC) patients. We reviewed 1451 GC patients who underwent radical gastrectomy in our institution between January 1986 and January 2008. All patients were reclassified into several groups according to the anatomical location of MLNs and the number of MLNs. The prognostic differences between different patient groups were compared and clinicopathologic features were analyzed. In the present study, both anatomical location of MLNs and the number of MLNs were identified as the independent prognostic factors (p location of MLNs was considered (p location of MLNs had no significant effect on the prognosis of these patients, the higher number of MLNs in the extraperigastric area was correlated with the unfavorable prognosis (p location of MLNs was an important factor influencing the prognostic outcome of GC patients. To provide more accurate prognostic information for GC patients, the anatomical location of MLNs should not be ignored.

  3. Percutaneous transluminal angioplasty of an occluded surgical splenorenal shunt in a 4-year-old child after liver transplantation

    Energy Technology Data Exchange (ETDEWEB)

    Yussim, Ethan; Belenky, Alexander; Atar, Eli [Department of Diagnostic Radiology, Rabin Medical Center, Vascular and Interventional Radiology Unit, Petah Tikva (Israel); Shapiro, Rivka [Schneider Children' s Medical Center, Institute of Pediatric Gastroenterology and Nutrition, Petah Tikva (Israel); Mor, Eytan [Rabin Medical Center, Department of Organ Transplantation, Petah Tikva (Israel)

    2005-07-01

    Percutaneous transluminal angioplasty is increasingly used in children. We present a case of successful balloon angioplasty of an occluded surgical splenorenal shunt in a 4-year-old child who underwent liver transplantation because of biliary atresia. Percutaneous reopening of the shunt is a relatively safe procedure that may spare patients of surgical intervention. (orig.)

  4. Selection of oncoplastic surgical technique in Asian breast cancer patients

    Directory of Open Access Journals (Sweden)

    Eui Sun Shin

    2018-01-01

    Full Text Available Background Oncoplastic surgery is being increasingly performed in Korean women; however, unlike Westerners, Korean women usually have small to moderate-sized breasts. To achieve better outcomes in reconstructed breasts, several factors should be considered to determine the optimal surgical method. Methods A total of 108 patients who underwent oncoplastic surgery from January 2013 to December 2016 were retrospectively investigated. We used various methods, including glandular tissue reshaping, latissimus dorsi (LD flap transposition, and reduction oncoplasty, to restore the breast volume and symmetry. Results The mean weight of the tumor specimens was 40.46 g, and the ratio of the tumor specimen weight to breast volume was 0.12 g/mL in the patients who underwent glandular tissue reshaping (n=59. The corresponding values were 101.47 g and 0.14 g/mL, respectively, in the patients who underwent reduction oncoplasty (n=17, and 82.54 g and 0.20 g/mL, respectively, in those treated with an LD flap (n=32. Glandular tissue reshaping was mostly performed in the upper outer quadrant, and LD flap transposition was mostly performed in the lower inner quadrant. No major complications were noted. Most patients were satisfied with the aesthetic results. Conclusions We report satisfactory outcomes of oncoplastic surgical procedures in Korean patients. The results regarding specimen weight and the tumor-to-breast ratio of Asian patients will be a helpful reference point for determining the most appropriate oncoplastic surgical technique.

  5. Parapharyngeal Tumours - Surgical Expertise

    Directory of Open Access Journals (Sweden)

    Kinjal Shankar Majumdar

    2014-12-01

    Full Text Available Introduction We present our experience in the management of parapharyngeal tumours. A conservative trans-cervical approach was found to be feasible and effective in majority of the cases over radical ones, which may be required in malignancies and skull-base involvement.   Methods Fifteen patients with parapharyngeal tumours treated surgically in the Department of ENT, Nilratan Sircar Medical College in last 3 years were included in the study. 80% of the cases were benign, most common being Schwannoma. Most important investigation was found to be MRI.   Conclusion The study gives an overview regarding the surgical approach, based upon the extent and histology of the tumour. Trans-cervical approachwas found to be the most effective.

  6. Clinical and echocardiographic findings of patients with suspected acute pulmonary thromboembolism who underwent computed tomography pulmonary angiography

    Science.gov (United States)

    Adibi, Atoosa; Nouri, Shadi; Moradi, Maryam; Shahabi, Javad

    2016-01-01

    Background: The aim of the study was to determine the correlation between clinical and echocardiographic findings and risk factors of patients with suspected acute pulmonary thromboembolism (PTE) who underwent computed tomography pulmonary angiography (CTPA). Materials and Methods: In this cross-sectional study, 310 hospitalized patients aged >18 years with high clinical suspicion of PTE referred to imaging center of our hospital from different wards for CTPA were enrolled. The frequency of different clinical presentations, risk factors, items of Wells’ criteria, and echocardiographic findings was compared in patients with and without PTE, which have been diagnosed according to the CTPA results. Results: PTE was diagnosed in 53 (17.1%) of patients with suspected PTE. From clinical manifestations, tachypnea, pleuritic chest pain, and edema of lower extremities were significantly more frequent among patients with PTE (P < 0.05). Major surgery was the risk factor which was significantly more prevalent among patients with PTE (P < 0.05). Frequency of all criteria of Wells’ criteria, except hemoptysis, was significantly higher in patients with PTE (P < 0.05). The frequency of all studied echocardiographic variables was significantly higher in patients with PTE (P < 0.05). Conclusion: It is suggested that we could use the results of this study for utilizing the diagnostic process of PTE in patients with highly clinical suspicion of PTE and providing more validated decision. Using the results of this study, we could identify high-risk patients and made appropriate risk assessment for better management of patients with suspected PTE as well as reduce the rate of unnecessary CTPA and its related adverse consequences. PMID:28255326

  7. The effects of transfusion of irradiated blood upon cellular immune response in patients underwent open heart surgery

    International Nuclear Information System (INIS)

    Togashi, Ken-ichi; Nakazawa, Satoshi; Moro, Hisanaga; Yazawa, Masatomo; Kanazawa, Hiroshi; Hayashi, Jun-ichi; Yamazaki, Yoshihiko; Eguchi, Shoji

    1989-01-01

    The purpose of this paper is to demonstrate the effect of the transfusion of blood received 1500 rad exposure upon the immune response in 14 patients underwent various type of cardiac surgery. 13 patients received known amounts banked blood and irradiated fresh blood, while one patient received a lot of amounts of banked and irradiated and non-irradiated fresh blood. The authors studied the numbers of lymphocytes as well as lymphocyte subsets such as pan-T cells, B cells, helper/inducer T cells (T H/I ), cytotoxic/supressor T cells (T C/S ), active T cells, natural killer (NK) cells and NK cell activity during two weeks after surgeries. In all 14 patients, pan-T lymphocytes decreased markedly in a few days after surgeries, but increased to higher levels on the eight postoperative day than the levels preoperatively. T H/I and T C/S lymphocytes changed on the similar pattern as pan-T lymphocytes. Active T and B cells did not change significantly in two weeks. The number and activity of NK cells gave the lowest levels on the second postoperative day and did not recovery to the preoperative levels in two weeks. One patient received non-irradiated fresh blood showed the similar immune response as other 13 patients, while he gave the lower levels than others did. This patient died of graft-versus-host disease (GVHD)-like syndrome on the 36th postoperative day. It may be thought that the transfusion of irradiated blood would prevent the host from GVHD and gave the better effects on the immune response than that of non-irradiated blood following open-heart surgeries. (author)

  8. Clinical and echocardiographic findings of patients with suspected acute pulmonary thromboembolism who underwent computed tomography pulmonary angiography

    Directory of Open Access Journals (Sweden)

    Atoosa Adibi

    2016-01-01

    Full Text Available Background: The aim of the study was to determine the correlation between clinical and echocardiographic findings and risk factors of patients with suspected acute pulmonary thromboembolism (PTE who underwent computed tomography pulmonary angiography (CTPA. Materials and Methods: In this cross-sectional study, 310 hospitalized patients aged >18 years with high clinical suspicion of PTE referred to imaging center of our hospital from different wards for CTPA were enrolled. The frequency of different clinical presentations, risk factors, items of Wells' criteria, and echocardiographic findings was compared in patients with and without PTE, which have been diagnosed according to the CTPA results. Results: PTE was diagnosed in 53 (17.1% of patients with suspected PTE. From clinical manifestations, tachypnea, pleuritic chest pain, and edema of lower extremities were significantly more frequent among patients with PTE (P < 0.05. Major surgery was the risk factor which was significantly more prevalent among patients with PTE (P < 0.05. Frequency of all criteria of Wells' criteria, except hemoptysis, was significantly higher in patients with PTE (P < 0.05. The frequency of all studied echocardiographic variables was significantly higher in patients with PTE (P < 0.05. Conclusion: It is suggested that we could use the results of this study for utilizing the diagnostic process of PTE in patients with highly clinical suspicion of PTE and providing more validated decision. Using the results of this study, we could identify high-risk patients and made appropriate risk assessment for better management of patients with suspected PTE as well as reduce the rate of unnecessary CTPA and its related adverse consequences.

  9. Early prediction of treatment response by serum CRP levels in patients with advanced esophageal cancer who underwent definitive chemoradiotherapy

    International Nuclear Information System (INIS)

    Yoneda, Masayuki; Fujiwara, Hitoshi; Okamura, Shinichi

    2010-01-01

    Serum C reactive protein (CRP) has been shown to be associated with the progression of esophageal cancer. The purpose of this study was to examine the relationship between treatment response and serum CRP levels in time course during definitive chemoradiotherapy (CRT) in terms of early prediction of CRT response by serum CRP. The subjects of this study were 36 patients with cT3/cT4 esophageal squamous cell carcinoma who underwent definitive CRT in our hospital. Serum CRP levels during definitive CRT (pretreatment, 1W, 2W and 3W after CRT initiation) were compared between CR and non-CR group. In addition, partition model was constructed to discriminate CR with non-CR and the prediction accuracy was evaluated. The patients were consisted of 28 males and 8 females. At pretreatment diagnosis, tumors were categorized as T3 (n=21) and T4 (n=15). Thirty four patients received FP-based chemotherapy and 2 patients received docetaxel-based chemotherapy. Treatment responses were categorized as CR (n=8), partial response (PR) (n=14), no change (NC) (n=2) and progressive disease (PD) (n=12). Serum CRP levels at the time of 2W after CRT initiation (CRT2W) in CR group were low compared to those in non-CR group (p=0.071). The partition model was constructed based on CRP levels at CRT2W. The prediction accuracies to discriminate CR from non-CR by CRP ≤0.1 were 50%, 82%, and 75% in sensitivity, specificity and accuracy, respectively. Serum CRP is a useful biomarker for an early prediction of CRT response. (author)

  10. Preoperative evaluation of myocardial viability by thallium-201 imaging in patients with old myocardial infarction who underwent coronary revascularization

    International Nuclear Information System (INIS)

    Naruse, Hitoshi; Ohyanagi, Mitsumasa; Iwasaki, Tadaaki; Miyamoto, Takashi; Fukuchi, Minoru

    1992-01-01

    The myocardial uptake and redistribution in thallium scintigraphy and the regional wall motion by echocardiography were evaluated by a semi-quantitative method in 42 patients who previously had myocardial infarction (50 target vessels) and underwent coronary revascularization. The aim of this study was to elucidate the significance of the initial image, delayed image and redistribution on thallium-201 scintigraphy for clinical diagnosis of the myocardial viability. As a semi-quantitative analysis, we used a bull's-eye display for thallium image and centerline method for echocardiographic wall motion, and compared the results before and after revascularization. As a result, the thallium grade improved postoperatively in all 17 areas which preoperatively had showed redistribution, and also in 11 of the 32 areas without preoperative redistribution. The sensitivity, specificity and accuracy of preoperative thallium redistribution for predicting myocardial viability were 61%, 100% and 78%, respectively, when the postoperative improvement in the thallium grade was used as the standard. The postoperative probability of improvement in the thallium grade increased in proportion to the preoperative grade (delayed image)(p<0.01). There was no correlation between the preoperative thallium delayed image and postoperative improvement in wall motion. Postoperative improvement in thallium image and wall motion could not be predicted from the preoperative wall motion. Thus, postoperative improvement in thallium images can be anticipated if redistribution is present on the preoperative thallium image, and the preoperative thallium delayed image is useful for predicting myocardial viability. Improvement in wall motion could not be predicted preoperatively by these methods. (author)

  11. Posttraumatic Stress Disorder, Orientation to Pain, and Pain Perception in Ex-Prisoners of War Who Underwent Torture.

    Science.gov (United States)

    Tsur, Noga; Defrin, Ruth; Ginzburg, Karni

    Studies suggest that torture survivors often experience long-term chronic pain and increased pain perception. However, it is unclear whether the actual experience of torture or rather the subsequent posttraumatic stress disorder (PTSD) explains these pain problems. Furthermore, although catastrophic and fearful orientations to pain have been suggested to play a significant role in the association between trauma and pain, the underlying mechanisms remain unclear. This study examined whether chronic pain and pain perception among torture survivors are associated with torture experience or PTSD and whether catastrophic and fearful orientations mediate or moderate these associations. Fifty-nine ex-prisoners of war who underwent torture and 44 matched veterans participated in this study. Pain perception was evaluated by assessing pain threshold and reactivity to experimental suprathreshold noxious stimuli. Participants completed self-administered questionnaires assessing PTSD, chronic pain, pain catastrophizing, and fear of pain. Although chronic pain was associated with PTSD (0.44 < β < 0.49, p < .002), increased pain perception was correlated with torture (0.33 < β < 0.65, p < .05). Pain catastrophizing was found to mediate the association between PTSD and chronic pain (β = 0.18 and 0.19, respectively; p < .05). Fear of pain moderated the association between torture and pain perception (β = 0.41 and 0.42, respectively; p < .017). The findings suggest that chronic pain is contingent upon the psychological toll of torture, that is, PTSD. This study also indicates that PTSD exacerbates catastrophic orientation, which in turn may amplify chronic pain. Reactivity to experimental noxious stimuli was related to previous experiences of torture, which enhances perceived pain intensity when interacting with a fearful pain orientation. These findings highlight the significance of orientation to bodily experiences after trauma.

  12. CA-125–indicated asymptomatic relapse confers survival benefit to ovarian cancer patients who underwent secondary cytoreduction surgery

    Directory of Open Access Journals (Sweden)

    Wang Fang

    2013-02-01

    Full Text Available Abstract Background There is no consensus regarding the management of ovarian cancer patients, who have shown complete clinical response (CCR to primary therapy and have rising cancer antigen CA-125 levels but have no symptoms of recurrent disease. The present study aims to determine whether follow-up CA-125 levels can be used to identify the need for imaging studies and secondary cytoreductive surgery (CRS. Methods We identified 410 ovarian cancer patients treated at The University of Texas MD Anderson Cancer Center between 1984 and 2011. These patients had shown CCR to primary therapy. Follow-up was conducted based on the surveillance protocol of the MD Anderson Cancer Center. We used the Cox proportional hazards model and log-rank test to assess the associations between the follow-up CA-125 levels and secondary CRS and survival duration. Results The CA-125 level of 1.68 × nadir was defined as the indicator of recurrent disease (p  1.68 × nadir at relapse (55.7 and 10.4 months; p = 0.04 and 0.01, respectively. The overall and progression free survival duration of patients with asymptomatic relapse and underwent a secondary CRS was longer than that of patients with symptomatic relapse (p = 0.02 and 0.04 respectively. Conclusions The increase of serum CA-125 levels is an early warning of clinical relapse in ovarian cancer. Using CA-125 levels in guiding the treatment of patients with asymptomatic recurrent ovarian cancer, who have shown CCR to primary therapy, can facilitate optimal secondary CRS and extend the survival duration of the patients.

  13. Periodical assessment of genitourinary and gastrointestinal toxicity in patients who underwent prostate low-dose-rate brachytherapy

    International Nuclear Information System (INIS)

    Tanaka, Nobumichi; Asakawa, Isao; Anai, Satoshi; Hirayama, Akihide; Hasegawa, Masatoshi; Konishi, Noboru; Fujimoto, Kiyohide

    2013-01-01

    To compare the periodical incidence rates of genitourinary (GU) and gastrointestinal (GI) toxicity in patients who underwent prostate low-dose-rate brachytherapy between the monotherapy group (seed implantation alone) and the boost group (in combination with external beam radiation therapy (EBRT)). A total of 218 patients with a median follow-up of 42.5 months were enrolled. The patients were divided into 2 groups by treatment modality, namely, the monotherapy group (155 patients) and the boost group (63 patients). The periodical incidence rates of GU and GI toxicity were separately evaluated and compared between the monotherapy group and the boost group using the National Cancer Institute - Common Terminology Criteria for Adverse Events, version 3.0. To elucidate an independent factor among clinical and postdosimetric parameters to predict grade 2 or higher GU and GI toxicity in the acute and late phases, univariate and multivariate logistic regression analyses were carried out. Of all patients, 78.0% showed acute GU toxicity, and 7.8% showed acute GI toxicity, while 63.8% showed late GU toxicity, and 21.1% showed late GI toxicity. The incidence rates of late GU and GI toxicity were significantly higher in the boost group. Multivariate analysis showed that the International Prostate Symptom Score (IPSS) before seed implantation was a significant parameter to predict acute GU toxicity, while there were no significant predictive parameters for acute GI toxicity. On the other hand, combination with EBRT was a significant predictive parameter for late GU toxicity, and rectal volume (mL) receiving 100% of the prescribed dose (R100) was a significant predictive parameter for late GI toxicity. The boost group showed higher incidence rates of both GU and GI toxicity. Higher IPSS before seed implantation, combination with EBRT and a higher R100 were significant predictors for acute GU, late GU and late GI toxicity

  14. Comparison of quality of life between men and women who underwent Transforaminal Percutaneous Endoscopic Discectomy for lumbar disc herniation.

    Science.gov (United States)

    Kapetanakis, Stylianos; Gkasdaris, Grigorios; Thomaidis, Tryfon; Charitoudis, Georgios; Kazakos, Konstantinos

    2017-01-01

    Studies describing the efficacy of TPED on shortness of recovery and improvement of postoperative quality of life are limited, especially regarding gender something that has never been reported before in the literature. The purpose of this study is to evaluate possible differences of the health-related quality of life in patients who underwent TPED for LDH in accordance with sex. Seventy-six patients diagnosed and treated with TPED for LDH with 1 year follow-up were selected and divided into two groups of equal number depending on sex. Their quality of life was evaluated by using the SF-36 before the operation, six weeks, three, six and twelve months postoperatively. A statistical analysis was conducted, in order to compare the 8 scaled scores of the SF-36 combining each time two chronological phases in the total of patients, in each group and between groups. Fifty-two (68.4%) patients were ≤63 years old, while the rest 24 (31,4%) were >63 years old (mean ±SD = 56,5 ±12,1 years). Apart from the PF domain, the scores were higher in every visit for the two groups, but the change between groups was not significant. Women had a significantly higher increase of PF score in 3 months after TPED and in the interval 6 weeks-3 months comparing with men. However, in the intervals 3 months-6 months and 3 months-12 months men presented significantly higher increase compared to women. Statistically significant improvement of the quality of life for both men and women was observed. Generally, there was no significant difference between the two groups. As regards to the physical functioning, it appears to be a significant difference which is counterpoised over time. 2. TPED for LDH does not present major differences in the improvement of quality of life regarding gender.

  15. Parapharyngeal Tumours - Surgical Expertise

    OpenAIRE

    Kinjal Shankar Majumdar

    2014-01-01

    Introduction We present our experience in the management of parapharyngeal tumours. A conservative trans-cervical approach was found to be feasible and effective in majority of the cases over radical ones, which may be required in malignancies and skull-base involvement.   Methods Fifteen patients with parapharyngeal tumours treated surgically in the Department of ENT, Nilratan Sircar Medical College in last 3 years were included in the study. 80% of the cases were benign, mos...

  16. Comparison of superconducting generators and permanent magnet generators for 10-MW direct-drive wind turbines

    DEFF Research Database (Denmark)

    Liu, Dong; Polinder, Henk; Abrahamsen, Asger Bech

    2016-01-01

    Large offshore direct-drive wind turbines of 10-MW power levels are being extensively proposed and studied because of a reduced cost of energy. Conventional permanent magnet generators currently dominating the direct-drive wind turbine market are still under consideration for such large wind...

  17. Control conception for REP 1300 MW units of the Electricite de France

    International Nuclear Information System (INIS)

    Blanc, P.; Guesnier, G.

    1986-01-01

    The paper describes the control equipment for the REP 1300 MW units including the reactor protection system, the control rods drive system and nuclear instrumentation, the control of the auxiliaries in the systems important for the reactor safety and the safety survey computer. Finally, the digital connections between different control systems are presented

  18. VizieR Online Data Catalog: Very metal poor stars in MW halo (Mashonkina+, 2017)

    Science.gov (United States)

    Mashonkina, L.; Jablonka, P.; Sitnova, T.; Pakhomov, Yu; North, P.

    2017-10-01

    Tables 3 and 4 from the article are presented. They include the LTE and NLTE abundances from individual lines and average abundances of the investigated stars in the dSphs Sculptor (Scl), Ursa Minor (UMi), Fornax (Fnx), Sextans (Sex), Bootes I (Boo), UMa II, and Leo IV and the Milky Way (MW) halo. (3 data files).

  19. NedWind with 80 MW wind power capacity leader in the Netherlands

    International Nuclear Information System (INIS)

    Anon.

    1996-01-01

    At 31 December 1995 1050 wind turbines were in operation in the Netherlands with a total capacity of 255 MW. An overview is given of the top locations of wind turbines in different categories and from different manufacturers and owners. The wind turbine manufacturer NedWind is leading the field. 9 figs

  20. Aeroelastic Optimization of a 10 MW Wind Turbine Blade with Active Trailing Edge Flaps

    DEFF Research Database (Denmark)

    Barlas, Athanasios; Tibaldi, Carlo; Zahle, Frederik

    2016-01-01

    This article presents the aeroelastic optimization of a 10MW wind turbine ‘smart blade’ equipped with active trailing edge flaps. The multi-disciplinary wind turbine analysis and optimization tool HawtOpt2 is utilized, which is based on the open-source framework Open-MDAO. The tool interfaces to ...

  1. Experimental and numerical investigation of 3D aerofoil characteristics on a MW wind turbine

    DEFF Research Database (Denmark)

    Troldborg, Niels; Bak, Christian; Sørensen, Niels N.

    2013-01-01

    3D aerofoil characteristics on a MW wind turbine is investigated through a combination of field measurements, wind tunnel tests and computational fluid dynamics (CFD). Surface pressuremeasurements as well as the integrated force coefficients for selected aerofoil sections on a blade of the turbine...

  2. Design study of a 10 MW MgB2 superconductor direct drive wind turbine generator

    NARCIS (Netherlands)

    Abrahamsen, A.B.; Magnusson, N.; Liu, D.; Stehouwer, E.; Hendriks, B.; Polinder, H.

    2014-01-01

    A superconducting direct drive generator based on field windings of MgB2 superconducting tape is proposed as a solution by mounting the generator in front of the blades using a king-pin nacelle design for offshore turbines with power ratings larger than 10 MW as investigated in the INNWIND.EU

  3. Thermal loading and reliability of 10 MW multilevel wind power converter at different wind roughness classes

    DEFF Research Database (Denmark)

    Isidori, Andrea; Rossi, Fabio Mario; Blaabjerg, Frede

    2012-01-01

    This paper focuses on the design, thermal loading and reliability of a three-level Neutral Point Clamped (3-L NPC) back-to-back full scale converter for a 10 MW direct-drive wind turbine equipped with a Permanent Magnet Synchronous Generator (PMSG). The reliability performance of the three...

  4. Brief introduction to project management of full scope simulator for Qinshan 300 MW Nuclear Power Unit

    International Nuclear Information System (INIS)

    Chen Jie

    1996-01-01

    The key points in development and engineering project management of full scope simulator for Qinshan 300 MW Nuclear Power Unit are briefly introduced. The Gantt chart, some project management methods and experience are presented. The key points analysis along with the project procedure will be useful to the similar project

  5. Design study of a 10 MW MgB2 superconductor direct drive wind turbine generator

    DEFF Research Database (Denmark)

    Abrahamsen, Asger Bech; Magnusson, Niklas; Liu, Dong

    2014-01-01

    A superconducting direct drive generator based on field windings of MgB2 superconducting tape is proposed as a solution by mounting the generator in front of the blades using a king-pin nacelle design for offshore turbines with power ratings larger than 10 MW as investigated in the INNWIND.EU pro...

  6. Effect of MW-assisted roasting on nutritional and chemical properties of hazelnuts

    Directory of Open Access Journals (Sweden)

    Fatih Kalkan

    2015-12-01

    Full Text Available In order to enhance the flavor, texture, color, and appearance of hazelnuts, they are roasted during postharvest processing. In this study, raw hazelnuts (Corylus avellana L. were roasted using microwave (MW and MW-assisted hot air methods under various roasting conditions. The hazelnuts roasted were then examined to determine the percent DPPH radical scavenging activity, antioxidant capacity, total phenolic content, resistant starch, non-resistant starch, total starch, and protein concentration. The roasting experiments were done using a completely randomized factorial arrangement of two roasting types by three roasting times (9, 15, and 21 min by three roasting temperatures (70, 90, and 110°C using three replications within each experiment. These roasting methods were found to yield significant differences in antioxidant capacity, total phenolic content, resistant starch, non-resistant starch, and protein concentration between MW and MW-assisted hot air roasting processes, while no difference was found in percent DPPH radical scavenging activity and total starch. The results obtained may be of great importance to the food research community and industrial hazelnut roasting technologies.

  7. Revisiting the Canterbury earthquake sequence after the 14 February 2016 Mw 5.7 event

    NARCIS (Netherlands)

    Herman, Matthew W.; Furlong, Kevin P.

    2016-01-01

    On 14 February 2016, an Mw 5.7 (GNS Science moment magnitude) earthquake ruptured offshore east of Christchurch, New Zealand. This earthquake occurred in an area that had previously experienced significant seismicity from 2010 to 2012 during the Canterbury earthquake sequence, starting with the 2010

  8. Update on the modernization of 200 MW hard coal power plants in Poland

    International Nuclear Information System (INIS)

    Szabo, T.E.; Kopec, M.

    1993-01-01

    In June 1990, the Coalition of 200 MW, Hard Coal, Polish Power Plants representing an installed base of 10,240 MW, including 45 units of 200 MW, signed an agreement with the Westinghouse Electric Corporation, Power Generation Business Unit, based in Orlando, Florida, to cooperate on developing a modernization program for the 200 MW units. Program funding was obtained with The United States Trade Development Program (TDP) providing approximately 2/3 of the cost, and the balance provided by Westinghouse. On March 5, 1992, the Polish-American (51% Westinghouse, 49% Seven (7) Hard Coal Power Plants), Joint Venture Company, MODELPOL, Ltd. (Polish acronym for 'MODernizacja ELektrowni POLskich' or Modernization of Polish Power Plants) was established with the goal to implement not only technically but financially the recommendations of the Modernization Study. The mission given MODELPOL, Ltd. by their Polish-American Shareholders was to: develop the specific modernization programs for each hard coal power plant; assist in identifying and obtaining the financial resources required for implementation; and provide technological preventative maintenance services to improve unit availability. Within these aims was the target to reduce SO 2 , and particulate emissions. The first program is taking place at the Laziska Power Plant, followed by Rybnik. Further projects are in the planning stages. Finance is a constant problem, this should be eased by the restructuring of the power industry. Future programmes include connection to the European Community Power Grid. 5 figs

  9. Two fixed point theorems on quasi-metric spaces via mw- distances

    Energy Technology Data Exchange (ETDEWEB)

    Alegre, C.

    2017-07-01

    In this paper we prove a Banach-type fixed point theorem and a Kannan-type theorem in the setting of quasi-metric spaces using the notion of mw-distance. These theorems generalize some results that have recently appeared in the literature. (Author)

  10. Latest results from the EU project AVATAR : Aerodynamic modelling of 10 MW wind turbines

    NARCIS (Netherlands)

    Ceyhan, J. G Schepers O; Ceyhan, O; Boorsma, K; Gonzalez, A; Munduate, X; Pires, O; Sørensen, Jens Nørkær; Simao Ferreira, C.; Sieros, G; Madsen, J.; Voutsinas, S.; Lutz, T.; Barakos, G.; Colonia, S.; Heißelmann, H.; Meng, F.; Croce, A.

    2016-01-01

    This paper presents the most recent results from the EU project AVATAR in which aerodynamic models are improved and validated for wind turbines on a scale of 10 MW and more. Measurements on a DU 00-W-212 airfoil are presented which have been taken in the pressurized DNW-HDG wind tunnel up to a

  11. Model Validation at the 204 MW New Mexico Wind Energy Center: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Muljadi, E.; Butterfield, C. P.; Ellis, A.; Mechenbier, J.; Hochheimer, J.; Young, R.; Miller, N.; Delmerico, R.; Zavadil, R.; Smith, J. C.

    2006-06-01

    In this paper, we describe methods to derive and validate equivalent models for a large wind farm. FPL Energy's 204-MW New Mexico Wind Energy Center, which is interconnected to the Public Service Company of New Mexico (PNM) transmission system, was used as a case study. The methods described are applicable to any large wind power plant.

  12. Reconciling the deformational dichotomy of the 2016 Mw 7.8 Kaikoura New Zealand earthquake

    NARCIS (Netherlands)

    Furlong, Kevin P.; Herman, Matthew

    2017-01-01

    Following the 2016 Mw 7.8 Kaikoura earthquake, uncertainty over the nature of the coseismic rupture developed. Seismological evidence pointed to significant involvement of the subduction megathrust, while geodetic and field observations pointed to a shallow set of intracrustal faults as the main

  13. Statistical fault diagnosis of wind turbine drivetrain applied to a 5MW floating wind turbine

    DEFF Research Database (Denmark)

    Ghane, Mahdi; Nejad, Amir R.; Blanke, Mogens

    2016-01-01

    to prevent them to develop into failure, statistical change detection is used in this paper. The Cumulative Sum Method (CUSUM) is employed to detect possible defects in the downwind main bearing. A high fidelity gearbox model on a 5-MW spar-type wind turbine is used to generate data for fault-free and faulty...

  14. Start-up analysis of INET-5 MW district heating prototype reactor

    International Nuclear Information System (INIS)

    Li Tianshu

    1991-09-01

    The main features and thermohydraulic design parameters of the INET-5 MW reactor (INET: Institute of Nuclear Technology of Tsinghua University, Beijing) are presented. The start-up process and the effect of thermohydraulic instability on start-up process have been analyzed. The main obstacle of start-up process of INET-5 MW reactor is to pass the instability region from 1 atm to normal operation condition. For avoiding instability, the start-up process should be divided into two steps. The results of three different start-up proposals calculated by DACOL code are given and compared. The possibility of instabilities for each proposal has been checked. The checked results show that there is no instability during start-up of the three proposals. So, it is supposed that the INET-5 MW reactor can safely and stably reach the operation conditions. Finally, some conclusions about the effect of instability on start-up in boiling mode of INET-5MW reactor are given

  15. Multi-level hydrodynamic modelling of a scaled 10MW TLP wind turbine

    DEFF Research Database (Denmark)

    Pegalajar Jurado, Antonio Manuel; Bredmose, Henrik; Borg, Michael

    2016-01-01

    In the present paper the accuracy of three numerical models for a scaled 10MW TLP wind turbine is assessed by comparison with test data. The three models present different levels of complexity, and therefore different degrees of accuracy can be expected. A set of load cases including irregular an...

  16. Source parameters estimation of 2003 Bam earthquake Mw 6.5 ...

    Indian Academy of Sciences (India)

    2003-12-26

    The 1995 Colima-Jalisco, Mexico, earthquake (Mw 8):. A study of the rupture process; Geophys. Res. Lett. 24. 1019–1022. EERI Special Earthquake Report 2004 Earthquake Engi- neering Research Institute (EERI) Preliminary Observa- tions on the Bam, Iran, Earthquake of December 26, 2003. Frankel A, Fletcher J, ...

  17. Increasing seismicity in Southern Tibet following the 2015 Mw 7.8 Gorkha, Nepal earthquake

    Science.gov (United States)

    Li, Lu; Yao, Dongdong; Meng, Xiaofeng; Peng, Zhigang; Wang, Baoshan

    2017-09-01

    We conducted a systematic detection of micro-seismicity in Southern Tibet 1.6 days before and 4.4 days after the 2015 Mw 7.8 Gorkha, Nepal earthquake. Our study employs 368 template events listed in the China Earthquake Networks Center (CENC) catalog. With the waveform-based matched filter technique, we detected five times more earthquakes than listed in the CENC catalog during our study period. The seismicity in Southern Tibet shows a significant increase immediately following the Gorkha, Nepal earthquake, including two normal-faulting events (the Mw 5.8 Tingri and Mw 5.3 Nyalam earthquakes) about 3 and 11 h after the mainshock, respectively. Although the static stress changes ΔCFS showed a slightly better correlation with the seismicity rate changes than the peak dynamic stress changes ΔCFS(t), the absolute value of the static stress change at the epicenter region of the Mw 5.8 Tingri earthquake is 10 kPa, roughly two orders smaller than the peak dynamic stress change of 2.2 MPa. Although we are unable to identify the primary triggering mechanism, it is evident that the 2015 Nepal earthquake triggered widespread seismicity in Southern Tibet. Our results highlight the potential increase of seismic hazard in Southern Tibet due to the occurrence of major thrust earthquakes along the Himalaya frontal thrust faults.

  18. Comparison of multi-MW converters considering the determining factors in wind power application

    DEFF Research Database (Denmark)

    Ma, Ke; Liserre, Marco; Blaabjerg, Frede

    2013-01-01

    Many power converter configurations have been proposed for the next generation multi-MW wind turbines. However a comprehensive comparison based on the real determining factors in the wind power application is still missing. In fact the existing evaluation criteria and methods for the multi-MW pow...... to be unified for comparison. And the two-level low-voltage converter solution still shows cost advantage regarding power semiconductors, while some multi-level medium-voltage converter solutions can show better performance when complying with the grid codes.......Many power converter configurations have been proposed for the next generation multi-MW wind turbines. However a comprehensive comparison based on the real determining factors in the wind power application is still missing. In fact the existing evaluation criteria and methods for the multi-MW power...... converters are normally targeted to the industrial drive applications, and they did not take into account the special requirements in the case of wind power. This paper tries to unify and compare several promising wind power converters by a series new model and perspective. The evaluation criteria...

  19. Simulation of a MW rotor equipped with vortex generators using CFD and an actuator shape model

    DEFF Research Database (Denmark)

    Troldborg, Niels; Zahle, Frederik; Sørensen, Niels N.

    2015-01-01

    This article presents a comparison of CFD simulations of the DTU 10 MW reference wind turbine with and without vortex generators installed on the inboard part of the blades. The vortex generators are modelled by introducing body forces determined using a modified version of the so-called BAY mode...

  20. Characterization of blade throw from a 2.3MW horizontal axis wind turbine upon failure

    DEFF Research Database (Denmark)

    Sarlak, Hamid; Sørensen, Jens Nørkær

    2015-01-01

    The present work concerns aerodynamics of thrown objects from a 2.3 MW Horizontal Axis Wind Turbine (HAWT), as a consequence of blade failure. The governing set of ordinary differential equations for the flying objects are derived and numerically solved using a 4th order Runge-Kutta time advancin...

  1. Control development for an 18 MW pulsed power converter using a real-time simulation platform

    CERN Document Server

    Genton, Charles-Mathieu; Boattini, Fulvio

    2015-01-01

    In the frame of the LHC Injectors Upgrade (LIU) project, a new main power supply (MPS) for the PSBooster accelerator is required. The largest element of the new MPS is the 18 MW main power converter (MPC). The paper presents the design of the MPC control software, using Rapid Control Prototyping.

  2. Source parameters estimation of 2003 Bam earthquake Mw 6.5 ...

    Indian Academy of Sciences (India)

    www.ias.ac.in/article/fulltext/jess/119/03/0383-0396 ... We determine the source parameters for 2003 (Mw 6.5) Bam, Iran, earthquake using an empirical Green's function summation approach to model ground motions recorded by two strong ...

  3. Modelling and simulation of containment on full scope simulator for Qinshan 300 MW Nuclear Power Unit

    International Nuclear Information System (INIS)

    Zou Tingyun

    1996-01-01

    A multi-node containment thermal-hydraulic model has been developed and adapted in Full Scope Simulator for Qinshan 300 MW Nuclear Power Unit with good realtime simulation effects. Containment pressure for LBLOCA calculated by the model is well agreed with those of CONTEMPT-4/MOD3

  4. Increased cartilage volume after injection of hyaluronic acid in osteoarthritis knee patients who underwent high tibial osteotomy.

    Science.gov (United States)

    Chareancholvanich, Keerati; Pornrattanamaneewong, Chaturong; Narkbunnam, Rapeepat

    2014-06-01

    High tibial osteotomy (HTO) is a surgical procedure used to correct abnormal mechanical loading of the knee joint; additionally, intra-articular hyaluronic acid injections have been shown to restore the viscoelastic properties of synovial fluid and balance abnormal biochemical processes. It was hypothesized that combining HTO with intra-articular hyaluronic acid injections would have benefit to improve the cartilage volume of knee joints. Forty patients with medial compartment knee osteoarthritis (OA) were randomly placed into 1 of 2 groups. The study group (n = 20) received 2 cycles (at 6-month intervals) of 5 weekly intra-articular hyaluronic acid injections after HTO operation. The control group (n = 20) did not receive any intra-articular injections after HTO surgery. Cartilage volume (primary outcome) was assessed by magnetic resonance imaging (MRI) pre-operatively and 1 year post-operatively. Treatment efficacy (secondary outcomes) was evaluated with the Western Ontario and McMaster Universities OA Index (WOMAC) and by the comparison of the total rescue medication (paracetamol/diclofenac) used (weeks 6, 12, 24, 48). MRI studies showed a significant increase in total cartilage volume (p = 0.033), lateral femoral cartilage volume (p = 0.044) and lateral tibial cartilage volume (p = 0.027) in the study group. Cartilage volume loss was detected at the lateral tibial plateau in the control group. There were significant improvements after surgery in both groups for all subscales of WOMAC scores (p hyaluronic acid injections may be beneficial for increasing total cartilage volume and preventing the loss of lateral tibiofemoral joint cartilage after HTO. Therapeutic study, Level I.

  5. Clinical Outcome of a Prospective Case Series of Patients With Ketamine Cystitis Who Underwent Standardized Treatment Protocol.

    Science.gov (United States)

    Yee, Chi-hang; Lai, Pui-tak; Lee, Wai-man; Tam, Yuk-him; Ng, Chi-fai

    2015-08-01

    To assess the outcome of a prospective cohort of patients with ketamine-associated uropathy after standardized treatment. This is a prospective case series of patients with ketamine-related urologic problems. Management for the patients includes a 4-tier approach, namely anti-inflammatory or anti-cholinergic drugs, opioid analgesics or pregabalin, intravesical hyaluronic acid, and finally, surgical intervention including hydrodistension and augmentation cystoplasty. Outcome was assessed with functional bladder capacity, pelvic pain and urgency or frequency (PUF) symptom scale, and the EuroQol visual analog scale. Between December 2011 and June 2014, 463 patients presented with ketamine-associated uropathy. All were managed by the same standardized protocol. Among these patients, 319 patients came back for follow-up assessment. Overall mean follow-up duration was 10.7 ± 8.5 months. For those patients who received first-line treatment (290 patients), there was a significant improvement in PUF scores, the EuroQol visual analog scale, and functional bladder capacity. Both abstinence from ketamine usage and the amount of ketamine consumed were factors predicting the improvement of PUF scores. For those patients who required second-line oral therapy (62 patients), 42 patients (67.7%) reported improvement in symptoms. Eight patients have completed intravesical therapy. There was a significant improvement in voided volume for the patients after treatment. The study demonstrated the efficacy of managing ketamine-associated uropathy using a 4-tier approach. Both anti-inflammatory drugs and analgesics could effectively alleviate symptoms. Being abstinent from ketamine abuse and the amount of ketamine consumed have bearings on treatment response. Copyright © 2015 Elsevier Inc. All rights reserved.

  6. Surgical management of obesity.

    Science.gov (United States)

    Torres-Landa, Samuel; Kannan, Umashankkar; Guajardo, Isabella; Pickett-Blakely, Octavia E; Dempsey, Daniel T; Williams, Noel N; Dumon, Kristoffel R

    2018-02-01

    Obesity is a spreading epidemic associated with significant morbidity and mortality with a prevalence of over 36% worldwide. In the face of a growing epidemic, increasing medical costs, and the disappointing limitations of medical and lifestyle modification bariatric surgery was found to consistently lead to significant weight loss and improvement in obesity-associated comorbidities when compared to non-surgical interventions. Bariatric procedures fall within three basic categories: restrictive procedures, malabsorptive procedures, and procedures that combine both restrictive and malabsorptive mechanisms. Four major procedures are currently performed (most often laparoscopically): Roux-en-Y gastric bypass, biliopancreatic diversion with duodenal switch, adjustable gastric banding, and sleeve gastrectomy. Although the laparoscopic Roux-en-Y gastric bypass was the most frequently performed bariatric procedure, the laparoscopic sleeve gastrectomy has since become the most popular. Bariatric surgery currently has similar mortality rates to standard general surgical operations. Morevoer, bariatric surgery reduces mortality by the improvement and remission of obesity-related comorbidities. Newer minimally-invasive weight loss procedures and endoscopic methods continue to evolve as we expand our understanding of the intricacies of obesity and the effects of currently available surgical treatments.

  7. [Surgical robotics in neurosurgery].

    Science.gov (United States)

    Haidegger, Tamás; Benyó, Zoltán

    2009-09-06

    Surgical robotics is one of the most dynamically advancing areas of biomedical engineering. In the past few decades, computer-integrated interventional medicine has gained significance internationally in the field of surgical procedures. More recently, mechatronic devices have been used for nephrectomy, cholecystectomy, as well as in orthopedics and radiosurgery. Estimates show that 70% of the radical prostatectomies were performed with the da Vinci robot in the United States last year. Robot-aided procedures offer remarkable advantages in neurosurgery both for the patient and the surgeon, making microsurgery and Minimally Invasive Surgery a reality, and even complete teleoperation accessible. This paper introduces surgical robotic systems developed primarily for brain and spine applications, besides, it focuses on the different research strategies applied to provide smarter, better and more advanced tools to surgeons. A new system is discussed in details that we have developed together with the Johns Hopkins University in Baltimore. This cooperatively-controlled system can assist with skull base drilling to improve the safety and quality of neurosurgery while reducing the operating time. The paper presents the entire system, the preliminary results of phantom and cadaver tests and our efforts to improve the accuracy of the components. An effective optical tracking based patient motion compensation method has been implemented and tested. The results verify the effectiveness of the system and allow for further research.

  8. Allergy to Surgical Implants.

    Science.gov (United States)

    Pacheco, Karin A

    2015-01-01

    Surgical implants have a wide array of therapeutic uses, most commonly in joint replacements, but also in repair of pes excavatum and spinal disorders, in cardiac devices (stents, patches, pacers, valves), in gynecological implants, and in dentistry. Many of the metals used are immunologically active, as are the methacrylates and epoxies used in conjunction with several of these devices. Allergic responses to surgical components can present atypically as failure of the device, with nonspecific symptoms of localized pain, swelling, warmth, loosening, instability, itching, or burning; localized rash is infrequent. Identification of the specific metal and cement components used in a particular implant can be difficult, but is crucial to guide testing and interpretation of results. Nickel, cobalt, and chromium remain the most common metals implicated in implant failure due to metal sensitization; methacrylate-based cements are also important contributors. This review will provide a guide on how to assess and interpret the clinical history, identify the components used in surgery, test for sensitization, and provide advice on possible solutions. Data on the pathways of metal-induced immune stimulation are included. In this setting, the allergist, the dermatologist, or both have the potential to significantly improve surgical outcomes and patient care. Copyright © 2015 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

  9. Surgical navigation with QR codes

    Directory of Open Access Journals (Sweden)

    Katanacho Manuel

    2016-09-01

    Full Text Available The presented work is an alternative to established measurement systems in surgical navigation. The system is based on camera based tracking of QR code markers. The application uses a single video camera, integrated in a surgical lamp, that captures the QR markers attached to surgical instruments and to the patient.

  10. Nigerian Journal of Surgical Research

    African Journals Online (AJOL)

    The Nigerian Journal of Surgical Research is a publication of the Surgical Research Society with main office in Zaria, Nigeria. Zaria is home to Ahmadu Bello University (ABU), a premier university in Nigeria. The aim of The Nigerian Journal of Surgical Research is to cover developments and advances in the broad field of ...

  11. HFBR restart activity A2.6: Review of FSAR and 60 MW addendum to assure consistency of operation at 40 MW

    International Nuclear Information System (INIS)

    Rao, D.V.; Ross, S.B.; Darby, J.L.; Clark, R.A.

    1990-01-01

    The purpose of this task (HFBR Restart Activity A2.6) is to perform a review of the design basis accident (DBA) analyses sections of the 1964 HFBR-Final Safety Analysis Report; Volumes I and II, and the 1982 Addendum to the HFBR-FSAR for 60 MW operation to assure that operation at 40 MW will be consistent with these analyses. Additional documents utilized in the review included the Level 1 PRA for HFBR, HFBR-PDMs and HFBR-OPMs. The review indicates that the 1964 FSAR-DBA analysis in incomplete in the sense that it did not analyze some of the important initiators for 1-loop operation that include: Accidental throttling of primary flow control valves; seizure of primary pump; loss of secondary pump; accidental throttling of secondary flow control valves; rupture of secondary piping. The first three initiators were later studied in the 1982 addendum. The other two initiators have not been examined to-date for 1-loop operation. It is recommended that the impact of these initiators be assessed prior to the restart, if 1-loop operation is chosen for the restart. The review demonstrated that at 40 MW operation there are only a few accident initiators that will culminate in core damage (fuel melting and /or cladding failure) regardless of the availability of mitigating systems. For 1-loop Operation these accidents include: Fuel channel blockage, primary pump seizure, and large-large LOCA (a LOCA with effective break diameter > 2.81 in. is referred to as a large-large LOCA in this document as well as in PRA). Although all these accidents listed above could lead to core damage for 1-loop operation as well, the probability is expected be very low

  12. Risk factors for surgical site infection and association with infliximab administration during surgery for Crohn's disease.

    Science.gov (United States)

    Uchino, Motoi; Ikeuchi, Hiroki; Matsuoka, Hiroki; Bando, Toshihiro; Ichiki, Kaoru; Nakajima, Kazuhiko; Tomita, Naohiro; Takesue, Yoshio

    2013-10-01

    Preoperative infliximab treatment may influence postoperative infectious complications in patients with Crohn's disease. The aim of this study was to identify predictors of surgical site infection after surgery for Crohn's disease and evaluate the effects of preoperative infliximab administration. We performed a prospective surveillance and review of surgical site infections. This study was conducted in the Surgical Department of Hyogo College of Medicine. A total of 405 consecutive patients with Crohn's disease who underwent abdominal surgery between January 2008 and December 2011 were included. Infection was diagnosed by the infection control team. The possible risk factors were analyzed by using logistic regression analyses to determine their predictive significance. Within the patient population, 20% of patients received infliximab, and 60% had penetrating disease. The median duration from the last infliximab infusion to surgery was 43 days (range, 4-80). The overall incidence of surgical site infection was 27%. The incidence of incisional surgical site infection was 18%, and the organ/space surgical site infection rate was 8%. In the multivariate analysis, proctectomy was the highest risk factor for all surgical site infection (OR, 3.4-11.8; p risk factor for surgical site infection. By contrast, there was a significantly reduced risk of incisional surgical site infection in patients with penetrating disease who received infliximab (OR, 0.1; p risk factor for surgical site infection in patients with Crohn's disease. The administration of preoperative infliximab was not a risk factor for surgical site infection.

  13. Surgical complications of cochlear implantation in a tertiary university hospital.

    Science.gov (United States)

    Awad, Al Hussein; Rashad, Usama M; Gamal, Nihal; Youssif, Mostafa A

    2018-03-01

    Cochlear implantation remains a popular and effective therapy for patients with sensorineural hearing loss that not get benefit from conventional hearing aids Objective: To analyze the surgical complications obtained in patients that underwent cochlear implantation in a tertiary university hospital. Retrospective analysis of the medical files of cochlear implant patients who underwent surgery at our institution between October 2014 and July 2016. This population comprised 163 patients (52.7% males and 47.3% females). Complications were classified in to 'major' and 'minor' complications depending on degree of management. Overall, the mean age at the time of implantation was 7.44 years. The cause of deafness was congenital in 81.6% of patients and acquired in 18.4% of patients. The overall complication rate was 10.43%, 3.68% being major and 6.75% being minor complications. The most common minor complication in our series was wound complications, and the most common major complication was device failure. Excluding device failures, the major complication rate was 1.84%. Cochlear implantation is a safe surgical technique for rehabilitation of patients with severe to profound hearing loss, associated with a low surgical complications rate. The majority of surgical complications can be managed with conservative measures or minimal intervention.

  14. One-step (standard) versus two-step surgical approach in adolescent idiopathic scoliosis posterior spinal fusion: Which is better?

    Science.gov (United States)

    Ramirez, Norman; Valentin, Pablo; García-Cartagena, Manuel; Samalot, Solais; Iriarte, Ivan

    2016-07-01

    A retrospective cohort study with IRB approval. Significant blood loss remains an important concern in terms of the performance of the posterior spinal fusion in adolescent idiopathic scoliosis. Several strategies have been reported to minimize blood loss during surgery. In order to address the need to minimize blood loss without sacrificing the quality of the fusion, in our hospital, we adopted a two-step surgical approach. This surgical approach consist of the exposure and instrumentation of the lumbar region prior to and followed by an extension of the surgical incision to the thoracic region for its subsequent instrumentation. The main purpose of this study was to compare a two-step surgical approach with the one-step (standard) approach. This study was a review of all the data on consecutive posterior spinal fusion surgeries performed by a specific two-surgeon team during 2004-2013. Demographics, surgical variables, radiographic findings, and outcomes regarding blood loss, morbidity, and the duration of the procedure were evaluated. Eighty-five patients underwent the standard surgical exposure, and 41 patients underwent the two-step surgical technique. With the exception of BMI, neither group showed any statistically preoperative variable significant differences. None of the postoperative outcome variables were statistically significant between both surgical approaches. No differences were detected in terms of using a two-step surgical approach versus the one-step standard surgical approach regarding perioperative blood loss, surgical time, or complications. Level of evidence III.

  15. Computer-aided surgical planning for congenital aural atresia

    Science.gov (United States)

    Li, Bin; Chen, Dongqing; Smouha, Eric; Liang, Zhengrong

    2000-04-01

    We have designed and implemented a prototype system to aid in the surgical repair of congenital aural atresia. A two- level segmentation algorithm was first developed to separate tissues of similar intensity or low tissue contrast. Then an interactive visualization modular was built to display the labeled tissues. The system allows a 3-stage interactive planning in which positioning, marking and drilling simulates the surgical operation of congenital atresia repair. A voxel-based volume CSG operation was implemented to ensure the efficiency of interactive planning. Six patients with congenital aural atresia underwent virtual planning in preparation for surgery. This technique has proved to be a valuable planning tool, with the potential for virtual representation of the surgical reconstruction.

  16. Comparison of Standard Catheters Versus Radial Artery-Specific Catheter in Patients Who Underwent Coronary Angiography Through Transradial Access.

    Science.gov (United States)

    Chen, On; Goel, Sunny; Acholonu, Michael; Kulbak, Guy; Verma, Shivani; Travlos, Efstratios; Casazza, Richard; Borgen, Elliot; Malik, Bilal; Friedman, Michael; Moskovits, Norbert; Frankel, Robert; Shani, Jacob; Ayzenberg, Sergey

    2016-08-01

    In this prospective, randomized controlled study, we aim to compare the performance outcomes of standard catheters with the radial artery-specific catheter. Over the past decade, transradial cardiac catheterization has gained widespread popularity because of its low complication rates compared with transfemoral access. Operators have the choice of using either standard catheters (used for both transfemoral and transradial approach, with need for separate catheter use for either right or left coronary artery engagement) or a dedicated radial artery catheter, which is specifically designed to engage both coronary arteries through radial artery access. A total of 110 consecutive patients who underwent coronary angiography at our institution from March 2015 to April 2015 were prospectively randomized to either radial artery-specific Tiger catheter (5Fr; Terumo Interventional Systems, Somerset, New Jersey) versus standard Judkins left and right catheters (5Fr R4, L4; Cordis Corporation, Miami, Florida). The end points of the study included fluoroscopy time, dose-area product, contrast volume used, and total procedure time for the coronary angiography. A total of 57 patients (52%) were randomized to radial artery-specific catheter and 53 (48%) to the standard catheter. Tiger catheter was associated with significantly lower fluoroscopy time (184 ± 91 vs 238 ± 131 seconds, p = 0.015), which was statistically significant. Other outcome measures such as dose-area product (2,882.4 ± 1,471.2 vs 3,524.6 ± 2,111.7 Gy·cm(2), p = 0.07), total contrast volume (48.1 ± 16.1 vs 53.4 ± 18.5 ml, p = 0.114), and total procedure time (337 ± 382 vs 434 ± 137 seconds, p = 0.085) were also lower in single-catheter group, but it did not reach statistical significance. A total of 8 patients (14%) were crossed over from radial-specific catheter arm to standard catheter arm because of substandard image quality and difficulty in coronary engagement. Six patients had to be

  17. CA-125–indicated asymptomatic relapse confers survival benefit to ovarian cancer patients who underwent secondary cytoreduction surgery

    Science.gov (United States)

    2013-01-01

    Background There is no consensus regarding the management of ovarian cancer patients, who have shown complete clinical response (CCR) to primary therapy and have rising cancer antigen CA-125 levels but have no symptoms of recurrent disease. The present study aims to determine whether follow-up CA-125 levels can be used to identify the need for imaging studies and secondary cytoreductive surgery (CRS). Methods We identified 410 ovarian cancer patients treated at The University of Texas MD Anderson Cancer Center between 1984 and 2011. These patients had shown CCR to primary therapy. Follow-up was conducted based on the surveillance protocol of the MD Anderson Cancer Center. We used the Cox proportional hazards model and log-rank test to assess the associations between the follow-up CA-125 levels and secondary CRS and survival duration. Results The CA-125 level of 1.68 × nadir was defined as the indicator of recurrent disease (p CA-125 biochemical progression prior to clinically-defined relapse was 31 days (ranging from 1 to 391 days). The median number of the negative imaging studies for the clinical relapse findings in patients with a CA-125 level of CA-125 level at relapse was an independent predictor of overall and progression free survival in patients who had shown CCR to primary therapy (p = 0.04 and 0.02 respectively). The overall and progression free survival durations in patients with a CA-125 level ≤ 1.68 × nadir at relapse (69.4 and 13.8 months) were longer than those with a CA-125 level > 1.68 × nadir at relapse (55.7 and 10.4 months; p = 0.04 and 0.01, respectively). The overall and progression free survival duration of patients with asymptomatic relapse and underwent a secondary CRS was longer than that of patients with symptomatic relapse (p = 0.02 and 0.04 respectively). Conclusions The increase of serum CA-125 levels is an early warning of clinical relapse in ovarian cancer. Using CA-125 levels in

  18. Magnitude of non-operative surgical emergency admissions; service implications for surgical and radiological practice.

    Science.gov (United States)

    Heaney, R M; Reynolds, I; Ryan, R S; Khan, I; Khan, W; Waldron, R; Barry, K

    2017-02-01

    Financial sustainability is an area of sharp ongoing focus across the broad spectrum of the Irish Health Service. Recent attention has been drawn to the financial implications of non-operative surgical admissions, suggesting that some of these may be unnecessary. In this study, we aim to determine the volume of emergency surgical admissions to Mayo University Hospital (MUH), in particular, to identify the scale of non-operative admissions and to assess the wider inherent implications for acute hospital services. An electronic handover system for emergency surgical admissions was introduced in MUH in September 2014. All surgical admissions from September 1st 2014 to August 31st 2015 were identified from this prospectively maintained database. HIPE (Hospital Inpatient Enquiry) data were not used in this study. Theatre logbooks confirmed those patients who required operative intervention. 1466 patients were admitted as emergencies during the study period. 58 % (850) were male and median age was 48 years (0-100). Average length of stay was 5 days (range 1-125). 327 patients (22.3 %) required operative intervention. The most commonly performed procedure was appendicectomy (52.5 %). 48 (3.3 %) patients were transferred to other hospitals. 131 (8.9 %) admissions related to the acute urological conditions. Of the 1466 admissions, 546 underwent a CT scan, while 342 patients proceeded to ultrasound. Almost 80 % of all surgical emergency admissions were discharged without undergoing a formal operative procedure while generating a significant workload for the radiology department. Changes in working practices and hospital network structures will be required to reduce the burden of non-operative emergency admissions.

  19. Surgical treatment of recurrent thymoma: is it worthwhile?†.

    Science.gov (United States)

    Marulli, Giuseppe; Margaritora, Stefano; Lucchi, Marco; Cardillo, Giuseppe; Granone, Pierluigi; Mussi, Alfredo; Carleo, Francesco; Perissinotto, Egle; Rea, Federico

    2016-01-01

    Radical resection of thymoma is the most important predictor of survival; despite a complete resection, 10-30% of patients develop a recurrence. The surgical treatment of thymic relapses is an accepted therapeutic approach; however, no clear data are available yet regarding the indication for surgery and the long-term prognosis of this subset of patients. The aim of our work was to review the data of a group of recurrent thymomas treated by surgery, comparing it with non-surgical therapy, and analysing the outcome and the prognostic factors. Between 1980 and 2010, 880 patients with thymoma underwent complete macroscopical resection and were followed up for recurrence. Masaoka stage IVa and type C thymic tumours were excluded from the study. A total of 82 (9.3%) patients developed a recurrence, and 52 (63.4%) were reoperated. The other 21 patients, originally operated outside, underwent surgical resection of recurrence. Finally, 73 patients were operated on for recurrent thymoma and 30 received medical treatment. This entire cohort represents the subject of the study. There were 57 (55.3%) males and 46 (44.7%) females. The median time to relapse was 50 months. Sixty-three (61.2%) recurrences were regional, 17 (16.5%) local, 14 (13.6%) distant, 6 (5.8%) regional and distant, and 3 (2.9%) local, regional and distant. No operative mortality was observed. In 50 (68.5%) patients, a macroscopic complete resection was accomplished. The 5- and 10-year overall survival rates from recurrence were 63 and 37%, respectively. Complete surgical resection was associated with a significant better survival when compared with incomplete surgical resection and non-surgical treatment (P thymoma is effective and safe, achieving a prolonged survival. Complete macroscopic resection and single recurrence are associated with better prognosis. © The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

  20. Radiological management of abdominal surgical drainages

    International Nuclear Information System (INIS)

    Miotto, D.; Viglione, C.; Chiesura Corona, M.

    1987-01-01

    The authors consider their early results in radiological drainage management of abscesses and fistulas complicating abdominal surgery by integrated use of angiographic materials and interventional methods. Twenty-five patients, affected by isolated (32%) or communicating (68%) abscesses, were treated. Cavity obliteration and clinical recovery were obtained in 18 patients (72%), partial success in 1 (4%); a patient was treated unsuccessfully. Five patients were not evaluated because they died or underwent surgery again. Average drainage intervall was 54 days. Drainage management was carried out by replacement of surgical catheters and fibrin occlusion. Fibrin occlusion was performed in 7 patients with the following results: 3 successes, one partial success and one failure. Two cases were not evaluated. Although a comparison with a control group was not performed, the authors consider the procedure a safe, economic and simple method for abdominal abscess management

  1. Reprint of: Rupture processes of the 2015 Mw 7.9 Gorkha earthquake and its Mw 7.3 aftershock and their implications on the seismic risk

    Science.gov (United States)

    Liu, Chengli; Zheng, Yong; Wang, Rongjiang; Shan, Bin; Xie, Zujun; Xiong, Xiong; Ge, Can

    2017-09-01

    The rupture processes of the 2015 April 25 Gorkha earthquake and its strongest aftershock occurred on May 12 in Nepal are investigated by joint inversion of seismological and geodetic data. Synthetic test shows that the sedimentary layers in the source region play an important role in the rupture process inversion. Our optimized model of the mainshock shows that the rupture has a unilateral propagation pattern. The dominant mechanism is pure thrust with maximum slip of 5.8 m, the rupture scale extends 60 km along dip and 150 km along strike, and the largest static stress change is 7.6 MPa. The total seismic moment is 7.87 × 1020 N m, equivalent to Mw 7.9. Most seismic moment was released within 80 s and the majority seismic moment was released at the first 40 s. The rupture propagated in main slip asperity with a velocity of 3.0 km/s. The strong aftershock magnitude is about Mw 7.3, and the peak slip is about 5.0 m, close to the peak slip of the mainshock. Moreover, the slips of the mainshock and the aftershocks are in good complementary, suggesting a triggering relationship between them. Considering the strain accumulation, the Gorkha earthquake ruptured only part of the seismic gap alone, thus still poses high earthquake risk, especially in the west side of the mainshock rupture zone.

  2. SIROCCO project: 15 advanced instructor desk and 4 simulated control room for 900MW and 1300MW EDF power plant simulators

    International Nuclear Information System (INIS)

    Alphonse, J.; Roth, P.; Sicard, Y.; Rudelli, P.

    2006-01-01

    This presentation describes the fifteen advanced instructors station and four simulated control delivered to EDF in the frame of the SIROCCO project by the Consortium formed by ATOS Origin, CORYS Tess, for the Electricite de France (EDF). These instructor stations are installed on fifteen replica training simulators located on different sites throughout France for the purposes of improving the job-related training of the EDF PWR nuclear power plant operating teams. This covers all 900 MW and 1300MW nuclear power plant of EDF. The simulated control rooms are installed on maintenance platform located at EDF and the consortium facilities. The consortium uses it to maintain and upgrade the simulators. EDF uses it to validate the upgrade delivered by the consortium before on site installation and to perform engineering analysis. This presentation sets out successively: - The major advantages of the generic and configurable connected module concept for flexible and quick adaptation to different simulators; - The innovative functionalities of the advanced Instructor Desk (IS) which make the instructor's tasks of preparation, monitoring and postanalysis of a training session easier and more homogeneous; - The use of the Simulated Control Room (SCR) for training purposes but also for those of maintenance and design studies for upgrades of existing control rooms

  3. Failure analysis to the weights of balance of a 350 MW turbo-generator; Analisis de falla a los pesos de balanceo de un turbogenerador de 350 MW

    Energy Technology Data Exchange (ETDEWEB)

    Vital Flores, Francisco; Gamero Arroyo, Jose Manuel [LAPEM, Comision Federal de Electricidad (Mexico)

    2007-11-15

    The selection of materials and the quality control in the supply of the components, as well as the involved operative variables in the process of work to which an equipment, device or a system of a power station of electrical generation are subjected, impact in the same in their useful life in a decisive way. In this document it is presented an analysis of a failure occurred in a 350 MW turbo-generator by the loosening of the balance weights, in which it is mentioned the flaws occurred by this cause and a metallographic analysis that indicates the main fault for the happening. [Spanish] La seleccion de material y el control de calidad en los suministros de los componentes, asi como las variables operativas involucradas en el proceso de trabajo al cual es sometido un equipo, dispositivo o un sistema de una central de generacion electrica, impactan en los mismos de manera decisiva en su vida util. En este documento se presenta un analisis de falla ocurrido en un turbogenerador de 350 MW, por el desprendimiento de los pesos de balanceo, el cual se menciona de los desperfectos ocurridos por esta causa y un analisis metalografico que indica la falla principal por lo ocurrido.

  4. TVT versus TVT-O for minimally invasive surgical correction of stress urinary incontinence

    OpenAIRE

    Vicente Sola; Jack Pardo; Paolo Ricci; Enrique Guiloff; Humberto Chiang

    2007-01-01

    OBJECTIVE: The present work describes our experience in surgical correction of stress urinary incontinence, comparing both the TVT and the TVT-O techniques. METHOD: Between October 2001 and March 2004, 76 patients underwent the TVT procedure. Between January 2004 and January 2005, 98 surgical corrections of urinary incontinence were carried out using the TVT-O technique. RESULTS: Median operative time was 28 minutes for TVT and 7 minutes for TVT-O. Intraoperative complications for TVT occurre...

  5. Compliance and Effectiveness of WHO Surgical Safety Check list: A JPMC Audit

    OpenAIRE

    Anwer, Mariyah; Manzoor, Shahneela; Muneer, Nadeem; Qureshi, Shamim

    2016-01-01

    Objective: To assess World Health Organization (WHO) Surgical Safety Checklist (SSC), compliance and its effectiveness in reducing complications and final outcome of patients. Methods: This was a prospective study done in Department of General Surgery (Ward 02), Jinnah Postgraduate Medical Centre (JPMC), Karachi. The study included Total 3638 patients who underwent surgical procedure in elective theatre in four years from November 2011 to October 2015 since the SSC was included as part of his...

  6. Idiopathic pulmonary artery aneurysm treated with surgical correction and concomitant coronary artery bypass grafting.

    Science.gov (United States)

    Arnaoutakis, George; Nwakanma, Lois; Conte, John

    2009-07-01

    Idiopathic pulmonary artery aneurysm is a rare clinical entity, and therefore the natural course and clinical management are not well established. We present the case of an elderly woman with a symptomatic idiopathic pulmonary artery aneurysm who underwent surgical repair along with simultaneous coronary artery bypass grafting. With long-term follow-up presented in this report, we describe the safety and durability of surgical repair.

  7. Seismological analyses of the 2010 March 11, Pichilemu, Chile Mw 7.0 and Mw 6.9 coastal intraplate earthquakes

    Science.gov (United States)

    Ruiz, Javier A.; Hayes, Gavin P.; Carrizo, Daniel; Kanamori, Hiroo; Socquet, Anne; Comte, Diana

    2014-01-01

    On 2010 March 11, a sequence of large, shallow continental crust earthquakes shook central Chile. Two normal faulting events with magnitudes around Mw 7.0 and Mw 6.9 occurred just 15 min apart, located near the town of Pichilemu. These kinds of large intraplate, inland crustal earthquakes are rare above the Chilean subduction zone, and it is important to better understand their relationship with the 2010 February 27, Mw 8.8, Maule earthquake, which ruptured the adjacent megathrust plate boundary. We present a broad seismological analysis of these earthquakes by using both teleseismic and regional data. We compute seismic moment tensors for both events via a W-phase inversion, and test sensitivities to various inversion parameters in order to assess the stability of the solutions. The first event, at 14 hr 39 min GMT, is well constrained, displaying a fault plane with strike of N145°E, and a preferred dip angle of 55°SW, consistent with the trend of aftershock locations and other published results. Teleseismic finite-fault inversions for this event show a large slip zone along the southern part of the fault, correlating well with the reported spatial density of aftershocks. The second earthquake (14 hr 55 min GMT) appears to have ruptured a fault branching southward from the previous ruptured fault, within the hanging wall of the first event. Modelling seismograms at regional to teleseismic distances (Δ > 10°) is quite challenging because the observed seismic wave fields of both events overlap, increasing apparent complexity for the second earthquake. We perform both point- and extended-source inversions at regional and teleseismic distances, assessing model sensitivities resulting from variations in fault orientation, dimension, and hypocentre location. Results show that the focal mechanism for the second event features a steeper dip angle and a strike rotated slightly clockwise with respect to the previous event. This kind of geological fault configuration

  8. Surgical speech disorders.

    Science.gov (United States)

    Shen, Tianjie; Sie, Kathleen C Y

    2014-11-01

    Most speech disorders of childhood are treated with speech therapy. However, two conditions, ankyloglossia and velopharyngeal dysfunction, may be amenable to surgical intervention. It is important for surgeons to work with experienced speech language pathologists to diagnose the speech disorder. Children with articulation disorders related to ankyloglossia may benefit from frenuloplasty. Children with velopharyngeal dysfunction should have standardized clinical evaluation and instrumental asseessment of velopharyngeal function. Surgeons should develop a treatment protocol to optimize speech outcomes while minimizing morbidity. Copyright © 2014 Elsevier Inc. All rights reserved.

  9. Surgical infections with Mycoplasma

    DEFF Research Database (Denmark)

    Levi-Mazloum, Niels Donald; Prag, Jørgen Brorson; Jensen, J S

    1997-01-01

    Mycoplasma hominis and Ureaplasma urealyticum are common inhabitants of the human genital tract. Evidence for an aetiological role in pyelonephritis, pelvic inflammatory disease, post-abortion and post-partum fever has been presented. There are sporadic reports of Mycoplasma causing serious extra...... extragenital infection such as septicemia, septic arthritis, neonatal meningitis and encephalitis. We review 38 cases of surgical infections with Mycoplasma.......Mycoplasma hominis and Ureaplasma urealyticum are common inhabitants of the human genital tract. Evidence for an aetiological role in pyelonephritis, pelvic inflammatory disease, post-abortion and post-partum fever has been presented. There are sporadic reports of Mycoplasma causing serious...

  10. [Surgical methods of abortion].

    Science.gov (United States)

    Linet, T

    2016-12-01

    A state of the art of surgical method of abortion focusing on safety and practical aspects. A systematic review of French-speaking or English-speaking evidence-based literature about surgical methods of abortion was performed using Pubmed, Cochrane and international recommendations. Surgical abortion is efficient and safe regardless of gestational age, even before 7 weeks gestation (EL2). A systematic prophylactic antibiotics should be preferred to a targeted antibiotic prophylaxis (grade A). In women under 25 years, doxycycline is preferred (grade C) due to the high prevalence of Chlamydia trachomatis. Systematic cervical preparation is recommended for reducing the incidence of complications from vacuum aspiration (grade A). Misoprostol is a first-line agent (grade A). When misoprostol is used before a vacuum aspiration, a dose of 400 mcg is recommended. The choice of vaginal route or sublingual administration should be left to the woman: (i) the vaginal route 3 hours before the procedure has a good efficiency/safety ratio (grade A); (ii) the sublingual administration 1 to 3 hours before the procedure has a higher efficiency (EL1). The patient should be warned of more common gastrointestinal side effects. The addition of mifepristone 200mg 24 to 48hours before the procedure is interesting for pregnancies between 12 and 14 weeks gestations (EL2). The systematic use of nonsteroidal anti-inflammatory drugs is recommended for limiting the operative and postoperative pain (grade B). Routine vaginal application of an antiseptic prior to the procedure cannot be recommended (grade B). The type of anesthesia (general or local) should be left up to the woman after explanation of the benefit-risk ratio (grade B). Paracervical local anesthesia (PLA) is recommended before performing a vacuum aspiration under local anesthesia (grade A). The electric or manual vacuum methods are very effective, safe and acceptable to women (grade A). Before 9 weeks gestation

  11. Outcomes of Surgical and Non-Surgical Treatment for Sixth Nerve Palsy

    Directory of Open Access Journals (Sweden)

    Abbas Bagheri

    2010-01-01

    Full Text Available Purpose: To report the outcomes of surgical and non-surgical treatment in sixth nerve paresis and palsy. Methods: This retrospective study was performed on hospital records of 33 consecutive patients (37 eyes with sixth nerve dysfunction who were referred to Labbafinejad Medical Center from September 1996 to September 2006, and underwent surgical procedures or botulinum toxin injection. Patients were divided into three groups: group A had muscle surgery without transposition, group B underwent transposition procedures and group C received Botulinum toxin injection. Results: Overall, 33 patients including 19 male and 14 female subjects with mean age of 20.4±17.2 years (range, 6 months to 66 years were studied. Eye deviation improved from 50.3±16.8 to 6.0±9.8 prism diopters (PD after the first operation and to 2.5±5.0 PD after the second operation in group A, from 56.9±24.3 to 5.5±16.0 PD after the first procedure and to almost zero following the second in group B, and from 44.3±10.5 to 15.0±20.0 PD 6 months following botulinum toxin injection in group C. Head posture and limitation of motility also improved significantly in all three groups. The overall rate of reoperations was 21%. Conclusions: Various procedures are effective for treatment of sixth nerve dysfunction; all improve ocular deviation, head turn and abduction deficit. The rate of reoperation is not high when treatment is appropriately selected according to clinical condition.

  12. Outcomes of surgical and non-surgical treatment for sixth nerve palsy.

    Science.gov (United States)

    Bagheri, Abbas; Babsharif, Babak; Abrishami, Mohammad; Salour, Hossein; Aletaha, Maryam

    2010-01-01

    To report the outcomes of surgical and non-surgical treatment in sixth nerve paresis and palsy. This retrospective study was performed on hospital records of 33 consecutive patients (37 eyes) with sixth nerve dysfunction who were referred to Labbafinejad Medical Center from September 1996 to September 2006, and underwent surgical procedures or botulinum toxin injection. Patients were divided into three groups: group A had muscle surgery without transposition, group B underwent transposition procedures and group C received Botulinum toxin injection. Overall, 33 patients including 19 male and 14 female subjects with mean age of 20.4±17.2 years (range, 6 months to 66 years) were studied. Eye deviation improved from 50.3±16.8 to 6.0±9.8 prism diopters (PD) after the first operation and to 2.5±5.0 PD after the second operation in group A, from 56.9±24.3 to 5.5±16.0 PD after the first procedure and to almost zero following the second in group B, and from 44.3±10.5 to 15.0±20.0 PD 6 months following botulinum toxin injection in group C. Head posture and limitation of motility also improved significantly in all three groups. The overall rate of reoperations was 21%. Various procedures are effective for treatment of sixth nerve dysfunction; all improve ocular deviation, head turn and abduction deficit. The rate of reoperation is not high when treatment is appropriately selected according to clinical condition.

  13. Endoscopic and surgical palliation of esophageal cancer.

    Science.gov (United States)

    Ferrante, G; De Palma, G; Elia, S; Catanzano, C; Cecere, C; Griffo, S; Sivero, L; Costabile, R

    1999-12-01

    Esophageal carcinoma is frequently diagnosed at an advanced stage. Therefore for most patients either surgical or endoscopic palliation with or without radiochemotherapy may be taken into consideration. This retrospective study analyzes immediate and long term results of perendoscopic treatment in patients with unresectable esophageal cancer. Moreover a comparative analysis has been made with a group of patients who underwent palliation surgery. From 1982 to 1998 458 patients with esophageal cancer underwent palliation perendoscopic disobstructive treatment (427 patients), palliation surgery (29 patients) and dis-obstruction followed by perendoscopic gastrostomy (2 patients). Among patients treated by perendoscopic procedures, 18 underwent dilation, 53 dilation and radiotherapy, 236 stent implantation, respectively of the plastic (102) and self-expandable metallic (134) type. 120 patients underwent NdYAG laser treatment. The results for patients who underwent perendoscopic procedures are referred to as regards the first 30 days after treatment and on the long run in terms of grade of dysphagia according to Visick's scale. For the group of patients undergoing simple dilation we had an improvement (from Visick III-IV to I-II) in 33% of cases and in 54.7% when radiotherapy was added. Far better results were achieved in all groups undergoing stent implantation, with or without brachytherapy, and NdYAG laser treatment with or without previous chemical necrolysis (range 90.3-100%). Most frequent complications were obstruction and stent displacement. Mean survival was better for patients undergoing laser recanalisation (7.2 months) while among stents the metallic type has given better results than plastic ones both for survival (6.2 vs 5.9 months) and mortality (2.4 vs 4.9%). Comparison with the group undergoing palliation surgery has shown that mean survival is the same for patients undergoing jejunostomy or gastrostomy while it is significantly better for patients

  14. Pediatric abdominal non-Hodgkin's lymphoma: diagnosis through surgical and non-surgical procedures.

    Science.gov (United States)

    Aguiar, Arthur Almeida; Lima, Luciana Cavalvanti; Araújo, Cláudia Corrêa de; Gallindo, Rodrigo Melo

    2017-12-29

    To describe the success rate and the complications after procedures to diagnose abdominal non-Hodgkin's lymphoma in children and adolescents. A retrospective cross-sectional study was conducted with a population consisting of children and adolescents with abdominal non-Hodgkin's lymphoma diagnosed between September 1994 and December 2012. The sample comprised of 100 patients who underwent 113 diagnostic procedures, including urgent surgery (n=21), elective surgery (n=36), and non-surgical diagnosis (n=56). The most frequent procedures were laparotomy (46.9%) and ultrasound-guided core biopsy (25.6%). The rate of diagnostic success was 95.2% for urgent surgeries; 100% for elective surgeries and 82.1% for non-surgical procedures (pHodgkin's lymphoma are an effective option with low morbidity rate, allowing an earlier resumption of a full diet and chemotherapy initiation. Furthermore, non-surgical procedures should also be considered for obtaining tumor samples from patients with extensive disease. Copyright © 2017. Published by Elsevier Editora Ltda.

  15. Cooling in Surgical Patients: Two Case Reports

    Directory of Open Access Journals (Sweden)

    Bibi F. Gurreebun

    2014-01-01

    Full Text Available Moderate induced hypothermia has become standard of care for children with peripartum hypoxic ischaemic encephalopathy. However, children with congenital abnormalities and conditions requiring surgical intervention have been excluded from randomised controlled trials investigating this, in view of concerns regarding the potential side effects of cooling that can affect surgery. We report two cases of children, born with congenital conditions requiring surgery, who were successfully cooled and stabilised medically before undergoing surgery. Our first patient was diagnosed after birth with duodenal atresia after prolonged resuscitation, while the second had an antenatal diagnosis of left-sided congenital diaphragmatic hernia and suffered an episode of hypoxia at birth. They both met the criteria for cooling and after weighing the pros and cons, this was initiated. Both patients were medically stabilised and successfully underwent therapeutic hypothermia. Potential complications were investigated for and treated as required before they both underwent surgery successfully. We review the potential side effects of cooling, especially regarding coagulation defects. We conclude that newborns with conditions requiring surgery need not be excluded from therapeutic hypothermia if they might benefit from it.

  16. Surgical technique of retrograde ventricle-sinus shunt is an option for the treatment of hydrocephalus in infants after surgical repair of myelomeningocele

    Directory of Open Access Journals (Sweden)

    Matheus Fernandes de Oliveira

    2015-12-01

    Full Text Available ABSTRACT Introduction Treatment of hydrocephalus is accomplished primarily through a ventricular-peritoneal shunt (VPS. This study aims to describe the application of retrograde ventricle-sinus shunt (RVSS in patients with hydrocephalus after surgical treatment of myelomeningocele. Method A prospective, randomized and controlled pilot study. We consecutively enrolled 9 patients with hydrocephalus after surgical repair of myelomeningocele from January 2010 to January 2012. These patients underwent elective RVSS or VPS. Five underwent RVSS and 4 underwent VPS. Patients were followed for one year with quarterly evaluations and application of transcranial Doppler. Results RVSS group showed outcomes similar to those of VPS group. Doppler revealed significant improvement when comparing preoperative to postoperative period. RVSS group had significantly higher cephalic perimeter than VPS group. Neuropsychomotor development, complications and subjective outcomes did not differ between groups. Conclusion RVSS shunt is viable; it is an alternative option for the treatment of hydrocephalus.

  17. Attracting students to surgical careers: preclinical surgical experience.

    Science.gov (United States)

    Antiel, Ryan M; Thompson, Scott M; Camp, Christopher L; Thompson, Geoffrey B; Farley, David R

    2012-01-01

    Along with a decline in interest in general surgery among United States medical school graduates, reports indicate a decrease in the amount of time students are spending on their surgical clerkship. In an effort to offer early exposure to general surgery as well as to equip students with the basic surgical skills that will enhance their third-year clerkship experience, we developed a preclinical surgical experience. Students were surveyed to determine whether the surgical selective changed student level of comfort with basic surgical skills. Surveys were administered, preexperience and postexperience to the medical students enrolled in the surgery selective. The students were asked to rate their comfort level with 12 unique surgical skills. Comfort with the task was evaluated using a 10-point Likert scale. Analyses were conducted to evaluate the impact of the surgical experience on student comfort levels with the surgical skills. The self-reported comfort levels of students increased significantly after the experience in all 12 areas. The greatest change in comfort level (greater than or equal to mean difference of 4) occurred in the surgical technique categories: knot tying (mean difference: 4.9, p < 0.0001), suturing (mean difference: 4.85, p < 0.0001), correctly making an incision (mean difference: 4.95, p < 0.0001), using a needle driver (mean difference: 5.35, p < 0.0001), holding pickups (mean difference: 4.6, p < 0.0001), use of laparoscopic instruments (mean difference: 4.8, p < 0.0001), and use of surgical simulators (mean difference: 6.0, p < 0.0001). Our preclinical surgical experience serves as a model of an effective modality providing early exposure to general surgery. The experience provides trainees with basic surgical skills well before they begin their third-year clerkships. Copyright © 2012 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  18. Brain abscess: surgical experiences of 162 cases

    Directory of Open Access Journals (Sweden)

    Forhad Hossain Chowdhury

    2015-01-01

    Full Text Available Aim: Brain abscess still poses a public health challenge in spite of the advent of modern neurosurgical techniques and antibiotics. Here, we present our surgical experiences and ultimate outcome in the management of brain abscess. Methods: Totally, 162 patients with proved brain abscess who underwent surgical treatment were included in this study. The prospectively recorded data of surgical management of brain abscess and the ultimate outcome (by Glasgow outcome scale were studied retrospectively. Results: Total number of cases was 162, of which 113 were acute pyogenic abscess while 49 were chronic abscess. Among the chronic abscess, 29 were chronic pyogenic abscess, 14 were tubercular, 3 aspergillus, and 3 abscesses were in malignant brain metastases. In acute cases, common clinical features were headache, fever, vomiting, focal deficit and seizure. In chronic abscesses, common clinical features were mild to moderate headache and progressive focal deficit. Seventy-three (45.06% patients had adjacent localized sinus, middle ear or cranial infection. The common predisposing factors included postneurosurgery, postpenetrating injury to brain, chronic suppurative otitis media, and congenital heart disease, infective endocarditis, sinusitis and sub optimum immuno-status. Frontal lobe involved in 30.2% cases, temporal lobe is next to involved. Single time burr hole aspiration in 111 (68.5% cases, two or more times burr hole aspiration were done in 34 (21% cases. Pus culture was negative in 129 (79.62% cases. Total number of death was 22 (13.58% cases. Complete resolution of abscess with complete recovery of preoperative neuro-deficit was seen in 80.86% cases and recovery with major neuro-deficit was observed in 5.55% cases. There is a significant association between Glasgow coma scale (GCS on admission and mortality in brain abscess. Conclusion: In most of the cases, pus culture did not yield growth of any causative organism. Mortality was not

  19. Journal of Surgical Technique and Case Report

    African Journals Online (AJOL)

    The aim of Journal of Surgical Technique and Case Report is to advance surgical knowledge and practice by promoting the reporting of innovative and reproducible surgical techniques and illustrative surgical cases on various surgical disciplines. The journal encourages authoritative synthesis of current surgical literature ...

  20. [Surgical management of aplasia cutis congenita].

    Science.gov (United States)

    Betancourth-Alvarenga, J E; Vázquez-Rueda, F; Vargas-Cruz, V; Paredes-Esteban, R M; Ayala-Montoro, J

    2015-11-01

    Aplasia cutis congenita (ACC) is a rare congenital malformation that commonly involves the scalp, but can affect pericranium, bone and dura mater. Complications are rare, but can be fatal, so early treatment must be achieved. The treatment remains controversial with no consensus between the conservative and surgical approach. The aim of this study is to describe our experience in the management of ACC. Retrospective review of the medical records of all children up to 14 years diagnosed with ACC and treated between 2000 and 2013. There were a total of 22 cases of ACC with lesions ranging from 1cm (0.79 cm(2)) to 14cm (153.94 cm(2)). ACC of the scalp was found in 18 cases, with 3 in extremities and 1 in trunk. Conservative treatment was performed on 9 patients and 13 underwent surgical treatment (8 primary closures, 2 plasties, 2 skin grafts, and 1 skin flap). Two patients died due to complications of other diseases not related with the ACC. ACC is a rare disease that can be fatal. A complete initial assessment to establish early treatment is necessary to prevent this. Surgery should be considered as an initial therapeutic option in defects >4cm (>12.6 cm(2)) as it prevents the risk of fatal complications. Copyright © 2014 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved.

  1. Complications of Supine Surgical Achilles Tendon Repair.

    Science.gov (United States)

    Marcel, John J; Sage, Katherine; Guyton, Gregory P

    2018-02-01

    Open Achilles tendon surgery with the patient in the supine position potentially avoids the complications of the prone position, but the safety and viability of the supine position for this procedure are not known. The aim of this study was to test the hypothesis that supine positioning for open repair of acute Achilles tendon ruptures would be safe, with low wound and neurologic complication rates. Supine position safety in acute Achilles tendon repair was investigated. Consecutive cases of supine Achilles tendon surgical repair performed by one surgeon from 2010 to 2015 were retrospectively reviewed. Patients were included if they were surgically treated with primary repair in the supine position within 15 days of injury and did not undergo concomitant surgery. A paramedian incision 1 cm medial to the Achilles sheath was used. Initial chart review identified 161 patients who underwent any type of Achilles tendon surgery in the supine position, of whom 45 patients met the inclusion criteria. This group included 39 men and 6 women with an average age of 41 years (range, 20-66 years). Median length of follow-up was 116 days (range, 25-1,589 days). Average body mass index was 29 kg/m 2 (range, 23-36 kg/m 2 ). There were no infections, sural nerve injuries, or reruptures. The supine position was safe for primary open Achilles tendon repair, with no wound or neurologic complications. Level IV, Case Series.

  2. Surgical treatment options for aggressive osteoblastoma in the mobile spine.

    Science.gov (United States)

    Jiang, Liang; Liu, Xiao Guang; Wang, Chao; Yang, Shao Min; Liu, Chen; Wei, Feng; Wu, Feng Liang; Zhou, Hua; Dang, Lei; Liu, Zhong Jun

    2015-08-01

    Osteoblastoma (OBL) is a benign bone tumor with considerable recurrence potential. Resection is the mainstay for the treatment of Enneking stage 3 (st. 3) OBL. This retrospective study aimed to verify the appropriate surgical strategy for st. 3 lesions in the mobile spine. 19 cases of st. 3 OBL was diagnosed between 2001 and 2011. Clinical, radiological, surgical, and follow-up data were analyzed. This series included 14 men and 5 women and the mean age at diagnosis was 30.4 years. The lesions were located in the cervical spine in ten cases, in the thoracic spine in eight, and in the lumbar spine in one. Fourteen patients were surgically treated for the first time (intact cases), and five were referred to us after previous unsuccessful treatments (non-intact cases). Before 2008, 11 patients underwent curettage followed by radiotherapy, including 5 non-intact cases and 6 intact cases. Tumor recurrence was observed in all five non-intact cases and four of the six intact cases. After 2008, eight intact patients underwent intralesional vertebrectomy, including six who underwent piecemeal total vertebrectomy and two who underwent intralesional en bloc vertebrectomy. All the eight patients had embolization before surgery. 18 patients had an average 67.3 months (range 36-148 months) of follow-up. Recurrence was not observed in any of these eight cases with intralesional vertebrectomy. Intralesional total vertebrectomy might be an appropriate choice for intact st. 3 OBL spine lesions. More cases with longer follow-up periods should be recruited in the future to better understand the treatment options available for this disease.

  3. Surgical Instrument Sets for Special Operations Expeditionary Surgical Teams.

    Science.gov (United States)

    Hale, Diane F; Sexton, Justin C; Benavides, Linda C; Benavides, Jerry M; Lundy, Jonathan B

    The deployment of surgical assets has been driven by mission demands throughout years of military operations in Iraq and Afghanistan. The transition to the highly expeditious Golden Hour Offset Surgical Transport Team (GHOST- T) now offers highly mobile surgical assets in nontraditional operating rooms; the content of the surgical instrument sets has also transformed to accommodate this change. The 102nd Forward Surgical Team (FST) was attached to Special Operations assigned to southern Afghanistan from June 2015 to March 2016. The focus was to decrease overall size and weight of FST instrument sets without decreasing surgical capability of the GHOST-T. Each instrument set was evaluated and modified to include essential instruments to perform damage control surgery. The overall number of main instrument sets was decreased from eight to four; simplified augmentation sets have been added, which expand the capabilities of any main set. The overall size was decreased by 40% and overall weight decreased by 58%. The cardiothoracic, thoracotomy, and emergency thoracotomy trays were condensed to thoracic set. The orthopedic and amputation sets were replaced with an augmentation set of a prepackaged orthopedic external fixator set). An augmentation set to the major or minor basic sets, specifically for vascular injuries, was created. Through the reorganization of conventional FST surgical instrument sets to maintain damage control capabilities and mobility, the 102nd GHOST-T reduced surgical equipment volume and weight, providing a lesson learned for future surgical teams operating in austere environments. 2017.

  4. 60-MW/sub t/ methanation plant design for HTGR process heat

    International Nuclear Information System (INIS)

    Davis, C.R.; Arcilla, N.T.; Hui, M.M.; Hutchins, B.A.

    1982-07-01

    This report describes a 60 MW(t) Methanation Plant for generating steam for industrial applications. The plant consists of four 15 MW(t) methanation trains. Each train is connected to a pipeline and receives synthesis gas (syngas) from a High Temperature Gas-Cooled Reactor Reforming (HTGR-R) plant. Conversion of the syngas to methane and water releases exothermic heat which is used to generate steam. Syngas is received at the Methanation Plant at a temperature of 80 0 F and 900 psia. One adiabatic catalytic reactor and one isothermal catalytic reactor, in each methanation train, converts the syngas to 92.2% (dry bases) methane. Methane and condensate are returned at temperatures of 100 to 125 0 F and at pressures of 860 to 870 psia to the HTGR-R plant for the reproduction of syngas

  5. MEGAPIE, a 1 MW pilot experiment for a liquid metal spallation target

    International Nuclear Information System (INIS)

    Bauer, G.S.; Salvatores, M.; Heusener, G.

    2001-01-01

    Megawatt pilot target experiment (MEGAPIE) is an initiative launched by Commisariat a l'Energie Atomique, Cadarache (France) and Forschungszentrum Karlsruhe (Germany) together with Paul Scherrer Institut (Switzerland), to demonstrate, in an international collaboration, the feasibility of a liquid lead bismuth target for spallation facilities at a beam power level of 1 MW. Such a target is under consideration for various concepts of accelerator driven systems (ADS) to be used in transmutation of nuclear waste and other applications world wide. It also has the potential of increasing significantly the thermal neutron flux available at the spallation neutron source SINQ for neutron scattering. SINQ's beam power being close to 1 MW already, this facility offers a unique opportunity to realize such an experiment with a reasonably small number of new ancillary systems. The paper describes the basic features of the experiment and its boundary conditions, the technical concept of the target and underlying research carried out at participating laboratories

  6. Comprehensive Aerodynamic Analysis of a 10 MW Wind Turbine Rotor Using 3D CFD

    DEFF Research Database (Denmark)

    Zahle, Frederik; Bak, Christian; Sørensen, Niels N.

    2014-01-01

    This article describes a comprehensive aerodynamic analysis carried out on the DTU 10 MW Reference Wind Turbine (DTU 10MW RWT), in which 3D CFD simulations were used to analyse the rotor performance and derive airfoil aerodynamic characteristics for use in aero-elastic simulation tools. The 3D CFD...... airfoil data derived using the Azimuthal Averaging Technique (AAT) was compared to airfoil data based on 2D CFD simulations on airfoil sections in combination with an array of 3D-correction engineering models, which indicated that the model by Chaviaropoulos and Hansen was in best agreement with the 3D...... Eddy Simulations (DES) were carried out to derive airfoil data for standstill conditions in the range of angles of attack of AOA = [-180, 180] deg. showing distinct differences compared to the baseline data....

  7. Intense foreshocks and a slow slip event preceded the 2014 Iquique Mw 8.1 earthquake.

    Science.gov (United States)

    Ruiz, S; Metois, M; Fuenzalida, A; Ruiz, J; Leyton, F; Grandin, R; Vigny, C; Madariaga, R; Campos, J

    2014-09-05

    The subduction zone in northern Chile is a well-identified seismic gap that last ruptured in 1877. The moment magnitude (Mw) 8.1 Iquique earthquake of 1 April 2014 broke a highly coupled portion of this gap. To understand the seismicity preceding this event, we studied the location and mechanisms of the foreshocks and computed Global Positioning System (GPS) time series at stations located on shore. Seismicity off the coast of Iquique started to increase in January 2014. After 16 March, several Mw > 6 events occurred near the low-coupled zone. These events migrated northward for ~50 kilometers until the 1 April earthquake occurred. On 16 March, on-shore continuous GPS stations detected a westward motion that we model as a slow slip event situated in the same area where the mainshock occurred. Copyright © 2014, American Association for the Advancement of Science.

  8. Design of a 1-MW CW 8.5 GHz transmitter for planetary RADAR

    Science.gov (United States)

    Hoppe, Daniel J.; Bhanji, Alaudin M.

    1990-01-01

    A proposed conceptual design for increasing the output power of an existing X-band planetary radar transmitter from 365 kW to 1 MW CW is discussed. The paper covers the basic transmitter system requirements as dictated by the specifications for the radar. The characteristics and expected performance of the high-power klystrons are considered and the transmitter power amplifier system is discussed. Also included in the discussion is the design of the exiter system. Two alternative feed systems for delivering the 1-MW CW signal to the antenna system are described. The expected performance of the beam supply, heat exchanger, and monitor and control devices is also presented. Finally, an assessment of the state-of-the-art technology to meet system requirements is given and possible areas of difficulty are summarized.

  9. Description of the 3 MW SWT-3 wind turbine at San Gorgonio Pass, California

    Science.gov (United States)

    Rybak, S. C.

    The SWT-3 wind turbine, a microprocessor controlled three bladed variable speed upwind machine with a 3MW rating that is presently operational and undergoing system testing, is discussed. The tower, a rigid triangular truss configuration, is rotated about its vertical axis to position the wind turbine into the prevailing wind. The blades rotate at variable speed in order to maintain an optimum 6 to 1 tip speed ratio between cut in and fated wind velocity, thereby maximizing power extraction from the wind. Rotor variable speed is implemented by the use of a hydrostatic transmission consisting of fourteen fixed displacement pumps operating in conjunction with eighteen variable displacement motors. Full blade pitch with on-off hydraulic actuation is used to maintain 3MW of output power.

  10. Detailed Load Analysis of the baseline 5MW DeepWind Concept

    DEFF Research Database (Denmark)

    Verelst, David Robert; Aagaard Madsen, Helge; Kragh, Knud Abildgaard

    that is reported here will be called version 2.2.0. The numbering system has just been introduced at the present design version, but the rst 5MW design called the "baseline design" [1] was developed in 2011 and this will therefore be called version 1.0.0. In this report, the design loads of the DeepWind 5 MW...... turbine are presented. The loads are calculated using Hawc2 (ver 11.8). The turbine controller is implemented according to principles outlined in work package 4 (Turbine operational control), only the normal production part of the controller is implemented. Hence, the calculated design loads only covers...... normal operations. In the Chapter 3 and 2 the modelled design is and simulation scenarios are introduced. In Chapter 5 the estimated loads are presented in the form of plots. In Appendix A the simulated loads are tabulated, and the input data for the numerical HAWC2 model is given in Appendix B....

  11. Comparison of 10 MW superconducting generator topologies for direct-drive wind turbines

    DEFF Research Database (Denmark)

    Liu, Dong; Polinder, Henk; Abrahamsen, Asger Bech

    2015-01-01

    Large wind turbines of 10 MW or higher power levels are desirable for reducing the cost of energy of offshore wind power conversion. Conventional wind generator systems will be costly if scaled up to 10 MW due to rather large size and weight. Direct drive superconducting generators have been...... proposed to address the problem with generator size, because the electrical machines with superconducting windings are capable of achieving a higher torque density of an electrical machine. However, the topology to be adopted for superconducting wind generators has not yet been settled, since the high...... magnetic field excitation allows for lightweight non-magnetic composite materials for machine cores instead of iron. A topology would probably not be a good option for an offshore wind turbine generator if it demands a far more expensive active material cost than others, even if it has other advantages...

  12. Thermal Behavior Optimization in Multi-MW Wind Power Converter by Reactive Power Circulation

    DEFF Research Database (Denmark)

    Zhou, Dao; Blaabjerg, Frede; Lau, Mogens

    2014-01-01

    The influence of actively controlled reactive power on the thermal behavior of multi-MW wind power converter with a Doubly-Fed Induction Generator (DFIG) is investigated. First, the allowable range of internal reactive power circulation is mapped depending on the DC-link voltage as well as the in......The influence of actively controlled reactive power on the thermal behavior of multi-MW wind power converter with a Doubly-Fed Induction Generator (DFIG) is investigated. First, the allowable range of internal reactive power circulation is mapped depending on the DC-link voltage as well...... as the induction generator and power device capacity. Then, the effects of reactive power circulation on current characteristic and thermal distribution of the two-level back-to-back power converter are analyzed and compared. Finally, the thermal-oriented reactive power control method is introduced to the system...

  13. An opportunity for capacity up-rating of 1000 MW steam turbine plant in Kozloduy NPP

    International Nuclear Information System (INIS)

    Popov, D.

    2005-01-01

    In connection with earlier and forced decommissioning of the Kozloduy NPP units 1 - 4, an alternative has to be found in order to substitute these capacities. As a reasonable options, capacity up-rating of 1000 MW steam turbine plants without nuclear reactor thermal capacity increase, is investigated in the present study. The cooling water for these units is delivered by Danube river. The cooling water temperatures substantially decrease during the winter months. These changes create an opportunity for steam back end pressure reduction. It was found that when the cooling water temperature decreases from 15 0 C to 3 0 C, the steam back end pressure is on the decrease of from 3.92 kPa to 2.3 kPa. As a result capacity of the plant could be raised up to 50 MW without any substantial equipment and systems change

  14. Status of the development of the EU 170 GHz/1 MW/CW gyrotron

    Energy Technology Data Exchange (ETDEWEB)

    Pagonakis, Ioannis Gr., E-mail: ioannis.pagonakis@kit.edu [Karlsruhe Institute of Technology (KIT), Karlsruhe (Germany); Albajar, Ferran [The European Joint Undertaking for ITER and The Development of Fusion Energy, Barcelona (Spain); Alberti, Stefano [École Polytechnique Fédérale de Lausanne, Centre de Recherches en Physique des Plasmas (CRPP), Lausanne (Switzerland); Avramidis, Konstantinos [Karlsruhe Institute of Technology (KIT), Karlsruhe (Germany); Bonicelli, Tullio [The European Joint Undertaking for ITER and The Development of Fusion Energy, Barcelona (Spain); Braunmueller, Falk [École Polytechnique Fédérale de Lausanne, Centre de Recherches en Physique des Plasmas (CRPP), Lausanne (Switzerland); Bruschi, Alex [Plasma Physics Institute, National Research Council of Italy, Milano (Italy); Chelis, Ioannis [School of Electrical and Computer Engineering, National Technical University of Athens (Greece); Cismondi, Fabio [The European Joint Undertaking for ITER and The Development of Fusion Energy, Barcelona (Spain); Gantenbein, Gerd [Karlsruhe Institute of Technology (KIT), Karlsruhe (Germany); Hermann, Virgile [Thales Electron Devices (TED), Vélizy-Villacoublay (France); Hesch, Klaus [Karlsruhe Institute of Technology (KIT), Karlsruhe (Germany); Hogge, Jean-Philippe [École Polytechnique Fédérale de Lausanne, Centre de Recherches en Physique des Plasmas (CRPP), Lausanne (Switzerland); Jelonnek, John; Jin, Jianbo; Illy, Stefan [Karlsruhe Institute of Technology (KIT), Karlsruhe (Germany); Ioannidis, Zisis C. [Faculty of Physics, National and Kapodistrian University of Athens (Greece); Kobarg, Thorsten [Karlsruhe Institute of Technology (KIT), Karlsruhe (Germany); and others

    2015-10-15

    The progress in the development of the European 170 GHz, 1 MW/CW gyrotron for electron cyclotron heating & current drive (ECH&CD) on ITER is reported. A continuous wave (CW) prototype is being manufactured by Thales Electron Devices (TED), France, while a short-pulse (SP) prototype gyrotron is in parallel under manufacture at Karlsruhe Institute of Technology (KIT), with the purpose of validating the design of the CW industrial prototype components. The fabrication of most of the sub-assemblies of the SP prototype has been completed. In a first step, an existing magnetron injection gun (MIG) available at KIT was used. Despite this non-ideal configuration, the experiments provided a validation of the design, substantiated by an excellent agreement with numerical simulations. The tube, operated without a depressed collector, is able to produce more than 1 MW of output power with efficiency in excess of 30%, as expected, and compatible with the ITER requirements.

  15. Clinical Features and Surgical Results of Right Atrial Myxoma.

    Science.gov (United States)

    Li, Han; Guo, Hongwei; Xiong, Hui; Xu, Jianping; Wang, Wei; Hu, Shengshou

    2016-01-01

    We retrospectively analyzed 367 patients receiving surgical resection of cardiac myxomas in our center over six years, and analyzed the incidence and surgical results of 28 cases of right atrial myxomas. We also compared the age, gender, and attached sites between left atrial myxoma and right atrial myxoma. Between January 2007 and December 2012, 28 patients with right atrial myxomas underwent surgical resection. There were 16 males and 12 females. The mean age was 47.77 ± 13.20 years (range: 8.00-79.00 years). Associated cardiac lesions included moderate and severe tricuspid regurgitation in four, coronary atherosclerotic heart disease in five, and pulmonary embolism in one. Twenty-seven patients (96.43%) were followed from 26 to 94 months (mean 55.78 ± 21.10 months). There was no early death after operation. The incidence of right atrial myxomas among sporadic cardiac myxomas was 7.89%. One patient died of lung cancer 34 months after myxoma resection. Two patients underwent coronary artery stent implantation due to coronary atherosclerotic heart disease during the follow-up period. One patient underwent myxoma resection due to recurrence in the left atrium four years after the first operation. There was no significant difference in the age between left atrial myxoma and right atrial myxoma (p > 0.05). There was a significant difference in the gender between left atrial myxomas and right atrial myxomas (p myxomas and right atrial myxomas are the atrial septum. Surgical resection of the right atrial myxoma results in good clinical outcomes and a decreased incidence of recurrence. © 2015 Wiley Periodicals, Inc.

  16. Surgical challenges and outcomes of rhegmatogenous retinal detachment in albinism.

    Science.gov (United States)

    Sinha, M K; Chhablani, J; Shah, B S; Narayanan, R; Jalali, S

    2016-03-01

    To report the outcomes and surgical difficulties during rhegmatogenous retinal detachment (RRD) repair in patients with albinism. Retrospective analysis of 10 eyes of 9 patients with albinism that underwent RRD repair was performed. Collected data included demographic details, preoperative examination details, surgical procedure, surgical difficulties, anatomical, and visual outcomes. Outcome measures were retinal reattachment and visual acuity at the last follow-up. Mean preoperative best-corrected visual acuity (BCVA) was logMAR (Logarithm of the Minimum Angle of Resolution) 2.15 (range 0.9-3.0) with preoperative localization of causative break in six eyes. One eye had proliferative vitreoretinopathy grade C1 preoperatively. Four eyes underwent scleral buckling (SB) and six underwent 20G pars plana vitrectomy (PPV) with silicone oil injection. Intraoperative complication as iatrogenic retinal break occurred in four eyes. For retinopexy during vitrectomy, endolaser delivery was possible in three out of six eyes, whereas three eyes had cryopexy. The mean follow-up was 12 months in SB group (range 1-12; median 12 months) and 5.33 months (range 1-12; median 3 months) in PPV group. Among vitrectomized eye, two eyes had recurrence at 3 months with oil in situ. Rest of the eyes had attached retina at last follow-up. Mean BCVA at last follow-up was logMAR -1.46 (range 0.7-2.0) with mean improvement of -0.57 logMAR. Identification of break, induction of posterior vitreous detachment, and endolaser delivery may be difficult during RRD repair in patients with albinism. The incidence of PVR appeared less in these eyes. Both SB and PPV were efficacious and appear to be good surgical techniques for use in this patient population.

  17. Experiences with surgical treatment of ventricle septal defect as a post infarction complication

    Directory of Open Access Journals (Sweden)

    Stich Kathrin

    2009-01-01

    Full Text Available Abstract Background Complications of acute myocardial infarction (AMI with mechanical defects are associated with poor prognosis. Surgical intervention is indicated for a majority of these patients. The goal of surgical intervention is to improve the systolic cardiac function and to achieve a hemodynamic stability. In this present study we reviewed the outcome of patients with post infarction ventricular septal defect (PVSD who underwent cardiac surgery. Methods We analysed retrospectively the hospital records of 41 patients, whose ages range from 48 to 81, and underwent a surgical treatment between 1990 and 2005 because of PVSD. Results In 22 patients concomitant coronary artery bypass grafting (CAGB was performed. In 15 patients a residual shunt was found, this required re-op in seven of them. The time interval from infarct to rupture was 8.7 days and from rupture to surgery was 23.1 days. Hospital mortality in PVSD group was 32%. The mortality of urgent repair within 3 days of intractable cardiogenic shock was 100%. The mortality of patients with an anterior VSD and a posterior VSD was 29.6% vs 42.8%, respectively. All patients who underwent the surgical repair later than day 36 survived. Conclusion Surgical intervention is indicated for a majority of patients with mechanical complications. Cardiogenic shock remains the most important factor that affects the early results. The surgical repair of PVSD should be performed 4–5 weeks after AMI. To improve surgical outcome and hemodynamics the choice of surgical technique and surgical timing as well as preoperative management should be tailored for each patient individually.

  18. Management of a 600 MW CANDU project to facilitate electricity export

    International Nuclear Information System (INIS)

    Gunter, G.E.

    1983-06-01

    The export of electricity from 600-MW CANDU nuclear power plants built in Canada remains feasible providing certain requirements continue to be met. The principal objective in developing nuclear power resources for export is that they must produce economically attractive electricity. A review of the experience of construction and operation of Point Lepreau Unit 1 suggests an inherent ability to reduce construction costs and shorten construction schedules so as to make electrical power output from these stations even more attractive to export customers

  19. Safety report concerning Melusine (after power increase to 4 MW). Descriptive part. Volumes 1 and 2

    International Nuclear Information System (INIS)

    Baas, C.; Delcroix, V.; Jacquemain, M.; Marouby, R.; Meunier, C.; De Robien, E.; Rossillon, F.

    1967-03-01

    Construction of Melusine was started in January 1957, It first diverged on July 1, 1958. It operated at: 1 MW from March 1959; 1.4 MW from April 1960; 2 MW from September 1961; 4 MW from December 1965. Various modifications have been made since the reactor was built. They concern: - the addition of a hot cell. - the effluents: 2 reservoirs of 15 m 3 for liquid waste have been installed. The resin regeneration equipment has been completely modified. - the building: offices have been added - experimental zones have been set up in the hall - the electrical supply. - the cooling and purification circuits (installation of a second exchanger, replacement of the primary pumps, creation of a hot layer, etc... ). - the fuel elements (at the moment of the MTR type enriched to 90 per cent). - the swimming-pool (which has been partially equipped with a stainless steel coating). - the core (placing of 'stools', of a diving-board, etc...). - the ventilation: the hall has been de-pressurized during normal working in the event of an accident, the hall can be isolated and a safety circuit can be started up. A chimney has been installed. - the hall (which has been strengthened and sealed more effectively). - the control electronics (modification of the principle, and which are now entirely transistorized). So many changes have been made that the reactor now bears only a slight resemblance to the initial model. It has appeared necessary to make a brief review of these improvements in order to be able to judge more effectively the installations present safety characteristics; these latter are furthermore fairly well known as a result of the experiments carried out not only by the Thermal Transfer Service in Grenoble but also at Cadarache (Cabri) and Toulon (the work of Mr. PASCOUET). (authors) [fr

  20. Simulation of a MW rotor equipped with vortex generators using CFD and an actuator shape model

    DEFF Research Database (Denmark)

    Troldborg, Niels; Zahle, Frederik; Sørensen, Niels N.

    2015-01-01

    This article presents a comparison of CFD simulations of the DTU 10 MW reference wind turbine with and without vortex generators installed on the inboard part of the blades. The vortex generators are modelled by introducing body forces determined using a modified version of the so-called BAY model....... The vortex generator model is validated by applying it for modelling an array of VGs on an airfoil section compared to both wind tunnel measurements and fully gridded CFD....

  1. Design study of a 10 MW MgB2 superconductor direct drive wind turbine generator

    DEFF Research Database (Denmark)

    Abrahamsen, Asger Bech; Magnusson, Niklas; Liu, Dong

    2014-01-01

    A design study of a 10 MW direct drive wind turbine generator based on MgB2 superconducting wires is presented and the cost of the active materials of the generator is estimated to be between 226 €/kW and 84 €/kw, which is lower than the threshold values of 300 €/kW of the INNWIND.EU project. A n...

  2. 4 MW upgrade to the DIII-D fast wave current drive system

    Energy Technology Data Exchange (ETDEWEB)

    deGrassie, J.S.; Pinsker, R.I.; Cary, W.P.

    1993-10-01

    The DIII-D fast wave current drive (FWCD) system is being upgraded by an additional 4 MW in the 30 to 120 MHz frequency range. This capability adds to the existing 2 MW 30 to 60 MHz system. Two new ABB transmitters of the type that are in use on the ASDEX-Upgrade tokamak in Garching will be used to drive two new water-cooled four-strap antennas to be installed in DIII-D in early 1994. The transmission and tuning system for each antenna will be similar to that now in use for the first 2 MW system on DIII-D, but with some significant improvements. One improvement consists of adding a decoupler element to counter the mutual coupling between the antenna straps which results in large imbalances in the power to a strap for the usual current drive intrastrap phasing of 90{degrees}. Another improvement is to utilize pressurized, ceramic-insulated transmission lines. The intrastrap phasing will again be controlled in pairs, with a pair of straps coupled in a resonant loop configuration, locking their phase difference at either 0 or 180{degrees}, depending upon the length of line installed. These resonant loops will incorporate a phase shifter so that they will be able to be tuned to resonance at several frequencies in the operating band of the transmitter. With the frequency change capability of the ABB generators, the FWCD frequency will thus be selectable on a shot-to-shot basis, from this preselected set of frequencies. The schedule is for experiments to begin with this added 4 MW capability in mid-1994. The details of the system are described.

  3. Testing and Modeling of a 3-MW Wind Turbine Using Fully Coupled Simulation Codes (Poster)

    Energy Technology Data Exchange (ETDEWEB)

    LaCava, W.; Guo, Y.; Van Dam, J.; Bergua, R.; Casanovas, C.; Cugat, C.

    2012-06-01

    This poster describes the NREL/Alstom Wind testing and model verification of the Alstom 3-MW wind turbine located at NREL's National Wind Technology Center. NREL,in collaboration with ALSTOM Wind, is studying a 3-MW wind turbine installed at the National Wind Technology Center(NWTC). The project analyzes the turbine design using a state-of-the-art simulation code validated with detailed test data. This poster describes the testing and the model validation effort, and provides conclusions about the performance of the unique drive train configuration used in this wind turbine. The 3-MW machine has been operating at the NWTC since March 2011, and drive train measurements will be collected through the spring of 2012. The NWTC testing site has particularly turbulent wind patterns that allow for the measurement of large transient loads and the resulting turbine response. This poster describes the 3-MW turbine test project, the instrumentation installed, and the load cases captured. The design of a reliable wind turbine drive train increasingly relies on the use of advanced simulation to predict structural responses in a varying wind field. This poster presents a fully coupled, aero-elastic and dynamic model of the wind turbine. It also shows the methodology used to validate the model, including the use of measured tower modes, model-to-model comparisons of the power curve, and mainshaft bending predictions for various load cases. The drivetrain is designed to only transmit torque to the gearbox, eliminating non-torque moments that are known to cause gear misalignment. Preliminary results show that the drivetrain is able to divert bending loads in extreme loading cases, and that a significantly smaller bending moment is induced on the mainshaft compared to a three-point mounting design.

  4. Radiological consequence analysis for upgradation of Pakistan Research Reactor-1 from 9 to 10 MW

    International Nuclear Information System (INIS)

    Khan, L.A.; Raza, S.S.

    1993-12-01

    Radiological consequence analysis has been carried out for upgradation of PARR-I from 9 to 10 MW. A hypothetical loss of coolant accident resulting in core meltdown and release of fission products to the atmosphere has been analyzed. Whole body and thyroid doses have been calculated as a function of time and distance from the containment building. Based on these dose estimates, boundaries of exclusion and low population zones are assessed. (author)

  5. Simulation of surface displacement and strain field of the 2011 Japan Mw9.0 earthquake

    Directory of Open Access Journals (Sweden)

    Chen Shujun

    2011-11-01

    Full Text Available Based on dislocation theory of Okada, we adopted a finite-element fault model inverted by Gavin Hayes from seismic data for the 2011 Japan Mw9.0 earthquake, and obtained the corresponding surface displacement and strain fields. The calculated displacement field is consistent with the observed GPS results in the trend of changes. Also the surface displacement and strain fields both show large variations in space.

  6. The 16 April 2013 Mw7.8 Ghosht, Iran earthquake

    Science.gov (United States)

    Ashtari Jafari, Mohammad

    2014-06-01

    On Tuesday 16 April 2013 at 10:44:22 UTC, a strong Mw = 7.8 earthquake shook not only Iran but also southwestern cities of Asia and southern Persian Gulf countries. This event occurred in a sparsely populated mountain and range region near a small town called Ghosht (located in Iran) but left destructions and causalities around the city of Mashkel in Pakistan. It was followed by a medium sized Mw = 5.7 aftershock on 17 April 2013 without any reported destructions or causalities. The regional tectonics is under the influence of multiple convergences between the Persian Gulf plate, Indian and Eurasian plates. We applied deviatoric inversion to search for the best-fitted moment tensor and dislocation grid search to illustrate the best source mechanism by grid search over double couple fault plane parameters. Deviatoric inversion found 39% of CLVD for the mainshock and 5% of CLVD for its following aftershock. This CLVD component may be related to that zone of the subduction where the sinking slab is down going under its density and cause normal mechanism. The best-fitted double couple after dislocation grid search estimated: strike 75, dip 35, rake -75 (all in degree) and Mw = 7.66, for the mainshock and strike 80, dip 40, rake -90 (all in degree) and Mw = 5.53 for its aftershock. According to seismicity distribution there exist two types of seismicity: (1) crustal seismic activity band near Makran coasts (above 50 km depth) and (2) under crustal band (between 50 km and 150 km) plus a gap of seismicity between Makran and the rest of the Persian Plateau.

  7. PERFORMANCE EVALUATION OF BOILERS (80 AND 40 TPH) AND 21MW STEAM TURBINE OF COGEN PLANT

    OpenAIRE

    D.P.TAWARE; P.E.CHAUDHARI; U.M.SHIRSAT

    2014-01-01

    The proposed study is conducted at The Malegaon Sugar Mills, Baramati, and District Pune. Data is collected for a high pressure 80 TPH & 40TPH bagasse fired boiler. The boilers are natural circulation and bi-drum water tube type. The both boilers are equipped with super heater, air heater and economizer in order to utilize maximum available heat of flue gases. Boiler efficiency is calculated by indirect method. Also plant has 21 MW cogeneration capacity, with two turbines are installed with c...

  8. Increase of the competition on the electric power french market: 6000 MW for the concurrence

    International Nuclear Information System (INIS)

    2001-01-01

    In the framework of the energy market deregulation in France, EDF became wedded to three objectives: encourage the competition in France, contribute to the development of a unique energy market in Europe and and allowed the EDF group development in the same conditions of the concurrence. In this mind, EDF put 6000 MW for auction. An economic analysis of the EDF group policy facing the competition of the new energy de-regulated market is proposed. (A.L.B.)

  9. Guideline Implementation: Surgical Smoke Safety.

    Science.gov (United States)

    Fencl, Jennifer L

    2017-05-01

    Research conducted during the past four decades has demonstrated that surgical smoke generated from the use of energy-generating devices in surgery contains toxic and biohazardous substances that present risks to perioperative team members and patients. Despite the increase in information available, however, perioperative personnel continue to demonstrate a lack of knowledge of these hazards and lack of compliance with recommendations for evacuating smoke during surgical procedures. The new AORN "Guideline for surgical smoke safety" provides guidance on surgical smoke management. This article focuses on key points of the guideline to help perioperative personnel promote smoke-free work environments; evacuate surgical smoke; and develop education programs and competency verification tools, policies and procedures, and quality improvement initiatives related to controlling surgical smoke. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures. Copyright © 2017 AORN, Inc. Published by Elsevier Inc. All rights reserved.

  10. Surgical scar revision: An overview

    Directory of Open Access Journals (Sweden)

    Shilpa Garg

    2014-01-01

    Full Text Available Scar formation is an inevitable consequence of wound healing from either a traumatic or a surgical intervention. The aesthetic appearance of a scar is the most important criteria to judge the surgical outcome. An understanding of the anatomy and wound healing along with experience, meticulous planning and technique can reduce complications and improve the surgical outcome. Scar revision does not erase a scar but helps to make it less noticeable and more acceptable. Both surgical and non-surgical techniques, used either alone or in combination can be used for revising a scar. In planning a scar revision surgeon should decide on when to act and the type of technique to use for scar revision to get an aesthetically pleasing outcome. This review article provides overview of methods applied for facial scar revision. This predominantly covers surgical methods.

  11. Research on Operation and Control Strategy of 600MW PWR in Load Follow

    International Nuclear Information System (INIS)

    Qu, Bing Yang; Cao, Xin Rong; Li, Han Chen

    2014-01-01

    600MW Pressurized Water Reactor (PWR) is designed to operate in Constant Axial Offset Control (CAOC) strategy with base load originally. By calculations over a typical load follow scenario '12-3-6-3 ( 100-50-100%FP) via the CASMO-4E and SIMULATE-3 package, values of core operating parameter have been examined. With the progress of the nuclear power industry, advanced reactors are considered to have a good performance in load follow, economy and flexibility. Under the premise of fuel loading and structural dimensions unchanged, two independent control rod groups M and AO are used in 600MW pressurized water reactor to provide fine control of both the core reactivity and axial power distribution, which is named ' Improved G strategy .' The influences of different control rod distributions, composition materials, and overlap steps had in power changes have been examined in a comparative study to choose the optimal one.Then we simulate a range of load follow scenarios of the redesigned 600MW core without adjusting soluble boron concentration in the begin, middle and end of first cycle. This paper additionally demonstrated the moderator temperature coefficient and shutdown margin values of the reactor in Improved G strategy to compare with the thermal safety design criteria. It's demonstrated that adequate adjustment of control rod groups enable the core to perform load follow through Improved G strategy in 80% of cycle and save a large volume of liquid effluent particularly toward the end of cycle

  12. Towards a 1 MW, 170 GHz gyrotron design for fusion application

    Science.gov (United States)

    Kumar, Anil; Kumar, Nitin; Singh, Udaybir; Bhattacharya, Ranajoy; Yadav, Vivek; Sinha, A. K.

    2013-03-01

    The electrical design of different components of 1 MW, 170 GHz gyrotron such as, magnetron injection gun, cylindrical interaction cavity and collector and RF window is presented in this article. Recently, a new project related to the development of 170 GHz, 1 MW gyrotron has been started for the Indian Tokamak. TE34,10 mode is selected as the operating mode after studied the problem of mode competition. The triode type geometry is selected for the design of magnetron injection gun (MIG) to achieve the required beam parameters. The maximum transverse velocity spread of 3.28% at the velocity ratio of 1.34 is obtained in simulations for a 40 A, 80 kV electron beam. The RF output power of more than 1 MW with 36.5% interaction efficiency without depressed collector is predicted by simulation in single-mode operation at 170 GHz frequency. The simulated single-stage depressed collector of the gyrotron predicted the overall device efficiencies >55%. Due to the very good thermal conductivity and very weak dependency of the dielectric parameters on temperature, PACVD diamond is selected for window design for the transmission of RF power. The in-house developed code MIGSYN and GCOMS are used for initial geometry design of MIG and mode selection respectively. Commercially available simulation tools MAGIC and ANSYS are used for beam-wave interaction and mechanical analysis respectively.

  13. Development of a field pole of 1 MW-class HTS motor

    International Nuclear Information System (INIS)

    Yuan, S; Kimura, Y; Miki, M; Felder, B; Tsuzuki, K; Izumi, M; Ida, T; Umemoto, K; Aizawa, K; Yokoyama, M

    2010-01-01

    We report a field-pole high-temperature superconductor (HTS) magnet designed for 1 MW-class motor for propulsion. The field pole is assembled to the rotor of the radial-type motor. Each field pole is composed of HTS-Bi2223 tape wound into coils which have been piled up as a double pancake coils. In the design concept of the motor, we employ field poles without iron core. We prepared the test field-pole coil, whose dimension is smaller than the designed one for 1 MW, and tested its performances after cooling under self-field and external magnetic field. We verified the operation with the minimum bend radius of the coils required in the motor design, while keeping an optimal current which is lower than the critical current of the field-pole coil. The test HTS field poles were successfully cooled down and operated under a magnetic field ranging up to 5 T. We report the results of the test field-pole coil and the manufacture of a practical racetrack coil with Bi2223 and discuss the adaptability to 1 MW-class motors.

  14. Quality assurance program document for 75 mW radioisotope thermoelectric generator program

    International Nuclear Information System (INIS)

    Gregory, B.M.

    1977-09-01

    The General Atomic Company Quality Assurance Document (QAPD) for the 75 mW Radioisotope Thermoelectric Generator (RTG) Program serves the following purposes: (1) identifies the QA Manual and special requirements for the Quality Assurance Program for the design, fabrication assembly, testing, and delivery of the 5 75-mW RTG's and the 2 75-mW Electrical Thermoelectric Generators (ETG) Test Units in accordance with the contractural requirements; (2) describes the operating agreements and relationships between GA and other participants on quality assurance matters on the program; (3) identifies the equipment and activities subject to the Quality Assurance Program and defines GA's scope of supply and documentation requirements for retention and delivery to the Customer; (4) identifies the personnel in key positions, assigned the responsibility for defining, approving, and implementing the QA program; (5) provides a document in which special quality assurance requirements or procedures may be described or identified for implementation during the program; and provides a controlled and identified document to which the customer may refer in signifying their approval of the quality assurance program that will be implemented by GA for the items within the scope of supply

  15. Sensitivity analysis of tall buildings in Semarang, Indonesia due to fault earthquakes with maximum 7 Mw

    Science.gov (United States)

    Partono, Windu; Pardoyo, Bambang; Atmanto, Indrastono Dwi; Azizah, Lisa; Chintami, Rouli Dian

    2017-11-01

    Fault is one of the dangerous earthquake sources that can cause building failure. A lot of buildings were collapsed caused by Yogyakarta (2006) and Pidie (2016) fault source earthquakes with maximum magnitude 6.4 Mw. Following the research conducted by Team for Revision of Seismic Hazard Maps of Indonesia 2010 and 2016, Lasem, Demak and Semarang faults are three closest earthquake sources surrounding Semarang. The ground motion from those three earthquake sources should be taken into account for structural design and evaluation. Most of tall buildings, with minimum 40 meter high, in Semarang were designed and constructed following the 2002 and 2012 Indonesian Seismic Code. This paper presents the result of sensitivity analysis research with emphasis on the prediction of deformation and inter-story drift of existing tall building within the city against fault earthquakes. The analysis was performed by conducting dynamic structural analysis of 8 (eight) tall buildings using modified acceleration time histories. The modified acceleration time histories were calculated for three fault earthquakes with magnitude from 6 Mw to 7 Mw. The modified acceleration time histories were implemented due to inadequate time histories data caused by those three fault earthquakes. Sensitivity analysis of building against earthquake can be predicted by evaluating surface response spectra calculated using seismic code and surface response spectra calculated from acceleration time histories from a specific earthquake event. If surface response spectra calculated using seismic code is greater than surface response spectra calculated from acceleration time histories the structure will stable enough to resist the earthquake force.

  16. Ultra Clean 1.1MW High Efficiency Natural Gas Engine Powered System

    Energy Technology Data Exchange (ETDEWEB)

    Zurlo, James; Lueck, Steve

    2011-08-31

    Dresser, Inc. (GE Energy, Waukesha gas engines) will develop, test, demonstrate, and commercialize a 1.1 Megawatt (MW) natural gas fueled combined heat and power reciprocating engine powered package. This package will feature a total efficiency > 75% and ultra low CARB permitting emissions. Our modular design will cover the 1 – 6 MW size range, and this scalable technology can be used in both smaller and larger engine powered CHP packages. To further advance one of the key advantages of reciprocating engines, the engine, generator and CHP package will be optimized for low initial and operating costs. Dresser, Inc. will leverage the knowledge gained in the DOE - ARES program. Dresser, Inc. will work with commercial, regulatory, and government entities to help break down barriers to wider deployment of CHP. The outcome of this project will be a commercially successful 1.1 MW CHP package with high electrical and total efficiency that will significantly reduce emissions compared to the current central power plant paradigm. Principal objectives by phases for Budget Period 1 include: • Phase 1 – market study to determine optimum system performance, target first cost, lifecycle cost, and creation of a detailed product specification. • Phase 2 – Refinement of the Waukesha CHP system design concepts, identification of critical characteristics, initial evaluation of technical solutions, and risk mitigation plans. Background

  17. Neutron flux measurement in the central channel (XC1) of TRIGA 14 MW LEU core

    International Nuclear Information System (INIS)

    Barbos, D.; Busuioc, P.; Paunoiu, C.; Roth, Cs.

    2008-01-01

    The full conversion of the 14 MW TRIGA Research Reactor was completed in May 2006 and each step of the conversion was achieved by removal of HEU fuel and replaced by LEU fuel. The operation was accompanied by a large set of theoretical evaluations and physical measurements intended to confirm the performances of gradual conversion. After the core full conversion, a program of measurements and comparisons with previous results of core physics and measurements is underway, allowing data acquisition for normal operation, demonstration of safety and economics of the converted core. Neutron flux spectrum measurements in the XC-1 water-filled channel were performed using multi-foil activation techniques. The neutron spectra and flux are obtained by unfolding from measured reaction rates using SAND II computer code. The integral flux measured value for LEU core and 14 MW reactor power is 4.66x10 14 n/cm 2 s. For standard core the integral neutron flux for 14 MW reactor power was 4.27x10 14 n/cm 2 s. (authors)

  18. Development of a field pole of 1 MW-class HTS motor

    Science.gov (United States)

    Yuan, S.; Kimura, Y.; Miki, M.; Felder, B.; Tsuzuki, K.; Ida, T.; Izumi, M.; Umemoto, K.; Aizawa, K.; Yokoyama, M.

    2010-06-01

    We report a field-pole high-temperature superconductor (HTS) magnet designed for 1 MW-class motor for propulsion. The field pole is assembled to the rotor of the radial-type motor. Each field pole is composed of HTS-Bi2223 tape wound into coils which have been piled up as a double pancake coils. In the design concept of the motor, we employ field poles without iron core. We prepared the test field-pole coil, whose dimension is smaller than the designed one for 1 MW, and tested its performances after cooling under self-field and external magnetic field. We verified the operation with the minimum bend radius of the coils required in the motor design, while keeping an optimal current which is lower than the critical current of the field-pole coil. The test HTS field poles were successfully cooled down and operated under a magnetic field ranging up to 5 T. We report the results of the test field-pole coil and the manufacture of a practical racetrack coil with Bi2223 and discuss the adaptability to 1 MW-class motors.

  19. Commissioning of 170 GHz, 1 MW EC H&CD in KSTAR

    Science.gov (United States)

    Jeong, J. H.; Sakamoto, K.; Joung, M.; Park, S. I.; Kim, H. J.; Han, W. S.; Kim, J. S.; Bae, Y. S.; Yang, H. L.; Kwak, J. G.; Kwon, M.; Namkung, W.; Park, H.; Cho, M. H.; Kajiwara, K.; Oda, Y.; Hosea, J.; Ellis, R.; Doane, J.; Olstad, R.

    2012-09-01

    The newly installed electron cyclotron heating and current drive (EC H&CD) system with a frequency of 170 GHz was successfully commissioned and used for the second-harmonic ECH-assisted startup in 2011 operational campaign of the KSTAR. As a RF power source, ITER pre-prototype of 170 GHz, 1 MW continuous-wave gyrotron, is loaned from the Japan Atomic Energy Agency (JAEA). During the KSTAR 2011 plamma campaign, maxumum pulse length of 10 sec at 0.6 MW EC beam was reliably injected into the plasma and the 170 GHz second harmonic ECH-assisted start-up was successful leading to reduce the flux consumption at toroidal magnetic field of 3 T. As a result, the flux consumption until the plasma current flat-top was reduced from 4.13 Wb for pure Ohmic to 3.62 Wb (12 % reduction) for the perpendicular injection. When the EC beam is launched with toroidal angle of 20 deg in co-CD direction, more reduced magnetic flux consumption was obtained with 3.14 Wb (24 % reduction) compared with pure OH plasmas. In recent, the gyrotron has been successfully commissioned with the output power of 1 MW and the pulse duration of 20 sec in KSTAR. This paper presents successful commissioning of 170 GHz EC H&CD system in KSTAR as well as the heating and startup experimental results.

  20. Uji Ketahanan Beberapa Varietas Dan Pengaruh Jarak Tanam Terhadap Penyakit Karat Daun (Puccinia Polysora Underw) Pada Tanaman Jagung (Zea Mays L.)

    OpenAIRE

    Aditya, Sukma

    2013-01-01

    Sukma Aditya, "Some Resistance Test Plant Varieties and Influence Distance Against Disease Leaf Rust (Puccinia polysora Underw) In the Corn Plantation (Zea mays l.) In the Lowlands". Supervised by Dr. Ir. Hasanuddin, MS, and Ir. Mukhtar Pinem Iskandar, M. Agr. This study aims to determine the resistance of some varieties of maize (Zea mays L.) and plant spacing influence on leaf rust disease (Puccinia polysora Underw.) In the lowlands. Research conducted in the village of Tanjung Selamat, Med...

  1. Global curriculum in surgical oncology.

    Science.gov (United States)

    Are, C; Berman, R S; Wyld, L; Cummings, C; Lecoq, C; Audisio, R A

    2016-06-01

    The significant global variations in surgical oncology training paradigms can have a detrimental effect on tackling the rising global cancer burden. While some variations in training are essential to account for the differences in types of cancer and biology, the fundamental principles of providing care to a cancer patient remain the same. The development of a global curriculum in surgical oncology with incorporated essential standards could be very useful in building an adequately trained surgical oncology workforce, which in turn could help in tackling the rising global cancer burden. The leaders of the Society of Surgical Oncology and European Society of Surgical Oncology convened a global curriculum committee to develop a global curriculum in surgical oncology. A global curriculum in surgical oncology was developed to incorporate the required domains considered to be essential in training a surgical oncologist. The curriculum was constructed in a modular fashion to permit flexibility to suit the needs of the different regions of the world. Similarly, recognizing the various sociocultural, financial and cultural influences across the world, the proposed curriculum is aspirational and not mandatory in intent. A global curriculum was developed which may be considered as a foundational scaffolding for training surgical oncologists worldwide. It is envisioned that this initial global curriculum will provide a flexible and modular scaffolding that can be tailored by individual countries or regions to train surgical oncologists in a way that is appropriate for practice in their local environment. Copyright © 2016 Society of Surgical Oncology, European Society of Surgical Oncology. Published by Elsevier Ltd.. All rights reserved.

  2. Surgical treatment of aortic coarctation

    OpenAIRE

    Omeje, IC; Poruban, R; ?ag?t, M; Nos?l, M; Hra?ka, V

    2004-01-01

    Coarctation of the aorta accounts for about 8% of all congenital heart diseases. Since the first successful case of surgical treatment in 1944 by Crafoord and Nylin1 in Sweden, several surgical techniques have been employed in the treatment of this anomaly. This article reviews by illustration the various surgical options in coarctation of the aorta with emphasis on our preferred technique – the extended resection and end-to-end anastomosis. Why the extended resection technique? Our exper...

  3. The Overview of Surgical Site Infection of Pasca Caesarean Section at Arifin Achmad General Hospital of Riau Province 1 January – 31 December 2014 Period

    OpenAIRE

    Muttaqien, M. Imam; Hamidy, Muhammad Yulis; Rustam, Ruza Prima

    2016-01-01

    Caesarean section has high risk of surgical site infection (SSI). This research explain about surgical site infection after caesarean section in RSUD Arifin Achmad Province of Riau 1 January – 31 December period. The method of this research is retrospective descriptive. The source of data were taken from medical record of patient that underwent caesarean section in RSUD Arifin Achmad Province of Riau. This research found 573 patients that underwent caesarean section in 2014. The number of SSI...

  4. Graphite moderator annealing of the experimental reactor for irradiation (0.5 MW); Recozimento do moderador de grafite do reator experimental de irradiacao (0.5MW)

    Energy Technology Data Exchange (ETDEWEB)

    Oliveira Avila, Carlos Alberto de; Pires, Luis Fernando Goncalves [Centro Tecnologico do Exercito, Rio de Janeiro, RJ (Brazil). Instituto de Projetos Especiais

    1995-12-31

    This work describes an operational procedure for the annealing of the graphite moderator in the 0,5 MW Experimental Reactor for Irradiation. A theoretical methodology has been developed for calculating the temperature field during the annealing process. The equations for mass, momentum, and energy conservation for the coolant as well as for the energy conservation in the moderator are solved numerically. The energy stored in the graphite and released in the annealing is accounted for by the use of a modified source term in the energy conservation equation for the moderator. A good agreement has been found for comparisons of the calculations with annealing data from the BEPO reactor. The major parameters affecting annealing have also been determined. (author). 8 refs, 11 figs.

  5. Usefulness of surgical complexity classification index in cataract surgery process.

    Science.gov (United States)

    Salazar Méndez, R; Cuesta García, M; Llaneza Velasco, M E; Rodríguez Villa, S; Cubillas Martín, M; Alonso Álvarez, C M

    2016-06-01

    To evaluate the usefulness of surgical complexity classification index (SCCI) to predict the degree of surgical difficulty in cataract surgery. This retrospective study includes data collected between January 2013 and December 2014 from patients who underwent cataract extraction by phacoemulsification at our hospital. A sample size of 159 patients was obtained by simple random sampling (P=.5, 10% accuracy, 95% confidence). The main variables were: recording and value of SCCI in electronic medical record (EMR), presence of exfoliation syndrome (XFS), criteria for inclusion in surgical waiting list (SWL), and functional results. SCCI was classified into 7 categories (range: 1-4) according to predictors of technical difficulty, which was indirectly estimated in terms of surgical time (ST). All statistical analyses were performed using SPSS v15.0 statistical software. Prevalence of XFS was 18.2% (95%CI: 11.9-24.5). In terms of quality indicators in the cataract surgery process, 96.8% of patients met at least one of the criteria to be included in SWL, and 98.1% gained ≥2 Snellen lines. The SCCI was recorded in EMR of 98.1% patients, and it was grouped for study into 2 categories: High and low surgical complexity. Statistically significant differences in the distribution of ST were found depending on the assigned SCCI (Pde Oftalmología. Published by Elsevier España, S.L.U. All rights reserved.

  6. Overcoming Complications Through Pre-patient Surgical Training in Otolaryngology.

    Science.gov (United States)

    Mostaan, Leila Vazifeh; Poursadegh, Mahdi; Pourhamze, Mojgan; Roknabadi, Koorush; Shakeri, Mohammad Taghi

    2014-01-01

    Planning a balanced academic and practical surgical curriculum that is parallel to the constant innovations in surgical fields is the cornerstone of surgical education. Current training methods have coinciding benefits and drawbacks. In this study, we compare the efficacy of two learning models: pre-patient training outside the operating room versus step-by-step training on real patients in the operating room. Facial nerve preservation in superficial parotidectomy is the surgical model used in the study. Five otolaryngology residents in the third year of their residency participated in this study. They were divided into two groups: a treatment group which underwent a pre-patient training program by cadaver dissection and a control group which followed a step-by-step training model. At the end of the study, significant differences were apparent between two groups in the ability to find facial nerve trunk, microdissection of facial nerve branches, and the mean duration of total operating time. Pre-patient training programs outside the operating room provide surgical residents the opportunity to learn by trial and error without fear of complications.

  7. Solitary rectal ulcer syndrome: clinical findings, surgical treatment, and outcomes.

    Science.gov (United States)

    Torres, Carlos; Khaikin, Marat; Bracho, Jorge; Luo, Cheng Hua; Weiss, Eric G; Sands, Dana R; Cera, Susan; Nogueras, Juan J; Wexner, Steven D

    2007-11-01

    Solitary rectal ulcer syndrome (SRUS) is a rare disorder often misdiagnosed as a malignant ulcer. Histopathological features of SRUS are characteristic and pathognomonic; nevertheless, the endoscopic and clinical presentations may be confusing. The aim of the present study was to assess the clinical findings, surgical treatment, and outcomes in patients who suffer from SRUS. A retrospective chart review was undertaken, from January 1989 to May 2005 for all patients who were diagnosed with SRUS. Data recorded included: patient's age, gender, clinical presentation, past surgical history, diagnostic and preoperative workup, operative procedure, complications, and outcomes. During the study period, 23 patients were diagnosed with SRUS. Seven patients received only medical treatment, and in three patients, the ulcer healed after medical treatment. Sixteen patients underwent surgical treatment. In four patients, the symptoms persisted after surgery. Two patients presented with postoperative rectal bleeding requiring surgical intervention. Three patients developed late postoperative sexual dysfunction. One patient continued suffering from rectal pain after a colostomy was constructed. Median follow-up was 14 (range 2-84) months. The results of this study show clearly that every patient with SRUS must be assessed individually. Initial treatment should include conservative measures. In patients with refractory symptoms, surgical treatment should be considered. Results of anterior resection and protocolectomy are satisfactory for solitary rectal ulcer.

  8. Risk-factors for surgical delay following hip fracture.

    Science.gov (United States)

    Sanz-Reig, J; Salvador Marín, J; Ferrández Martínez, J; Orozco Beltrán, D; Martínez López, J F

    To identify pre-operative risk factors for surgical delay of more than 2 days after admission in patients older than 65 years with a hip fracture. A prospective observational study was conducted on 180 hip fractures in patients older than 65 years of age admitted to our hospital from January 2015 to April 2016. The data recorded included, patient demographics, day of admission, pre-fracture comorbidities, mental state, level of mobility and physical function, type of fracture, antiaggregant and anticoagulant medication, pre-operative haemoglobin value, type of treatment, and surgical delay. The mean age of the patients was 83.7 years. The mean Charlson Index was 2.8. The pre-fracture baseline co-morbidities were equal or greater than 2 in 70% of cases. Mean timing of surgery was 3.1 days. At the time of admission, 122 (67.7%) patients were fit for surgery, of which 80 (44.4%) underwent surgery within 2 days. A Charlson index greater than 2, anticoagulant therapy, and admission on Thursday to Saturday, were independently associated with a surgical delay greater than 2 days. The rate of hip fracture patients undergoing surgery within 2 days is low. Risk factors associated to surgical delay are non-modifiable. However, their knowledge should allow the development of protocols that can reduce surgical delay in this group of patients. Copyright © 2017 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.

  9. Ahmed glaucoma valve implant: surgical technique and complications

    Directory of Open Access Journals (Sweden)

    Riva I

    2017-02-01

    Full Text Available Ivano Riva,1 Gloria Roberti,1 Francesco Oddone,1 Anastasios GP Konstas,2 Luciano Quaranta3 1IRCCS “Fondazione GB Bietti per l’Oftalmologia”, Rome, Italy; 21st University Department of Ophthalmology, Glaucoma Unit, AHEPA Hospital, Thessaloniki, Greece; 3Department of Medical and Surgical Specialties, Section of Ophthalmology, University of Brescia, Brescia, Italy Abstract: Implantation of Ahmed glaucoma valve is an effective surgical technique to reduce intraocular pressure in patients affected with glaucoma. While in the past, the use of this device was reserved to glaucoma refractory to multiple filtration surgical procedures, up-to-date mounting experience has encouraged its use also as a primary surgery for selected cases. Implantation of Ahmed glaucoma valve can be challenging for the surgeon, especially in patients who already underwent previous multiple surgeries. Several tips have to be acquired by the surgeon, and a long learning curve is always needed. Although the valve mechanism embedded in the Ahmed glaucoma valve decreases the risk of postoperative hypotony-related complications, it does not avoid the need of a careful follow-up. Complications related to this type of surgery include early and late postoperative hypotony, excessive capsule fibrosis around the plate, erosion of the tube or plate edge, and very rarely infection. The aim of this review is to describe surgical technique for Ahmed glaucoma valve implantation and to report related complications. Keywords: glaucoma, surgical technique, glaucoma drainage devices, Ahmed glaucoma valve, complications

  10. Frequency and outcomes of biopsy-proven fibroadenomas recommended for surgical excision.

    Science.gov (United States)

    Lee, Shimwoo; Mercado, Cecilia L; Cangiarella, Joan F; Chhor, Chloe M

    2017-12-16

    Our aim was to investigate the outcomes of fibroadenomas recommended for surgical excision due to large size (>2cm) or interval growth. A retrospective review of our institutional radiology database from 2007 to 2015 was performed. We identified 167 biopsy-proven fibroadenomas recommended for surgical consultation. Of these, 75 (45%) cases actually underwent excision, 7 (9%, 95% CI: 4-18%) of which were upgraded to phyllodes tumors upon histopathological examination. Our results support the current recommendation to surgically excise breast lesions diagnosed as fibroadenomas with size >2cm or with interval growth due to the considerable risk of finding phyllodes tumors. Copyright © 2017 Elsevier Inc. All rights reserved.

  11. SURGICAL TREATMENT OF L5-SPONDYLOLISTHESIS VERTEBRAE IN CHILDREN. BENEFITS OF POSTERIOR APPROACH

    OpenAIRE

    Сергей Валентинович Виссарионов; Владислав Валерьевич Мурашко; Сергей Михайлович Белянчиков; Дмитрий Николаевич Кокушин; Ирина Юрьевна Солохина; Ирина Анатольевна Гусева; Татьяна Валерьевна Мурашко; Мария Сергеевна Павлова

    2014-01-01

    Objective to develop current options of surgical treatment of L5-spondylolisthesis in children. Materials and methods: 48 patients were observed and underwent surgical treatment at age of 10-17 years. In 9 patients spondylolisthesis of L5 was grade 2, in 14 - grade 3, in 12 - grade 4. 9 patients had spondyloptosis of the body of L5-vertebra. The article presents different options of surgical treatment of spondylolisthesis in children depending on the degree of vertebrae body shift and the mai...

  12. Non-surgical management of superior mesenteric artery thrombosis using spinal cord stimulation.

    Science.gov (United States)

    Tod, Laura; Ghosh, Jonathan; Lieberman, Ilan; Baguneid, Mohamed

    2013-08-05

    We report the use of a spinal cord stimulator (SCS) for non-surgical management of superior mesenteric artery thrombosis. A 59-year-old woman with polycythaemia rubra vera presented with extensive superior mesenteric artery thrombosis not amenable to surgical or endovascular revascularisation. A SCS was implanted for analgesia thereby allowing enteral feeding to be tolerated during the acute period. Four months later the patient developed a focal ischaemic jejunal stricture and underwent resection of a short segment of small bowel with primary anastomosis that healed without complication. Spinal cord stimulation can facilitate non-surgical management of mesenteric ischaemia.

  13. Surgical findings during exploratory laparotomy are closely related to mortality in premature infants with necrotising enterocolitis

    DEFF Research Database (Denmark)

    Hansen, M L; Juhl, S M; Fonnest, G

    2017-01-01

    at Rigshospitalet, Denmark, from 2006 to 2015, who underwent a laparotomy for acute NEC. They were classified according to the locality and extent of intestinal necrosis by a paediatric surgeon, based on the surgical findings. We correlated the surgical findings with postoperative outcomes, namely death and, or......AIM: This study investigated whether a correlation existed between surgical findings during the first laparotomy for necrotising enterocolitis (NEC) and death and, or, disease progression. METHODS: We included infants admitted within one day of birth to our tertiary neonatal department...

  14. The Chiloé Mw 7.6 earthquake of 2016 December 25 in Southern Chile and its relation to the Mw 9.5 1960 Valdivia earthquake

    Science.gov (United States)

    Lange, Dietrich; Ruiz, Javier; Carrasco, Sebastián; Manríquez, Paula

    2018-04-01

    On 2016 December 25, an Mw 7.6 earthquake broke a portion of the Southern Chilean subduction zone south of Chiloé Island, located in the central part of the Mw 9.5 1960 Valdivia earthquake. This region is characterized by repeated earthquakes in 1960 and historical times with very sparse interseismic activity due to the subduction of a young (˜15 Ma), and therefore hot, oceanic plate. We estimate the coseismic slip distribution based on a kinematic finite-fault source model, and through joint inversion of teleseismic body waves and strong motion data. The coseismic slip model yields a total seismic moment of 3.94 × 1020 N.m that occurred over ˜30 s, with the rupture propagating mainly downdip, reaching a peak slip of ˜4.2 m. Regional moment tensor inversion of stronger aftershocks reveals thrust type faulting at depths of the plate interface. The fore- and aftershock seismicity is mostly related to the subduction interface with sparse seismicity in the overriding crust. The 2016 Chiloé event broke a region with increased locking and most likely broke an asperity of the 1960 earthquake. The updip limit of the main event, aftershocks, foreshocks and interseismic activity are spatially similar, located ˜15 km offshore and parallel to Chiloé Islands west coast. The coseismic slip model of the 2016 Chiloé earthquake suggests a peak slip of 4.2 m that locally exceeds the 3.38 m slip deficit that has accumulated since 1960. Therefore, the 2016 Chiloé earthquake possibly released strain that has built up prior to the 1960 Valdivia earthquake.

  15. Postseismic deformation following the 2010 Mw 8.8 Maule and 2014 Mw 8.1 Pisagua megathrust earthquakes in Chile

    Science.gov (United States)

    Weiss, J. R.; Saunders, A.; Qiu, Q.; Foster, J. H.; Gomez, D.; Bevis, M. G.; Smalley, R., Jr.; Cimbaro, S.; Lenzano, L. E.; Barón, J.; Baez, J. C.; Echalar, A.; Avery, J.; Wright, T. J.

    2017-12-01

    We use a large regional network of continuous GPS sites to investigate postseismic deformation following the Mw 8.8 Maule and Mw 8.1 Pisagua earthquakes in Chile. Geodetic observations of surface displacements associated with megathrust earthquakes aid our understanding of the subduction zone earthquake cycle including postseismic processes such as afterslip and viscoelastic relaxation. The observations also help place constraints on the rheology and structure of the crust and upper mantle. We first empirically model the data and find that, while single-term logarithmic functions adequately fit the postseismic timeseries, they do a poor job of characterizing the rapid displacements in the days to weeks following the earthquakes. Combined exponential-logarithmic functions better capture the inferred near-field transition between afterslip and viscous relaxation, however displacements are best fit by three-term exponential functions with characteristic decay times of 15, 250, and 1500 days. Viscoelastic modeling of the velocity field and timeseries following the Maule earthquake suggests that the rheology is complex but is consistent with a 100-km-thick asthenosphere channel of viscosity 1018 Pa s sandwiched between a 40-km-thick elastic lid and a strong viscoelastic upper mantle. Variations in lid thickness of up to 40 km may be present and in some locations rapid deformation within the first months to years following the Maule event requires an even lower effective viscosity or a significant contribution from afterslip. We investigate this further by jointly inverting the GPS data for the time evolution of afterslip and viscous flow in the mantle wedge surrounding the Maule event.

  16. Tophi - surgical treatment.

    Science.gov (United States)

    Słowińska, Iwona; Słowiński, Radosław; Rutkowska-Sak, Lidia

    2016-01-01

    Gout is an inflammatory joint disease associated with deposition of monosodium urate crystals in the bones forming the joints, in periarticular tissues and in other organs. The disease is one of the most frequent causes of disability. This paper presents the case of a 57-year-old male patient treated for generalised gout. A "clinical mask" suggesting another disease was the cause of making the correct diagnosis only six years after the occurrence of the first manifestations. The patient, with high values of inflammatory markers, severe pain and advanced joint destruction, was given an aggressive anti-inflammatory treatment. The unsatisfactory effect of the conservative treatment forced the authors to perform surgical resection of the gouty nodules in the hands. After several operations the function of the hand joints operated on, appearance of the hands and the quality of the patient's life improved significantly.

  17. Seismic and Aseismic Slip Surrounding the 2014 Mw 8.2 Pisagua (Chile) rupture

    Science.gov (United States)

    Shrivastava, M. N.; Gonzalez, G.; Salazar, P.; Moreno, M.; Baez, J. C.

    2017-12-01

    On April 1 2014, the Mw 8.2 Pisagua earthquake occurred in a part of standing seismic gap northern Chile. We inverted the cGPS time series for coseismic slip of mainshock and big aftershock Mw 7.6 on April 3, 2014 individually. The big aftershock Mw 7.6 occurred in south of the coseismic slip region of main shock. The coseismic slip model suggest that it has an asperity of single patch has slipped during the Pisagua earthquake and confined in the inter-seismically highly locked region. It seems that Iquique ridge fragmented northern Chile seismic gap region. It could provide small asperity, which has broken partial discretely. The spatial distribution of afterslip from the inversion of cGPS time series is consistent and appears in two patches to cover north and south of the mainshock coseismic slip patch. The afterslip patches suggest that the maximum cumulative afterslip 50cm is located at ˜19.0°S to the north of the mainshock rupture zone and down dip 38km. The estimated postseismic moment released in the first 60-days of afterslip is equivalent to an earthquake of Mw 7.43. The 60-days 306 aftershocks (Mw>3.0) has confined in the mainshock slip and southern afterslip region. With the afterslip model 60-days, it concludes that aftershocks distribution not only depends on Coulomb stress changes but also the locking degree of region/heterogeneity of the plate interface. Seismic slip is restricted in the southern locked region, but aseismic slip in the northern low locking region. It means the southern portion of the northern Chile is still non-ruptured. It can break with great megathrust earthquake in future. Therefore, it is essential to scrutinize the slip deficit by using a space geodetic technique to assess earthquake potential. The northern patch of the afterslip is purely aseismic as stable sliding confined in the low locking region, however the southern patch afterslip seismically as unstable stick-slip dominating. It suggests that afterslip illuminates the

  18. The Pegasus Bay aftershock sequence of the Mw 7.1 Darfield (Canterbury), New Zealand earthquake

    Science.gov (United States)

    Ristau, John; Holden, Caroline; Kaiser, Anna; Williams, Charles; Bannister, Stephen; Fry, Bill

    2013-10-01

    The Pegasus Bay aftershock sequence is the most recent aftershock sequence of the 2010 September 3 UTC moment magnitude (Mw) 7.1 Darfield earthquake in the Canterbury region of New Zealand. The Pegasus Bay aftershock sequence began on 2011 December 23 UTC with three events of Mw 5.4-5.9 located in the offshore region of Pegasus Bay, east of Christchurch city. We present a summary of key aspects of the sequence derived using various geophysical methods. Relocations carried out using double-difference tomography show a well-defined NNE-SSW to NE-SW series of aftershocks with most of the activity occurring at depths >5 km and an average depth of ˜10 km. Regional moment tensor solutions calculated for the Pegasus Bay sequence indicate that the vast majority (45 of 53 events) are reverse-faulting events with an average P-axis azimuth of 125°. Strong-motion data inversion favours a SE-dipping fault plane for the largest event (Mw 5.9) with a slip patch of 18 km × 15 km and a maximum slip of 0.8 m at 3.5 km depth. Peak ground accelerations ranging up to 0.98 g on the vertical component were recorded during the sequence, and the largest event produced horizontal accelerations of 0.2-0.4 g in the Christchurch central business district. Apparent stress estimates for the two largest events are 1.1 MPa (Mw 5.9) and 0.2 MPa (Mw 5.8), which are compatible with global averages, although lower than other large events in the Canterbury aftershock sequence. Coulomb stress analysis indicates that previous large earthquakes in the Canterbury sequence generate Coulomb stress increases for the two events only at relatively shallow depths (3-5 km). At greater depths, Coulomb stress decreases are predicted at the locations of the two events. The trend of the aftershocks is similar to mapped reverse faults north of Christchurch, and the high number of reverse-faulting mechanisms suggests that similar reverse-faulting structures are present in the offshore region east of Christchurch.

  19. Generation of 99-mW continuous-wave 285-nm radiation for magneto-optical trapping of Mg atoms

    DEFF Research Database (Denmark)

    Madsen, Dorte Nørgaard; Yu, Ping; Balslev, Søren

    2002-01-01

    We have developed a tunable intense narrow-band 285 nm light source based on frequency doubling of 570 nm light in BBO. At input powers of 840 mW (including 130 mW used for locking purposes) we generate 99 mW UV radiation with an intensity profile suitable for laser-cooling experiments. The light...... is used for laser cooling of neutral magnesium atoms in a magneto-optical trap (MOT). We capture about 5 x 10(6) atoms directly from a thermal beam and find that the major loss mechanism of the magnesium MOT is a near-resonant two-photon ionization process....

  20. Surgical Excision of Benign Papillomas Diagnosed with Core Biopsy: A Community Hospital Approach

    International Nuclear Information System (INIS)

    Rozentsvayg, Eka; Carver, Kristen; Borkar, Sunita; Mathew, Melvy; Enis, Sean; Friedman, Paul

    2011-01-01

    Our goal was to assess the value of surgical excision of benign papillomas of the breast diagnosed on percutaneous core biopsy by determining the frequency of upgrade to malignancies and high risk lesions on a final surgical pathology. We reviewed 67 patients who had biopsies yielding benign papilloma and underwent subsequent surgical excision. Surgical pathology of the excised lesions was compared with initial core biopsy pathology results. 54 patients had concordant benign core and excisional pathology. Cancer (ductal carcinoma in situ and invasive ductal carcinoma) was diagnosed in five (7%) patients. Surgery revealed high-risk lesions in 8 (12%) patients, including atypical ductal hyperplasia, atypical lobular hyperplasia, and lobular carcinoma in situ. Cancer and high risk lesions accounted for 13 (19%) upstaging events from benign papilloma diagnosis. Our data suggests that surgical excision is warranted with core pathology of benign papilloma

  1. Impact of surgical complications on length of stay after hip fracture surgery

    DEFF Research Database (Denmark)

    Foss, Nicolai Bang; Palm, Henrik; Krasheninnikoff, Michael

    2006-01-01

    BACKGROUND: Rehabilitation after hip fracture may be lengthy, with bed-day consumption accounting for up to 85% of the total cost of admission to hospital. Data suggest that surgical complications requiring reoperation may lead to an excessively long in-patient stays. However, the overall impact...... of surgical complications has not been examined in detail. METHODS: All 600 consecutive patients included were admitted with primary hip fracture and received primary surgical intervention with multimodal rehabilitation. Surgical complications were audited and classified as being due to a patient fall......, infection or suboptimal surgery, stratified into either requiring reoperation or not allowing mobilisation because of instability. RESULTS: Of the 600, 116 (19.3, 95% CI 16-22%) patients underwent reoperation or immobilisation; 27.1% of bed-day consumption resulted from surgical complications. The audit...

  2. Surgical and pharmacological reassignment: influence on transsexual cardiovascular risk profile.

    Science.gov (United States)

    Ciccone, Marco M; Loverro, Giuseppe; Scicchitano, Pietro; Loverro, Matteo; Ricci, Gabriella; Scaramuzzi, Francesca; Gesualdo, Michele; Zito, Annapaola; Campagna, Marcello; Moncelli, Michele; Nicolardi, Vittorio; Manca, Fabio; Boninfante, Barbara; Carbonara, Santa; Cortese, Francesca; Todarello, Orlando; Bettocchi, Carlo

    2017-11-01

    To evaluate and stratify early cardiovascular risk of transsexuals who underwent pharmacological and/or surgical gender reassignment. Fifty-six transsexuals were divided into two groups: group 1 - underwent gonadectomy (orchiectomy for transwomen and hystero-annessiectomy for transmen); group 2 - hormone replacement therapy alone. All participants underwent carotid artery intima-media thickness (C-IMT) and flow-mediated vasodilation (FMD) of brachial artery evaluations. FMD was lower in patients who had undergone gonadectomy compared with non-surgically treated patients (Group 1: 5.711 vs Group 2: 7.339, P < 0.0001). Mean C-IMT was higher in group 1 than group 2 (group 1: 0.733 vs group 2: 0.582). The duration of hormone therapy correlates positively with mean C-IMT (B = 0.001) and negatively with FMD (%) (B = - 0.007). Cardiovascular risk, which is expressed in terms of endothelial (FMD) and morphological (C-IMT) dysfunction, increases in subjects undergoing gonadectomy compared with those receiving cross-sex reassignment therapy alone. © 2017 Royal Australasian College of Physicians.

  3. Surgical thromboendarterectomy for chronic thromboembolic pulmonary hypertension using circulatory arrest with selective antegrade cerebral perfusion

    NARCIS (Netherlands)

    Zeebregts, CJAM; Dossche, KM; Morshuis, WJ; Knaepen, PJ; Schepens, MAAM

    The use of circulatory arrest with selective antegrade cerebral perfusion is described in a 59-year-old man who underwent thrombendarterectomy for chronic thromboembolic pulmonary hypertension. The postoperative course was uneventful. The described surgical technique may prevent the patient from

  4. Indications for surgical removal of the eye in adults: a five-year review

    African Journals Online (AJOL)

    Background: To determine the indications and procedures used for removing the eye in adults in our environment. Method: A retrospective study of destructive ocular surgeries carried out between January 1999 and December 2003. Theatre and case records of adult patients that underwent surgical removal of the eye over ...

  5. Statistical shape modelling to aid surgical planning: associations between surgical parameters and head shapes following spring-assisted cranioplasty.

    Science.gov (United States)

    Rodriguez-Florez, Naiara; Bruse, Jan L; Borghi, Alessandro; Vercruysse, Herman; Ong, Juling; James, Greg; Pennec, Xavier; Dunaway, David J; Jeelani, N U Owase; Schievano, Silvia

    2017-10-01

    Spring-assisted cranioplasty is performed to correct the long and narrow head shape of children with sagittal synostosis. Such corrective surgery involves osteotomies and the placement of spring-like distractors, which gradually expand to widen the skull until removal about 4 months later. Due to its dynamic nature, associations between surgical parameters and post-operative 3D head shape features are difficult to comprehend. The current study aimed at applying population-based statistical shape modelling to gain insight into how the choice of surgical parameters such as craniotomy size and spring positioning affects post-surgical head shape. Twenty consecutive patients with sagittal synostosis who underwent spring-assisted cranioplasty at Great Ormond Street Hospital for Children (London, UK) were prospectively recruited. Using a nonparametric statistical modelling technique based on mathematical currents, a 3D head shape template was computed from surface head scans of sagittal patients after spring removal. Partial least squares (PLS) regression was employed to quantify and visualise trends of localised head shape changes associated with the surgical parameters recorded during spring insertion: anterior-posterior and lateral craniotomy dimensions, anterior spring position and distance between anterior and posterior springs. Bivariate correlations between surgical parameters and corresponding PLS shape vectors demonstrated that anterior-posterior (Pearson's [Formula: see text]) and lateral craniotomy dimensions (Spearman's [Formula: see text]), as well as the position of the anterior spring ([Formula: see text]) and the distance between both springs ([Formula: see text]) on average had significant effects on head shapes at the time of spring removal. Such effects were visualised on 3D models. Population-based analysis of 3D post-operative medical images via computational statistical modelling tools allowed for detection of novel associations between surgical

  6. Surgical innovations in canine gonadectomy

    NARCIS (Netherlands)

    Van Goethem, Bart

    2016-01-01

    In this thesis some recent technological developments in human surgery are evaluated for their potential use in veterinary medicine by introducing them as surgical innovations for canine gonadectomy. Barbed sutures achieve wound apposition without surgical knot tying and thus avoid knot-associated

  7. Mortality in Emergency Surgical Oncology

    NARCIS (Netherlands)

    Bosscher, M. R. F.; van Leeuwen, B. L.; Hoekstra, H. J.

    Cancer patients can experience problems related to their disease or treatment. This study evaluated reasons for presentation at the emergency room (ER) and outcome of surgical oncology patients. A retrospective chart review for all surgical oncology patients who presented at the ER of the UMCG for

  8. Surgical innovation : The ethical agenda

    NARCIS (Netherlands)

    Broekman, Marike L.|info:eu-repo/dai/nl/343152347; Carrière, Michelle E.; Bredenoord, Annelien L.|info:eu-repo/dai/nl/240834666

    2016-01-01

    The aim of the present article was to systematically review the ethics of surgical innovation and introduce the components of the learning health care system to guide future research and debate on surgical innovation. Although the call for evidence-based practice in surgery is increasingly high on

  9. Surgical residency: A tenant's view

    African Journals Online (AJOL)

    'To sleep: perchance to dream', is the frequent mantra of the surgical resident. However, unlike. Hamlet, there is no ensuing speculation as to what dreams may come as there are seldom any!! Surgical residency has been both vilified and immortalized, but the fact remains that it is one of the most challenging, provocative ...

  10. Foreshocks and delayed triggering of the 2016 MW7.1 Te Araroa earthquake and dynamic reinvigoration of its aftershock sequence by the MW7.8 Kaikōura earthquake, New Zealand

    Science.gov (United States)

    Warren-Smith, Emily; Fry, Bill; Kaneko, Yoshihiro; Chamberlain, Calum J.

    2018-01-01

    We analyze the preparatory period of the September 2016 MW7.1 Te Araroa foreshock-mainshock sequence in the Northern Hikurangi margin, New Zealand, and subsequent reinvigoration of Te Araroa aftershocks driven by a large distant earthquake (the November 2016 MW7.8 Kaikōura earthquake). By adopting a matched-filter detection workflow using 582 well-defined template events, we generate an improved foreshock and aftershock catalog for the Te Araroa sequence (>8,000 earthquakes over 66 d). Templates characteristic of the MW7.1 sequence (including the mainshock template) detect several highly correlating events (ML2.5-3.5) starting 12 min after a MW5.7 foreshock. These pre-cursory events occurred within ∼1 km of the mainshock and migrate bilaterally, suggesting precursory slip was triggered by the foreshock on the MW7.1 fault patch prior to mainshock failure. We extend our matched-filter routine to examine the interactions between high dynamic stresses resulting from passing surface waves of the November 2016 MW7.8 Kaikōura earthquake, and the evolution of the Te Araroa aftershock sequence. We observe a sudden spike in moment release of the aftershock sequence immediately following peak dynamic Coulomb stresses of 50-150 kPa on the MW7.1 fault plane. The triggered increase in moment release culminated in a MW5.1 event, immediately followed by a ∼3 h temporal stress shadow. Our observations document the preparatory period of a major subduction margin earthquake following a significant foreshock, and quantify dynamic reinvigoration of a distant on-going major aftershock sequence amid a period of temporal clustering of seismic activity in New Zealand.

  11. Surgical procedures for voice restoration

    Science.gov (United States)

    Nawka, Tadeus; Hosemann, Werner

    2005-01-01

    Surgical procedures for voice restoration serve to improve oral communication by better vocal function. They comprise of phonomicrosurgery, with direct and indirect access to the larynx; laryngoplasty; laryngeal injections; and surgical laryngeal reinnervation. The basis for modern surgical techniques for voice disorders is the knowledge about the ultrastructure of the vocal folds and the increasing experience of surgeons in voice surgery, while facing high social and professional demands on the voice. Vocal activity limitation and participation restriction has become more important in the artistic and social areas. A number of surgical methods that have been developed worldwide for this reason, are presented in this article. Functional oriented surgery has to meet high standards. The diagnostics of vocal function has to be multi-dimensional in order to determine the indication and the appropriate surgical intervention. PMID:22073062

  12. Surgical Management of Calcaneal Malunion

    Directory of Open Access Journals (Sweden)

    Guang-Rong Yu

    2013-06-01

    Full Text Available Calcaneal malunion is a common complication after conservative treatment or incorrect surgical treatment of calcaneal fracture. The typical pathoanatomies of calcaneal malunion are subtalar joint incongruity, loss of calcaneal height, arch collapse, varus or valgus deformity of the calcaneus, heel widening and so on. Calcaneal malunion often needs to be treated surgically. The classification of calcaneal malunion and the detailed clinical and radiographical assessment play important roles for surgical option. The main surgical methods include in situ subtalar arthrodesis, reconstruction of calcaneal thalamus and subtalar arthrodesis, calcaneal osteotomy with subtalar arthrodesis, corrective calcaneal osteotomy without subtalar arthrodesis. Each option has its different indications, advantages and disadvantages. Thus, the surgical treatment should be individualised.

  13. Customized "In-Office" Three-Dimensional Printing for Virtual Surgical Planning in Craniofacial Surgery.

    Science.gov (United States)

    Mendez, Bernardino M; Chiodo, Michael V; Patel, Parit A

    2015-07-01

    Virtual surgical planning using three-dimensional (3D) printing technology has improved surgical efficiency and precision. A limitation to this technology is that production of 3D surgical models requires a third-party source, leading to increased costs (up to $4000) and prolonged assembly times (averaging 2-3 weeks). The purpose of this study is to evaluate the feasibility, cost, and production time of customized skull models created by an "in-office" 3D printer for craniofacial reconstruction. Two patients underwent craniofacial reconstruction with the assistance of "in-office" 3D printing technology. Three-dimensional skull models were created from a bioplastic filament with a 3D printer using computed tomography (CT) image data. The cost and production time for each model were measured. For both patients, a customized 3D surgical model was used preoperatively to plan split calvarial bone grafting and intraoperatively to more efficiently and precisely perform the craniofacial reconstruction. The average cost for surgical model production with the "in-office" 3D printer was $25 (cost of bioplastic materials used to create surgical model) and the average production time was 14  hours. Virtual surgical planning using "in office" 3D printing is feasible and allows for a more cost-effective and less time consuming method for creating surgical models and guides. By bringing 3D printing to the office setting, we hope to improve intraoperative efficiency, surgical precision, and overall cost for various types of craniofacial and reconstructive surgery.

  14. Predictive Score Card in Lumbar Disc Herniation: Is It Reflective of Patient Surgical Success after Discectomy?

    Directory of Open Access Journals (Sweden)

    Parisa Azimi

    Full Text Available Does the Finneson-Cooper score reflect the true value of predicting surgical success before discectomy? The aim of this study was to identify reliable predictors for surgical success two year after surgery for patients with LDH. Prospective analysis of 154 patients with LDH who underwent single-level lumbar discectomy was performed. Pre- and post-surgical success was assessed by the Oswestry Disability Index (ODI over a 2-year period. The Finneson-Cooper score also was used for evaluation of the clinical results. Using the ODI, surgical success was defined as a 30% (or more improvement on the ODI score from the baseline. The ODI was considered the gold standard in this study. Finally, the sensitivity, specificity, and positive and negative predictive power of the Finneson-Cooper score in predicting surgical success were calculated. The mean age of the patients was 49.6 (SD = 9.3 years and 47.4% were male. Significant improvement from the pre- to post-operative ODI scores was observed (P < 0.001. Post-surgical success was 76.0% (n = 117. The patients' rating on surgical success assessments by the ODI discriminated well between sub-groups of patients who differed with respect to the Finneson-Cooper score. Regarding patients' surgical success, the sensitivity, specificity, and accuracy of the Finneson-Cooper ratings correlated with success rate. The findings indicated that the Finneson-Cooper score was reflective of surgical success before discectomy.

  15. Comparison of effectiveness and cost of patent ductus arteriosus device occlusion versus surgical ligation of patent ductus arteriosus.

    Science.gov (United States)

    Zulqarnain, Arif; Younas, Muhammad; Waqar, Tariq; Beg, Ahsan; Asma, Touseef; Baig, Mirza Ahmad Raza

    2016-01-01

    Comparison of effectiveness and cost of transcatheter occlusion of patent ductus arteriosus (PDA) with surgical ligation of PDA. This retrospective comparative study was conducted in the pediatric cardiology department of Ch. Pervaiz Elahi Institute of Cardiology Multan, Pakistan. Data of 250 patients who underwent patent ductus arteriosus (PDA) closure either surgical or trans-catheter closure using SHSMA Occluder having weight >5 kg from April 2012 to October 2015 were included in this study. SPSS version 20 was used for data analysis. Quantitative variables were compared using independent sample t-test. Chi-square test and fishers exact was used for qualitative variables. P-value <0.05 was considered statistically significant. There were one hundred and twenty (120) patients who underwent transcatheter occlusion of PDA using SHSMA occluder (PDA Device Group) and one hundred and thirty (130) patients who underwent surgical ligation of PDA (Surgical Group). Incidence of residual shunting was two (1.5%) in surgical group and 0 (0.0%) in PDA Device group for one month follow up period. There were 4 (3.1%) major complications in surgical group. The rate of blood transfusions were high in surgical group (p-value 0.04). Hospital stay time was significantly less in PDA Device group (P-value <0.001). Total procedural cost was 110695+1054 Pakistani rupees in PDA Device group and 92414+3512 in surgical group (p-value <0.001). The cost of PDA device closure was 16.52% higher than the surgical ligation of PDA. There was no operative mortality. The transcatheter closure of PDA is an effective and less invasive method as compared to the surgical ligation. There is a lower rate of complications and the cost is not much high as compared to surgical PDA ligation.

  16. Antibiotic stewardship in the newborn surgical patient: A quality improvement project in the neonatal intensive care unit.

    Science.gov (United States)

    Walker, Sarah; Datta, Ankur; Massoumi, Roxanne L; Gross, Erica R; Uhing, Michael; Arca, Marjorie J

    2017-12-01

    There is significant diversity in the utilization of antibiotics for neonates undergoing surgical procedures. Our institution standardized antibiotic administration for surgical neonates, in which no empiric antibiotics were given to infants with surgical conditions postnatally, and antibiotics are given no more than 72 hours perioperatively. We compared the time periods before and after implementation of antibiotic protocol in an institution review board-approved, retrospective review of neonates with congenital surgical conditions who underwent surgical correction within 30 days after birth. Surgical site infection at 30 days was the primary outcome, and development of hospital-acquired infections or multidrug-resistant organism were secondary outcomes. One hundred forty-eight infants underwent surgical procedures pre-protocol, and 127 underwent procedures post-protocol implementation. Surgical site infection rates were similar pre- and post-protocol, 14% and 9% respectively, (P = .21.) The incidence of hospital-acquired infections (13.7% vs 8.7%, P = .205) and multidrug-resistant organism (4.7% vs 1.6%, P = .143) was similar between the 2 periods. Elimination of empiric postnatal antibiotics did not statistically change rates of surgical site infection, hospital-acquired infections, or multidrug-resistant organisms. Limiting the duration of perioperative antibiotic prophylaxis to no more than 72 hours after surgery did not increase the rate of surgical site infection, hospital-acquired infections, or multidrug-resistant organism. Median antibiotic days were decreased with antibiotic standardization for surgical neonates. Copyright © 2017 Elsevier Inc. All rights reserved.

  17. Long-term effect of infection prevention practices and case mix on cesarean surgical site infections.

    Science.gov (United States)

    Kittur, Nupur D; McMullen, Kathleen M; Russo, Anthony J; Ruhl, Loie; Kay, Helen H; Warren, David K

    2012-08-01

    To estimate trends in patient characteristics and obstetric complications in an 8-year cohort of patients undergoing cesarean delivery and to use time series analysis to estimate the effect of infection prevention interventions and secular trends in patient characteristics on postcesarean delivery surgical site infections. A multivariable autoregressive integrated moving average model was used to perform time series analysis on a 96-month retrospective cohort of patients who underwent cesarean delivery (January 2003-December 2010) in a U.S. tertiary care hospital. We identified 8,668 women who underwent cesarean delivery. Median age was 26 years (range 12-53 years), 3,093 (35.7%) of patients had body mass indexes (BMIs) of 35 or greater, 2,561 (29.5%) were of white race, and 303 (3.5%) had a surgical site infection. Over the study period, there was a significant increase in the proportion of patients who underwent cesarean delivery who had BMIs of 35 or higher, hypertension or mild preeclampsia, and severe preeclampsia or eclampsia. A nonseasonal autoregressive integrated moving average model with a linear trend and no autocorrelation was identified. In the multivariable autoregressive integrated moving average model of postcesarean surgical site infections, implementation of a policy to administer prophylactic antibiotics within 1 hour before incision, instead of at the time of cord clamp, led to a 48% reduction in cesarean delivery surgical site infections (Δ=-5.4 surgical site infections per 100 cesarean deliveries; Pinfections. III.

  18. [VIPoma: surgical treatment].

    Science.gov (United States)

    Procacciante, F; Picozzi, P; Fantini, A; Pacifici, M; Di Nardo, A; Ribotta, G; Delle Fave, G; Catani, M; Ruggeri, S; Romeo, F

    1992-02-01

    This paper reports a case of pancreatic VIPoma with widespread hepatic metastasis which was treated for approximately 2 years with a synthetic somatostatin analog (SMS 201/995). The treatment of choice in cases in which the tumour was fully removable is surgical resection. This occurred rarely since approximately 80% of VIPomas are malignant and are operated late when local infiltration is already widespread; in addition, 50% of cases are already metastasised at diagnosis. In this case, due to the infiltration of the superior mesenteric artery by the primary tumour it was necessary to carry out a left pancreasectomy which included two-thirds of the neoplastic mass. This was justified by slow tumour growth and also facilitated control of diarrhea and ensured a greater efficacy of possible postoperative chemotherapy. The use of synthetic somatostatin analog (SMS 201/995) enabled diarrhea to be satisfactorily controlled and is therefore specifically indicated for this type of tumour. NSE serum assay (neuron specific enolase) allowed the evolution of disease to be monitored during follow-up.

  19. The multi-interlock and check of logical system for 5 MW low power reactor automatic rod

    International Nuclear Information System (INIS)

    Li Guangjian; Zhao Zengqiao

    1992-01-01

    The safety and reliability of the logical system for 5 MW LPR automatic rod are improved, because of using multi-interlock and manual check on line. The design character and function of the logical system are introduced

  20. Analysis of the fault and malfunctioning of a 15 MW hydraulic turbine; Analisis de la falla y malfuncionamiento de una turbina hidraulica de 15 MW

    Energy Technology Data Exchange (ETDEWEB)

    Garcia I, Rafael; Perez R, Norberto [Instituto de Investigaciones Electricas, Cuernavaca, Morelos (Mexico)

    2007-07-01

    An historical case of the rehabilitation process of three hydraulic turbines with capacity of 15 MW each is presented. These units are used for the electrical generation, mainly to supply part of the central zone of the Mexican Republic. The turbo-generator units had been practically destroyed by catastrophic floods and only part of the equipment was rescued and rehabilitated for its operation. One of the three turbines presented serious operational problems, preventing its reliable operation evidenced by the excessive mechanical vibrations and heating of the bearing zone. This article presents the diagnosis of the possible causes of fault and the remedial actions taken. Strong misalignment problems of the runner with respect to its bearings and to the scroll case of the turbine are observed. In addition, during the inspection of the turbine runner and of the bearings it is observed that important frictions have existed, which increased the vibrations. It is shown that these frictions are not the cause of the problem but only one manifestation of the same. Finally some conclusions of the problem and their solution are presented. [Spanish] Se presenta un caso historico del proceso de rehabilitacion de tres turbinas hidraulicas con capacidad de 15 MW cada una. Dichas unidades son empleadas en la generacion electrica, principalmente para abastecer parte de la zona centro de la Republica Mexicana. Las unidades turbogeneradores habian sido practicamente destruidas por inundaciones catastroficas y solo parte del equipo fue rescatado y rehabilitado para su operacion. Una de las tres turbinas presento graves problemas de funcionamiento, impidiendo su operacion confiable, lo cual se manifestaba mediante vibraciones mecanicas excesivas y calentamiento en zona de chumaceras. En este articulo se presenta el diagnostico de las posibles causas de falla y las acciones correctivas tomadas. Se observan problemas fuertes de desalineamiento del rotor respecto a sus chumaceras y al

  1. Analysis of the malfunctioning and failure of a 15 MW hydraulic turbine; Analisis de malfuncionamiento y de falla de una turbina hidraulica de 15 MW

    Energy Technology Data Exchange (ETDEWEB)

    Garcia Illescas, R.; Perez Rodriguez, N. [Instituto de Investigaciones Electricas, Cuernavaca, Morelos (Mexico)

    2007-11-15

    A case history is presented of the rehabilitation process of three hydraulic turbines with a capacity of 15 MW each one. Such units are used for electric power generation, mainly to supply part of the center zone of the Mexican Republic. The turbo-generator units had been practically destroyed by catastrophic floods and only part of the equipment was recovered and reconditioned for its operation. One of the three turbines presented serious functioning problems preventing its reliable operation that was evidenced by excessive mechanical vibrations and heating in the bearing zone. This paper presents the diagnosis of the possible causes of failure and the corrective measures taken. Serious rotor misalignment problems were observed respect to its bearings and the turbine scroll. Additionally, during the inspection of the turbine runner and of the bearing it was observed that important friction have existed, which incremented the vibrations. It is shown that such rubbings are not the cause of the problem but only a manifestation of the same. Finally some of the conclusions and their solution are presented. [Spanish] Se presenta un caso historico del proceso de rehabilitacion de tres turbinas hidraulicas con capacidad de 15 MW cada una. Dichas unidades son empleadas en la generacion electrica, principalmente para abastecer parte de la zona centro de la republica mexicana. Las unidades turbogeneradores habian sido practicamente destruidas por inundaciones catastroficas y solo parte del equipo fue rescatado y rehabilitado para su operacion. Una de las tres turbinas presento graves problemas de funcionamiento, impidiendo su operacion confiable, lo cual se manifestaba mediante vibraciones mecanicas excesivas y calentamiento en zona de chumaceras. En este articulo se presenta el diagnostico de las posibles causas de falla y las acciones correctivas tomandas. Se observan problemas fuertes de desalineamiento del rotor respecto a sus chumaceras y al caracol de la turbina

  2. Non-fusion surgery for degenerative spondylolisthesis using artificial ligament stabilization: surgical indication and clinical results.

    Science.gov (United States)

    Kanayama, Masahiro; Hashimoto, Tomoyuki; Shigenobu, Keiichi; Oha, Fumihiro; Ishida, Takashi; Yamane, Shigeru

    2005-03-01

    A retrospective study. To report midterm clinical and radiographic results of Graf artificial ligament stabilization in the treatment of degenerative spondylolisthesis and to evaluate the role of this procedure and its surgical indications for surgical success. Nonfusion surgeries including artificial disc replacement and ligamentoplasty are increasingly gaining interest to avoid adverse effects of spinal fusion. Sixty-four consecutive patients with degenerative spondylolisthesis underwent artificial ligament stabilization. Surgical indication was symptomatic degenerative spondylolisthesis with adjacent segment pathologies (6.3%). One patient (1.6%) underwent consequent spinal arthrodesis at the ligamentoplasty level. Artificial ligament stabilization did not improve the vertebral slip but maintained lordosis and preserved segmental motion in 80% of patients. This procedure is an effective alternative to spinal arthrodesis in the treatment of symptomatic degenerative spondylolisthesis (Grade I) with minimal disc space narrowing and coronal facet tropism.

  3. Multifractal analysis of 2001 Mw 7 . 7 Bhuj earthquake sequence in Gujarat, Western India

    Science.gov (United States)

    Aggarwal, Sandeep Kumar; Pastén, Denisse; Khan, Prosanta Kumar

    2017-12-01

    The 2001 Mw 7 . 7 Bhuj mainshock seismic sequence in the Kachchh area, occurring during 2001 to 2012, has been analyzed using mono-fractal and multi-fractal dimension spectrum analysis technique. This region was characterized by frequent moderate shocks of Mw ≥ 5 . 0 for more than a decade since the occurrence of 2001 Bhuj earthquake. The present study is therefore important for precursory analysis using this sequence. The selected long-sequence has been investigated first time for completeness magnitude Mc 3.0 using the maximum curvature method. Multi-fractal Dq spectrum (Dq ∼ q) analysis was carried out using effective window-length of 200 earthquakes with a moving window of 20 events overlapped by 180 events. The robustness of the analysis has been tested by considering the magnitude completeness correction term of 0.2 to Mc 3.0 as Mc 3.2 and we have tested the error in the calculus of Dq for each magnitude threshold. On the other hand, the stability of the analysis has been investigated down to the minimum magnitude of Mw ≥ 2 . 6 in the sequence. The analysis shows the multi-fractal dimension spectrum Dq decreases with increasing of clustering of events with time before a moderate magnitude earthquake in the sequence, which alternatively accounts for non-randomness in the spatial distribution of epicenters and its self-organized criticality. Similar behavior is ubiquitous elsewhere around the globe, and warns for proximity of a damaging seismic event in an area. OS: Please confirm math roman or italics in abs.

  4. Morphing Downwind-Aligned Rotor Concept Based on a 13-MW Wind Turbine

    Energy Technology Data Exchange (ETDEWEB)

    Ichter, Brian; Steele, Adam; Loth, Eric; Moriarty, Patrick; Selig, Michael

    2016-04-01

    To alleviate the mass-scaling issues associated with conventional upwind rotors of extreme-scale wind turbines (>/=10 MW), a morphing downwind-aligned rotor (MoDaR) concept is proposed herein. The concept employs a downwind rotor with blades whose elements are stiff (no intentional flexibility) but with hub-joints that can be unlocked to allow for moment-free downwind alignment. Aligning the combination of gravitational, centrifugal and thrust forces along the blade path reduces downwind cantilever loads, resulting in primarily tensile loading. For control simplicity, the blade curvature can be fixed with a single morphing degree of freedom using a near-hub joint for coning angle: 22 degrees at rated conditions. The conventional baseline was set as the 13.2-MW Sandia 100-m all glass blade in a three-bladed upwind configuration. To quantify potential mass savings, a downwind load-aligning, two-bladed rotor was designed. Because of the reduced number of blades, the MoDaR concept had a favorable 33% mass reduction. The blade reduction and coning led to a reduction in rated power, but morphing increased energy capture at lower speeds such that both the MoDaR and conventional rotors have the same average power: 5.4 MW. A finite element analysis showed that quasi-steady structural stresses could be reduced, over a range of operating wind speeds and azimuthal angles, despite the increases in loading per blade. However, the concept feasibility requires additional investigation of the mass, cost and complexity of the morphing hinge, the impact of unsteady aeroelastic influence because of turbulence and off-design conditions, along with system-level Levelized Cost of Energy analysis.

  5. Neutron flux measurement in the central channel (XC-1) of TRIGA 14 MW LEU core

    International Nuclear Information System (INIS)

    BARBOS, D.; BUSUIOC, P.; ROTH, Cs.; PAUNOIU, C.

    2008-01-01

    The TRIGA 14 MW reactor, operated by Institute for Nuclear Research Pitesti, Romania, is a pool type reactor, and has a rectangular shape which holds fuel bundles and is surrounded with beryllium reflectors. Each fuel bundle is composed of 25 nuclear fuel rods. The TRIGA 14 MW reactor was commissioned 28 years ago with HEU fuel rods. The conversion was gradually achieved, starting in February 1992 and completed in March 2006. The full conversion of the 14 MW TRIGA Research Reactor was completed in May 2006 and each step of the conversion was achieved by removal of HEU fuel, replaced by LEU fuel, accompanied by a large set of theoretical evaluation and physical measurements intended to confirm the performances of gradual conversion. After the core full conversion, a program of measurements and comparisons with previous results of core physics and measurements is underway, allowing data acquisition for normal operation, demonstration of safety and economics of the converted core. Neutron flux spectrum measurements in the XC in the XC-1 water 1 water-filled channel were performed using multi multi-foil activation techniques. The neutron spectra and flux are obtained by unfolding from measured reaction rates using SAND II computer code. The integral neutron flux value for LEU core is greater of 13% than for the standard HEU core. Also thermal neutron flux value for converted LEU core is smaller by 0.38% than for the standard HEU core. These differences appear because the foil activation detectors have been irradiated using a pneumatic rabbit having a diameter of 32 mm, whereas foil irradiations in standard HEU core has been performed with a pneumatic rabbit having a diameter of 14 mm, and therefore the neutron spectra in LEU core is less thermalized and the weight of fast neutron is greater

  6. Prediction of Pathological Complete Response Using Endoscopic Findings and Outcomes of Patients Who Underwent Watchful Waiting After Chemoradiotherapy for Rectal Cancer.

    Science.gov (United States)

    Kawai, Kazushige; Ishihara, Soichiro; Nozawa, Hiroaki; Hata, Keisuke; Kiyomatsu, Tomomichi; Morikawa, Teppei; Fukayama, Masashi; Watanabe, Toshiaki

    2017-04-01

    Nonoperative management for patients with rectal cancer who have achieved a clinical complete response after chemoradiotherapy is becoming increasingly important in recent years. However, the definition of and modality used for patients with clinical complete response differ greatly between institutions, and the role of endoscopic assessment as a nonoperative approach has not been fully investigated. This study aimed to investigate the ability of endoscopic assessments to predict pathological regression of rectal cancer after chemoradiotherapy and the applicability of these assessments for the watchful waiting approach. This was a retrospective comparative study. This study was conducted at a single referral hospital. A total of 198 patients with rectal cancer underwent preoperative endoscopic assessments after chemoradiotherapy. Of them, 186 patients underwent radical surgery with lymph node dissection. The histopathological findings of resected tissues were compared with the preoperative endoscopic findings. Twelve patients refused radical surgery and chose watchful waiting; their outcomes were compared with the outcomes of patients who underwent radical surgery. The endoscopic criteria correlated well with tumor regression grading. The sensitivity and specificity for a pathological complete response were 65.0% to 87.1% and 39.1% to 78.3%. However, endoscopic assessment could not fully discriminate pathological complete responses, and the outcomes of patients who underwent watchful waiting were considerably poorer than the patients who underwent radical surgery. Eventually, 41.7% of the patients who underwent watchful waiting experienced uncontrollable local failure, and many of these occurrences were observed more than 3 years after chemoradiotherapy. The number of the patients treated with the watchful waiting strategy was limited, and the selection was not randomized. Although endoscopic assessment after chemoradiotherapy correlated with pathological response

  7. Optimization and comparison of superconducting generator topologies for a 10 MW wind turbine application

    DEFF Research Database (Denmark)

    Liu, Dong; Polinder, Henk; Abrahamsen, Asger Bech

    2017-01-01

    A direct-drive superconducting generator (DDSCG) is proposed for 10 MW wind turbines in the INNWIND.EU project. To fit the generator into the "king-pin" conceptual nacelle design, the generator structure with inner stationary superconducting (SC) field winding and outer rotating copper armature...... winding is investigated in the first research phase. Since the cost is an important performance indicator for this application, this paper presents a method to minimize the active material cost of the "king-pin" fitted DDSCG. In this method a relatively fast optimization program is developed with 2D non...... with a guideline for selecting a suitable machine topology....

  8. Reactive Power Compensation of a 24 MW Wind Farm using a 12-Pulse Voltage Source Converter

    DEFF Research Database (Denmark)

    Søbrink, K.H.; Pedersen, Jørgen Kaas; Pedersen, Knud Ole Helgesen

    1998-01-01

    Integration of large wind farms in distribution and transmission systems may have severe influence on the power quality at the connection point and may also influence the voltage controlling capability of the electrical system. The purpose of the described project has been to develop and investig......Integration of large wind farms in distribution and transmission systems may have severe influence on the power quality at the connection point and may also influence the voltage controlling capability of the electrical system. The purpose of the described project has been to develop...... and investigate the use of a STATCOM by modelling and field testing an 8 MVar unit in a 24 MW wind farm....

  9. 1170-MW(t) HTGR-PS/C plant application study report: shale oil recovery application

    International Nuclear Information System (INIS)

    Rao, R.; McMain, A.T. Jr.

    1981-05-01

    The US has large shale oil energy resources, and many companies have undertaken considerable effort to develop economical means to extract this oil within environmental constraints. The recoverable shale oil reserves in the US amount to 160 x 10 9 m 3 (1000 x 10 9 bbl) and are second in quantity only to coal. This report summarizes a study to apply an 1170-MW(t) high-temperature gas-cooled reactor - process steam/cogeneration (HTGR-PS/C) to a shale oil recovery process. Since the highest potential shale oil reserves lie in th Piceance Basin of Western Colorado, the study centers on exploiting shale oil in this region

  10. Multi-hazard response analysis of a 5MW offshore wind turbine

    DEFF Research Database (Denmark)

    Katsanos, Evangelos; Sanz, A. Arrospide; Georgakis, Christos T.

    2017-01-01

    the structural integrity and reliability of these energy infrastructures. Along these lines, a multi-hazard environment was considered herein and the structural performance of a 5 MW offshore wind turbine was assessed through time domain analysis. A fully integrated model of the offshore structure consisting...... of the blades, the nacelle, the tower and the monopile was developed with the use of an aeroelastic code considering the interaction between the elastic and inertial forces, developed in the structure, as well as the generated aerodynamic and hydrodynamic forces. Based on the analysis results, the dynamic...

  11. The Seismic Sequence of the 2016 Mw 7.8 Pedernales, Ecuador Sarthquake

    Science.gov (United States)

    Leon, S.; Fuenzalida, A.; Bie, L.; Garth, T.; Gonzalez, P. J.; Holt, J.; Rietbrock, A.; Edwards, B.; Regnier, M. M.; Pernoud, M.; Mercerat, E. D.; Perrault, M.; Font, Y.; Alvarado, A. P.; Charvis, P.; Beck, S. L.; Meltzer, A.

    2016-12-01

    On the 16th April 2016, a Mw 7.8 mega-thrust earthquake occurred in Northern Ecuador, close to the city of Pedernales. The event ruptured an area of 120 x 60 km and was preceded by a Mw 5.0 foreshock, located only 15 km south of the epicentre, and registered 10 minutes before the main event.A few weeks after the main event a large array of instruments was deployed by a collaborative project between the Geophysical Institute of Ecuador (IGEPN), IRIS (USA), Géoazur (France) and the University of Liverpool (UK). This dense seismic network, with more than 70 stations, includes broadband, short period and strong motion instruments and is currently recording the aftershock activity of the earthquake. It is hoped that this data set will give further insights into the structure of the subduction zone mega thrust beneath Ecuador.Using data recorded both on the permanent and the recently deployed network we located and calculated the moment tensor solutions for the foreshock event, and the large aftershocks (M > 5). We analyse the spatial distribution of the seismicity and its relation with the co-seismic slip, estimated by inverting radar satellite interferometry data, and with previous models of inter-seismic coupling (e.g. Chlieh et al., 2014). It is possible to identify two lineations in the aftershock activity located to the north and south of the rupture. Moreover, the geodetic slip model shows that the boundaries of the maximum coseismic slip coincides with the observed lineaments in the aftershocks and with the rupture area of a previous Mw 7.8 event in 1942. This suggests that the features to the north and south may impose a barrier to rupture propagation, creating different segments in the subduction zone beneath Ecuador. In addition, we model the Coulomb stress change caused by the foreshock and mainshock in order to investigate whether this could explain the aftershock distribution and potential earthquake interactions. Previous activity has presented a

  12. Central solar fotovoltaica de 5 MW con sistema de posicionamiento autónomo

    OpenAIRE

    Martínez Porras, Abel

    2010-01-01

    El objeto del proyecto realizado es el diseño de una central solar fotovoltaica (huerta solar) con sistema de posicionamiento autónomo de 5 MW de potencia nominal (5.796 MWp potencia de pico) con todos los elementos necesarios para la puesta en funcionamiento del parque fotovoltaico, desde la configuración fotovoltaica, la instalación eléctrica, etc. En un solar de uso rustico en el término municipal de L’Ametlla de Mar, al sur de Tarragona. La finalidad de la huerta solar e...

  13. Design of 120 MW beam power electron gun for high power klystron

    International Nuclear Information System (INIS)

    Zhou Zusheng; Dong Dong

    2005-01-01

    An electron gun was designed and the beam optics for a China-made 50 MW klystron was simulated. The electron gun ceramic cylinder was designed and optimized. The China-made cathode was replaced with an imported one to lessen evaporation and arcing. The high voltage (320 kV) of the cathode was increased to meet the klystron output power demand and a low electric field strength (22.1 kV/mm) electron gun was designed to avoid the high power operation which damaged the ceramic cylinder. The klystron output power was increased and life span extended. (authors)

  14. Power Devices Loading in Multilevel Converters for 10 MW Wind Turbines

    DEFF Research Database (Denmark)

    Ma, Ke; Blaabjerg, Frede; Xu, Dehong

    2011-01-01

    Several promising multilevel converter solutions for 10 MW wind turbines using permanent magnet synchronous generators are proposed, designed and compared both with one-stage gear-box drive and direct drive systems. The current and loss distributions, as well as the utilization of power devices...... in each converter are analyzed based on simulation results. Finally, the total loss and efficiency comparison are given. It is concluded that five-level and three-level H-bridge topologies show higher efficiency either in the power conversion or in the device utilization compared to the three...

  15. The Kumamoto Mw7.1 mainshock: deep initiation triggered by the shallow foreshocks

    Science.gov (United States)

    Shi, Q.; Wei, S.

    2017-12-01

    The Kumamoto Mw7.1 earthquake and its Mw6.2 foreshock struck the central Kyushu region in mid-April, 2016. The surface ruptures are characterized with multiple fault segments and a mix of strike-slip and normal motion extended from the intersection area of Hinagu and Futagawa faults to the southwest of Mt. Aso. Despite complex surface ruptures, most of the finite fault inversions use two fault segments to approximate the fault geometry. To study the rupture process and the complex fault geometry of this earthquake, we performed a multiple point source inversion for the mainshock using the data on 93 K-net and Kik-net stations. With path calibration from the Mw6.0 foreshock, we selected the frequency ranges for the Pnl waves (0.02 0.26 Hz) and surface waves (0.02 0.12 Hz), as well as the components that can be well modeled with the 1D velocity model. Our four-point-source results reveal a unilateral rupture towards Mt. Aso and varying fault geometries. The first sub-event is a high angle ( 79°) right-lateral strike-slip event at the depth of 16 km on the north end of the Hinagu fault. Notably the two M>6 foreshocks is located by our previous studies near the north end of the Hinagu fault at the depth of 5 9 km, which may give rise to the stress concentration at depth. The following three sub-events are distributed along the surface rupture of the Futagawa fault, with focal depths within 4 10 km. Their focal mechanisms present similar right-lateral fault slips with relatively small dip angles (62 67°) and apparent normal-fault component. Thus, the mainshock rupture initiated from the relatively deep part of the Hinagu fault and propagated through the fault-bend toward NE along the relatively shallow part of the Futagawa fault until it was terminated near Mt. Aso. Based on the four-point-source solution, we conducted a finite-fault inversion and obtained a kinematic rupture model of the mainshock. We then performed the Coulomb Stress analyses on the two foreshocks

  16. Coseismic Deformations and Tectonic Implications of the two Mw>6 2013 Nantou Earthquakes in Taiwan

    Science.gov (United States)

    Lin, J.; Chang, W.; Chao, B. F.

    2013-12-01

    In 2013, two Mw>6 thrust-faulting earthquakes occurred in Nantou County of the central Taiwan with close epicentral locations within a distance of ~8.5 km: the Mw 6.1 March 27, or 0327, earthquake has a focal depth of 19.4 km and the Mw 6.2 June 2, or 0602, earthquake has a focal depth of 15 km. To evaluate the coseismic surface displacements and fault-slip distributions of the two events, we applied the GIPSY/OASIS II software to process the 1-Hz and 15-second GPS data from 18 stations around the epicentral area in a precise point-positioning mode. We adopted JPL's final orbits and clock products, the VMF1 tropospheric mapping function, and the FES2004 tide loading effect for our processing. We also applied modified sidereal filtering (MSF) to deduce common errors due to multipath effects in the high-rate (1-Hz) solutions. For the 0327 event, a horizontal coseismic displacement of 19.2×7.3 mm was obtained based on the change of daily coordinates recorded at the SUN1 station, the closest station to the earthquake epicenter. This displacement is in consistency with the value of 18.8×23.5 mm revealed by the high-rate (1-Hz) solutions (Fig. 1a). For the 0602 event, the GPS daily coordinates indicate a coseismic displacement of 43.9×8.6 mm at SUN1 that is apparently different from the high-rate solution of 29.2×20.2 mm (Fig. 1b). Preliminary fault modeling of daily-based GPS data showed a maximum coseismic fault slip of 9 cm at 20-km depth for the 0327 event, and 19 cm at 12-km depth for the 0602 event. These results suggest that the two Nantou earthquakes are located in a shallow (< 20km) seismogenic zone beneath the central Taiwan, where a conjugate-fault system was revealed by the background seismicity and the aftershocks of the 2000 Mw=6.7 earthquake. Our studies on the relation among the two Nantou earthquakes and the fault system are in progress with further fault modeling constrained by relocated seismic data and other geologic observations.

  17. Reconfiguration of the NRAD delay loop for proposed 1 MW operations

    International Nuclear Information System (INIS)

    Heidel, C.C.; Richards, W.J.; Pruett, D.P.

    1984-01-01

    The Hot Fuel Examination Facility, HFEF, is one of several facilities located at the Argonne Site. HFEF comprises a large hot cell where both nondestructive and destructive examination of highly-irradiated reactor fuels are conducted in support of the LMFBR program. One of the nondestructive examination technqiues utilized at HFEF is neutron radiography. Neutron radiography is provided by the NRAD reactor facility, which is located beneath the HFEF hot cell. The NRAD reactor is a TRIGA reactor and is operated at a steady-state power level of 250 kw solely for neutron radiography and the development of radiography techniques. Modifications of the NRAD delay loop for 1 MW operations are described

  18. Il terremoto di Haiti del 12 Gennaio 2010 (Mw 7.0)

    OpenAIRE

    Akinci, A.; Malagnini, L.

    2010-01-01

    Il terremoto di Haiti del 12 gennaio 2010 (Mw 7.0) si è verificato alle ore 16:53:09 locali (21:53:09 UTC). L’epicentro è stato localizzato a circa 25 chilometri da Port-au-Prince, la capitale, con una profondità ipocentrale di 13 km (fonte United States Geological Survey, USGS). USGS ha localizzato sei repliche nelle due ore successive al terremoto principale, di magnitudo compresa tra 4.5 e 5.9. (5.9, 5.5, 5.1, 4.8, 4.5, e 4.5). Nelle prime nove ore successive all’ev...

  19. ENEL (Italy) 3.3 MW photovoltaic power plant at Serre

    International Nuclear Information System (INIS)

    Iliceto, A.; Previ, A.; Corsi, S.; Belcastro, G.N.; Vigotti, R.

    1993-01-01

    This paper describes the key design and performance features of a demonstration 3.3 MW photovoltaic power plant which is being built by ENEL (the Italian National Electricity Board) to determine the technical-economic feasibility of such installations and to augment national engineering know-how and construction capability in this field. The plant is to be made up of 60,000 modules, each equipped with sets of 36 or 72 10x10 cm polycrystalline silicon cells. The paper also provides sketches of module support systems, main electrical layouts and computerized control systems, as well as, a breakdown of project costs

  20. Neutronics analysis of the proposed 25-MW leu TRIGA Multipurpose Research Reactor

    International Nuclear Information System (INIS)

    Nurdin, M.; Bretscher, M.M.; Snelgrove, J.L.

    1982-01-01

    More than two years ago the government of Indonesia announced plans to purchase a research reactor for the Puspiptek Research Center in Serpong Indonesia to be used for isotope production, materials testing, neutron physics measurements, and reactor operator training. Reactors using low-enriched uranium (LEU) plate-type and rod-type fuel elements were considered. This paper deals with the neutronic evaluation of the rod-type 25-MW LEU TRIGA Multipurpose Research Reactor (MPRR) proposed by the General Atomic Company of the United States of America

  1. Floating substructure flexibility of large-volume 10MW offshore wind turbine platforms in dynamic calculations

    DEFF Research Database (Denmark)

    Borg, Michael; Hansen, Anders Melchior; Bredmose, Henrik

    2016-01-01

    Designing floating substructures for the next generation of 10MW and larger wind turbines has introduced new challenges in capturing relevant physical effects in dynamic simulation tools. In achieving technically and economically optimal floating substructures, structural flexibility may increase...... to the extent that it becomes relevant to include in addition to the standard rigid body substructure modes which are typically described through linear radiation-diffraction theory. This paper describes a method for the inclusion of substructural flexibility in aero-hydro-servo-elastic dynamic simulations...

  2. Short Circuits of a 10 MW High Temperature Superconducting Wind Turbine Generator

    DEFF Research Database (Denmark)

    Song, Xiaowei (Andy); Liu, Dong; Polinder, Henk

    2016-01-01

    Direct drive high temperature superconducting (HTS) wind turbine generators have been proposed to tackle challenges for ever increasing wind turbine ratings. Due to smaller reactances in HTS generators, higher fault currents and larger transient torques could occur if sudden short circuits happen...... at generator terminals. In this paper, a finite element model that couples magnetic fields and the generator’s equivalent circuits is developed to simulate short circuit faults. Afterwards, the model is used to study the transient performance of a 10 MW HTS wind turbine generator under four different short...

  3. Power quality issues of 3MW direct-driven PMSG wind turbine

    OpenAIRE

    Ahmed, IA; Zobaa, AF; Taylor, GA

    2015-01-01

    This paper presents power quality issues of a grid connected wind generation system with a MW-class direct-driven permanent magnet synchronous generator (PMSG). A variable speed wind turbine model was simulated and developed with the simulation tool of PSCAD/EMTDC. The model includes a wind turbine with one mass-model drive train model, a PMSG model and a full-scale voltage source back to back PWM converter. The converter controller model is employed in the dq-synchronous rotating reference f...

  4. Design and Aero-elastic Simulation of a 5MW Floating Vertical Axis Wind Turbine

    DEFF Research Database (Denmark)

    Vita, Luca; Schmidt Paulsen, Uwe; Aagaard Madsen, Helge

    2013-01-01

    This paper deals with the design of a 5MW floating offshore Vertical Axis Wind Turbine (VAWT). The design is based on a new offshore wind turbine concept (DeepWind concept), consisting of a Darrieus rotor mounted on a spar buoy support structure, which is anchored to the sea bed with mooring lines...... technology, which can be improved in the future with new dedicated technological solutions. The rotor uses curved blades, which are designed in order to minimize the gravitational loads and to be produced by the pultrusion process. The floating platform is a slender cylindrical structure rotating along...

  5. Thermal behavior optimization in multi-MW wind power converter by reactive power circulation

    DEFF Research Database (Denmark)

    Zhou, Dao; Blaabjerg, Frede; Lau, Mogens

    2013-01-01

    In the paper, an actively controlled reactive power influence to the thermal behavior of multi-MW wind power converter with Doubly-Fed Induction Generator (DFIG) is investigated. The allowable range of internal reactive power circulation is firstly mapped depending on the DC-link voltage as well...... as the induction generator and power device capacity. Then the effects of reactive power circulation towards current characteristic and thermal distribution of the two-level back-to-back power converter is analyzed and compared. Finally the thermal-oriented reactive power is introduced to the system...

  6. Neutronic design of a 22 MW MTR type nuclear research reactor

    International Nuclear Information System (INIS)

    Khamis, I.; Khattab, K.; Soleman, I.; Ghazi, N.

    2006-12-01

    The neutronic design calculations of a 22 MW MTR type nuclear research reactor are conducted in this project. This reactor type is selected by the Arab Atomic Energy Commission in a cooperated project. The design calculations are conducted in two methods: The deterministic method, solving the neutron transport and diffusion equations using the WIMSD4 and the CITATION codes, and the probabilistic method using the MCNP code. Good agreements are noticed between the results of the multiplication factor and the neutron flux distribution which prove the accuracy of our models using the two methods. (author)

  7. Surgical Outcomes of Urinary Tract Deep Infiltrating Endometriosis.

    Science.gov (United States)

    Darwish, Basma; Stochino-Loi, Emanuela; Pasquier, Geoffroy; Dugardin, Fabrice; Defortescu, Guillaume; Abo, Carole; Roman, Horace

    To report the outcomes of surgical management of urinary tract endometriosis. Retrospective study based on prospectively recorded data (NCT02294825) (Canadian Task Force classification II-3). University tertiary referral center. Eighty-one women treated for urinary tract endometriosis between July 2009 and December 2015 were included, including 39 with bladder endometriosis, 31 with ureteral endometriosis, and 11 with both ureteral and bladder endometriosis. Owing to bilateral ureteral localization in 8 women, 50 different ureteral procedures were recorded. Procedures performed included resection of bladder endometriosis nodules, advanced ureterolysis, ureteral resection followed by end-to-end anastomosis, and ureteroneocystostomy. The main outcome measure was the outcome of the surgical management of urinary tract endometriosis. Fifty women presented with deep infiltrating endometriosis (DIE) of the bladder and underwent either full-thickness excision of the nodule (70%) or excision of the bladder wall without opening of the bladder (30%). Ureteral lesions were treated by ureterolysis in 78% of the patients and by primary segmental resection in 22%. No patient required nephrectomy. Histological analysis revealed intrinsic ureteral endometriosis in 54.5% of cases. Clavien-Dindo grade III complications were present in 16% of the patients who underwent surgery for ureteral nodules and in 8% of those who underwent surgery for bladder endometriosis. Overall delayed postoperative outcomes were favorable regarding urinary symptoms and fertility. Patients were followed up for a minimum of 12 months and a maximum of 7 years postoperatively, with no recorded recurrences. Surgical outcomes of urinary tract endometriosis are generally satisfactory; however, the risk of postoperative complications should be taken into consideration. Therefore, all such procedures should be managed by an experienced multidisciplinary team. Copyright © 2017 AAGL. Published by Elsevier Inc

  8. [Strictureplasty in the surgical treatment of complicated Crohn's disease].

    Science.gov (United States)

    Sampietro, G M; Sartani, A; Danelli, P; Ghizzoni, M; Sposito, C; Maconi, G; Parente, E; Taschieri, A M

    2003-01-01

    Crohns disease is a panintestinal chronic inflammatory condition. Its remitting-relapsing behaviour may require in the single patient repeated surgeries, with the aim of resolving the complications of the disease. The awereness that surgery cannot resolve the disease has led, in the last years, to the development of new "conservative surgical techniques", which preserve as much of the intestinal tissue as possible. These techniques are minimal resection and strictureplasty (SP). Aim of the study was to perform a prospective analysis of the long-term outcome of SP in a consecutive series of patients undergoing surgery for complicated Crohns Disease at the Division of general surgery, L. Sacco University Hospital, Milano, Italia. During the period of October 1992 to June 2002, 286 patients underwent surgical procedures for jejunoileal Crohns disease. 116 of them underwent SP resulting in a total of 217 procedures, of which: 111 Heineke-Mikulicz SP (51.2%), 36 ileoileal side-to-side SP (16.6%), 40 ileoceacal SP (18.4%) and the remaining 30 ileocolic SP (13.8%), as previously described by A.M. Taschieri. Fiftyone of the patients (23.5%) had concomitantly a minimal bowel resection. Postoperative mortality was nil, while in 3 cases (2.59%) repeated surgery was necessary due to postsurgical complications. Time-to-event estimates were performed using the Kaplan-Meier function. mortality, morbidity, and long-term results in this population of patients who underwent SP are encouraging and in line with reports in the international literature. It is suggested that SP together with minimal bowel resections, may be considered as first line surgical therapy in patients with Crohns Disease.

  9. The Surgical Treatment of Mycetoma.

    Directory of Open Access Journals (Sweden)

    Suleiman Hussein Suleiman

    2016-06-01

    Full Text Available Surgical intervention is an integral component in the diagnosis and management of mycetoma. Surgical treatment is indicated for small, localised lesions and massive lesions to reduce the mycetoma load and to enable better response to medical therapy. It is also a life-saving procedure in patients with massive disease and sepsis. Surgical options for mycetoma treatment range from a wide local surgical excision to repetitive debridement excisions to amputation of the affected part. Adequate anaesthesia, a bloodless field, wide local excision with adequate safety margins in a suitable surgical facility, and expert surgeons are mandatory to achieve the best surgical outcome. Surgical intervention in mycetoma is associated with considerable morbidity, deformities, and disabilities, particularly in advanced disease. These complications can be reduced by educating patients to seek medical advice earlier when the lesion is small, localised, and amenable to surgery. There is no evidence for mycetoma hospital cross infection. This communication is based on the authors' experience in managing over 7,200 mycetoma patients treated at the Mycetoma Research Centre, University of Khartoum, Sudan.

  10. Prevention of Surgical Malpractice Claims by Use of a Surgical Safety Checklist

    NARCIS (Netherlands)

    de Vries, Eefje N.; Eikens-Jansen, Manon P.; Hamersma, Alice M.; Smorenburg, Susanne M.; Gouma, Dirk J.; Boermeester, Marja A.

    2011-01-01

    Objective: To assess what proportion of surgical malpractice claims might be prevented by the use of a surgical safety checklist. Background: Surgical disciplines are overrepresented in the distribution of adverse events. The recently described multidisciplinary SURgical PAtient Safety System

  11. Aorto-aortic intrathoracic bypass in surgical treatment of aortic

    International Nuclear Information System (INIS)

    Gutierrez Perez, F.; Duran Reyes, A.; Bigalli, D.; Filgueira Berobide, J.

    1998-01-01

    The prevalence of coarctation of the aorta is 6.5 percent of all congenital heart defects, according to national and international data. There is a restenosis rate of patients after surgery. Factors that influence this evolution depends on the age at which patients underwent surgery for the first time the anatomy of the aortic arch and type of surgical technique. Several procedures can be used to correct the coarctation, which include surgery and balloon catheter dilation. We present here a case of a patient of 22 years old, with a recurrent coarctation of the aorta studied by echocardiography and magnetic resonance imaging. The patient underwent surgery a third time. We used an anterior approach (median sternotomy) and performed an aortic bypass graft, intrathoracic, under cardiopulmonary bypass. Evolved favorably and was discharged on the sixth day of post operative day (Author) [es

  12. Experimental investigation of the chemical looping method on a 1 MW pilot plant; Experimentelle Untersuchung des Chemical Looping Verfahrens an einer 1 MW Versuchsanlage

    Energy Technology Data Exchange (ETDEWEB)

    Orth, Matthias

    2014-08-27

    Attempting to counteract the consequences of climate change, leading industrial nations have agreed on reducing their CO{sub 2} emissions significantly. To reach these reduction goals, it is essential to reduce the CO{sub 2} emissions in the field of energy conversion. This PHD thesis covers the field of chemical looping combustion, a technology that uses fossil fuels for energy conversion with inherent capture of CO{sub 2}. Since the research regarding chemical looping had so far focused mainly on lab scale or small scale experiments, a 1 MW pilot plant has been erected at Technische Universitaet Darmstadt in order to investigate the process in a semi-industrial scale and to check the process efficiency with commercially usable equipment. This pilot consists of two interconnected fluidized bed reactors and has an overall height of more than 11 m. In this thesis, some experiments with ilmenite - used as the oxygen carrier - are explained. Furthermore, the design, erection and commissioning of the pilot plant are presented as well as the results of the first test campaigns. The evaluation of the latter proves that the process can be handled in the design configuration and that CO{sub 2} can be safely captured in a pilot plant of this scale.

  13. Acute appendicitis in children: not only surgical treatment.

    Science.gov (United States)

    Caruso, Anna Maria; Pane, Alessandro; Garau, Roberto; Atzori, Pietro; Podda, Marcello; Casuccio, Alessandra; Mascia, Luigi

    2017-03-01

    An accurate diagnosis of acute appendicitis is important to avoid severe outcome or unnecessary surgery but management is controversial. The aim of study was to evaluate, in younger and older children, the efficacy of conservative management for uncomplicated appendicitis and the outcome of complicated forms underwent early surgery. Children with acute appendicitis were investigated by clinical, laboratory variables and abdominal ultrasound and divided in two groups: complicated and uncomplicated. Complicated appendicitis underwent early surgery; uncomplicated appendicitis started conservative treatment with antibiotic. If in the next 24-48h it was worsening, the conservative approach failed and patients underwent late surgery. A total of 362 pediatric patients were included. One hundred sixty-five underwent early appendectomy; 197 patients were at first treated conservatively: of these, 82 were operated within 24-48h for failure. The total percentage of operated patients was 68.2%. An elevated association was found between surgery and ultrasound. Conservative treatment for uncomplicated appendicitis had high percentage of success (58%). Complications in operated patients were infrequent. Our protocol was effective in order to decide which patients treat early surgically and which conservatively; specific red flags (age and onset) can identified patients at most risk of complications or conservative failure. treatment study. II. Copyright © 2016 Elsevier Inc. All rights reserved.

  14. Surgical treatment of children with hyperparathyroidism: single centre experience.

    Science.gov (United States)

    Alagaratnam, S; Brain, C; Spoudeas, H; Dattani, M T; Hindmarsh, P; Allgrove, J; Van't Hoff, W; Kurzawinski, T R

    2014-11-01

    Hyperparathyroidism (HPT) in children is rare and surgical management is supported only by limited evidence. Retrospective case series of all children under the age of 16 years who underwent parathyroidectomy (PTx) between 1978 and 2012. We identified 29 children who had surgery for HPT. Six were neonates with neonatal severe hyperparathyroidism (NSHPT) and 23 older children (age range 7-16 years) with sporadic (16) or familial (7) HPT and 93% were symptomatic. Accuracy of ultrasound and MIbi in localising solitary parathyroid adenomas was 96%, but less helpful in hyperplasia and neonates. Children with NSHPT underwent 5 curative total and 1 subtotal PTx (no reoperations). Children with familial HPT underwent 3 total and 4 subtotal PTx. One child with subtotal PTx required a reoperation. Children with sporadic HPT underwent subtotal PTx prior to 1980 (2), exploration and removal of enlarged glands 1980-2002 (5) and minimally invasive PTx since 2002 (9) and all cured by the first operation. Our study documents that HPT in children is predominantly symptomatic on presentation and genetically determined in 46% of cases. Imaging is accurate in localising parathyroid adenomas, but not hyperplasias. Total PTx for familial HPT was curative and minimally invasive PTx is the operation of choice for older children with sporadic HPT. Copyright © 2014 Elsevier Inc. All rights reserved.

  15. Surgical Treatment of Cubital Tunnel Syndrome: Trends and the Influence of Patient and Surgeon Characteristics.

    Science.gov (United States)

    Adkinson, Joshua M; Zhong, Lin; Aliu, Oluseyi; Chung, Kevin C

    2015-09-01

    To examine trends in and determinants of the use of different procedures for treatment of cubital tunnel syndrome. We performed a retrospective cross-sectional analysis of the Healthcare Cost and Utilization Project Florida State Ambulatory Surgery Database for 2005 to 2012. We selected all patients who underwent in situ decompression, transposition, or other surgical treatments for cubital tunnel syndrome. We tested trends in the use of these techniques and performed a multivariable analysis to examine associations among patient characteristics, surgeon case volume, and the use of different techniques. Of the 26,164 patients who underwent surgery for cubital tunnel syndrome, 80% underwent in situ decompression, 16% underwent transposition, and 4% underwent other surgical treatment. Over the study period, there was a statistically significant increase in the use of in situ release and a decrease in the use of transposition. Women and patients treated by surgeons with a higher cubital tunnel surgery case volume underwent in situ release with a statistically higher incidence than other techniques. In Florida, surgeon practice reflected the widespread adoption of in situ release as the primary treatment for cubital tunnel syndrome, and its relative incidence increased during the study period. Patient demographics and surgeon-level factors influenced procedure selection. Therapeutic III. Copyright © 2015 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  16. Surgical intervention and capsular contracture after breast augmentation

    DEFF Research Database (Denmark)

    Henriksen, Trine F; Fryzek, Jon P; Hölmich, Lisbet R

    2005-01-01

    -requiring complications and capsular contracture grades III to IV among 2277 women who underwent cosmetic breast implantation from June 1999 through April 2003. During an average follow-up period of 1.6 years after implantation, 4.3% of these women (3% of implants) required secondary surgery as a result of short...... surgical practices and modern implants used for breast augmentation produce fewer short-term complications than procedures and devices of the past. This prospective study indicates that surgical procedures are more important predictors for local (short-term) complications than implant or patient......Epidemiologic data on local complications after breast augmentation are scarce. In particular, few prospectively collected data are available on modern breast implants on this issue. Using data from the Danish Registry for Plastic Surgery of the Breast, the authors examined determinants of surgery...

  17. LED Light Characteristics for Surgical Shadowless Lamps and Surgical Loupes

    OpenAIRE

    Ide, Takeshi; Kinugawa, Yoshitaka; Nobae, Yuichi; Suzuki, Toshihiro; Tanaka, Yoshiyuki; Toda, Ikuko; Tsubota, Kazuo

    2015-01-01

    Background: Blue light has more energy than longer wavelength light and can penetrate the eye to reach the retina. When surgeons use magnifying loupes under intensive surgical shadowless lamps for better view of the surgical field, the total luminance is about 200 times brighter than that of typical office lighting. In this study, the effects of 2 types of shadowless lamps were compared. Moreover, the effect of various eyeglasses, which support magnifying loupes, on both the light energy and ...

  18. Surgical Skills Beyond Scientific Management.

    Science.gov (United States)

    Whitfield, Nicholas

    2015-07-01

    During the Great War, the French surgeon Alexis Carrel, in collaboration with the English chemist Henry Dakin, devised an antiseptic treatment for infected wounds. This paper focuses on Carrel's attempt to standardise knowledge of infected wounds and their treatment, and looks closely at the vision of surgical skill he espoused and its difference from those associated with the doctrines of scientific management. Examining contemporary claims that the Carrel-Dakin method increased rather than diminished demands on surgical work, this paper further shows how debates about antiseptic wound treatment opened up a critical space for considering the nature of skill as a vital dynamic in surgical innovation and practice.

  19. Long-term psychological distress, and styles of coping, in parents of children and adolescents who underwent invasive treatment for congenital cardiac disease

    NARCIS (Netherlands)

    Spijkerboer, Alinda W.; Helbing, Willem A.; Bogers, Ad J. J. C.; van Domburg, Ron T.; Verhulst, Frank C.; Utens, Elisabeth M. W. J.

    2007-01-01

    To assess the level of psychological distress and styles of coping in both mothers and fathers of children who underwent invasive treatment for congenital cardiac disease at least 7 years and 6 months ago. The General Health Questionnaire and the Utrecht Coping List were completed by parents of

  20. Predicting the need for surgical intervention in pediatric orbital cellulitis.

    Science.gov (United States)

    Smith, Jesse M; Bratton, Emily M; DeWitt, Peter; Davies, Brett W; Hink, Eric M; Durairaj, Vikram D

    2014-08-01

    To investigate the predictive value of the complete ophthalmic examination at first presentation in foreseeing the need for surgery in patients with pediatric orbital cellulitis. Retrospective observational case series. We reviewed 136 cases of radiographically confirmed orbital cellulitis between 2004 and 2012 at Children's Hospital Colorado. The presenting ophthalmic examinations, imaging results, medical and surgical interventions, and clinical complications were recorded. The main outcome measures were ophthalmic examinations on presentation, medical or surgical interventions, and complications. The median age was 6.5 years. Of the patients, 56 (41%) underwent surgical intervention, and 80 patients (59%) were managed medically. Patients requiring surgery had higher rates of extraocular motility (EOM) restriction (78.6% vs 38.8% Porbital cellulitis, the likelihood of surgical intervention can be estimated accurately based on the ophthalmic examination on initial presentation to the hospital. Risk factors for surgery include age older than 9 years, proptosis, EOM restriction, and elevated IOP. These factors may be used to identify patients at high risk for failure of medical management early in the clinical course. Copyright © 2014 Elsevier Inc. All rights reserved.

  1. Surgical treatment of benign nodular goiter; report of 72 patients

    Directory of Open Access Journals (Sweden)

    Ediz YORGANCILAR

    2009-03-01

    Full Text Available Surgical resection is usually prefered for the treatment of benign nodular goiter. But the extention of thyroidectomy in the surgical management of benign nodular goiter still remains controversial. Seventytwo patients underwent thyroid surgery between April 2002- July2007 in Kızıltepe State Hospital Otorhinolaryngology Service. Of the patients 63 were women (%87.5, 9 were man (%12.5. The range of age was between 15-62 years and mean age was 36,5. Thirtynine patients had unilateral total lobectomy+ istmusectomy (%54.2, 11 patients had unilateral lobectomy+ isthmusectomy+contralateral subtotal lobectomy (Dunhill Procedure (%15.3, 20 patients had nearly total thyroidectomy (%27.8, 2 patients had total thyroidectomy (% 2.7. Three patients had seroma (%4.1, 2 patients had hemorrhage requiring operative hemostasis (%2.7, 1 patient had suture reaction(%1.3. Patients have not had permanent or temporary nervus laryngeus recurrens injury, hypoparathyroidism and infection.As a result more extent surgical resections must be preferred by the surgeon for the treatment of benign nodular goiter. The preferable surgical treatment of solitary nodules is lobectomy+isthmusectomy. The multinodular goiter must be treated with unilateral lobectomy+ isthmusectomy+contralateral subtotal lobectomy (Dunhill procedure when the remnant thyroid tissue is normal; otherwise nearly total or total thyroidectomy is preferable.

  2. Surgical outcome of carcinosarcoma of the gall bladder: A review

    Science.gov (United States)

    Okabayashi, Takehiro; Sun, Zhao-Li; Montgomey, Robert A; Hanazaki, Kazuhiro

    2009-01-01

    Carcinosarcoma, which comprises less than one percent of all gall bladder neoplasms, is characterized by the presence of variable proportions of carcinomatous and sarcomatous elements. Recently, several reports have described patients suffering from carcinosarcoma of the gall bladder. However, there are no large studies regarding the clinicopathologic features, therapeutic management, and surgical outcome of this disease because the number of patients who undergo resection of gall bladder carcinosarcoma at a single institution is limited. A Medline search was performed using the keywords ‘gall bladder’ and ‘carcinosarcoma’. Additional articles were obtained from references within the papers identified by the Medline search. Optimal adjuvant chemotherapy and/or radiotherapy protocols for carcinosarcoma of the gall bladder have not been established. Curative surgical resection offers the only chance for long-term survival from this disease. The outcome of 36 patients who underwent surgical resection for carcinosarcoma of the gall bladder was poor; the 3-year overall survival rate was only 31.0% and the median survival time was 7.0 mo. Since the postoperative prognosis of carcinosarcoma of the gall bladder is worse than that of adenocarcinoma, new adjuvant chemotherapies and/or radiation techniques are essential for improvement of surgical outcome. PMID:19842216

  3. CASE REPORT OF SURGICAL TREATMENT OF RHINOPHYMA WITH COBLATION

    Directory of Open Access Journals (Sweden)

    Georgi Iliev

    2018-03-01

    Full Text Available Introduction: Rhinophyma is a tumour-like enlargement of the skin of the nose, affecting dorsum nasi and the apex. While the aetiology is unknown, dermatosis rosacea can be indicated as one of the main causes. Rhinophyma is characterized by reddish, swollen bumpy surface of the nose, overgrowing of scar-like tissue and augmentation of the sebaceous glands. Epidemiologically, rhinophyma affects mainly men between the ages of 50 and 70. Purpose of the study: To present an overview of the disease based on our personal experience with the condition and the associated surgical treatment. Materials and methods: Our findings are based on the cases of four patients over a period of two years, diagnosed with the condition rhinophyma, who underwent surgical treatment in “Saint Marina” hospital. The excision was made using the “Coblator II system”. Results: Due to unresponsiveness to conventional treatment, surgical removal of the rhinophyma was necessary. Conclusion: Rhinophyma is a rare condition, causing discomfort to the patient and deforming the nose. Surgical intervention shows most effective results in the treatment of this disease.

  4. Surgical management of recurrent ovarian cancer: the advantage of collaborative surgical management and a multidisciplinary approach.

    Science.gov (United States)

    Burton, Elizabeth; Chase, Dana; Yamamoto, Maki; de Guzman, Jayson; Imagawa, David; Berman, Michael L

    2011-01-01

    Primary cytoreductive surgery is well accepted in the initial management of ovarian cancer with a goal of maximal tumor reduction. The role of cytoreductive surgery at disease recurrence is controversial and guidelines are not standardized. We aimed to review cases of women with recurrent ovarian cancer who were collaboratively managed by two teams of oncologic surgeons with different areas of surgical expertise. A list of 616 patients with recurrent ovarian cancer from 1995 to 2009 was generated at a single institution. 20 cases of recurrent ovarian cancer were identified that were managed collaboratively. Data collected included date of diagnosis, initial treatment, recurrence date, location and number of sites of recurrence, secondary cytoreductive procedure performed, residual disease after surgery, pre-operative status, post-operative course, and pathologic findings. Of the 20 cases that fit eligibility criteria, 11 were completely resected, 5 were incompletely resected, and 4 were biopsied only. Median disease-free interval following primary surgery was 18 months (6-147). Median interval from diagnosis to collaborative cytoreduction was 63 months (13-170). Our patients had metastatic disease to the liver (11), lymph nodes (8), the diaphragm (7), other locations including colon, pancreas, lung, adrenal, kidney (9). Two patients had additional miliary disease. All patients underwent joint surgical management by gynecologic and surgical oncologists. There were no deaths in the immediate post-operative period. The 5 year survival rate was 45% following the joint surgical effort, with a median post-collaborative surgery survival duration of 42 months. Previous studies document survival benefit of surgery for women with recurrent ovarian cancer when there has been a long disease-free interval, localized pelvic or intra-abdominal recurrences and an optimal performance status. Most gynecologic oncologists do not perform extensive liver or diaphragm resections or

  5. Surgical management of cortical dysplasia in infancy and early childhood.

    Science.gov (United States)

    Otsuki, Taisuke; Honda, Ryoko; Takahashi, Akio; Kaido, Takanobu; Kaneko, Yu; Nakai, Tetsuji; Saito, Yuko; Itoh, Masayuki; Nakagawa, Eiji; Sugai, Kenji; Sasaki, Masayuki

    2013-09-01

    To describe operative procedures, seizure control and complications of surgery for cortical dysplasia (CD) causing intractable epilepsy in infancy and early childhood. Fifty-six consecutive children (less than 6years old) underwent resective epilepsy surgery for CD from December 2000 to August 2011. Age at surgery ranged from 2 to 69months (mean 23months) and the follow-up was from 1 to 11years (mean 4years 4months). Half of the children underwent surgery during infancy at an age less than 10months, and the majority (80%) of these infants needed extensive surgical procedures, such as hemispherotomy and multi-lobar disconnection. Seizure free (ILAE class 1) outcome was obtained in 66% of the cases (class 1a; 55%): 85% with focal resection (n=13), 50% with lobar resection (n=18), 71% with multilobar disconnection (n=7) and 67% with hemispherotomy (n=18). Peri-ventricular and insular structures were resected in 23% of focal and 61% of lobar resections. Repeated surgery was performed in 9 children and 5 (56%) became seizure free. Histological subtypes included hemimegalencephaly (16 patients), polymicrogyria (5 patients), and FCD type I (6 patients), type IIA (19 patients), type IIB (10 patients). Polymicrogyria had the worst seizure outcome compared to other pathologies. Surgical complications included 1 post-operative hydrocephalus, 1 chronic subdural hematoma, 2 intracranial cysts, and 1 case of meningitis. No mortality or severe morbidities occurred. Early surgical intervention in children with CD and intractable seizures in infancy and early childhood can yield favorable seizure outcome without mortality or severe morbidities although younger children often need extensive surgical procedures. Copyright © 2013 The Japanese Society of Child Neurology. Published by Elsevier B.V. All rights reserved.

  6. [Care and implications for caregivers of surgical patients at home].

    Science.gov (United States)

    Chirveches-Pérez, Emilia; Roca-Closa, Josep; Puigoriol-Juvanteny, Emma; Ubeda-Bonet, Inmaculada; Subirana-Casacuberta, Mireia; Moreno-Casbas, María Teresa

    2014-01-01

    To identify the care given by informal caregivers to patients who underwent abdominal surgery in the Consorci Hospitalari of Vic (Barcelona). To compare the responsibility burden for those caregivers in all the different stages of the surgical process. To determine the consequences of the care itself on the caregiver's health and to identify the factors that contribute to the need of providing care and the appearance of consequences for the caregivers in the home. A longitudinal observational study with follow-up at admission, at discharge and 10 days, of 317 non-paid caregivers of patients who suffer underwent surgery. The characteristics of caregivers and surgical patients were studied. The validated questionnaire, ICUB97-R based on the model by Virginia Henderson, was used to measure the care provided by informal caregivers and its impact on patient quality of life. Most of the caregivers were women, with an average age of 52.9±13.7 years without any previous experience as caregivers. The greater intensity of care and impact was observed in the time when they arrived home after hospital discharge (p<0.05). The predictive variables of repercussions were being a dependent patient before the surgical intervention (β=2.93, p=0.007), having a cancer diagnosis (β=2.87, p<.001) and time dedicated to the care process (β=0.07, p=0.018). Caregivers involved in the surgical process provide a great amount of care at home depending on the characteristics of patients they care for, and it affects their quality of life. Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

  7. Gender reassignment surgery - a 13 year review of surgical outcomes

    Directory of Open Access Journals (Sweden)

    R. Rossi Neto

    2012-02-01

    Full Text Available PURPOSE: The aim of this study is to thoroughly report on surgical outcomes from 332 patients who underwent male to female gender reassignment surgery (GRS. MATERIAL AND METHODS: Records from 332 patients who underwent GRS from 1995 to 2008 were reviewed. All patients were submitted to penile inversion vaginoplasty with glans-derived sensate clitoroplasty. Mean age was 36.7 years (range 19-68 years. Surgical complications were stratified in 6 main groups: genital region, urinary tract, gastrointestinal events, wound healing disorders and unspecific events. RESULTS: Progressive obstructive voiding disorder due to meatal stenosis was the main complication observed in 40% of the patients, feasibly corrected during the second setting. Stricture recurrence was found in 15%. Stricture of vaginal introitus was observed in 15% of the cases followed by 12% and 8% of vaginal stenosis and lost of vaginal depth, respectively. Rectal injury was seen in 3% and minor wound healing disorders in 33% of the subjects. CONCLUSION: Regarding male to female GRS, a review of the current literature demonstrated scarce description of complications and their treatment options. These findings motivated a review of our surgical outcomes. Results showed a great number of adverse events, although functionality preserved. Comparision of our outcomes with recent publications additionally showed that treatment options provide satisfying results. Moreover, outcomes reaffirm penile inversion vaginoplasty in combination with glans-derived sensate clitoroplasty as a safe technique. Nevertheless, discussing and improving surgical techniques in order to reduce complications and their influence on patient's quality of life is still strongly necessary and theme of our future reports.

  8. Design principles of a simple and safe 200-MW(thermal) nuclear district heating plant

    International Nuclear Information System (INIS)

    Goetzmann, C.; Bittermann, D.; Gobel, A.

    1987-01-01

    Kraftwerk Union AG has almost completed the development of a dedicated 200-MW(thermal) nuclear district heating plant to provide environmentally clean energy at a predictably low cost. The concept can easily be adapted to meet power requirements within the 100- to 500-MW(thermal) range. This technology is the product of the experience gained with large pressurized water reactor and boiling water reactor power plants, with respect to both plant and fuel performance. The major development task is that of achieving sufficiently low capital cost by tailoring components and systems designed for large plants to the specific requirements of district heating. These requirements are small absolute power, low temperatures and pressures, and modest load following, all of which result in the characteristics that are summarized. A fully integrated primary system with natural circulation permits a very compact reactor building containing all safety-related systems and components. Plant safety is essentially guaranteed by inherent features. The reactor containment is tightly fitted around the reactor pressure vessel in such a way that, in the event of any postulated coolant leak, the core cannot become uncovered, even temporarily. Shutdown is assured by gravity drop of the control rods mounted above the core. Decay heat is removed from the core by means of natural circulation via dedicated intermediate circuits of external aircoolers

  9. Experimental Study Of A 1.5-mw, 110-ghz Gyrotron Oscillator

    CERN Document Server

    Anderson, J P

    2005-01-01

    This thesis reports the design, construction and testing of a 1.5 MW, 110 GHz gyrotron oscillator. This high power microwave tube has been proposed as the next evolutionary step for gyrotrons used to provide electron cyclotron heating required in fusion devices. A short pulse gyrotron based on the industrial tube design was built at MIT for experimental studies. The experiments are the first demonstration of such high powers at 110 GHz. Using a 96 kV, 40 A electron beam, over 1.4 MW was axially extracted in the design (TE22,6) mode in 3 μs pulses, corresponding to a microwave efficiency of 37%. The beam alpha, the ratio of transverse to axial velocity in the electron beam, was measured with a probe. At the high efficiency operating point the beam alpha was measured as 1.33. This value of alpha is less than the design value of 1.4, possibly accounting for the slightly reduced experimental efficiency. The output power and efficiency, as a function of magnetic field, beam voltage, and beam current, are in...

  10. MEGAPIE, a 1 MW pilot experiment for a liquid metal spallation target

    Energy Technology Data Exchange (ETDEWEB)

    Bauer, G.S. [Paul Scherrer Institut, Spallation Neutron Source Division, Villigen-PSI (Switzerland); Salvatores, M. [CEA Cadarache, Direction des Reacteurs Nucleaires, Saint-Paul-lez-Durance Cedex (France); Heusener, G. [Forschungszentrum Karlsruhe, Projekt Nukleare Sicherheitsforschung, Karlsruhe (Germany)

    2001-03-01

    MEGAPIE (Megawatt Pilot Target Experiment) is an initiative launched by Commissariat a l'Energie Atomique, Cadarache (France) and Forschungszentrum Karlsruhe (Germany) in collaboration with Paul Scherrer Institut (Switzerland), to demonstrate, in an international collaboration, the feasibility of a liquid lead bismuth target for spallation facilities at a beam power level of 1 MW. Such a target is under consideration for various concepts of accelerator driven systems (ADS) to be used in transmutation of nuclear waste and other applications world-wide. It also has the potential of increasing significantly the thermal neutron flux available at the spallation neutron source (SINQ) for neutron scattering. SINQ's beam power being close to 1 MW already, this facility offers a unique opportunity to realize such an experiment with a reasonably small number of new ancillary systems. The paper describes the basic features of the experiment and its boundary conditions, the technical concept of the target and underlying research carried out at participating laboratories. (author)

  11. The 10 MW multipurpose TRIGA reactor at Ongkharak Nuclear Research Center, Thailand

    International Nuclear Information System (INIS)

    Thurgood, B.E.; Razvi, J.; Whittemore, J.L.; Bhadrakom, K.

    1997-01-01

    General Atomics (GA), has been selected to lead a team of firms from the United States, Japan, Australia and Thailand to design, build and commission the Ongkharak Nuclear Research Center near Bangkok, Thailand, for the Office of Atomic Energy for Peace. The facilities to be provided comprise of: A Reactor Island, consisting of a 10 MW TRIGA reactor that takes full advantage of the inherent safety characteristics of uranium-zirconium hydride (UZrH) fuel; An Isotope Production Facility for the production of radioisotopes and radiopharmaceuticals using the TRIGA reactor; A Waste Processing and Storage Facility for the processing and storage of radioactive waste from the facility as well as other locations in Thailand. The centerpiece of the Center will be the TRIGA reactor, fueled with low-enriched UZrH fuel, cooled and moderated by light water, and reflected by beryllium and heavy water. The UZrH fueled reactor will have a rated steady state thermal power output of 10 MW, and will be capable of performing the following: Radioisotope production for medical, industrial and agricultural uses; Neutron transmutation doping of silicon; Beam experiments such as Neutron Scattering, Neutron Radiography (NR), and Prompt Gamma Neutron Activation Analysis (PGNAA); Medical therapy of patients using Boron Neutron Capture Therapy (BNCT); Applied research and technology development in the nuclear field; Training in principles of reactor operation, reactor physics, reactor experiments, etc. (author)

  12. PEMODELAN MEKANISME SUMBER GEMPA BUMI RANSIKI 2012 BERKEKUATAN MW 6,7

    Directory of Open Access Journals (Sweden)

    Dimas Salomo Januarianto Sianipar

    2017-03-01

    Full Text Available Salah satu gempabumi merusak yang terjadi di Indonesia pada tahun 2012 yaitu gempabumi Ransiki, Papua Barat 21 April 2012, Mw 6,7. Yang menarik dari gempabumi ini yaitu lokasi gempabumi yang berdekatan dengan dua sesar, yaitu sesar Ransiki dan sesar Yapen sehingga tujuan penelitian ini yaitu membuat pemodelan dan menganalisis mekanisme sumber gempabumi untuk mengetahui sesar penyebab gempabumi Ransiki. Mekanisme sumber gempabumi dimodelkan dari proses inversi tensor momen menggunakan program Isola. Untuk menentukan bidang sesar sebenarnya digunakan program HC-plot. Hasil inversi tensor momen menunjukan bahwa gempabumi Ransiki merupakan gempabumi mekanisme sesar geser dengan bidang nodal 1; strike 3550, dip 680, rake -1650 dan bidang nodal 2; strike 2590, dip 760, rake -230. Pengolahan dengan program HC-plot menghasilkan bidang sesar sebenarnya yaitu bidang nodal 2 dengan strike 2590, dip 760, rake -230. Hasil ini menunjukan bahwa gempabumi Ransiki 21 April 2012 Mw 6,7, disebabkan oleh sesar Yapen dengan mekanisme sesar geser mengiri berarah barat-timur.

  13. Experimental results of the 140 GHz, 1 MW long-pulse gyrotron for W7-X

    Science.gov (United States)

    Koppenburg, K.; Arnold, A.; Borie, E.; Dammertz, G.; Giguet, E.; Heidinger, R.; Illy, S.; Kuntze, M.; Le Cloarec, G.; Legrand, F.; Leonhardt, W.; Lievin, C.; Neffe, G.; Piosczyk, B.; Schmid, M.; Thumm, M.

    2003-02-01

    Gyrotrons at high frequency with high output power are mainly developed for microwave heating and current drive in plasmas for thermonuclear fusion. For the stellarator Wendelstein 7-X now under construction at IPP Greifswald, Germany, a 10 MW ECRH system is foreseen. A 1 MW, 140 GHz long-pulse gyrotron has been designed and a pre-prototype (Maquette) has been constructed and tested in an European collaboration between FZK Karlsruhe, CRPP Lausanne, IPF Suttgart, IPP Greifswald, CEA Cadarache and TED Vélizy [1]. The cylindrical cavity is designed for operating in the TE28,8 mode. It is a standard tapered cavity with linear input downtaper and a non-linear uptaper. The diameter of the cylindrical part is 40.96 mm. The transitions between tapers and straight section are smoothly rounded to avoid mode conversion. The TE28,8-cavity mode is transformed to a Gaussian TEM0,0 output mode by a mode converter consisting of a rippled-wall waveguide launcher followed by a three mirror system. The output window uses a single, edge cooled CVD-diamond disk with an outer diameter of 106 mm, a window aperture of 88 mm and a thickness of 1.8 mm corresponding to four half wavelengths. The collector is at ground potential, and a depression voltage for energy recovery can be applied to the cavity and to the first two mirrors. Additional normal-conducting coils are employed to the collector in order to produce an axial magnetic field for sweeping the electron beam with a frequency of 7 Hz. A temperature limited magnetron injection gun without intermediate anode ( diode type ) is used. In short pulse operation at the design current of 40 A an output power of 1 MW could be achieved for an accelerating voltage of 82 kV without depression voltage and with a depression voltage of 25 kV an output power of 1.15 MW at an accelerating voltage of 84 kV has been measured. For these values an efficiency of 49% was obtained. At constant accelerating voltages, the output power did not change up to

  14. Structural Health Monitoring challenges on the 10-MW offshore wind turbine model

    Science.gov (United States)

    Di Lorenzo, E.; Kosova, G.; Musella, U.; Manzato, S.; Peeters, B.; Marulo, F.; Desmet, W.

    2015-07-01

    The real-time structural damage detection on large slender structures has one of its main application on offshore Horizontal Axis Wind Turbines (HAWT). The renewable energy market is continuously pushing the wind turbine sizes and performances. This is the reason why nowadays offshore wind turbines concepts are going toward a 10 MW reference wind turbine model. The aim of the work is to perform operational analyses on the 10-MW reference wind turbine finite element model using an aeroelastic code in order to obtain long-time-low- cost simulations. The aeroelastic code allows simulating the damages in several ways: by reducing the edgewise/flapwise blades stiffness, by adding lumped masses or considering a progressive mass addiction (i.e. ice on the blades). The damage detection is then performed by means of Operational Modal Analysis (OMA) techniques. Virtual accelerometers are placed in order to simulate real measurements and to estimate the modal parameters. The feasibility of a robust damage detection on the model has been performed on the HAWT model in parked conditions. The situation is much more complicated in case of operating wind turbines because the time periodicity of the structure need to be taken into account. Several algorithms have been implemented and tested in the simulation environment. They are needed in order to carry on a damage detection simulation campaign and develop a feasible real-time damage detection method. In addition to these algorithms, harmonic removal tools are needed in order to dispose of the harmonics due to the rotation.

  15. Operational characteristics of a 1.2-MW biomass gasification and power generation plant.

    Science.gov (United States)

    Wu, Chuang-zhi; Yin, Xiu-li; Ma, Long-long; Zhou, Zhao-qiu; Chen, Han-ping

    2009-01-01

    In this study, we analyzed the operational characteristics of a 1.2-MW rice husk gasification and power generation plant located in Changxing, Zhejiang province, China. The influences of gasification temperature, equivalence ratio (ER), feeding rate and rice husk water content on the gasification characteristics in a fluidized bed gasifier were investigated. The axial temperature profile in the dense phase of the gasifier showed that inadequate fluidization occurred inside the bed, and that the temperature was closely related to changes in ER and feeding rate. The bed temperature increased linearly with increasing ER when the feeding rate was kept constant, while a higher feeding rate corresponded to a lower bed temperature at fixed ER. The gas heating value decreased with increasing temperature, while the feeding rate had little effect. When the gasification temperature was 700-800 degrees C, the gas heating value ranged from 5450-6400 kJ/Nm(3). The water content of the rice husk had an obvious influence on the operation of the gasifier: increases in water content up to 15% resulted in increasing ER and gas yield, while water contents above 15% caused aberrant temperature fluctuations. The problems in this plant are discussed in the light of operational experience of MW-scale biomass gasification and power generation plants.

  16. Design of the EURISOL multi-MW target assembly radiation and safety issues

    CERN Document Server

    Felcini, Marta; Kadi, Yacine; Otto, Thomas; Tecchio, L

    2006-01-01

    The multi-MW target proposed for the EURISOL facility will be based on fission of uranium (or thorium) compounds to produce rare isotopes far from stability. A two-step process is used for the isotope production. First, neutrons are generated in a liquid mercury target, irradiated by the 1 GeV proton or deuteron beam, provided by the EURISOL linac driver. Then, the neutrons induce fission in a surrounding assembly of uranium carbide. R&D projects on several aspects of the target assembly are ongoing. Key criteria for the target design are a maximum beam power capability of 4 MW, a remote handling system with minimum downtime and maximum reliability, as well as radiation safety, minimization of hazards and the classification of the facility. In the framework of the ongoing radiation characterization and safety studies, radiation transport simulations have been performed to calculate the prompt radiation dose in the target and surrounding materials, as well as to determine shielding material and angle-depen...

  17. Design of the EURISOL multi-MW target assembly: radiation and safety issues

    CERN Document Server

    Felcini, M; Kadi, Y; Otto, T; Tecchio, L; Otto, Th.

    2006-01-01

    The multi-MW target proposed for the EURISOL facility will be based on fission of uranium (or thorium) compounds to produce rare isotopes far from stability. A two-step process is used for the isotope production. First, neutrons are generated in a liquid mercury target, irradiated by the 1 GeV proton or deuteron beam, provided by the EURISOL linac driver. Then, the neutrons induce fission in a surrounding assembly of uranium carbide. R&D projects on several aspects of the target assembly are ongoing. Key criteria for the target design are a maximum beam power capability of 4 MW, a remote handling system with minimum downtime and maximum reliability, as well as radiation safety, minimization of hazards and the classification of the facility. In the framework of the ongoing radiation characterization and safety studies, radiation transport simulations have been performed to calculate the prompt radiation dose in the target and surrounding materials, as well as to determine shielding material and angle-depen...

  18. Asperity break after 12 years: The Mw6.4 2015 Lefkada (Greece) earthquake

    Science.gov (United States)

    Sokos, E.; Zahradník, J.; Gallovič, F.; Serpetsidaki, A.; Plicka, V.; Kiratzi, A.

    2016-06-01

    The Mw6.4 earthquake sequence of 2015 in western Greece is analyzed using seismic data. Multiple point source modeling, nonlinear slip patch, and linear slip inversions reveal a coherent rupture image with directivity toward the southwest and several moment release episodes, reflected in the complex aftershock distribution. The key feature is that the 2015 earthquake ruptured a strong asperity, which was left unbroken in between two large subevents of the Mw6.2 Lefkada doublet in 2003. This finding and the well-analyzed Cephalonia earthquake sequence of 2014 provide strong evidence of segmentation of the major dextral Cephalonia-Lefkada Transform Fault (CTF), being related to extensional duplex transform zones. We propose that the duplexes extend farther to the north and that the CTF runs parallel to the western coast of Lefkada and Cephalonia Islands, considerably closer to the inhabited islands than previously thought. Generally, this study demonstrates faulting complexity across short time scales (earthquake doublets) and long time scales (seismic gaps).

  19. Economic Analyses and Potential Market of the 200MW Nuclear Heating Reactor

    International Nuclear Information System (INIS)

    Wang, Yongqing; Wang, Guiying

    1992-01-01

    Based on the 5MW experimental nuclear heating reactor, Intent has developed a 200MW demonstration nuclear heating reactor. Owing to its simplified systems and low operating parameters, the NCR-200 has preferable investment in comparison with that of a nuclear power plant. The pre-feasibility studies for several cities in Northern China have shown that the heat cost of a NCR-200 can be competitive with a coal fired heating plant. As a safe, clean and economic heat source, the NCR could pose a large market in replacement of coal for heating. The R and D work performed up to now has demonstrated that the NCR-200 operating under the present parameters can supply low pressure steam for industrial process and co-generation to enhance it economic benefit. The NCR-200 could also serve a heat source for air condition by using Li Br refrigerator, this application is very interesting to some cities in Central and Southern China. The applications of the NCR in oil recovery by injecting hot water and transportation are very promising for some oil fields in North China. In addition, the study on sea water desalination using the NCR-200 is being carried out at present under international cooperation. All of these will expansion the possible application of the NCR. The paper presents the economic analysis and the potential market of the NCR-200

  20. Thermal-hydraulic analysis of a 600 MW supercritical CFB boiler with low mass flux

    International Nuclear Information System (INIS)

    Pan Jie; Yang Dong; Chen Gongming; Zhou Xu; Bi Qincheng

    2012-01-01

    Supercritical Circulating Fluidized Bed (CFB) boiler becomes an important development trend for coal-fired power plant and thermal-hydraulic analysis is a key factor for the design and operation of water wall. According to the boiler structure and furnace-sided heat flux, the water wall system of a 600 MW supercritical CFB boiler is treated in this paper as a flow network consisting of series-parallel loops, pressure grids and connecting tubes. A mathematical model for predicting the thermal-hydraulic characteristics in boiler heating surface is based on the mass, momentum and energy conservation equations of these components, which introduces numerous empirical correlations available for heat transfer and hydraulic resistance calculation. Mass flux distribution and pressure drop data in the water wall at 30%, 75% and 100% of the boiler maximum continuous rating (BMCR) are obtained by iteratively solving the model. Simultaneity, outlet vapor temperatures and metal temperatures in water wall tubes are estimated. The results show good heat transfer performance and low flow resistance, which implies that the water wall design of supercritical CFB boiler is applicable. - Highlights: → We proposed a model for thermal-hydraulic analysis of boiler heating surface. → The model is applied in a 600 MW supercritical CFB boiler. → We explore the pressure drop, mass flux and temperature distribution in water wall. → The operating safety of boiler is estimated. → The results show good heat transfer performance and low flow resistance.

  1. Three dimensional modeling of pulverized coal combustion in a 600 MW corner fired boiler

    Science.gov (United States)

    Dal-Secco, Sandro

    2000-12-01

    The three-dimensional code ESTET developed at the LNH has been used to predict the reactive flow in a 600 MW coal fired boiler. Assuming a no-slip condition between the gas and the coal, the equations for a gas-particle mixture can be written. The pulverized coal particle size distribution is represented by a discrete number of particle size groups determined by the measured fineness distribution. The combustion models taking into account the pyrolysis of the particle and the heterogeneous combustion of char have been validated using intensive measurements performed on the 600 MW utility boiler. Heat fluxes were measured along the walls of the furnace and satisfactory agreement between computation and measurements has been achieved in terms of maximum flux location and heat flux intensity. Local measurements of velocities using LDV probe, gas temperature and gas species concentrations were performed in the vicinity of one burner and compared with the computed variables. Again we have observed a good agreement between the computations and the measurements in terms of jet penetration, temperature distribution, oxygen concentration and ash content.

  2. Internal Technical Report, Safety Analysis Report 5 MW(e) Raft River Research and Development Plant

    Energy Technology Data Exchange (ETDEWEB)

    Brown, E.S.; Homer, G.B.; Shaber, C.R.; Thurow, T.L.

    1981-11-17

    The Raft River Geothermal Site is located in Southern Idaho's Raft River Valley, southwest of Malta, Idaho, in Cassia County. EG and G idaho, Inc., is the DOE's prime contractor for development of the Raft River geothermal field. Contract work has been progressing for several years towards creating a fully integrated utilization of geothermal water. Developmental progress has resulted in the drilling of seven major DOE wells. Four are producing geothermal water from reservoir temperatures measured to approximately 149 C (approximately 300 F). Closed-in well head pressures range from 69 to 102 kPa (100 to 175 psi). Two wells are scheduled for geothermal cold 60 C (140 F) water reinjection. The prime development effort is for a power plant designed to generate electricity using the heat from the geothermal hot water. The plant is designated as the ''5 MW(e) Raft River Research and Development Plant'' project. General site management assigned to EG and G has resulted in planning and development of many parts of the 5 MW program. Support and development activities have included: (1) engineering design, procurement, and construction support; (2) fluid supply and injection facilities, their study, and control; (3) development and installation of transfer piping systems for geothermal water collection and disposal by injection; and (4) heat exchanger fouling tests.

  3. Internal Technical Report, Safety Analysis Report 5 MW(e) Raft River Pilot Plant

    Energy Technology Data Exchange (ETDEWEB)

    Brown, E.S.; Homer, G.B.; Spencer, S.G.; Shaber, C.R.

    1980-05-30

    The Raft River Geothermal Site is located in Southern Idaho's Raft River Valley, southwest of Malta, Idaho, in Cassia County. EG and G idaho, Inc., is the DOE's prime contractor for development of the Raft River geothermal field. Contract work has been progressing for several years towards creating a fully integrated utilization of geothermal water. Developmental progress has resulted in the drilling of seven major DOE wells. Four are producing geothermal water from reservoir temperatures measured to approximately 149 C (approximately 300 F). Closed-in well head pressures range from 69 to 102 kPa (100 to 175 psi). Two wells are scheduled for geothermal cold 60 C (140 F) water reinjection. The prime development effort is for a power plant designed to generate electricity using the heat from the geothermal hot water. The plant is designated as the ''5 MW(e) Raft River Research and Development Plant'' project. General site management assigned to EG and G has resulted in planning and development of many parts of the 5 MW program. Support and development activities have included: (1) engineering design, procurement, and construction support; (2) fluid supply and injection facilities, their study, and control; (3) development and installation of transfer piping systems for geothermal water collection and disposal by injection; and (4) heat exchanger fouling tests.

  4. A Proton Flare Triggered the Mw 8.1 Chiapos Mexican Earthquake

    Science.gov (United States)

    Elfaki, H.; Yousef, S.

    2017-12-01

    In a 2015 Cairo University M.Sc. thesis by Sarah Khodairy, very strong earthquakes were found to be highly correlated with proton flares. Strange blue and green bright flashes of light across Mexico accompanied the 8th of September 2017 Mw 1.8 Chiapas earthquake. Those lights were contemporary with a solar proton flare. Those green and blue lights are indicative of the arrival of proton streams over Mexico and their interaction with atmospheric Oxygen and Nitrogen atoms respectively in analogy with aurora lights. The proton streams attacked the weak spots of tectonic plates where the Coscos plate is being subducted below the North American plate. It is suggested that they induced telluric electric currents in the ground and in the magma thus caused motion and more subduction in the tectonic plates. Such motion immediately trigged the Chiapas earthquake in the near vicinity. The Bz component of the interplanetary magnetic field was highly negative, a door was opened in the magnetosphere and the proton stream easily leaked inside and targeted Mexico. This proton flare was accompanied by coronal mass ejection and extremely strong X.9.3- class X-ray flare as well as magnetic storms. On the other hand, the 19th of September Mw 7.1 Puebla central Mexico earthquake was initiated by fast solar wind coronal hole stream. Such stream if they hit ground they cause earthquakes, if they hit narrow seas like the Red Sea they cause flash floods. However if they target Oceans they initiate hurricanes.

  5. Reconfiguration of the NRAD delay loop for proposed 1 MW operations

    International Nuclear Information System (INIS)

    Heidel, C.C.; Richards, W.J.; Pruett, D.P.

    1984-01-01

    Neutron radiography is provided by the NRAD reactor facility, which is located beneath the HFEF hot cell. The NRAD reactor is a TRIGA reactor and is operated at a steady-state power level of 250 kw solely for neutron radiography and the development of radiography techniques. When the NRAD facility was designed and constructed, an operating power level of 250 kw was considered to be adequate for obtaining radiographs of the type of specimens envisaged at that time. Since that time a second radiography station was installed and the thickness of the specimens being radiographed is greater than was initially envisaged. In order to decrease exposure times, the reactor power level is to be increased to 1 Mw. The present delay loop can not to be used at 1 Mw operation, because the passage way where the primary piping exits the reactor room must be maintained less than 1 MR/hr. To obtain the needed delay before the primary water exits the reactor room using the present internal delay loop system would require two more delay loops of the same size to be placed in series with the present delay loop. Because the NRAD reactor tank is small this is not possible; therefore, the delay must take place external to the reactor tank. The delay loop will have to be located in a shielded area to allow the decay of N 16 . The best location for the delay tank will be in the east radiography

  6. 5 MW CW supply system for the ITER gyrotrons Test Facility

    International Nuclear Information System (INIS)

    Fasel, D.; Albajar, F.; Bonicelli, T.; Perez, A.; Rinaldi, L.; Siravo, U.; Sita, L.; Taddia, G.

    2011-01-01

    ECH (Electron Cyclotron Heating) for ITER will deliver into the plasma 20 MW of RF power. The procurement of the RF sources will be shared equally between the three following partners: Europe, Japan and Russia. Moreover, Europe decided to develop a RF source capable of 2 MW CW of RF power, based on the design of a coaxial gyrotron with a depressed collector. In order to be able to develop and test these RF sources, a Test Facility (TF) has been built at the CRPP premises in Lausanne (CH). The present paper will first remind the main operation conditions considered to test safely a gyrotron. The power supplies parameters allowing to fulfill these conditions will be reviewed. The core of the paper content will describe the newly installed Main High Voltage Power Supply (MHVPS), to be connected to the gyrotron cathode and capable of -60 kV/80 A-CW. The principle, the characteristics, the on-site test results will be described at the light of the requirements imposed by the gyrotron testing. Particular aspects of the installation and commissioning on-site will be highlighted in comparison with the ITER environment. The synchronized operation of the MHVPS and the BPS (Body Power Supply) on dummy load, piloted through the TF remote control, will be presented and commented. Since the TF supply structure has been built integrating the particular conditions and requirements expected for ITER, a conclusion will summarize the performances obtained at the light of these criteria.

  7. Surgical Safety in Pediatrics: practical application of the Pediatric Surgical Safety Checklist

    Directory of Open Access Journals (Sweden)

    Maria Paula de Oliveira Pires

    2015-12-01

    Full Text Available Objectives: to assess the practical application of the Pediatric Surgical Safety Checklist on the preoperative period and to verify family satisfaction regarding the use of the material. Method: exploratory study that aimed to analyze the use of the checklist by children who underwent surgical interventions. The sample was constituted by 60 children (from preschoolers to teens and 60 family members. The variables related to demographic characterization, filling out the checklist, and family satisfaction, being evaluated through inferential and descriptive statistical analysis. Results: most children (71.7% were male, with a median age of 7.5 years. We identified the achievement of 65.3% of the checklist items, 30.0% were not filled due to non-performance of the team and 4.7% for children and family reasons. In the association analysis, we found that the removal of accessories item (p = 0.008 was the most checked by older children. Regarding satisfaction, the family members evaluated the material as great (63.3% and good (36.7% and believed that there was a reduction of the child's anxiety (83.3%. Conclusion: the use of the checklist in clinical practice can change health services regarding safety culture and promote customer satisfaction.

  8. Surgical treatment of pain in chronic pancreatitis

    Directory of Open Access Journals (Sweden)

    Stefanović Dejan

    2006-01-01

    Full Text Available INTRODUCTION: The principal indication for surgical intervention in chronic pancreatitis is intractable pain. Depending upon the presence of dilated pancreatic ductal system, pancreatic duct drainage procedures and different kinds of pancreatic resections are applied. OBJECTIVE: The objective of the study was to show the most appropriate procedure to gain the most possible benefits in dependence of type of pathohistological process in chronic pancreatitis. METHOD: Our study included 58 patients with intractable pain caused by chronic pancreatitis of alcoholic genesis. The first group consisted of 30 patients with dilated pancreatic ductal system more than 10 mm. The second group involved 28 patients without dilated pancreatic ductal system. Pain relief, weight gain and glucose tolerance were monitored. RESULTS: All patients of Group I (30 underwent latero-lateral pancreaticojejunal - Puestow operation. 80% of patients had no pain after 6 month, 13.6% had rare pain and 2 patients, i.e. 6.4%, who continued to consume alcohol, had strong pain. Group II consisting of 28 patients was without dilated pancreatic ductal system. This group was subjected to various types of pancreatic resections. Whipple procedure (W was done in 6 patients, pylorus preserving Whipple (PPW in 7 cases, and duodenum preserving cephalic pancreatectomy (DPCP was performed in 15 patients. Generally, 89.2% of patients had no pain 6 month after the operation. An average weight gain was 1.9 kg in W group, 2.8 kg in PPW group and 4.1 kg in DPCP group. Insulin-dependent diabetes was recorded in 66.6% in W group, 57.1% in PPW group and 0% in DPCP group. CONCLUSION: According to our opinion, DPCP may be considered the procedure of choice for surgical treatment of pain in chronic pancreatitis in patients without dilatation of pancreas ductal system because of no serious postoperative metabolic consequences.

  9. Cefazolin pharmacokinetics in cats under surgical conditions.

    Science.gov (United States)

    Albarellos, Gabriela A; Montoya, Laura; Passini, Sabrina M; Lupi, Martín P; Lorenzini, Paula M; Landoni, María F

    2017-10-01

    Objectives The aim of this study was to determine the plasma pharmacokinetic profile, tissue concentrations and urine elimination of cefazolin in cats under surgical conditions after a single intravenous dose of 20 mg/kg. Methods Intravenous cefazolin (20 mg/kg) was administered to nine young mixed-breed cats 30 mins before they underwent surgical procedures (ovariectomy or orchiectomy). After antibiotic administration, samples from blood, some tissues and urine were taken. Cefazolin concentrations were determined in all biological matrices and pharmacokinetic parameters were estimated. Results Initial plasma concentrations were high (C p(0) , 134.80 ± 40.54 µg/ml), with fast and moderately wide distribution (distribution half-life [t ½(d) ] 0.16 ± 0.15 h; volume of distribution at steady state [V (d[ss]) ] 0.29 ± 0.10 l/kg) and rapid elimination (body clearance [Cl B ], 0.21 ± 0.06 l/h/kg; elimination half-life [t ½ ], 1.18 ± 0.27 h; mean residence time 1.42 ± 0.36 h). Thirty to 60 mins after intravenous administration, cefazolin tissue concentrations ranged from 9.24 µg/ml (subcutaneous tissue) to 26.44 µg/ml (ovary). The tissue/plasma concentration ratio ranged from 0.18 (muscle) to 0.58 (ovary). Cefazolin urine concentrations were high with 84.2% of the administered dose being eliminated in the first 6 h postadministration. Conclusions and relevance Cefazolin plasma concentrations remained above a minimum inhibitory concentration of ⩽2 µg/ml up to 4 h in all the studied cats. This suggests that a single intravenous dose of 20 mg/kg cefazolin would be adequate for perioperative prophylactic use in cats.

  10. [Surgical emergencies in elderly patients].

    Science.gov (United States)

    Cohen-Bittan, Judith; Lazareth, Helene; Zerah, Lorene; Forest, Anne; Boddaert, Jacques

    2011-01-01

    Surgical emergencies represent a diverse combination of common and particularly severe pathologies in elderly patients. This severity is due in part to concurrent comorbidities and sometimes atypical clinical presentations, causing delay in diagnosis and treatment.

  11. Retained surgical sponge: Medicolegal aspects.

    Science.gov (United States)

    Gualniera, Patrizia; Scurria, Serena

    2018-03-01

    Retained surgical sponge events continue to occur despite the implementation of preventive surgical count policies, procedures, and adjunct technologies to manual counting. Such intraoperative mistakes can cause chronic nonspecific symptoms during the early postoperative period. When discovered years after surgery, they raise thorny medicolegal questions. We describe two cases from our practice that illustrate the need to identify the responsibility of the surgical team, as delineated in ministerial directives and the current legal framework, as well as the difficulty in evaluating clinical actions taken at different times and in different settings, with regard to the permanent health damage incurred by sponge retention. Finally, we discuss prevention actions operating room staff should take to reduce the risk of retained surgical sponges. Copyright © 2018 Elsevier B.V. All rights reserved.

  12. Surgical morbidity in obese children

    Directory of Open Access Journals (Sweden)

    Stylianos Roupakias

    2012-07-01

    Full Text Available In recent years, there has been a worldwide increase in childhood obesity. At present, pediatric surgeons manage a greater number of pediatric patients who are significantly overweight. Little data exist regarding the surgical challenges of obese children. This review study was designed to examine the relationship of obesity to surgical comorbidities, postoperative complications, and perioperative outcome in children, and to pediatric trauma. Obesity seems to be an independent risk factor in surgical-related pediatric morbidity and should be considered an important variable when looking at surgical outcomes in the pediatric population. Identification by and awareness among pediatric surgeons, of increased risk factors for peri/postoperative complications, will be crucial in optimizing the hospital stay and outcome of these children.

  13. Patient-specific surgical simulation.

    Science.gov (United States)

    Soler, Luc; Marescaux, Jacques

    2008-02-01

    Technological innovations of the twentieth century have provided medicine and surgery with new tools for education and therapy definition. Thus, by combining Medical Imaging and Virtual Reality, patient-specific applications providing preoperative surgical simulation have become possible.

  14. Surgical procedures in liver transplant patients: A monocentric retrospective cohort study.

    Science.gov (United States)

    Sommacale, Daniele; Nagarajan, Ganesh; Lhuaire, Martin; Dondero, Federica; Pessaux, Patrick; Piardi, Tullio; Sauvanet, Alain; Kianmanesh, Reza; Belghiti, Jacques

    2017-05-01

    Pre-existing chronic liver diseases and the complexity of the transplant surgery procedures lead to a greater risk of further surgery in transplanted patients compared to the general population. The aim of this monocentric retrospective cohort study was to assess the epidemiology of surgical complications in liver transplanted patients who require further surgical procedures and to characterize their post-operative risk of complications to enhance their medical care. From January 1997 to December 2011, 1211 patients underwent orthotropic liver transplantation in our center. A retrospective analysis of prospectively collected data was performed considering patients who underwent surgical procedures more than three months after transplantation. We recorded liver transplantation technique, type of surgery, post-operative complications, time since the liver transplant and immunosuppressive regimens. Among these, 161 patients (15%) underwent a further 183 surgical procedures for conditions both related and unrelated to the transplant. The most common surgical procedure was for an incisional hernia repair (n = 101), followed by bilioenteric anastomosis (n = 44), intestinal surgery (n = 23), liver surgery (n = 8) and other surgical procedures (n = 7). Emergency surgery was required in 19 procedures (10%), while 162 procedures (90%) were performed electively. Post-operative mortality and morbidity were 1% and 30%, respectively. According to the Dindo-Clavien classification, the most common grade of morbidity was grade III (46%), followed by grade II (40%). Surgical procedures on liver transplanted patients are associated with a significantly high risk of complications, irrespective of the time elapsed since transplantation. Copyright © 2017 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.

  15. Clinical Features and Outcome of Dogs with Epiglottic Retroversion With or Without Surgical Treatment: 24 Cases.

    Science.gov (United States)

    Skerrett, S C; McClaran, J K; Fox, P R; Palma, D

    2015-01-01

    Published information describing the clinical features and outcome for dogs with epiglottic retroversion (ER) is limited. To describe clinical features, comorbidities, outcome of surgical versus medical treatment and long-term follow-up for dogs with ER. We hypothesized that dogs with ER would have upper airway comorbidities and that surgical management (epiglottopexy or subtotal epiglottectomy) would improve long-term outcome compared to medical management alone. Twenty-four client-owned dogs. Retrospective review of medical records to identify dogs with ER that underwent surgical or medical management of ER. Dogs with ER commonly were middle-aged to older, small breed, spayed females with body condition score (BCS) ≥6/9. Stridor and dyspnea were the most common presenting signs. Concurrent or historical upper airway disorders were documented in 79.1% of cases. At last evaluation, 52.6% of dogs that underwent surgical management, and 60% of dogs that received medical management alone, had decreased severity of presenting clinical signs. In dogs that underwent surgical management for ER, the incidence of respiratory crisis decreased from 62.5% before surgery to 25% after surgical treatment. The overall calculated Kaplan-Meier median survival time was 875 days. Our study indicated that a long-term survival of at least 2 years can be expected in dogs diagnosed with epiglottic retroversion. The necessity of surgical management cannot be determined based on this data, but dogs with no concurrent upper airway disorders may benefit from a permanent epiglottopexy to alleviate negative inspiratory pressures. Copyright © 2015 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals, Inc. on behalf of the American College of Veterinary Internal Medicine.

  16. Endoscopic Endonasal Transclival Approach for Resection of a Pontine Glioma: Surgical Planning, Surgical Anatomy, and Technique.

    Science.gov (United States)

    Fernandes Cabral, David T; Zenonos, Georgios A; Nuñez, Maximiliano; Celtikci, Pinar; Snyderman, Carl; Wang, Eric; Gardner, Paul A; Fernandez-Miranda, Juan C

    2018-03-12

    The endoscopic endonasal approach (EEA) has been proposed as a potential alternative for ventral brainstem lesions. The surgical anatomy, feasibility, and limitations of the EEA for intrinsic brainstem lesions are still poorly understood. To describe the surgical planning, anatomy, and technique of an intrinsic pontine glioma operated via EEA. Six-human brainstems were prepared for white matter microdissection. Ten healthy subjects were studied with high-definition fiber tractography (HDFT). A 56-yr-old female with right-hemiparesis underwent EEA for an exophytic pontine glioma. Pre- and postoperative HDFTs were implemented. The corticospinal tracts (CSTs) are the most eloquent fibers in the ventral brainstem. At the pons, CSTs run between the pontine nuclei and the middle cerebellar peduncle (MCP). At the lower medulla, the pyramidal decussation leaves no room for safe ventral access. In our illustrative case, preoperative HDFT showed left-CST displaced posteromedially and partially disrupted, right-CST posteriorly displaced, and MCP severely disrupted. A transclival exposure was performed achieving a complete resection of the exophytic component with residual intra-axial tumor. Immediately postop, patient developed new left-side abducens nerve palsy and worse right-hemiparesis. Ten days postop, her strength returned to baseline. HDFT showed preservation and trajectory restoration of the CSTs. The EEA provides direct access to the ventral brainstem, overcoming the limitations of lateral approaches. For intrinsic pathology, HDFT helps choosing the most appropriate surgical route/boundaries for safer resection. Further experience is needed to determine the indications and limitations of this approach that should be performed by neurosurgeons with high-level expertise in EEA.

  17. Surgical Treatment of Calcaneal Spur.

    OpenAIRE

    Eduardo Sarmiento Sánchez; Horacio Suárez Monzón; Rolando Delgado Figueredo; Juan Carlos Cabrera Suárez

    2007-01-01

    Background: Pain in the plantar region of the heel is technically known as talalgia, and it is a very frequent complaint in the orthopaedic service in Guyana. Due to its frequent mortality, the current investigation was carried out. Objectives: To characterize the application of the surgical treatment to a group of patients in Guyana. Method: 70 patients surgically treated were studied presenting rebel talalgia with no responses to the conservative treatment. Age, sex, race, educational level...

  18. Evolution of surgical skills training

    Science.gov (United States)

    Roberts, Kurt E; Bell, Robert L; Duffy, Andrew J

    2006-01-01

    Surgical training is changing: one hundred years of tradition is being challenged by legal and ethical concerns for patient safety, work hours restrictions, the cost of operating room time, and complications. Surgical simulation and skills training offers an opportunity to teach and practice advanced skills outside of the operating room environment before attempting them on living patients. Simulation training can be as straight forward as using real instruments and video equipment to manipulate simulated “tissue” in a box trainer. More advanced, virtual reality simulators are now available and ready for widespread use. Early systems have demonstrated their effectiveness and discriminative ability. Newer systems enable the development of comprehensive curricula and full procedural simulations. The Accreditation Council of Graduate Medical Education’s (ACGME) has mandated the development of novel methods of training and evaluation. Surgical organizations are calling for methods to ensure the maintenance of skills, advance surgical training, and to credential surgeons as technically competent. Simulators in their current form have been demonstrated to improve the operating room performance of surgical residents. Development of standardized training curricula remains an urgent and important agenda, particularly for minimal invasive surgery. An innovative and progressive approach, borrowing experiences from the field of aviation, can provide the foundation for the next century of surgical training, ensuring the quality of the product. As the technology develops, the way we practice will continue to evolve, to the benefit of physicians and patients. PMID:16718842

  19. Bacterial migration through punctured surgical gloves under real surgical conditions

    Directory of Open Access Journals (Sweden)

    Heidecke Claus-Dieter

    2010-07-01

    Full Text Available Abstract Background The aim of this study was to confirm recent results from a previous study focussing on the development of a method to measure the bacterial translocation through puncture holes in surgical gloves under real surgical conditions. Methods An established method was applied to detect bacterial migration from the operating site through the punctured glove. Biogel™ double-gloving surgical gloves were used during visceral surgeries over a 6-month period. A modified Gaschen-bag method was used to retrieve organisms from the inner glove, and thus-obtained bacteria were compared with micro-organisms detected by an intra-operative swab. Results In 20 consecutive procedures, 194 gloves (98 outer gloves, 96 inner gloves were examined. The rate of micro-perforations of the outer surgical glove was 10% with a median wearing time of 100 minutes (range: 20-175 minutes. Perforations occurred in 81% on the non-dominant hand, with the index finger most frequently (25% punctured. In six cases, bacterial migration could be demonstrated microbiologically. In 5% (5/98 of outer gloves and in 1% (1/96 of the inner gloves, bacterial migration through micro-perforations was observed. For gloves with detected micro-perforations (n = 10 outer layers, the calculated migration was 50% (n = 5. The minimum wearing time was 62 minutes, with a calculated median wearing time of 71 minutes. Conclusions This study confirms previous results that bacterial migration through unnoticed micro-perforations in surgical gloves does occur under real practical surgical conditions. Undetected perforation of surgical gloves occurs frequently. Bacterial migration from the patient through micro-perforations on the hand of surgeons was confirmed, limiting the protective barrier function of gloves if worn over longer periods.

  20. Minimizing surgical skin incision scars with a latex surgical glove.

    Science.gov (United States)

    Han, So-Eun; Ryoo, Suk-Tae; Lim, So Young; Pyon, Jai-Kyung; Bang, Sa-Ik; Oh, Kap-Sung; Mun, Goo-Hyun

    2013-04-01

    The current trend in minimally invasive surgery is to make a small surgical incision. However, the excessive tensile stress applied by the retractors to the skin surrounding the incision often results in a long wound healing time and extensive scarring. To minimize these types of wound problems, the authors evaluated a simple and cost-effective method to minimize surgical incision scars based on the use of a latex surgical glove. The tunnel-shaped part of a powder-free latex surgical glove was applied to the incision and the dissection plane. It was fixed to the full layer of the dissection plane with sutures. The glove on the skin surface then was sealed with Ioban (3 M Health Care, St. Paul, MN, USA) to prevent movement. The operation proceeded as usual, with the retractor running through the tunnel of the latex glove. It was possible to complete the operation without any disturbance of the visual field by the surgical glove, and the glove was neither torn nor separated by the retractors. The retractors caused traction and friction during the operation, but the extent of damage to the postoperative skin incision margin was remarkably less than when the operation was performed without a glove. This simple and cost-effective method is based on the use of a latex surgical glove to protect the surgical skin incision site and improve the appearance of the postoperative scar. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .